Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0685 STRAWBERRY HILL ROAD
to �'.�� ir„ .'1'�� � `�'.�,• '��. ti.. .,j i +y' - ' Aul p c v > •l #,v v , n t i d .!y e... ... ..tee.. ., . ... -..:. —_ n. o-; a e.a -R.`'s' •_ F�,< ° M / ,� 'aj}f' w'1f'w/ �•r ._ .� a.. •: 1. 9�_ % ��e '` d 0. * r �. >f x � 2r.... .L, * , r f wm--.1 .- ,f 'q- w - �� > a�.. Y. yµ h >,- t17 19 d+ v� Y x�« 1. r. w r �, y ~�•,� y� r ? t w r ;. w - •r ..l a .hF '.' 3"w, a• r , Kc �.,� 4 .4 -� q -� - , $' �: c Taw 4t, .¢ ' r-xrs. i r•.: �':'- v ; e:- r �., rr 3s r''s r .,t�'z. r. * ¢ __ S .I- o.r I , - a., ., rc. +} H p •c,... i y .$° r- _ , Y.Utitis s'z,,i <ti^ �-., �. F - 1• .r .,� C�f , r h 1E-^•ic „ ;�. _ 3 4, 'fit R- U � <i �iS {{ ri y f r T .f Y 'l '6 w -'tY T ' - 3 'o 't,. , j - r �af:g r. ;,. s , Sc:d �` a r - ✓ 3'�v ar � f, �� �'','� c ll�,; s't , ,' ,} t ,v _ ' J Hsu ? -es ', . "•�'* f 0. a d r -'' a F 3 n11 R,.�aI v ,?x 'fi` ;11 a � „ �' 'T, "'� a , �y .: yyj7, ,4 -4 _ n - z L I $' a Y �. f r �". } p '� - e oe ° h X" �k� E - ,, i .�y a. z�jj k r y y1's- R q•5'• �j N f , a x x _ ��•, , _ s 1. K P +'tom 4 t s' a ,d `r;, r .y �+"��,� Yi ll v F _ '" �` ,3, •� _i Y_q 'a r qxf Cr., '. _•'7 v` c -dr•.• _l �` 5 �. ,x .A - . '� Is ". a r k M c� �r q fi '1{ a; .s �T`a' ° u rz $ y _� ti, t, :, - _.V� y`'a J 1 h r �'� �,E s �� "!_'`. t. r a*�p^g,' .i,~ a .�, '2,.. x 3 a , ,t nk s `� _a e.�, x ! `k, 3 .ti _ .fit - rr � Q �-.. `� 4,� v 3a^ 'r' L�•t tf :' �, - .t( Y- .p j r •. t,. 3'.�. R.8 -"`Y ,p, ,r«u ,a '"S ;e9- ). _ Jr i 3,., ,�� �, •7 , ,r t... I � ..1• -� _a t 1r 3 "'"'" J :ra- 9% 1 - "'-' .t =-- ca I.'�€ , 5�`F 3 • r V V, 1t_ ,p . - R ti•,_ ha "r" �°'," ,y e o- `?zr �, "_n' S � ';� e'� - i4 az&� ,'`��° c , ,F �'r 'Y".^r ..::w y .Y .� " n F Rr 'y '. 9 µ `t r vat �cc `'r e_ p,� _ a ,� i.;' e'r f s tF ;+'. r.. t s' y F i1 ,,,; ,a'�iI% r "` _ <. �f i w ryfi '^'n .z•u :,'.*7 a`., •�,h 4 tt r v. ' a { .z C. a , y� k�q-E' yr I- :_ �✓ .I: t K„ r-., y.e c m ,� r nv ;c '*u. �'.c " + ' a t, • ,�, .:. y wY '"k`- 9. ^� a '� Safi, 'Fs "` a �� .a - a i _ t ., ., ;: � d a w-?I , •y„S 5 34r r' :c"A�� 2.;,� AM �'�y 7�� r'$i,�r��� �.h�k ��?a � � �� ,�a t�'�'�q ,{�"t' � , �t 9 S, `R iD ° �E`�. s� �$ 'f.�+X,, 7`�'' -i �rt a+ A. d" -a 4 A, v;:>. c'S�p a� ,,•K 0 r ' '� F y'r 5.b y,�a' ''a* }. iF . �4 ror r* .. .. r�.' _3w M t''r $ 'X `If'., L '* . . r F '. Y Y 4 a F $_ `e q° nS U ps ${ra F • e � �' , x� d a J..+ ?dr x..� `� a�+` .retnr. '- p, -.:— ' ,, G, '.G A } F,.,ya.w �V. Ami't :"'�„ y + t� .4 c,. .- mr +o S } ,_' r �.. c 11L '' R. � �,. ...;,ray _v at e: .r3' r 4 ^z. l, Ay , tr�rj�, ��� r •� Y.t7.y v .i3 e y« ,a�., ;.:,'yaa i y11 G� rr i c , . i e d car�#Y �1 r: .It �3 c � ,, m ° �p 6 s a, s :a x u ti r as t"°a��rti ifi '.c ' r t xx F o * i � x -a s -¢, ' d Y Y CL p_ k =ttl' ,4 y�, .e.ce PZ' r •.23 iiE£,f. ,d� • �y �G' do a,.; t : ll g 1s%; �'I _'o . " ' `°'�% _'afk +$ ;:,5 ?�+'-'g"'' ,4 A f t'.t -� q.i?l y? ,*: s £ "—-, a t. u.`=�'y 'x'fin' w a:'� a v_, 4-., , 3 d. §S .'a, 1 . r •F:' g� >it'' .d' tl+ �#a 9s '�" :. Lcc ! 1 'P`',u"� -"sly.. 7 ''tE 1. •P '. R-'� `� .` v• ram,rnn °' r ..ate '!� +". r1` a " Y (,'+ @ *' *e 5"a "J- `Ciy � �a �• �¢,• �MrAir : .K rt „.• `�1e{„y 3i�"$g..Y' ? 'a#'*„ ''�3 r ' 'pQ ` i'y`�` • - E: n. ,� a„t vt.: es -. _,. !6 "r-1 4 'y -�- � A. -�t.� �:, d .'.W 4.,,, �.?, �. ,,� .,�,.'�.L'"e„ 2..m F ��; . .. G ,ter"�LY '�4. ' � ' { L r ,� .* i ,`t- o d I —1 k,N Win'M ui�s G� .,�s IiF -n- c tb sr',: F �5'�, '? tu '� ^J .A 1 '.R Sr�d! Y r. a P. " ., aSA-{ ...' �-,'�``3n Y tiP c a{ a' `"�.�" S`' i,� `4 ,�,,.9 �r"[� � .. f 'L .9; A•.'� ^Y. �y.� PAP -� o ++Ci; .,�+y�1� a z!.7 Y< �11li 1. may.3^ '°$� d i Yt. NF ~" a' '.fia ir °, ,P,�a y �Y`' �x.:rb�. '"x cu .`' N ,��',�. mr- �. _ � , 4. i- , � h•a 'SF i`�.a+ A :s� D._ r ' I At A '!vi� ,. R ° a ��` � "7.,. �9 �'w .6e� ir-';'�. ti11 y �! t}r�TF t.R 7 wt�`.a x '"ae k c P4. � yf . :-.y' zr'."'� F. c�'7 4` A ''� >.:GAk; IS i9 ,4�"g °. 'r�,� ';s� ;jl'�' "r ...y C- 3= ... .};•6�'s dlt� i ` yF a tir#eL =a �yu�y 9� ,' aft... z , .,.sla 5.. .k I;i_q @ c,�:.-.;�, :,y'` *.-It -� '',- '� ^•�'t d."t'- le :P'o " cA. r ,% '-Ci -* I L ... .m�u a.-+� 4 ea,..�.^,.. `, 4 - a a zt "4. p, t: ,, i1'•z f •,.f;.,a, F - '`�M,' 4°r�}.,., "+ „y x a f. -3 u (r Rs a:, �'Ffi'.: .i' �'{, 14,3.e� e� ❑'- ".R `F.'� Is a G �F�' ,° �+34 :r. < ,.g ,w'-'i# fc :'�' s7 K A :%'t :�,a� ...n.sys� >, .; "" e -sf �"° �# ^4f }L a m, s ,. ,. I le -0 F rT I .,a. f "- �, '� s } p J"�' yi7 a's a� �"@w P�s h` {1 f L?; , `� a •'? y0 may, r ''3u�,- �:'. _ tir `'S _ .�' '^• *' < t � Iq - 3 R -F is i..-i,i ai' S e i si a. 6 't a g h y r c y? t is t} _ r 'x. ,,;_ 4 ,.r L _ ,� w.vk .-.. .., _, p_ - ,.4,.., .1 —a-4. y.... -,.__ R , , .F y •r ,ti.^, , , M as ,�;; 1 - n3 ,7 Y y' � .'r a - U .p" '� - ..0 .t :. ti,7• :1 - , nY r y , ' D 4. a ' rI rs" .. � J.. ,4'I ':te. F �"r `. 4r• ! ..% '��' A r , Y+l.^ ; r vS! u T • Y w• b [ .. ..J T - S Dr 61Y.� •Ire £ #..� 'rI.S F.,.,�' 2s -'Yd.'`�' `F"'/ ya�', �..!7•[ '.�1:. r. 1� 3' 'j' -! '• .a. iY - 2 - , .F ti .a:. ,,y:`Ft! rri¢, rt'-.• t e ,:r' - c, .�. t. . 'kr. W it. :v�:4i' .� .i•t �+ ,4 « fO k ,. r�, �,, !R.• � ,l.�r � sia f u s�6 eJ _ "'d' " ,r _+ry,. a. ar: . . r, rt ` y e ••�, - a� e'er t. , ._ ems: �. �_.� }." r'.. ":3 «^.aa � r .� a °' '' k S.rv+rt'" • n }f4. a,4 5 `f: .:. s; :n 7 '...,:,S g C, h ., R n .:. , a.ye.. /,, ,. .¢ ,1. lr...Y Y �� a[J � �, r `.�' .. h•4\.+ Y r _ 'n t 1 , e ,.1 e �,� y:'i ,n� es' a ., +'t f° '!" a - '4A1 •1 Y �.' '+�. � a p v F .+::.p' w' .f' `":' vs '"� _ ,r �k-N' .,t J«,�..• {�':"�a t � �t .c:. k* `�_, • s,_ -t r •x::F .} 1:. - ! - v ! `>r_ ti <"a•., s it �t .i „�,' � r� ,;«' 3r,1�- '� _� F .s'. ,df' s rri•.; .s' tf' i' r .3 M' v'.:.,. - g'+4r` n,.• . � ,J-ra r'�`"e . . :�; f r. ""t '�".�m"�",Y r'-'s"'.-•,.r',,�d.;�y�es.•, ;i'�w ,e,..44'� [ .>y - y. f ,�s - - ', !' ,r' , .,pan is ,8•` a 1::4 4 r. �.4 r�.. �1 t:. u :�'�` ;�Ry,� w�,�.� it� !++ e,wp.* -..�''-.�+?'r tt �'� ,y -s,;; 1 n '� >s ��,r,•.:.�,. •^t[`.:r a ti 4�a� r.. y [a y l .Y ,� •. {' n N .� :. w ` r[ � ,��, 9 �.„'�' a JJ.:rS..�..n` � ;4^Y Y � Ow ", s�., k..4 •y. :i.::i !e �,. '� _ .Y �..��it - r , -u �' Rr'oK'� �,' S n- a - .� � ,^:v.t t} .fit." ,', .r• :r '+:i% _�. ` r;. 9"• M G uR l4' S p. 'V ! + Y �:.'1 r .» •' ."';• -` - _ Vie' - . t` - �, r:.'„ ";. . .. _ y �ti � :���, 3 L �v�c ',a y, o, < a• �, '� #'v-,�n� ',r rfi 1,�: L..d' e� „g `4.e '` ,3 n a. ti r i 17' n. , :,;..•- i�.., 'A. 1 � h„ `l: -a 9, ,. :': � may. +* '^ 'L v '., r.. . .. . ,,. - n .•- �r"t.' .. .'ra• t r, •. t oL, ,� � .y,i � � r m b .. .,� r S� �' s.. � �r � � ,• z,s 'r , Y 1 c Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200.Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application.for Business Certificate Date U q(A Map e� ( '$arcel Applicant Information Applicants Name 1147kA F AJ �/ � r`•c�,y� Applicants Address t 3 g Q��,!b e r.�,¢�s��c��c Email Address C o�✓� Telephone Number S� '� 3 Cp 15 Listed ❑ Unlisted ❑ Business Information New Business? ------ ---------------=-------=---=--- es No - Business is a registered corporation? -_ _________________ Yes, . s If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? -------- ----------- If yes-then a Home Occupation Registration is required—See Building Division Staff Name of Business AdVAA G.0 V_ alb Business Address �l raw Type of Business ' Building Comjnissioner Offi' ijse Only Conditions {fit 1 ' Building Commissio Date 10 Clerk Office Use Only Town of Barnstable Building Department �oFSHe r � Brian Florence,CBp Building Commissioner w saxxsTes , • 200 Main Sireet,,Hyannis;MA 02601 Mass 7 i639• ��� www.town.barnstable.ma.us, oOpTED MAC A Office: 508-862-4038 Fax: 508-790-6230 - Approved Fee: Permit#; --( HOME OCCUPATION REGISTRATION Date: L Name: A-A 1i � i"4'a4G . Phone#: Address: COX J. 5+��w(.ae�ry.s!(�I i lc� Village: Name of Business Type of Business: e,M4' ,a n e Map/Lot: � r INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential-volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall.be permitted as,of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit: Z • Such use occupies no more than 400 square feet of space. OO •. There are no external alterations to the dwelling which are not customary in.residential buildings, and there a W is no outside evidence of such use. m CC • No traffic will be generated;in excess of normal residential volumes. U -J The use does not involve the production of offensive noise,vibration, smoke,dust or other particular Q Q co matter,odors;electrical disturbance,heat;glare,humidity or other objectionable effects. LL W Z • There is no storage or use of toxic or hazardous materials,or:flammable or explosive materials,.in excess C/) u_ of normal household quantities. O z = Q ? Any need for parking generated by such use shall be met on the same lot containing the Customary Home = a= J. Occupation, and not within the required front yard. ~ g • There is no exterior storage..or display of materials or equipment. LLJ There are no commercial vehicles related to the Customary Home Occupation,other than one van or one a UJ } pick-up truck not to exceed one ton capacity;and one trailer not to exceed 20 feet in length and not to 0 Q exceed 4 tires,parked on the same lot containing the Customary Home Occupation. O Z 2 • No sign shall be displayed indicating the Customary Home Occupation. �J • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be W �, included. OD O No person shall be.employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the.above restrictions for my home.occupationI am registering. Applicant: Date: Z-2 Homeoc.doc Rev.10/17 pFINE rqk, Town of Barnstable ,Regulatory Services . • snxxseABLE. „�, Richard V. Scali,Director s63y. �� 'OfFD' -l° ]Building Division Paul Roma Building Commissioner \ 2QO Main Street, Hyannis, MA 026Q 1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 November 2,2016 Luiz Alberto Dos Santos 685 Strawberry Hill Road Centerville,MA 02632 Re: Family Apartment Dear Mr. Santos, ' Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by November 23,2016. You,ate required under Section 240-47-1 of the Town Building Zoning Ordinances to submit an affidavit annually indicating the status of the Fan-Wy Apartment. Failure to submit the affidavit is a violation of your Family Apartment approval and may result in the loss of your rights. If you have any questions,please call Brenda Coyle,Permit Tech., at 508-862-4039. Sincerely, ' Paul Roma Building Commissioner /blc Town of Barnstable owyo� ` `"B`E , Building Department-200 Main Street %639. �0 rFOMA�a Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-2015-02006 CO Issue Date: 11/1/2016 Parcel ID: 249-060 Zoning Classification: RD-1 Location: 685 STRAWBERRY HILL ROAD,., Proposed Use:, 1010 CENTERVILLE Gen Contractor: ANSO'N CELIN Permit Type: Residential - Comments: Family apartment for Tammy Santos Building Official Date: TOWN OF BARNSTABLE - Building �t1lE nn,. �i► . 201502006 * BARNSTABLE, + Issue Date: 07/16/15 Permit ° 9 MASS. �p 1639° Applicant: SANTOS,LUIZ&MARCIA TRS rFG MAC a Per.`mit Number: B 20151869 Proposed Use: : SINGLE FAMILY HOME Expiration Date: 01/13/16 Location 685 STRAWBERRY HILL ROADZoning'District RD-1 Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 249060 Permit Fee$ .00 Contractor PROPERTY OWNER Village CENTERVILLE App-Fee$ 50.00 License Num Est Construction Cost$ 11,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND DETACHED FAMILY APARTMENT WITH CONSTRUCTION MAIN H USF>rHIS CARD MUST BE KEPT POSTED UNTIL FINAL LUIZ A SANTOS APARTMENT TAMMY SANTOS.DAUGHTER INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SANTOS,LUIZ&MARCIA TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: _685 STRAWBERRY HILL ROAD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL 7. Building=Permit.Issued By: THIS PERMTT,CONVEYS-N'0 RIGHT�TO OCCUPY STREET ALLEY;OR SIDEWALK OR ANY PART THEREOF;EITHER TE P 'RARILY O R T Y'ENCROA'CHME'NTS ON PUBLICPROPERTY,ENO ...:.* Ni a SPECIFICALLY PERMITTED UNDER THE BUIDDFNG CODE,MUST BE APPROV ED IiY,THE=JURISDICTION. STREET OR ALLEY GRADES AS`WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MAY BE , OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT-FRO THE CONDITIONS OF ANY,APPLICABLE SUBDIVISION .... ., „ ,.. .. .. M .. of RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS.REQUIRED FOR ALL CONSTRUCTION WORK: A.FOUNDATION OR FOOTINGS. 2,SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION; 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS.TO GUARANTY FUND(as set forth in MGL c.142A). + ® f ® r x� z � wx »:yr , 31 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS . ELECTRICAL INSPECTION APPROVALS q, "v'� 1 �^ 1<n 2 w V 3 , �tL�•k� 2 rt,5.,� z�c�/� 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Boar`d" Health ov` lfll�l�r� 2 I Town of Barnstable *Permit#16 7 665 Regulatory Services f ee 6monthsfrom-3S e snarrsresis, MASS. Richard V.Scali,Director Building Division Paul Roma,Building Commissionerp � � 200 Main Street,Hyannis,MA 02601 1 ��� www.town.barnstable.ma.us SEP 3 Office: 508-862-4038 �1�[ 1 � Eaaarx�:�T5 -817�9 T EXPRESS PERMIT APPLICATION - RESIDElV�IAL' ONL Y LA'�1 )(,, Not Valid without Red X-Press Imprint Map/parcel Number � Property Address (2S5 S aVv b I y. f 1l 'Vd o Ciffft (V)1 k I M q O L1bSZ ❑Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address -L [we("M —Dos Sa`(` s Contractor's Name ka(C f IU LI 06CW� Telephone Number 1 "�1 -���L! �p� LA Home Improvement Contractor License#(if applicable) Email. Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is req[u�ilred,., SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 1 h lZrN ?lie Commompeafth gfMassadtnsetts Department ofrad-ustiiafAcciderits Office of 1MV-Skgaticrns 600 Washington Street ' Bastfrn,MA 02111 ' wrvx.ma=gov1dia Workers' Compensafaun Insurance Affidavit:Smlder /CuntractarsJEIecfricaans!Plumbers Applicant Infurm.afsan Please Print Na=(Bus E.e 'bIv A Aaa� (n GV�rJ�C N �-h`1l Ci ty/Stare et ke,� AW kk 4,�02i 2 Phone-,u-- ` �- �S L > c15C� Are YOU an employer?Check the appropriate bon: Type of project(required): I.❑ I am a employer with 4 ❑I am a general contractor and I 6. ❑New eo rtsimction employees(fall andfor part-time).* have hiredthe sub-coutmctoas 2.❑ I am a sale proprietor orparbur- listed on the attached sheet I ❑Remodeligg . slap and have no employees These sub-contractors have S_ ❑Demolitioa waking forme in any capacity. employees,and have workers' 9..❑Building addition [No fig'pomp,insomme Comp_m¢urance required_] S. ❑ W_e are a corporation and its 1 ❑Electric ai repairs or additions ep numbi officers have exercised their 1L Pl r airs or additions 3. am a homeowner doing all Volk ❑ 1? ;�, ro workers' right of exemption per MGL L2 repairs r� �e�Edj 1 c.132, §1(4h and wae have no _ Roaf � - employem[Nowod=s' 13�Other Jr`�V-P_� cam-insmanm mT'inA] $A-V aMBcznt6wtcbedmbox 01 rmst i1sa Mout*e swd=b9w--&awIn flielrvmdeie a=easatinupeTupinformsacaL Egameawnem who submit dris sari inalkAtng they Rm doing zU via&sa4 dim him auM&cnatiackns=ast submit a new affidaa indicating MCT ICa I th chec3rthi box mmt rftrJ,ea sn additimal sheet showing the name of the sub-camtt ums.and state whether or mat ftse entities have employees.Ifthe mnb-camtratt--have employees,theym=pmuide their wodEeaI gyp.policg a=ber I am arc hz=zraawfbrNzyeHW&yam Eelor4 is the policy,curd job sifir Insuance Company Name: Po-ficy 4 or Self-ins Lic_4 Fpiratiaa Date: Job Sifa Address: ' CitylStddzip: Attach a-mpy of the workers'compensationpo*declaration page(showing the policy number and expiration date). Failure to secure coverage as require under Section 25A o€MCL m 1572 can lead to the itapositkm of criminal penalties of a fine up to$UOD OU and/or otie-y&irimpdsonmeut,as well as rivil penahies is the farm of a STOP WORK ORDER and a fine of up to$250_00 a dap against the violator. Se a&dsed that a copy of this stati+put=.ay,be forwarded to the Office of Isvestegations of the DIA for ias=mce coverage verificafiaEL Ida hereby under die pains andpmaIttes of gerjRrry ftiatilie infarmaffimPrr»-wded abm�e is true arrd correct Phone� SO � E Z ?f- 6 Ojffdof use roily, Do not write in Bib"ed,ter,be arraPleted by Gdp+artown VjOk&I ' City or Fawn: PermitUcease f Issuing Axrdwr4(ca cIt~tine) L Board Of Health I Builffirti Department 3.OtpTown Clerk 4.Electrical Inspector S.Plunibing Inspector &Other CDMftct Person: Phone#- _ S 6 6 Laformation and 11nstrnc- ons M �� efts Ge=ralLaws chapter 152 req=es all eruployers'to pr videwoleas'came at=farf==enxplayees. P this StatIlb1c,an arPloYl=is defined as"_.eveay persdn in$�e seavice of another under any eoubmct ofhae, express or implied,oral or wriftcn." An.=Tkym-is def ned as LQan MTM&i pMt=CSb3P,association,coxPMAion or other legal ems',or auy two Cr m= of the foregoing engaged is a joint else,anal inolndmg the legal=Presem±afies v Of a-deceased encplayer,CX the ec reiver or trustee of an individual,pip,association Cr ofhe£legal entity,employing employees- However fire owner of EL dwellinghouse bavingnotmore therm fh ee apartments-andwho resuicsth=33,arthe occagant ofthe - dwelling house of ano$er who employs persons to do maintenance,conch action.or repair work.an such dweIliag house or on.the grounds or building agptu.tmzatthereto shallnotbccan a of such employment be deemedto be an employer_ MGL ebapter 152,§25C(6)also states that"every sfafe or local licensing agency shall withhold$ze issuance or reuew l of a Ticerzse or permit to operate a business or to construct btuildiags is the commonealth for any $pplica.ntwho has notproduced acxeptable evidence of c6rupHance with the houxance.cove�rage required." Additionally,M(H-chapter 152,§25C()states-Nether the�,, Mwean nor arty of Its poll ical subdivisions shall ear mto any contract for thepmfmmance ofpnbhowoticuatil acceptable evidence of campliaacewith th5 fiis rrance6. requirements of this chapter have beenpresemtedfo the cn*tra�,�anfhouty:' A,pplimrb; , Please fill oirt the worlazs'compensation affidavit completely,by cbzclong the boxes that apply to your sifnation anti,if necessary,supply scb�ctor(s)name(s), addresses)and PTmnenumbez(s) along with their=tdacatc(s) of nlsarance- L=it!,,d Liability Companies(LLC)or Limited Liabi-Eity'Parinerships(LIP)with no =PIoyees other fjian the to wr?rkers' ensafion inset-a n c-e_ If an LLC or LLP does have - members or partners,are not required cagy � employees,apolicyisrmpiie Be advised-fhatthisaffidayhmaybesnbmfttedtothJeDepmmenntoflndustrial Accidents for confirmation of insurance coverage- Also he sure to sign and date the af�¢da ., The affidavit should i be mtr=ed to the city or town that the application for the permit or license is being request not the Department of hAast r ial A &mts. Sbouldyou have my questions regarding the law or'if you HM' required to obtain a workers' compensation policy,please call the Department at the number listed below* Selfriu cured companies should emr then• self-msura ce license number an the appropriate line. City or Town OffIdais e arimenthas provided ace at tits bottom Please,be soa-e that the affidavit is compleh;and prrofedlegrlbIy. � Dep pro sp of fhe affidavitfor you to fll out in the event the Office of Investigations has,to corfact you regarding the applicant- Pleas e b e sure to f M in the permit/license nzanber which wM be used as a rsfm-mce number. Tn addition,an applicant that must subnait multiple p cum-if/Hcrose applibadons in any even year,need only submit one affidavit indicaf<ng conrent b or policy mforaation_Cif necessary)and under mob Site Address the applicant should writ-- all locations m (may . . town)-"A copy of the affidavit that has been officially stamped or marked by file city or town may lie provided to the " applicant as-proofthat a valid affidavit is on filefbr f itm: pemaits em or Iices A new affidavitmust be fMcd Olt each year.Where a home owner or citizen is obtai�g a.licen<se or peamitnot=e7ated in any business or commercial veatru� ti license or a dog licen orpeunit to bum leaves etc•)said person.is NOT regm¢edto complete this affidavit The OfficeofIn. 'on wa:ddlilm to ff=k you ia advance,for your cooperation.ands-lould.you.have BMY 91cstions. please do not hesifa:tc to give us a call- The Dcj artmenf's aiidress,tslcphone and fax number: Depadmant of LidmftialAoDUe to M&oil I I Tc,-L 4 617 -490(l Q�ft 406 or 1-M 14 GAFF Fax 9 617-727 7749 Revised 4-24-07 W.Wvg� A Town of Barnstable Regulatory Services ` Richard V.Scali,Director r &630. s Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must 4 Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, - in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of Applicant - Print Name Print Name Date F QT0RMS:0WNE"ERMLSSI0NP00LS Town of Barnstable Regulatory Services ptr Richard V.Scali,Director Building Division Paul Roma,Building Commissioner KAM �� 200 Main Street, Hyannis,MA 02601 ED Mla www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION U G I i 2 I 1 n Please Print DATE: (4'w �,(/ 1 A,, ,�i 111 �,/� ,/� /^� r,, JOB LOCATION: CO YC�V C111j pU . CCn-tQf\(�A �, 1�'1A VZ(oSI number t stea village - "HOMEOWNER": L-a Txy � 9 —q-S(o name / c home i�11\`phone# j `�t work phone# CURRENT MAILING ADDRESS: lD �aef N lIC Cey�,kexv i1ter N4 A- , Q2(032 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 un ersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proce es and rreq�uire.,ments and that he/she will comply with said procedures and requirements. jam' Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner 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. this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 626 ® pVrCH C rJ *r a w LfUlAl - - a t R _ OPA Ll a a a • , a S OKE DET To REVIEWED -13 30 N T LE UIL ING DEPT. ' /� . DAE — - .ffoj\ F RE DEPARTMENT BOTHS/GNAtURESAREREOU/RED fOR PE D�TE 6 K Z - -So 'I " I �J b G TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONqV (D _�7 Map Parcel Application 1' Health Division Date Issued #J Conservation Division Applicatio F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board b -- , Historic - OKH _ Preservation / Hyannis r96 -40 Project Street Address 406 - Sr1q AW 86R RY All-L Ab Village GEAJTC-k Ut GLE Owner I Ui Z At kf-ra O dS- . tYIV "05 Address Telephone ✓moo 6 �31S 6 Permit Request Q&fAcH6-D ✓FAMILY AfAig-'d vT 9'C-46 ndo 45 -n!ArAJ fhodcE /,urZ A SA#jrc)5 -6AKi :66..141n:y Sfln[1'L)S DA09kT6/L .Square feet: 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation jJ�100 0 DO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family (# units) Age of Existing Sttucture 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 Number of Bedrooms: existing —new a CD Total Room Count (not including baths): existing new First Floor Roo' Et Count Heat Type and Fuel: 09 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes M No Fireplaces: Existing New Existing wood/foal stov ❑ ® No a_n Detached garage: ® existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing "Zl nevn size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER).Name Luil ALPS6-M Dos; SAh fO5 Telephone Number 5-09 0043 qS-A Address cgs STf_AwF>6P_R-Y HIU f-D License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Js )�), r---DATE L , FOR OFFICIAL USE ONLY APPLICATION# DATE-ISSUED MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: ' _r t FOUNDATION _ I FRAME G N Iia f INSULATION Q 1Z.��V FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING C DATE,:CLOSED OUT ASSOCIATION PLAN NO. J i Town Of Barn, Bic 29015 P s 202 33952 oFTME n 07-Ifs-2015 a OS.=20ci Regulatory Sery..,.,a - .� Richard V.Scali,Interim Director s' MASS. Building Division . 'fin iwr►+" Tom Perry,CBO,Bailding Commissioner t 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 k Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I Luiz Alberto Dos Santos(as Trustee of the Tamadulu Realty Trust),the undersigned,being the owners of property situated at, 685 Strawberry Hill Road, Centerville, MA holding title under a"deed recorded with the Barnstable County Registry of Deeds in Book 23290,Page 74,being shown on Assessors' Map 249 as Parcel 060, hereby agree,certify,wan-ant and represent to the Town of Barnstable that the accessory attached apartment;which contains living quarters,is intended for use as a family apartment,for year-round occupancy.` This unit shall be used for a"Family Apartment" (as.defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by , the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence-,.' Luiz Alberto Dos Santos Relationship to Owner: owner. Resident of Family'Apartment: Tammy Santos Relationship to.Owner: daughter q This unit shall not be rented as ail apartment or as it single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and,zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be_recorded with the building department.I This agreement shall be updated whenever,a change occurs or every calendar year This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. - The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department' .. _' WITNESS our hands and seals this / _day of 20 TOWN OF BARNSTABLE: j O 4R .By; 1`v'b +s • i t r Luiz Alberto Dos Santos Trs. '3; �wiNA� ...... T as Perry,CBO0? ` Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date z f Then personally appeared the above-named (owner), Poo" made oath as to the truth of the foregoing instrument,before me. z°� r►��,.:• . 4 of c ........ gmpfiles:famapt Notary Pu 1 Ca 18 iss Expires BARN STABLE 'REGISTRY OF DEEDS My Comm ssi x fires: oc aer 20L AR TABLE 0 TY John F, Meade, Register REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER i I Town of Barnstable Zoning Board of Appeals, ' Decision and Notice i Variance No. 2015-005 - Santos Section 240-47.1(A)(3) — Family Apartments To allow a 896 square foot family apartment in a detached accessory building i Summary: Granted with Conditions Petitioner: Luiz Alberto Dos Santos (as Trustee of the Tamadulu Realty Trust) Property Address: 685 Strawberry Hill Road, Centerville Assessor's Map/Parcel: 249/060 li Zoning: Residence D-1 District, RPOD Hearing Date: February 11, 2015_ Recording Information: Deed: Book 23290 Page 74 Background & Relief Requested i In Appeal No. 2015-005, Luiz Alberto Dos Santos sought a variance to permit an 896 square foot detached family apartment accessory to the single-family dwelling at 685 Strawberry Hill Road in Centerville. A variance is required from §240-47.1(A)(3), which requires an apartment"to be located within a single-family dwelling or connected to the single-family dwelling in such a manner as to allow for internal access between the units. This appeal was heard concurrently with Special Permit No. 2015-007. The property is a .48 acre lot located south of Route 28 and north of West Main Street, near their intersection. The property is improved with a 3,024 gross sq.ft (1,668 living area), three-bedroom, single-family dwelling, built in 1968, and a 28' x 32' accessory two-car garage with second-floor living space. The site is served by public water and an on-site septic system sized for four bedrooms. Procedural & Hearing Summary Appeal No. 2015-005 for a variance from §240-47.1(A)(3) to permit a detached family apartment at 685 Strawberry Hill Road was filed at the Town Clerk's Office'I and office of the Zoning Board of Appeals on December 29, 2014. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened February 11, 2015 at which time the Board found Ito grant the variance subject to conditions. Board Members deciding this appeal were Craig Larson, Alex Rodolakis, George Zevitas, David Hirsch and Matthew Levesque. Luis Alberto Dos Santos represented himself before the Board. He stated that the space above the garage was existing and vacant and he wished to convert it into a family apartment for his daughter. He confirmed that he understood all of the conditions and requirements of the family apartment program. Public comment was requested and no one spoke. Findings of Fact " At the hearing on February 11, 2015, the Board unanimously made the following findings of fact for Appeal No. 2015-005, a request for a variance from §240-471.1(A)(3) to permit a detached family apartment at 685 Strawberry Hill Road, Centerville: 1. Luiz Alberto Dos Santos has applied for a variance to Section 240-47.1A(3) Family Apartments to establish a family apartment in an existing detached garage. The ordinance requires family apartments to be located within or connected to a single-family dwelling. ' I � i Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No.2015-005—Santos 2. The subject property is located at 685 Strawberry Hill Road, ;Centerville, MA as shown on Assessor's Map 249 as Parcel 060. It is located in the Residence D-1 Zoning District. 3. There are circumstances related to shape or topography of such land or structures and especially affecting such land or structures but not affecting generally the zoning district in which it is located. The detached structure in which the family apartment will be located already exists. I 4. A literal enforcement of the provisions of the zoning ordinance would involve substantial hardship, financial or otherwise to the petitioner. The Petitioner seeks to convert existing living space into a family apartment. j 5. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance. The intent of the subdivision was to make the lots accessory to the principal lots. The building is existing and the establishment of the family apartment will not change the single-family character of the property. The vote to accept the findings was: AYE: Craig G. Larson, Alex M. Rodolakis, George Zevitas, David A. Hirsch, Matthew Levesque NAY: None i Decision Based on the findings of fact, a motion was duly made and secoinded to grant Appeal No. 2015- 005 subject to the following conditions: i 1. Variance No. 2015-005 is granted to establish a family apartment on the second story of a detached accessory building at 685 Strawberry Hill Road, Centerville. The family apartment shall not exceed 900 square feet and shall have no more than one bedroom. 2. The apartment shall be constructed and maintained in substantial conformance with the elevations and floor plans submitted to the ZBA file, except that both staircases to the second floor are on the exterior of the structure. 3. The family apartment shall be maintained in compliance with the requirements of Section 240-47.1. 4. There shall be no renting of rooms or lodging permitted on the property during the life of this variance. 5. Prior to occupancy of the apartment, the Applicant shall obtain septic permits from the Health Division to connect the accessory family apartment into the septic system on the lot. The Applicant shall provide detailed floor plans of the dwelling and apartment to the Health Division. 6. The number of bedrooms on the property shall not exceed four. 7. The property shall be in compliance with all requirements of the Building Code, local Board of Health, and Title V. The Applicant shall obtain building permits for the apartment as necessary. I 8. When the family apartment is vacated or upon noncompliance with any condition or representation made, including but not limited to occupancy'or ownership, the use of the family apartment shall be terminated and this variance shall become null and void. At that time, this variance shall cease. The applicant or property owner shall be responsible for the removal of the kitchen, unless the unit is properly permitted under the Accessory Affordable Apartment Program. Page 2 of 3 Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No.2015-005—Santos 9. This decision shall be recorded at the Barnstable County Re j gistry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance of a Certificate of Occupancy for the family apartment. The rights authorized by this variance must be exercised within one year, unless extended. I The vote was: AYE: Craig G. Larson, Alex M. Rodolakis, George Zevitas, David A. Hirsch, Matthew Levesque NAY: None Ordered �. Appeal No. 2015-005, a variance from §240-47.1(A)(3)to permit a detached family apartment at 685 Strawberry Hill Road has been granted. This decision must,be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recordirig submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within one year unless extended. Appeals of this decision, if any,shall be made pursuant to MGL Chapter 40A, Section 17, within twenty days after the date of the filing of this decision,i a copy of which must be filed in the office of the Barnstable Town Clerk. I i ' 1 Larson, Chair Date Signed 1 I i I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. WOP Signed and sealed this /l day of under the pains and pe' soy " '•�V perjury. Lei ZZ �aty cHQ' r^ •� Ann Quirk, Town 6lerk '• jF�• �: •Q~ I , I I I I I I I I I I Page 3 of 3 I I Town of Barnstable MAS&'� = Assessing Division 6pNCl�,� 367 Main Street,Hyannis MA 02601 www.town.barnstable.ma.us Office: 508-862-4022 Jeffrey A Rudziak,MAA FAX: 508-862-4722 Director of Assessing ABUTTERS LIST CERTIFICATION January 9, 2015 RE : Adjacent Abutters List For Parcel: 249-060 685 Strawberry Hill Road Centerville, MA 02632 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcel. They appear on the most recent tax list with the mailing addresses supplied excepting parcel 249-066 with a card attached for new mailing address. Board of Assessors Town of Barnstable AbutterReport I Page 1 of 3 7 Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s): '249060' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring;of the subject lot. Total Count: 46 Close Map&Parcel Mailing Ownerl Owner2 Addressl Address 2 C1ty5tateZip Country Deed 229055 YASI, PAUL F X& 98 PHILLIPS AVE i SWAMPSCOTT, C133686 MAUREEN MA 01907 249007 CROZIER, FLAVIA M CENTERVILLE, MENDONCA 128 CHILDS STREET ( MA 02632 25528/146 BRYANT ANNIE %SWEET,SUSAN M, B 987 WEST MAIN CENTERVILLE, #D1223058 j 249053 ESTATE OF LAPIER, BONNIE LEE BRYANT JR,]OHN R STREET MA 02632 & I 249053001 SWEET, SUSAN M DANIEL RD REALTY 971 W MAIN ST CENTERVILLE, C175235 TR TRUST MA 02632 24905400A WEST SIDE PLACE P O BOX 245 ORLEANS,MA C293 02653 EST SIDE PLACE P 0 BOX 245 C293 249054008 j ORLEANS,MA W 02653 24905400C WEST SIDE PLACE P O BOX 245 ORLEANS, MA LC 02653 C293 24905400D WEST SIDE PLACE p 0 BOX 245 ORLEANS, MA LC 02653 C293 24905400E WEST SIDE PLACE p O BOX 245 ORLEANS,MA LC 02653 C293 24905400E WEST SIDE PLACE P 0 BOX 245 ORLEANS MA LC 02653 C293 2490540OG WEST SIDE PLACE P 0 BOX 245 ORLEANS,MA LC 02653 C293 24905400H WEST SIDE PLACE p O BOX 245 I ORLEANS, MA C293 LC 02653 24905400I WEST SIDE PLACE P 0 BOX 245 I ORLEANS, MA LC j 02653 C293 24905400] WEST SIDE PLACE ( ORLEANS,MA LC P O BOX 245 I C293 02653 24905400K WEST SIDE PLACE i ORLEANS,MA LC P O BOX 245 02653 C293 24905400L WEST SIDE PLACE p O BOX 245 ORLEANS,MA C293 LC 02653 i 24905400M WEST SIDE PLACE ORLEANS,MA LC P O BOX 245 02653 C293 WHITE,CHARLES M 1 BARNBOARD WEST 24905500A &JEANNE M LANE YARMOUTH, MA C246-1 02673-2525 24905500B HOUSING %SMPL LLC 2A TIMBER WAY SANDWICH, MA C246-2 ASSISTANCE CORP 02563 24905500C HOUSING %SMPL LLC 2A TIMBER WAY I SANDWICH,MA C246-3 ASSISTANCE CORP 02563 24905500D HOUSING %SMPL LLC 2A TIMBER WAY I SANDWICH, MA C246-4 ASSISTANCE CORP 02563 24905500E HOUSING %SMPL LLC 2A TIMBER WAY SANDWICH, MA C246-5 ASSISTANCE CORP 02563 24905500E HOUSING %SMPLCORP %SMPL LLC 2A TIMBER WAY I 02563 SANDWICH, MA C246 6 HOUSING I SANDWICH, MA I http://66.203.95.236/arcims/appgeo4pp/AbutterReport.aspx?type=ZBA 12/30/2014 i AbutterReport Page 3 of 3 %MARCHANT,VICKI 424 COMMERCE BARNSTABLE 249058 PEASE, ESTHER I TR R TR GE REALTY TRUST ROAD MA 02630 10031/194 BOTSFORD, 667 STRAWBERRY CENTERVILLE, 249059 JEFFREY W&LEILA HILL ROAD MA 02632 18769/305 A 249060 SANTOS, LUIZ& TAMADULU REALTY 685 STRAWBERRY CENTERVILLE, 23290/714 MARCIA TRS TRUST HILL ROAD MA 02632 249061 BELISLE, BLYSS TRUST#703 39 MARIE ANN CENTERVILLE, 10360/146 JACQUELINE TR TERR MA 02632 249062 DESMOND,MARY A %DESMOND, MARY A MARY A DESMOND 52 DAVIS ARLINGTON,MA 5570/212 &PAUL G TRS REV TRUST AVENUE 02174 249063 BARNSTABLE, 367 MAIN STREET HYANNIS,MA 16543/52 TOWN OF 02601 249064 GIANNETTI, 718 STRAWBERRY CENTERVILLE, 14896/265 RUDOLPH V JR HILL RD MA 02632 249065 JOHNSTON, 706 STRAWBERRY CENTERVILLE, 25312/138 LAWRENCE R HILL RD MA 02632 249066 RYAN,JOSEPH A %RYAN, DAVID J, PR ESTATE OF JOSEPH 28 BLUEBERRY HYANNIS,MA 27412/57 A RYAN HILL ROAD 02601 ]OSLIN, SUSAN E& 524 OLD EAST 249067 HAYES,JOSEPH N BARNSTABLE ROAD FALMOUTH, MA 26206/236 02536 249081 TSUKERNIK, %TSUKERNIK, 206 MT VERNON WEST ROXBU1RY1 23833/253 VLADIMIR&LIYA VLADIMIR&LIYA STREET MA 02132 249082 BROWN,SHAWN M 65 BLACKBERRY HYANNIS,MA 22715/101 LANE 02601 249083 ANDERSON,SUSAN 31 BLUEBERRY HILL I HYANNIS,MA G ROAD 02601 23098/245 249084 LOVELL, EDWARD A 682 STRAWBERRY CENTERVILLE, 1405/775 &MARJORIE HILL RD MA 02632 249085 HARMAN, MARY A 13 BECKLER AVE SOUTH BOSTON, 9765/263 ESTATE OF MA 02127 249086 CAHILL, STEPHEN P 45 FOX RUN i CENTERVILLE, 7806/330 &ANN M MA 02632 249087 DAVIS, BRIAN E CHERYL ANN DAVIS 654 STRAWBERRY CENTERVILLE, 3814/82 HILL RD MA 02632 249088 GOODWIN,JAMES B ROUGH WATER HYANNIS MA TR REALTY TRUST PO BOX 977 I 02601 27163/257 I 250008 HAKALA, KENNETH 728 STRAWBERRY CENTERVILLE, 2893/242 A&FAITH S HL RD MA 02632 I This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 12/30/2014. I i http://66.203.95.236/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 12/30/2014 Property Location:685 STRAWBERRY HILL ROAD MAP ID:249/060/// Vision ID:18043 Account# Bldg#: 1 of 1 ' _ __ LOCA ANTOS,LUIZ&MARCIA TRS 1 Level Public Water 11 aved AMADULU REALTY TRUST as 85 STRAWBERRY HILL ROAD Peptic ENTERVILLE,MA 02632 ;SUPPLEMENTAL'=DATA , Additional Owners: ther ID: Plan Ref. 564/60 plit Zoning Land Ct# er.Prop. #SR esExpt Qual YES Life Estate DL 1 Notes: DL 2 IS ID: 18043 ASSOC PID# - RECORD:OF OWNERSHIP s " .Bg:'VOIIPAGE SALE DATE,:41ii I vA.. SALE PRICE;.V.1 ANTOS,LUIZ&MARCIA TRS 23290/ 74 12/01/2008 U I 1 1/ ANTOS,LUIZ&MARCIA 12974/304 04/28/2000 Q I 132,000 01 WING,ERNEST A&CAROLINE 7111/ 37 03/15/1990 U I I A EXEMPTIONS QTHER;4SSESS/V7ENT.! Year Type Description Amount Code Description Number 2010 5C RESIDENTIAL EXEMPTION 0.00 Total- nfi ASSESSINGNEIGHBORHOOD NBHD/SUB NBHD Name Street Index Name Tracing 0105/A NOTES s'� T, : :;BUILDING PERMIT RECORD'a = Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Comp. 65003 10/31/2002 OB Out Building 18,000 07/15/2003 100 01/01/2004 59494 03/06/2002 AD Addition 0 10/03/2002 100 01/01/2003 - - LAND.LIIVE-VAZUATION B Use Use Unit 1. Acre C. ST. # Code Description Zone D Front De th I Units Price Factor KA. Disc Factor Idx 1 1010 SingleFam MDL-01 RD-I 3 0.48 AC 124,000.00 1.8421 5 1.0000 1.000101 Total Card Land Units:1 0.48JACI Parcel Total Land Area:P.48 AC Town of Barnstable Geographic Information System December 30, 2Q14 10 250002CN D 230136 250004 #10259 #1130 " I& 250 250006CND �0�♦ ■ #1047 250001 230185 20 250009 #740 01087 250003 #979 IS #76 I�� #1107 #2] 248070 249071 249072F #4 • 229 1 0 0 00 2 ..249063 ::;;.": " 1#64Y #7s 249073 ia 249068 low #4• 00, 249067 = f1 229100003 - 1R #r1 =#32 L iZ4906tS'' 1 .�. #1185 �"t 49062%%%>.•`fir-:^,l 229100001 2460n 1 K - to 249 53 low# 195 #,70t3 i- L tE #69 249076 ■r 81 Y 229121 ..r os As 249083 249078 #9 228101 - _ _ 249122 #890 v •�;� #882.-�=Viz:-="''.:.. 249 v 123 - - � tt s ;. #n1 249079 kr y #so g 2 49121 229061 #67 •r< 67 - V _ #103 �T ?29060 49055CN1 .'' #1017 249120 249080 IO► .r 76 '249119 229059 ® - # 05 - #72 249116 #7 1 #1001 #987 f 249117 249115 249058< p H.249087oel #47 249118 229056 132 .. - #61 ��Lj, 249114 249109 '4 #20Or 49088►2 #3s c� E 249113 ti iF - - 47 - - -- - — — — ..--;::may::::::^•�� _ - — 249„0 — — _--- F 22911131111111P 229054 #137 �'9�iy 249111 Chip #125 `Q� 41W #17 ® 249018>, 249112 249007:::'.::'. #830 #128 249018 249005 #61T 229053 #118 .: 249094 � #0 249028 #744 229052 2 9M 20 #889 249091 0 10 4 Feet 2#951 #zse 249004 #iri�a, #52 24901 #6017 249#038155N D #632 #103 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:249 Parcel:060 Zoning Board of Appeals(ZBA) EJ boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Abutter List Type-Parties of interest are those directly opposite subject lot on W+ 1'=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property any public or private street or way and abutters to abutters. Notification of all Abutters boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as building locations. Buffer LEGAL NOTICE - NOTICE-- LEGAL 1 -- - , It8«r�1't4t: +ir-,�'klir�t''t�I�*�S+,;i':�a•}ki+R t�?.r�l: , ,�!. '� ��r .,,� � ..r{72`i Y'�� i:�'1"t'�.'i.4< 'y,��. vas„r1TOWN BL'En'f i°st'+ !# f TOWN OF BARNSTABLE? OF BARNSTA r �:'ZONING F APPEALS + Hi •` ZONING'BOARD:OF BOARDilO 3 , APPEALS r � r NOTICE40F:P.UBLIC HEARINGS UNDER THE 4 NOTICE OF�PUBLIC HEARINGS UNDER�THE � r 1ry •,i -,j ar,�&� ZONING'ORDINANCE b ;r< .,, I «}� >k�ZQNING ORDINANCE :r, JANUARY28'2015 r 'i r ! r r«�JANUARY2&52015 ** ty�F To all persons interested in or affected by the actions of+ ',To alt+parsonsiinterested in.or affected fbyuthe acfions,of r .the Zoning Board ofAppeals;you'are,hereby,r ofified; ttnerZoning,goard of gppeals jrou afxeit]erebYAnofified _ ji pursuant,to Section 11 of Chapter 40A.of the General, ' laws of.,the Commonwealih;,of Massachusetts and,l pursuant to Secbon 11 of�Chapter 40A`of the�General.� ,all amendrrients;thereto that a'pubIiI5 h anng on the laws ofithe Commonwealfliiof Massadrusettsl'and all: folI.ow`ingappealswdlbeheId'oI ednesday January` + ameridmerdsgnereto thatapubGcheamigonthetd 9 28,2015,at the#time indicated ,',ut1(-!1, i d ("sli .a fl appeals il.beheld on Wednesday January 28 2015 ; h;7 00 P.Mpeal,No 2015,005.Santos ,' I � at thetitnetndigted � i � ' Lutz Alberto Dos'Santos has applied for a variance 7 00 pM•Appesl,No12015-005Santos; to Section 240-47 1A 1 ,TFam11 Apartments to` Lurz Alberto Dos,Santos1has applI_y Ili a variance to O YF, ,,establish,m amtly>apartment'in an existing detached`� Sedion'240-071A(1)Famiy.Apartmerris to establish a: '.garager:Thea:ordinance:erequtresi!family'apartments' faintly apartment in an.ewsting detached garage The to be located within or connected;ta•a sin le-.amd s1 ordnance requires dYaPamnen�tD+�I� to :',dwelling Theaproperty isylocated.at;685.Straw.,berry d or�wn'rieded to a gle`familydwelling'fThe�property S' HiII:Road Centerville MA',as shownPon Assessors;; located,`at685Strawberry1Hill`Road'=CerrternOe};MAas'; Map 249,as Parcel 060 It is jocated.in the Residence 4 shown onP�ssessoi's Map 249 as Parcel 060 it is located; D 12oning Dlstnct: . ? ;` , rt, c S tj1: in the Residence'D 1 Zonrng'Distr>ct F l s s 7 00 PM;Appeal'No 2015.-007°Santos i rr.»+I` 7 00:PM Appeal No'2015-007 Santos r Luiz Iberto Dos:Santos•has,petitioned for.a.Spectal.i LuizAlberto Dos+Saiitos hastpetfioned for a Special ,.Permtlin accordance .with>af$ectjonr 240-47,.1A(3) Permit'in accordance wdh Sedlon'240�T:1A(3)Famdy; Family„Apartments to construct a•896 square:toot�' ApaArirents to construct a'896 squere!footfamily apart family apartment;Family apartments;in excess'of 800 . rent,Family:apartments•iwexcess of 800 square feet.. square feet require a special permdsfrom the Zoning requireaspeaatperinRTrom'theZonih9:Boa^dofApPs � ' Board=of Appeals: The:propertyrts'Iocated.'at;685 The propertyis;locatedat685StrawbenyHillRoad Cen Strawtierry,:Hill;Road,.Centerville;?MA as,shown oni•, terville;:MA as shown,on'Assessor s.Map 249 as Parcel <;Assessor,s:Map 249 as'Parcel 960 It is located in the,: .•:080.Itis located intlie'Residenoe D4Zoning District':. Residence D 1„Zonis District '.: ` 7:01 PM Appeal film 015,008 Habitat for Humanity 7:01PMAppeaINo 2015-006 Habitat for Humanity`; of Cape ofCape'Cod,anc: - ,•v3t, . a " HabitatforHumanity'ofGape.Cod,lnc�asprospectnre% a Habitat for Humanity of Cape Cod,Incas prospective_; owner ahas'applied fora Comprehemiya Permit in aocor owner,:has;applied fora Corn rehensive.Permd m .own accordance with•MGL Chapter OB;§§20i23 and 760;�� They%are proposing to dMde a 103'acre parcel into two ; CMR`56 They;are proposing to divide a'103`•acce. � buitdablelots,eachtobe'':developed+wtthanalTordable" parcel`into two 6;6ildable lotsi'seach,to'be;developed ' two-bedroom,single-famlydwelling Waivers areberng'i with kan `affordable,' two-bed single family I sought from ttie two-acea,minlmumlot area',requirement I dwelling: Waivens.are'being sought,jfrom;tthe two-(� ofthe,Resource Protection Oveday,Distnd amid from th®•. acre„mimmum lot;yarea"requirement of the Resource requirementsof,Chapter397 Wells.forthemstaltationof t Protection Oye,iay Distnct,and from the requirements a prnatewatersuppy The,propery f 819 Old Chapter 397 ,:Wells.forthe installation of'a private Stage`Road+West.Bannstable MA'as shown on Asses water supply'The property,is located at:1819 Old Stage r, sons Map 152 as'Parce1,036 tlt is m the Residence F and Road;#West.Barnstable+MA as;shown on Assessor sf•„. Resouroe Protection Overlay Z.oning'Distncts °� Map 152,as.6arce1036:It isrmythe,ResideneerF�and;ay1 TOW M`Appeal No 2015-009 Leharn,Management Resource Pr9tection.Overlay Zoning;Distncts BiLeasing_lnc:',Plfr++! 7 03 P.M Appeal No 2015-009 Laham Management '' Laham,Management<&+,Leasing'Inc as lesseeishas" r "[« '4 11 i# Iced for;mod#fy UseiVanance�No i<196,,, which. &Leas,ing Inc <, .;., app Laham'Management&.Leasing+lnc'_as+lessee;has an author#zesthe'northerlporfionol`theaite(Lot;B on'PIan ii applied;:for>modiy;Use,yariance:No a9680t ;,whichj ;f . Book';A1aPage{1103)toibeusedforautomobdesalesand authorizes the norther porbon of the site}(Lot 8 on' � servce IThe Applicant seeks to raze the exsting build Plan Bookd 11Mage 103)to�bet used sfor�automobde{ t mgarxt ooristnict arsnew budding confammg a°private car .'. 1., wash and three.detail bays;'plus assoaated parking The sales;=and serviceftThei.Applicantr,seeks to. rezer', propertyis!Iocated,at+49Bearse�Roed Hyanhis5MAas the,;existing,building andYtconstnict a new:building. ; :shown;onAssessorsMap±311+asP,arce1040 it ismjthe+:: i containing a',pnvate car:wash and three:detail:bays Residence B and Groundwater Prot gn Oved!.! o.. ng-•. arkin The property.Is located at 49 x` plus.associated p gDistricts 'Bearse':Road,Hyannis MA as}shown on Assessors 7 04�PM Appeal No 2015-010 Laham Management Mapi31:1 as Pa[ce1;040, It is tn.the;Resldence,:B and &Leasing IncittC#ti :Groundwater Protection oveday'Zoning Districts Laham Management 8'Lbasing i'1ric has;.'appied for;;: f 7 04,PM AppeaLNo'2015-010,Laham'Management use`.vanance:from Section 240-11(Residence;6 Zonmgx;;, &`Leasing Inc f'•i District)to establrshrvehiclexstorage`parking t6 be used Laham Management &Y,Leasmg #Inc,has;japplted, i m coniuncion with the exisbng,automobde dealership . forvuse.variance'from Section 240 1.1,(Residence B located at 25 Falmouth Road and y28 Hallett Road iTha Zonirig'District)to establisht vehicle storage°,Parlung appllicalnt isiproposrng�to a an ewsing freestanding to,be used inconiunrfion wdh+the'existing automobile gauge and residen4andWeeling andBPed�eveloptlie paroel '. dealership;Iocatedjaat 25 FalmouthF Roadlland 28F forpq, 9 Tha prvperty.isrlocated at 29 Bearse Road Hallett,Road.The applicant is proposing to jraze an Hyannis MA as shown onAssessor's Map 311,as panel existing-freestanding garagerand xesideRhgl dwelling ; 039 Itis in the Respdencre.Brand,Orou�ndlv�irateiprotection:i +.and redevelop the parcel for parking The property is Overlay Zoning Districts located at 29'Bearse Road i#Hyannis MAt as ahown� 7:05`PM Appeal No 2015-011r1Laham Management 8 on:Assessors I map.cm1ras parcel 039 It is`mithe Leasing;,Inc' ;Residence_B,and)Groundwater,Protection),O,veriayt Laham Managementt&1L"asing'Inc xas lessee its seek ti Zoning Districts;, a•jr `+r;it« :;,:; 3r 1 ±t, m s rr,t ing a€SpecialPennit pursuant rye Section 240 93B ands S 7 05 PM Appeal NoJ2015-011 tLaham M Snageme gt 24p-94B for the atteraillUon and/or expansion of a noncon °&'Leasing Inc; formingbpi,p and useoftheprem11 isesTheapplicantisr, ,Laham:Management W!Leasmg,,Inca as lesseeNis proposingtorezetheAewsing2816squarefootbudding i seeking a:Special Permits pursuant]to Section,240, , wnsisingYof 3 aiitomobile bays and#oifir�s used in, cari 93B:,and,240-94B for.the alteration and/orjexpans,9p,- unction with fhe dealership kxxted at 25 Falmouth Road" of a;nonconforming building and:use of the;premises and 28 Hallett•Road}arid c�nstrud-one new 2 450 square f, - The,,applicant is proposing to raze the existing 2 816 footbudding containing a,pnvate carwash and.three detail j rsquare:foot building;'consisting`of:Wautomobilebays 4: bays;plus pa king jThe;p{opery is located at 49 Bearsea k and,,offtces used n3conjunction<uvilh the dealership „ Road`rHyannis iMAas'shovm on'. 0_go s Map`311',;i located at 25 F.,almouth;Road andi 28 Hallett Road as paroel 040 s It is`in therResidence Brand Groundwater{1 and construct one new 2 450 square foot building protedron Overay Zoning Districts contairnng,ay private car wash and lll�ethree detail bays"`„ These public'heanngswt�ll be held at'tlhe Barnstable i .plus+parking iThet property rs located at 349FBearse + ''Town Hail367'Main Street,+Hyannis MA Hearing Room Road,Hyannis 1MA1asl:+shown ontAssessor'stMapj located onitie2ndFlood Wednesday�January28 2045:i 31bj,asi parceln040 t,,I,tt?isjin111heaResidence,B`and Plans'and`applicattonsmay beteviewedattheZonfng Groundwater.Protecbori Overlay Zoning Districts nhyi . u. 'Board of Appeals Office Growth Management Depart These;public hearings will be3held at. a Barnstable. g mentlTown'Offices°200 Main Street°Hyannis'MA'{ ti? own Hall,:367 Mam;SVeet, Hyannis"MA Hearin Crai GiLaison�Chalr " } ter"t`a"'r T 5 g g L rd 4 zs'4�r#d limy r Yam. F iRoom,locatei onithe 2nc-Floor'Wednesday•January Zoning Board ofAppeals i,t28;p2015.+P1ansEand appicationsmayubereviewad ' �Rp at::1he 3,Zonipg r„Board ttof'Appeals�Office'iGrowth : The Barnstable Patriot h r 1January 9 and January'16i2015 F t}'c �' 4 r� Management:;Department°Towni Offices s200AMain ..... Hyanns MA 3.�Ix 1� rt Craig G Larson Y Chanr E v t j s'„t it w Zornng Board ofAppeals; .s1 The`Barnstable January;9 and �. . BARNSTABIE REGISTRY OF DEED ' John F. Meade} Register i Town of Barnstable �TME Regulatory Services Richard V. Scali,Director • Building Division BANSTABLE saxxszasi E 1639. �� Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us t Office: 508-862-4038 Fax: 508-790-6230 April 10, 2015 Luiz Alberto Dos Santos 685.Strawberry Hill Rd. Centerville, Ma. 02632 ' RE: 685 Strawberry Hill Rd., Centerville;Map: 249 Parcel: 060 Dear Property Owner, This letter is in response to application number 201501281 submitted to create a family apartment at the above referenced address. Unfortunately,the application can not be approved at this time because of the following: 1) The apartment requested is to be located_above an existing legally permitted garage. The space to be occupied by the apartment has never been permitted to be habitable space,and therefore must comply completely with the current building code. Compliance is not demonstrated in the_construction documents submitted and the application request does not accurately reflect the scope of work needed to comply. Please do not hesitate to contact this office if you have any questions: Respectfully, a Local Inspector jeffrey.lauzon@town.barnstable.ma.us (508) 862-4034 `f lb 626 0l. C?O JBAy KITc ItE0 #N 3 6E 0 P-000, Bc DRoo►�• �x;sfic� Lr�r�IG _S: co � r i y oFFrcE BE OR, A SMOKE UETECTORS REVIEWED0§60 '�3 T BUIL ING DEPT. DATE Nol -Mu FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING Do 166Z s� F� r II 119A331'ni ,�j i '�11�//1\33'r1i1 G. ,�,-,�-•i.► ; � � ten. - �- � f � (� Gov ;` I • -12A, Z)ce& 16 r 21S l f xxxcX i 0"CT 'r� ---- -._ - 3 a y sew nl + bl w �t�1,�1.�`( �S IMPSor1 d 7-+GA? SPRto6 • a0F MASSq�y MGUG U) g�R� V. W �. 19FGIS!� ^gaFESSIONP�. MODIFICATIONS to EXIST. MICHELE CUDILO, P.E. Consulting Structural En ineer Centerville, Massachusetts 02632-1979 . 508)771-7601 ` Drawn By: MC Date: 06/30/15 685 STRAWBERRY' HILL RD. Drawing Centerville, MA Scale: - AS NOTED Rev. 0 S K- 2 File Name:SANTOS Project No.2015-104 i ` G��SETTS b�'9 IN LU a U gUprz ��OWwoo e� z z W N ' " 12 A� �r i _ cal ' nr 5 x I � I s u f MODIFICATIONS to EXIST. MICHELE CUDILO, ' P.E Consulting Structural Enqineer Centerville, Massachusetts 02632-1979 (508)771-7601 685 STRAWBERRY HILL RD. Drawn By: MC Date: 06/30/15 Drawing Centerville, MA Scale: AS NOTED Rev. 0 s K- 2,1 File Name:SANTOS Project No.2015-104 GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage c.) All walls longer than 25'shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min.1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fe_pet=750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. 1x6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32" larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building comers. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. , b.Sub-bore where;nails tend to split wood. _ 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code. \OF tAASSgC 0 OI SZIF SIO `Q�C'�i SNP �Io 10IL (4) MANI r _ soup Moe rsr z,c • � a i 77 a _ Tit, l Cam) 1 ..............I I _ sr7.rLJEMLL t� A --3 L4 A -N"? ,n L-t "OF MAS`S9 MICHELE CUDILO rn Q STRUCTURAL y NO 34774 9�G/STEP�O��@ • _� ' ASS/pNAI ENG� IJ I". Lam.. . .. _ « e OvE�u�,�r� igN� � ov��ur�n nQwr r� 1 p��ecs AroT Q r dJ1,Q- 12 2t,6A la fYE G 4 lv(l uo - KelIgo_ ------------ i s 'r le 'IA ,I ait r > The Commonwealth ofMassachusefts Department of Industrial Accidents Office of Iizveskgations #00 Washington Street Boston,MA 02II1 www.mass goy1&a Workers' Compensation Insurance Affidav&e Builders/Contractors/Electricians/Phmabers Applicant Information Please Print LegibjE• Name gani hionffiidividual): L y EL ALM-f O Q05 SA.tJT05' . CCz /Sfatazip G�.U.I LLC. MA 0a131 Phone Y0$ $tl� 16 Are you an employer?Check the appropriate box:; Type of project(required): 1.El am a employer with 4. ❑I am a general contractor and I have hired the sub-contractors 6 ❑New construction employees(full and/or part time). . 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' com insurance.$ 9. 0 Building addition [No workers'comp.insurance P• •.. -- required] 5. We are a corporation and its 10.,0 Electrical repairs or additions 3-931 h meowner do all work officers hive exercised their 11. Plumb' � t ex 0 �repairs or eons. myself[No workers'comp. � of exemption Per MGL 12.0 Roof repass i m rance required.]t c. 152, §1(4),and we have no employees. [No workers' I3,[:1 Oflier comp,insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policyinformziion. t Homeowners who submit this affidavit indicating they are doing all wodc and then hire outside contractors must submit anew affidavit indicating such.' tContractors that cbeck this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employcm If the snh-contractors have employees,they mast provide their workers'camp.policy number, I am an employer that is providing workers'compensation insurance for my employees. 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 tine 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 ag ins-the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un the pains mtdpen`ables*ofperjury that the informationprovided above is true and correct Official use only. Do not write in this area,to'be completed by city or town official City or Town: PermitlLicense,# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3•City/Towa Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• I • I F• i I -Information and Instructions • Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant-to this statute,an employee is defined as"._.every person in the service of another under any contract of hire, express or implied, oral or written.." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insuranCe.. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,.supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurauce. 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 Departim.eat of Industrial Accidents. Should you have any questions regarding tine 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 per nit/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. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial 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 lzlce to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a tail. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Xnvestiptions 600 washffizon Str=t BQstfkn,MA 02111 Toil.#0-727-4900 ext 406 or 1--877 MA SSA.FB Fax#617-727-7749 Revised 4-24-07 www.mas5_gov1dia �I I Town of Barnstable ' Regulatory Services °Fme ray Richard V.Scali,Director Building Division anxxsxnar.K Tom Perry,Building Commissioner i4rass_ 200 Main Street, Hyannis,MA 02601 CEO a www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION � Please Print DATE: b 3 13 - 1+/" JOB LOCATION: 6�S sTR A 0CMY H/G� JQ 0 ecee-1111l ' number street / R `/, village �r !/ "HOMEOWNER": Ly/L J9LBElefy iQ QS S 4 04" .SDY'•$7-79- l_ 7 SO-9 3�3 7�a 7 . name home phone `# work phone# CURRENT WJLING ADDRESS: 69S STAA W�le�y ofl tt AD C - - --— -- -- -- - ._..- -------------- - - -- -- - - --- - --....--------- - CCNrG-R-voZl.E A1?A 1�026� city/town a 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 pro cedur and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. r11 1 , • ,1 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:\WPFILFS\FORMS\building permit forms\EXPRESS.doc Revised 061313 � ETti Town of Barnstable Regulatory Services MA ss iE$ Richard V.Scali,Director i639. �0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. 6'95' SfRAwkU,1&, , (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Wo b, ' h,� , / - Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERP ERMIS S IONPOOLS �1 4 MEMBER REPORT Level,Floor.Joist � FAILED V 1 1 piece(s) 16" TJI@ 560 @ 12" OC Overall Length:28' + o + 28' - 0 0 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. W. 4411010 !�/ //�,,,,,,,,,,,,,,,�,/,,,,x,�,H,,,,��% ;�� ,u,,;, •� ,,,,i5�� ��/%a����/��//' System:Floor Member Reaction(Ibs) 695 @ 4 1/2" 1725(3.50") Passed(40%) 1.00 1.0�D�+1.0 L(All Spans) Member Type:Joist Shear(Ibs) 677 @ 5 1/2" 2710 Passed(25%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 4641 @ 14' 12925 Passed(36%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.404 @ 14' 0.908 Passed(1-/809) 1.0 D+1.0 L(All Spans) Design Methodology:ASO Total Load Defl.(in) 0.505 @ 14' 1.362 Passed(L/647) 1.0 D+1.0 L(All Spans) T3-Pro'"'Rating 1 40 Deflection criteria:LL(1.1360)and TL(L/240). O� Bracing(Lu):All compression edges(top and bottom)must be braced at 8'5 1/8"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. A structural analysis of the deck has not been performed. Deflection analysis is based on composite action with a single layer of 23/32"Weyerhaeuser EdgeTM Panel(24"Span Rating)that is glued and nailed down. Additional considerations for the TJ-Pro'"Rating include:None 110 rw 1-Stud wall-SPF 5.50" 4.25" 1.75" 140 560 700 1 1/4"Rim Board 2-Stud wall-SPF 5.501, 4.25" 1.75" 140 560 700 1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed. 1-Uniform(PSF) 0 to 28' 12" 10.0 40.0 Residential-Uving Areas 2ND FLOOR AS-BUILT: OK / �j/C118000O SE'D�`7 V/01111 , /j/ G' "i:, h / iji %%% i,%%i� �/ `zT)SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. ���P`SH OFSS�O The product application,input design loads,dimensions and support information have been provided by SANTOS,LUIZ O MICHELE y� g CUDIL4 m STRUCTURAL No 34774 9 o9oc RQ/STEREO ASS/ONAL Farte'Sofnvar©Operator v. ,lob Notes,-- - � 5/22/2015 0:12:1 AM MICHELE CUDILO SANTOS GARAGE Forte v4.6,design Engine:V6.1.1.5 MICHELE CUDILO.P.E. 685 STRAWBERRY HILL RD. (508)771-7601 CENTERVILLE;MA mcudilo@comcast-net Page 1 of 1 2 . YIZ 94FTMZ5 .ZWO ;2 FIMS (� � IZ y /'n elf/�z� 3rJ1STr' �� xxy Wwil 14 OF M SAc ti -74 try k3' � g� F C CT L sN TRu aA o S NO 'o AgoFSGis i Home Energy Raters LLc BTorrey @Energycodexerp.com Box 989,E.Sandwich,Ma 02537 888-503- 2233 Duct Leakage Test u Address — 685 Strawberry Hill Centerville, MA Date — May 27th, 2016 Contractor — KDS Conditioned floor area =825 Sq Ft. (Area Served) To comply with the 2012 IECC Energy Code in this home the Maximum duct leakage CFM < 33 CFM (825 /100 x4 = 33) Duct leakage tested = 12 CFM The duct leakage tested at this residence complies with the 2012 IECC Code Test Mode - Pressurization Test Pressure = - 25.0 Pascals Equipment - Series B Minneapolis Duct Blaster Duct Leakage as,Percentage of Floor area = 1.45 % Contact our office with any�questions, Chris Mazzola; �' k Certified HERS Rater a Home Energy Raters LLC BUILDING DEPT MAY 312016 - TOWN OF gA8NSTA8Lr~ r; "Commaawealth.of Massachusetts_-_-- _w . _.;__ ._ _ Sheet Metal Permit 0arcel O Map . Date: P Permit:#.• MAX 2, Estimated Job.Cost:3 Uv, WAR :Fee:,$ R<� Plans Submitted: YES NO t/ Plans Reviewed: YES NO Business License# Z-Cxo Applicant License# C i Business lnfbmntiDn: Property.Owner l job.,Locatti�on.Iufom.ifion: Name: z( 2 S khSS IAA_ Name: Street ��C� � 72� Street 5 .5 ,���, ,TI I� IRe� cityrro gin. . cityfrown - y «� �OA Telephone: �� Photo I.D.required/Co' of Photo.I.D. attached: YES NO =I/M=1-unrestricted.li�ense` - - °� J 2/M-2 restricted.to dwellia stories or less and commercial up-to 10*000 sq. f� /.2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other i Commmrcial: Office -Retail Industrial Educational Fire Dept. Approval IastitLfdonal_ Other ' Square Footage:'under 10,000.-sq, ft over lmo,000 s . Number of Stories: i Sheet metal�vorkfo a completed:' New Work. Renovation: HVAC Metal'Watershed Roofing. Kitchen Exhaust System Metal,Chimney!Vents Airm Balancing Provide detailed description of work to be doge: „ � t . ,, I INSURANCE COVERAGE: I have a current jibift.Insurance policy orb.equivalent which meets the requirements of M.G.L Ch.112 Yes"'.,No ❑ If you have checked Y,:•indicate th' -of cdverage.by checking the appropriate box.below: I j A liability Insurance pobcy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am-aware-that the licensee does.-not have the insurance coverage required by Chapter 112 cf the Massachusetts General laws,and that my:signaturs on'tttis-permit applicatio. n-wafyes tbis requirement: Check One Only -Owner- ❑ Agent ❑ - .. Signature of Owner or-Ownfef-s Agent ti e submitted or en regarding this a ll�a ion are true.and o � have P checfdn this bo I herebyce that all of the details and information l ( terec')) P � SY g �, by �Y accurate to the best of my knowledge acid tbat all sheet r istal work and instattations•performed under the permit issued forfhis..appticattds wili be ` In compliance with all perdnent provisibri of the Massachusetts'13aliding Code and Chapter 112 o#fie General 1_avrs, Duct inspection required prior to-insulation Installation:YES NO Progress.Inspections Date Comments Final Insyection Data Comments T s ' 3Y aster fit}e er- ded f 'tty/rown , -- ❑Joumeyperson . • Signature of Licensee 'ecmit.# .❑Joumeyperson-Restricted Ucense.NunibEir. 217�o Z =ee ❑ 2 i)6 Z Check at www.Mass.t*V]dl4 nspector Signature of Permit Approve[ I NOTICE N NOTICE TO,, a TO EMPLOYEES EMPLOYEES OEM SV'b The Commonwealth of Massachusetts 3 DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114 — 2017 617-727-4900 — http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30,this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO MA 02344-1450 ADDRESS OF INSURANCE COMPANY (6HUB-4353P53-7-15) 08-27-15 TO 08-27-1.6 POLICY NUMBER EFFECTIVE DATES ROGERS & GRAY CO 434 ROUTE 134 SOUTH DENNIS MA 02660 NAME OF INSURANCE AGENT ADDRESS PHONE# o KDS AIR SYSTEMS INC 244 SISSON ROAD HARWICH MA 02645 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE NMEDICAL TREATMENT , The above named insurer is. required in cases- of personal injuries arising-out 'of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act, A copy of the First Report of Injury must.be given to the injured employee. The employee may select his or her own physician. The reasonable_cost of the services a provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably . •— connected to the work related injury. In cases requiring hospital--attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 004465 WZOP,G,S TO BE POSTED BY EMPLOYER i off-we ' ffik 60 Wmfikpm Street w�t•^rv.zrgr,��ra . . . 'l�ar�ers' Ccrmp���r Ins�rran�r'�r�_aui�$.r�,r-Trl,�rsf$",�gfz-a��J�cEri�nslPlumbers r 7 I�fen�atf �m Mease Friaf E ibfF Addre—ss7 Ro , cftY/S p= 1�m Are y an:employer?CR=k dr,-.apgrapriate b= Types og gro�est(r�x e� k I am a employer via k 4. ❑I mna gewtRl Mr[factor xnd I 6 ❑Idew aoo,S* C6b.a e�loyees{fall mWorpmt#ime)* havebire&the mb-c 6m �,y, - s I' El am a sole prcpiietar orpar€ner- listed an the afhed shy 7- 6eling ship and have no employees 'These snb-caufrscfom have S Q Demaliiiom -w A6mg £arme in arty capacity a-playees Ihave'w" g_ ❑$wild-mg addifina [No woslaus'comp:h=wm-e Comp_*nsmatiae.I rexlaired I S-❑ We:are a earporafiamandifs 10-0 Bechiral repairs or additions 3-❑ I am a homeowner doing all work o�ttecs Lase emurised 9seir IL�P3umbmg n�aics or additions . o'WOrICEi B right of em=pfianper MM RD a Myeln a 11 - repaim c-157, §1(4} madweErasenc no � 13-0 01hw comp ins=-M rojuir &I JI "'day sagZi�t1�chedcs boz�l mnst also fll orb tbti sectiQabeIo:vch��FS�C¢S�®IIS�EII�iiA�r rri�'� �ommwn�s a�submit dvs a$dxaif 1n�scs ag chey a>Y r�o-mg sIIttnac a�dchealm�nee co�etars�tsnZ icas�s s a t mpg mT, inrstmtrhorYthis box Must sttar_he$asarMid" sheet SIDvdng the name of11M m3state vh.edker M-=xtMseomtfkshave eqIvyees if tltie Sd'b-C .Ctmshare EMpiaYet%fheymnat FC72ETe their wa&ass'comp.policy—b— Iatn art err�pTi�yeF thaf isgra�li�sg�ariFers'calnpetz }nttsrrucca far m}�c�Iayesa BeT.at�is the p�lic}*arcd fnB�it� zn,�'arrr�mtiarL f , Iasmmce CompauyName: �' �a� S r ✓UCC Policy#arSeliLi� 3 � Job Site Addresr- 4 \\ Cityf5tatarlZtp_ A-Rach a.mpy of the vrorkers'coin pen=Am p aicy dectzratum page(sag the paficy n=her avA eta doa date). Failnm to secure cavetage as reTiredumler Secti=25A o€MGL rr M can lead to the imposition ofcrinsinai pca hies of a fine up to$1--500-Oa andlor me-•yearimpd as wen as ciril pe=dfies in tie fanm of a STOP WORD ORDER-and a fins afup to,$250_00 a day aga Lt the violalac Be advised tbat a cppy tf Phis statementmaybefxvarded to tba-Office of Iuvesfigatians o€�ffia DIA€a rnsrfsancg coverage veri on- I4i hereby cerafp ct�s PMaL9w qfpediay thafth info narwan pralzw ahvue a burr ancr correct � Q�i�step an£}. DrT nut rpriia in flzis rrrerc,tit bs eQ•utgl�by city ax tertFn a�i� _ . City or roww. -9 L 3a xa• f Health '$�-F ag Depar=ent; uc fs ro:vm auk 4 ElecUic-1 hispector 5.1-1= Ctar .6.Other caattat gerz= I'Iz�ae � Tnfor cation an.d tastruc-ions Massachusetts General Laws chapter 152 requites all employers to provide workers'compensation for their employees. PurM=ttd this sue, an employee is defined as"---every person m the service of another under any contract of hire, express or implied, oral or written." An mrproyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged ia a joint enterprise,and iacludingthe legal representatives of a deceased employer;or the receiver or tuste•.e 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 bean employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for airy applicant who has not produced acceptable.evidence of compliance with the insurance coverage required." Additionally,MGL'chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of Ibis 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-contrzctor(s)neme(s),address(es)andphone number(s)along with their cer ficate(s)of i imn-ance. Limited Liability�y Companies(LLC)or Limited Liability Partnerships(I I.P)wzthno employee$ other than the members or artners arenotrequired p , to carry workers compensation insurance- If an LLC or LLP does have employees, a policy is re Be advised that this affidavit may be submitted t f P 4� y mz o the De a-hnent of industrial P Accidents for confirmation of insurance to e verag . Also be sure to sign and date the affidavit The affidavit should be retrained to the city or town that the application for the permit or license is being requz sted,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 Iisted below. Self-insured companies should enter their self-insurance license number on the appropriate ae. 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 petmitllicense number which will be used as a reverence number. In addition,an applicant that must submit multiple permit/license applitafions 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 m kcd by the city or town may be provided to the applicant as proof.that.a valid affidavit is on file for bitumpermits or licenses- A new affidavit must be EHt--d.out,each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves et D)said person is NOT required to complete this afiidaYit 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 Con2mnvnalth of MassachL% ,t Depaxtmet at Qf kLcblSt(i al AQcj&�n Off lize ofXuve�s ptjDm $can=MA G21 I I Ta 617'27--4 W 4-06 or 1-V MA,�, A Revised 4-24-07 Fax 0 617-727-7-749 .ems,&g vJdza P RO.POSAL KDS Air Systems Inc. PO Box 729 Harwich Port, Ma. 02646 Louise Santos 685 Strawberryhill Rd. Centerville, Ma. 02632 I hereby submit specifications and estimates for the installation of an hot air heating system with•pir conditioning at the above address. The 80% efficient furnace equipped with-a 2--ton evaporater coil will be located in the attic and will be matched with a 13 seer. outdoor condenser. The furnace to be suspended from roof`rafters: The condenser to be located where previously disscussed. All equipment to be manufacterd by Rheem. The system will consist of 7 supply registers and 2 filter return grills. Main duct to be galvanized sheet metal wrapped with a non-fiber glass thermal blanket. All supply and return runs to be insulated flex duct. Wiring of equipment icluding low voltage by others. Gas piping of equipment by others. I propose to furnish material and labor complete in accordance with the above specifications for the estimated sum of eight thousand one hundred seventy five dollars ($8,175.00)with payments as follows: $3,500.00 deposit, balance upon completion. Any alteration or deviation from the above specifications involving extra costs will be ` executed only upon written order, and will become an extra charge above the estimate. Proposal good for 30 days from 5-5-16 _ Any questions you may have please call me at 508-432-0019 Kevin San rs Acceptance of proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as 'pecified. Payments will be made.as outlined above. ACCEPTANCE DATE SIGNATURE _ .4 • v 011IiMONWE�1LTH OF"MASSAoH,USE:TT� • • • • • '1 BOARD©F � s � [.+'". ISSUEStTHE FOLLOWING LICENSE.AS A �x WIASTER UNRESTRICTED r I�EWA D SANDERS } �e r, R... ICN 'bRT,IIAA D2646�79 %; �W X g ' r�2062#0� as NONE. TT y M I. � a 244 2645 2537 t ,r 5/ � DD,N A z013 Rev 07�1zoo9 e r .OIVI:NION.WF.MHA"3OFIW�AS"a X..,Xv, • • M:11.1019 • lei 9 �W'j��M1� „�� ISSUES THE'FOLLOWING LICENSE AS A`, MASTER UNRESTRLCTED S L"YY` �,• � ?tb9°fi``n`+A•.:4 i 5`•. � '` �J �.�. 4� yw-Z'Y- > a EoX`729 x E qg] x ,,HARWIC�i a eZaa -Sl O 7 _N RD z HARWICH=MA=0264 5Z537r/ >i / --.�i- �OU 11272017Rav ° G r ✓..� M faJ a'� j 6 ' t TOWN OF B 1 � @#AfttESTABLE Bf ff W' RMFF,APRI 1 ATION Map Parcel s Application.* Health Division Date Issued Conservation Division Application Feel,50 to Planning Dept. Permit Fee I Date Definitive Plan Approved by Planning Board Historic - OKH /V!� _ Preservation/ Hyannis Project Street Address /�� �'fTit Village C���e I'v\ l Owner -u► lb-5 si,� e,-+ a�6; I ruses Address 40,w Telephone �,� % �'� ��y1`+er v`((r- Permit Request —ln h-11 5alat' he(_S on aP _e t shy 116uSr WAa Uil LL ��4d l S 1 c k Ch S w u-Cawr khp, �cf h/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed —Total new Zoning District Flood Plain Groundwater Overlay �— Project Valuations Q,DDb` Construction Type Lot Size — Grandfathered: ❑Yes ;dNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 51 JC5 Historic House: ❑Yes ,6-No On Old King's Highway: ❑Yes 2�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: e — existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric n❑--Other AW Central Air: ❑Yes ❑ No Fireplaces: Existing NAB New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizAPool: ❑ existing ❑ new sizeo Barn: ❑ existing ❑ new sizea- Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new sizeO4-Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes lo If yes, site plan review # Current Use./_SId,-0�t Proposed Use iV a APPLICANT INFORMATION (BUILDER R HOMEOWNER) Name Q I1k, 6 Ur� fXSD Telephone Number Address License# `� uwilS Uc)-6G Home Improvement Contractor# Email (��r n l" Worker's Compensation # - l Coe�L) ALL COIJTRUCTION DEBRIS RESULTING OM THIS PROJECT WILL �B/ TAKEN`TO SIGNATURE DATE (lz,,*- d 1, 1 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE V OWNER DATE OF INSPECTION: ` FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL c PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. E DocuSign Envelope ID:ED44B1D7-67CB-4FF9-9C7C-D1007906DAOD SolarCity I PPA Customer Name and Address Installation Location Date Luiz Santos 685 Strawberry-Hill Rd 1211112015 Centerville,MA 02632 685 Strawberry-Hill Rd Centerville,MA 02632 Here are the key terms of your Power Purchase Agreement 0 2< C) l 0 Dy s System installation cost Electricity rat gI kWh Agreeme gim Initial here Initial here D The SolarCity Promise GS •We guarantee that if you sell your Home;the buyer will qualify to assume your Agreement. ......................................................................... Initial here •We warrant all of our roofing work. •We restore your roof at the end of the Agreement. GS •We warrant,insure,maintain and repair the System. .................................................................................................................................................................................................................. Initial here_ •We fix or pay for any damage we may cause to your property. •We provide 24/7 web-enabled monitoring at no additional cost. •The rate you pay us will never increase by more than 2.90%per year. •The pricing in this Agreement is valid for 30 days after 12/11/2015. 0 Your SolarCity Power Purchase Agreement Details Your Choices at the End of the Initial Options for System Purchase: Amount due at contract signing Term: •At certain times,as specified in $0 •SolarCity will remove the System at no the Agreement,you may Est.amount due at installation i cost to you. purchase the System. $0 •You can upgrade to a new System with •These options apply during the 20 i the latest solar technology under a new year term of our Agreement and Est.amount due at building inspection contract. not beyond that term. $0 d .You may purchase the System from Est.first year production SolarCity for its fair market value as 5,728 kWh specified in the Agreement. •You may renew this Agreement for up to ten(10)years in two(2)five(5)year increments. 3055 Clearview Way,San Mateo,CA 94402 888.765.2489 solarcity.com 1399696 Power Purchase Agreement,version 9.1.0,November 11,2015 + SAPC/SEFA Compliant Contractors License MA HIC 168S72/EL-1136MR �� a Document generated on 12/11/2015 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved DocuSign Envelope ID:ED4461D7-67CB-4FF9-9C7C-D1007906DAOD R 1. Introduction. will debit your bank account on or about the 11t day of This Power Purchase Agreement(this"Power Purchase the next month following invoice(e.g.January invoices Agreement,""Agreement"or"PPA")is the agreement are sent in early February and debited on or about between you and SolarCity Corporation (together with its March 1). Monthly Payments will change as your price successors and assigns,"SolarCity"or"we"),covering the per kWh changes over the Term of this PPA and as sale to you of the power produced by the solar panel System production varies(e.g.,summer has higher system(the"System")we will install at your home. production).You will have regular access to the SolarCity agrees to sell to you,and you agree to buy from System's production via your SolarCity online account. SolarCity,all of the power produced by the System. The Payments due upon installation,if any,are due System will be installed by SolarCity at the address you immediately prior to commencement of installation. listed above(the"Property"or your"Home"). This Power You will make no Monthly Payments if you are fully Purchase Agreement is eight(8)pages long and has up to prepaying this PPA. In this case,you will pay only the three(3) Exhibits depending on the state where you live. amounts listed in the key terms summary on page one SolarCity provides you with a Limited Warranty(the of this PPA. "Limited Warranty"). The Limited Warranty is attached as (c) Estimated Production. If(i)the System is shut down for Exhibit 2. If you have any questions regarding this Power more than seven(7)full twenty-four(24)hour days Purchase Agreement,please ask your SolarCity sales cumulatively during the Term because of your actions; consultant. or(ii)you take some action that significantly reduces THIS AGREEMENT SUPERSEDES ALL PRIOR EXISTING the output of the System;(iii)you don't trim your CONTRACTS BETWEEN YOU AND SOLARCITY THAT PERTAIN bushes or trees to their appearance when you signed TO THE"SYSTEM" DEFINED IN THIS AGREEMENT. this PPA to avoid foliage growth from shading the System;or(iv)your System is not reporting production 2. Term. to SolarCitye.( g.you have disconnected the SolarCity agrees to sell you the power generated by the PowerGuide system or the internet connection at your System for 20 years(240 months), plus, if the Home goes down on the reporting day),then SolarCity Interconnection Date is not on the first day of a calendar will reasonably estimate the amount of power that month,the number of days left in that partial calendar would have been delivered to you during such System month. We refer to this period of time as the"Term." The or reporting outages or reduced production periods Term begins on the Interconnection Date. The ("Estimated Production")and shall consider Estimated "Interconnection Date"is the date that the System is Production as actual production for purposes of this turned on and generating power. SolarCity will notify you paragraph. In the first year of the Term, Estimated when your System is ready to be turned on. Production will be based on our production projections. After the first year of the Term, Estimated Production 3. Intentionally Left Blank. will be based on historical production for that month in 4. Power Purchase Agreement Payments;Amounts. the prior year. If we bill you for Estimated Production (a) Power Price: During the first year of the term,you are because your System is not reporting production to SolarCity,and we subsequently determine that we have purchasing all of the power the System produces for either overestimated or underestimated the actual $0.1250 per kWh. After the first year,the price per production,then we will adjust the next bill downward kWh will increase by 2.90%per year.There are no installation costs. (to refund overbilling)or upward (to make up for lost billing). You will not be charged for Estimated (b)Payments. Production when the System is not producing electricity Your monthly payments will be the product of(A)the due to SolarCity's fault,or if it's due to grid failure or price per kWh multiplied by(B)the actual kWh output power outages caused by someone other than you. for the calendar month("Monthly Payments"). Invoices S. Power Purchase Agreement Obligations. for Monthly Payments will be mailed or emailed no (a) System,Home and Property Maintenance later than ten(10)days after the end of a calendar month. If you are paying your invoice by automatic You agree to: debit from your checking or savings account(ACH)we Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 DocuSign Envelope ID:ED44BI D7-67CB-4FF9-9C7C-D1 007906DAOD (i) only have the System repaired pursuant to the obtain all approvals and authorizations for the Limited Warranty and reasonably cooperate System required by that organization and advise when repairs are being made; us of any requirements of that organization that (ii) keep trees, bushes and hedges trimmed so that will otherwise impact the System,its installation the System receives as much sunlight as it did or operation. when SolarCity installed it; (b) System Construction,Repair,Insurance and (iii) not modify your Home in a way that shades the SolarCity's obligations: System; SolarCity agrees to: (iv) be responsible for any conditions at your Home (i) schedule the installation of the System at a that affect the installation(e.g.,blocking access mutually convenient date and time; to the roof,or removing a tree that is in the way, prior work you have done on your home that was (ii) construct the System according to written plans not permitted); you review; (v) not remove any markings or identification tags (iii) provide you with a web-enabled meter to on the System; accurately measure the amount of power the (vi) permit SolarCity,after we give you reasonable System delivers to you; notice,to inspect the System for proper (iv) provide you with a home energy evaluation; operation as we reasonably determine (v) notify you if the System design has to be necessary; materially changed so that you can review any (vii) use the System primarily for personal,family or such changes; household purposes,but not to heat a swimming (vi) clean up after ourselves during the construction pool; of the System; (viii) not do anything, permit or allow to exist any (vii) insure the System against all damage or loss condition or circumstance that would cause the unless(A)that damage or loss is caused by your System not to operate as intended at the gross negligence;or(B)that damage or loss is Property; caused by ball strikes;or(C)you intentionally (ix) notify SolarCity if you think the System is damage the System; damaged or appears unsafe; if the System is (viii) repair the System pursuant to the Limited stolen;and prior to changing your power Warranty and reasonably cooperate with you supplier; when scheduling repairs; (x) have anyone who has an ownership interest in (ix) create a priority stream of operation and your Home sign this Power Purchase Agreement; maintenance payments to provide enough cash flow in our financing transactions to pay for the (xi) return any documents we send you for signature (like incentive claim forms)within seven(7)days Limited Warranty obligations and the repair and of receiving them;and I maintenance of the System in accordance with (xii) maintain and make available,at your cost,a this PPA even if SolarCity ceases to operate;and functioning indoor internet connection with a (x) not put a lien on your Home or Property. router,one DHCP enabled Ethernet port with internet access and standard AC power outlet (c) Home Renovations or Repairs close enough and free of interference to enable an If you want.to make any repairs or improvements to internet-connected gateway provided by SolarCity the Property that could interfere with the System to communicate wirelessly with the system's (such as repairing the roof where the System is inverter(typically this is 80 feet,but may depend located),you may only remove and replace the on site conditions). See section 2(c)(ii)of the System pursuant to the Limited Warranty. Limited Warranty for details;•and (xiii) if your home is governed by a home owner's (d) Automatic Payment,Late Charges,Fees association or similar community organization, Power Purchase Agreement,version 9.1.0,November 11,2015 a 1399696 DocuSign Envelope ID:ED4461 D7-67CB-4FF9-9C7C-D1007906DAOD In addition to the other amounts you agree to pay in System or making any additions to the System this Power Purchase Agreement,you agree to pay the or installing complementary technologies on or following: about the location of the System;(B)enforcing (i) Automatic Payment Discount: If you make your SolarCity's rights as to this Power Purchase Monthly Payments by allowing us to Agreement and the System;(C)installing,using automatically debit your checking or savings and maintaining electric lines and inverters and account,then you will receive a discount of$7.50 meters, necessary to interconnect the System to on your Monthly Payments.The Monthly your electric system at the Property and/or to Payments listed in Section 4 of this Agreement the utility's electric distribution system;or(D) reflect this discount. If you do not allow the taking any other action reasonably necessary in automatic debit,this discount will not be applied connection with installing,constructing, to your Monthly Payments and each Monthly operating,owning,repairing, removing and Payment will be$7.50 greater; replacing the System.This access right shall continue for up to ninety(90)days after this Returned Check Fee:$25(or such lower amount Power Purchase Agreement expires to provide as required by law)for any check or withdrawal SolarCity with time to remove the System at the right that is returned or refused by your bank;and end of the Power Purchase Agreement. (iii) Late Payments:accrue interest at the lesser of SolarCity shall provide you with reasonable twelve percent(12%)annually or the maximum notice of its need to access the Property allowable by applicable law.' whenever commercially reasonable. (e) Taxes (ii) During the time that SolarCity has access rights Your SolarCity electricity rate of$0.1250 per kWh is you shall ensure that its access rights are composed of an electricity rate of$0.1250 plus preserved and shall not interfere with or permit current taxes of$0.0000.You agree to pay any any third party to interfere with such rights or changes in the applicable taxes related to this PPA. access. You agree that the System is not a Thus,if tax rates change,your SolarCity electricity fixture,but SolarCity has the right to file any rate will change to reflect this rate change. If this UCC-1 financing statement or fixture filing that PPA contains a purchase option at the end of the confirms its interest in the System. Term,you agree to pay any applicable tax on the (h) Indemnity purchase price for the System.You also agree to pay To the fullest extent permitted by law,you shall as invoiced any applicable personal property taxes indemnify,defend, protect,save and hold harmless on the System that your local jurisdiction may levy. SolarCity,its employees,officers,directors,agents, (f) No Alterations successors and assigns from any and all third party You agree that you will not make any modifications, claims,actions,costs,expenses(including improvements,revisions or additions to the System reasonable attorneys'fees and expenses),damages, or take any other action that could void the limited liabilities,penalties, losses,obligations,injuries, Warranty on the System without SolarCity's prior demands and liens of any kind or nature arising out written consent. If you make any modifications, of,connected with, relating to or resulting from your improvements,revisions or additions to the System, negligence or willful misconduct; provided,that they will become part of the System and shall be nothing herein shall require you to indemnify SolarCity for its own negligence or willful SolarCity's property. misconduct.The provisions of this paragraph shall (g) Access to the System survive termination or expiration of this Power (I) You grant to SolarCity and its employees,agents Purchase Agreement. and contractors the right to reasonably access (i) Payments all of the Property as necessary for the purposes SUBJECT TO SECTION 4(b)ABOVE,YOU AGREE THAT of(A)installing,constructing,operating, THE OBLIGATION TO PAY ALL PAYMENTS AND ALL owning, repairing,removing and replacing the OTHER AMOUNTS DUE UNDER THIS PPA SHALL RF Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 DocuSign Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD ABSOLUTE AND UNCONDITIONAL UNDER ALL (v) confirmation that SolarCity will obtain all CIRCUMSTANCES AND SHALL NOT BE SUBJECT TO applicable benefits referred to in Section 9; ANY ABATEMENT, DEFENSE,COUNTERCLAIM, NO receipt of all necessary zoning,land use and SETOFF, RECOUPM ENT OR REDUCTION FOR ANY building permits;and REASON WHATSOEVER, IT BEING THE EXPRESS NO completion of any renovations,improvements INTENT OF THE PARTIES THAT ALL AMOUNTS PAYABLE BY YOU HEREUNDER SHALL BE,AND or changes reasonably required at your Home .or on the Property(e.g.,removal of a tree or CONTINUE TO BE,PAYABLE IN ALL EVENTS necessary roof repairs to enable us to safely INCLUDING BY YOUR HEIRS AND ESTATE AND, install the System). EXCEPT AS SET FORTH BELOW IN SECTIONS 6,23 AND 24,YOU HEREBY WAIVE ALL RIGHTS YOU MAY (viii) if your home is governed by a home owner's HAVE TO REJECT OR CANCEL THIS PPA,TO REVOKE association or similar community organization, ACCEPTANCE OF THE SYSTEM,OR TO GRANT A your receipt of all approvals and authorizations SECURITY INTEREST IN THE SYSTEM. for the System required by that organization and advising us of any requirements of that (j) Credit Check organization that will otherwise impact the You authorize SolarCity,or its designee,to obtain System,its installation or operation. your credit report now and in the future,check your SolarCity may terminate this Power Purchase credit and employment history,answer questions Agreement without liability if,in its reasonable others may ask regarding your credit and share your judgment,any of the above listed conditions(i) credit information with SolarCity's financing through (vii)will not be satisfied for reasons beyond partners.You certify that all information you provide its reasonable control. Once SolarCity starts to us in connection with checking your credit will be installation, however,it may not terminate this true and understand that this information must be Power Purchase Agreement for your failure to updated upon request if your financial condition satisfy conditions(i)through(vii)above. changes. (b) Amendments. 6. Conditions Prior to Installation of the System;Change The System's initial estimated production is set forth Orders. in this PPA.After System design,the estimated (a) SolarCity's obligation to install the System and sell production is likely to change and we will share you the power it produces is conditioned on the those changes with you prior to installation. If the following items having been completed to its estimated production increases or decreases by reasonable satisfaction: more than twenty percent(20%),we will document (i) completion of(A)the engineering site audit(a that change in an amendment.. thorough physical inspection of the Property, You authorize SolarCity to make corrections to the including,if applicable,geotechnical work),(B) utility paperwork to conform to this PPA or any the final System design,and(C)real estate due amendments to this PPA we both sign. diligence to confirm the suitability of the 7. Warranty. Property for the construction,installation and operation of the System; YOU UNDERSTAND THAT THE SYSTEM IS WARRANTED (6) approval of this Power Purchase Agreement by SOLELY UNDER THE LIMITED WARRANTY ATTACHED AS one of SolarCity's financing parties; EXHIBIT 2,AND THAT THERE ARE NO OTHER REPRESENTATIONS OR WARRANTIES,EXPRESS OR IMPLIED, (iii) your meeting the applicable credit score; AS TO THE MERCHANTABILITY, FITNESS FOR ANY PURPOSE, (Iv) confirmation of rebate,tax credit and CONDITION, DESIGN,CAPACITY,SUITABILITY OR renewable energy credit payment availability in. PERFORMANCE OF THE SYSTEM OR ITS INSTALLATION. the amount used to calculate the Monthly Payments set forth in this Power Purchase 8. Transfer. ' Agreement; SolarCity will assign this PPA to one of its financing partners. You agree that.SolarCity may assign,sell or Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 N DocuSign Envelope ID:ED44131D7-67CB-4FF9-9C7C1D1007906DAOD transfer the System and this Power Purchase Agreement, monitoring issues.Your failure to cooperate with SolarCity or any part of this Power Purchase Agreement or the with respect to Internet requirements will result in your exhibits,without your consent. This assignment does not obligation to compensate SolarCity for all lost SREC or change SolarCity's obligation to maintain and repair your incentive revenue and related costs,subject to a monthly System as set forth in the Warranty. charge of no less than$10.00(ten dollars)per month until 9. Ownership of the System;Tax Credits and Rebates. adequate Internet monitoring is implemented or restored. You agree that the System is SolarCity's personal property 10. Purchasing the System Prior to the End of the Term. under the Uniform Commercial Code. You understand and In addition to purchasing the System at the end of the agree that this PPA is not a contract to sell or lease the Term,you have the option to purchase the System prior to System to you. SolarCity owns the System for all purposes, the end of the Term as detailed below. To exercise this including any data generated from the System. You shall at option you must be in good standing under this Power, all times keep the System free and clear of all liens,claims, Purchase Agreement and you need to give us at least one levies and legal processes not created by SolarCity,and (1)month's, but not more than three(3)months' prior shall at your expense protect and defend SolarCity against written notice. You can purchase this System: the same. (i) on the five(5)year anniversary of the YOU UNDERSTAND AND AGREE THAT ANY AND ALL TAX beginning of the Term and every annual CREDITS, INCENTIVES, RENEWABLE ENERGY CREDITS, anniversary after the five(5)year anniversary; GREEN TAGS,CARBON OFFSET CREDITS,UTILITY REBATES and OR ANY OTHER NON-POWER ATTRIBUTES OF THE SYSTEM (ii) at any time after the five(5)year anniversary ARE THE PROPERTY OF AND FOR THE BENEFIT OF of the beginning of the Term,when you sell SOLARCITY, USABLE AT ITS SOLE DISCRETION.SOLARCITY your Home;and SHALL HAVE THE EXCLUSIVE RIGHT TO ENJOY AND USE ALL (iii) if SolarCity ever ceases its operations. SUCH BENEFITS,WHETHER SUCH BENEFITS EXIST NOW OR IN THE FUTURE. YOU AGREE TO REFRAIN FROM ENTERING In each of(i),(ii)and(iii)above,the price you will pay for INTO ANY AGREEMENT WITH YOUR UTILITY THAT WOULD the System will be the System's fair market value("FMV"). ENTITLE YOUR UTILITY TO CLAIM ANY SUCH BENEFITS. A third party independent appraiser will be retained to YOU AGREE TO REASONABLY COOPERATE WITH SOLARCITY compute the System's FMV. SolarCity's maintenance and SO THAT IT MAY CLAIM ANY TAX CREDITS, RENEWABLE repair obligations under the Limited Warranty(Exhibit 2) ENERGY CREDITS, REBATES,CARBON OFFSET CREDITS OR will continue when you purchase the System until what ANY OTHER BENEFITS FROM THE SYSTEM.THIS MAY would have been the end of the original Term. INCLUDE TO THE EXTENT ALLOWABLE BY LAW,ENTERING 11. Renewal. INTO NET METERING AGREEMENTS, INTERCONNECTION If you are in compliance with your PPA,you have the option AGREEMENTS,AND FILING RENEWABLE ENERGY/CARBON OFFSET CREDIT REGISTRATIONS AND/OR APPLICATIONS to renew your PPA for up to ten (10)years in two(2)five(5) FOR REBATES FROM THE FEDERAL,STATE OR LOCAL year renewal periods. We will send you renewal forms three GOVERNMENT OR A LOCAL UTILITY AND GIVING THESE TAX (3)months prior to the expiration of the Term,which forms CREDITS, RENEWABLE ENERGY/CARBON CREDITS, REBATES shall set forth the new Monthly Payments due under the renewal PPA, based on our assessment of the then current OR OTHER BENEFITS TO SOLARCITY. fair market value of the System. If you want to renew, You understand that solar renewable energy credits complete the renewal forms and return them to us at least (SRECs)and certain incentives and associated data cannot one(1)month prior to the end of the PPA. In the event that be generated or earned without internet.As such,you you do not agree to the new Monthly Payments this PPA agree to maintain and make available,at your cost,a shall expire by its terms on the termination date. If you functioning indoor Internet connection with the don't send us anything in writing after we send you the understanding that Wi-Fi hotspotting,tethering and renewal forms,then this PPA shall renew for an additional intermittent Internet connection will not satisfy this one(1)year term at ten percent(10%)less than the then- obligation.You also agree to cooperate with SolarCity as current average rate charged by your local utility and shall necessary to provide any other information required to continue to renew for one(1)year terms at the same rate as generate SRECs or earn incentives and troubleshoot your first renewal until(i)you give us notice at least th;—,, Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 ❑� Sa.4t DocuSign Envelope ID:ED44131 D7-67CB-4FF9-9C7C-D1007906DAOD (30)days prior to a renewal term that you do not wish to your approved buyer and SolarCity shall execute a renew;or(ii)we send you a notice terminating the PPA. written transfer of this PPA. 12. Selling Your Home. (c) If you sell your Home and can't comply with any of the (a) If you sell your Home you can: options in subsection(a)above,you will be in default . under this Power Purchase Agreement. Section 12(a) (i)Transfer this Power Purchase Agreement and the includes a Home sale by your estate or heirs. Monthly Payments (d) Free Assumability.This agreement is free of any The person buying your Home(the"Home.Buyer") restrictions that would prevent the homeowner from can sign a transfer agreement assuming all of your freely transferring their home("Property').SolarCity rights and obligations under this Agreement by will not prohibit the sale,conveyance or refinancing of qualifying in one of three ways: the Property.SolarCity may choose to file in the real 1) The Home Buyer has a FICO score of 650 or estate records a UCC-1 financing statement("Fixture greater; Filing")that preserves their rights in the System.The 2) The Home Buyer is paying cash for your Fixture Filing is intended only to give notice of its rights Home;or relating to the System and is not a lien or 3) If the Home Buyer does not qualify under(1) encumbrance against the Property.SolarCity shall or(2),the Home Buyer qualifies for a explain the Fixture Filing to any subsequent purchasers mortgage to purchase your Home and either of the Property and any related lenders as requested. you or the Home Buyer pays us a$250 credit SolarCity shall also accommodate reasonable requests exception fee. from lenders or title companies to facilitate a (ii)Move the System to Your New Home purchase,financing.or refinancing of the Property. Where permitted by the utility(s),the System can be (e) EXCEPT ASSET FORTH IN THIS SECTION,YOU WILL NOT moved to your new home pursuant to Section 4 of ASSIGN,SELL, PLEDGE OR IN ANY OTHER WAY the Limited Warranty.You will need to provide the TRANSFER YOUR INTEREST IN THE SYSTEM OR THIS same rights to SolarCity as provided for in this PPA PPA WITHOUT OUR PRIOR WRITTEN CONSENT,WHICH and provide any third party consents or releases SHALL NOT BE UNREASONABLY WITHHELD. required by SolarCity in connection with the substitute premises. (iii)Prepay this Power Purchase Agreement and 13. Loss or Damage. Transfer only the Use of the System a Unless you are grossly negligent, ou intentionally ( ) Y g YY Y At any time during the Term,you can prepay this damage the System,or damage or loss to the System is Power Purchase Agreement in full by paying caused by ball strikes,SolarCity will bear all of the risk SolarCity the expected remaining payments of loss,damage,theft,destruction or similar occurrence (estimated future production during the rest of the to any or all of the System. Except as expressly Term multiplied by the average kWh rate during the provided in this PPA, no loss,damage,theft or . rest of the Term)at a five percent(5%)discount destruction will excuse you from your obligations under rate.The person buying your Home will only need to this PPA,including Monthly Payments. sign a transfer agreement to assume your rights and non-Monthly Payment obligations under this PPA. (b)If there is loss,damage,theft,destruction or a similar The System stays at your Home,the person buying occurrence affecting the System,and you are not in your Home does not make any Monthly Payments default of this PPA,you shall continue to timely make all and has only to comply with the non-Monthly Monthly Payments and pay all other amounts due Payment portions of.this PPA. under the PPA and,cooperate with SolarCity,at (iv)Purchase the System(see Section 10) SolarCity's sole cost and expense,to have the System repaired pursuant to the Limited Warranty. (b) You agree to give SolarCity at least fifteen(15)days but not more than three(3)months prior written 14. Limitation of Liability. notice if you want someone to assume your PPA (a)No Consequential Damages obligations. In connection with this assumption,you, ❑ ❑ Power Purchase Agreement,version 9.1.0,November 11,2015 ' 1399696 �� DocuSign Envelope ID:ED44131 D7-67CB-4FF9-9C7C-D1007906DAOD SOLARCITY'S LIABILITY TO YOU UNDER THIS POWER (b)take any reasonable action to correct your default or to PURCHASE AGREEMENT SHALL BE LIMITED TO DIRECT, prevent our loss;any amount we pay will be added to ACTUAL DAMAGES ONLY. YOU AGREE THAT IN NO the amount you owe us and will be immediately due; EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER (c) require you,at your expense,to return the System or FOR CONSEQUENTIAL, INCIDENTAL, PUNITIVE, make it available to us in a reasonable manner; EXEMPLARY,SPECIAL OR INDIRECT DAMAGES. (d)proceed,by appropriate court action,to enforce (b)Actual Damages performance of this PPA and to recover damages for EXCEPT FOR CLAIMS UNDER SECTION 5(H), NEITHER your breach; PARTY'S LIABILITY TO THE OTHER WILL EXCEED AN (e)disconnect,turn off or take back the System by legal AMOUNT EQUAL TO THE MAXIMUM AMOUNT THAT process or self-help,but we may not disturb the peace COULD BE PAYABLE BY YOU UNDER SECTION 16(H). or violate the law; DAMAGES TO YOUR HOME, BELONGINGS OR PROPERTY RESULTING FROM THE INSTALLATION OR OPERATION (f) report such non-operational status of the System to OF THE SYSTEM ARE COVERED IN SECTION 6(C)OF THE your utility,informing them that you are no longer net LIMITED WARRANTY. metering; 15. Default. (g)charge you a reasonable reconnection fee for reconnecting the System to your utility or turning your You will be in default under this Power Purchase System back on after we disconnect or turn off the Agreement if any one of the following occurs: System due to your default; (a) you fail to make any payment when it is due and such failure continues for a period of ten(10)days; (h)recover from you(i)a payment equal to the purchase price as set forth in this agreement plus(ii)all taxes, (b) you fail to perform any material obligation that you late charges,penalties, interest and all or any other have undertaken in this PPA(which includes doing sums then accrued or due and owing;or something you have agreed not to do,like alter the (i) use any other remedy available to us in this PPA or by System)and such failure continues for a period of law. fourteen(14)days after written notice; We may submit to credit reporting agencies(credit (c) you or your guarantor have provided any false or bureaus)negative credit reports that would be reflected on misleading financial or other information to obtain this your credit record if you do not pay any amounts due Power Purchase Agreement; under this PPA as required. M (d) you assign,transfer,encumber,sublet or sell this PPA or You agree to repay us for any reasonable amounts we pay any part of the System without SolarCity's prior written to correct or cover your default.You also agree to consent;or reimburse us for any costs and expenses we incur relating (e) you or any guarantor makes an assignment for the to the System's return resulting from early termination. By benefit of creditors,admits in writing its insolvency, choosing any one or more of these remedies,SolarCity files or there is filed against you or it a voluntary does not give up its right to use another remedy. By petition in bankruptcy,is adjudicated bankrupt or deciding not to use any remedy should this Power insolvent or undertakes or experiences any substantially Purchase Agreement be in default,SolarCity does not give similar activity. up our right to use that remedy in case of a subsequent 16. Remedies in Case of Default. default. If this Power Purchase Agreement is in default,we may 17. System Removal;Return. take any one or more of the following actions. If the law At the end of the Term or the termination of this PPA,if requires us to do so,we will give you notice and wait any you have not renewed this PPA or exercised your purchase period of time required before taking any of these actions. option (if any)and you have not defaulted,then within We may: ninety(90)days you agree to call SolarCity at the (a)terminate this PPA; telephone number listed in Section 7 of.Exhibit 2 to Power Purchase Agreement,version 9.1.0,November 11,2015 1399696an- � i DocuSign Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD schedule a convenient time for SolarCity to remove the as a class action,class arbitration,private attorney general System from your Home at no cost to you. action or other representative action,nor may any such 18. Applicable Law;Arbitration. Dispute be pursued on your or our behalf in any litigation in any court.Claims regarding any Dispute and remedies PLEASE READ THIS SECTION CAREFULLY.ARBITRATION sought as part of a class action,class arbitration, private REPLACES THE RIGHT TO GO TO COURT, INCLUDING THE attorney general or other representative action are subject RIGHT TO A JURY AND THE RIGHT TO PARTICIPATE IN A to arbitration on an individual(non-class,non- CLASS ACTION OR SIMILAR PROCEEDING. IN ARBITRATION, representative)basis,and the arbitrator may award relief A DISPUTE IS RESOLVED BY AN ARBITRATOR INSTEAD OF A only on an individual(non-class,non-representative)basis. JUDGE OR JURY. This means that the arbitration may not address disputes The laws of the state where your Home is located shall involving other persons with disputes similar to the govern this PPA without giving effect to conflict of laws Disputes between you and SolarCity. principles.We agree that any dispute,claim or The arbitrator shall have the authority to award any legal or disagreement between us(a"Dispute")shall be resolved equitable remedy or relief that a court could order or grant exclusively by arbitration. under this agreement.The arbitrator,however,is not The arbitration,including the selecting of the arbitrator,will authorized to change or alter the terms of this agreement be administered by JAMS,under its Streamlined Arbitration or to make any award that would extend to any transaction Rules(the"Rules")by a single neutral arbitrator agreed on other than yours.All statutes of limitations that are by the parties within thirty(30)days of the commencement applicable to any dispute shall apply to any arbitration of the arbitration. The arbitration will be governed by the between us. The arbitrator will issue a decision or award in Federal Arbitration Act(Title 9 of the U.S.Code). Either writing,briefly stating the essential findings of fact and party may initiate the arbitration process by filing the conclusions of law. necessary forms with JAMS.To learn more about BECAUSE YOU AND WE HAVE AGREED TO ARBITRATE ALL arbitration,you can call any JAMS office or review the DISPUTES, NEITHER OF US WILL HAVE THE RIGHT TO materials at www.jamsadr.com.The arbitration shall be LITIGATE THAT DISPUTE IN COURT,OR TO HAVE A JURY held in the location that is most convenient to your Home. TRIAL ON THAT DISPUTE,OR ENGAGE IN DISCOVERY If a JAMS office does not exist within 50(fifty)miles of your EXCEPT AS PROVIDED FOR IN THE RULES.FURTHER,YOU Home,then we will use another accredited arbitration WILL NOT HAVE THE RIGHT TO PARTICIPATE AS A provider with offices close to your Home. REPRESENTATIVE OR MEMBER OF ANY CLASS PERTAINING If you initiate the arbitration,you will be required to pay the TO ANY DISPUTE.THE ARBITRATOR'S DECISION WILL BE first$125 of any filing fee. We will pay any filing fees in FINAL AND BINDING ON THE PARTIES AND MAY BE excess of$125 and we will pay all of the arbitration fees ENTERED AND ENFORCED IN ANY COURT HAVING and costs. If we initiate the arbitration,we will pay all of JURISDICTION,EXCEPT TO THE EXTENT IT IS SUBJECT TO the filing fees and all of the arbitration fees and costs. We REVIEW IN ACCORDANCE WITH APPLICABLE LAW will each bear all of our own attorney's fees and costs GOVERNING ARBITRATION AWARDS.OTHER RIGHTS THAT except that you are entitled to recover your attorney's fees YOU OR WE WOULD HAVE IN COURT MAY ALSO NOT BE and costs if you prevail in the arbitration and the award you AVAILABLE IN ARBITRATION. receive from the arbitrator is higher than SolarCity's last 19. Waiver. written settlement offer. When determining whether your award is higher than SolarCity's last written settlement Any delay or failure of a party to enforce any of the offer your attorney's fees and costs will not be included. provisions of this PPA,including but not limited to any remedies listed in this PPA,or to require performance by Only Disputes involving you and SolarCity may be addressed the other party of any of the provisions of this PPA,shall in the arbitration. Disputes must be brought in the name of not be construed to(i) be a waiver of such provisions or a an individual person or entity and must proceed on an party's right to enforce that provision;or(ii)affect the individual(non-class, non-representative)basis.The validity of this PPA. arbitrator will not award relief for or against anyone who is. not a party.If either of us arbitrates a Dispute,neither of us, nor any other person,may pursue the Dispute in arbitration Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 ,� DocuSi n Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD 9 P 20. Privacy/Publicity You grant SolarCity the right to publicly use,display,share, and advertise the photographic images, Project details, price and any other non-personally identifying information of your Project.SolarCity shall not knowingly release any personally identifiable information about you or any data associating you with the Project location.You may opt-out of these publicity rights by giving us written notice and mailing it to:SolarCity Corporation,Attention: Publicity Opt Out,3055 Clearview Way,San Mateo,CA 94402. 21. Notices. All notices under this PPA shall be in writing and shall be by personal delivery,facsimile transmission,electronic mail, overnight courier,or certified or registered mail,return receipt requested. 22. Entire Agreement:Changes. This PPA contains the parties'entire agreement regarding the sale and purchase of power generated by the System. There are no other agreements regarding this PPA,either written or oral. Any change to this PPA must be in writing and signed by both parties.Only an authorized officer of SolarCity may execute any change to this Agreement on behalf of SolarCity. If any portion of this PPA is determined to be unenforceable,the remaining provisions shall be enforced in accordance with their terms or shall be interpreted or re-written so as to make them enforceable. REST OF PAGE INTENTIONALLY LEFT BLANK. Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 � a� DocuSign Envelope ID:ED44131D7-67Cl3-4FF9-9C7C-D1007906DAOD 23. NOTICE OF RIGHT TO CANCEL. - I have read this Power Purchase Agreement and the Exhibits in YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR their entirety and I acknowledge that I have received a TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE complete copy of this Power Purchase Agreement., DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Luiz Santos EXPLANATION OF THIS RIGHT. r�D-ust pW try: 24. ADDITIONAL RIGHTS TO CANCEL. Signature: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL Date: 12/11/2015 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricin The pricing in this PPA is valid for 30 days after Customer's Name: 12/11/2015. If you don't sign this PPA and return it to us on or prior to 30 days after 12/11/2015,SolarCity reserves Signature: i the right to reject this PPA unless you agree to our then current pricing. Date: Power Purchase Agreement SolarCit v approved Signature: ' Lyndon Rive, CEO Date: 12/11/2015 Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 DocuSign Envelope ID:ED44131 D7-67C6-4FF9-9C7C-D1007906DAOD EXHIBIT 1(SOLARCITY COPY) NOTICE OF CANCELLATION STATUTORILY-REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:The date you signed the Power Purchase Agreement. You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS from the above date. If you cancel,any property traded in,any payments made by you under the contract or sale and any negotiable instrument executed by you will be returned within TEN DAYS following receipt by the seller(SolarCity Corporation)of your cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(SolarCity Corporation)at your residence,in substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may,if you wish,comply with the instructions of the seller(SolarCity Corporation)regarding the return shipment of the goods at the seller's(SolarCity Corporation's)expense and risk. If you do make the goods available to the seller (SolarCity Corporation)and the seller(SolarCity Corporation)does not pick them up within 20 days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller(SolarCity Corporation),or if you agree to return the goods to the seller(SolarCity Corporation)and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice,or any other written notice,or send a telegram to SolarCity Corporation,Document Receiving,6611 Las Vegas Blvd.S.,Unit 200,Las Vegas,NV 89119 NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the Power Purchase Agreement. I,Luiz Santos,HEREBY CANCEL THIS TRANSACTION on [Date]. Customer's Signature: Customers Signature: Power Purchase Agreement,version 9.1.0,November 11,2015 �, •� 1399696 F DocuSign Envelope ID:ED4461 D7-67CB-4FF9-9C7C-D1007906DAOD EXHIBIT 1(CUSTOMER COPY) NOTICE OF CANCELLATION STATUTORILY-REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:The date you signed the Power Purchase Agreement. You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS from the above date. If you cancel,any property traded in,any payments made by you under the contract or sale and any negotiable instrument executed by you will be returned within TEN DAYS following receipt by the seller(SolarCity Corporation)of your cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(SolarCity Corporation)at your residence,in substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may,if you wish,comply with the instructions of the seller(SolarCity Corporation)regarding the return shipment of the goods at the seller's(SolarCity Corporation's)expense and risk. If you do make the goods available to the seller (SolarCity Corporation)and the seller(SolarCity Corporation)does not pick them up within 20 days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller(SolarCity Corporation),or if you agree to return the goods to the seller(SolarCity Corporation)and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice,or any other written notice,or send a telegram to SolarCity Corporation,Document Receiving,6611 Las Vegas Blvd.S.,Unit 200,Las Vegas,NV 89119 NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the Power Purchase Agreement. I,Luiz Santos,HEREBY CANCEL THIS TRANSACTION on [Date]. Customer's Signature: Customer's Signature: Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 I VX.- DocuSign Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD EXHIBIT 2 PERFORMANCE GUARANTEE AND LIMITED WARRANTY 1. INTRODUCTION This Performance Guarantee and Limited Warranty(this"Limited Warranty')is SolarCity's agreement to provide you warranties on the System you are hosting pursuant to our PPA. The System will be professionally installed by SolarCity at the address you listed in the PPA.We will refer to the installation location as your"Property"or your"Home." This Limited Warranty begins when we start the survey of your Home for the System. We look forward to helping you produce clean,renewable solar power at your Home. 2. LIMITED WARRANTIES,PERFORMANCE GUARANTEE (a) Limited Warranties (i) System Warranty Under normal use and service conditions the System will be free from defects in workmanship or defects in,or a breakdown of,materials or components,for the full Term; (ii) Roof Warranty All roof penetrations we make for your System will be watertight.This warranty will run the longer of(a)the first ten (10)years of the term or(b)the length of any existing installation warranty or new home builder performance standard for your roof; _ (iii) Damage Warranty We will repair damage we cause to your Home,your belongings or your Property or pay you for the damage we cause,as limited by Section 6,for the full Term(except damages that result from our roof penetrations,which damages are covered for the first ten(10)years of the Term). Under each of these warranties SolarCity will repair or replace any damage,defective part,material or component or correct any defective workmanship,at no cost or expense to you(including all,labor costs),when you submit a valid claim to us under this Limited Warranty. SolarCity may use new or reconditioned parts when making repairs or replacements.SolarCity may also,at no additional cost to you,upgrade or add to any part of the System to ensure that it performs according to the guarantees set forth in this Limited Warranty. Cosmetic repairs that do not involve safety or performance shall be made at SolarCity's discretion. (b) Performance Guarantee (i) Performance Guarantee SolarCity guarantees that during the Power Purchase Agreement Term the System will operate within manufacturer's specifications and if it does not that SolarCity will repair or replace any defective part and restore System performance. (ii) PowerGuide TM Solar Monitoring During the Power Purchase Agreement Term,we will provide you at no additional cost our PowerGuide Solar Monitoring Service("PowerGuide"). PowerGuide is a proprietary monitoring system designed and installed by Power Purchase Agreement,version 9.1.0,November 11,2015 @1!f.RE] 1399696 aF i DocuSign Envelope ID:ED4461 D7-67CB-4FF9-9C7C-D1007906DAOD SolarCity that captures and displays historical energy generation data over an Internet connection and consists of hardware located on site and software hosted by SolarCity. If your System is not operating within normal ranges, PowerGuide will alert us and we will remedy any material issues promptly. (c) Maintenance and Operation (i) General When the System is installed,SolarCity will provide you with a link to its Solar Operation Guide.This Guide provides you with System operation instructions,answers to frequently asked questions,troubleshooting tips and service information. SolarCity will perform all required System maintenance.We will install a safety anchor in your roof during the survey of your Home for the System. We will leave this anchor installed for our future use throughout the survey,installation and operation of your System. This safety anchor is for our use only. You.are not authorized to use this anchor. (ii) PowerGuide PowerGuide requires a high speed Internet line to operate.Therefore,during the Power Purchase Agreement Term, you agree to maintain the communication link between PowerGuide and the System and between PowerGuide and i the Internet. You agree to maintain and make available,at your cost,a functioning indoor internet connection with a router,one DHCP enabled Ethernet port with internet access and standard AC power outlet close enough and free of interference to enable an internet-connected gateway provided by SolarCity to communicate wirelessly with the system's inverter(typically this is 80 feet,but may depend on site conditions). This communication link must be a 10/100 Mbps Ethernet connection that supports common Internet protocols(TCP/IP and DHCP). If you do not have and maintain a working high speed Internet line we will not be able to monitor the System and provide you with a performance guarantee or provide PowerGuide. Further,if PowerGuide is not operational,SolarCity will be required to estimate your power usage as set forth in the PPA. (d) Making a Claim;Transferring this Warranty (i) Claims Process You can make a claim by: A. emailing us at the email address in Section 7 below; B. writing us a letter and sending it overnight mail with a well-known service;or C. sending us a fax at the number in Section 7 below. (ii) Transferable limited Warranty SolarCity will accept and honor any valid and properly submitted Warranty claim made during any Term by any person who either purchases the System from you or to whom you properly transfer the PPA. (e) Exclusions and Disclaimer The limited warranties and guarantee provided in this Limited Warranty do not apply to any lost power production or any repair,replacement or correction required due to the following: (i) someone other than SolarCity or its approved service providers installed,removed,re-installed or repaired the System; (ii) destruction or damage to the System or its ability to safely produce power not caused by SolarCity or its approved service providers while servicing_the System(e.g.,if a tree falls on the System we will replace the System per the Power Purchase Agreement,but we will not repay you for power it did not produce); Power Purchase Agreement,version 9.1.0,November 11,2015 1399696RKM a . . DocuSign Envelope ID:ED44131 D7-67CB-4FF9-9C7C-D1007906DAOD (iii) your failure to perform,or breach of,your obligations under the Power Purchase Agreement(e.g.,you modify or alter the System); (iv) your breach of this Limited Warranty,including your being unavailable to provide access or assistance to us in diagnosing or repairing a problem; (v) any Force Majeure Event(as defined below); (vi) shading from foliage that is new growth or is not kept trimmed to its appearance on the date the System was installed; (vii) any system failure or lost production not caused by a System defect(e.g.,the System is not producing power because it has been removed to make roof repairs or you have required us to locate the inverter in a non-shaded area); (viii) theft of the System(e.g.,if the System is stolen we will replace the System per the Power Purchase Agreement,but we will not repay you for the power it did not produce); (ix) damage to your Home,belongings or property that results from our roof penetrations after the end of the Roof Warranty;and (ix) damage or loss to the System due to ball strikes. This Limited Warranty gives you specific rights,and you may also have other rights which vary from state to state.This Limited Warranty does not warrant any specific electrical performance of the System other than that described above. Snow or ice may accumulate on rooftops and on solar panels during snow storms.Accumulated snow or ice may slide or fall, resulting in property damage or bodily harm.If and when conditions safely allow you to remove accumulated snow or ice, you should do so to reduce the likelihood of excess snow sliding or falling. THE LIMITED WARRANTIES DESCRIBED IN SECTIONS 2(a)ABOVE ARE THE ONLY EXPRESS WARRANTIES MADE BY SOLARCITY WITH RESPECT TO THE SYSTEM. SOLARCITY HEREBY DISCLAIMS,AND ANY BENEFICIARY OF THIS LIMITED WARRANTY HEREBY WAIVES,ANY WARRANTY WITH RESPECT TO ANY COST SAVINGS FROM USING THE SYSTEM. 3. SOLARCITY'S STANDARDS For the purpose of this Limited Warranty the standards for our performance will be(i)normal professional standards of performance within the solar photovoltaic power generation industry in the relevant market;and(ii)Prudent Electrical Practices. "Prudent Electrical Practices"means those practices,as changed from time to time,that are engaged in or approved by a significant portion of the solar power electrical generation industry operating in the United States to operate electric equipment lawfully and with reasonable safety,dependability,efficiency and economy. 4. SYSTEM REPAIR,RELOCATION OR REMOVAL (a) Repair. You agree that if(i)the System needs any repairs that are not the responsibility of SolarCity under this Limited Warranty,(ii)the system needs to be removed and reinstalled to facilitate remodeling of your Home or(iii)the system is being relocated to another home you own pursuant to the Power Purchase Agreement,you will have SolarCity,or another similarly qualified service provider,at your expense,perform such repairs,removal and reinstallation,or relocation. (b) Removal/Moving. SolarCity will remove and replace the System from your roof while roof repairs are being made for a payment of$499. You will need to provide storage space for the System during such time.Where permitted under the PPA, SolarCity will work with you to move the System to your new home as follows:SolarCity will conduct an audit of your Power Purchase Agreement,version 9.1.0,November 11,2015 a ,� 1399696 by DocuSign Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD existing Home and new home to determine if a move is commercially feasible. This audit will cost$499. If SolarCity determines that a move is commercially feasible,it will then move the System for an additional payment of$499.If we reinstall your System,the Roof Warranty will restart at the completion of reinstallation and run for ten(10)years from reinstallation. (c) Return.If at the end of the Term you want to return the System to SolarCity under Section 17 of the PPA then SolarCity will remove the System at no cost to you. SolarCity will remove the posts,waterproof the post area and return the roof as close as is reasonably possible to its original condition before the System was installed(e.g.ordinary wear and tear and color variances due to manufacturing changes are excepted). SolarCity will warrant the waterproofing for one(1)year after it removes the System. You agree to reasonably cooperate with SolarCity in removing the System including providing necessary space,access and storage,and we will reasonably cooperate with you to schedule removal in a time and manner that minimizes inconvenience to you. S. FORCE MAJEURE If SolarCity is unable to perform all or some of its obligations under this Limited Warranty because of a Force Majeure Event, SolarCity will be excused from whatever performance is affected by the Force Majeure Event,provided that: (a) SolarCity,as soon as is reasonably practical,gives you notice describing the Force Majeure Event; (b) SolarCity's suspension of its obligations is of no greater scope and of no longer duration than is required by the Force Majeure Event(i.e.,when a Force Majeure Event is over,we will make repairs);and (c) No SolarCity obligation that arose before the Force Majeure Event that could and should have been fully performed before such Force Majeure Event is excused as a result of such Force Majeure Event. "Force Majeure Event"means any event,condition or circumstance beyond the control of and not caused by SolarCity's fault or negligence. It shall include,without limitation,failure or interruption of the production,delivery or acceptance of power due to:an act of god;war(declared or undeclared);sabotage;riot;insurrection;civil unrest or disturbance;military or guerilla action; terrorism;economic sanction or embargo;civil strike,work stoppage,slow-down,or lock-out;explosion;fire;earthquake; abnormal weather condition or actions of the elements;hurricane;flood;lightning;wind;drought;the binding order of any governmental authority(provided that such order has been resisted in good faith by all reasonable legal means);the failure to act on the part of any governmental authority(provided that such action has been timely requested and diligently pursued); unavailability of power from the utility grid,equipment,supplies or products(but not to the extent that any such availability of any of the foregoing results from SolarCity's failure to have exercised reasonable diligence);power or voltage surge caused by someone other than SolarCity including a grid supply voltage outside of the standard range specified by your utility;and failure of equipment not utilized by SolarCity or under its control. 6. LIMITATIONS ON LIABILITY (a) No Consequential Damages YOU MAY ONLY RECOVER DIRECT DAMAGES INCLUDING THOSE AMOUNTS DUE PURSUANT TO SECTIONS 2(b)AND 6(c) UNDER THIS LIMITED WARRANTY,AND IN NO EVENT SHALL SOLARCITY OR ITS AGENTS OR SUBCONTRACTORS BE LIABLE TO YOU OR YOUR ASSIGNS FOR SPECIAL,INDIRECT,PUNITIVE,EXEMPLARY,INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY NATURE. SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (b) Limitation of Duration of Implied Warranties Power Purchase Agreement,version 9.1.0,November 11,2015 a 1399696 DocuSign Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD ANY IMPLIED WARRANTIES,INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE AND MERCHANTABILITY ARISING UNDER STATE LAW,SHALL IN NO EVENT EXTEND PAST THE EXPIRATION OF ANY WARRANTY PERIOD IN THIS LIMITED WARRANTY. SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (c) Limit of Liability Notwithstanding any other provision of this Limited Warranty to the contrary,SolarCity's total liability arising out of relating to this Limited Warranty shall in no event: (i) For System Replacement: exceed the greater of(a)the sum of the Monthly Payments over the Term of the Power. Purchase Agreement and(b)the original cost of the System;and (ii) For damages to your Home,belongings and property: exceed two million dollars($2,000,000). 7. NOTICES All notices under this Limited Warranty shall be made in the same manner as set forth in the Power Purchase Agreement to the addresses listed below: TO SOLARCITY: SolarCity Corporation 3055 Clearview Way San Mateo,CA 94402 Attention: Warranty Claims Telephone: 650-638-1028 Facsimile: 650-638-1029 Email: customercare@solarcitv.com TO YOU: At the billing address in the Power Purchase Agreement or any subsequent billing address you give US. 8. ASSIGNMENT AND TRANSFER OF THIS LIMITED WARRANTY SolarCity may assign its rights or obligations under this Limited Warranty to a third party without your consent,provided that any assignment of SolarCity's obligations under this Limited Warranty shall be to a party professionally and financially qualified to perform such obligation. This Limited Warranty protects only the person who hosts the System. Your rights and obligations under this Limited Warranty will be automatically transferred to any person who purchases the System from you or to whom you properly transfer the Power Purchase Agreement.This Limited Warranty contains the parties'entire agreement regarding the limited warranty of the System Power Purchase Agreement,version 9.1.0,November 11,2015 1399696 • DocuSign Envelope ID:ED44B1 D7-67CB-4FF9-9C7C-D1007906DAOD . [THIS PAGE INTENTIONALLY LEFT BLANK] FEE R1 i j 1399696 ! 'ItSolarCity. OWNER AUTHORIZATION Job#: 0Z(a"Z`k 0 G—oD Property Address: (� S74,,�� e_rr y µ ( G' e��►s � /� d 2 6 Z L .Doi St 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 permit application. 0 Signature of Owner: Date: SOLARCITY.COM _ .. X7 :#'rR?.l aC__77a-J'J;rAlY.:1N.�"'.t CK!(.�- ��'"...a F.s s� ..'.'r`v' +F._:�i'L�s"`.-"�C".�•.,yA n�n:�'::t..5t 1.tom'1�"^4M�,R'.".xi° ' ri .., � r:. ... tR,._�''r". ._^Jit�iP'.+k:. ,�9J-�= !- !•. 1-. �:7'" t!.1.-.eA. =a":i:A.'Ci_i .s�'JI L',„t•;.'l�flP+Biti�;!'1 ii+X3i?�-ilR.•w�'8� - Naa�ecnusstt� DewRrr�+e»f of a�bt�c tirltetT Oriirfl®1 tlu�itl+kp QWu+slM aatl Staff caner CS-108616 JASON PATRY 921 STEWART DRIVE' Abington MA 0n51 .�i.4.- .d.6t L,a•awn s .��s G rn.w6{ .,j. f/.txticrr�il Ofi&eorCesumerAflhirsAtluSIUMRMalodca i HOME IMPROVEMENT CONTRACTOR RegisImIlon: 1611572 Typo'I, Exptrettea: 3l812017 Supplement C SOLAR CITY CORPORATION JASON PATRY 24 ST MARTIN STREET OLD 2UNI 4P. I UkBORO00H.MA 01752 Undm urefsry ! The Commonwealth ofMassachusdu Department o,f IndusfrtaJAcdden& 1 Congress Street:State 100 Boston,MA 02114-2017 www.mass gov/dia Workers'Compensation Insurapcc Affidavit:Benders/Contractorsl>Eleetrklans/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apg9cant Inforination Please Print LcQ Y NaMe(BibinesVDrl;anlzalianitndividuxl): SnlarCity Corporation Address: 3055 Clearview Way City/StaiclZip: San Mateo,CA 94402 phD11e#: (8813)765-2489 Are you-an employer?Check the appropriate box: Type of project(required). L©1 em a emplo w wM 15,000employecs(full audlorpar44inse).- .7. ❑New construction 2.[]l am a sole proprietor or partnership and have no employees working for am in S. E]Remodeling any capacky.(No walkers'comp.insurance mgtfinedl 9. El Demolition 3Q1 am a lmrneownerdaipg'all work myself lNoworkers'comp,insurancerequiredl r i 4.[]l am a hraateownar and will be hiring ctmbractors la conduct all work on my property. l will ICE)Building addition ensure that all awanctom either have%rorkar;'compensation insurance or are sole 11.❑Elmtrieal repairs or additions proprietors Willi rro cruployacs. 12.0 Plumbing repairs or additions So 1 am a general,cantraetor eat t have hired the soh.contmetots listed on the attached sheet. 13.aRoof repairs These subrconimctois have employees and have workers'comp,insurance t G.o we are a corporation and its off ecru have eserciscd lhcii right of exemption per MGI.c. 14.❑� Other.solar panels 15Z§1(4) and we have no employees.[No workers'camp,insutencc nquired.l *Any applicaat that checks box 91 raust also till out the section below Mowing their workars'compeasMim policy inforrsation. r l lomeowners�tto sabtttlt tbds a[tidavit Wiceting they are doing all work and then hire outside.contractors mist submit a new stTdavit dndicoung sralt. tCoutraam&w check this box trust attached an additional shut showing the same of tho sub-wntraclors and slate whedur or net those entities have eraployces. if the cab-contmetors have emplovacs,they must provide their workers`comp.policy amsber. J am an employer that is providing wo►kers'compensation insurance for my employm& Bdow is the policy and job site fnformat/on. Insurance Company Name:Atnerican Zurich Insurance Company Policy It or Self-ins.Lic.#: WC0182015-00 Expiration Date: 911/2016 Job Site Address: 685 Strawberry Hill Road City/State/Zip: Centerville,MA 02632 Attach s copy of the workers'compensation policy declaration page(showing the policy imumber and expimtton date). Failure to secure coverage as required under MOL c. 152,§25A is a criminal violation punishable by a fine up to S 1,500.00 and/or one-year imprisonment,as wet!as civil penalties in the form of STOP WORK ORDER and a rme of up to W0.00 a day against the violator.A copy of this statement may be forwarded to the Office oflimestibations of the DIA for insurance coverage verification. I do hereby certi mwkr the pains and penalties of perjury that toe Informaden provided above is true and correct. sinnat ason Patr . December 21,2015 Phone . Ofcial use on(p. Do not wrlte itr this area,to be carnpleted by eltp or taiva ofJklaL City or Town- Permit/License g Issuing Apthority(c!rele one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Eleetrkal Inspector S.Plumbing Iuspector 6.Other Contact Person. Phone M. e ACOR4/ DATE 4MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 0807/2015 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. It 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 endorseme"s). CONTACT MARSH RISK&INSURANCE SERVICES AN1E: —.._...._..._...._......_...... ...._..... . ..p_..... . . .......... ...... _....T.._ 346 CALIFORNIA STREET,SUITE 1MO rAICNN2_Exn ,,._..... . . ...._.............. . .._........ . Af�No}: CALIFORNIA LICENSE NO.0437153 AOADREsg SANFRANCISCO,CA 94f04 _..._............... ..................._-... -...—.— ..............- Mlw Shannon Scott 415-743.8334 1N9URER(S).AFFORDINOCOVERAeE...•. __ RAIL# 998301-STND--GAVIVUE-115-16 — _— - -_ INSURER A.:Zurich American Insurance Comany 116636 SdaraCrty Corporation INSURER B.NIA ;NIA _ -- ._ ..-....._...... ...... .. .. 3065 Gearview Way INSURER C:NAA rw++ San MaleD,GA 94402 ---...----.._._-..-...-..__....... ...._.............. ......_......_.._ INSURER D:American Zurich Irslaafm Company 40142 INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002713836-08 REVISION NUMBER:4 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 VVHICH 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- _..--7...__ -. _-._. ......_ INSR, TYPE -..._ .....rA$DLTg'11Flli... .....-..................... -•-._.... ..POLICYEFF POLICY EXP LTR t OUCY NU $ER NM11DD NMI LIMITS A X 'COMMERCIAL.GENERAL LIABk1TY GLO0182016-00 0910112015 09101/2016 EACH OCCURRENCE S 3,000,000 _.._.. F-- t-� AMAGE TO RENTED F CLAIMS41ADE nOC:CUR PREMI,$E�S(EeQecurrence}... 5........_._-._ 3.�:� X SIR:$250,DDD 1 MED EX P(Any c�personl 3.. 6,000 PERSONAL&AIDV INJURY S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 6,000,000 j ... ......... ...... .............. . -._._ X� �.....1 PRO- POLICY LOC PRO ... ` OU $ GTS-GOMPIQP AGG ... ............ 8_000,000 OTHER. I A ALIMMOBLLELIABIUTY SAP0182D17.00 00112015 09101IM16 COMFuNEDSINGLE LIMrr y S,ODO:WO X ANY AUTO i I $OMY INJURY(Per person) S ALL OWNED SCHEDULED ---.. X AUTOS X AUTOS k BODILY INJURY(Per accident) S x-.. HIRED AUTOS X NOTOS AIMED I I f PrtOPERTYDAMAGE $ -..... ......$5,U . COMPICOLL DID: 5 UMBRELLA LiAB OCCUR i EACH OCCURRENCE 5 1 EXCESS LIAB HCLAIMS-MADE I AGGREGATE S OED i RETEMION S $ D WORKERS COMPENSATION ; jWC0182014-0D(ADS) 09101015 109/0112016 X I PER OTH• 'AND EMPLOYERS LIABILITY A YIN WG0182015-DD(MA) IY015 --..._ ....._._........_. ANY PROPRIETOR/PARFNERIEXECt1TIVE 001 ; O9,'0112016 E.L.EACH S OFMCERIMEMBEREXCLU MIA! 1,000,000 DED? —.__. (Mandatory In NH) WC DEDUCTIBLE.S500,000 E L.DISEASE_EA EMPLOYE S 1,000,000 If yea.describe under 'DESCRIPTIONOFOPE TIONSbelaw ! E.L DISEASE-POLICY LIMIT $ I+DDOXO t t i DESCRIPTION OF OPr:RATIONS 1 LOCATIONS/VEHICLES IACORO f9i,Additional Remarks Schedaia,maybe attached It mace space Ia reclulredl Evidence of tnumce. CERTIFICATE HOLDER CANCELLATION SdalCAy CoTpra0an SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055Clearvien Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services I Charles Marmole)o 01988-2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Version#53.6-TBD Olaf Clty e� ,We a; December 21, 2015t{ OF �{ RE: CERTIFICATION LETTER �o N G Project/Job# 0262406 c Project Address: Santos Residence 0 1 L ca 685 Strawberry-Hill Rd 1 Q Centerville, MA 02632 90�• F /S AHJ Barnstable S NAL EN SC Office Cape Cod 12/21/2015 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= 9 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDC) = B< D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluationI certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Digitally signed by Nick Gordon Date:2015.1211'10:26:49-08'00' 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 HIC 08327 7 8,DC KC 7110148&00 HIS 71101488,H1 CT N770,MA HIC 168572,MD M.HIC 128948,NJ 13VH0M0000, OP GCB 180498,PA 077343,TX TDLR 27008,WA GOL:.SOLASM 1907.O 2013 Soteraky,.Ah n!lhty y*)e3erved. t Version#53.6-TBD -�o ;So a C t W HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPS 72" 24" 39" NA Staggered 69.8% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration . Uplift DCR MPi 48" 19" 65" NA Staggered 77.4% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MPi Stack Frame @ 24 in.O.C. 200 Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 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 884104.CO FC A041.CT H6 0C32778.OC HLC 71101,186,OC HIS 71101486.!ii CT.29770,MANIC 168512.MO MHIC 128948,NJ 13VH0b1FX,6M OR CCB 18049%PA 077343,rx TOLR 2700C.WA GrA.:SUL.ARC`91 a07.®2013 Solarcity.A9 rl lhts raTarved. STRUCTURE ANALYSIS - LOADINGvSUMMARY AND MEMBER CHECK- MPi Member Properties Summary MP1 Horizontal MemberSpans Rafter Pro erties Overhang 1.49 ft Actual W 1.50" Roof System Pro erties San 1 6.79 ft Actual D 3.50 Number of Spans(w/o Overhang) 2 San 2 6.79 ft Nominal Yes Roofing Material CompRoof San 3 A 5.25 in.A2 Re-Roof No Span 4 S. 3.06 in.A3 Plywood Sheathing Yes .',Span 5 w::: I •;.; 5.36 in: Board Sheathing None Total Rake Span 16.04 ft TL Defl'n Limit 120 Vaulted CeilingNo. PV.1`Start 1.92 ft, Wood Species SPF1 K Ceiling Finish 1/2"Gypsum Board PV 1 End 15.17 ft Wood Grade #2 Rafter Sloe 200 PV 2 Start Fb 875 psi Rafter Spacing 24"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 9.0 psf x 1.06 9.6 psf 9.6 psf PV Dead Load PV-DL 3.0 psf x 1.06 3.2 psf Roof Live Load RLL 20.0 psf x 0.98 19.5 psf Live/Snow Load LL SLl'2 30.0 psf x 0.7-,]x 0.7 21.0'psf- 21.0;psf: Total Load(Governing LC TL 1 30.6 psf 33.8 sf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(IS)pg; Ce=0.9,Ct=1.1,IS=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 1 0.92 1 1.5 1.15 Member Anal sis Results Summary Governing Analysis Max Demand @ Location Capacity DCR Result Bending - Stress -1449 psi 8.3 ft -1605 psi 0.90 Pass , 1 [CALCULATION OF'DESIGN WIND_LOADS=MP_l�� - ` ' ' 'M _ =] Mounting Plane Information Roofing Material Comp Roof PV,System Type . . ..,'. _ SolarCity SleekM6unt w_ 1 Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope_, _ __ 200 Rafter Spacing _ _ _ 24' O.C. Framing Type Direction Y-Y Rafters Ptarlin Spacing ; .. _ -_-_-__ . X-X Puriins Only_ , � �mNA Tile Reveal Tile Roofs Only NA .- �--�--� ,u.. ---mow- -. -�---. . ...,.,, Tile Attachment System'r Tile Roofs OnIyY rt NA:. Standing 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 mphh - Fig.. 6-1 - 4 Exposure Categorym �r _ -__ _ .:" Caw_ _Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 15 ft Section 6:2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor Krt 3t1e - '100 Section 6:5.7 Wind Directionality Factor Kd _ 0.85 Table 6-4 Importance Factor - I f w 1.0 - Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(VA 2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC -0.88 Fig.6-11B/C/D-14A/B 6ct Pressure Coefficient` Down GC DoW '"' 0:45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p= qh(GC ) Equation 6-22 Wind Pressure U 19.6 psf Wind Pressure Down Pfdoyml 1 10.1 psf �....__..mow._,_.. ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 72" 39" r. a _ — '- -------- ----�------ _ ---- Max Allowable Cantilever = Landscape V_ 24' _ _ - _ NAB Standoff Configuration Landscape Staggered Max Standoff Tributary._rea ,-, Trib , . x 20 sf_ _ PV Assembly Dead Load W-PV 3.0 psf Net Wind�Uplift at Standoff _T actual ___,--,�,._-__:� Uplift Capacity of Standoff T-allow Standoff Demand/Capacity --7 DCR 69.8% �A X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max AllowableCantilever ' __ Portrait Standoff Confi.uration Portrait StaggeredT Max Standoff Tributary Area - __.,___Trib_ 22_sf PV Assembly Dead Load W-PV 3.0 psf NetWind_Uplift_at Standoff__� T-actual_ -- 387 Ibs- Uplift Capacity of Standoff T-allow 500 Ibs ... Standoff Demand 4c aci. �-_�� DCR %.'.;. 7: 7. ,7= r Bk 23270 QUITCLAIM DEED We, LUIZ SANTOS and MARCIA SANTOS, husband and wife, as Tenants by the Entirety, of 685 Strawberry Hill Road, Centerville, Barnstable County, Massachusetts,- Grant to the TAMADULU REALTY TRUSA Trust dated November 7, 2008, recorded at Barnstable County Registry of Deeds in Book 23264, Page 171, For nominal consideration of one($1.00) Dollar, , With QUITCLAIM COVENANTS The land together with building situated thereon, in Centerville, Barnstable County, Massachusetts, bounded and described as follows: EASTERLY: by Strawberry Hill Road, on a plan hereinafter mentioned, Two Hundred and 00/100 (200.00)feet; NORTHERLY: by land.now or formerly of Robert S. Elliott, as shown on said plan, Ninety Three and 00/100, more or less (93.00)feet; WESTERLY. by land now or formerly of William Boyne, as shown on said plan, Two Hundred and 00/100 (200.00)feet; and SOUTHERLY: by land now or formerly of Frank Mello, as shown on said plan One Hundred Eighteen and 00/100 (118.00)feet. The above described premises are conveyed subject to a road taking by the Town of Barnstable, recorded with the Barnstable County Registry of Deeds, Book 554, Page 60. PERY ADDRESS: 685 STRAWBERRY HILL ROAD, CENTERVILLE, MA 02632 ~ For Title, see Deed dated April 27, 2000 and recorded in the Barnstable Registry of Deeds in Book 12974, Page 304. WITNESS MY HAND AND SEAL this L 'day of November, 2008 U .� ANTOS f ARCIA SANTOS I Bk 23290 Pg 75 #60388 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. ` November,.?-�, 2008 On this day of November, 2008, before me, the undersigned Notary Public, personally appeared the above named Luiz Santos and proved to me through satisfactory evidence of identification which was Ica ,, ran S 1 l c, to be the person whose name is signed on the preceding document and acknowledged to me that he signed it Voluntarily for its stated purpose. GUSTAVOLOAE5.CORAEA ,. .., ._�_. Notary Public: "a BA�1U8dTT8 COMMONWMTH OF MAg ' •,•• =' My commission/expir Mi�m+ssionlpire� '' �'�' .tz ky;Rr COMMONWEALTH - OF MASSACHUSETTS .: '� ••. +''. Barnstable, ss.On this November, 2008 ' day of November, 2008, before me, the undersigned Notary Public, Personally appeared the above named Marcia Santos and proved to me through satisfactory evidence of identification which was304 � ��<L ��-- to be the person whose name is signed on the preceding document and acknowledged to me that she signed it voluntarily for its stated purpose. _Notary Public: GUSTAVG LOPES GOAAEA SANTOS "o*ryPd* My commission expires: C°MUDI^ ATH OF MASSACHUS" y'• WC°mr sftEOes ,.ft ar •.,. /)-7 I 17:2014 BARNSTABLE REGISTRY OF DEEDS Bk 23240 Ps74 0603$8 QUITCLAIM DEED j We, LUIZ SANTOS and MARCIA SANTOS, husband and wife, as Tenants by the Entirety, of 685 Strawberry Hill Road, Centerville, Barnstable County, Massachusetts, 3 Grant to the TAMADULU REALTY TRUST�a Trust dated November 7, 2008, recorded at Barnstable County Registry of Deeds in Book 23264, Page 171, For nominal consideration of one ($1.00) Dollar, With QUITCLAIM COVENANTS The land together with building situated thereon, in Centerville, Bamstable County, Massachusetts, bounded and described as follows: EASTERLY: by Strawberry Hill Road, on a plan hereinafter mentioned,,Two Hundred and 00/100 (200.00)feet; NORTHERLY: by land now or formerly of Robert S. Elliott, as shown on said .plan, Ninety Three and 00/100, more or less (93.00)feet; WESTERLY: by land now or formerly of William Boyne, as shown on said plan, Two Hundred and 04/100 (200.00)feet; and SOUTHERLY: by land now or formerly of Frank Mello, as shown on said plan One Hundred Eighteen and 00/100 (118.00)feet. The above described premises are conveyed subject to a road taking by the Town of Barnstable, recorded with the Barnstable County Registry of Deeds, Book 564, Page 60. 46'v" DRSY ADDRESS: 685 STRAWBERRY HILL ROAD, CENTERVILLE, MA 02632 For Title, see Deed dated April 27, 2000 and recorded in the Barnstable Registry of Deeds in Book 12974, Page 304. WITNESS MY HAND AND SEAL this Q).q*day of November, 2008 ANTOS ARCIA SANT S I Bk 23290 Pg 75 #60388 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. November, 2008 On this L(��! . . _ day of November, 2008, before me, the undersigned Notary Public, personally appeared the above named Luiz Santos and proved to me through satisfactory evidence of identification which was to be the person whose name is signed on the preceding document and acknowledged to me that he signed it voluntarily for its stated purpose. VOMM USTAVO LOPES CORREA SJWTp$Notary Public: ONw NaaryPupf� COMMONWEALTH Of MASSACHUSIiTTg +• �Q � My Comm ission/expir tikCwnmissionExp ` COMMONWEALTH OF MASSACHUSET TS Barnstable, ss. NovemberQa, 2008 On this day of November, 2008, before me the personally appeared the above named Marcia Santos and Proved i on a through Public, satisfactory evidence of identification which was -fir, ;y 2' S L l G cL '---- to be the person whose name is signed on the preceding document and no to me that she signed it voluntarily for its stated purpose. GUSTAVO LOPES.GOAREA SANTOS Notary Public: NotaryPLUio � M COMMONWEALTH OF MASSACHU6EM y commission expires: � r (�Coiam�ian E�ies •.l-7 / ��I (\/ 17,204 BARNSTABLE REGISTRY OF DEEDS Parcel Detail Page 1 of 4 T ga ,�^.�,,� ��,. ." ✓ - �� `�. C./ yyj, �� sit �` 1��L. Logged In As: Parcel Detail Wednesday, July 015 Parcel Lookup Parcel Info _._. ........... Parcel249-060 _ .� Developers . ID Lot' Pri ..., Location 685 STRAWBERRY HILL ROAD-—-- Frontage Sec ,,, .., w .,� , ,.,. „f Sec .�� . Road'° Frontage �,.,: ,...»...�....,... Fire Village CENTERVILLE I District'C-O-MM Town sewer exists at this Road ,5 address No Index 146 M Asbuilt Septic Scan: Interactive 249060_1 ° Map , Ow .............. ......... .. ......... ......... ........_ � ,.: _ w � Owner SANTOS, LUIZ&MARCIA TRS Owner iTAMADULU NREALTY TRUST Streetl 6�85 STRAWBERRY HILL ROAD fI Street2� �w�� ���aj •p��,. a�� � w� .w„H ., ..� ( State MA Zip`02632 Country City CENTERVILLE Land Info Acres 6— Use gSingle Fam MDL-01 1 Zoning IRD-1 Nghbd 0105 Topography Level Road J.Paved Utilities Public Water,Gas,Se tic p � Location Construction Info Building 1 of 1 L Year 1964 .a...�� Roof Gable/Hip ., .,........a��� Ext�ood Shingle •..,� Built Struct Wall Living 1668 Roof As h/F GIs/C m AC N ." Area 66 Cover p p I ' Type one I ,. a. Int ..a Bed . ,, ...,ri Style'Ranch � Wall all I Rooms F Bedrooms j Model Residential Int"Car et Bath 12 Full-0 Half � Floor� t Rooms I r. r. g— . Heat TotalIm... .,..w .. _.._ Grade iAverage Type Hot Air Rooms 6 Rooms Stories i' Story Heat Gas M Found- l;oureId"Conc " Fuel ation Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18043 7/15/2015 Parcel Detail Page 2 of 4 Area 3024 Permit History ......... ............... . ........................................................................... .. ....... ............ ........._ ............................................................. Issue Permit Insp Date Purpose # Amount Date Comments 10/31/2002 Out Building 65003 $18,000 7/15/2003 12:00:00 AM 3/6/2002 Addition 59494 10/3/2002 PORCH 12:00:00 AM Visit History Date Who Purpose 1/15/2009 12:00:00 AM Denise Radley In Office Review 4/3/2007 12:00:00 AM Sheila Fowler In Office Review 10/3/2003 12:00:00 AM Martin Flynn Bldg Permit Completed 7/15/2003 12:00:00 AM Martin Flynn Bldg Permit Completed 3/4/2003 12:00:00 AM Martin Flynn Bldg Permit N/C 1/10/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 9/15/1989 12:00:00 AM ML Meas/Listed-Interior Access Sales History Line Sale Owner Book/Page Sale Date Price 1 12/1/2008 SANTOS, LUIZ & MARCIA TRS 23290/74 $1 2 4/28/2000 SANTOS, LUIZ & MARCIA . . 12974/304 $132,000 3 3/15/1990 EWING, ERNEST A & CAROLINE 7111/37 1 $1 Assessment History Save Building Land Total Parcel # Year Value XF Value OB Value Value Value 1 2015 $1141900 $29,800 $53,000 $109,600 $307,300 2 2014 $114,900 $29,800 $53,600 $109,600 $307,900 3 2013 $114,900 $29,800 $54,300 $109,600 $308,600 1 4'. 2012 $114,900 $28,800 $50,100 $109,600 $303,400 5 2011 $143,000 $3,100 ' $44,300 $109,600 $300,000 6 2010 $142,900 $3,100 $47,600 $109,600 $303,200 7 2009 $138,600 $2,500 $34,500 $161 ,400 $337,000 8 2008 $161,500 $27500 $34,500 $172,700 $371,200 http://issgl2/intranet/propdata/Par.celDetail.aspx?ID=18043 7/15/2015 Parcel Detail Page 3 of 4 10 2007 $161 ,000 $2,500 $34,500 $172,700 $370,700 11 2006 $149,600 $2,500 $34,500 $180,200 $366,800 12 2005 $137,700 $2,500 $34,500 $144,100 $318,800 13 2004 $111 ,800 $2,500 $500 $122,500 $237,300 $4 2003 $97,300 $2,500 $500 $44,500 $144,800 15 2002 $97,300 $2,500 $500 $44,500 $144,800 16 2001 $97,300 $2,500 $500 $44,500 $144,800 17 2000 $63,6GO $2,000 $0 $29,600 $95,200 18 1999. $63,600 $2,000 $0 $29,600 $95,200 19 1998 $63,600 $2,000 $0 _ $29,600 $95,200 20 1997 $54,600 $0 $0 $29,600 $84,200 21 1996 $54,600 $0 $0 $29,600 $84,200 22 1995 $54,600 $0 $0 $29,600 $84,200 23 1994 $49,1700 $0 $0 $33,30.0 $83,000 24 1993 $49,700 $0 $0 $33,300 $83,000 25 1992 $56,500 $0 $0 $37,000 $93,500 26 1991 $80,300 $0 $0 $51 ,700 $132,000 27 1990 $83,200 $0 $0 $51 ,700 $134,900 28 1989 $83,200 $0 $0 $51 ,700 $134,900 29 1988 $68,900 $0 $0 $24,200 $93,100 30 1987 $68,900 $0 $0 $24,200 $93,100 31 1986 $68,900 $0 $0 $24,200 . $93,100 Photos r http://issgl2/intranet/prop,lataiParceIDetail.aspx?ID=18043 7/15/2015 Parcel Detail Page 4 of 4 -- r • }. f ti http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18043 7/15/2015 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION [1Gy Map o��1 l Parcel O�O Permit# �t�y�� 4 Health Division p ✓� � ' ' Date Issued r` w Conservation Division 0 /6 6� Application Fee Tax Collector, — " O LI-- bP p*Z Permit Fee YP 7��i 00 .-- �•Treasurer ,I N � /OR ..._T E,auq PPJ"aUST E Planning Dept. �— mISTAL LED IN COMPLIANCE `:MITI`:TITLE S Date Definitive Plan Approved by Planning Board EwRoklmENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGUL TION3 Project Street Address 01'95' Village CeAlre WILLS '4y? Owner Iv,L ALt360tro 00S Address �8s �r��wBG�Ry �pJGL R Telephone ,Sod �?g 6309 �q>( L� > >, 1 -z Permit Request PGrACRT 6APZ86E $ ��C �uNt� ► ,Q - ���� �/ co Square feet: 1 st floor: existing proposed n floor: existing 0 2 d loo . e stin proposed Total new q g p P g p P Zoning District Flood Plain Groundwater Overlay Project Valuation 110001 0 t7 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family J' Two Family ❑ Multi-Family(#units) Age of Existing Structure �� Historic House: ❑Yes 11I No On Old King's Highway: O Yes J�O No Basement Type: JB Full O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: D_ 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 1No Fireplaces: Existing Y6151 New Existing wood/coal stove: O Yes 00 No Detached garage:0 existing LI new size Pool:Cl existing ❑new size Barn:0 existing O 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 BUILDER INFORMATION Name IUI L pvs SAPToe, Telephone Number Address 6U HILL gO License# (C'Wf(90LLE AAA , Home Improvement Contractor# RD4dC e2wPEX Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ 10/4��O�Z s - . s 40 FOR OFFICIAL USE ONLY PERMIT NO. r -- DATE ISSUED i •MAP/PARCEL NO. ADDRESS VILLAGE - OWNER r _ DATE OFYINSPECTION:. % _ •+ FOUNDATION FRAME �'� �l 2 Z j'%U '-L _ INSULATION a u IS--) 2-o S - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH . ? _ FINAC- GAS: ROUGH- FINAL' FINAL BUILDING ► . i DATE CLOSED OUT) s ASSOCIATION PLAN NO. r. D iI r � ' The Commonwealth of Massachusetts -� — ,Department of Industrial Accidents _ Office ofln�estigat�oes 600 Washington.Street Boston,Mass. 02111 Workers' Comloensation Insurance Affidavit 00-S 6AW1 5 location: CCU P JmU6 phone# cit •I am a homeowner performing all work myself. I am a sole ro xietor and have no one workin in ca am, %%////%%%%%%%%/%/G %%%//G/ %//% %% com ensationfo 1in workers p ::. .• :,.f{,,•>,:,r?< .:?.?^:{. .::<: :':`�}: n4:: .{.{_;�`r'} ..1!.. .....1:::•r...::.v:.vT! ....v•:/•..:..::••:::::....:}...r:^:.....r•n:•:.::vr.•... .... .:f'}i 4}y�y ti{:n'�••}},+•: ........ ..r...n..L ......v.t.• .... ... ......n• ..n r... :...... ...ti{•:•:::n•:,ni{}.}}:h'!G•:•.`•""`:vnv.,:.t i..n.;v....:::::�:{•:$. ,•::.a...,.n•{•:::}.•.. ..f.:•:.::...n..:..:...............:............ ...... t..nv:v:.v.•.,•.n... ,.v:::. nr?..:,... :.; , ..... ..n, ....... X.... ...... ........ ......:..../•v:v:?:.....:..... .....w:.::.....r ::::v. ..hh.:.GC,t•.:w::n•:{•?.h"•4'!th:;•}:::w:4,+.•:tiy;r.}}•.:n.:,.M}:.:4}:3:;hv'.fx:•5r}':.G.:•:r::}::•. n• ........ .....{r ........... ...n_.....: .;.:.... ......... ...... ....r... .;n.n... ....v..... .:....:w::::::............•:•:..,..:}:.v::.}:'{{+.•::.,n.x,w:t\:C}i:h'•::•:h:S:}w:}::•:• n.}!::J•.v::Y•v}i'J:v:• ...... ..... ...... ...r.... .... ...;.. ....... ...... .... ........:.v:;::... ..:r::•••.:::•:..L.:.h.::v:::;n::...,v::::�.5:•Y}::?i>hT}}}Y:•:{v:r: .�}):4}::•.{�X•:::v:h:n}• ..v:n•.......:::r.......:r:},v. :.:•:n{.. .......v:•:::: ...w::,•.....{•:•:Lv.......n......n.....:•r:n...v,.:....y•.............:......v vi+r:!•i:i}i::v:.r•^ ::a::::v., :n........v.......•:.........,.x:n...:..4.{.•:yi:...r...nt};.••....v:.....r.•.:..............v v:. ..:::.v.:....{.v.•:::.r...n...;...: :..n.....}., ,t•L4Y?i•}}}:h::::?;}.::Lv::::•.L? fir., h.... .....r. n.,.:.... n.........• .......... ........ ......+, .....::....:{::.::,....:.,.. ...:..... .. .: ..!..... ........ ......0..r .n...r....... +t}$:}:?:�•:•:•i$f'•:$i?3f 1:•,'•{.;.:{.v..yy.v:•:v:v:.v nt................ .. :...._..r...r:.......r....... ...... _. {:{n};•'f.^};.}v}}?}}}r•y:::}}F{<x::.;-tY::;n:_•::?.,.:. ,.. .:..... ..............:w::,:v::n.....n.,w::;:•v•....}`:?:?•:inx:'.•:h.nn..vv•:}}:.:v;:-}`::...:.,:;};::•f}•;:::•:: ,,, {:..x•: S ... e'.. ........... .......n. ......L ...::.w:•:vv:::•: •9:1h:.vv::•::•;..::•)}:;w.y,L ....::}i��'4:;}}i:}fi•�.•;)i�::'?$'%S`6:�:`}{�i••:';fi'i`:':•'':•: 8II .118III • � ............:.::w.v.v...r.::n•::ih....:::::::::.v+:4::•?t:-.w!v.•.v!.;;.,..,.v:}::.}':}:4h:r{:.:v v.v r._. .. .�� ................ n..n..,..•:•..n.....:....v......:....r...............,... .}....,.........v.::::.::;nn.n....:v:n,..t........:;{h:•;{G)±}:h:::.};:L?:;•`.}i::•x: ...vr:•??::'4:4:nr•:4�•rvvv:YtJ:v:i{{•Y•rv}}'•;)'{.L}} ...... ...r... ........ ...,.....:.t..... ......,. t........ ........... .......,:::;•v::?•}:•}•:••:r:.v::.v•::::::{.:•}::.:v:{•:.:::•}';{.;{•:::•;:..... .. v.:rJ•3v�. ..... .:..... ....... ......r ..... .x, $. .. ._..... .... .::v::n;:......ss:vv.:vr. ....,...v....•Onh:;t+..:•.,n'•v:;y,.:{sb:;1!;?Y'..r. ::L::$•}:f:Y}i::i�!C:{4:;{:•�3:i±}:ff{}b•.:T..y.,?. .: :............n.v........n•;t•:n... ....::rh•.....nh...::...:..,...::+,.,,....v........ ..r..{....iv.•.. t:.. nn:.... ..... ......... ..v...Y. .. .......:.. ,......n• :....:.. ....x:v: .. .... r....;.::••...n..w::::::}:.....vv:::n::v;i•4::.w:L?:•.::.}':•: A;..; .,... ...... .... n... ..•.... r...v... ...v:....r..vr....:........n.{vv., t.r.:r,..n..,..nry:v::....,..,a...•.i..:......:.:.,.•{•:x.,..:.v::::•..:.:::. r...y :.. 4h}.?•}YY:•;v:::{r,.:•}:4:•: ..:.vn....•v:.......•:n...n.....•:..n...!•r...,n..•:•.:.........:.:n........v?v:•. ... .:.....; {n:...... ...n•:R v::......... Y. ,..::.v.:•.v.?'4}:{:{?:f., v....•:::rn:.•:::::::+...:w::::::.+...:x:::::•.•r:•m•:?:•rw:::: .::...... v.::•):•Y):•}:!::F:a:4:.w.;•.:vn.n.v. ..... ... :-... .... }.:.... .:v:r. ......::::.. ......... ...:...:nw:;::?Yi;:$f:)Y{.n.vv:yv.....• t.n.....xv•.. ..... +.+,+.i4i:3f}::•.r•}.,.. ..: ........+..,.........•.n......... ..............v.............v.............n..n•..,, „vv,vn........,,, v: ..n.nn:.n•,v::::n::•n;?::• .. .......... .... ......... _.n n..• ...................... r::r:...... ................:::•Y..n•::�vv:::::v:w...•••• v.:.:,:h;h::a';...: ::::: ......:.^.• ..{r........ .................. .... r... ..h,...n.......+•:.. ....y•.?• ...........••.....n..•.............. ........... ....n::.v v}hY'•;{.:•,'.;•.{•)}:+•i}::itii;:}v' `)$ .4:4n{%{::v;Y� ..r.... :.v.. ..................r.v::::::!:.:..v....... .....v:::w:::;:::•.....v:.v..:,:•}:rY::{::' ;n� ... ..r.. .. J......r ........ ....... ..........vv:•:::-::v:v:•::....n.....•••.... ..vr..-•.v•.:::;{::v:..x{M):•:it•}^{)y.vw.•'n:::{:?F".'• .tn^t. ..........n•.:.r.........::.... .........:x:..........nv.v.:.......i••:}.•..:........ ....:v:..:...v:.............r... v.,w::.}},?.. :Y•{.}}:!�G.::J.,:: ....:r.........:•..........e,- ...............v.. :...: .......n,...•., .}....yr l...y.n..n;h•,v.:.......:....... �$�.... ............ ..... ......,n ..x..... ........ ..n•...:::::.v:v:r...v.v::::n....v..r t...rr:::: ..:::::• . der ........ .. ..........r ...... ........ :.n... .....r.....Y.. r:::::.. a .... .r..:::,:.:•:.v::::;:.:.... r.t.....::.::::..::•::.n•::::::::::::{;:. .;:..::nr>.:Y.;•.::•a?•:i,ryt?•�;::::-:fit•>:;;: .......... ......... .......... n n...,.... .........:F....n• .....:... ...................r...!w;:!:.Sv:hY-:h.v:.,,...}..::w::,:vrY.:.:.•:;{•:a::•:•.,... :..h:n;.. ......... ........... ..............r.+,::. ...........n..n...n•......r............. t...:. .........n.....:•:mow, F.:}:•::•:hrf:•r:Y,.v:}?•xv}:•}::,. . ...... ..... r.....t ..n...n nn•t• ....n...r ......... t..... '•::nw:....v::^::n.....:.}n:.::n:...r .:....tw:::::nv...:.:v.,•:.•R::•:. ........... }}>};:.;:;•); .... .... t..... ...... ...... ...... n,r. .:.....:........v:}•......•:•::v::....,. .;...;... a):. LA•nvi•:.. }.......-::::. .F.•:•::::.v':v; h::�•:4r ......v.......r............ ....r.n..:.....r.•..r..........................:.r..... •::v...r.......r...................n•:::{.}::h:nh:::-:•:•-. � v{4+:•}?}:•....h:v:::•...... :... }.,:. 2f ..... .... ..r.........t.. r.v....v.... .....n..... :....t...r,..........! .......:.......r....;'v:.�hY:.vn•:::T}':.�::,r{:.,•yG.;$:.;ti.., •_ ......... ...r.... .n...... ............. .. .:......... .......:::•::• .. ...tv.... "? L...:^•..r:..h.:::v:?�:4?}tT{:i:ri; :rj:2}.3{}.t:;{,:j:N:}::•}�:;: ....... ...... -....:.......n•::•:::n....•:::::::ri::::.•• ,..... v...,v::n•i:L.r::::v:v.v::.•r}....n..,•v.v,:n:f$} n...n•:^:vnv,.::.. :.. .....r......a...... .. ............ .. .... .t.....f..t.....v......,:•:Gt....•::i•:n.... ..n......• , !:•nY.:,..v:..:., :i?{1tf?}Y.:i}.4: E2 ............ r.......... ..r...... ... ....... .:........ ....r}... .........r.... ..r......t:..n ....:..::r..... ..::.•:f +;::.}:.?••.vrn•.,:?•?Y}::!;:.:,!+ .cn %?:).C;:�: .... ...n. .. .... .. ...n..:....... ...h...... ...:.:Y:.vr.:.........+iY:::a:{:4.5•i}:{•{S�::i}•i:iih'•Yi}i•:}::Lv:.:/^^,.::.:SiY$:•i:�::i?�ii'�i:,iiv: ......:•:.......:n•......:..:}...... .:..J.•...:. ,/.....,..n•:........:.{.........r..:•:•.. .:....,:...Y.:......vr......:..t...:::T....:..._......::n•... ..:... ..:f..............:•:.)... ...i:.;+.. ....... ....... ........ .......:....f.. ..n.......• ........... ...........n:.v::n..+ r,.}:<{•.. r. , v.r...::::r... :..,::.•.v:-.{::::.•..v:.'{�.;........r: if11� L am a sole proprietor, general contractor, or homeowner(circle one and have hired the contractors listed below who.._. have - .�: ::'T :'.- •• .}••:�:.:f.,,:.: ,,;:�.}: -,.:��;,ti::�: 0110ES: L,;,}}k:;:;«n,;:.••:;:eq:,{t:;:5::.<.^a;;{.:...::k;::ri•'•'•"�:..{,arr`�>t:w,t.}..:.::.:>:{: om erisation {;{,?•:{•} «f? :.rL: :r,.;::�::>... !fi:. L.hh :ft• { •'�}. ........ }x,. ::Y{a:::Y:4)}:{{+L k•:G:Lt:S.La L,�.' .Y..... .ry.....,r... ...?.n... ,.... .. ....n.. ....,.... r.........:v:.w::}v•:f :{;?!•::.. v.h,:i}}}}.••........ n::::';�:': fvti . .... .....n.r ....!..?... ......:•l.. ......... ....r..... ...x..: 1....:... x, .h:••;}^:•:hY::.: n}•..t :ti•�:h^.�f;� .. .. r..n.r ......... ......r..h ......... r....: .: ....... ..r...... ..:•........:.::h::••:::. ;... •..... ......t•r•::•}.^.,. .'•f:iv::acf.'Y?!•:• ki`:;:#:{ •:.t•n?•....: ............:....... .r..:.,•,.,:::: .,...... ..:.n.. ..::::.�::::. ..... .....r. r......... :.............. .......L.. ...:.... :r.. ...,...,,;•...:. ...t,•:••.v:.4:)3f? ::,.,. :•:{)}}!}::na`rS:':c..::..,•: .,r ...n. n.L........ e. ....... : ... ..n:�vv.....-•..,...v.n........,:h';!.�.};.::•:Y:::.:.,Ft•YYv v:r::?S'r{;:',ivh•:::x:?,::!•}v:::•::h.v::r:r}:.::{w.. n...•...;,...,••.....................:.........r.nn.........n...........Y,..•r:::•.v:::•x:^:4i:^"w::..............r•.}•::n;:•Y.::..r.{.::.v..vn:•n•.... ....... ... .. ........ ........r r• .Jr...:.•r ... •,•...::..,.<.v::.v>:}}}'v:nv.):3.v�t..:...tt::•;:.. ... ...::.. ........ ...... :.:. vtq••:i;}:•�;}`:.:.{':.<:a.a ....n..• ........ .......... ....m n• .......r.. ......... :....:Lx•••}}:•)}":::: ::h?y;:.fi:•}.L.:,$r..}•.:v:r.:.. }.. },. .... .f..rr.. .. .r........ .......} ....... ..... .........:::::.:::•::vnv:{:,:{•};.::.}}:{... .:::,.;...:.: 3. .t,:.. :.r..}::•:x):r.•rh:.nti:v:: ;f;:;:�;:;f(.}^,f$:4..:i$'•`:�Yvx.Y..:'•?f$?:, e::{:•:.;:......... .. } : .{. •:.>y..h,t?::•:}.::L ::�:.: fit. .. ati2 ...... ......... ...... ...v:.. r.n•!...Y:t••.:.:.,:.G:3::•..- ...t:.,.n.L.�•. •.,.r:::{..r.:..r::.f:: ;:J;,•^: :an ft3 . :••:....,...t.:....L..,•:T:.v:::. .. :..}v,.::.v!•.,•;!•{r•r.::{;.{f;:Y:;•:•::: t?•):.,;;....;..:,:;'.•:..•.::. }v.,•.,.. ........ ........ .:.:,... :....{n;n• r....... ..Y n...• ......)n. .....n. ....... ..:............ ,..M.v::::•.f.•.v:Y:.L.v.... ...r... .{)•::v: n... ..r.r.... r...... .:....L... ....v.. .... .......:.....:•.vnv:fin• ...n. :{:4;h}:•<:Gi:{hfY:Jvr}�aL•.•?}ti,h'` ,.fit}v2^:+'? ..:.v.::::::::4}'Y:v..•v.. r. .......r.:...:::........ Y .:vv.::?:•}:{,:$Y:;w•v•{)•}a.....•..v�::::•:r:} ...... ..... .. ,..r ......•.... ...::v:v.v::v•.v... ....... ..r. ....:...n;•::. ..r. .•}:?•}..L::: .:i•:}:, .r.J:: ::{{ ......... ....?... :....r.. f�.r...�fi:. .. r... � r......r. ..... ...r......L ..n ... ..........,..: ,.:... ...:.... r::.• ....v:::v:. v:•:l};4;{; {..!.L+.+"!rc:•>}r h:;�...a .......................... r.......L... ........n. L. ........ ............... :.n.• ........ v.:................r.';...i. .h.....,,.L...r..... r.:...... ...,.. .............: ..............:....r... r..........r:..5........:..............vvy......v.........r.....h..i................. n•. t........ .....;.... rn....... .,...:•...•v:x:..... �...n•:.v:v..•:::{..::: .v:.......................... .....n•............. .. ....:... .J•::.......{..2p•r.•....:,..::.v.... .....;,{:•:• ....n•:v...r....}h:,{.......:::.:......J.v::;{.r.::.........................n. ... ........... ..r.. r.....n..:.:. x.:.......r r......, rr........ ..:....n,.•:} .:.v:,.........:.:.r.)}:r.::4..:. .......:... ..................r........r.,J...i...... .. .n.... .. .....:..x..•t.........r. - - ..{..:v.{•)}):<{•}:••:. •:'}04>{•:,?: ... ...... ...:.... ....,...:. ...f:..... ...:.....}. .. .. ...:...:..:....... {•:.;•rrrt-}S•:y}•::... .....,..... .:.::::,..•:'•}Y.L•.:•3}•:n•.;•.,..ffN :^•,-.`.:4}:;•+o-;•;•r'.}Yvi�'iii2;•5'�:}. �•: � ..:::•::::::..::,::::�:,...,.�r.:•::::.:�f.............t . . .... . ....:. �.......:•:::.�:•....:•:::.::::•:::•:<..i::.::.v:•::. .:.L.L:?:•::::•.:.. .:s.::...r.•::::t•::.L•:#•..::._.. .::r..•s.}k:}. :.:�.F--.},...Y..s.•.. �L'F.eSc9 ..{.,,: ::.c.::.:. •<+h;t'tr: }••}:4y:}:c{•Y?}:4: .r.c:a:•r.•v;•?{, ::'>I#itt.}.;..h:S,•as'Y ... ... ..... .... .. .... v. .:.:..... .r... ......:v:.r.v..S i..;.:•.... ,.:.::.{{•}';++•Y:^}v::L.,.:.v:J•:v.?',v:, •. ........ ....... ........ .....:... ....... ........ ... ... n...r...J. ... :s .�... ......h.,.. .:.tb:}.v::v:?:!v:•s.}::n:)}:?a:r;n�)}}i:��.t{;:2<n^:•'G'•+%''?.+•:r ............................:..........i.r.�f....r...n ..r.n....•...........•...x,...• ........ .. +.n.... ., i.. ...T,h?r,w:.h:. ........ n...• .........v .r.r r.. ..r...... ...... .v...^2.r ...... •%Y;i{::.•.........:.:;:v::•:•.. :........:C•i}if:•'f:':,:;:;:.� . ......:• ....n• ....:.. :r...iv.r .,..:. r......n.. ..:n_.......v........:•.A!?•-?.!::n•:.....:..:•: ::. L .r...... ...: ........... :Y^;;:}.;: : .J.4r+"SCx:iy:::}:i:$• n...• ..n....• .................. .:..t•?)O:• .....$. n...... v:v:. ......../.... .. .. .h:•::.,:.•Y•:\::;{.. ..tv;}'h.f)^L;{{}}:f!)iYi:•Gii::d:•tvr:23:{:'h};:.;.,..i.;::vin. ....::..... .::.. ....n.:..... .x.•.:::..w...l...:.:.:...n,vwvn.:::n.::.:...r....::::..s..r.,•:::^\h:L•:th:{;^. ..>.v nh•.•,•.hr, .r.t,i.'.:ES?' r{.:::)... :.:•nvnv•.•• 4:::::... .....:..:,n•vx:x..n...•vw.,...•••wr.{•.. rnv•:n•:r.n:••....n:::F:;tiv::;,..: r•::,••;:'^'••, ......4.v::+n•r:?.{.4'•}:v:xn:v, :n .. :..v, :..,•.. ... .. L.. .......nn .... .... (. .:k.... , .. ........:,..:::•,........ •r v:v:.., :'::h:4:r :.::.....• .:.::v:w::.n•::;•:r......,.t?.r: .�i011e:: :i:?,•:•:•••ni••:}f;n.. :.n• f...... ... ......t r.. n....v..t:..r ..:...}.. ..... .:........ n.r. ....v...::.v:::;........:.....•r. ::.:::......;n ....n• ...x .n....• ..r..r... n..., .......v ..v.... ...n....• .....r... ............... ..............:;:::.; iY:S•Y'%pia'$"}+r•:x4r t}iy.>.>iiii�YiY.:};S_3, . ..... ...:. .r....... ...fi.v... .:n:. ...,r :........ ......... ..... ... ........... w-:.x.O:::::::!:•,.:•......v::Y:Y:L;:;:Sf?:•:�:tii�:}}}:f�{:•}'i.•:;}:,..;:F:::••f:'v�{•r{v::.h- .v.f..... ......:..v:rr.....v,•.... .:...//...n..v•,.:.....v..::.,..:...n.:.;$n•........ ..........::.vn:........:TY•a}}??}?{•}..n, ...}}}}:;t•..:.hv .... :... .....r.. 9......... .............:.�::::::.....+.....:. :•::Y:..:.r.. ..,..•::,:v.x{:�;:•:::::::�•t{.h�{:J.:•:.}:tn;;...,.;t}:?•:::::t:4:!} .. ....:::.,.....::{:........:.::... ..... r ............:.:.........:::. ...L,.:......:.::},... .L•:. .....:..r...:•.�-::•::.t.:.a.::Yri.n:t•J::•Y:-.Rt.. :•.•. : i.:{••:'•a�r^'G::::;v:::k{:.,'-••;•h}:-?Y:{;:•:3 .:..:.:,;?.:....... ..... .... ..::::•::,•:.:...:.,:.:•r:•....::::••::r...:}}!:n?-n:l.:::::a.�::?..•..:•y,!.}•?•Y}:{?•:..:.;J.:. t.::.....:•... •!:r.Y.. ....................r.•;•........:.............. ..........................n.....• .....r..r.4.:....)n },.......::'•::•:•{. .�1.{$)^:}:}��':i�)}F rt:: y.f {!Y: iyS�} -:.;0}r;<; ........... ......n.•........v.•.,:.r..n...•... .. .:............. ,........x..r...n...•,.........,fin.....v. ..n r.,{.....a.i}li;+:!i:?.•.•fi:2ifi `Y;; v:+i};Y:?ai.•1?Yj. f .........:•.r......•:.:•.....:•.•: n.?.:•:{•.L.r........n.•....,v.n.•t:{.n.,•n..r....n...•:::..v.n.•:•:{ ..........<::............n:•..... ?..n..:•%•.+?:+i•:vn'•:^r:n.,.......n<:,.+•v,.n, ......l.:'::•:Y:•T...{ r.1., .T.'�!`.O},_:•Y. .r?..:•:..r..3..L•.•:. •;:�•..r .;.J..., r,}., .,•?tt•,.Y.{. <,.+..:::.:rc....}...•.5::+:}3.e....�i..}.:�.w•.:.: .v•::::n:. v:•: .... 4:::.r•n•:�v:v•;:rx;v::�:•:.•:.w::•::•:.'.:h:;;:v:•:?......, •::•.w:.t{.;! :... r...............r.n...v........ ..f..... ....:...... .r..:..}:.. ;..:..r.. n. ....•,n.._L a:::i•... n.r..:•..;..... YY{:,4 .}}rl::.•.n..... <•:•}}}}}}:i?^::v.{+,rY:i•} ..}: ,..{.... .:..:.,: ...;�vvrv.. .!i.4::Fir.v. .n w::...n•v.v:::::..t..M:;v:x•x„ ;, .,.:.•.. ,.::vn• nr. n.• :v.�r.'Sv.th.f,y�.!r::'sifv .:........q•}:):..: h.v...n f. ; .:•:�:.........•::....:.. rL-::: f •{h..r. :n..:.:+.v:•:. r v:..v......: .,:.}:?!.•}:::ii.v.v::;:::.}:h:;:::• ...n..f?.••: :•:••.::.v+v:nxn{v:•:t...r...,.:..,.: .........v.. n...:.•v...,... ...�..t ..n...st.. }{ :J........nv.......:. ... ...r}nr,.,.:. ..:............:............:::fri..... �,!.. .. ��; #v:ri}::???,:{;•rr. - ::...:v.v:nv,••::!}i:i+•?:•?::•.......:. ...•iv:v.:..:::.+.•::::•..�.;;�iv`:•v::x..•rS n,}i;$...{..:::v:n:+v....x:::w,...{v;::4;;a:?$:{�•}:•:4Y)}:�..,, ^. !C...t:•............}:•:4 i!.+.h.......v:..v;v..........:.:}Y:•:•i::..... x....., .,...:::.`v•::::r:::vJhs.}r,.....•,:..r.::•.....iv:}::y..:..A,::::::r::::::.vn•::k::f}^•.:;�:if:#•:.:? : }uAI$Ce::CR}:::s:t•Y:4::}.r.rr:S..:::. :r :•::x::;:;:?::^2 s k% :;..!rr:•: ? rA:X+.•v:n4;••:}k.v:L•n:?ttit!•y:{�:v::ii v:f;.f'�:•):h:4}}y,;'�,+'if;:?isv!•:}n:+••}:;},:•:•:::•:v:•.};•••'?n ..C....... '::?:ti•}}f):b:•f:•:.vn.......... vr..:{...•....r...r:•.!. ::.x:•:�,v.}•{•;•::'{::.v•...r...::•.{. NMV ..................r........ n•v.. ........ t-.{}::v:v::Yv:{::}?:.,}a'?.hnn•.v;:*:;;v:,•.w- r..n .......... r..... ............v.v::... ....}:,.. :....... ..•:.:•:::•:;:,i-:.. ............ .:.,..;...:... t::::..::{:;•.•::!.:n:•?'{:t:+•YiY•::::::xvn3'i,:j?::;+;�f}}i;+.r,,+J:<i:•,::'{ ...........:::::::n• .........v•; n.. r r...::•v.............. .f.:?•.,r....v.{.r.:.l...:..:•.i+.w...,........,.-w.,.-- ::.nv:r... ..i::::!n•:4.•::::n:v:::::•. .... .. :r... ...:. ...t.. ...... .... ...r ...... ...... ..r.. .......r:.. ..........r..,.L•^.t•:.:::::..tn:.:•t•:.:.n•:)::.,•r.:..:}•::.{{:.::::{•�:.v.Yr..n'G:•.ty:•^::'t:Y�:'S•�: •'t'+' ....::.v:.... ... ....:::r::: ... .:.,.:!:::..........{•::.:...•::::::...t....,rrn•.v.t.. ..:n•r::.v::::. ... ....... .. _. Y•.i•:::;. .r...... ,..:...r. ....r... ........n ...r........ ...n... .......... ......... ......... ,......... ,.:......:... .. :,.. --. :....::?:`+:r?::L�'�$.st's•••^.fi•};:,::!;:2•`.:fc;: G::•Y:., ....................:...........r.... ....L•r.....:.:.:...r:•:r..... ...:.:.........:•::..........r....r.......r T ....:::., ,....:r. }:::.... :•:.::•::T:•:}}�:::... r...... ...:.... ....... ... ..:.. r........w.• ,L...... .... .:1.:::::::: .v.... x..L...r:................:. ...... ........3n,.••,:. ..... ....r........ 'r:,v.:ri}}:YS)}'•;So-?:'+f,•ti`.. .... .Y.... ...n..+ ....... v....+. .......n.............• ,:2?'•}Y .r....... .. ...v n r...r r..,..,.,r•...,:........ ..:..•:+tv:!•.vn>.•5!:i•..r{.•n•.:;•,y. .r..r. .....T...... .. .. ....to::);vn:v}:isYY:;•:6:3:3}$•;'ic{:S{Y•;:$•:}...}..;{,.}:...,..• .......t.n.. ?....h::n•.:•:::.?,•:,• tipy,; :;.}};;:{i.;Y,+•?Fvv'f$. G::?:...n.v r......r .. h.....:v:•:::•:•.......v•:::•.:,•..:..4..:}:.v:.v.•.:. the•..r...t.....:::4:••:•}.:•::::::!...h .::'i'`v.i:::•• C_.. ah.Darn ...:.:......:.:�•::�'•}::;.;}}:•:!•i}:t•):•:•....tn......r..:. ..::Y:..:.....:?•r:..r.........:...:;}�::.}:••..n...::.,•..:•. .G .r....+..:... .C�..:r::r. :{r:•... ,.r. a•}.Yc}+.::::.:.:.:•�J.}n?;:n:,c:?Misr r:2$t>.i:);�i:{•s4r;�y(?:.fs,{::. .... .n... ..r. .....v...: ...irr....::n ':.4:•}:• ..n. ...:. ....:.::.::::....r.:. .n,.....Y.;{4:n:a'v:8f}:{•Y}:}..:::{+i?v.• .::.:..:...:::..n,:.nny.. �.v.F::::.v:} ...,v:::......••:::eh.....,•••.v:n•.......t•:r::.....:.r;;s.A.:......v.::•:vn:•:x. ....r..........:v:n.. ..:..... ....n �.....r ...r..r... ...x...r. ......... ....... .....n ....... . ....r. ............. .....,..... .............::?h::.......L....:••::v....f::•?;?;4r? fi>.�:<3.+•:.:•}'i{iti•.v .....r........n•.............:...:•r...f.......n..... ........... .....n...:• ..:... .. ...n...,....Z..r... ...�.....:.....,.............. .....:...:.....:...................n...,.....rn,.........:. :•�;.?q ........ ...... ...n.• r.n• .r.......... ........ .....:. .....r.. ....n.... •v:r..;::::SS.:::n..... ...}...::v::...:' ......n•n:::,•..w:::....:•:nIX{:., :••�:j }.•Y iti?;:�: vv....,...••n•.,.....,;......,..:v. :...ryw:............•n•....n..,n:,•.....L.._...:... ....:.. ...::.,.r....r..... r.4.:::::v:v::::...L.•.:•n......w:v. r.,.{{•!;:•:•.:! �'•:$::•:•::.. .r....+.,w::.... ..•.Yn.....rv.:...4.,n-:hn..........:v:........•;{•.v..........::.L.....v.;...:w:::::r-v.........•w;nr,.:v..;...::::::::: •...w::::•... ........ ...nn••f.....,...•...... .... ....r...n...• ...........r.............. t.t......... ^•r.v•::...:... .n.;...:.?r.Y):.!:!:;{!. •fv.v:.v:n;.•4::::::••:•::.v:w.r.w:t{•,r::,.....v.......v....•:w:!:::..•.v..........•;...... v::........:...:....:.. .......:rn.,•{?:..:... .:::.::.,.. .:;::•:n.:•::.... .......:.vnwn••v::::n...:;{.;:•:n.r..•r::::ry:••..v:::3'-}:v:::...w::;::!v.:v;.••:::•.:....:.... n::?:•TYn.v.vi•:nv::::nv:...:':::{{{{?•:!??•::L4:•.;?h:?{v::...:..:... ................. .....f.... ..<....... .......2. vnv:::•Yi:•}}Y};::hw.v}i'{.}•}):$:i!i3:•?iY$:.'???:•:::•:?.:...... ::.+v. .. v ..............:.::::::........::.vnv....••:::•}:•.......,, .. . ...,,.. ......:::::::::.,-::::......... ...{....{.... y.,• .v:,;is+:G::v.v::.:tit{"•vn•:.,::•Y,{:i'>.{{'•Y):•?, }}:tif: .a. . .. ..............::::::::::::::::::::}:::'+:...v.......: .::::�.....:{:?w::::;n•:::':•}Yx.v:..::n•x{:•};:.},;;!i'{{•}}...:..t r.•:m:,:::{:{•};:.}.:;:.�;.v:.;.:.v..:'v:;..,n;}.;).::n{:i. . ..:•.v::...v...... ............:•::::n.......:.v.tv....••:••::�.....v:x:}.......:..:::::.. t........:........::{•::... t:..{;}.• :v:...n....yr:....,. ....Y:..}':4:;:...v. •'....... ............ ......... .......:. .,...... ........,. :...rr..::.. .......... .......r:::.�:.:•4•{?:+•r:..... ::,...:-.....:.:,::,.:::na:}::•:::•:3>:•:::?.::,•::n>•;:�:<}:}•:!{:>•:3:v:> ::::::.. ...).......... :.....n................ .t..r.........t......r. ...:...... :...........,...............t.t........:...r. n.....:::::...... ..... ...... .... ..x....... ....:.. ..t..... ....... ..... .... ........:.vn•:v.......r..... ::•..::::.........•:::::..... ,.....r..: . :....},;:4,h):c::::•ff:4:iY {.....Yr ......:....... .....,.. ...e....... ......... .......... ........r� .........-::..�..}:}:h...::•:n•r..... .. ,....n:n:.r.;L;....r.::n?.:•:r!:n.,}.:v: .......... ..... ...... ..r:...n.• ............ .......... .n..... .:...x.?:.;..v::n w...:::.vhi:., t......•:•:::.:.. y,. i•::::.:....::'.....:}:::..........J.:::.::•::4:?.... r.........x...r..n.:.,t..r.::.......................:•.............::..........:•...,......:•.......h.r..:-::::•.....n.:v:::v:;4}:h}:v:•v.•:•.... Q i1Pri ..v}:::•........... .:. ...... ....... ......n .......r..... .......... .t...... .. .r.....•.::.�..... ........ :{{.y:•:::.}}•?•:v;{SSS?>�{`•,,},{i,,Y.h•R.i:,"•: ........ ...... :.......... ... .:.... ...-:>.�:::::::.}:.....r,.:.:::t{•:i••:.:::.. .... { }. }• cam::',. ... ...........:...vv:nv;'•};.r:t.....v.vn.nvr.......n::}::n.n::::::..... ... .....n...:::•,.n:v::•::•.ifi'Y::Y:,:::;...v:.v:::n ..i.:..;; ii?. nv:{',';; .........v:•.v;:::rrh'•Y4:•�;y:,:�{{•}:{;r;0!::::::..::::. .n•.........v:::.. L.:....... .. .. .. :•:fi}:a'+•Y}}:•{:}.....tv.:......• n:•, ...n :x,v:vL,.};•'::?t'v.:•n•ntriy:+>{�:f'::J,•. r: ,..... ..... ...... {. ,::. ..:., ,.::-.•�!.}v:}.. -:r:}•' •i.?$irfi•, . •;;;T,n•}?%it ;....... ...... .L..-.r• ......rn.......:..:.„n...r.r••.:..,.,. ••:•.:......r.v....r.....?v::::.Lv/._...}.r... ... ,:•.. �rn}n. vv:v.•::::: i'?S.. ..`^}. . ........... .t..a..t .......:. ..... ... ..:...... :......, v ..J...., n..... .... .. .t�}... ... ..,.,4�..,... ,r..::::n;•....•:::•;::n:•:::::................... :::...........n•......•........:•v:......h. .......{n,•:i.......v.::..,n.....:v..........,...n;.,.fg v.....}....r..... i:h:.v.AA7}�� n..•..v. ...........::..n...+•hn......n,t.......r•: ...........::.........r...:...........v.... ..t.v.Li........., .. ::::+•.....:.....r.v.. VLS tv"?•�;4}:4}}}n•::. •:w:::::n.,..;;.,•: ..,.;,.::n,,..;;irsr.}:Mr...:•:•:•.:..... .............a.....r ..;}lv)::...... •t.•:::'•::v'•h+r.:.......n..... ..hw.... Y:•J.:.):{::.f•....}.,...,.:f}t•}?355:.Y••}:_. .., of criminal p !';v;;},«;,:;:':;::s;::::f'•.>.::$:;Y%::;:�>:iY:•i:•s:•s:.):•»:;?:•::::!•:n::..:•::nh:;•:;•:.::....... j� • Failure to secure coveta=e as requiredUnder Section25AbfMGL' cahleadto theimposition penalties of a Snen to 51,rsio and/or ' one years'imprisonment as weR as civil penalties in the form of r(:) of the&U r coverage fine erificationUO a dap against me I mtdetstand that a' copy e,f this statementmay be forwarded to the Office of Investigations ; ace, urns and yenalties-of-perjury-that-the-information-provjded-above-isscu.�aisd correct I do kereby certi n' -P boil,, Signature i~s1r�' �l a.9'd�'00S S� l� ag P-36309 - Print name official1L9e only do not write in this area to b e completed by city or town official permit/license# OBuflding Department city or town: ❑Licensing Board 05elecfrnen's Office pnora R; _ contact person: n is i9l95PJAl .Information and Instructions coon 25 requires all em lovers to provide workers' compensation for their Massachusetts General Laws chapter 152 seP employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire,'express or implied, oral or written. association, corporation or other legal entity, or any two or more of An employer is defined as an individual, partnership, _ 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 dwe]Iing house of-' another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto'shall not because of such employment be deemed to be an employer. MGL chapter'152 section 25 also states that every state or local licensing agency shall withhold the issuance who has of a license or permit.to operate a business or to construct buildings �n the commonwealth y pp , not produced acceptable evidence'of compliance with the insurance coverage required. Additionally, neither the' commonwealth'nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants your siturtii)�'i�cf Please fill.in the workers' compensation affidavit completely,by checking the of insurance as lies all affidavits may be supplying company names, address and phone numbers along with a certific• ._. _ _ submitted Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tlie•affidavit should'be retumed to the city or town that the application for the permit or license is ent of Industrial Accidents. Should you have any questions regarding the"law"pi yQu being requested, not the Departan s lease calf;ke Depaibbi i atthe number listed below.: are required•tn obtain a workers' compensation,policy,p City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of_the to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please affidavit for you . ._ cense riuRiber wlv',cli wilLtie used as a refeieace numlier.�Tfie�•affidavits may b'e're�arn,.eats• . be sure to fill iuthe.p - :;. ^- the Department bY'•riail'',or FAX unless other arrangements have been made. ti .,. -. ; The Office of Investigations would like to thank you in advance for you ca o-P eration and should you have anyguesdons, . esitate to give•us'a'call. j ;. � . ... ... _�_ ~'• ,•.a .. please do not h The Department's address,telephone and fax number: v..,,,. .. TheCommonwealth Of Massachusetts -Department of Industrial Accidents QMce of laaesligations 600 Washington Street == Boston,Ma. 02111 , fax#: (617) 727-7749 ` phone#: (617) 727-4900 ext. 406, 409 or 375 t FIE Town of Barnstable F r Regulatory Services * BARNSTABLE. ' Thomas F.Geiler,Director v Mass. g `bA,Fp ;� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. D ate AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Estimated Cost Address of Work: G'0S SrPAuU4019-1 1W AD ceAr71r,kUJd6 Owner's Name: �il�Z Ad-�Q111 D05' 5;W09 Date of Application: I hereby certify that: Registration is not required for the following reason(s): nWork excluded by law ❑Job Under$1,000 OBuilding not owner-occupied QCOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date 0 Owner's Name Q.forms:hcmeaffidav AS LOT 61 ,3 93. 00' (BY DEED w HSE:,, ,,.,y685,„,;,, 2.0 p p w ll .. .. ......N p .. .... .......p ^ p to AS LOT 55 """' .,..., , 22.7 ►i: Ile 125t SCALE ` 118f (BY.DEED) AS LOT 59 d � 3 , . I � e X , h N s z t v o I x r - t g { i m fi • (lu 1 I 'Foo;W �Q ycoviC,ex<,ww1i' ➢ce 02� The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n Please Print DATE: od JOBLOCATION: 0"85' SMAu166W H?LL' 'A® 66Ar 15A ill LLC number A street village W"HOMEONER': lull, Altf rb Q� 5AAlro� sm, ?.?g630 name I home phone# work phone# CURRENT MAMING ADDRESS: 42 S `loy—+4uJ P,640 HtLt P-13 A 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 proced es and requirements. igna a 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 fomn/certification for use in your community. O:FORMS:EXEMPTN ' ' • 1 ail qq�r�\ i }e x e� 4 jOr _ s F / ' f N. tME� Town of Barnstable *Permit# p Expires 6 months from issue date r • Regulatory Services Fee 3 S, ► r * BARNSTABLE, • MASS,v� Richard V.Scali, Director Building DivisionT � �� Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 AR 2 2 2T4 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-79 -6- 0 EXPRESS PERMIT APPLICATION - RESIDENT M E P— , LE qNot Valid without Red X-Press Imprint Map/parcel Number /�'^'a, Property Address 6%5' -Sr ,w RAY j41tL Rh , C��. ®Residential Value of Work$ o�5_00I012 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address t U i t. R SA,NTo Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) © ;Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon.Monoxide detectors 4 floor plans marked with red Sand inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is rre'q.�}uired. SIGNATURE: Z k Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 A www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly vNa:i c Business/Organization/Individual): u)L A At Td 5' rA-ddress:_... GS5 S7�c-Ad 6Et9l }�/(,� P�to . i 1C_'—_C ty/State/Zip: ICE 1/M QJKJZ Phone#: Sd$ a9$6369 Are you an employer?Check the appropriate box: Type of project(required): 1.ElI am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g: ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3:g=1 am a homeowner doing all work officers have exercised their 11.❑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' 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 a new affidavit indicating such., #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the 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 the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job'SiteAddr-ess:--- 0 g S-4&utEF� l_�L R=12 .-� City/State/Zi -��En/7GR-U�.GC.G- 11?�4�626;-� 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u dyer'the pains and penalties of perjury that the information provided above is true and correct. Sienature: Jr) Date: oC/' •� '" j 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 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 mainienance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall,withbold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)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 - 11 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 to any business or commercial venture (i.e.a dog license or permit to burn 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 Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia f Town of Barnstable Regulatory Services o� Richard V.Scali, Director Building Division tBAMAB m • ' Tom Perry,Building Commissioner MAM 16ig. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION L Please Print DATE: 6 4 " .2 a /J JOB LOCATION: 6$S =%Rflw6C-9 NIGL R!� CC~ CkWLLG number street village "HOMEOWNER": ( VI C, SAplT05 sos. 9)$,00 so% 2y?gS64 name home phone# work phone# CURRENT MAILING ADDRESS: 6? %T��►ulP-f��1�rCZ R D 4-CAlfe .r//Lt C M �oZ6rJ�.2. 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 require ents. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with'the State Building Code Section 127.0 Construction Control --Q, X e''* - " n k 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. BAMSrAMIX 116A1 ,eg Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,-MA 02601 www.town.barnsiabk.ma.us - Office: 508-862-4038 4+k+ Fax: 508-790-6230 - . Property Owner Must" Complete and Sign This Section If Using A Builder I , as Owner of the subject property hereby authorize to act on my behalf, in all mattets relative to work authorized by this building permit application for: 6/'95- STD w 6c AL 1, (Address of Job) Signature of Owner Date 4 vtz „n o Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORWbuilding permit forms\.smokecarbondetectors.doc. Revised 050412 �r m CQo ®wBarnstable ®� "Permit #. OfYf{E T P � 'ft A r Ex ' s 6 monllis front issue dale Og Re t;<lat®lCye -vices <,P — 'ro ( ts,AB��g g r Thomas F. Geiler, Director�S1 4 Building Division vik�f /05 Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number � o U Property Address 6S 5 A 6 4(LL 9b [X� Residential Value of Work s 00 , 00 Minimum fee of S2S.00 for work under S6000.00 Owner's Name & Address Contractor's Name 0W 1. P_ Telephone Number_ Sod P?� 6 3 01 Home Improvement Contractor License#(if applicable) Construction Supervisor's License# (if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ' I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name - Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) _ (y Re-roof(stripping old shingles) All construction debris will betaken to rvu y � � Dt� y ❑ Re-roof(not stripping. Going over existing layers of rood ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e. Historic,Conservation;etc. 'Note: Property Owner must sign Property Owner Letter of Permission, Home Improv meat Co racEors License & Construct Supervisors License is required. SIGNATURE: Q:\WPFIU STORIr4SlGxpress\EXPRESSPERMIT.DOC f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations t d 600 Washington Street Boston, MA 02111 i�•'y lvww.m ass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elee'tricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizationAndividual): L V Address: 6� S 51,1 CA H1�rZ �' City/State/Zip: C R-U/t A C 11n14 Phone IS y ' Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-tim.e).* have hired the sub-contractors 6. ❑New construction 2.ElI am a sole proprietor or partner- listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for me in any capacity. employees and Have workers' 9 ❑Building addition [No workers'•comp.,insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 1 I.❑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 a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'contpensatioa insurance for my employees. Below is the policy andjob 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 cri_mirial penalties of a fine up to$1,500,00 and/or one-yeas imprisom--rent, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify nder the pains nd penalties o perjury that the information provided above is true and correct. 0 Si attue: Date: ® r — 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 4.Electrical Inspector S.Plumbing Inspector 6. Other Information and I.nstructi®l's Massachusetts General Laws chapter 1S2 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as ",..every person iq 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 tiustee 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 die 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 nottbecause of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that`:every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit.to_operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) stat nor es`Neither the commonwealth 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), addresses)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/licease applicatious 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 to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. ue:^ffice FT nvestigations 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, telepbone and fax number: The Commonwealth of Massachusetts Beparbuent of Iudustri,al Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 eat 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www_ma5s.gov/dia w' i IKErp� 'own of Barn-stable �aRegulatory Services . p $ Thomas F. Geiler,Director D Building Division 0 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 509-790- y i a Property.Owner Must complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act oa my behalf, in all matters relative to work authorized by this building permit application for. (Address of job) } Signature of Owner ate Print Name If Property Owner is applying for permit please complete the Homeovmers License Exemption Form on the reverse side: Town of Barnstable af-cRE r��T Regulatory Services Thomas F. Geiler,Director Building Division x5s9- •�m� . Tom Perry,Building Commissioner 0 200 Maiii Street,—Hyannis;NfA-02501 W".town.b arnstabI e_m a.us Office: 509-962-4038 Fax: 509-790-6230 HOA4EOVNER LICENSE EXEMPTTON Please Print DATE ®.2 o JOB LOCATION: 6- 5- 5�R A W R6,A X 8111, R() - number s lice[ village '.HOMEOWNER": name home phone#,(� t work phone# CURRENT MAILING ADDRESS: 6$� �TR. p B�F-/Q / //'�G A Q C�/✓T�R V/1l C 1�A6� 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. DEFWMON OF HOMEOWER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a 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.L 1) Th.e Undersigned"bomeowner"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 m;n;mum' ection procedures and requirements and that he/she will comply with said procedures and rernrire nts. i Signatur of Homeow-ar 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 status that "Any homeowocr 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 homcowncr engages a persons)far hire to do such work,that such Homeowner shall act as supa-visor." Many homeowners who use this exemption are unaware that they an assurmng the responsibilities of a supervisor(scc Appendix Q, ction Su avisors Section 2.15) This lack of awareness often results in serious problems,particularly Licensing ConsW , Rules&Regulations for g P ccnsed � t occcd a ainsl the unlicarscd crson'as it u'ould with a h ours }n this cast ow Board cannot pr $ P when the homeowner hires unlicensed pens . Superviscr. The homeowner acting as Supervisor is ultimately responsible. To ensure that the bomcowncr is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the hameowncr ccrtify thkt hclshe undcrst�nds the rcsponsi'bilitics of a Supery sor. On the last page of this issue's a form currently used by several towns. You may care t amend and adopt such a fonTVccrtification.for use in your community. u'2 r YOU WISH TO OPEN A BUSINESS? For Your Information:, Business certificates (cost$40.00 for 4 years): A business certificate ONLYPEGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate:) You must first obtain the necessary signatures on this,forrn at 200 Main St., Hyannis. ;Take the completed form,to the Town Clerk's}Office, !st FI., 367 Main St., Hyannis, MA 02601 Town Hall) and gE.t the Business Certificate that is re(�77 aired lay law. ,6 1. ' DATE. (�q 2 Fill in please: ' APPLICANT'S �' YOIJR NAME/S: L 0 S y. ' BUSINESS YOUR HOME ADDRESS: C PY11 ff V Me E TELEPHONE # Home Telephone Numbers Co'3Uc1 ` NAME OF CORPORATION NAME OF NEW BUSINESS.. TYPE OF BUSINESS Tkafflt � - IS THIS A HOME OCCUPATION? YES NO T _ 'I ADDRESS OF BUSINESS 2JUl��P AP/PARCEL NUMBER .': 1"7 �[Assessmg), _. O �3-Z. When starting a new business,there are several things you must do in order to`be in compliance with the rules and_regulations of the Town of a Barnstable..This form is intended to assist you in obtaining the information'you may need. You MUST GO TO 200 Main St: - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses regciired to legally operate:your`business in this town. . 1: BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type;of business. d. Authorized Signature** s COMMENTS: • 2. BOARD OF HEALTH w This individual h a n'infoSd f he%rprit ements that,pertain to this type of business. Authorized S nature** MUST �:OMPLY WITFI ALL COMMENTS: EGULATION• 3. CONSUMER AFFAIRS(LIC NSING AUTHORITY) This individual ha�'b@e�n r d f h li si it m is hat rtain to this type of business. Authorized Signatur COMMENTS: C � No----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE r fax i -to mit AIJVIt atiou fo Dili i5al Works Tomatrurt urr '0 .,Application is hereby made for a Permit to Construct. or Repair V<an Individual Sewage Disposal System at: . . ............../6r�..... .. ...&... .................................................................................................. Location-Address or Lot No. of ....... ......... Owner Ade .......... .... ...... ...... ....................... ............... Installer Address-------- ty, U Type of Building Size Lot............................Sq. feet �-4 Dwelling—No. of Bedrooms-------I --------------------------_.-.--Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons.:.__.------.-..__---_--_--. Showers —7 Cafeteria Otherffi5jires ------------------------------------------------------------------------------------------------ tl� _� ......_..--.................gallons. --------------------------------------- ------------ Design Flow...........57--_)L.........................gallons per person per day. Total daily flow------4Y. I� , 9 Septic Tank AL Liquid c�acity.6Z.gal Ions Length----&-------- Width---1.6...... Diameter................ Depth................ Disposal Trench—N<.>SVf.L.... Width_.-._- -------- Total Length...3b......... Total leaching area....................sq. f t. Seepage Pit No.......-_._._------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed,by------------------ ........................................................ Date........................................ Test Pit No. I................minutes per.inch Depth of Test Pit...._..._........_.. Depth to ground-water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.-.-.-.--.-_-_.----- Depth to ground water....-_..........._...._. P4 .............................................................................................................................................................. 0 Description of Soil....................................................................................................................................................................... U .......................................................................................................................................................................................................... ........................................................................................................................................... ........... . ....... app ica e 3'1 %�.Tt. t Nature of Repairs or Alterations—Answer when a Ii bl ----- :Z. k ..... .............. ...... ..............................I............................................j.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to plate the system in operation until a Certificate of Compliance Issue,rn e �Lb tlie r of health. Signe ........................... ...................: .......... ................ .............................. Dve Application Approved By ................... ------------------------------------------ 7 --------- ------- ---------------- Application Disapproved for the following reasons: .................................................................. Date ....................... ................ -------- ......................................................................................................................................................................................................:........ . ......... ......6;.........---------- re PermitNo. ......TLi.,7.... .... .................. Issued .......................:.......................................... D.,e —————---——————————— —":,———————— —————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (IT Olertifirate of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired. .............................. .......................................................................................................... by .................. ........... I In t lie 7 S 771� ...........Z/4 at ............................................ �.. .......................... 4.......................... ...................................... has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in L_( -& . 7... . ...............................i.. the-application for Disposal Works Construction Permit No. . dated ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ ................. ..................... Inspect r.... .............. .............. . .. .... ...... —----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N TOWN OF. BARNSTABLE o... FEE��2........... Dispoind Vorhg Tonotrurtion ';V"rrmjt Permission is hereby granted---------- .......................... ------ell_'1.................4......... ............................................ to Construct or Repair (i,-y7:a`fi`,Individual Sewage Disposal System .at No.... Y / , -------------------------------- . ..........* ... ............................................................. st-4et as shown on the application for Disposal Works Construction Permit No Dated.---- ------ ........ Health DATE. w-------------------------------------------------- ........J-.--::....LZ.......... ----------------------------------- FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS oFIKE lw,, Town of Barnstable • &UMSTABLE, • Regulatory Services A �•� Thomas F. Geiler,Director rF0 MA'S A � _. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 April 9, 2008 Mr. Luiz Santos 685 Strawberry Hill Road Centerville MA 02601 Illegal Apartment 685 Strawberry Hill Road Centerville MA 02532 Map: 249 Parcel: 060 Our records indicate that your house at the above-referenced location is currently being used for more multi-family units than allowed, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. A ; You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a three-family home • Apply to the Amnesty Program • Prove that this is a legal five-family home. Please contact this office immediately to tell us what direction you wish to take. inda Edson Amnesty Apartment Investigator Building Department gforms:zoning3 y� �P �4 8Vs-9� A II ^._,.� _ l i ` g � {: P I 4 �� � j } Parcel Detail Pagel of 3 SHE JOL uvz F h1A3S .� f. }t a.• � ^ �` � � �t :� i.c.. ib?tt ywa Logged In As: Pa I"CeI Deta I I Wednesday, A , Parcel Lookup Parcellnfo ° Developer Parcel ID 249-060 Lot Location 1685 STRAWBERRY HILL ROAD ( Pri Frontage 200 Sec Road I Sec Frontage village ICENTERVILLE I Fire District C-O-MM Sewer Acct I . Road Index 1546 Interactive Map Owner Info Owner ISANTOS, LUIZ& MARCIA I Co-owner Streetl 685 STRAWBERRY HILL RD I Street2 City CENTERVILLE I State MA Zip 02632 Country L Land Info Acres 10.48 Use Single Fam MDL-01 L zoning' RD-l' I Nghbd 0106 Topography Level Road Paved Utilities Public Water,Gas,SeptiC ( Location Construction Info Building 1 of 1 Year 1964 Roof Gable/Hip I Ext Wood Shingle Built_ Struct Wall Effect 1911 I Roof Asph/F GIs/Cm AC(None Area Cover p I Type1 Style[Ranch I, wall :Drywall Rooms 3 Bedrooms ' Int J Bed F Int Bath Model Residential ( Floor I Rooms 2 Full Grade(Average I Type Hot Air I Rooms Total 6:Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18043 4/9/2008 Parcel Detail Page 2 of 3 t j "T �4 �-FfEP �'fh ^ k 4 Y4fit7', Est ' Stories 1 Story Heat Gas I Found- Poured Conc" Fuel ation .;' k•;, 40) Permit History Issue Date Purpose Permit# Amount Insp Date COMM 10/31/2002 Out Building 65003 $18,000 7/15/2003 12:00:00 AM 3/6/2002 New Addition 59494 10/3/2002 12:00:00 AM PORC Visit History Date Who Purpose 4/3/2007 12:00:00 AM Sheila Fowler In Office Review 10/3/2003 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 7/15/2003 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 3/4/2003 12:00:00 AM Martin Flynn Bldg Permit N/C 1/10/2001 12:00:00 AM Paul Talbot Meas/Listed 9/15/1989 12:00:00 AM ML IV Sales History Line Sale Date Owner Book/Page Sale P 1 4/28/2000 SANTOS, LUIZ& MARCIA 12974/304 ; 2 3/15/1990 EWING, ERNEST A&CAROLINE 7111/037 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2008 $161,500 $2,500 4. $34,500 .$172,700 3 2007 $161;000 $2,500 $34,500 $172,700 d: , 4' 2006 $149,600 $2,500 $34,500 $180,200 ; 5 2005 $137,700 $2,500 $34,500 $144,100 6 2004 $111,800 $2,500 $500 $122,500 7 2003 $97,300 $2,500 $500 $44,500 ; 8 2002 $97,300 $2,500 $500 $44,500 ; 9 2001 $97,300 . $2,500 $500 $44,500 ; 10 2000 t $63,600 $2,000 $0 $29,600 11 1999 $63,600 $2,000 $0 $29,600 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18043 4/9/2008 Parcel Detail Page 3 of 3 12 1998 $63,600 $2,000 $0 $29,600 13 1997 $54,600 $0 $0 $29,600 14 1996 $54,600 $0 $0 $29,600 15 1995 $54,600 $0 $0 f $29,600 16 1994 $49,700 $0 $0 $33,300 17 1993 $49,700 $0 $0 $33,300 18 1992 $56,500 $0 $0 R $37,000 19 1991 $80,300 $0 $0 $51,700 20 1990 $83,200 $0 $0 $51,700 ; 21 . ' 1989 $83,200 $0 $0 $51,700 22 1988 $68,900 $0 $0 $24,200 23 1987 $68,900 $0 $0 $24,200 24 1986 $68,900 $0 $0 $24,200 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18043 4/9/2008 TE.T TOWN OF BARNSTABLE 31ASH9TOIILE, i 9� o Yof. BUILDING INSPECTOR sTd2a.gQ 4 2 . APPLICATIONFOR PERMIT TO ............ ......`. .................. .......................:........................................................ TYPE OF CONSTRUCTION ...GL'.0....eSIG .............q 'rc2lW`ei ... ............................................................................. . (...'` .4....a�............................19.7;;� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...V %P7`, T"1 ? .`4 iff.:fw..... k7�P..f✓.>.���'.............................. .......................................... ................................... Proposed Use ... v. �e j .....0 ..��cc�c�E°k... d�1�`...: .�`�....................................................................................... ZoningDistrict .......................................................................:Fire District .............................................................................. Name of Owner .R.�. -'Qtsiu7e Gal� !Address Gas stQu ���P d ............................. ................ .... .. ............ . .................. Name of Builder ..!,/0!M PSC. .14�.�vi��P.(�,�'.............:.....Address .�OX..IDS.le...&.5!5?424?!S..l�4.E'�......................... Nameof Architect .... ...............................................Address .................................................................................... Number of Rooms / .......................... Foundation Exierior ... a!�!'Te .........1..!'f'c��cF ...................................Roofing ........y. ............................................................. i Floors CoHC1Z�TC' S'LGiP Interior � /�r.B�.7..........................................................:.... ...................................... .......................................... .. ....... Heating ...µ Ar.e............................................:.....................Plumbing ... OhQ,......................................................... ........ Fireplace .... °fit.e......................................... ...................Approximate Cost ..6)00................. �............:............ .. . Q Definitive Plan Approved by Planning Board ---------------—_—-----------19--------. 4�j Diagram of Lot and Building with Dimensions ° SUBJECT TO APPROVAL OF BOARD OF HEALTH < y �`� y - A [�'[G 'S IN'STRL.LER I IUST 66 -A ° � -TALL !WS-EM- a e I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namet4.$ ..... ... ...... ..... ... .-. .. .. .........L .a...... - y Gold,''Roseanne No ..150�3 Permit for ........storage shed .... ... . .. r ............................................................................... Location ....... ... 685 Stra. w'oerry..Hill. ..Rd......... j ...... ...... ............... .... .... .... . Centerville ............................. ................................................ 1 Owner Ro.seanne. ..Gold. .... ........ .... .... Type of Construction frame .......................................... ................................................................................ r Plot ............................ Lot ................................ Permit Granted .......................................19 72 MM 1 Date of Inspection ...............19 i Date Completed ..@.. PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... .................... ......................................................... i ^� s I The Town of Barnstable MAS&LLg Regulatory.Services bp�Eo;,;;{}�0 Thomas F. Geiler, Director Building Division , Peter F. DiMatteo, Building Commissioner , 367 Main Street,Hy..atinis MA 02601 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction:alterations,renovation.repair.modernization,conversion, improvement.removal,,demolition,or construction of an addition.to any pre-existing owner-occupied P building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors.with certain exceptions,along with other requirements. Type of Work: PO Q-C hl• , Estimated Cost AddressofWork, y` � .e_4fAA W_u-y lgiLL p-U Owner's Name: kut I- A-03 ft Do �t{K_rro5' Date of application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 , OBuilding not owner-occupied ,®Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT 0RDEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE- ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL:c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner ems-=o2K. ©,�- Date Contractor Name. Registration No. OR v Jos D `� Owner's Name =__ The Commonwealth of Massachusetts `" Department of Industrial Accidents y = oxce 81119vesmooff0os 600 Washington Street - Boston,Mass. 02111 Workers' Com ens ation Insurance Affidavit name: k ear 1�� location city L(A1reAi1tLt_ A44 phone# 77,9 6 0 I am a homeowner performing all.work myself. I am a sole rietor and have no one wbrlan capacity I am an employer providing workers' compensation for my employees working on this job. tompsriv near gt7�Ces ::•.:::•::::•:•::..:.........................................................r.................. ::::::::::•:::::;?•:•;;:;•;;:?.;;:<•;:•>:;::.;-::::::.. .. .... . .........................:...::::•:••:::.::::::::::::••::::::.::::::•. :..... ................ .............,........................ cites. ..... . :......:......... fl3uran ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: ` 81ne: `.... _ to�pav�n :arldtes �'p•:::::::::.::...,:•.,;r�i>:•f:GJ:;{.• r:r::{.J:ism:::x::::::.v:::::ti4JJJ::.....:::::JJ::;t?:ivi:::.v::i:i?::v.:-... ...........r:::.:.... ....... ...:::::....:.;•}Jv:r:;::::::::-0•:.v.�:::::::.v:: r::::.:.. •..::•JiJ:v:?^iii:4::?•i::•i:•:.J:?:v:i:.'-.4:... .!.-::J......-::•J»;•:�-•istiia::titi:•i::;:.y,}•:'v:::::::::.:v: •. ......;;...y:•.v::......... rv.::::-,v:.v. " ?::]:iii:'J:"i:S:i: ?:::{Yiis�j:L;iii:+A:�i:::ii>�{:>i:�:'v'i:r:::•:jii::i ................................ .?o:a.........•t$;;;:;;_{-::-JJ::•:•:J:•:?•>J:•:::•J:;•::->:•J:•:•:;J:%::?•;::.; :<{•:{.sJ':;:;?•;::;i:`.-J:•J::::::•;;:;'•:::$:::::;:;:;:;::;':>.;':�::f:::.... .:..'-:;:Y:';: �'v::4•'.�ir:�:<��ii:'�i:�iii:�{is�ij:�:ti:'':�i$}'i:::f::ii:: -�:�j:{:�:}�':.':j�:iv{:!_:::_�;:.{:.-:� ?.Ciy l"?:%:+�i:v]:::�::'i�:�i:�:^:?�-:i:i::iii:i�ice:{:::::;':;::;+''{'{:•:+:^::i:�:':�i'`:'- v:??::�:•::i::,?-:Y::'iJ::?i4JJJ:4i}'{•J-Fi ..,�....::::::.................. .;{?{:::.?•ii:4i}i:}Ji:•i:ivi::vJJ:{vi:vidi ..fhiiJ:C•iJ;•:.�.�:::::::.�:::::::::::v. :.�.�:.:y:- ........:: ........................::.:�::•.:...................r........................r..................:::::-:..n�:::::mom:�Ji:-JJJi:{C•:??v;{{•J:�::4J:•}:•:. :... ........... .r.::•:.:•:::::::+::::??CiiJT:?v:4J;4Ji}i}ii:}:iTi:Li:••ii ii::�:::•ii:::9i'1:i=:{!{�:`::iii'ri: adilr ...............,.......... ......4. .............................v::::.v.Yii::i;:i:•is4'•isLi'::ii:.v:::•i:::.:.......-::::....... - .... ., .•:fie.iii:?:v{4:hi:•ii::•:i::i?:Yi 4J:•::� ::'i::•ii:i:•J:iJ:•iJ:•iiX?:••,:{•iiii::isis?.;{•:?-ii:?:??•:i?i:ti'LiJ?:::is?J:v:?is{?:•J':?•: .:: ??•i:::.?::•iiii:{•:6:?•i::;iJ_i}}:•Ji.•l•J:�•i:J:-i:?::iJ LCJi:•Ji:??•JJJjii:{.::•.:::.'.: :::•:::.::.::::.. Failure to secure coverage as required under-Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Bne nP to 51,500.00 and/or one years'Imprisonment AS well AS Civil penalties in the form of a STOP WORK ORDER and a 9ne of S100.00 a day against me. I mtderstand that a copy of this statement may be forwarded to the Mee of Investigations of the DIA for coverage verification. I do hereby certify under the p penaltgqies of erjury that the information provided above is bus and correct Signature Date 0,;e oe6' 0 _. Print name LdiZ AL �ry Gd5 S� aOra Phone# 5o�, �`� ���� oincial use only do not writs in this area to be completed by city or town oMcial city or town* permit/license# [3Building De7oince ❑Ucensiing B ❑checkif immediate response is required ❑Selecbnere OHealth Department contact person: phone#; _ ❑der ormad 9195 PW Information and Instructions Sassachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their .nplovees. As quoted from the "law'; an employee is defined as every person in the service of another under any co�ract Shire, express or implied, oral or written. ,n employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of. ie foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or -ustee of an individual, partnership, association or other legal entity, employing.employees. However the owner of a welling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of nother who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or wilding appurtenant thereto shall not because of such employment be deemed to be an employer. 4GL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal f a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has lot produced acceptable evidence of compliance with the insurance coverage required. Additionaily,meaer the ommonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until cceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting uthority. applicants ,lease fill in the workers'. compensation affidavit completely,by checking the box that applies:to your situation and upplying.company names,address and phone numbers along-with a.certificate of insurance':as all affidavits may be ubmitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and. late the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is )emg requested, not the Department of Industrial Accidents. Should you have any questions regarding the`UW'or if you Lre required to obtain a workers' compensation policy,please call.the Department at the number listed below. I"ity or.Towns 'lease be sure that the affidavit is complete and printed legibly. The Department.has provided a space at the bottom of the Lffidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please se.sure to fill in the perniit/kicense number which will be used as a reference number. The affidavits may be rearmed in- he Department byi ail or FAX unless-other arrangements have'beenmade:--.-_.-." the Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. (lease do not hesitate to give us a call. The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugallons 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406,409..or 375. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations 525.00 Building Permit Amendment $25.00 . FEE VALUE WORKSHEET NEW LIVING SPACE �['` s feet x$96/sq.foot= l 00 x.0031= Z . plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>12.0 sq.ft, >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck' x$30.00= (number) Fireplace/Chimney + x$25.00= (number) Inground Swimming Pool . 360.00 - Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 44 (plus above if applicable) Permit Fee projcost Table (eesdomad) Prrseripthe Pse mga for One sad Tre feu lr Rssideatlal Baiddbw Seated wits Foes)Fade MAXIMUM ; Glazing Glazing Ceiling Wall Floor $eat>aeas 91ab °0 Area'(•/.) U-�� R-va1ULJ. it-value, R vaiu? Wall F� F�dmc� PadcaQ_e R.valua' R.valoe� M I to 6500 Hearin;Degree Dam Q 121% 0.40 31 13 19. . 10 6 Nw=11 R 12% 032 30 19 19 10 6 N°r�l 3 12% 0.50 31 13 19 10, 6 15 AFUE T IS% 0.36. 31 13 23 WA Wf Normal U 15% 146 33. 19 19 10' 6 Normai V 1 S'/0 0.44 31 13 23 WA WA W AFUE W is%. 032 30 19 19 10 6 ZAFUE X is% 0.32 38. 13 25 WAWA . Normal Y 18% 0.42 31 19 2S NIA WA Normal Z I s% 0.42 31 13 19 10 6 90 AFETE AA1 E•/. 03fl 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS-OF DETERMMG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a Footnotes to Table J5.2.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights. and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gloss wall area. expressed as a ercentage. Up to 1%0 of,the tota pl glazing are may be excluded from the U•value requirement. For example.3 ftt of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating.Council (NFRC) test procedure, or taken from Table J1.5.3a. U. -values are for whole units:center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized thus construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-=8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values re Pttsent the.sum of cavity insulation.plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned,space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example;an R.19 mquirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus K-6 insulating sheathing. Wall requirements apply to wood-frame or.mazs(concrete,masonry„log)wall constructions,but do not apply to metal-same construction. 'The floor requirements apply to floors over unconditioned spaces(such as umconditioned,=%WIspaces;basements, or garages).Floors over outside air must meet the ceiling requirements. 'Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mer: the same R-value.requirement as above-grade walls. Windows and sliding glass doors of conditioned br..ements must be included with.the other glazing. Basementi doors must meet the door U-value requirement d-scribed in Note b. 'The R-value.requirementts are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more en the equipment ment with the lowest one piece of heating equipment or more than one piece of cooling equipm t, eq p than p g ust meet o exceed the efficiency required the selected e. efficiency m r ry req by package. 'For Heating Degree Day requirements of the closest city ortown see Table J51.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. X-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greaser than 035. Door U-values must be tested and documented by the manufacturer in accordance with.the NFRC test procedure,or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door.U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component: Glazing or door components comply if the area•weiP, uted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). - 43 . i AS LOT 61 93.00' (BY DEED) - + AS LOT 60 I �/ I ,;;sss. o 1,34 AS LOT 55 2.0 ;;i; ' �p,� �•; ggt0 . v, 125t (SCALE) 118t (BY DEED) :4S LOT 59 NOTE AN INSTRU11ENT SURVEY SHOULD BE PREPARED. AND A PLAN FOR RECORDING SHOULD BE PREPARED. MORTGAGE' INSPECTION Plan is F°r FLOOD ZONE "C" RES ZONE RC'-1" This Bank Use Only . THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY. TOWN: _ CENTERVILLE___ _ REGISTRY OWNER: _CAROLINE _TVB_EWLNG'________ DEED REF: _ 7111 37 _-- -=_ BUYER: _L� IR�I�L��I1vTOS --------------------- -- DATE: . -- _4��1/00 PLAN REF: _NO PLAN �► `'" � SCALE:1"= 40FT. L__ I HEREBY CERTIFY To NORTH A E'RICAN rLLOETGAG'E___ 1 COMPANY ____ ______ %�� �s�;> YANKEE SURVEY _ —THAT THE BUILDING c' SHOWN ON THIS PLAN IS LOCATED ON THE .GROUND AS � � CONSULTANTS , SHOWN AND THAT ITS POSITION DOES CONFORM �t_ ui'Rl +gyr 4013 (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE NO INDUSTRY ROAD _B_ARNSTABLE AND THAT____ ________ s20�e TOWN OF _ 1 IT DOES_NOT__ LIE WITHIN THE SPECIAL FLOOD HAZARD ` �'aJF !ltIARSTONS MILLS, MA. 02648 E �0 AREA AS SHOWN ON THE H.U.D. MAP DATED_8/_19185__ \qMp rcefQ TEL: 428—0055 C unity— nel ?50001 0005 C" �,``SUR�- PAX 420-5553 _ _ �td�.l�_�_ _ __ _____ THIS PLAN NOT MADE FROM AN INSTR ENT SURVEY �8691 C"B UL A. MERITH 1 , LS NOT TO BE USED FOR FENCES, BUILDING PERMITS. ETC. The Town of Barnstable x t BARMABU,HASS x 90 Regulatory Services Op 39• ♦0 Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 . ce: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION . r / Please Print DATE: F'�B/r2 0,;_ b JOB LOCATION: C��S' _rR A VJ M-P F Y .Ali G.�. . R D number street village "HOMEOWNER": 4U/z. ARScruto .S�Atl7os . 5og ,7 926,TKO name home phone# work phone# CURRENT MAILING ADDRESS: 6�; 57.p'+A(/.I sc rte y t/Wil, MIA 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 procedure-s and requirements.' 1�AZNi � it tune of446 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 k 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:EXEMPTN i Above-Grade Building Sketch BunuwetiClient Santos, Luiz & Marcia Piupe!ty,iddress 685 Strawberry Hill Road C4 Centerville County Barnstable State MA Zip Code 02632 Lender North American Mortgage Company Dimensions are Approximate Rooms are not to Scale 26.0' Patio 11.0' 28.0' Kitchen Bedroom Bath 1 Patio Family Room 28.0' Living Room 10.0' Bedroom Bedroom 14.0' 10111 \ 20 0' LAU- I 30.0' r e r s SKETCH CALCULATIONS Al 48.0x2.0= 96.0 tia I A2:64.0 x 22.0 1408.0 A3:50.0x2.0= 100.0 A4:30.0x2.0= 60.0 _ In r x � cR � n e Rl .� N s C5 Cr e � 04 i 4 NO Ohl r r - 1 h • _ • e n u �, � c7'J� �� ���� � �� 'I �� - � �x. ti ��t, ,_. - i �-�4-�} �r� i � fr-- x,. a I �� r r r ' � e _ i — -- ti 1 td. ! c3�t, r i _ _ a ,.�; ��,� . . �� � �� * � 'w.�-�_. I .�----t....µ-..c_.�.- r' � � _ .�.,_ �,,. �� .. r �/.s• a l Y�; --;-- N _._ - _,..�, � __.__ � —._� � p TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O� ✓—� Parcel 06 0 Permit# Y Health Division Date Issued 3 ��-- Conservation Division 211,G1 ZMZ 04X - Fee Tax Collector Treasurer Planning De Date Definitive n Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 695 Btu, F~� Village CE,jTs,P- v,tcc; Owner L O I Z, Ai L�G Flb DAS 5 NTy� Address 6� ��JQAw 8c x F-`0 ��I ii,,L f D Telephone -01 224 6101 Permit Request foF_C,H, ¢M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new / r Valuation - Zoning District Flood Plain Groundwater Overlay 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 19 Historic House: ❑Yes ®No On Old King's Highway: ❑Yes M 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 02 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: N Gas ❑Oil ❑ Electric Cl Other Central Air: ❑Yes O No Fireplaces: Existing yes New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current,Use _Proposed Use BUILDER INFORMATION Name y/L At Rc-?--rb Cos 5 g4uy"y`i Telephone Number so$ 630 Address Hilt- Pa License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Feb u662 y `• FOR OFFICIAL USE ONLY zi PERMIT NO. -�� j �j DATE ISSUED F MAP/PARCEL NO. � Y F ADDRESS VILLAGE , OWNER DATE OF INSPECTION: FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN,NO. t - p t f . �� MEMBER REPORT Level,Floor.Joist U.8T SrAfiW&0cy*& FAILED ' 1 plece(s) 16"T]I®560 @ 12"OC 2U/U- Overall Length:28' 26 0 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. „ K System:Floor Member Reaction(Ibs) 695 @ 4 1/2" 1725(3.50") Passed(40%) 1.00 1.0 D+1.0 L(AII Spans) Member Type:Joist Shear(Ibs) 677 @ 5 1/2" 2710 Passed(25%) 1.00 1.0 D+1.0 L(AR Spans) Building Use:Residential Moment(Ft-Ibs) 4641 @ 14' 12925 Passed(36%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.404 @ 14' 0.908 Passed(L/809) -- 1.0 D+1.0 L(AII Spans) Design Methodology:Aso Total Load Defl.(in) 0.505 @ 14' 1.362 Passed(L/647) 1.0 D+1.0 L(All Spans) TJ-Pro-Rating 4,-j a Deflection criteria:LL(L/360)and TL(U240). V cal- a y Bracing(Lu):All compression edges(top and bottom)must be braced at 8'5 1/8"o/c unless detailed otherwise.Proper attachment and positioning of lateral w a tracing is required to achieve member stability. ®_ A structural analysis of the deck has not been performed. �a L Deflection analysis is based on composite action with a single layer of 23/32"Weyerhaeuser Edge^°Panel(24"Span Rating)that is glued and nailed down,-- — Additional considerabons for the T}Pro Rating include None ' sx' ��y��� y����'� �",�9`1' fJt-< ,� x PPo►�{��) �� r ',,, � �, � '� a Total� Avaltabfe 8equtred Dead= O°r Tv kAcowies "w•« emu. ,,.; 1-Stud wall-SPF 5.50" 4.25" 1.75" 140 560 700 1 1/4"Rim Board �w 2-Stud wall-SPF 5.50" 4,25" 1.75" 140 560 700 1 1/4"Rim Board •Rim Board Is assumed to carry all loads applied directly above it,bypassing the member being designed. tva w� ': a a sj "`y��„�^�?``a� Did 61P0►LtY1: � _�%• Lt3�t0s z,< kD,Cation.;,+,r` �>Spapin$ {0.9fk2,., .(a,�1} �ctiMeti�- 1-Uniform(PSF) 0 to 28' 12" 10.0 40_0 Residential-Living Areas M@Imbert 2ND FLOOR AS-BUILT: OK 2YL'[�182tt521�1dt3r f zX4 .: v r /mow :.. , ..,.u., .t,.._., - �...�.:�,.v�,�u. �,�.�..�, ,.-_. ..� .., ;......,+��. :`. -....,-;:Y r.�.:�rz .•.,,'+;r�'�i>w;? �SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values,. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Bloddng Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufacbued at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. P`jH OF s`S9 The product application,input design loads,dimensions and support information have been provided by SANTOS,LUIZ g0� MICHELE sr CUDILO m SMUCTURAL ti No 34774 9 g90,c•�Q/STIE 2 FSSiONAL EN�'��' -1 URIC = Forte Software Operator Job Notes 5/22/2015 q 0:12:15 AM MICHELE CUDILO SANTOS GARAGE � I Forte v4,6,Design Engine:V6.1<1.5 NIICHELE CUOILO.P.E. 685 STRAWBERRY HILL RD. (508)771-7601 CENTERVILLE.AAA mcudilo@ comcast.net I Pang 1 of 1 C 8S- 7RA0,J ERR�` Hau-, 1..0 CC Rv�LLC .2xr2 LI&DC' �17 __D-A 12 IZ /_•'�i�ot�6 so�st'S 41r qi 2 u y (N�911 a� /1ivgr Woo/ �� gf y OF fAA 8q LJ+ R{1l can � TfiUC� o S No . 740 ON `� Town of Barnstable \ o Building Department Services �\ Brian Florence, CBO s • anaivsrnais, 9�A 69. `erg Building Commissioner TOWN OF BARNSTAN TEnMa+° 200 Main Street, Hyannis, MA 02601i. www.town.barnstable.ma.us 2019 JAN 74 Pit Q: N Office: 508-862-4038 Fax: 508-790-6230 1 Town of Barnstable Family ApartmentlWifflavit � I, being on oath, depose and state as follows: Cn My name is I am the owner/resident of the ; property located at: ' `1 � ' 2G1 The following members of my family will be the sole occupants of the Family Apartment at the 9! !=F aforementioned address: y Name &relationshipto owner: i 1 _ �L? - - - i CM1L'V '4 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately j notify the Building Commissioner in writing. I understand that no subletting or subleasing of said .fy Family Apartment is permitted. ' I understand that I am required to file an Affidavit annually with the Building 44 Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree + to note the Building Commissioner immediately in the event of the sale of this property. , If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other G Sworn to under the pains and penalties of perjury this p day of �V)QQ(b 2019. ;.. A cW Ae6�& Signature Phone Number . Print Name / -uiz DoE Sown_k6 q:forms/famaffid.doc rev 11/08/13 Town of Barnstable OF THE Tp� o Building Department Services • anxxszns�. Brian Florence, CBO 9 MASS. Building Commissioner 1639. '�QN �F SARN�p �� lFn nnp�" 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us . . 30 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family ApartmenMffiggvit I,being on oath, depose and state.as follows: My name is _U Z yG��1s I am the owner/resident of the property located at: lU SA-f o\ L N The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �V�P ' I wl� Of,(&relationship to owner: , , '� 1 ► qu I n v\f The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately noti y the Building Commissioner in writing.I understand that no-subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable•Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of ,AOUQ f 2019. 5c - Signature Phone Number Print Name 1_U 17 Dos S n Aoju� q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department ..� Brian Florence, CBO BUILDING DEPT • snxtvsznate. • Mass. Building Commissioner 03�` 200 Main Street, Hyannis, MA 02601 JAN 16 2018 www.town.barnstable.ma.us TOWN OF BARNSTASLE Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment Affidavit LS AN I, being on oath, depose and state as follows: % My name is /U l L kbaro DOS S A)yro r' I am the owner/resident of the propery located at: $,� rP9 cal VRe7 HILL k 0 E�rrt ryt.,Q Qu 32 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 114Y IC-5' a W k(606Y 10A y C WTV�_ Name &relationship to owner: Mo/<A FOY KV DlcdL1,tlE5' The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the pains and penalties of perjury this day of 2018. J�Jnnfi� Sag sk '—? Signature Phone Number Print Name "I1, XgeAfp 005" 9A,d16S' q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services oFo Richard V. Scali,Director. TOW FRNi'ABLE Building Division '* snnivsrnB� s M+ss �, Paul Roma,Building Commissioner? I..,,y 17, l039. �AfFD MA'S"� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma:us Office: 508-862-4038 f 1°t; 1 ax: 508-790-6230 Town of Barnstable Family Apartment Affidavit - I, being on oath, depose and state as follows: .`My name is I am'the'owner/resident of the property located at:- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: -4M Per "Nulitor Name &relationship to owner:- Mf AKAGMI ka0A!;-Ve Aw" The Family Apartment will be the primary year=round residencefor the above-identified family members. In the event that the listed relatives vacate said apartment,,I will'immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship,of occupants in said Family Apartment. I also r + understand that I am required to comply with all conditions imposed by,the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.LFamily Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property.' 1 Tfthere..is,no.longer a-Family Apartment at this location,please explain- The apartment has been dismantled. ' The apartment has been transferred to the_ Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this ' /,�' day of ' 3YW '2011.' Signature Phone Number Print Name L v.,z .4as `sed 06, SAAT6$' q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services_ of Richard V. Scali, Direct9 I OF Building Division(A4' TASLE ,,� Paul Roma, Building Commissioner PM `bAr 1639 aye 200 Main Street, Hyannis, MA 02601 FD UApI , www.town.barnstable.ma.us Office: 508-862-4038 �? #, s10 N Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is DOS S3V)�I am the owner/resident of the property located'at: Mv Vot . r n The following members of my family will,be the sole occupants of the Family Apartment at the , aforementioned address: r ' Name & relationship to owner: ofywQTodo fdckuoh�al, Name & relationship to owner: 11'CAUQ SCSI" The Family Apartment will be.the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer'a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to; e the pains and penalties of perjury this.- day of (WtM 1 ,016. Signature Phone Number Print Name Aibh ' D 'S� S q :forms/famaffid.doc rev 11/08/12 Town of Barns Pk v 29015 P•w 202 :33952 oe 07-16-2015 0'1 08 s 20cx Regulatory Sen.... y Richard V.Scali,Interim Director y aMnrMjjLZ, MAM Building Division , Tom Perry,CBO,Bididing Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT " I Luiz Alberto Dos Santos(as Trustee of the Tamadulu Realty Trust),the undersigned,being the owners of property situated at, 685 Strawberry Hill Road, Centerville, MA holding title under a.deed recorded with the Barnstable County Registry of Deeds in Book 23290,Page 74,being shown on Assessors' Map 249 as Parcel 060, hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s)of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: Luiz Alberto Dos Santos„ Relationship to Owner: owner Resident of Family Apartment: , Tammy Santos Relationship to Owner: daughter This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. v This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building.Department. WITNESS our hands and seals this /!5_ day of 201,r, TOWN OF BARNSTABLE: O NER . By. Luiz Alberto Dos Santos Trs. a VAr .. A •�, T as Perry,CBO Building Commissioner 4` °a%St ti �s THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS' Date t ! Then personally appeared the above-named (owner), ••»•• made oath as to the truth of the foregoing instrument,before me. o of c «•�''r•�� ` gmpfiles:famapt Notary Pu LZa Co Iss Ezpires My Comm ires: �= bar .2018 BAWL ABLE REGISTRY OF DEEDSAR TABLE O TY John F, Meade, Register REGISTRY OF DEEDS - A TRUE COPY,ATTEST JOHNN FJ.LMEADE,REGISTER 03-1!6-201 5 11 = i4o., Town of Barnstable Zoning Board of Appeals Decision and Notice Variance No. 2015-005 - Santos Section 240-47.1(A)(3)— Family Apartments mil apartment in a detached accessory building To allow a 896 square foot family p ry b. g Summary: - Granted with Conditions Petitioner: Luiz Alberto Dos Santos (as Trustee of the Tamadulu Realty Trust) Property Address: 685 Strawberry Hill Road, Centerville Assessor's Map/Parcel: 249/060 Zoning: -Residence D-1 District, RPOD Hearing Date: February 11,2015 Recording Information: Deed: Book 23290 Page 74 Background & Relief Requested In Appeal No. 2015-005, Luiz Alberto Dos Santos sought a variance to permit an 896 square foot detached family apartment accessory to the single-family dwelling at 685 Strawberry Hill Road in Centerville. A variance is required from §240-47.1(A)(3), which requires an apartment "to be located within a single-family dwelling or connected to the single family dwelling in such a manner as to allow for internal access between the units.. This appeal was heard concurrently with Special Permit No. 2015-007. The property is a .48 acre lot located south of Route 28 and north.of West Main Street, near their intersection. The property is improved with a 3,024 gross sq.ft (11,668 living area), three-bedroom, single-family dwelling, built in 1968, and a 28' x 32' accessory two-car garage with second-floor living space. The site is served by public water and an on septic system sized for four. bedrooms. Procedural & Hearing Summary Appeal No. 2015-005 for a variance from §240-47.1(A)(3)to permit a detached family apartment at 685 Strawberry Hill Road was filed at the Town Clerk's Officeand office of the Zoning Board of Appeals on December 29, 2014. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened February 11,- 2015 at which time the Board found Ito grant the variance subject to conditions. Board Members deciding this appeal were Craig Larson, Alex Rodolakis, George . Zevitas, David Hirsch and Matthew Levesque. W i 'Luis Alberto Dos Santos represented himself before the Board. He stated that the space above the garage was existing and vacant and he wished to convert it into a family apartment for his daughter. He confirmed that he understood all of the conditions and requirements of the family apartment program. Public comment was requested and no one spoke. Findings of Fact At the hearing on February 11, 2015, the Board unanimously made the following findings of fact for Appeal No. 2015-005, a request for a variance from §240-47t 1(A)(3)J9 permit a detached family apartment at 685 Strawberry Hill Road, Centerville: 1. Luiz Alberto Dos Santos has applied for a variance to Section 240-47.1A(3) Family Apartments to establish a family apartment in an existing detached garage. The ordinance requires family apartments.to be located within or connected to a single-family dwelling. Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No. 2015-005—Santos 2. The subject property is located at 685 Strawberry'Hill Road, ;Centerville, MA as shown on Assessor's Map 249 as Parcel 060. It is located in the Residence D-1 Zoning District. 3. There are circumstances related to shape or topography of such land or structures and especially affecting such land or structures but not affecting generally the zoning district in P Y 9 which it is located. The detached structure in which the family apartment will be located already exists. 4. A literal enforcement of the provisions of the zoning ordinance would involve substantial hardship, financial or otherwise to the petitioner. The Petitioner seeks to convert existing living space into a family apartment. 5. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance. The intent of the subdivision was to make the lots accessory to the principal lots. The building is existing and the establishment of the family apartment will not change the single-family character of the property. - The vote to accept the findings was: AYE: Craig G. Larson, Alex M. Rodolakis, George Zevitas, David A. Hirsch, Matthew Levesque NAY: None i Decision Based on the findings of fact, a motion was duly made.and,seconded to grant Appeal No. 2015- 005 subject to the following conditions: 1. Variance No. 2015-005 is.granted to establish a family apartment on the second story of a detached accessory building at 685 Strawberry Hill Road, Centerville. The family apartment shall not exceed 900 square feet and shall have no more than one bedroom. 2. The apartment shall be constructed and maintained in substantial conformance with the elevations and floor plans submitted to the ZBA file, except that both staircases to the second . floor are on the exterior of the structure. - 3. The family apartment shall be maintained in withi the requirements of Section 240-47:1. ' 4. There shall be no renting of rooms or lodging permitted on the property during the life of this variance. 5. Prior to occupancy of the apartment, the Applicant shall obtain"septic permits from the Health Division to connect the accessory family apartment into the septic system on the lot. The Applicant shall provide detailed floor plans of the dwelling and apartment to the Health Division. 6. The number of bedrooms on the property shall not exceed four. 7. The property shall be in compliance with all requirements of the Building Code, local Board of Health, and Title V. The Applicant shall obtain building permits for the apartment as necessary. . i 8. When the family apartment is vacated or upon noncompliance with any condition or representation made, including but not limited to occupancy or ownership, the use of the family apartment shall be.terminated and this variance shall become null and void. At that time, this variance shall cease. The applicant or property owner shall Pe responsible for the removal of the kitchen, unless the unit is properly permitted under the Accessory Affordable Apartment i Program. Page 2 of 3 L Town of Barnstable Zoning Board of Appeals—Decision and'Notice ", Variance No.2015-005—Santos 9. This decision shall be recorded at the Barnstable County Registry of'Deeds and copies of the recorded decision shall be submitted to the Zoning Board of'Appeals Office and the Building Division prior to issuance of a Certificate of Occupancy for the family apartment. The rights l authorized by this variance must be exercised within one year' unless extended: The vote was: 4. AYE: Craig G. Larson, Alex M. Rodolakis, George Zevitas, David A.Hirsch, Matthew Levesque NAY: None • Ordered: Appeal No. 2015-005, a variance from §240-47.1(A)(3)to permitfa,detached family apartment at 685 Strawberry,Hill Road has been granted. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within one year unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section . 17, within twenty days after the date of,the filing of this decision,!a.copy of which must'be filed in the office of the Barnstable Town Clerk. ', ,` • tr efakj 1• 4 tr. . Larson, Chair ''Date Signed I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty 20 days have elapsed.since the Zon ing Board of Appeals filed this decision,and that t P 9 P _-Y( ) Y , no appeal of the decision has been,filed in the office of the Town`Clerk. <.r under the ains and •8t . Signed and sealed this /l�day of f��� d. perjury.' s, ;� Ann Quirk, Town Clerk, 7' �, • •� ` k . I Page 3of3� . d - n a ry , e w { Town of Barnstable Assessing Division ;� lend" 367 Main Street,Hyannis MA 02601 www.town.barnstable.ma.us Office: 508-862-4022 Jeffrey A Rudziak,MAA FAX: 508-862-4722 r Director of Assessing ABUTTERS LIST CERTIFICATION 'January 9, 2015 ; RE : Adjacent Abutters List For Parcel: 249-060 685 Strawberry Hill Road Centerville, MA 02632 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcel. They appear on the most recent tax list with the mailing addresses supplied excepting parcel 249-066 with a card attached for new mailing address. Board of Assessors Town of Barnstable v _ 1AUuucrtceporl Page 1 of 3 Zoning Board of Appeals (ZBA) Abutter List for Map & Parcels : ' i 249060 Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Total Count: 46 Close Mailing Map&Parcel Ownerl Owner2 Addressl Address s 2 CityStateZip Country Deed s 229055 YASI,PAUL F X& 9g pHILLIPS AVE SWAMPSCOTT, C133686 MAUREEN MA 01907 249007 CROZIER, FLAVIA M 128 CHILDS STREET I CENTERVILLE, 25528/146 MENDONCA MA 02632 %SWEET,SUSAN M, BRYANT,ANNIE B 987 WEST MAIN CENTERVILLE, 249053 ESTATE OF LAPIER, BONNIE LEE BRYANT JR,JOHN R STREET MA 02632 #D1223058 249053001 SWEET,SUSAN M DANIEL RD REALTY CENTERVILLE TR TRUST 971 W MAIN ST I MA 02632 C175235 24905400A WEST SIDE PLACE p 0 BOX 245 ORLEANS, MA C293 LC 02653 24905400B WEST SIDE PLACE j ORLEANS,MA LC P 0 BOX 245 I 02653 C293 24905400C WEST SIDE PLACE P 0 BOX 245 ( ORLEANS,MA C293 LC 02653 24905400D WEST SIDE PLACE P 0 BOX 245 ORLEANS, MA C293 LC 02653 24905400E WEST SIDE PLACE p O BOX 245 ORLEANS,MA C293 LC 02653 2490540OF WEST SIDE PLACE p O BOX 245 I ORLEANS,MA. C293 LC 02653 2490540OG WEST SIDE PLACE P 0 BOX 245 ` ORLEANS,MA - C293 LC 02653 24905400H WEST SIDE PLACE ORLEANS,MA LC P O BOX 245 I 02653 C293 24905400I WEST SIDE PLACE I P ORLEANS,MA LC 0 BOX 245 C293 j 02653 24905400] WEST SIDE PLACE ORLEANS, MA LC j P 0 BOX 245 I 02653 C293 WEST SIDE PLACE I ORLEANS 24905400K LC P O BOX 245 I ' MA C293 02653 24905400L WEST SIDE PLACE ORLEANS MA LC P O BOX 245 ( 02653 C293 24905400M WEST SIDE PLACE p"j 0 BOX 245 • { ORLEANS,MA C293 LC 02653 I.` WHITE,CHARLES M 1 BARNBOARD' WEST 24905500A &JEANNE M LANE YARMOUTH, MA C246-1 02673-2525 HOUSING SANDWICH MA Z49055006 ASSISTANCE CORP %SMPL LLC 2A TIMBER WAY 02563 C246-2 24905500C HOUSING %SMPL LLC 2A TIMBER WAY I SANDWICH,MA C246-3 "ASSISTANCE CORP j- 02563 HOUSING a I SANDWICH, MA v C246-4, 24905500D %SMPL LLC 2A TIMBER WAY 02563 ASSISTANCE CORP 24905500E HOUSING %SMPL LLC 2A TIMBER WAY j SANDWICH MA ASSISTANCE CORP 02563 C246-5 HOUSING %SMPL LLC 2A TIMBER WAY SANDWICH C246-6 24905500E ASSISTANCE CORP o 02563 'MA r HOUSING SANDWICH,MA - - http://6,6.203.95.236/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 12/30/2014 . a ..a«vaa�vt'vaa. I 1"r'%' J Vl J . i 249058 PEASE,ESTHER I TR%MARCHANT,VICKI GE REALTY TRUST 424 COMMERCE BARNSTABLE, 10031/194 R TR ROAD MA 02630 BOTSFORD, 667 STRAWBERRY CENTERVILLE 249059 ]EFFREY W&LEILA HILL ROAD MA 02632 . 18769/305 A SANTOS LUIZ& TAMADULU REALTY 685 STRAWBERRY CENTERVILLE 249060 MARCIA TRS TRUST HILL ROAD MA 02632 23290/74 BELISLE 39 MARIE ANN CENTERVILLE 249061 JACQUELINE TR BLYSS TRUST#703 TERR MA 02632 10360/146 249062 DESMOND,MARY A %DESMOND, MARY A MARY A DESMOND 52 DAVIS ARLINGTON,MA 5570/212 &PAUL G TRS REV TRUST AVENUE 02174 249063 BARNSTABLE, 367 MAIN STREET HYANNIS,MA. 16543/52 TOWN OF 02601 GIANNETTI 718 STRAWBERRY CENTERVILLE, 249064 RUDOLPH V JR HILL RD MA 02632 14896/265 JOHNSTON, 706 STRAWBERRY CENTERVILLE 249065 LAWRENCE R HILL RD MA 02632 25312/138 249066 RYAN,JOSEPH A %RYAN, DAVID], ESTATE OF JOSEPH 28 BLUEBERRY HYANNIS,:MA PR 27412/57 A RYAN HILL ROAD 02601 , JOSLIN SUSAN E& 524 OLD EAST 249067 HAYES,JOSEPH N BARNSTABLE ROAD FALMOUTH, MA 26206/236 02536 TSUKERNIK %TSUKERNIK . 206 MT VERNON WEST ROXBA�RY 249081 VLADIMIR&LIYA VLADIMIR&LIYA STREET I MA 02132 23833/253 65BLACKBERRY HYANNIS MA 249082 BROWN,SHAWN M LANE 02601 22715/101 ANDERSON SUSAN 31BLUEBERRY HILL I HYANNIS MA 249083 G ROAD 02601 23098/245 LOVELL EDWARD A 682 STRAWBERRY I CENTERVILLE 249084 &MARJORIE HILL RD J MA 02632 1405/775 HARMAN, MARY A SOUTH BOSTON, 249085 13 BECKLER AVE 9765/263 ESTATE OF MA 02127. 249086 CAHILL,STEPHEN P 45 FOX RUN CENTERVILLE, 7806/330 &ANN M MA 02632 249087 DAVIS,BRIAN E CHERYL ANN DAVIS 654 STRAWBERRY I CENTERVILLE, 3814/82 HILL RD MA 02632 249088 GOODWIN,JAMES B ROUGH WATER p0 BOX 977 I HYANNIS, MA 27163/257 TR REALTY TRUST 02601 HAKALA KENNETH 728 STRAWBERRY CENTERVILLE 250008 A&FAITH S HL RD I MA 02632 2893/242 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 12/30/2014. i http://66.203.95.236/aicims/appgeoapp/AbutterReport.aspx?type=ZBA 12/30/2014 Property Location:685 STRAWBERRY HILL ROAD MAP H):249/060/// Vision 1D•18043 Account# Bldg#: 1 of 1 ANTOS,LUIZ&MARCIA TRS 1 Level ublic Water 1 aved AMADULU REALTY TRUST as 85 STRAWBERRY HILL ROAD p ptic ENTERVILLE,MA 02632 SUPPLEMENTALDATA Additional Owners: ther ID: Plan Ref. 564/60 plit Zoning Land Ct# er.Prop. #SR esExpt Qual YES Life Estate DL 1 Notes: DL2 IS ID: 18043 ASSOC PD)# RECORD:OFORMRSHIP' Bg:_VQL/PAGE. SALE.DATE: /u' v� SALEPRICE V1 ANTOS,LUIZ&MARCIA TRS 23290/ 74 12/01/2008 U I 1 11 ANTOS,LUIZ&MARCIA 12974/304 04/28/2000 Q I 132,000 0( WING,ERNEST A&CAROLINE 7111/ 37 03/15/1990 U 1 1 A EXEMPTIONS: `.: r OTHER ASSESSMENT Year ' Tvpe I Description Amount Code Descri lion Number i 2010 5C �RESEDENTIAL EXEMPTION 0.00 ASSESSINGNEIGHBORHOOD NBHD/SUB NBHD Name Street Index Name Tracing 0105/A NOTES F BUIL`DINGPERtNITRECORD....-- =: Permit ID Issue Date TvDe Oescription Amount Ins .Date %Com . Date Comp. 65003 10/31/2002 OB Out Building 18,000 07/15/2003 100 01/01/2004 59494 03/06/2002 AD Addition 0 10/03/2002 .100 01/01/2003 LAND;LIIVE VAL UATION B Use Use Unit I. .. Acre C ST. # Code Description Zone D Front Depth Units Price Factor A. Disc Factor Idx 1 1010 SingleFam MDL-01 RD-1 3 0.48 AC 124,000.00 1.8421 5 1.0000 1.00010' ` Total Card Land Units:1 0.481 Rr Parcel Total Land Area .48 AC Town of Barnstable Geographic Information System December 30,2014 23013 . 6 250002CND 250004 #102 230186 91130 250005 #1047 #64 250007 250006CN D #1069{ 250001 230185 Zg 250009 #740 At 1087 r 250003 #979 076 NTH locoRTE #1107 #z] 230184 #60 • FP�Ma 249069� 24907o 249071 OR #4 '#58' �#64 2490n 229100002 _,_::::::..:: :::':: r #76 249073 #1149 250049 #980 - _ #4 2 '.'�49g530Q1> :' ''r='- `r 249067•i':: 22e100003 - ^ ����-�•• -- RD 229100001 r >:# ^'':;.•. r ll y F?> '17�713. :2d9O8r�;: ftft 249077 �'1 %" 7A9t53#.1195 'Y'- - 13 B�. 70 fi- _r.- IE- 'aR �#59 - rs trr #ss 249076 L 229121 :•. #81)r #1000 249078 : 03= :r • °•rr #31 ;•gam :.�.�;:C":�%�,,:. ' 229101 -.' iE#50 #990 249054CND':i 249122 �.._ # L249123 AW#:; . n ids _ - - -�.r.::. 249079 9s -: W if so :$8 5� 229061 S7 #103 1 229060 .�. 2asoscHb # of .=;•' s '�':� Q r, -•✓'�'�- Y � 249120 #94U 4 J 229059 - 4Z 249080 •► 249 19 6 1 `249 n #7 #t 007 229 229057 249116 #1001 9987 :E.::: #57 IF l E V , 6249059;:':.� 249115 249117 ® :`24l3�7' 56 ' # 71 :>.' "#47 24911E 229 i' ifs��'•.:::" :-'.]. • 249114 249109 #20 ''z2so55:= 249088 k #3s c% #644 q 49113 s y - - — -- - - �249110---� - #47 - --- FS # 229113 229054� #137 '4i', 249111 c�.p #126 `ram #17 :....? A.249019 249112 1 #905' 249105 #5 00 #128 lF:::. 249018 249005 #617 229053 #119 #0 -249094 >� 249028 #744 229052• t #889 0 104 Feet =90 1 #258 2asooa 2#o1�o4e 2 5� t 17 249031#855D i�� #.103 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:249 Parcel:060 Zoning Board of Appeals(ZBA) boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Parties of interest are those directly opposite subject lot on are only graphic representations of Assessor's tax parcels. They are not true property any public or private street or way and abutters to abutters. Notification of all Abutters boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as building locations. Buffer '.%i ..... .. . .. . ' ;+pLEGAL NOTICELEGAL NOTICE i Nd ,7 ,fkf't?m(f!unr10 A,rrr.+ .v �• ! 6' r1TOWNOF.BARN$TABL'E '!! '. P flit +TOWN OFBARNSTABLE t. +�<zth:' r , :,ZONING BOARD40FAPa?EALS BOARDOF APPEALS c NOTICE.I HEARINGS.UNDEKTHE i, NOTICE OF-PUBLIC,HEARINGS UNDERTHE t ZONING.ORDINANCE.`4` i+ I I I' I z 4rZONING OttDINANCE � );r�JANUARYs2&12015 "'��r'�w+?' To all persons interested In or,affected by the actions of To,all persons interested m or affected i, . a otl s of the Zoning Board of Appeals,you:are hereby.notified;: n�hevZADingrBoard!ufiAPpeals,you aleijhefeby n fled, i,pursuant,to;Section.11.of,Chaptgr,4pA of the.General;; Laws;of,the..Commonwealth of Massachusetts, and,:, pursuant to.-Sedion.11 of Chapter.40A of the General all amendments;thereto,'that a!p, t6iic hearing on LIM Laws ofthe:Commonwealth of Massachusettsand all. following appeals will be held on WednesdayJarivary amendmentsiheret0 thata public heanngonlhetdlowm9 28 2015,at the time indicated. appeals will be,held on Wednesday January 28,2015,, i;i7:00.PM 1 Appeal,No:2015-005;Santos ,i „+, • at the time.indicated Luiz Alberto.Dos Santos has applied for,a variance 7:00 PM Appeo.No.201.5-005 Santos r, to. .Section•240-47.1A(1) Family;,4Apartments ,,tot.l •,LUiz Alberto;Dos,Santos�has applied f0r a variance to establish.a family%apartment in an:existing detached`l . Section240-47.1A(1).FamilyApartrnerRsto;estibllsha.. garage:The ordinance:requires family'apartments' family;apartment in an-:exiAlIg detached garege The. to be locabsd within to be located';within'or;connectedto.aisingfe=farriily,;I bidinarlcereg iresfam�y,,aperbnents., `dwelling,;,The,.property Is,Iocated at:685'Strawberry or.Conhected'to a single famrly'dvveliin9 The P!9perlY rs, HiII Road;:Centerville, MA,as shown oh Assessors; located'at685 SWdwberry'Htll Road,-Hill;. MA as. Ma0.249.,as:Parcel.060 Itis located in the Residence shown on Assessor's Map 249 as Parcel 060.It is located: !' r n+;. ' k !' ! r in the Residence 0 T Zoning District' i D-1'Zoning:DlStrict , 7:00 PM Appeal':No 2015-067•`.Santos_r ' 4'r i' "•?i.' 7.00 PM Appeal No.2015-007Santos t 'LuizAlberto Dos;Santos'has:petitioned for a.Special0 Luiz.Alberto,Dos�Santos has;petitioned for.a:Special; :Pprfirl .r in;;Acconiance'`:witltK.Sectionr,24,01t7;:1A(3).' Permit in accordance with Section 24047,1A(3),FamilY.: Family,;Apartments to construct a<896•sgquare foot i Apartments to:conslructa;896 squarelfootfamily.apart family,apartment'Family apartments,in excess'ot800"' ment.Family:apartments in-excess of 800 square feet- family square feet'require a special permit±from the'Zoning o ;.require a special perinRfroihthe:Zon?ng Board ofAppeals: .Board'of:Appeals The".propeily:,ie locatedv at 685 i; The properly;ts locatedat 685 Strawbeny:Hill Road,Can-,! Strawberry;H?II;Road, Centerville ;MA as,shown on, "'terville;.MAas shownWA►ssessoe's,Map 249 as Parcel Assessor's Ma,249 as Parcel.060.;It is located in.the 060:It.is located in the Residence D=1 Zoning District "' P al No 2015-006 Habitat for Humanity Residence D;1:Zomng District 7:01 PM.Appe 7:01 PM Appeal No 2015 006'Habitatfor Humanity of Cape Cod,lnc M1 of Cape Cod,lnc i, Habitat for Humanity of Cape Cod ilnc as prospective Habitat for Humanity of Cape Cod,lnc',as prospective owner has'applied foraComprehensive Permit in actor owner, haslapplied foh'a.;Corriprehensive;Permrt in, dance with MGL'Chapter40B;.§§20-23and.760.CMR56:' accordance.wdh.:MGL Chapter40B,;§§20'23'and 7601' Theyare proposing'ip;divide:a 1,03 atxe parcel into two.' CMR'56..They;are proposing;to divide a`'1.03 acre I ' buildable lots', to-.be developed with anaffordable,. 4.parcel'into two buildable'lots;reachjto'be rdeveloped`j iw-be family dwelling!Waivers are being 'Fwith` an'`:affordable, ' two-bedroom ift single-family La sought i the two'acr.e minimum tot area requirement I dwelling: Waivers;':are'bei4,i. ought from;ithe two,fl of the,Resource Protection Oveday.Drstrid and:from the -acre area requirement of the Resource`I 'requirementsofChapter•397'Weils:forthe.installatlonof r 1.1!Protection Overlay District end from the.requirements : a private water supply The property is located at 1819 01d. of Chapter397„-:Wells,for the insfallatlon of'alprivate Stage Road,WestBamstable;MAas.shovm on Asses watersupply.The property Is located at1019 Old Stage:'I i sor1,s'Map;152.as..Parce1,036.i1t is in.the.Residence Farid,': Road:iWest:Barnstable;MA asIshown:on Assessorlsnt {:w Resource Protection OvedayZoriing Districts:" " :i ,Map 152,as,Parcel.036;It,isi in.,the,Residence F,and,i l 7.03f PM Appeal No 2015-009 Laham.iManageme, Resource Protection Overlay Zoning Districts . 8'Leasing;`lnc}"'?r I t`'? t c 7:03.PM;Appeal No.2015-009 Laham Management Laham•Management 8 Leasing`Inc aslessee'has:' L;, Il l'f a Ired_for;modify Use Variance No 11968 06 which: $Leasing;Inc',: PP, ''Laham'Management 8.Leasing�Inc`.as"•lessee has i!,; authorizes'the.,northem portion of-the site,(Lot B on.Plan i ;:applied::for,modify.UseNiel-dance,No..1968;06;whichl•ir BookrlltPagaA03).to.L - .d':forautomobile,saleI '• r fipnt asks to raze the existing build , authorizes the riorthem.portion of the site(Lot 8 on service The App Plan`Book 11 Page 103)to ing•a be used+for automobile 'I rrd conshucta new:txrrlding containing a private qr ;wash and three detail tiays plus assocated parking'The,'. I'sales and service :The±Applicant seeks ,to raze ': property is,located at49 Bearse Road Hyanrns MA as the:existing building and construct a new building •shown,onAssessors-Map311es:Barce1040:+Itisin'the contafning.a private car wash anif three.detari bays,; 'ResfdenceBandGroundwaterProtecbonOveifayZoning .. i Districts plus associated parking.The.property Is located at 49 i 8earse`Roed,Hyannis;MA as.shown.on Assessor's, ,7:04 PM,Appeal No.2015-010 Laham Managements? :.Map%311 as Parcel 040.at is rn:the',Residenpe B and,;: , :B,,Leasing;a[1c ' !r! } `,.Groundwater Protection Overlay Zoning Districts . . Laham:.Management'&Leasing;Inc has,;applied for 7 04 PM Appeal No 2015-010.iLaham Management '' use variance from Section 24011.,Resrdence+6 Zoning esfabhshwehicteistorage parlung to be used`,I Leham.Management;B Leasing;:,lne,has iapplied, 11 in conjunction with the ewsLng au to mobife::dealerstiip r'iforPuse:variancefrom;5ection:240;11;-(Residence,B,� located at25'FalmoufhRoadand:28HallettRoad The�,� rZoning:District)to establish vehicle storage'parking applicant is'proposing`to raze an existing freestanding to,be used in conjunction with the'ewsting automobile garagearjd resrdentiai dwelling and redevelopxthe7parcel .I dealership located.,rat;25eyFalmouth'<Roediiand 28 for:parking°The property is loceted at 29 Bearse Roan Hallett Road.The applicant Is proposing tq ireze an ;; Hyannis MAas shown onAssessor's Mep 3.]1 asp ail II " . sMctsB'aStdG�uw039 is he Reidedinggaragand;reside[tial dwelling }t Ovexisting freesta e The eday Zoning i and redevelop the parcel o parking located j aC 29'Bearse:Road.Hyannis,`MA?as shown : 7:05 PM Appeal No 3015-011 Laham Management$ on Assessor'slMap`311 as parcel 039 )Via.m,the, Leasing lnc. + , Residence.B;arid)Groundwater,Protechonl Overlay1 l: Rhein Management&Leasing'Inc as lessee is seek-:;I Zoning Sp�ciallPermstpursuant to Section 246 93E and. . 7:05 PM Appeal No 2015-011 Laham Management 21 .11,for.fhe....site@lion an...,:expansion of a noii nco.. i 8 Leasing,Inc I. l. a„1, a , rr it t,.rl r!4?!,t? forminghuildinganduseofthepremises Theapplicantis :.Laham s;Management&'1 Leasing :Inc as lessee i is r' proposing o raze the eiasbng 2 816 square,foot building seeking.a- pun;uanI to_Secbon`240,::- consisting of 3 automobile bays and offices'useda con .93B'and 240-94B.for.the alteration and/or;expanslon ;junctionwithtiiedealerishrplocatedat25FalmouthRoad` of a,nonconforming building and use of the;'premises•-:. and 28 Hallett Road sand construct one new 2 450 square.; carwash arid three detail'' 'The,applicant is proposing to raze the existing 2 816•:' {footbuilding;contamgapmrate._is located at49 Beare square;foot.building .consisting'of 3 automobile bays; bays plus;parlung The property, "and.;offices used an"conjunction'•with+.the,dealership.:: Road;Hyanms rMA''as shown on PssesSol Map`311` as parcel 040 It is in the Residence B end Groundwatenl located.at 25,F,almouth;Road and,28 Hallett Road ping Districts and construct one,new 2 450 square foot building;: Protection Overay .. contalning.a private;car wash'and three detail bays„ ;These public hearings will be held at the Bamstable. l;:,plusrparkin,,9 Theiproperty'isrlocated at49gBearse':,; 'Town Hall;'3671Mein'S6ee0yannis MA'HearingRoom': ;; Road, Hyannisn?MA'ias shown?:onfAssessors(Map: 1ocatedonthe2nd906r Wednesday'Jarivary28;i2015; 31l asi:parcel I040.?�It(rs,,J it CResidence B and„ r Plans and applications maybe.reviewed at,the Zoning Groundwater Protection Overlay-Zoning Districts .,i;} „ Board ofiAppeals Office;Growth Management Depart These public heanngs;wrll be held at.the Bamstablel ;ment,iTownOffices ?00MainStreet!Hyanms MA. A„ ':Craig G'Larson"Chair'°Yr(u dM,rr r Pa 3,a;b, :IT i Town.Hall, 367 Main'.Street ,Hyannis M. `Hearing, : eels Room;located onithe 2nd Floor•Wednesday January::. Zornng Board ofApp, f 19Jrid +,1lca, , ,28, 2015,Plansiand:applrcationsamay be reviewed, at-the,Zoning Board t of Appeals Office ,Growth., The Bamstabie Patriot' Management,Department Town)Offices 200 rMain, "January.9'andJanuary'16!2015 Street;Hyannis Y.. .. i r( Craig G.Carson Chair'` p i_'!; i;Zoning Board ollAppeals The!Barnstabfe;Patriot �i.l + •"'' ,., ! 'i} -i` r"` January 9 andJanuary:16,:2015. ,i,:;;,.;,:.••;• :;.i;:r;I BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register ' PLAN BOOK 107 PAGE 145 ZONING DISTRICT RD 1 PROPOSED STAIRS AND 4' x 4' LANDING (93.00 PER DEED) SETBACK REQUIREMENTS: 81.36' FRONT YARD 30 FT. r� SIDE AND REAR YARD 10 FT. J W . 16 00 A> 'o 12.0 0 EXISTING GARAGE 3�5 10.9 ATTACHED SHED N EXISTING D 25.3 DWELLING - o � .o OC o AREA OF .� o EXISTING S.A.S. o � o v DECK v c� LOT AREA 19,168f S.F. NOTE: SHED IN THIS AREA NOT SHOWN 114.23' (118.00' PER DEED) BUILDING PLOT PLAN DCE #15-082 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE 685 STRAWBERRY HILL ROAD LOCATION PREPARED FOR: CENTERVILLE, MASS. SCALE : 1 " = 20' DATE : MAY 4, 2015 LUIZ SANTOS ASSESS. MAP 249 PCL 60 REFERENCE DEED 23290/74, PB 107/45 AND LCP 10747C I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS, SHOWN HEREON. ���(NOFMgSs�c off 508-362-4541 DANIEL ties fax 508 362-9880 A. OJALA N No.4osso down cape engineering, Inc. Cl VIL ENGINEERS su LAND SURVEYORS DATE REG. LAND SURVEYOR 939 Main Street - YARMOUTHPORT, MASS p ABBREVIATIONS.' f. ELECTRICAL NOTES . ,JURISDICTION NOTES. - f A AMPERE 1., THIS SYSTEM IS GRID-INTERTIED VIA A " AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING.INVERTER.` a + 2.. THIS SYSTEM HAS NO BATTERIES, NO .UPS.. . .:, :> _ BLDG BUILDING CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING - ' 7',". , " • _` ..4° : a ... ', L _ `'., 4 _ •T 5 •. :J^� ,' . r ,#, a ..}:; .. - DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN . EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. -110.3. . ` ;" „ #°+` .. 4. WHERE ALL TERMINALS OF THE DISCONNECTING (E) EXISTING � - • _ I THE OPEN POSITION < EMT. ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED N E A SIGN WILL BE PROVIDED WARNING OF .THE }$. fS6 FIRE SET—BACK. ,� GALV GALVANIZED HAZARDS PER ART. 690.17. " EACH UNGROUNDED CONDUCTOR.OF, .y. GEC GROUNDING .ELECTRODE CONDUCTOR . ' �,,- -�' S• E ' `• '_ ' _ ° GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY x Ar, ` : � �• . HDG P R°ART: 10.5. . T DIPPED GALVANIZED ,. ,, , PHASE AND SYSTEM E 2 .,-: F .. ,'. •� .-,:� ': _ . ,e ; °'�:-' „ , CURRENT. 6.. CIRCUITS OVER 250V TO GROUND,SHALL ., Im CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92 B . P Isc SHORT CIRCUIT CURRENT `7.,' 'DC CONDUCTORS EITHER DO NOT ENTER .- -,: .,.. ' _' <� BUILDING OR ARE'RUN OR kVA . KILOVOLT AMPERE :-,.., .-,,, kW KILOWATT � ENCLOSURES TO THE FIRST ACCESSIBLE DG ; - °r . ', ,., .� ;e: s ;-� •R : �.. ., . ; . " "'--.;� ,r", ,. ,. . ,.. LBW . .LOAD _ , DISCONNECTING MEANS-PER ART: .31(E).690ARING WALL y t g ,..y ;. . _:: •x. , .3 ,_ . "' 4.. ' .. . . : a =: , - MIN MINIMUM ,, ,, 8. g ALL.WIRES.SHALL BE PROVIDED, WITH STRAIN. �. RELIEF .AT ALL ENTRY INTO BOXES AS.REQUIRED BY.. .NEW- .•, _ ;, , ,a EL ; r ` 5 - ..,.. .i .. _ UL LISTING. � ,_ �„ - ,. +, ,..,; .. . NEWT NEUTRAL r ry ,: - ., 9, MODULE FRAMES SHALL BE :GROUNDED-AT THEE ;. z, : f. `y : NTS ..NOT T0.SCALE y ._. .. ,, , ,.« a. , . . UL_LISTED-LOCATION PROVIDED BY THE OC, ,ON CENTER. , _ - LISTED GROUNDING • .: .:_ ._> . .... ;. . ". ,,. ,- . °- ,� _ .,. _ ,e • PL r PROPERTY LINE °a. ,: _ MANUFACTURER USING UL WARE.HAR - . _ , . , ^� ,, ;� �•`', �t • P01"- "POINT OF INTERCONNECTION :'. " . D ' P,V - ' PHOTOVOLTAIC., '. . - 10. . MODULE' FRAMES.RAIL AND POSTS:SHALL.BE ; . �. . m.. � .: "` ' ' �, > -,;' •' �,,: " b ." .. '' . t N WITH EQUIPMENT GROUND CONDUCTORS. t : • } r.- -SC SCHEDULE BO DED Q x :. .... - ..".. ,� .,. , ,.. a : ., "? :: '. -, ..' + .." • *3' tf .. n ' S STAINLESS STEEL T PING .CONDITIONS' r "STC .STANDARD ES A 4 s a TYPUPS TYPICAL F. NT RR PTIBLE POWER SUPPLY _. .- •. '' _." - V .VOLT r i , I � , TYMA�PVICINI _. . � INDEX'Vmp VOLTAGE ATMAX POWER -VOLTAGE AT' OPEN CIRCUIT WAII PV COVER SHEET 3R NEMA 3R; RAINTIGHT °� »t- - PV2 . SITE PLAN PV3:' STRUCTURAL°VIEWS , r♦ PV4 THREE LINE DIAGRAM- y,. r o-. <; " �{ Cut§heets Aftached ` 4 , LICENSE GENERAL NOTES x fi , ii l +� GEN #168572' 1. ALL WORK' TO BE•DONE "TO THE,BTH EDITION ELEC'1136 MR" OF THE MA'STATE.BUILDING CODE. 2. ALL:ELECTRICAL WORK SHALL COMPLY WITH • j THE 2014 NATIONAL ELECTRIC CODE INCLUDING , 4, MASSACHUSETTS AMENDMENTS. 2 MODULE GROUNDING METHOD: ZER SOLAR I AHJ: Barnstable REV BY DATE COMMENTS 4 , NTS s r �.e - ' " �{•�- � REV A NAME DATE UTILITY: NSTAR Electric (Commonwealth Electric) AIL i — J B-0 2 6 2 4 0 6 0 000NFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: 'INCNC C CONTAINED SHALL NOT BE USED FOR THE SANTOS,"-`LUIZ' SANTOS RESIDENCE Matt Morse ,`�t, BENEFlT OF ANYONE EXCEPT SOLARCITY INC.,N MOLE OR IN MOUNTING SYSTEM: 6 RRY—FALL RD _ ,.k . ' /�1\ Oh� I NOR SHALL IT BE Disaos 85 STRAWBE :. 4.94 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS Comp Mount Type C MODULES CENTERVILLE •-MA 02632 x" ORGANIZATION, EXCEPT IN CONNECTION WITH 24"St.'Martm''Driver'Bwldm 2, Unit THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-260PDO5.18 ',K PAGE NAME: MEET: REv -DATE: * Madbwough,MA'01757 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: L 650)638oroug .F (61752 8-1029 � PERMISSION OF SOLARCITY INC 5O8 843-9564 ` :.PV 12/21/2015 (IaBB)-sol=aTY ass-z48s) wwrasulnrcit SOLAREDGE. SE5000A—USOOOSNR2 ( . .,.�. , ;COVER SHEET:. ( y.aan r a. , a 4 < PITCH: 20 ARRAY PITCH:20 MP1 AZIMUTH:251 ARRAY AZIMUTH:251 MATERIAL: Comp Shingle STORY: 1 Story 011 O C 7G) © Inv D 11 .I A Front Of House N of LEGEND � N ti0 E) UTILITY METER & WARNING LABEL 0 L ti Inv INVERTER W/ INTEGRATED DC DISCO 3 1 D & WARNING LABELS Q 9 � O® NA NG� DCDC DISCONNECT & WARNING LABELS 12/21/2015 AC AC DISCONNECT & WARNING LABELS B Digitally signed by Nick Gordon O DC JUNCTION/COMBINER BOX & LABELS Date:2015.12.21 10:26:35-08'00' 0° DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS ODEDICATED PV SYSTEM METER 0 STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR — GATE/FENCE co 0 HEAT PRODUCING VENTS ARE RED w cr INTERIOR EQUIPMENT IS DASHED (E)DRIVEWAY C SITE PLAN _ Scale: 3/32" = 1' W 01, 10, 21' f a S J B—0 2 6 2 4 0 6 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN, JOB NUMBER: CONTAINED SHALL NOT BE USED FOR THE SANTOS, LUIZ SANTOS RESIDENCE Matt Morse I_SOIarClty BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ' NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 685 STRAWBERRY—HILL RD 4.94 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MooDtE CENTERVILLE MA . 02632 " ORGANIZATION, EXCEPT IN CONNECTION WITH r 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-260PDO5.18 g{�; REY: DATE; Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T: (650)638-1028 R (650)638-1029 PERMISSION OF SOLARCITY INC. I"`OLA 508 843-9564 PV 2 12 21 2015 (868)—SOL—CITY(765-2489) ww•.solareitymm - SOLAREDGE SE5000A—USOOOSNR2 \ ) SITE PLAN / / PV MODULE 5/16" BOLT WITH LOCK INSTALLATION:ORDER _ S1 & FENDER WASHERS LOCATE RAFTER, MARK HOLE 46 ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL PILOT HOLE WITH (4) (2) POLYURETHANE SEALANT.+ '-6' '-9it '-9" of ZEP COMP MOUNT C — (E) LBW ZEP FLASHING C {3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. • SIDE �VIEW OF MP1 NTS (,) (E) ROOF DECKING V (2) IN _ STALL LAG BOLT WITH 5/16» DIA STAINLESS (5) (5) SEALING WASHER. MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES STALL LEVELING FOOT WITH SEALING WASHER. (6) IN LANDSCAPE 72" :24 STAGGERED •WITH : . , - BOLT & WASHERS. (271/2' EMBED, MIN) PORTRAIT 48" . 19" , (E) RAFTER �� ROOF AZI 251 PITCH 20 . - - RAFTER 2x4 @;24 Oc SroRiEs: 1 �TArOF; ARRAY AZI 251 PITCH 20 .2x4 @24 OC= . E Comp Shingle -, ,- .- .. cale:.1 1/ = F. } s •- OF N G ry m a v y Sg NAL ENS' 12/21/2015 , CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 2 40 6 00 PREMISE OWNER: DESCRIPTION: DESIGN: \�`s CONTAINED SHALL NOT BE USED FOR THE SANTOS, LUIZ SANTOS RESIDENCE Matt Morse ,;SOIarCIt BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 685 STRAWBERRY—HILL RD 4.94 KW PV ARRAY " y., PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES CENTERVILLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH a 24 St- Martin Drive, Building 2, Unit 11 < THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-260PDO5.18 PAGE NAME SHEET: REV: DAZE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T: (650)6J8-1028 F: (650)638-1029 PE OF SOLARCITY INC. SOLAREDGE sE50o0A-us0oosNR2 (508) 843-9564 STRUCTURAL VIEWS PV 3 12/21/2015 (888)-SOL-CITY(765-2489) www.solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND N 8 GEC TO TWO N GROUND Panel Number:G303OB1100CU Inv 1: DC Ungrounded GEN #168572 ( ) # ( ) INV 1 —(1)SOLAREDGE ##SE5000A—USOOOSNR LABEL: A —(19)TRINA SOLAR ## TSM-260PDO5.18 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2267001 Inverter; 5000W, 240V, 97.57.; w/Unifed Disco and ZB,RGM,AFCI PV Module; 250W, 236.9W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR r Overhead Service Entrance INV 2 Voc: 38.2 VpmOx: 30.6 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E� 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER—HAMMER IOOA/2P Disconnect 2 SOLAREDGE SE5000A—USOOOSNR2 (E) LOADS A L1 zaov L2 N 1 _ 3OA/2P ____ GND EGC/ DC+ DC- A ------------------------------ - GEC ---lN DC DC- MP 1: 1x19 EGC -—-—-----------—-----------—----------- *� I N o EGC GEC z � l 1 - GEC_r-y TO 120/240V SINGLE PHASE UTILITY SERVICE I I I I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (1)SIEMENS 02 PV BACKFEED BREAKER Q (1)CUTLER—HAMMER DG221URB PV (19)SOLAREDGE 300-2NA4AZS Breaker,#3OA/2P, 2 Spaces ^ Disconnect; 30A,�24OVac, Non—Fusible, NEMA 3R AC PowerBox 6ptimizer, 30OW, H4, DC to DC, ZEP DC —(2)Gro�gd Rod DPP —(1)CUTLER—kIAMMER DG030NB n d 1 AWG Solid Bare Copper 578 x 8, Copper Ground eutral It; 30A General Duty(DG) ( ) #6 PP —(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 2 1 AWG#10, THWN-2, Black (2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O I4E(1)AWG #10, THWN-2, Red O LPL(1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=13.93 ADC LL��LL o (1)AWG #10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=21 AAC , , . , . , . (1)Con0uit Kit;.3/4'.PVC,Sch.,80 . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . 70 AWG#8,.TFLW472,,Green , _ EGC/GEC, (1)Conduit.Kit;.3/4".PVC,.Sch. 80. , . . CONFIDENTIALDEN — THE INFORMATION HEREIN JOB NUMBER B-0 2 6 2 4 0 6 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: DAL — p SolarCit CONTAINED SHALL NOT BE USED FOR THE SANTOS, LUIZ SANTOS RESIDENCE Matt Morse BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: 4. y " � NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 685 STRAWBERRY HILL RD 4.94 KW PV ARRAY 1*4 PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES CENTERVILLE, MA 02632 24 St. Martin Drive,Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-260PDO5.18 PACE NAME SHEET: REV DATE: Mad borough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PERMISSION OF SOLARCITY INC. 508 843-9564 T.PV 4 12 21 2015 ow (650)638-105— F: (65 w 636-1029 SOLAREDGE SE5000A—US000SNR2 ) THREE LINE DIAGRAM / / ( )—sa—GITY(765-246g) www•salar�it.��, II •• o 0 0 •o - o Label Location: Label Location: Label Location:, ` (C)(CB) WV� (AC)(POI) 1 0 (DC)(INV) Per Code: _ ._° Per Code: M110 _ o 90 _° Per Code: NEC 690.31.G.3 °o 0 o e - NEC 690.17.E ° o ° o- o NEC 690.35(F) ,. _ Label Location: - o :o ° - o 0 0 • •- TO BE USED WHEN (DC)(INV) o•° ° - i -o ° ° • ° INVERTER IS Per Code: IT m. [o]r�,)M-o o ° UNGROUNDED D O NEC 690.14.C.2 - Label Location: a Label Location: o 0 0 -o CP (POI)°" _ e o . Per Code: ,., •o (DC) (INV) y -o - o o NEC 690.17.4;NEC 690.54�, ,P, t k} Per Code: • -° oe o 0 0 ' NEC 690.53 If e MEN INIMIYA � r t s a .n - Label Location: ,. e•�' 0 � .( DC) INV • Per Code.. Q -o ° o ® °•-° ° NEC 690 5(C) Label Location: p (POI) Per Code: e ° o NEC 690.64.B.4 Label Location: (DC)(CB) t • o ^ _° Per Code: Label Location. . NEC 690.17(4) (D) (POI) r • o :o ° o 0 o Per>Code: o•° ° - ° NEC 690.64.B.4 0 o Label.Location: INN L/Ao [a (POI) Per Coder �: Label Location: o e NEC 690.64.6.7 (AC)(POI) oo e - o - . (AC): AC Disconnect Per Code: (C): Conduit NEC 690.14.C.2 (CB): Combiner Box i (D): Distribution Panel . (DC): DC Disconnect -. (IC): Interior Run Conduit Label Location: - (INV): Inverter With Integrated DC Disconnect @fir • (AC)(POI) (LC): Load Center Per Code: r� NEC 690.54 (M): Utility Meter (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR amMil If"Or 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED w •. 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 WITH THE SALE AND USE OF THE RESPECTIVE SolarCi SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. (888}SQL-CIfY(765-2489)wwwsolarcty.com o " li' 50�8fClty I ®pSolar Next-Level PV Mounting Technology " $O�afClty I Zep Solar Next-Level PV Mounting Technology Components Zep System for composition shingle roofs i' y - .Up-roof - -y` Leveling Foot �^ Ground Zep Interlock (xCr sde Oh nt Part No.850-1172 Lereling Foot- - - a ETL listed to UL 467 " Zep Compatible PV Modute� - • O Zep Groove _-,•�.,=. - ,;�,.,,..•� Real Attachment Array Skirt Col!t'tp Mount "•�'`+. Part No.850-1382 Listed to UL 2582 Mounting Block Listed to UL 2703 h� e�� Description - • PV mounting solution for composition shingle roofs Works with all Zep Compatible Modules lion" 06w, Auto bonding UL-listed hardware creates structural and electrical bond - • Zep System has a UL 1703 Class"K Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" �L LlSreo Interlock Ground Zep V2 DC Wire Clip Specifications Part No.850-1388 Part No.850-1511 Part No.850-1448 Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs • Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 _ • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467 r • Zep System bonding products are UL listedto • .Engineered for spans up to 72"and cantileverer u to 2s up to 4" • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt,Grip, End Caps Part Nos.850-0113,850-1421, 850-1460,850-1467 zepsolar.com zepsolar.com Listed to UL 1565 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zap Solar 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 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 ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-001 Rev A Date last exported: November 13,205 2:23 PM Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM .,t .. - - solar=oo Solar 0 0 SolarEdge Power Optimizer ;. Module Add-On for North America-.. *a. o R• 'P300 / P350 / P400 SolarEdge Power Optimizer , . .. 'P300' P350 P400 ., -; ". r - ^'-for 60-cell PV -for 72-cell PV - for 96-cell PV Module Add-On For North America y ( modules) " ' modules) a / P350 / P400 INPUT P300 50 � i � Rated Input DC Power•� 300 m3 modules) W Absolute Maximum InputVoltage{Voc at lowest temperature) 48 _ 60 80. Vdc ., �. .. .. -. °' Operating Range 8 48 8 60 8-80� Vdc Maximum Short Circuit Current(Isc) 10 'InuYrtu~rt, Maximum DC Input Current 12.5 Adc Maximum Efficiency...... 99_S % , ' ... , Weighted Efficency ..... .. 98.8 %... ...... .. ......... .... - . Overvoltage Category ll - a 's " - ?'- - � _ � ;• '}OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) .. t. :..I Maximum Output Current ....................................... 1S ... ......... .....T.. --Adc a Maximum Output Voltage - 60 Vdc z OUTPUT DURING STANDBY R INVERTER OFF). . f -• � .—� OPTIMIZER DISCONNECTED FROM OR _ '.r> ^•^ Safety Output Voltage per Power Optimizer 1 Vdc 'e • -. :• ..� '�.�. iSTANDARD COMPLIANCE "i "EMC FCC Part15 Clais B,IEC61000 6 2 IEC61000 6 3 - ........... .............. ..... ................. ........ ........... v .. ....... ... ,untf0 ...............:. ' - - +' "Safety �IEC62109-1(class II safety),UL1741 - •: ...,, ... ..... - ... .. ............ .... ... ........ .. ROH$.. - ..... ....:. ...Yes _ - '.'.: 'MazTmumAAllowed SEtelm VolTage ;5.. 1000 Vdt , r, a .. .. ... .... ..V .. g,. ...... .. ............................ .... .. F. '' r • Dimensions(W zLx H) - 141x212x40.S,/S.SSx8.34x1.S9 mm./in a - .. ... ....... ....... ..-- ........................... • ..Weight(includm cables) ............................950/�1...:...:.......... .....-......: ..Br/I.... . _ .. ....................................................._ a - Input Connector ..............MC4/Amphenol/.Tyco.......................... ...... ,. ` c Output Wlre,Type/Connector - Double Insulated Amphenol s - .. ... .......................... 0.95 3.0.^ - 1.2 3.9 m ft -" pl Output Wire Length / /. / ' .. ., .. .. .. • .,. Operating Temperature Range c. ........ 140 +85/40 +185. Protection Rating - .........:IP6S/NEMA4 A .... ............ .......... - , .:........................ ................................................... ....... ....... - Relative Humidity..............: . - 0-100 % - , .. ..................... ......... .............................- ............ ....... .... ......... _ _s Raktl 52 power of lM1e module.Motlule of uP to.S%power tokrentc alla tl �- - •. - . _ 7PV SYSTEM DESIGN USING A SOLAREDGE •''" THREE PHASE THREE PHASE SINGLE PHASE (INVERTER 208V 480V PV power optimization at the module-level ramimum scri g Lengtn(Pov er optimizers) a 10 la „ . ..................................................... ` - Up to 25%more energy - ' +- Maximum String Length(Power Optimizers) .25 .. 50 - `-, _ Maximum Powerper String 5250 6000 12750 W Superior efficiency(99.5%1 : . ..... ........ .. .. ...... . ..... ....... .. .. ...... Yes ......:. 4 -� � �. � Parallel Strings of Different Lengthsnr Orientations � _ - - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading ''- - - """"""""""""""" ''"""""" """"""""""""""""""" ............................. ....... - - - - - Flexible system design for maximum space utilization - - - '• - _ 1 - Fast installation with a single bolt - • } �- �'��-`�" �w�� -�' �- '-�"•'�- ' -. Next generation maintenance with module-level monitoring ' '• t "' 'r F - Module-level voltage shutdown for installer and firefighter safety d. USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA -WWW.SOlare dge.u5awn i t 0 • s THE Teinamount MODULE TSM-PD05.18 Mono Multi Solutions DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC Unit:mm Peak Power Watts-P(wp) I 245 G 250 j 255 f 260 941 O - •Power Output Tolerance-PMax(%) 0-+3 r THE UNRE. MoUnt v T Maximum Power Current -VMP(V) 8.20 8.27 8.37 I 8.50 ,exR�n o x: eox 30.6 Maximum Power Current-IMPP(A) 8.20 8.27 8.37 8.50 ^^�e u P o Open Circuit Voltage-Voc(V) 37.8 1 38.0 i 38.1 � 38.2 Short Circuit Current-Isc(A) 8.75 8.79 r 8.88 9.00 wsruunc eou: n MODULE i Module Efficiency rjm(%) 15.0 15.3 15.6 1 15.9 tt i}tt t STC:Irradiance l000w/m-,Cell Temperature 250C,Air Mass AM1.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m2 according to EN 60904-1. 0 ELECTRICAL DATA @ NOCT e ® CELL ��� Maximum Power-PMnx(wp) � 182 i 186 � 190 � 193 I Maximum Power Voltage-VMP(V) 27.6 28.0 28.1 28.3 MULTICRYSTALLINEMQDULE o,„c„ea Maximum Power Current-IMPP(A) 6.59 6.65 i 6.74 6.84 core A A Open Circuit Voltage(V)-Voc(V) 35.1 35.2 35.3 35.4 l WITH TRINAMOUNT FRAME j f Short Circuit Current(A)-Isc(A) 7.07 t 7.10 7.17 f 7.27 NOCT:Irradiance at 800 W/m2.Ambient Temperature 20°C,Wind Speed 1 m/s. � 245 ♦ OW PD05.18 812 so 6/ b/LVL VV 1�II Back View - POWER OUTPUT RANGE ( MECHANICAL DATA Solar cells Multicrystalline 156 x 156 mm(6 inches) Fast and simple to install through drop in mounting solution cell orientation 60 cells(6 x 10) y �1�•�� � Module dimensions, (1650 x 992 x 40 mm(64.95 x 39.05 x 1.57 inches) (III Weight 21.3 kg(47.0 Ibs) IMAXIMUM EFFICIENCY i Glass t 3.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass A-A I Backsheet I White ! Good aesthetics for residential applications Frame Black Anodized Aluminium Alloy with Trinamount Groove ' I _ J-Box - �`IP 65 or IP 67 rated 4 , I-V CURVES OF PV MODULE(245W) ®~+317 Cables Photovoltaic Technology cable 4.0 mm2(0.006 inches2). l to.. 1200 mm(47.2 inches) { POWER OUTPUT GUARANTEE 9m °0°" 'Fire Rating _ Type 7'. 800W/m2 L. .. y Highly reliable due to stringent quality control <_bm R '�Q�� • Over 30 in-house tests(UV,TIC,HF,and many more) d s.- As a leading global manufacturer ^rLR • In-house testing goes well beyond Certification requirements 4m 4 TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic 3.m 200W/m2 Nominal OperatingCell } Operational Temperature -+ Otil Temperat i-4085°C products,we believe close zm Temperature(NOCT) 144°C(±2°C) ) cooperation with our partners 1 W r Maximum System 1000V DC(IEC) o.m Temperature Coefficient of P-, -0.41%/°C Voltage 1000V DC(UL) is critical to success. With local o.m to.- 2o.m 30.m 40.m presence around the globe,Trina is Voltagev) Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating 15A able to provide exceptional service Temperature Coefficient of Isc 0.05%/°C to each customer in each market Certified to withstand challenging environmental p. . and supplement our innovative, ¢ conditions reliable products with the backing • 2400 Pa wind load of Trina as a strong,bankable • 5400 Pa snow load WARRANTY partner. We are committed 10 year Product Workmanship Warranty to building strategic,mutually r beneficial collaboration with 25 year Linear Power warranty Installers,developers,distributors (Please refer to product warranty for details) a and other partners as the backbone of our shared success in CERTIFICATION driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY aCe PACKAGING CONFIGURATION 10 Year Product Warranty•25 Year Linear Power Warranty LISTED SN s Modules per box:26 pieces w Trina Solar limited F Modules per 40'container:728 pieces www.trinasolar.com Addit/ohol Lw� Eu-EEMR O 96 VaiUe�arll Tr%r1a$O/a 'V, rS// tp"P4,, hear Warfahh, oMPunwr 90 CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Q ?I�t.7 o t' _ l• �J0 ®2014 Trina Solar Limited.All rights reserved.Specifications included in this datasheet are subject to - hhmsolar O SOR Tit on-aSOlar change without notice. j Smart Energy Together Years 5 to is 20 25 Smart Energy Together ~`eeMPnto l3Trinastandard - Q Industry standard 6' i THE Yrtnamovnt MODULE r. _ TSM-PD05.18 - rr Mono Multi Solutions t r ELECTRICAL '•,, . ,. DIMENSIONS OF PV MODULE '�' • . unit:mm - - •Peak Power wafts-PMAx(Wp) 250 ! 255 260 -265 F,. ' O _941 E Power Output Tolerance-PMAx(%) 0-+3 ._. a I1 `�`+ mHaioN o y Maximum Power Voltage-VMv(V) 30.3 30.5 30.6 30.8 W a` - eox Maximum Power Current IMvv(A) 8.27 _ 8.37 . 8.50 8.61 't, ,, HAmvvurE T:b Open Circuit Voltage-Voc(V) .' 38.0 , 38.1 36.2' � 38.3 o • Nsv"13 Short Circuit Current-Isc(A) - 8.79 8.88 9.00 9.10 - i STALLING HOLE ` Module Efficiency r1m(%)...,_ 153 15.6 15.9 -16.2 • - .+: r 8 STC:Irradiance 1000 W/m'.CalI Temperature 25°C.Air Mass AM1:5 according to EN 60904-3: MODULETypical efficiency reduction of 4.5%a1200 W/m2 according to EN 60904 I:' - 9 - O _ i• - ELECTRICAL DATA @ NOCT . x' - • Maximum Power (Wp), 986 �.. " 190 193 ,197 {'�• A 6® CELL "., 2 w 1m _ i Maximum Power Voltage-VMv(V) 28.0 28.1 28.3 28.4 1 ` .. Maximum Power Current-IMvv(A) 6.65 6.74 6.84 6.93 MULTICRYSTALLINE MODULE 60-OUHDrNOHOIE 9I }} , M � � 1 1 PD05.18 A r-A }Open Circuit voltage(V)-Voc(VI 35.2 35.3 35.4 35.5 i WITH TRINAMOUNT FRAME °""'""°`E f '•� "' �:.. Short Circuit Current(A)-Isc(A) I' 7.10 t 7.17 � 7.27 � 7.35 -. w r - ..�• - •. y - r •µ+ ,. 1 h a NOCT:Irradiance at 800 W/m',Ambient Temperature 20°C,Wind Speed T m/s. 250 265W . ,�. .. Back View •. DATA - .. .r POWER OUTPUT RANGE MECHANICAL _ .. .: _ � -:; '` + , , '� � � � Solar cells �Multicrystalline 156 x 156 mm(6 inches) �• Cell orientation ' '^e Fast and simple to install through!drop in mounting solution I 60 cells(6 x 10) = ////�� � e � ^' - - Module dimensions 11650 x 992 x 40 mm(64.95=39.05 x 1.57 inches) 16.2 4'•",,,,T, ' _ _ q o Weight [19.6 kg(43.121Ibs) _ s o e Glass • '' y (' GI .3 2 mm(0.13'nches),High Transmission,ARC Coated.Tempered d•Gla ^ .. MAXIMUM EFFICIENCY ¢. x r . f.1 •' !!rr " `sBacksheet White - f A-A ����\� '� � •' Frame �Black Anodized Aluminium Alloy Good aesthetics for residential applications, , "v J-Box IP 65 or IP 67 rated r'. y�/f Cables Photovoltaic Technology cable 4.0 mm2(0.006 inches'), 3/ �/ °.f.d ,�, r _ 3 1200 mm(472 inches) , • - 1-V CURVES OF PV MODULE(260W) POSITIVE POWER TOLERANCE Connecter H4Amphenol �' s Fire Type '_UL 1703 Type 2 for Solar City ` Highly reliable due to stringent quality control_ Over 30 in-house tests(UV,TC;HF,and many more) 7.00 As a leading global manufacturer ? e.00 caow m' n _I g 9 In-house testing goes'well beyond certification requirements", 'TEMPERATURE RATINGS• MAXIMUM RATINGS.'," of next generation photovoltaic O € s.00 z , ` y g p •-PID resistant - 4Nominal Operating Cell Operational Temperature -40-+85°C - products,we believe close °'00 Temperature(NOCT) k 44°C(±2°C) cooperation with our partners '' - ,i' - M 1000V DC IIE s.oG Maximum System C a is critical to success. With local r _ . - ,. - - zoo 3 Temperature Coefficient of PMAx -0.41%/°C Voltage 1000V DC(UL)) `_4 < 1 S st s presence around the lobe,Trina is r. : . oo t k" , ' p g .� �. e" T L t, <µ_. „ r �;-y *. ..Temperature Coefficient oPVoc i-0.32%/°C 'Max Series Fuse Rating.� ��15A Xr•` , able to provide exceptional service to each customer in each market Certified to withstand chiillengmg environmental O O sO 30 "o T. Temperature Coefficient of Isc o os%/c and supplement our innovative, COndItIOr1S vw o.m ~ reliable products with the backing 2400 Pa wind load of Trina as a strop bankable r; ----' •• - t] WARRANTY g' • 5400 Pa snow load partner. We are committed - ' r+° - 1 10 year Product Workmanship Warranty to building strategic,mutually - _ •' i• CERTIFICATION - beneficial collaboration with [25 year Linear rower Warranty beneficial - .L M1 - W r. installers,developers,distributors " i, .-I c 4L us SP. -- (plea refer to product warranty for details) �, a 4� • and other partners as the .• _ •.. ,^-: a • , backbone of our shared success in driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY �w�'J EOO. SE PACKAGING CONFIGURATIONfu 4, 10 Year Product Warranty•25 Year linear Power Warranty `°MPaA"` Modules per box:26 pieces Z Trina Solar limited - el Modules per 40'container:728 pieces - www.irinasolaccom vl00% , d AddlHorral valu e 6o r1 e90% hl ir10a$alar,s IIhEa�y,,alra„ty t O CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Q�,OMPATj - �Po��solar 80% ,I �P���S011 lr ch2015 angTrinaSolarotice.tl.Allrightsreservetl.Specificationsincludedinthisdatasheetaresubjectfo NO`� • change without notice. Smart Energy Together ); Smart Energy Together paa�e Years 5 10 15 -20 25'., - Trina standard �•hah,._,ry tan.lard .. r . _ .. ' A' so I a r e Single Phase Inverters for North America s o I a r eMo -�' O 0 v SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US SE3800A-US SESOOOA-US SE6000A-US SE760OA-US SE10000A-US. SE1140OA-US OUTPUT SolarEdge 9 208 Single n I e Phase I n ve tle rs Nominal AC Power Output 3000 3800 5000 6000 7600 99 99 080 @ 08 V V 11400 VA 5400 @ 208V 10800 @ 208V Max.AC Power Output 3300 4150 6000 8350 12000 VA For North America ....... ......................49y.................. .................�0950. ?4oV. ............................. ..................... ..................... ......... AC Output Voltage Min:Nom:Max.l'I • 183-208 229 Vac - - - SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ Output. ........... ...No .Max.... ................ .........:....... . . ......................... ................ AC Output Voltage Min:Nom:Max!'i SE760OA-US/SE10000A-US/SE1140OA-US ..211-24o-26aVa0 .... 240-264......................... ................ ................................................ .................................. ............................. AC Frequency Min..Nom:Max.1'1 59.3;60-60.5(with HI country setting 57 60.60.5) Hz 0 za @ zosv I .42 @.zaov...l...... .......: Max Continuous Output Current 12 5 I 16 I 21.Qn 2a0V .I. ...25 I 32 47.5 A �.---^"^" GFDI Threshold 1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT er yy Sqv ter •. � Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 ` Transformer-less,Ungrounded Yes Max.Input Voltage 500 Vdc ._d Yeats ...... ............ .................................................. .... .... .. ..... ........................................... la 325 208V 350 240V Vdc -;-cam W8R Nom:DC Input Vo t.ge................. ................ .... ...........................�0......../......@.................. ............. ............................. lie . ° 16.5 @ 208V 33 @ 208V t Max Input Current 9.5 13 18 23 34.5 Adc - „»-,,,,,r f .........._ 1ss Zaov .................3o5 @ zaov - ..........45 Adc i Reverse-Polarity Protection Yes ...................................... .... ............................................................ ................................................. ........................ 1 Ground.Fault Isolation Detection 600kn Sensitivity M Maximum Inverter Efficiency 97:7 98 2 98 3 98 3 98 98 98 % - ...............I........... ....998 @ 208V I ....97.5........97 @ 208V L.....97.5.....:....�...... •, ' CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 . -. . ........................................... . �a1.24QV.................. 97S @ 240V.. .H Nighttime Power Consumption I <2.5 <4 W ADDITIONAL FEATURES ` Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 Optional IF ............................ .......... .............................................. Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is mstalledl41 STANDARD COMPLIANCE SafetY_....._ ...._._.UL1741,UL16998,UL1998,CSA 22.2 - ._ ............................ .......... ..................... .......................................................................... i d Grid Connection Standards IEEE1547 . . 5 class B ........ ......... ...... ...... e ... ................................... ................................................... .. . . ...... - - Emissions FCC part1 INSTALLATION SPECIFICATIONS ±'; _...f' AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8..AWG ._..FAMkI ...................................... ....................../......................_g.�.............................. ............ . ....... ......... I :. DC input conduit size/#of strings/ 3/4"minimum/1-2 strings/ AA AWG 3 4 minimum/1-2 strings 16-6 AWG 14 6 AWG t x . .imensionswth Safety' ......................................................................... ........................... ..... t i 2 3i 1, Dimensions with Safety Switch 30.5 x 12.5 x 50.5/ in"/ c - i 30.Sx12.5x 7.2/775x31sx184 .. 4 775 z 315 x 260 min At,4 WeightwithSafetySwitch .,,..,,.,,51.2/23.2 I 54.7/24.7 ..........88.4/40.1._._.._.. Ib/.kg... 1F .. ....................................... ............... ........................ ........ ..... .. Natural _ ♦� convection Cooling Natural Convection and internal Fans(user replaceable) i - fan(user The best choice for SolarEdge enabled systems ................. .I-?placea le).........<50. . Noise <25 ...... .... ........... . ... . . d BA.. ........................................... ....... . .......... ...... ................... ... ................................................ Integrated arc fault protection(Type 1)for NEC 20.11690.11 compliance - Min.-Max.Operating Temperature 13 to+140/-25 to+60(-40 to+60 version availableisl) -F/-C Rang?Superior efficiency(98%) ................................... ..................................................................................................................................... - Protection Rating NEMA 3R Small,lightweight and easy to install on provided bracket For other regional settings please contact SolarEdge support. 1zt A higher current source may be used;the inverter will limit its input current to the values stated. Built-in module-level monitoring pi Revenue grade nverter P/N:SE -USOOONNR2(for 7600W Inverter:SE7600A U5002NNR2). 14)Rapid shutdown kit P/N:SE1000-RSD-Sl. 4 Internet connection through Ethernet.or Wireless - µ -`• .1.1-00version P/N:SE—A-USDOONNU4(for 760OW Inverter.SE7600AUS002NNU4).- 1 — Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation ��,� Optional revenue grade data,ANSI C12.1 su�s?Ec p� USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us