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0054 WASHINGTON BURSLEY WAY
Tl�rs le Cc. r December 29, 2015 . DEpT Y -own of Barnstable DECD 3 0?0 ATTENTION: BUILDING DEPARTMENT TO 15 W 200 Main Street NOFBgRNs Hyannis, MA 02601 TgB(E RE: 54 Washington Bursley Way,Centerville Permit No.: 201501185 Our Job No.: JB-026846 NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar(PV)at above-referenced'property.has been. moved into a cancellation status. SolarCity Corporation and Harold Slack will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid,but understand that the town will not refund any fees. If you have any questions or concerns,please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely,, CheryCGruenstern Cheryl Gruenstern Permit Coordinator SolarCity Corporation cgruenstern@solarcity.com ' A Telephone: (508)640-5397 a I I tHE t° TOWN OF BARNSTABLE Building � w 201501185 • '# BARNSTABLE, Issue Date: 04/03/15 Permit 9 MASS i639� a�� Applicant: SOLARCITY CORPORATION Permit Number: B 20150669 FD MA'1 i Proposed Use: SINGLE FAMILY HOME ExpirationDate: 10/01/15 Location 54 WASHINGTON BURSLEY W"ning District RC Permit Type: RES SOLAR PANELS Map Parcel 172170 Permit Fee$ 91.80 Contractor SOLARCITY CORPORATION Village CENTERVILLE App Fee$ 50.00 License Num 107663 Est Construction Cost$ 18,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSTALL SOLAR PANELS ON EXISTING HOUSE THIS CARD MUST BE KEPT POSTEWUNTIL FINAL 1 7.28KW AND 28 PANELS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SLACK,HAROLD T&JO ANN BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 54 WASHINGTON BURSLEY WAY INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER ORARILY Y::.ENCROACHMENTS ON-PUBLIC PROPERTY;NO 1. SPECIFICALLY.PERMITTED-UNDER THE BUILDING CODE,MUST BE APPROVED By THE JURISDICTION. STREET OR ALLEY.GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS'MAY BE' OBTAINED FROM THE IDEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF THIS PERMIT DOES NOT BELEASE THE APPLICANT FROM THE'CONDITIONS OF ANY APPLICABLESUBDIVISION�" RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.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). „4 Is-,PINAM- AA � BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 5�9 Application Health Division Date Issued I3 J I S Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH 40 _ Preservation/ Hyannis Project Street Address Sy 6Za 1ii� l? /1jv e Village�C'/h�/�/��i✓��+/� Owner dal-0/W J/a t— Address S% Zl_ &_ Le_ &Ake Telephone 09- Permit Request//! SODA/ A/te S /I 406s why Gz /C 6 6e erarV 5vColl �kA as A/ �91 4a 15 Square feet: 1 st floor: existing — proposed — 2nd floor: existing — proposed — Total new Zoning District tf6 Flood Plain Groundwater Overlay Project Valuation�`IKO Construction Type r7S SOlci p2^e15 Lot Size Grandfathered: ❑es A 4LI-No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure$ 37 rS. Historic House: ❑Yes M'No On Old King's Highway: ❑Yes' ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other =; Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ffl,� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size = Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size Other: `— Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use 4 S16*whal Proposed Use 1W CXCt Y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cl)ilq Telephone Number Address /60 COS,r I"al- ' ,0.,- License # CS 167((-3 )P6A_ ,&V Home Improvement Contractor Email ,O �W SD�G�iJ�/ 'Ca/'') Worker's Compensation # a6sQay ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO a SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL A FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f Tt Solaro Job ID: OWNER AUTHORIZATION C5 Location: �ti J l as Owner of the subject property hereby authorize So rCi Co —HIC 168572/ MA Lie I . to act on my behalf, in all matters relative to work authorized by this building pennrt application and signed contract Signature of Owner: te Date: l8 s0LARCITM.CO# The Commonwealth of Massachusetts ' Department of Industrial Accidents " Office of Investigations ' I Congress Street, Suite 100 Boston,AM 02114-2017 r www mass.gov/dia Workers'Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): SolarCity Corporation Address:3044 Clearview Way ' City/State/Zip:San Mateo,CA 94402 Phone 4:888-765-2489 Are you an employer?Check the appropriate box.- Type of project(required)- LE I am a employer with 7000 4..❑ 1 am a general contractor and I employees(full and/or part-time). « have hired the sub-contractors 6. EJ New construction 2.0 1 am a sole proprietor or partner- listed on the attached sheet. ., 7: Remodeling j ship and have no employees These sub-contractors have g: E)Demolition workingfor in an capacity: employees and have workers' addition Y P ty: g Bu.1 a [No workers' comp. insurance comp. insurance.* required.] 5. We area corporation and its 10.M Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I [] Plumbing repairs or additions myself. [No workers' .com right of exemption per MGL P [2. Roof repairs insurance required.]t c. 152, §l(4),and we have no Install solar,panels employees. [No workers' 13:®❑Other comp. insurance.required.] *Any applicant that checks box N t 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 allidavit-indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-eontraclors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for niy emplovees. Below is the policy.and job site information: Liberty Mutual Insurance Com an Insurance Company Name:. � P Y ` - Policy#or Self-ins. Lic, 4:WA7-66D=066265-024 Expiration Date.09/01/2015 Job Site Address: .S . (r City/State/Zip: &rnSA 41�. /01Q 49-6,3;L Attach a copy of the`workers'compe ation policy declar ion pag 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 forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby cer16 under the pains and penalties of perjury that the information provided above Is true and correct. Signature• �_C� �'/'acu f'l�5 Date: 3�6 �a US Phone#: 781816764& e>d 676 yg i t Official use only:.Do not write in this area,to be completed by cityor town official. } • � i. T+ may. . .. - � ; 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#: ` DATE(MMIDD/YYYY) A� CERTIFICATE OF LIABILITY INSURANCE aerzslzola THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS t CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. -If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: MARSH RISK&INSURANCE SERVICES PHONE FAx 345 CALIFORNIA STREET,SUITE 13DO c o Ext A/c Nei: CALIFORNIA LICENSE NO.0437153 E-MAIL ADDRESS' SAN FRANCISCO,CA 94104 INSUR S AFFORDING COVERAGE NAIC# t 996301-STND-GAWUE-14-15 INSURER A:Liberty Mutual Fire Insurance Company 16566 INSUREDPh(650)963-5100 INSURER B:Llbelly Insurance Corporation 42404 Solaraty Corporation INSURERC:N/A N/A 3055 Clearview Way San Mateo,CA 94402 INSURER D I INSURER E• INSURER F.: COVERAGES CERTIFICATE NUMBER: SEA-002440269-02 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADD L SUER POLICY NUMBER MMIDD CY EFF MM/D Y EXP LIMITS i A GENERAL LIABILITY T82-661-066265-014 09/01/2014 09/01/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY 1 OD,000 t. PREMISES Ea oocurtence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 FGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2.000,000 X POLICY X PRO- LOC Deductible $ 25,000 A AUTOMOBILE LIABILITY AS2-Fal-M265.044 09101/2014 09/01/2D15 COMB�INNED SINGLE LIMIT 1,000,000 Ably AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ XIAUTOS Per accident X Phys.Damage COMP/COLL DED: $ $1,0001$1,000 UMBRELLA IJAB HOCCUR .EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WA7-66D-066265.024 09101/2014 09101/2015 X I wC SLrATu OTH- AND EMPLOYERS'LIABILITYFR B ANY PROPRIETOR/PARTNER/EXECLMVE Y/N WC7-661-066265-034(WI) 09/01/2014 09/01/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N NIA B (Mandatory In NH) .y 'WC DEDUCTIBLE:$350,OW ` EL,DISEASE-EA EMPLOYE $ 1,000,00D It Yyes desame uno er . '° 1,000,000 DESCRIPTION OF OPERATIONS below' EL DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AdCRlonal Remarks Schedule,N more space la required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolarCity,Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Gearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. I + AUTHORIZED REPRESENTATIVE of Marsh Risk&insurance Services Charles Marmoltao 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD ..; ✓f2� C!'4Il�ll2 djt lijea.all1 �,-'G' <1,1CZClZ IIG+ �,. Office of Consumer Affai and Business Regulation '.' 10,rPark Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration:. 168572, Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 CRAIG ELLS 3055 CLEARVIEW WAY __.......__ _... SAN MATEO, CA 94402 Update Address and return card.Mark reason for change. Address i Renewal Employment Lost Card - Office at Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: t , Office of Consumer Affairs and Business Regulation Registration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 3/812017 Supplement Card_ Boston,MA 02116 SOLAR CITY CORPORATION CRAIG ELLS ' 24 ST MARTIN STREET BLO 2UNIo.e 7 - ('�:i_• ( t ITAAALBOROUGH,MA 01752 Undersecretary Not valid without signature .. 1 'AJBaar.nsSr_1ts OvD 11 Font r; CS-107663 C"d ELLS 206 BAKER STREET, Keene NFI 03431 +•.: 08/29/2017 Office of Consumer.Affairs and." usiness Regulation 10 Park Plaza Suite 5170 a'-Boston,eMassachusetts 02116 E` Home Improvernerit Contractor Registration 4 Registration: 168572 Type: Supptement Card Expiration 3/812015 SOLARCITY CORPORATION CRAIG ELLS .^ �° - 24 ST. MARTIN STREET BLD'2 UNITl'1j 'Z,! x ° MARLBOROUGH, MA 01752 a . • �, M- Update Address and return card.Mark reason for changer sca s td 2gM '1t Address (i Renewal ( Employment [j Lost Card f ffice.of Consumer Affairs&Business Regulation 'License or registration valid for individul use only 1- OME IMPROVEMENT CONTRACTOR �,, before the expiration date. [f found return to: Office of Consumer Affairs and Business Regulation t Registration: 168572. Typt 10 Park Plaza-Suite 5170 , Expiration .3/8/2015 Supplement�;:ard Boston,MA 02116 �. SOLARCITY CORPORATION CRAIG ELLS , 24 ST MARTIN STREET BLO 2UNI ��. - h t7 _ ���1=�>- •' IUTA'ALBOROUGH,MA 01752, t Undersecretary "Nat v lid without signature 1 'x. PAasaa'husetts t)ep rtrncnt tat PubUc Safeti _ Board of$ulldin,`9 Re:ulat3on €t nd Stanciacils= , t3 {kllttl!(4t 2t11�tlitk5 3M1Prl"' Libe iW C9407663' ` ON CRAIG ELLS' ` ' 206 BAKER STREET. ; Keene NH,03431 08/29/2017 . k.r .. .. - Office of Consumer Affairs nd Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improve*40c9ntractor Registration Registration`. 168572 Type: Supplement Card Expiration: 3/812015 SOLAR CITY CORPORATION , PATR'ICK KILDLIFF - 3055 CLEARVIEW WAY _ --- SAN MATEO, CA 94402 Update Address and return card.Mark reason for change. SCa,1 0 2CM-05111 [] Address 0 Renewal E] Employment C Lost Card rt/7,,4,WyOte+frrlyvl/d+/r. License or registration valid for individut use only trice of Consumer Affairs&Business Regulation before the expiration.date. If found return to: MEIMPROVEMENTCONTRACTOR Office of Consumer Affairs and Business Regulation 4 } 10 Park Plaza-Suite 5170 . Registration; 168572, TyF and Boston,MA 02116 Expiration;1,3/8120'5l . Supplemer. SOLAR CITY CORPQRATIO P.'ATRICK KILDUFF',r 24 ST MARTIN STREET S.LD 2UNI Not valid without signature IVIAki-BOROUGK MA 01752 Undersecretary w t Version#42.2 sd CUr0ty. j March 5, 2015 kk OF Project/Job# 026846 �o N CyG RE: CERTIFICATION LETTER g , Project: Slack Residence 1 1 L 54 Washington Bursley Way Centervil, MA 02632 SS .NAL To Whom It May Concern, 3/05/2015 A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes= MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS -Risk Category= II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf -MP1&2: Roof DL= 9.5 psf, Roof-LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss= 0.19069 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load,PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Nick Gordon, P.E. Professional Engineer Digitally signed by Nick Gordon. Main: 888.765.2489 ° email: ngordon@solarcity.com Date:2015.03.05 1528. -08'00' 3055 Clearview Way San Mateo,CA 944,02. T(650);638'-1028 (888)SOL-CITY F(650)638-1029 solarcity.com A ROIL 24877 t,(A,CSLS W81Ct;, CT oC OG32778,DC-1i10'?.;C1 4aG,l;.r,NI>7 1C3'R B£�,.t{I C pT:"aG;t.A-!(C rt40 wito: NJ 3vitOw�80�Gd. 03..05.2.015 \fit n Version#42.2 �_�°���� �� ty PV System Structural Design Software ,PROJECTdyINFO.RMATION &TABLE;OFCONTENTS. 11 , ,� Project Name. " Slack.Residence ; AHJ Barnstable Job Number: 026846 Building Code: MA Res. Code,8th Edition g Customer Name. - , lack,Harold� x $, s Based n0n0 � {=, IRC 2009`/BC 206§7 { Address �54 Washington Bursley way ASCE Code: ASCE 7-05 1 � g �,Cen_t_ervil, ,, �,�MA.,� � =,�M ,„„�RisK�Category,�,,, ���� II• ,�° Zip Code 02632 Upgrades Req'd? No Latitude-/Longitude 4`1:67280s, 70 36344T' ;;Stamp Req'd? Yes" =- SC Office: Cape Cod PV Designer: Sangita Sharma Calc ation Grad Kou al,., ,q FOR ;NickGordon P Certification Letter 1 Project Information,Table Of Contents,&Vicinity Map 2 Structure Analysis(Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic:heck is not required because Ss= 0.19069 < 0.4g and Seismic Design Category(SDQ = B < D t-1; 'MILE", �it V e t 4 , , - , a r. 5 , 6 Imp © . 54 Washington Bursley Way, Centervil, MA 02632 Latitude:41.672805,Longitude:-70.363447,Exposure Category:C STRUCTURE ANALYSIS: LOADING SUMMARYWANDMEMBER.CHECK°- Member:Pro ernes;=Summa - Horizon r S ans °A tR MPi&2 � afte es tal`Membe . :'� �r.Pro`erti " Overhang 0.82 It Actual W 1.50" ` Roof. stem Pro erties,i4,._ ` 4�. dS an=1 .. f2.751ft {Actual D,F 5:50 Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofin Material € ,. any.:Com Roof er"^ Sere 3�: ,fi r, ' .;A _.�8.25 in:^2 Re-Roof No San 4 Sx 7.56 in.^3 PI ood<Sheathin Pest _ S an'S :-5a� � r . atI »20.80 in:^4. Board Sheathing None Total Span 13.57 ft TL Defl'n Limit 120 Vaulted Ceilin 'A'4 %;Wood.S ecies Ceiling Finish 1 2"Gypsum Board . PV 1 End 13.17 ft Wood Grade #2 Rafter Slo e� �� d � r `C30°_��,`-. IPII.PTXStart 3 i d .�M' 1s F a �f t` b 875,.si r . Rafter Spacing 16"O.C. PV 2 End F 135 psi Top-Lat Bracin x, s "' Full = x=P,V 3 Start ,ftr a E .-n _ 1400000 si Bot Lat Bracing At Supports I PV 3 End Emin 510000 psi Member'lb din Sur ma �� �y�� �. ti . � � ,.� w ., �V a,�"' Roof.Pitch a s°J 12 3+ ' Initial .�° Pitch°Ad'ust " 4INoe-PV'Areas ^_PV.`AreasF' Roof Dead Load DL 9.5 psf x 1.15 11.0 psf 11.0 Psf PV Dead Load. r `kk . :;PV.DL N" 3.0 _.sf M'w . �... z�•1 15'., � � � ` F� ��� :,_ .3.5^' sf. Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live/Snow Load'-, a LL SL1�2 " 30.Ut sf ,x 0,7>„,x 0 7, 21g0 21A^ �� a u Total.Load Governin LC A_ I TLCAIM M� r32:0" sf "r "'35:4 sf. . Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 772] 2. pf=0.7(CQ)(Ct)(Is)p9; Ce=Ct=is=1.0; .. � � Member�De51 n.Sunma .. erNDS '_ . Governin Load:Comb'V.; ! CDa ". x g, . . ; , � 050 '7:1-1 3` 1:15 ` "� �E p W Memb7'Anal sis;'ResuI Summa _ ;.. "MaximumI``+ n"_Z'PlpmikDemandw @ L"o"cation '= Ca"aci .. DCR p ff�. Shear Stress 51 psi 0.8 ft. 155 psi 0.33 Bendin + 'Stress- °, ` 1508 si '.' 7.2 ft s �. 1'SO4 si "'° * 1 00 °�� "`.` Governs ,Bending - Stress -30 psi 0.8'ft. -751 psi 0.04 :_ ,,, , z Total•Load Deflection x � �' '�'� ,.1�27`m��"�139� k : .'7:2=ft�; �.,�.1.47an:" : 120 � . . 0.86�-, LOAD ITEMI OW T1 '' z� PV System Load .;" ,e" t r 4 1AX c , PV Module Weight(psf) 2.5 psf Hardware A embl Wei ht _:, �a w`` _ k € °"7 �. 0 5 sf PV S stem Weight n 11: ,, ,. r - 3.0 Sf. Roof Dead:L°oad Qa }._ ,�,�. v . _ g ` Mater�a . .. 3` Load Roof Category Description MP1&2 .� , Ezistrn9yloofing Material, _ 'aK _� s ' CorripRoof ,.�:kf (2�Y? ) � ¥ 5 a`;psf r Re-Roof No Underlaynent � �' .r; a ° ' - .Roofng Paper x' � 0.5,psf >;' ,. ,. .. Plywood Sheathing Yes 1.5�psf Board Sheathin F _ None Rafter Size and Spacing 2 x 6 @ 16 in.O.C. 1.7 psf _Va , S .M..a-s? V iling Miscellaneous Miscellaneous Items 0.8 psf Total Roof Dead Load sf MPIL&2)_�,:`_Y> 7777 9.5 Psi r " v Reduced Rod-LL4;q,' Non=PV Areas S-`0 % Roof Live Load Lb 20.0 psf Table 4-1 Member Tributary An* At °" , �. < 200 sf Roof Slope 7/12 Tributa Area Reduction R :; k° Kt. f 1 •=Section 4 9 rY _ �. 1 �• w ate,_. Sloped Roof Reduction RZ .,. .85 W a Section 4.9 Lod � 7 _vr, — L0(R)(Rz � E udtion42`Reduced'Roof,Live aM, l Reduced Roof-Live'Load` 'j`` Y r �I P;10.17,:• sf, MPi&2 ,,A p ; � 17.'0 sfr �Lr ,, , Fl � RLduted Ground <RoofrLive/Sno Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow load Reductions Allowed? Effective Roof Slope 300 I Horiz Distance from Eve to+Rtd e~ W '" s ',A5 7 ft Y Snow Importance Factor IS 1.0 Table 1.5-2 : �;—Y• -- r a °< r?i 7 Partially Exposed : Snow Exposure Factor ¢ � ¢: W �_. •� Tab he 7 2 Snow Thermal Factor Ct All structures except indicated otherwise Table 7-3 Mmmum:Flat Roof Snow Load(w% � m f,. _ x � 21.0 psf - 7 3.4& Pf m 7 10 Ramon-Snow 5urcharge) Flat Roof Snow Load Pf pf= 0.7(Ce)(Ct) (I) pg; pf>_ pf-min Eq: 7.3-1 21.0 psf 70% ASCE Desi naS o e RoofSnow Loa Over`Surroun rn 1Roo7 ` < ' ` ' ` -•- ' Surface Condition of Surrounding All Other Surfaces Roof CS-goof 1 0 Figure 7-2 Design Roof Snow Load Over , ps,,oF (C�,,,;f)Pf 0, V C ASCE Eq;7 4 1 Surroundin -,,Roof,.r ,. , •�� F ps.00f ASCE Design,Sloped;Roo Snow,Loa �Over-PVsAMo u es�f,,.,,,- Surface Condition of PV Modules Cs_� All Other 1.0 Surfaces Figure 7-2 Design Snow.loa_d Over'.PV 1r p , e." t cps"„4r C:-°� ' '%1SCE'Egd 7 4-1' ( )':P9 Modu les_ Ps° , �- , w31.0 sf - 70%;_ [CALCULATION OFDESIGN WIND LOADS M_P1&2 f :> Mounting Pane In ormation,4 Roofing Material Comp Roof PY System Type:E w _77777 27"'K." SolarCity;SleekMountT" Spanning Vents No Standoff Attachment Hardware . "M: 777 � 1��77.-` Comp Mount=:TV e C A ' = - Roof Slope 300 Rafter Spacing . . � CZEE a ... ,, a Framing Type/Direction Y-Y Rafters Wind Design Criterki k s x L f. Wind Design Code ASCE 7 05 Wind D iesgn Method • 3•{ Partially/Fully Enclos de Method'- . m.6..._�.&:... _... ': .3$.`` .A " `iA{'w Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category" =:,. = ' v t . ,. C ' '- -5 _ -^---a _ ._ action;6 5.6.3 Roof Style Gable Roof Fig.6-11B/C/D 14A/B Mean RoofdHei ht h-� •' �� ,_ 15 ft = ' Section 6.2 Wind Pressure CalculationrCoefficients Wind Pressure Exposure Kz 0.85 Table 6-3 To o Ca hic Factor Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor : _ I �ik0 :a`. n� °.Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(VA 2)(I) Equation 6-15 22.4 psf r 14 4 y ,Wind Pressurc 4%e' v1=7W Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient- Down �' GC" = r. 0`87 � 'Fig:6 1�g/C/D=14A[B Design Wind Pressure p p =qh(GC) E uation 6-22 Wind Pressure`U ! .'� pu" a �` �_�� �w �,��ap s•r"L � � �' -21�2� sfm�: w�;>��c�"`" � `,�'` e Wind Pressure-Down v_�'11 w j, 1-1 ,ALLOWABLE'STANDOFF-SPACINGSe =s ;F :� u: C'—'e Ve�'X-Direction!'-U-44,4° Y-Direction Max Allowable Standoff Spacing Landscape 64" 39' Max Allowable Cantilevertffi Standoff Configuration Landscape Staggered Max Standoff Tributary Area * Tnb ":_ � �s "Y41g sf PV Assembly Dead Load W-PV 3 psf NetNet Wind Upliftaf Standoff actu'alb - �c3441b5", -;,77 Uplift Capacity of Standoff T allow 500 Ibs DCR" " e o ' Standoff�'Demand'Ca aci "� �,� � � � ,.;� . � x68.8/os���t���,�z_����, _� `��* °��, M-Mt, # X=Direction's " fia;Y=Directions" Max Allowable Standoff Spacing Portrait 48" 66" Max Allowable Cantilever° ° . h3'Portrait `, 7.1 777 Standoff Configuration Portrait Staggered Max'_Standoff:Tributary-Area_ PV Assembly Dead Load W PV 3 psf NetNetplift at;Standoff T actualM k -430 Ibs fi W =� ._ Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand'Ca aci � DCR _ • ,. :_ ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES y A AMPERE 1. THIS SYSTEM IS GRID-INTERTIED VIA A AC ALTERNATING CURRENT UL-USTED POWER-CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY-RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL UST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97. 250.92(8). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC - LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER - VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R. RAINTIGHT PV1 COVER SHEET r PV2 PROPERTY PLAN �l� 1 PV3 SITE PLAN ' PV4 STRUCTURAL VIEWS LICENSE GENERAL NOTES PV5PV6 THREE LINE UPUFT CDI GRAMS GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION Cutsheets Attached ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric(Commonwealth Electric) 0 �. CONRDEN➢AL--THE I"MATION HEREIN roe No•Tx JB-026846 00 PROMISE°"E"' TM. - uaaL -.,}, CONTAINED SHALL NOT BE USED FOR THE SLACK, HAROLD SLACK RESIDENCE Sangita Sharma ,1CO�ar.�'}" BENEFIT OF ANYONE EXCEPT SUTAWTY INC.. MOUNTING SMW ''••,•J `r Npl SHAu IT BE DISCLOSED IN wIOIE OR N Com Mount T e C 54 WASHINGTON BURSLEY WAY 7.28 KW PV ARRAY PART TO OTHERS OUTSIDE ON REdON WITH 24 SL N.W.Mi.Bddl. 2 UnN II aRCTHEANIunaN.EXCEPT IN CONNECTION YaTH Ymm6 CENTERVIL, MA 02632 SS AaaTY EQUIPY�IaMIHWT 111EUM�PoTlp1 728�Hanwho Q-Cells .PRO G4 SC 260 - T:(esa)eye-lam F.tsso,sae-laze POUSSION OF SOIAAOTY INC. PACE NAYS SNB:C REY. OAIE Y 38-IOM,YA al SOLAREDGE SE6000A-USOOOSNR2 (508) 428-3254 COVER SHEET PV 1 3/5/2015 Leee)-mL aTY(Tas-2489) ...•.Y',IY— PITCH:30 ARRAY PITCH:30 MP1 AZIMUTH:221 ARRAY AZIMUTH:221 MATERIAL Comp Shingle STORY:1 Story PITCH:30 ARRAY PITCH:30 MP2 AZIMUTH:221 ARRAY AZIMUTH:221 MATERIAL,Comp Shingle STORY:1 Story _ L _ J l � .T _ J •,t O j-` LEGEND MP , L\ t = Q (E)UTILITY METER& WARNING LABEL 1 / `� AC -=,1_ fAl O INVERTER W/INTEGRATED DC DISCO �, �� &WARNING LABELS MPl DC DISCONNECT &WARNING LABELS i AC DISCONNECT&WARNING LABELS j Y A DC JUNCTION/COMBINER BOX &LABELS Front Of House ❑ DISTRIBUTION PANEL&LABELS (E)DRIVEWAYS Q LOAD CENTER &WARNING LABELS , DEDICATED PV SYSTEM METER �ySH OF 54 Washington Bursley Way ` - "-� 0 STANDOFF LOCATIONS N CONDUIT RUN ON EXTERIOR j CONDUIT RUN ON INTERIOR — GATE/FENCE i L �' 0 HEAT PRODUCING VENTS ARE RED a'` INTERIOR EQUIPMENT IS DASHED d NAL EN si05i2015 SITE PLAN Digitally signed byi Nick Gordon - Date:2015.030515:3809-08'00' Scale:l/8"=1' 0 1' 8' 16' CONFUDMAL-THEINFORMATIONHE]W -1a,eEk JB-026846 00 PRDASE0rEI DESE�nr.t _�a,, CONTAINED SHALL NOT BE USED FOR THE SLACK, HAROLD SLACK RESIDENCE Sangita Sharma 6END1T Df AN1aNE E7(4PT SaN1aTY NG, NaNrN6 snRIE ;..Solar C ity. NOR SHALL IT BE DISCLOSED IN"'DIE OR IN Comp Mount T e C 54 WASHINGTON BURSLEY WAY 7.28 KW PV ARRAY - PART To oTNEns au151OE THE REaPIENTs oacu6uTION,EXCEPT a caNNEcna wTH Nrouus CENTERVIL, MA 02632 24 SEE.M.M.OH.a mwIn�z wN O THE SALE AND USE DIP 111E RESPECR4E (28)Hanwho Q-Cells #Q.PRO G4/SC 260 gam; �. ��; M.ik ,gh,NA 01552 SONRaTY EQUIPMENT,wTHWT THE NPoTIETIMqU. PAQ NAIE F.(650)638-1028 F.( 0)638-1030 PERMISSION OF sa"R°"'INc' SOLAREDGE SE6000A-US000SNR2 (508) 428-3254 SITE PLAN PV 3 3/5/2015 (8W)_SM_oTr p65-x4M) . dorc Er.� I I S1 S1 12�-40 " (E) LBW (H OF (E) LBW A SIDE VIEW OF MP1 NTs g " B SIDE VIEW OF MP 2 NTs U IL y rRrAFrER X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES q 1 �Q MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES E 64" 24" STAGGERED O� S NAL EaG\a� PORTRAITLANDSCAPE 48" 14 STAGGERED 48" 19" 3/05/2015 ROOF AZI 221 PITCH 30 2x6 @ 16"OC ROOF AZI 221 PITCH 30 STORIES:1 RAFTER 2X6 @ 16"OC ARRAY AZI 221 PITCH 30 STORIES:1 ARRAY AZI 221 PITCH 30 2X6 @16"OC Comp Shingle CJ. 2X6 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER &FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE ZEP COMP MOUNT C WITH POLYURETHANE SEALANT. ZEP FLASHING C 3 (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) (E) ROOF DECKING (2) (5) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS M STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT&WASHERS. (2-1/2" EMBED,MIN) (E)RAFTER STANDOFF J 1 Scale:1 1/2"=V CONEIDWA--THE INFORMATION HEREIN jOR MUM JB-026846 00 PREMISE OVCk DMPTM- OESI"I: CONTAINED SHALL NOT BE USED FOR THE SLACK, HAROLD SLACK RESIDENCE Songito Sharma BEENNE91TAOF IT EXCEPT 1�L0.E W MOUNTIIG SISIEMt -;SolarCity PART Tb OTHERS OISCLTSI I RECIPIENTSAHOLOR Cam Mount T e C 54 WASHINGTON BURSLEY WAY 7.28 KW PV ARRAY ORGANIZATION.EXCEPT W CONNECTION VAIN MmuES: CENTERVIL, MA 02632 2I St.Nam WK U"I z mR 11 THE SALE ANo USE a THE RESPECTIVE (28) Hanwha 0-Cells #O.PRO G4/SC 260 his SIXAROTY EQUIPMENT,MITHOUT THE IIRITTEN OItOtIFlt PAGE NAME SHEET REM OAIE T.(650)66338-1�0286'f(650)638-1029 PERMISSION OF SOLAR"TY OTC. SOLAREDGE SE6000A-USOOOSNR2 (508) 428-3254 STRUCTURAL VIEWS PV 4 3/5/2015 (666)-SOL-OTY(765-2409) 1 GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND(N)Q8(EC TO TWO(N)GROUND an Num en..Bryant 816-205M Inv 1: DC Ungrounded INV 1-(I)SO (S1E60'OA-USOOOSNR$ (.ABED, A -k8)Hanwha 0-Cells�p.PRO G4/SC 260 GEN/168572 ODS AT PANEL WITH IRREVERSIBLE GRIM Meter Number.43953283 Tie-In: Supply Side Connection Inverter, 60(JOW.24OV,97.574 w/Unlfed Disco and ZB,RCM.AFCI PV Module; 260N',236.5W PIC.40mm,Blk Frame,MC4,ZEP,600V EIEC 1136 MR Underground Service Entrance INV 2 Voc:37.77 Vpmux; 30.46 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER ((E))90A MAIN SERVICE PANEL (E)1DOA/2P MAIN CIRCUIT BREAKER Inverter I SalarClty (E)WIRING CUTLER-HAMMER Disconnect CUTLER-HAMMER q A 1 1OOA/2P 6 Disconnect 5 SOLAREDGE . - B 35A SE6000A-USOOOSNR2 J__jM. MP 2:1x12 I d C 0 r-- ------ -------------A L1 -------- -------- - ---- It I I N 0G I 3 2 I (E)LOADS GN0 _ ____ GN0 _____________—___________ EGG GEC ---- MP 1:ix16 E� -- ---------�J _ " i (I]CanAlil Kit J/4'EMT___ __� EGGGEC I I I I L GEC I it — —T—� To 120/240V SINGLE PHASE URUTY SERVICE I t I I I I I I I 1 1� PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP OI (2))Oamd Rao 5/T a 8'.cappe (7)anm NAA��R Dc2zaam e (I)Saalat 4 STRING M RON Box -(2)6SW IPC 4/0-� D'eaanaxt 60A,240Vac,FueW NOMA 3R AC ^ 2YL S GS,UNNSED.GRWNDm DC Inada(Ian PiacY_g Colmector,Main 4/0-4.Tap 6-14 -(7)pITIFA-IMVAeIaSER O610ONB S SUPPLY SIDE CONNECTION.DISCONNECTING MEANS 94ALL BE SUITABLE -(I)CUTIFR-HMA R�#DS16F6Eu10°a cwl.a DatY(�) PV �)SP—BoE IP300-2NAMA AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Cl—R Fuse Kt PoeeA tk one Copper N4,DC to Be.2EP -(2)FERIW SHAWMUT/TR35R - PV BACNFEED OOP nd (I)AWG�,sold Boa Capps Fuse;35A 25DV,awes RK5 -(1)Ground fled;5/8'z 6',Capper C (I)anM-RANkO/DG222URB (N)ARRAY GROUND PER 690.47(D).NOTE PER EXCEPTION NO.2,ADDITIONAL DHmnn�e{1ct BOA.24GVac,Non-Fue6le.NEMA 3R . (I)CU /naIA�B GIOOOA Ga,aa Duty(Dc)BO ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF(E)ELECTRODE ©L:.L1 AWc/6.TNWN-z Bwa, FF�"� I AWC�.TNWN-2 BIrA [� 1 AWc/Ia TRNN-2.Blark vac" =SW voc Ist=is ADc E'_2 AWG#10.PV WNE.BW* voc" =500 VDC Isc=15 ADC (I)AWC Fi,THWN-2 fled (1)ff II IAWC R.THWN-2 BRodlo O14T-(I)AMC p0.1HWN-2 Red Vmp =350 VDC Imp=11.73 ADC 01751-(1)AWG 46,SaM Bae Capper fGC VmD =350 VDC Imp=&8 ADC (I)AWC I6,7HWN-2 White NEUTRAL Vmp =240 VAC Imp=25 AAC (I)AWG 110,THWN-2,white NEUTRAL Vmp -240 VAC Imp=25 AAC ,.._ (I)AWG/10,THWN-2,Clear„Epp L3 .......-I )AA4 Is,.;di4 Pan.Copper.LEG_..-(!)rawgi(lpk.J/47 EMT.... .......-(I)AMG A n1W)4-2.treat..EGCLGEC-(I jCw*It.10t.4/4'EMT.......... Mad P0.THWN-2.Black ....Vdc-.=500..VDC 1st=15...ADC.. ....(2)AWC/10.PV MIRE.Block ... ..Voc'=5W VDC Isc=15...ADC EEms�. 1TI�-� ®W(I)AWG/10.THWN-2 Red Vmp =350 VDC Imp=&B ADC O L� I AWG/6,Sa'd Ban Capps EGC VmD =350 VOC [mp=11.73 ADC ........(DAMP 010,IHWN72.fween:.EX.............. L33 aGNFTOEN,Tu- IE INFORMATION HEREIN ,oe N WBIt J B-0 2 6 8 46 00 '�Duval: DESCIIPTM- DE901: \�e CONTAIN SHALL NOT BE USED FOR THE SLACK, HAROLD SLACK RESIDENCE _ Sangita Sharma e,�e��y.W `/'' BENEFIT QF ANYONE EXCEPT SOLAROTY NC. YOINIIM SYS'IUE - .e S'OIMr V It� NOR S""LL'T eE Osna9n 1N WHOLE OR N Cam Mount Type C 54 WASHINGTON BURSLEY.WAY 7.28 KW PV ARRAY �IN PART To OTTERS 0UTST THE REaPGNT's ORGANIZATION,EXCEPT N CONNECTION WITH MmuD.c CENTERVIL, MA 02632 24 sL Maa,N1g 1LMIIg a UnR It THE SALE AND USE O THE RESPECTIVE 28 Hanwho 0-Cells .PRO G4 SC 260 yam; iT DATE' Maffi—ll.MA 01752 SC ARCITY EQUIPMENT,WITHOUT THE WRITTEN PAGE NAME:' F.(650)638-1028 P.(65G)638-10" POUS90N OF SOLARC TY W_ "OLA 508 428-3254 PV 6 3/5/2015 (8SB)-S0L-aTY(765-2489) eee.eaedty— SOLAREDGE SE6000A-USOOOSNR2 � ) THREE LINE DIAGRAM Town of BarnstableLv*a6=xwklrf= *Permit, Dl � ' Regulatory Services WAS. Ricbard V.Semi,Interim Director Building Division ow (o 12,'7 Tom Perry,CBO,BuHftg Commissioner 200 Main Street,Hyannis,MA 02601 .N, www.town.bamstabie.ma.us Office: 508-862-4038 Fax:508490-6230 EXPRESS PERMTf APPLICATION - RESIDENTIAL ONLY Not Vaud w&Itout tted X 10=Imp Moparcel Number Property Andress Q a� IdResidewial Vahte of work S C�B _ Mi®imnm fee of SA00 fokwork tinder$6000.00 Owner's Name&Address �� - f a Conttactor's Name P ) 'i �t1��f ( ltl—wi Telephone NumberjDI-7 7-� OC� Home Improvement Contractor Incense#(if applicable) t'73 2-" J Email: Construction Supervisor's Lipase#(if applicable) d S —7 % ' e RW ISLWodmm'sCompensationInsurance Check 0ne: JUN 2 5 20% ❑ I am a sole proprietar I am the Homeowner I have Worker's Compensation Insurance ` Insures company Name yaurkij /M Gc7- TOWN OF BARNS TABLE Wwkmaes Comp.Policy#L� �Copy o�of Insurance Comcate mast aeeoach permit. Permit Request(cam box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nWW)(not stripping. Going over existing layers of roof) ❑ Re-side ' �lReplw ma t Wfixkw stdoordsbders.U.Value .36) (maximum.35)#of windows #of doors: ❑ Smoke Carbon Monoxide detectors 4 floor plans marked with red S And inspections ruphv . Separate Fdeetrkai&Fire Permits required. *Wb=wWne& Issumm of this pemut does sot exempt oomplmnoe wft adw town&pftiagrephbom i.e.Hmosic,Camserv�etc. ***Note: Properly Owner must sign Property Owner Letter of Permian. G'gof the Home ImprovemOSt Contractors License&Coaslradian Supa�rs Lkense is r SIGNATURE: M4MVDk3 OwVAWMVM FMMnWMMd00 Rviiaed 061313 ,.1 Renewal ¢t6a.-[x asiV atar;rs.a�-�as • bYAr hen RENn%rAL BY AND EN „t■tar A..wue:rusrr -�,r�r aj;Alka'm.Iload- Linealn,RI t�l!i9 a^ut7er•• ear Phase.Qi1.:VA x+35-Fax-46l.fi3 E602 R:1;ri17xa Wa W i�Jn�.+Hk` _ Saanbt�'e,aPA•ac d tvmaocey3LC d/b/a , Rsashval by Ankran of Soanh NowF09had CUSTOM WINDOW AND DOOR RUMDELING AGREEW_NT t arm►Au a J t. _ 9rn aatnve nwK a+Y�fs)SaeaAdirmLv':aa.srJZVGod:rPA-3e.:—.✓�. Jdf��_ � _W� ��-�- E�+ar l;aty�sj here:6}=joutdr'o[Ud te:►Yr�1�'atG�nth ��[�A'''f'r`�audlar sramsr of Sasu[hten�esv Erhglrnd find-x+s.I.t�(:3/6!3 R�^nal by Atulc -4i s f Swgh=%v E j—Cai[rs mro .In ac,vtdaim uidi air term wd t,1iaK5fwm dmmbed w,the Ff m and the mww Of elsis x�raY,rsttisc and rat ibe ae!az�rr]gmtsf�;aex��.et{sJ rrelld.^ali�9ir t9iu^?�iaxenc�u'� 0 iftslork C condo 0 HQU T6W)ObAmwn 84 7�� ;aaoei o� me`# d at Parmvc a,chmk t3 CrisG:4 Oe$osit Rettfives .. �' GeSa cmare moCrrctil W 1.13 d the ROAM*uStoatofls!t��� t� Piti-sensc6I—see Gt&fedRrl+*xrcdam)�y8'a41� AVeany!t YWJ adze 9*t the E sPe r Suit cd bb rnA tee 6zbme exec&&sdndd�,��� _ 7�y Bettnee oto S rs�Go�A? �"m me r>o�br aree3 Complexion cf)ob(W)o 4 ru rid r �e mats by P ttattt�6snhc ttacctc Boyer(s)agrees and aodsrstasds Chas thiP Agreement cansfitates the effuse uuderstaidiag between the pstsde%and that :bore are so sesbal mderstand6sp t6oging any of the leama of this Acmmust.Boyers)achawmisdaft fiat swier(s) (1�has read tbfa AgreemeK,umdetstands flue ream+of this,Anuemenh sod has received a eomple"signed,anti dareal oM of this Agmenwau.lacidding the twe attaehsd Notices of C6eeelta6On,on the dote Hm written abovesold(2)was oilly Informed at)lurchsi&t tmmeelAlsdgreemeot-DONOTSIGNTHISCONTRA.CTIETIMMARB&NYBLANXSIACEL (RhadiLlmaa 8atar Gw1�)Atetioe to 1lnf+rs:(t�l Do aoa aigath#e A ecmeatif=Y of the spaves laseoded tar the agreed terms to the extent of them nv=kWe information are left blamlt.(Y}You am Gadded to a eopy of ihisAgeremeos ar the tine you#gs 1t.(3)Yon smay ui awry time par off the fog unpaid baLuc*date under thi$Agreemen%and is so doing you maybe entitled to eemive a Partial rebate of the Gnaaoe and insurance ehugm(4)The saber lms no right to t sLwfitlly enter Your p'um1wei or cooamit any bruark of tine PEA=to repossess goods purchased udder swaftreenumL(Sl You may cancel this Agrrtrasam if it has not beta signed at the mal n office or a brasA offuae of the seRtq ptoAded you notify the,seller at his or her ssn.ta office etbraueh ol8x sbotrs in the Agreement by vajinered or aerdned r ulL wWcb stab))beposted not later thanm ddimatt of the third caleader day slier tfe day onawbie h the buyer firm At Apteahuat,tudedlag Sunday and any holiday as"Web r golarenmldehwxi asmnotmade.Seeflueaccompanyingsaoaioeof buyer's We' Btitwv?sl ur.vdved ilii w.gsu=r educMlion uaxta A45 pnwi&d by ax Rlredas I.A&d Goutvamrc Weratioas Bard. Renewalby wnaQsea SoasmerssK wv 8 . � Sapnru oC Ptudaict hdwhagci � Sigahaec»c S:�nu;L — PrioillaasecdProdoalS; *cr Pr>mtNa)c rti'Naw YOU THE B[3YBR($j,MAY GI1t4GEL THIS TRIINSWT ION4 AT ANY MME PRIOR TO haDNIGHT OF THE HUSINIMS DAY AFCER THE DATE OFTIUS TRANUCTsION.SEETHE ATTACHED h'OnCE OF CAlaiC sassON FORMS FOIL AIQ EVRANATIGN OF TMS Rlt;FM _;ke NOTICE OF CANCELLATION � NOnCE OF Date odTrannaetlon 6-io- l y You:may tanr-el hate of Tranti don /s•-/,(1-/V .You may cancel this transaction,willma any pvtolty or obligatio%within this transaction,without any pennity or obligation,within three busman days b+om the above date.H you cancel,air a Oree boamess days from the above date.if you cwmk any property traded In,any pgymusts made by you under tare t property traded in.any payments made bin lane under eMe ratra[I or Sale,and any negotiable Instrument executed t Contact or Sale,and airy ns t ble ouatrsrnherht ereeetmed by you twill be returned within ten business days following r by you will be raturned wid►ln ten business days fd Wk s receipt by the Seller of your cancellation notice,and any r receipt by the Seller of yzwr cancellation rhetite,and aiq security interest arising out of the transaction will be security interest arising out of fire transaction will be canoeled.lf you cancelyou must male available to the Seller t caneetn3lf you eancel.you mustmalac aftlable to the Seller at your residence.In substantially as good condigon as when 9 at your residence,In substantially as good cwnli ion as when received,any Bonds,delivered to you sander this Contract or a received,any goods delivered to you under tits Conan or Sate.or you may.if you whk comply with the instructions of a Sate:or you rnan tf you witA.tom ly raffia t1w huarssctimrs of the seller regarding the return swWr4m of the goods at the sire Steller regarding the raeb!utr rnan of*A Spuds at the Seftet's sae and rhk.if you do make the goods available � Seller%esrpense and risk.If you do matte On goods available to the Seller and the Seger does not pick tlhern up within t to the Seller and the Seger floes not pick them up wittdn twenty days of the elate of cancellation,you may retain or t twenty 4M of the date of cancelindon.you may retain or c ispose of the goods without wW further oftadMn.If you 1 ice of the goods vA%h- ther out any fur obtigstion.It you fail to make the goads available to the Se tenor if you agree t IWT to make the goods available to the Seller,or N you agree to return the goods to the Seller ad fait to do so,then your to return the goods to the Seller and tad to do so,then you remain lie for peeiormwvv*of all obfil"oru under the t retmain"a for sae of all obli�#ons under the Contratt:To cancel thk tr>Ara;asctioq,mAH or denw a signed Coatract,Tvt tail or ate rwr a signed and dated copy of this eeneelladon novi a or aarrk� other ,t and dated copy of this exraAkdon nottee or any other written nocice,or send a telegram to Renewal byAndersen of r written nottee,or send a telegramto Rtntwal byAn6 men of Southcm New England sit 24 Albion(toad, RI 021165, t Sosrtherrn Near #2GAIbJan Rua ny lg DIM. NOT LATERTf MIDNIGHT OF "� I THN MIDNIGHT OF — —I ( t NOT LATER f HERIEBY CANCELTHISTRANSACTIOIci f��FBY CANCELTHISTRANSACTION. A sv"e* 401 - ►era KW" Dow Buys's sung" r4ucsheanr onto Rho Ca4e hnrare 5arytar Cmpr:lfi:`.hrw �r`�'[opy:Paac L11 d Z[233�Q!t+}2 sc ]]fEu^3'� 1iGSiteH ifiZZ t!tit rik' Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Superiisor k� r License: CS-095707 BRIAN D DENNISON ; 7 LAMBS POND CIRCIL Charlton MA 01507 I1 Expiration Commissioner 09/08/2014 C Tnl e i��09!L�7'lO?7•CUP,Q Office of Consumer Affairs Business Regu)atton 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration _ Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Wration: 9119/2014 DENNISON BRIAN ----- 1137 PARK EAST DRIVE ----- ._------- _.—�_ WOONSOCKET,RI02895 Update Address end to.card Marls reason for cbsng& uw s o wucvrr _t Address f-j Renewal IL Employment ]Lori Card -om.omom—Attelrs&Bull.—Rrgutatiae License or registration valid for Indiridul use only `�`�PIRE IMPROVEMENT CONTRACTOR - before the aspiration date.If found room to: re Offrce of Consumer Affairs and Business Regulation - %;N' 11e05 tra110n. 173245 Type: 10 Park Pines-Sutra 5170 . Expiration: 8lWO14 Supplement IXrd Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS L.I.C. - RENEWAL BVANDERSON DENNISON BRIAN f i 1137 PARK EAST DRIVE �- _— WOONSOCKET,RI @895 Uodrraernury Not valid without signeturc r - The Commonwealth of Massachusetts Department of htd=trial Accidents Office oflnvadgadons 600 Washington Street Boston,MA om www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A licant Information Please Print Led Name(Business/Ommization/Individual): 5 61V61AA4.. ~ Ltd Address: a (o joAf City/State/Zip: LjAle-'D N .X, . ' Phone#: 1/0/ ,?a $-, f VDO Are you as employer?Check the appropriate box: Type of project(required): 1.[d I am a employer with A 0 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 8. Demolition working for me in any capacity, employees and have workers' 9. Buildingaddition [No workers'comp.insurance comp.���# required.] S. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c.152, §1(4),and we have no 13�Other employees.[No workers' comp.insurance required.] *Any applicant that chedcs box#1 must also fill out the section below stowing their workers'compensation policy inform on. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state wbether or not those entities have employees. If the sub-eontractnrs have employees,they must provide their workers'comp.policy rmmbm I am an employer that rs provtdmg workers'compensation insurance for my enrpdoyees Below u the policy and job site infornurtiom Insurance Company Name: StJra�l C eidJ Policy#or Self-ins.Lic.#:�/� ��7��d �� Expiration Date: o'Z Job Sits Address: AI, �2 U C�,/��p. —4 Attach a copy of the workers'com ensation policy dec ration p e(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 foam of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance wveraae verification I do hereby ceriify under the pains and penalties of perjury that the informrad on provided ab ye is true d correct Signature: Date: to 1/`) 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.'Plumbinglaspector 6.Other Contact Person: Phone#: Client#:30124 SOUTNEW ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 8/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME;HO Anita Little Willis of New Jersey,Inc. PNN Ezt:856 914.4660FAX A� 856.914-1881 1015 Briggs Road,PO Box 5005 E411UUL anita.little@willis.com ADDRESS: anita.liftle@willis.com BOX Laurel, INSURERS AFFORDING COVERAGE NAIC 0 Mount Laurel,NJ 08054 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC INSURER c:Beacon Mutual Ins.Co. 24017 D/BIA Renewal by Andersen 26 Albion Road INSURER D: Lincoln,RI 02865 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE IN SR WVD POLICY NUMBER ADDLSUBRPMMIDDDY EFF MPMIDCDY EXP LIMITS A GENERAL LIABILITY S202945900 8/1 O/2013 0811012014 �EAACCH�GOECTCUR�REENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY FREMISEg Ea rrence $100 000 CLAIMS-MADE F—R OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 00O 000 GENERAL AGGREGATE $3 OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3 000,000 POLICY PF—IJECTO- LOC $ A AUTOMOBILE LIABILITY S202945900 8/10/2013 08/10/201 F0 eB ED SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ AILL�OWNED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ A X UMBRELLA LIAB OCCUR S202945900 8/10/2013 08/10/2014 EACH OCCURRENCE $5 000 000 EXCESS LIAB HCLAIMS-MADE AGGREGATE s5,000,000 DED I I RETENTION $ C WORKERS COMPENSATION 0000068O28-RI 8/21/2013 08/21/201 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY B �ICEW PROPRIETOR/PARTNER/EXECUTIVE ECUTIVEa NIA AIC927818352394 8/21/2013 08/21/201 E.L.EACH ACCIDENT $1 O000OO (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 B yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE • A ©1986--2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088 AXL Town of Barnstable � ��o1LsltL�� Regulatory Services U ` Thomas F.Geller,Director ` M Building Division a639. �e w Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION 200 square feet or less Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel# Ac, Signature Date Hyannis Main Street Waterfront Historic District? .,L- fa' ` v""ar zn* CID a Old King s Highway Historic District Commission jurisdiction? PC, = v If over 120 square feet,you must file with Old King's Highway Conservration Commission(signature is regiured) Sign off hours for Conservation 8'00 9 30_A 3:304:30, - PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. T] IS-FORM4Wr-ST�BE ACC= A;NIED�-g i -- -,Y A PLOT^PL i Q-forms-sbedreg REV:05201 t PLOT PLAN SNOWING LOCATION OF BUILDING MASS E R -- 1 J - 8C'ALE :./ 50 DATE. . J ly CHARLE,S N. SAVERY-INC. REG 1..E a L.S': 712:: MAIN ST HYANNIS ; MASS:" i , rc • I w Y i'i]yj. s r r ,r1 3 W�i .5 H N G 7 0 /V Z3 U R S L f Y c �� i herety certify that the building exists on the ground as shown on this plan and is i.n accordance with the zoning �. I . fequ ements .of the T.own of a r S f a Registered Land Surveyor f Town of Barnstable Permit# 03�� Expires 6 months from issue date Regulatory Services Fee > M y 3 `� Thomas F.Geller,Director 1 19. fu o Building Division �h U Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 t �2 I-1 0 Property Address Residential Value of WorA b y Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address OL rO 'd IS ICLG� 54 (it,Gts � n � tars e � b.t t b o vecr Contractor's Names t f71rS V1.g e /Telephone Number/ S3' 0 4 S Home Improvement Contractor License#(if applicable) 14E Q I ! &Y2 - /0`// / Z U y /q Construction Supervisor's License#(if applicable) m PRESS PERMIT ❑Workman's Compensation Insurance Check one: J U N 3 0 2008 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE I have Worker's Compensation Insurance _ . a , Insurance Company Name Ac F— ,tom 1M e f 1 C a Vl �J_yis u I(-O V` l e Workman's Comp.Policy# W L R C 4 44 6 (D l -t(i� IE?(P - 0& 1Q1109 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) N f k] Re-roof(stripping old shingles) All construction debris will be taken to N' ]Re-roof(not stripping. Going over existing layers of roof) N'Q Re-side Replacement Windows. U-Value . 3 Z _(maximum.44)((;) ftouce�moteI - S 7r G c,-t-v j-c,_ •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. - e Improven#t Contractors License is requir d. L O 'E SIGNATURE: a°;;'i I e i t 'L Q:Fonns:expmtrg !V P t t'i✓ Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sears Home Improvement Products Incorporated Address: 1024 Florida Central Parkway City/State/Zip: Longwood, FL. 32750 Phone#: 407-551-5402 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑.I am a general contractor and I: 6. ❑New construction. employees(full and/or part time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition. working for mein any capacity. workers'comp..insurance. 9. ❑Building addition [No workers' comp. insurance 5. We are a.corporation and its 10:❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself [No workers' comp. c` 152, §1(4),and we have no 12.❑Roof a�.Yau a insurance required.)t employees. [No workers' 13.E Other W�' ►ACe V►�c n� comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonnatiori. t Homeowners who submit this affidavit indicating they are doing all work and then hire.outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ace American Insurance Company Policy#or Self-ins.Lic. #: WLRC44460798 Expiration Date: 08/01/2008 Job Site Addre : I h ' i Z e M Z r s3 Attach a copy of the workers'-compensation policy declaration page(s owing 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$250.00 a:day against the violator. Be advised that a.copy of this.,statement may be forwarded to the Office of Investigations of the DIA for insurance.coverage verification. I do hereby certi n the pains penalties of perjury that the information provided above is true and correct. Signature.- {Sears Auth.Agent} Date: Phone#: Home:860-792-8106 / Cell:860-753-0452 Official use only. Do not write in,this area,to.be completed by city or town official. City or Town: Perinit/License# . Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: k t� Ale 1 Boar o uz >ln a u1aL9ons an an ar s . - tine As hburto' P1 ce`- Room 1301 _ • Boston., Massachusetts 02108 - Home Improvement Contractor Registration _ - Registration: 148607 Type: Supplement Card Expiration: 10/11/2009 SEARS HOME IMPROVEMENT PRU®UGT, Sears Authorized Agent- , LUBOS SVEG i Home- 860-792-8106 1024 FLORIDA CENTRAL PKWY p ,, ;� Geld -860-753-0452 LONGWOOD, FL 32750 Update Address and return card.Mark reason for change. c�8 CAI 0 50A"Z s�-r-rA490 -[,__I Address I] Renewal-� , Employment Lost Card tioarcl of Building Regulations and Standards lAcense or registration valid for individul use only •HOME IMPROVEMENT CONTRACTOR before the expiration date If found return ta: V Registration: 148607 Board of Building to:, and Standards ' r` Expiration: 10/11/2009 One Ashburton Place Rm130t . .� Roston,Ala.02108 - Type: Supplement Card ' SEARS HOME IMPROVEMENT PR E CUrbISbTcSWC 1024 FLORIDA CENTRAL PKWY LONGWIOOD.FL 32750 Administrator Mot valid without signs - _ One Ashburton Pace - R 1301 Ben.. Mass l 02 108 dome it e f Registraflon } ; . Ri9S1ktaflarr 14W7 . TVA fr"aMic Ct rooration , =--x � t Y j rtdtEti>i• 1EH11!?t Q 1"rA 259.-: SEAMS HOME IM MENT - ALFRED NYMAN 1024 FLORIDA AL,PKWY LONGWOO "L 32750 U t?M irm tmd rourn ear&Wbvk mmait for ors�Ai 4 �oeaartrrrf�ens�► -� , �� Empfagymirmc Lost Card no$rd at tang Re�argttp sad SCaudartts. i a>?meaftfieu e.%Yid for iiodWdul ROME IM MENT b e r a ton dale. it found m to: , Boards►fRnnditReC Mtion:aot7StW&Ur _� 62e03ott t}o t �' One Asbbas'on Plam Pin 13ft _ tint Sf S HONE I' � f�DIXTS 1 ALFRED NYMAN� 1024 FLORI _ a d'• LONG .,FL 32754i��'`� Admintstntor Nat vstsd opt 9 ture�_ 03/19/2008 16:59 407-767=8536 LICENCE PERMITS SUBS PAGE 01 AC- 08/O1l2008 03l10l2005O-Rt. CERTIFICATE OF LIABILITY INSURANCE °A/10106 PRODUCER LOCKTON COMPANIES.LLC•KCHICAGO THIS CERTIRCAT'S 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 525 W,Mon=.Suite 600 HOLDER,THIS CERTIFICATE DOES NOT AMEND EXTEND OR CHICAGO IL 60661 OVERAGE AF60RDE6-W (312)669.6900 INSURERS AFFORDING COVERAGE INSURED Sears Holding$COrponWon A Ca an 1062183 dlWa Seam Home Improvement Products,Inc. I aJndemmi na n• orthr Amexica Attn:Risk Management E3.237A E 3333 Beverly Rd. fftnan Estates,R 60179 COVERAGES 004 I CERTIFIGA F SURANPRESENTATRtE OR PR LrTE A GC+N7RACT B E ISSUING Q�IQER_ANO THE CERTIFICATE MOLDER THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MERSIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH ROLICIES,AGG EGA LI SHOWN MAY HAVE BEEN REDUCED 9Y PAID CLAIMS VTR TYPE OP URARCE POLICY NUM M PDOLICY EPPEGTnIB POCK". RATION LIMITS GENERAL LIABILITY 47E EACH OccuaREn_fce s 5.0001000 A X COMMEACIAL GENERAL LIABILITY HDO021745078 08/01/2007 08/01/2008. FIRE ana Excluded CLAIMS MAD& ®OCCUR MED EV tAiw ona epoSWa Excluded PERSONAL&AW INdt IA G 0 OOD GENERAL 0M 8 5 000 GENT AGGREGATE LIMIT..APPLIES PER: PRODUCTS.�P AGG 5,000.000 POLICY SECT LOC.- AUTOMOBILE LIABILITY caMelNRo stNQLe LIMIT a 51000,000 A X ANY AUTO ISAAM032IS984 08/012007 081D1/2008 (Eaaoddbol) A ALLOWNeDAIMO LSATIO8216009 08/01/2007 08101/200$ SCHEOVMAUS �paru)Ry TO XXX3QC7OC HIRED AUTOS BODILY INJURY NON"O AUTOS (paraoetdeni) X WptED PROPERTY DAMADE (ParaaYOaMI CARAORUARMU AUTOONLY-EAAOOID S XXXXX OI A X ANY AUTO S.I.R.$5,000,000 08/01/2007 08/0112008 pT�p TRAM ER ACC AUTO ONLY: AGO S 7 EXCESS LIABILITY EACH OCCURRENCE_ S 10.00 000 A X OCCUR ❑CLANS MADE 02 38 82 310 08/01=7 08/01/2008 AGGREGATE c 10000 000 DIIaRELLA oEDucrIaLE L..r"I JJ FaaaT 7t7pp� RETENTION S 8 A WORKIRa COIMPENSATWA AND WLRC44477282(CA) 08/01/2007 .0810112008 X `°G 6TATU B EMPLOI&R&LIABILITY SCFC44477270(WI) 08/01/2007 08/01/2008 ELL,RICH ACCIDENT 8 1 0 00 H WLRC4447720(ADS) 0$101/2007 . 08/01008 a Emncygg c 1,000,000 E.L.DISEASE-POUCY LIMIT : 1.000 000 OTHER OMMPFION OP OPERATIONSILOCAMONSAtMCLESO(CLUSIONS ADDED BY ROWSEM UMPRCIAL PROYi5tON9 Alhd W.NymAtL Ir.,Licmm tiC00012538 located @ 1024 Flatid8 Central Pa*ny,Laagwood,FL 12750 end Med W.Nyman,Ir.,License K MC1249510 located®1024 Florida Ceatrat PE&my.Longwood,n 32760 CERTIFIC ADO INSUR,a PMRFRNCELLATION 2288082 SHOULD ANY OF THE ABOVEDE901BED POLICIES BEECANCRII DUNE THOEXPIRATION Seats Home Improvement Product DATE THFmw.THE wautic INSURER wtuL ENOFAvOR TO MAIL-V-DAYS WRtITEN 1024 Florida Central Parkway Longwood Fl.32760 NOTICE TO THE Ct IRTIMTE HOLDER HAM!D TO THp L EFT,6UT FAILURE TO OO SO SMALL WPM;NO OBLIGATION OR UABIUIY OF ANY KIN*UPON THE INSURER ITS AGENTS OR REPRESOTAYPRM AUTHORM REFRESEHTATIQ ACORD25-S(719T) rpACOR15CORPORATION1688 Received on 3/19/2008 10:19:44 AM 07—(19 OR Vinyl B Vin:Uo NFRG !C�a� L�+P1:r9,7c,r r n+Yteoa+�V3;aAarr n ,ar�„F.'r�sra�raar Na�torrlr�astra(lon 'n tt 'A_791S eatr,Vikkir, RaIDsgt�uredi� tft aRn®m4ftr.=.99 ca=.-p § spn,m, Rio !l7�mnv,mc�a ofka.. p Wv, amaii[Aa ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient Fa=43 CoddaftGoamlade BmrgaSolar 0-26.L. a-.•,L o emmis!! ADOMONAL.PERFORMANCE RAIN MfAUVWMSUPL8WWrAMDrxFJV0ffAMHM MAleTtansmdunce TrimmWan&Luz 61ble fit •ate s.�� reataAa�7urer Breee�sssr sa�admmmep oabfeM�iCproc��atord�armh+ng�nalap,ntluctp�atam ca UFRc rrm�saaeernar�earasf6masatafomAmnma�dra�,�fonsartaa�ltcura�eis-ae.All�doesndtr�ommanam�vproduet s ailddu25fl�ttY?JfBtRlha9U)lab�IlY�PllyptoGnytfo78nY9 N98.Con5UI2�Ill6t81111E�i01fEerpmuetpHtUfln"ue tmbm�allan.vnsns�mp E'1Etabdt�tds CPA CMW&tCsfd�tMIMCon1ftPM�mt ft9A1t2N BdoNWDW&Wff UQI MndbWMto W del pmduzho.t�+atme9us9r►osporNFNCsvnde0¢rn�rtedos par►moa�oRaiUade�►tltca�amM�elesy9n�matrodearodu� eapadltco.NFRC no tecandada nlagun pto�tdo y no gage que 81 pmda�x9 sea ad�mtn Psis�vso moo•(k�utro wn t4 tbtl�oddSabriC6nmpsta9ll�aGroDiedodeesf9p�n�m.vavtYadraorg 6� - rrni r..�waiif.iatr f,+r RIICFRC'f FTAR �Sj v6A:;u1�.s �i�D66C2Q ••ale�C,ip.4 a4'��1r�1� ���gpyo�.��y �^_ �3 ' ,.: tsoidala�l, cr SYIlie3 ftol�.P. mr-c.- 29- ,^ � "� 1ND: Rain r10f�LW� tOs9t•f6x�!i.5 DP Tin G '$it?- 6P+'.t�rtaram fn►f�xdKy.e 3.I.$� a�/�-WI.S . : +2 J/--2 AQr7017Q t Al rs1Q-47 pRr mri 10 7406944M - i�aaP@ds�belfatpc6�'61eFt1ERbYStA�tai�.So�nmareW�t+�;�+xsnargysmrgau 0;0*Am malm Pam pm mm mumb*w My STARS Pun"rear MIS omraa da r$io vmt8�nn+xenetggstotgau Sears Home Improvement Products,Inc. Location: 1024 Florida Central Parkway♦Longwood,FL 32750 Phone#: FEIN 25-1698591 swrls License Numbers:AL 5481;FL CGC0/2538;LA 84194; Home Improvement Product #: MA 148607:MS 50222 NC 47330:RI 27281;SC 1051i�3: TN 2319;9A G18089;CT HIU-0607669:OK 106841 Replacement Wind'OWS Name: 7 e-1- Phone:Res c '7&1-136V7 Bus- Address:(SyLC//�' �/ City: �_St.:,�_Zip:G� I/We,the owners of the premises described below,hereinafted to as"Purchaser"offer to contract with Sears Home Improvement Products hereinafter referred to as"Contractor",to furnish,deliver,and arrange for installation of all materials necessary to improve the premises located at: cry le iys!j, �i 4ay. �U�L� I1VZ, r�� (Street) (city) (State) (Zip) According to the following specifications: 1. Remove existing units to be replaced. (NOTE:Removed units are likely to be damaged.) ' 2. Prepare openings as necessary to receive replacement units. (No finish work other than normal be done unless otherwise noted below.) ins ron is to 3. Install Sears Weatherbealer Windows in openings described below to the following specifications: le Color. h'te ❑Tan ❑White/Light Woodgrain Interior❑White/Dark Woodgrain Interior ❑Beige./Dark Woodgrain Interior Type: H [ISH ❑1-LR ❑2-Lit ❑3-LR ❑PW ❑Other Qty�/ Qty— Oty— Qty_ Oty— Dty— Oty— e �her ass: le ❑Bronze ❑OBS'6 Qty_ Screens:CHECK IF OTHER THAN FIBERGLASS: ow EVArgon ❑Gray ❑OBS Full Qty_ (On Sashes Only) ❑ Alum ❑Tempered Qty_ ❑Keepsafe Qty NOTE:Tempered glass will be installed to meet building codes. ri CDI Sculp Col Flat Dlamond Top Yes White 7 ❑ - No ❑ Tan Full Wd Grain Bottom Brass Warranty: Manufacturer's Warranty sent u n complepn. " 4. Existing units NOT to be replaced:� �� /��/J " ma's C'l!1 X� 5. If applicable,after completion of project,the application and removal(storage)of shutter panels shall be the responsibility of the purchasser�Inn the � event the project requires the installation f storm shutters or egress windows,Contractor will nrn�t re-install any Affect d security bars. 6. Special instructions: a 044ra!!t'1 64L�IRIMS Ord f zC'f Ll9iK S i 7. Clean up job related debris and provide nemwdry permits and insurance. S. If applicable,in the event that Contractor is unable for whatever reason to obtain the proper permits prior to the commencement of any work. Contractor shall refund any previous payment and this transaction shall be automatically cancelled. 9. Allow approximately 3-6 weeks for installation. TIME FOR COMPLETION OF WORK.Contractor shall commence work within approximately twenty(20)days from the date shown herein and will be substantially completed within forty-five(45)days thereafter unless a different estimated completion date is shown herein. Approximate starting date is: 44crLe2iks Approximate completion date is: CT---ell NOTE:THE WARRANTY PROVISIONS AS STATED ONTHE REVERSE HAVE BEEN EXPLAINED AND VWE UNDERSTANDTHEM�FULLY. -� ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ONTHE REVERSE SIDE AND ARE A PART OFTHIS CONTRACT. Please read the following bold type and initial corresponding line. Verbal understandings and agreements with representative shall not be binding-All understandings and agreements must be set forth in writing in this Contract Due to climatic conditions,Interior densation may occur. Purchaser Initials: Contract Price OO TobefinancedlY Cash upon completion O Contract Price $ Down Pa mein .00 In witness whereof the Buyer has entered into this transaction State Sales Tax(,%) $ Balance Due •00 fhil2oday of r (If applicable) AM tans iims are akiw w review and approval oy the mmtelleb n am cwi dtpettmrxtls who may sons and refund any d—Wimant Total Contract Price $ 10%Preferred Customer Discount(PCD)awarded for any future Sears Home Improvement Products purchases.Current pricing available for one(1)year. If this is a credit transaction,the agreement for credit is contained in a separate document which is incorporated herein by reference and made a part hereof.l/We the undersigned are hereby authorizing Sears Home Improvement Products.Inc.to verify and review my/our credit record with an independent credit reporting agency and release them from all liability incurred from inadvenerilgrnisstons or IN WITNESS WHEREOF Purchaser(s)have hereunto signed their name(s)this _day of MZe ,20�npp_p_and acknowledge receipt of a true copy of this Contract and unless otherwise specified,it is understood that the owner is ready for work to begin. THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY:You the Purchaser(s)may cancel this transaction any time prior to midnight of the third day after the date of this transaction.See accompanying notice of cancellation form for an explanation of this right, Licenses held by or on behalf of Sears Home Improvement Products.Some services and installation performed by SHIP associates.Other services and installation performed by SHIP-Authorized licensed contractors;additional SHIP license information available upon request. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Silinature affixed below acts as receipt th r(a)received separate cancellation forms. .. SU D BY:Repr ntat�ve !a Ponchos r ��et� ACCEPTED BY:sears Home Improvement Products,Inc.. Date Porch Data - E2SO(ALAR.CT.FL.GA,KY,.LkMA,ME,MS,NC,NH,RI,SC,TN,VT)oa*6 Town of Barnstable �O "' Regulatory Services i679 �� p Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder I_ a r-0 La Ct<-,—,as Owner of the subject property hereby authorize, IfS 1"TOW e--T"0 LU S SV to act on my behalf, in all matters relative to work authorized by this building permit application for: 54 S h i n q �b n M le 1�)Ct (Address of b)f4kcuc . Q CC/ � Cl' e- 30,zvo S Signature of Owner , Date An r-0 'S/ac' Print Name Q:Fmms:expmtrg Revise071405 Assessor's map and, lot number, ..a1 .°`. ?.. Sewage Permit number .......... ......:... .......................... fvQy�F?NEtp�� c, TOWN- OF BARNSTABLE Z BARtSTODLB..i r o pYae� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... ... ......................................................................................... TYPE OF CONSTRUCTION ........ ...................................... .............................................. �...f.�...............19.Z� TO THE INSPECTOR OF BUILDINGS: h The undersigned hereby. applies for a permit according to the following information: !lit �/.. .�. Location .......:...... ................ .. . . ProposedUse .............................................................................�.. .;;{r.................. ...f ZoningDistrict ....................../r.................�%.............�.........Fire District ................................................... ram,. Nameof Owner ............:.....................................'.....................Address .................... ......... Name of Builder .. .....Address Nameof Architect ..................................................................Address .................................................................................... a ' Number of Rooms ...........Foundation -� ...Roofing Exterior ..... ...�..:............�;..:........................................................... i C����` - ter' ��1 /�.17 � Floors ..�...�........................................Interior ..............,...:...:....� ....................................................... Heating �, ��..................................Plumbing ......................F' �.,. ....... ........................................ Fireplace .� .........................Approximate Cost .......'' :....: w� ..................^... doii - Definitive Plan Approved by Planning Board--------------------------------- Area ....:.........:.................,......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reggrding the above construction. Name.';:AA U.t l F ' Small, Alan E. A=1727Q No 18529 Permit for ..ore..storY.:.r. ' in le famil dwellin Location 5 �Iasbingto�..�us �y..�tay....... .....................cen.tervi-Lie............................... Owner .............A Lan..E....StuaLL..........:............. Type of Construction frame ...................................................... ..... ......... . . #ill Plot ............................ Lot ...... ...... ............ July 16 76 Permit Granted ........................ ...............19 Date of Inspection .....................19 t Date Completed ........ PER-,, IT REFUSED ....................................... ................... 19 f ........................................ ...................................... ........./. .... ..../ ... ............................................................................. ............................................................................... . Approved ................................................ 19 ............................................................................... Assessor's map and lot number ....... ........"� Qc/sue �G lei .. e/ / 7�... t SEPTIC n�IlITSTY BE // 'J (. 4' .Sewage};?Permit number .. ...... . '............ INSTALLED 'IN COMPLIANCE c WITH ARTICLE it STATE .,: oFTNeto� ��. IT AND. TOWN r TOWN OF BARNDRIL ' ` li ABB9T B "6 9 f =5 BUILDING INSPECTOR o, .0 i~ •E•O:M pY 0' 6y c't � j elAPPLICATION. FOR PERMIT TO .... ....... ........................................................................ ...... TYPE OF CONSTRUCTION .... ...................................... .. ................................................ ns A:t. ..............19.7(1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according tD the f owing information: Location .. ..... . :...... ..............................-1L .....��(/.'.'v... ProposedUse ...................................................................:..... ZoningDistrict .........................Fire District ......................... ................................................... Nameof Owner ......... ...................... ...............................Address ............ .. ..... ................................... Gr . Name of Builder .....................Address Nameof Architect ..................................................................Address ...................................................:................................ Number of Rooms ....................Foundation ............. Exterior ....... ...... ................. ......:.........................:...............Roofing ...... . ......... . ........:.................................................. Floors .............:?..... .....`..................................................Interior ........vj- ...�%�/� '� Heating .......... ...........Plumbing . ................................... ......................................................... Fireplace .... .... .......................... .................. ..Approximate Cost ....... �... .............. . _. .... ... . . . . .. Definitive Plan Approved by Planning Board ________________________________19_______. Area .. ... ✓......... y Diagram of Lot and Building with Dimensions Fee LPL /............ ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH D - b I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ding the above construction. Na ...................................... ................................. Small, Alan E. f A 18529 one story, N6 .................. Permit for- ............................. single family dwelling ft.... . ........:...................................................... Washington B.u..r...s..l..e..y Way LocationCenterville ............ ................................................................... Alan E. Small Owner.--................................................................. frame Type-of,Construction .......................................... . .......................:........................................................ k #111 Plot ............................ Lot ............ .................... -1 Permit Granted ....... Jul 16....... ........19 76 Date of Inspection .. '9 Date Completed ...... .......19 PERMIT"REFUSED ti ................................................................ 19 r .............. ........... ........... ................. ............................................................ f A .................................................................... t ............. ........................................... .................I.. Approved' ........................................ 19 ................................................................................ ................... .......................................................... PLOT PLAN SHOWING LOCATION OF BUILDING ,C A At `7"' - _ Mass. SCALE J Sa � ` DATE Cy ?9' t . CHARLES N. SAVERY INC. REG C-E,& L S. 712 MAIN ST HYANNIS, MASS. I U`i 10 :415 z � ' lC I hereby certify that the building exists ' ,kr on the ground as shown on this plan and r ROQkl1i is in accordance with the zoning � KUN�Ktd requ ements of the Town of r n S 1�a /�- ; 8420 $tlrvQyor Registered land - ��O auR 'o