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Home My WebLink About0119 DEBBIES LANE�/!i ��6�� r�.. i i � �,�se u�oo c� ,C.a tie �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J Map 6;0 Parcel 130 Application #C�0�S 6S S�� Health Division Date Issued I Conservation Division Application Fee 'r� Planning Dept. Permit Fee Dl,•bl Date Definitive Plan Approved by Planning Board Historic - OKH wo _ Preservation / Hyannis Wo Project Street Address I c..S Villages IA+I s Owner-��t �oS� Address 1\"'l b l��c\s he Telephone t (15 IU,I+-- c,9_tA? Permit Request G W\. Cr, CAS CIS S 5 t O Coin nCG w\ C� l S�iC�I sN S�L1M •a I s Kam/ Square feet: 1 st floor: existing proposed "— 2nd floor: existing _ proposed "- Total new— Zoning District Flood Plain Groundwater Overlay Project Valuation V�ab i pbn Construction Type ��3 Lot Size Grandfathered: ❑Yes d No If yes, attach supporting documentation. Dwelling Type: Single Family ,kk Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes N(No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other &CA Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizA Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size A* Attached garage: ❑ existing ❑ new sizaVVShed: ❑ existing ❑ new size/Other: �1 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes, V No If yes, site plan review# v sn. Current Use ae-st GIcr &L Proposed Use APPLICANT INFORMATION -' (BUILDER OR HOMEOWNER) Name0,tLr�n, Tzm Telephone Number Address 1\ a._ J 4,sNt,.n Rt)c.,& License # GS-115�61� c-� hirlkS� VIA- Oc�Wab Home Improvement Contractor# 1 W"" D�&63(05-P4 8 a�Ins Email 5 � 5�` Worker's Compensation # WCoI'R..1o15'-oo - 1.Io� IS- ALL CO TRUCTION DEBRIS RESULTING FROM THIS PROJECT WIL BE TAKEN TO a� N2fa cam_ ace- Ct �1� ��h� STU SIGNATURE DAT t� . 6 } I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: FOUNDATION FRAME iR INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; ,DATE CLOSED OUT ASSOCIATION PLAN NO. 1 t k71, OWNER AUTHORIZATION Job ID: Q 1-I t Location: a +vvs A& Ie�c'- Ql as Owner of the subject ro P PAY hereby authorize- ft—kra ft.Com_Mc JaS72! MA Lfic 1 136 MR to act on my behalf, in all matters relative to work authorized by this building permit application and signed contract. Signatrm of Owner. late: U Maedaacnraoete owow"m of Pow.$afemo ` `�' E�oaro of llurnp ROp.�st+a+y.��n sty S crnee CS-108616 JASON PATRY 821 SMWART DRIVE + Abington MA 02351 0218012019 Omce of Commmer Allbin&0ninen&golodca t `HOME IMPROVEMENT CONTRACTOR RegtsatratlOn: 108572 Typo EKPirBUD : 302017 Supplemem C SOLAR CITY CORPORATION I s JASON PATRY 24 ST MARTIN STREET SLO2UM 99�-' rAAksoROUGM,MA 01752 Uoderucrelary C ;l lye(`/%/!'(•'(!(1!f Office of Consumer Affairs d Business Regulation ;'. ::• 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home improvement Contractor Registration Registration: 1.68672 Type: Supplement Card Expiration: .3/8/2017 . SOLAR CITY CORPORATION . CHERYL GRUENSTERN __-._.. .. . 24 ST MARTIN STREET BL©2UNIT 11 - --- --- ---- MARLBOROUGH, MA 01752 - _ _--_- Update Address and return card.Marto reason for change. r Address Renewal Employment r ? Rost Card Office or Consumer Affairs&Ousincss Regulation License or registration valid for individul use only s--' before the expiration date. if found return to •N••hIOME IMPROVEMENT CONTRACTOR p ` Office of Consumer Affairs and Business Regulation :: ..: 'Registration: #fi8572 Type* 10 Park Plana-Suite 5170 Expiration: 31W-017 Supplement Card Boston,MA 021.16 - SOLAR CITY CORPORATION ' CMERYL GRUENSTERN. 3055 CLEARVIEW WAY SANI MATEO,CA 94402 Undersecretary Not val without signature .. } The CnnlnroAlwealth ofMassacfissetts - DeperhmeaW of f Industrial Accldenis 1 Congress Street,Srute 100 Boston,MA 02.114:2019 www.mass.gav/dial Workers'Compensation Insurance Affidavit!DaiWers/CeniraetorslElecttrWanstPlumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Akr3licantlnforn:ation Please Prial L,embly Name(HuiincsVDrgunizalinnlindividuat): SclarCity Corporation Address: 31055 Ciearview Way CitylStat zip: Sari Mateo,CA 94402 P]tone#: (8e8)765-2489 Am won an=ploycr?Check the xppropelate box: Type of project(required): I.01 am a«+plow with cmployeas(full audlorpar4time).; .7. ❑New construction 201 am a sole proprietor or partnership end have no eMloyax working fig ox:in„. 8. Remodeling any capacky.l�o workeo'comp.insurance Mqu'rred.] 3.Di was homw'eonen iaiggall work rn)=tr.iNoworkws'conrp.insamocrequlrcd.l+ 4 El Demolition 3Q I am a homeoww and vein behiring aarhaetors to conduct M%work on my property. twill 10!_!Building addition arsine that etl crxrtraators aidrer have wurkars,'cwnpmz ion iusumm or are sole 11.0 Elaub ieal rt pairs or additions proprietors with nts atgrtoyecc. 12.Q Plumbing repairs or additions 5E3 1 am a general.txxntactor and I have bird the sole-contractors listed an the attached sheet. I3.❑ repairs irs 'these sub-aonh-wiars have a nployecs and have workcrs'comp.ins ume.: 6.Q We are a corporalon and its officers have curcised their right of exampilon per MGI,c. 14.U10ther sdar panels 152,§1(41 and we have no earploycea.[No%vorf:ars'to".insurance requited.] *Any applicant did checks box Of most also till out the section bodow showing their workers'coropeasatiott volley hifonnatioa. I I Its ivlto subra t this Affidavit indicating they are doing all work and then Imo outside.contractors must submit a new n1ridevit indicating such tCoutmaors then cheak this box nam ottoched en additional sheet showing the nacre of din sub-contractors and state wimber or not those entities have tmployecs, if the sub-contmators have anpkrvcas,ihay mast provitic their workers`amp.policy member. j ass an empkyer that is providing workers'oompemsaidon Utsnranee for my emspioysm Saber fs ilre policy and jab site dnforfmrtlax Insurance Company Namt.American Zurich Insurance Company . . Falicy#or Self ins.Lic.4: WC0182015-00 Expiration Date: 9/1/2018 job Site Address: 119 Debbie's Lane City/StatOZip: Marstons Mills,MA 02648 Attach a copy of the workers'cempensatioa palfrey declaration page(showing the policy an Ober rand expiiratlort date). l:aikire to secure coverage as required under MGI.c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 andlar one-year imprisonment,as well as civil penalties in the form oft STOP WORK ORDER and a fine of up to$250.01)a day against The violator.A copy of this statement may be forwardW to the Office of Investigations orthe DIA for insurance covcragt:yoritiicatiom t Ida hereby cer . un(Aw the pains and penaftlNr of perjury that the btrormaldon provided above Is true and eurred. (Jason Patr D Au&Ust 26 2015 nhoil Q,Otrlal use vn(y. Do not write in this errea,la be eampleted by r.-1ty or town o,,&lal. City or Town: PermitfUtense i'/ Issuing Apthority(elmle one): 1.Board of Health 2.Budding Department 3.City/Town Clark 4.Meetrical Inspector S.Plumbing lttspedor 6.Other Contact Pertmrt: Phone#: AC® DATE(MWDDNYYY) k� CERTIFICATE OF LIABILITY INSURANCE ' 08l1712015 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 certifipte does not confer rights to the eertificate holder In eeU of such endorsement(s). PRODUCER CONTACT - MARSH RISK&INSURANCE SERVICES At4E (pq_..... _._.T....- 346 CALIFORNIA,STREET, 0D SUITE 13 PHONE CALIFORNIA LICENSE NO.0437153 E4ML SAN FRANCISCO,CA 94104 Altw SWRon SC*416-743-8334 _._....... _........... 9URER(S)AFFORDWO COVERAGE.:... .. .._._._.. NaO# 998301-STND-GAWUE-15-16 INBURERA ZtaldtAMeficalllnstreMCompany 116536 INSURED INSURER B:. N1A SdarCity CtnporAbn 3065 Clear Aew Way INSURER c NIA tWA San MRleo,CA 94402 _.............. .. .._.._...... INSURER o.American Zurich 1nsUrarUa Company �40142 URER F COVERAGES CERTIFICATE NUMBER: SEA-00271383"8 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 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR __ ......ThKDLTSU "POLI6Y EFF PGLIGY t?XP L TYPE OF INSURANCE 11 Vwun POLICY NUMBER NMHDD MMIDDNYYY LIMRS A X 'COMMERCIAL GENERAL LIABILITY GLOO1820164)0 090112015 09ffilra(l EACH OCCURRENCE S 3.W0,000 --- AGE TO RANTED ._.._.. ._......_ ... CIJUMS•MADE F OCCUR PRENI,$E,S,(Ea,RcCynenCe] S 3,000,000 1. — — X SIR S250,000 1 MED EXP(Any orte.person).. S 5,000 PERSONAL&ADV INJURY 5 3,000,000 GEN'L AGGREGATE UMIT APPUES PER GFIJERAL AGGREGATE S„ __._ 6,000,C00 _. pp f X POLICY f.....J ACT L.... Lac PRODUCTS-GOMPIgP AGG S... .......... 6,000,000 OTHER. A AUTaMOBILEIIASILITY 1BAP0182017.00 091DU2015 0910112016 rgnaslNeDSINGLE uraR S 5,000000 X ANYAU70 I BODILY INJURY(Per person) S ALL X_. AUTOS OWNED X AUTOS SCHEDULED j ! BODILY INJURY(Per accident) S AUTOS f PrtOPER7Y DAMAGE X... MREDAUTOS X 1 I er.w*-*...,.. ...........- s. COIAPICOLL DED: S $5,000 UMBRELLAUA13 OCCUR ! f i EACH OCCURRENCE S EXCEESLIAR HCLAWSAMI� ( AGGREGATE S.- OEO RETENTION --- S D YYORRER4 coMPFN8ATION jWG0182014-DD(AOS) 0910112D15 10910112016 X I ER O H- ANDEMPLOVERVLIABILITY _.13T1TUTE_ ._..iR. _ ._.._.....--.- A ANY PROPRIEfORIPARTNERIEXECLmVE Y 1 N WC0182015-00(MA) 0910t2015 �09 D11101fi 1,000,000 gFFICERR,tEM9ERpxCWDEO) MIA! ' E.L.EACH ACCIDENT S (Mandatory In Nlf) W E$500 C DEDUCTIBL ,�OW EL DISEASE.EA EMPLOYE S GR 1,000,0D0 S If yaa describe under _-- - .........._ ... . . ._. DE I 10 OF OPERATIC Sbelow El LIMIT S 1,QDO,IX10 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VMCLES IACORD f9f,Addi$onal Remarks SchedaTe,may be atfaehod R mare apace Is requlredl Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SdarrAy CorpomU m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055CIeafvi-wWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS_ AUnIORIZED REPRESENTATIVE of Marsh Risk&Insurance Services ChadesMarinoleJo 01989-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD ' \\ Version#49.2 SolarCi t H °� y o 4�� , �y SKANDA RUCTURAL y August 25, 2015 =09 0.51888 Project/Job# 0261734 RE: CERTIFICATION LETTER ONAL E Project: Rosell Residence s ` 119 Debbies Ln Marstns MI, MA 02648 _ To Whom It May Concern, ' A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes = MA Res.Code, 8th Edition,ASCE 7-05,and 2005 NOS - Risk Category= II -Wind Speed = 110 mph, Exposure Category C - -Ground Snow Load = 30 psf - MP1: Roof DL= 10.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL = 21 psf(PV Areas) - MP2: 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 =0.19625 < 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. z I certify that the structural roof framing and the new attachments that directly support the gral ity 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. Digitally Signed by Paymon 9. Eskandanian ;. .. 2015.08.25 17:15:58 07'00' w • 3055 Clearview Way San.Mateo,CA 94402 T(650)�638=1028 (888)SOL-CITY F{650)638-1.029 solarcity.com } r AZ ROC 243771,CA CSI.B'888104.C0 EC 8N 1,QT HIC 0632778.DC 1-11G 71101486,001,118 711014",:H1 CT-29770,MA 11101085M MID MH10 1289d8,NJ 13VH06180600. OR=180498,PA 077343,TX TD4R 2.T006,.WA GCL.1 SOIARC'91007. .2013 SolarCity,All rights rgssweN.. - 08.25.2015 SolarCit PV System Structural Version #49.2 Y Design Software PROJECT INFORMATION &TABLE OF CONTENTS Rosell Residence Barnstable Protect Name: AHJ:� Job Number: 0261734 Building Code: MA Res. Code, 8th Edition Customer Name: Rosell, Bertil Based On: IRC 2009/ IBC 2009 Address: 119 Debbies Ln ASCE Code: ASCE 7-05 City/State: Marstns MI, MA Risk Category: II Zip Code 02648 Upgrades Req'd? No Latitude/ Longitude: 41.656288 -70.449192 Stamp Req'd? Yes SC Office: Cape Cod PV Designer: Daniel Hagberg Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19625 < 0.4g and Seismic Design Category (SDQ = B < D 1/2-MILE VICINITY MAP 44 • imq9291of Massachusetts • ' ' Farm Se 4 - ' 4 - 119 Debbies Ln, Marstns MI, MA 02648 Latitude: 41.656288, Longitude: -70.449192, Exposure Category: C ,r STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK.- MP1 Member Properties Summary MP1 Horizontal Member Spans Rafter Pro erties Overhang 0.99 ft Actual W 1.501, Roof System Properties San 1 11.46 ft. ; Actual D; .ate'.7.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofino Material Comp,Roofer -,S an 3 ,.k .._ , ,. Re-Roof No San 4 S. 13.14 in.^3 PI wood Sheathing,, ZL,.-Yes ,a3. r,6, .S an S -w-, � , 40 1,IA. �-6& rL� .747.63 m.^4H`m Board Sheathing None Total Rake Span 13.25 ft TL DON Limit 120 Vaulted Ceiling re A A• No PV,1.Start •ft- s; s 2.25 ft 1 i,A F Woods ecies w z 41%,= SPF �w Ceiling Finish 1/2"Gypsum Board PV 1 End 12.25 ft Wood Grade #2 Rafter,Slo a 'ice 1: 4i , F �. . 420°:.,�,'` � PV,2 Start' '�. rr � �. w Fe °"'875 si.a .,. Rafter Spacing 16"O.C. PV 2 End F„ 135 psi To Lat Bracin t. " Full' A PV 3 Start 'T 1 ,a ' �`; E 1400000 psi` Bot Lat Bracing I At Supports PV 3 End Emi,, 510000 psi. Member Loading mary Roof Pitch 5 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 10.5 psf x 1.06 11.2 psf 11.2 psf PV Dead Load _,,,PV-DL .„ _ .x 3.0 PSf .. :o xt 1.065,,, S ,a.. ,a _, .A3.2 psf Roof Live Load RLL 20.0 psf x .0.98 19.5 psf Live/Snow load, :$, mLL SO�2. ... 30.0 psf a,, . x 0. x 0.7,E mw.21.0' sf*. QlOpsf ±°'p Total Load Governin LC TL 32.2 psf 3S.4 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7(Figure 7-2] 2. pf=0.7(Ce)(Cr)(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 0.50 1.2 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Load Combo Shear Stress 37 psi 1.0 ft. 155 psi 0.24 D+ S Bending + Stress = '695 psi 6.8 ft 1389 psi O.SO D+.S ,Bending - Stress -22 psi 1.0 ft. -691 psi 0.03 D+S Total Load Deflection 0.3`1n. 481 6.7 ft: 1.22 in. 120 0.25 �D+:S CALCULATION_OFTDESIGN'VUIND LOADS�NIPI Mounting Plane Information Roofing Material Comp Roof PV System Type - SolarCity SleekMountT'" Spanning_Vents No Standoff Attachment Hardwares Comn'Mount Tvne C >> Roof Slope 200 Rafte Spacing 4: . 16"O.C. Framing Type Direction Y-Y Rafters l PurlinSpacing �_,•._ �., NA __ �X__X P--s Only_, _ . Tile Reveal Tile Roofs Only NA Tile_Attach_ment_Syste_m `.`` Tile Roofs Only NA, Standin Seam/Trap Seam/Trap Spacing —SM Seam br NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method ,Partially%Fully Enclosed M_ethodA Basic Wind Speed V w 110 mnh Fig. 6-1 Exposure"Categgry �� ,, .. � _ ,� _, ;. . C+' � o " n 6n 5.6.3 - "Section - - Roof Style Gable Roof Fig.6-11B/C/D-14A/B MeaniRoof Hei htI& Jt- .� 9:Section 6:2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor K 0 1.00 r Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 -Imp( Factor ` I Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure' Ext. Pressure Coefficient U GC -0.87 Fig.6-11B/C/D-14A/B Ext. Pressure"Coefficient(Down) GC�-Li)oW„ °�"" '"�' n "�' ' "0.45-A •,.,�" Fig'•`6-116/C/D-14A/e Design Wind Pressure p p= qh(GC) Equation 6-22 Wind Pressure U „ -21.8 psf Wind Pressure Down 11.2 psf ALLOWABLE STANDOFF SPACINGS. X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilev_er-' Landscape 24" �-NA__ Standoff Configuration Landscape Staggered Max Standoff TributaryArea Trib 17 sf - _ -- - PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift atStandoff�j T-actual =351�Ibs "�"" gplift Capacity of Standoff T-allow 500 Ibs n �-De , aci Standoff mand Ca ".' -70.3 0 X-Direction Y-Direction Max Allowable Standoff Spacing._ Portrait 48" 66" __ax_Allo_wable,Cantilever—___ _� Portrait 1.9" _N_A_ - Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib _ 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind - ift-at Standoff T-actual_ -440-Ibs Uplift Capacity of Standoff T-allow 500 Ibs --- Standoff Demand Ca aci DCR� STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK MP2 "Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 1.00 ft Actual W 1.50" Roof System Properties '` V S an 1 "" F ""6.00A'• Actual D 3.50'...•. Number of Spans(w/o Overhang) 2 San 2 5.66 ft Nominal Yes Roofing Material % yw ,OCom 'Roof' ill "" Span 3' ,.".n A _ 5.25 in.^2 Re-Roof No San 4 S. 3.06 in.^3 PI ood Sheathing, � , . v Yes-. ,. i :;.: San 5 .,,, �..,_ ,� w � I ': :; 5.36 in.^4.t Board Sheathing None Total Rake Span ' 14.34 ft TL Defi'n Limit 120 Vaulted Ceiling ,No -r*,PV 1'Starts' '` �r' '1.08 ft '" Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 13.33 ft Wood Grade #2 Rafter Sloe :; rr, 28°a ;PV:2Start '.,a • Fb 875 psi' Rafter Spacing 24"O.C. PV 2 End F„ 135 psi Top Lat Bracing K K.,„;, ,, .; , .;f Fully PV 3 Start=" "` 1, E ' " '""'1400000`sV' Bot Lat Bracing At Supports PV 3 End E,„i„ 510000 psi . Member Loading mary Roof Pitch 7 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 9.0 psf x 1.13 10.2 psf 10.2 pst PV Dead Load . PV-DL" µ. A. '�' 3A' sf,oa - w. `"x A.13 µ 3.4 psf Roof Live Load RLL 20.0 psf x 0.88 17.5 psf Live/Snow Load ° g LL' SL1 Z ` ,,h 30;0'psf`'`$" ` `"k 0.7' 1 x 037 7 21.0 psf :,21.0 sfx Total Load(Governing LC TL 31.2 psf 34.6 sf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(IS)pg; Ce=0.9,Ct=1.11 IS=1.0 Member Design Summa (per NDS Governing Load Comb CD CL + CL, - CF Cr D+S 1.15 1.00 0.93 1.5 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location CapacitV DCR Load Combo Shear Stress 57 psi 1.0 ft. 155 psi 0.36 D+S Bending + Stress . 63V si x, .,, , 3.4 ft. 1736 sip .;`• 0.36 « s 4"D+'S Bending - Stress -1114 psi 7.0 ft. -1620 psi 0.69 D+S Total Load Deflection _ A.13 in. 614..x :_._3.6 ft.,,-. b 0.68 in.xt 120i , 0.20 4, b 4 �4 D#S,� F [CALCULATION OFtDESIGN WIND TO-ADS:- MP2 r Mounting Plane Information Roofing Material Comp Roof PV System Type77, % 7 F �t' t W S61arCity SleekMou e A Spanning Vents No Standoff. Attachment Hardware ,:.5 P A x� Comp Mount Tvoe C. Roof Slope 280 Rafter Spacings ,; - .._ ._ .�o _24 O.C. Framing Type Direction Y-Y Rafters Perlin Spacing- � X-X Purlifts Only, w — - .. Tile Reveal Tile Roofs Only NA Tile Attachment System _ Tle Roofs Only NA ,StandingSeam ra Spacing SM Seam On NA Wind Design Criteria Wind Design Code ASCE 7-05 I' ...---�-.�—Nam,---.-,.,._,--,---,� Wind Design Method r � Partially/Fully Enclosed Method °" a Basic Wind Speed V 110 mph Fig.6-1 Exposure ,, f-v w'-4 Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D 14A/B Mean oof He ht ,, :. �,..a . , q 7h , , � -„ P-4,,., tp v 25 ft v .,, =h4 7 : Section Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ— 0.95 Table 6-3 Topographic Factor g <Krt, .d - �x 1.00Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 ,Importance Factor -. -„ _;. k,I--A _ _ R :: -..-.,�1.0 .. ., .. Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-116/C/D-14A/B Ext.,Pressure;Coefficient Down Y GC 0.87 N Fig:6-116/C/o-14A/B Design Wind Pressure P - p=qh(GC) Equation 6-22 Wind Pressure U -23.6 psf Wind Pressure Down 21.8 psf JLLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 48" 39" Max Allowable.Cantilever's Landscaped ,, - Q4"___ Standoff Configuration Landscape Staggered Maz'Standoff_Tributary Area ax _ Trib ; # r s 13,s L PV Assembly Dead Load W-PV 3.0 psf Net:Wind:Uplift at Standoff :Tactual ,_ F .z ... . .;-.-289 lbs A__ Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Ca aci F., .DCR X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 24" 66" Max Allow.able;Cantileyer Portrait 16"" g NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area ` Trib V, '` t r 41 "_- sfM •_ 11r> p - PV Assembly Dead Load W-PV 3.0 psf Net Wind'iUplift at Standoff 7 _T-actual -241 Ibs m to 1, :;,,$ 9, A Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci 7, DCR a P I- x ip.j , j�� . 48.3% . C 7F RRNSTAL E INSULATION H � 65 P 2: 42 IIYYY OlAS3 SlAMff55 SPpAl IOMI SOSyf Npfp SAYS fiYftiYS INSYtAIION CSLLINOf 1-800-696-6pq �/JlygSTON -- 'Town of Barnstable (D v Regulatory Services Building Division 200 Main St Hyannis, NI;A 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatheri2ation work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements, Property Owner Property Address Villa e Insulation Installed: Fiberglass Cellulose R-Value Restricted . Unrestricted Ceilings ( ) : (X ) ' (.-Z-) Slopes Floors ( ) ( ) ( ) ( ) ( ) Vfis� Walls ( X ) ) ( j 0 ) ( ) (X) Ali/ J'0q Sincerely He ry E C, sidy J , President Cape Cod nsulation;Inc. L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .,b Map _ Parcel 7, �pPat&� Health Division Date Issued V ate' Conservation Division Application Fee ' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis �L �- Project StreeeAAddress r 9 Villa e V &/5 U ' wo�a Owner �I Address Telephone q09- b :9,7 LO 7 Permit Request V_,w -via/�Y/ ff b41d1k;--A . k�wfd zChW t C q-0 6Z Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type rh,'&(a,hd-2, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ZZ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ZE Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft ZZ fl Number of Baths: Full: existing new Half: existing new'4`,' Number of Bedrooms: existing _new M.? rn Total Room Count (not including baths): existing new First Floor Roo Count U.J Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other *10 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 Lk o If yes, site plan review# Current Use Proposed Use _ APPLICANT INFORMATION _ - (BUILDER OR HOMEOWNER) Named �r/,�L�f��c �,d�ll Telephone Number c5W :2Z�J2/Z/— Addresse1 ;29 9e,-g1� ��,�—f� License # f f,tO Home Improvement Contractor# Worker's Compensation # � �w� ��f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE C i' FOR OFFICIAL USE ONLY APPLICATION# i r DATE ISSUED MAP/PARCEL NO. i i i r ADDRESS VILLAGE Y ` OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE r s. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL l FINAL,BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts _,. Print:.Form• Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 �. wr Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/individual): 4 Address: lu &M014, (lYA City/State/Zip: %VA& WA, Phone #: �JD0- ' - 121 Are you an employer? Check t e appropriate box: Type of project(required): 1. 1 am a employer with 219 4• ❑ I am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction ?.❑ 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 working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. i ❑ We are a corp required.] 5. oration and its 10.❑ Electrical repairs or additions 3.❑.I am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL .12.❑ � Roof re ah'rs �insurance required.] 't c. 152, §1(4), and we have no j ��lN employees. [No workers' 13.� Other W n, I 0,comp. insurance required.], *Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. r I lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. IConu•actors 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. I' lnstu-ance Company Name: ko�(" Policy#or Self ins. Lic. #: Expiration Date: Job Site Address: 6 d �46/ (,411(12i City/State/Zip:/65, Nf/ 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 tine 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 cer f_ n#er the ainsArld penalties o er'ury that the information provided above is true and correct. Si mature: � Date: 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 5. Plumbing Inspector 6. Other Contact Person: Phone#: _.._.. - Massachusetts - Department of Public S:tfet% Board of Building Regulations and Standards' Q.onstruption Supervisor License a 6' Licence CS p 100988 { r� HENRY CASSIDY 8 SHED ROW WEST.JARMOUTH, MA 02673 Expiration: 11/11/2013 ('ruunissiuuer Trt#: 7620 = Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston,-Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration. 12/15/2b14 Trak 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 R EA R DO N CIRCLE --- - ----- — .. _---- -- SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. SCA 1 20M-0511� Address Renewal (� Employment _� Lost Card Ci � ��l l(047I 17C.O9CCl.K:CC(Cll p/C•l'((XOJLIOIZCC.9G' \ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only - before the expiration date. If found return to: _ - OME IMPROVEMENT CONTRACTOR p egistration: 1'53567 Type: Office of Consumer Affairs and Business Regulation xpiration 12/1`5/2014 Private Corporation 10 Park Plaza-.Suite 5170 rSUt Boston,MA 02116 CAPE COD INSULATION •;INC HENRY CASSIDY 18 REARDON CIRCLE ��; SO.YARMOUTH, MA 02664 - — Undersecretary of val witho t nat re _ Client#:4597 CCINSUL ACORD,,, =(hlM1j)I)1yN -- CERT'IFICATE aF L JABILITY INSURANCE THIS CERTIFICATE IS ISSUkO AS A MgTTEIy OF INFORMA170N ONLY ANp CONFERS NO RlGHTB UPON TIiG CERTIFICATE HOLDRI S CERTIFICATE DOES NUl'AFFIRMATIVELY OR NEGATIVELY ANTI ND,EXTEND OR ALTER THE COVLRACIE,AFFORDGD BY THE POLICIES HEL,OW,1 HIS CERTIFICATE OF INSURANCE DOES NOT CONS I'11 U IF A CONTRACT BETWEEN THE l$-'WING INSURER(S),AUTIiORILLE) REPRESE:N rA I'I VE OR P11ODLICER ANn THE CERTIFICATE HC)Ll)ER. IMPORTANT.If tho cerllfl(ate,huldgf is an Ab01Tl--' IQN INrN5Uf�1 0,thr pulicy(le5)Ynust be entruraed.II`SUF]RUGATION IS WAIVEr1 subJuct ro — INc 14I nls G1141 cvndltl tangy of the policy,cnlTaln pollclas play ruy,iw all gIlClOrgqfllqllt.A&tatH.O@Ill Uh th 15 L'k)f(I IICUIk(I414 U IIGt 4:4N1tCf rlQlll'J lu(TIC CarIIIlCdlu holLh♦r in Itt,,L+of;+U4h r114TUI'9@I11NI11(9). - ✓HUUl1�L,t -- RUtlr.r &Garay Ins. -So. ❑drints NAME: MarOaret Youll4l _._._. 4J4 ROU 10 134 i NVC,N, C No Ex1:5QtI-76Q-40Q2 ..---- E-h1AIL —�"_-------._---_-... L1C�C�NJ Il//•t)aU i IS(1 ;iU4liil Utrlhus, MA U2G60.1G0'I ——------ SUH INfIUR9Afkl)AFFORIANU COVLriAUL NAI1;N wsur+seN,Pe4rI0SS InsClrance _�____ Ir+al et.0 ..__. I0133--- C dpe Cod Insulation Inp INSURERH:EYallalon IIISUranco E c') palfly -- �—- - Itti`; Yarinnu[h F:uaq wsw:ERc:AtIEInGc Charter Ins Lit f+ncr; FlVt 116*, MA 02601 INIURERD:Commerce Insurance C'umpany— ' __..3475a IN9URERE: 4EI�rIFICACE NUMBER: TIu IS 10 CERYIFY IHAT rHf I4OLIL11 , Or INSURHNGE LI;.. f1_' .. — __ RL'VISIONNUIVtukrl: NDICAIL,U. 110NallrlSl'ANUINu r4NY' f tiaulRE CNT, I� �� '1i I(AVE BEEN ISSLIEO TO'11 - INSURED INIAMEDABOVE fUlt ftlk POU 'PERIOD M- I ERM OR C:1.NDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH k SpLCT To w1-IICF1 rills L:t'rIFIi:ATL. MAY BE- ISSUED OR MAY PERTAIN, THE INSURANCL 1iFrol-COED BY THE POLICICS DESCRIBED HEREIN IS SUBJECT TO ALL. TIIF TL:IWS, I-XQUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN h'L�y rl,yV�EIEE 4\\ "_ ---- N RCOUCED BY PAID CLAIMS. ItR OFIN9UHANCE ADOLSUBR 1411 P6LICVe1(w ---- •------- --_._-., eo�lw 11MM1m1/Y1'YVL UMI'Yt. ULNLRAL LIALIILII YCBR8263063 04/0.11201` EACFI UCCURFICNCE 11000 00-10X i UMM!.NIaAL C>r:NrRAL LIAt11UTY lOCCUf2Ir1ED ExN(Ally 01u)p(fNal)) �.5 OUQ0911 QrIA4,a'ADVINJUhYGENE' LAC1C1Rf-,0AW 1 ,000,OUO LAiC;rtL PRO_ PRODUCTS-r-- LOT:D AUTCIMOklltk LIAHIu1'Y12MMBCKVIVIIiCONIl3ICEOswGI-13LiMIT U4/01/2Q1; Eaarx'idenl� 1 U00VUUL l?WHET') X_AU _ AU'fU8 DILI'INJURY)Par x ItIREU AU'CU5 X NUN-OVVNEU ._ AUT08 PROPERTY Of(MAC1(;X QCCua X0NJ453SI104)011201' GCIIOLCURIikNC,L - �1,000 00O Lxt LlG uAts I --------- ACOF+ECPSE yl UUU UVU yuuwkntt' r Uhlt'EN0ATION - ..----- k ANOEMNLOYERB LIADILITY IAICAQQ529;1U< 6)3U/2012 WS0/20'i` ` WGSTAI'll� IUlII, ANYPAO)r11L'n r>q' L / �;kl,tJTIV Y/N - 1Y.11GI1.)_�..�.•,".�,['fi_.__ .: t'I urllcLlz♦alE In f1�.c.aD-14 L J NIA C CA014 ACCIOr,NI 1 0UU UUU (hlunaotory m Ntl) _-I-_1_00 00 If v-e,do.coou untlr„ E.L.DISEASE._u�CMPI,OYEG .�"I QUQ Ulll1 ..,,.,_Ol'Si'NIPTION OF OFlS RArIONS llcltlw �'"�-'—'�•'^• __...______._ _ G,L.DISLA9E•POLICI'LIMIT y't QQU UQU i I UC)I:NIVIION OF ON SI tlA'I ION /LOCArIONS 1 VLHICL.ES(AUaah ACORU 101,Adaltlun�I knna,ks 4�h@au1V,II p1Plti BpgC Workers Corny lllfUr'1TIFitiOQ11`^ a I@ ftlrlulldG) Illcludutl Ofticert; or Proprietors Cr�rtlticata I luldmr is included a$an additional insurad unclui Gonotal LoWlity when roquired by written cuntract or agreement, __.__._....— ---•-------,T.—, CANCELLATION Cnpu Cud 111hiul:Ition'llic SHOULD ANY OF THE A13OVE DES CRIt3ELIPCILICIk?UE CAN CI111`0 3 WRL THE EXPIRATION DATE THEREOF, NOTICE WILL be OELIVEkEll IN ACCORDANCE WITH THE POLICY PRAVISI©NS. AUTNQR1210REPRL'SENI'ATIVE " AC(JRu c�19B -2D1D ACORD CORPORAT'ICIN,All ilyhi;I f4aa1'Vatl. zs p0 Q/US) 1 of'I Tile ACORD twine alld 1000 ar(l rooklarrld marks of ACORD 1fSU3d�101M03040 MkY _ i OWNER AUTHORIZATION FORM ( er's ame) owner of the property located at e (Property Address) 6'7 (Property Address) hereby authorize �Q f UAJ (Subcontra r) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. J er's Signature of 2 Date f r �TME Town of Barnstable � Permrt# Regulatory Services Ezprres6amn& �`inued"` " ' s�ssntsr�srs, • Fee 059.0 Thomas F. Geiler,Director 6D MAy t' Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICAON - RESEDENTLAL ONLY ' S08-790-6230 TI �-7 Not Valid without Red X-Press Imprint Map/parcel Number D� I .30 �-- Z~- 7Residential Address �e9 �b Value ofIZZ Work t0 ' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address E o S eff Contractor's Name rC 1 e �� (,� S0�_ Telephone Number_ Home Im rovement Contractor License#(if applicable) 3 Con ction Supervisor's License#(if applicable) / Workman's C it Insurance �' Chec one: ��:-P S PERMIT ❑ am a sole proprietor OCT 3 2011` I am the Homeowner I have Worker's Compensation,Insurance' .!:saMN OF BARNSTABLE Insurance Company Name '`e Workman's Comp, Policy#_ Copy of Insurance Compliance Certificate must accompany each permit Permit Reques check box) Re-roof(stripping old shingles) All construction debris will be taken to AV ❑Re-roof(not stripping. Going over existing layers of roof). ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum.44)#of windows *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 required SIGNATURE:. ----y �AWPFILESTORMSIbuilding permit formslEXPRESS.doc Revised 070110 %OiYtat i "W1,7 I .. - f :a.rl a Sr�aI Accidv n s O a'F o _Investigations 600 Washington Sff'eet c T Boston, AAA 02111 www.rrtass,gov/die tiVorkers' Compensation insurance Affidavit; l t BuilderslCoractorsr'IVIePiease Print ]Le '_ �, licant ynformation NarTle Business/0rganizationllndividuaIY Ie' Address: , t Phone #: ! = goo City/State/Zip: !G�`� - �� 'type of project(required). Are you an employer?Check the appropriate b I am a general contractor and I 6 .Q New construction I am a employer with A �� have hired the sub-contractors 7 Remodeling employees (full and/or part-time). listed on the attached sheet. ?,❑ I am a sole proprietor or partner- These sub-contractors have 8. ] Demolition ship and have no employees employees and have workers' 9. Q Building addition working forme in any capacity. comp, insurance.[ 10❑ Electri ;repairs orjadd [�ry workers' camp. insurance , �] �;e are a corporation and its p bin repairs o required.} officers have exercised their l l.a g pa 3.[] I am a homeowner doing all work right of exemption per MGL 12. Roof repairs myself. [No workers' comp. c 152, §1(4),and we have no 13.[] Omer insurance required.]t employees. [No workers' comp. insurance required.] n all work and then hire outside contractors must submit a r nootttthoseindicating entities have *any applicant that checks box l must also frlt out the section below showing their workers'compensation policy information. or t Homeowners who submit this affidavit indicating they are doing t Contractors that check this box must attached a adhe 10must provideal sheet ing the cotmp sub-contractors number.and state whether employees. If the sub-contractors have employees, y (p ees. Below is the poriey andloh site I am an employer that is providing workers'compensation insurance ff y e+�'P y information. S0 Insurance Company Name:—b��. ? Expiration Date: l I-- Policy#or Self-ins,Lic. It. 0 f° ^ Plun (/�Caq City/State/Zep: 1 �✓Job Site Address: showing the policy number and expirte). compensation Policy declaration page{ imposition of crirninal penalties of a Attach a copy of the workers' comp Failure to secure coverage as required under Section 25A of 1VlGL c. 152 can lead to the impo u der Se ent,as well as civil penalties in the form obfeafo�4 d�®�to �ce and a Erne fine up to $1,500.00 and/or one-yearP of this statement may of up to$250.00 a day against the violator. Be advised that a copy` Investigations of the DIA for insurance coverage verification. he information provided above is[ride Land correct I do Hereby certify under the 'ns and penalties of perjury that t f Date: Si ature: Val,— Phone#: . Do not write in this area, to be completed by city or town ocia� Official use only PerrhitP.cense# t City or Town: Issuing Authority (circle one): 1'Town Clerk 4.Electrical Inspector 6.Plumbing Inspector 1.Board of Health 2.Building DepartMent 3. City -�= of _e cf Corsun.-r A fa rs 3 Bys:aess Rtggaladoa -HOME IMPROVEMENT CCWTz.:ClCiZ ? Registratiort:.'126893 Expiration. 802012 Suapieme,t he Home Depot A.-Home Services DARREaN DENIERS 269E CUMBERLAND PARKWAY S .'N'tIM99 ,GA 30339 Undersecretary License or registration valid for individul use ottiv before the expiration date. If found return to: Office of Consumer Affairs and Business Regulatioa 10 Park Plaza-Suite 3170 Boston,VIA 02116 Not valid without signature ACORD __jjE_jffiFlCATE OF LIABILITY INSURANCE10610112010 i sue,E(t3h' iS3'r3 4 Imm MMWNLI ims &GwCY ONLY AND G NO RMTS UMN TM CERTIFICATE i HOIMER, TM C'it"'MCATE DOW W AMM. 9XTEM OR 1 1 ALTER THE COVERAGE AFFOR= 0Y THE '"Mll BELOW. INULL, Th 0204s tIl84 wfts AFt9RClhG COMAGE I MAIO 1, IN81pl@R a TAS POLIVES OF INSURANCE LISTE9 caLow M4U6 amm lawfiG T4 THE muRED NA>m Asm FOR TN@ POLICYFilim matcMTED. No1w,gSTR Rme ANY REQUIRDOW. TOM OR COMMON OF ANY CONTRACT OR OTWA 0WAMENT V4TM RMMCT TO V62M TMM CERTIVATE VAY BE ISSM OR mAY PERTAIN. TTIf3 INSURANOE AFFORDED BY TIa. Poura8 0ESGRM0 W&RAM 18 SEY AWr TO ALL nm TERm &XCLUfi*a AND CONE moms as; suct4 POUCIES.ACC MATE UMTM SHOWN MAY HAVE BEEN REOUCEO 9Y PAID OCAIN19. TR WWI mmaP mm~ce PL OYLI0dSEn onYE DATE aaNaaat.ua�nv 'axe a .. f A1artEa .---- i ` f CMW--aeMa4 uaalurY PERGONALdADVIMA)RY Is CftaAALAGMftMT@ 8 .. @ERf1.ACmiCaAT6L45I4APpt+EBs' j FFJ)ot)M- OpA� g piXiOY no .- At7rOtitOs116®61A�LnY AW AUro � �61NaLir LIiAY ALL OWWO AUTOS Ht)OlLY IKRlRY $ 2CMEDIAM AUTOS (po 0 -M) HMPAUT08 E3MYTNAM _ BYAEH1tY AViDOp1.Y-EAACCI�IT S ANYAuro BAA. g ArtoCMI.Y; AGE i ��g+a►uAanm � �►+a � aMUR FI CtAAABM M AaepEOATE y s t Adp MC-6404167 5128/2011 - $ rumn 5I28J2012 LLOMADOMM 1100000 ANY PROPRI , 4PFiGlA+ RE7eG!)CBtra B.40WAM-VAEWWM 4300000 antBp naHao<aP�aY e��oc�a�* ,.r6rAs r c �a A�eneY�tr�sN It wtowal a ---. _ THO AT—HOW $81-0-4 CZAt, XR . AND THE SOM DEPOT 'An INC7,icttiSID AS AODIT:L NAL.-INWRED KITH PASPECT TO GMN-XP.%& :,z I-Yr:;T"Y YNSO]iA><iCS. :EFlT F"fe HOLDER ._. GAMCMA ATM OMMU ANY OP THE APM IlM9101M PO1,M W ONMEWpedPane YM mfPIPJI"m TtQT AT-'b:;r '4%j g, WC_ ante ?"swo. "m mm MOM VAL Mewmw To W9L vas waffm :2690 R.-F MY '`u4:F, 3CiG NOTM to in A$AwRATTT RW= IdlM To WE LM Our RARE TO Co so SFj" ATF+P+M.- 9 O OM No ow"Ima an "me" of ANY fM A09M aR PCTAYare9 on S8( Tnn R.. T'H7 70n:OT ATn /TA/On .03 ¢J"r`•1�d..t ''L.�l 4,., �lt�cr;..(s;Ali�al; (( - M1' `{ t.., > '■tip?`G`,G�.7Zl.A:�l.w�lS let.! !;( tT.tk"ll 1 4(YlIH . • f yeti 6f51�iVN a/:AI yr S ti.• , _ 1 j 'Jit�l.fa. SS f 9 .1 It 1 p h "• _ i y s 5y r a a:l n k+aa •.10-"Kt•. l.tx{d!r AFl+ire .t uutl axkalcl+lmlF# Nlsnri! f M.ebr(a y { y AdclY<ar• ( !1#r#Srw�t f 1!nagtilnyIinaaa1' r !s!{!e#lcyr! Yula9 ltaa laed#VIAu!laat Y , w • i.lrtbi= INC ezpet atinra pfAtc. )11 tunab r4�tvr''�t'aair!ls,+-.t _ -1.1t►.•:•.y.r1 A1'te.,!k i:(,�i1aM4R., .'�ai(atl.,• ,C1�Ttct b�.(._t3llAUfh1;{.�►S1iit",and(Ed�INPt's Kdi: .. . - 1M6 �C1'Ji.9t11:1Ni #.:(fN`("F#hr.11:)R 4'. 1QD'ntk>ptats.. �uitr. S17!#• i t�lt,:lr•t_a. 1(tlY.�' "' - ::�'.. ,- t..f?S ,' � 'iLulcl.9lgnsltlfrt AS aij t Nul ve�iifi�ros ti+VA.! ...,. >;tleir/1.+ai,•t,7,lY - 11.i�e f.'ili+,�it> li.l,.sr!►u.�fl .J F<eskictt l,tu` 'W WS MICOA •.8'MAOAS9AN WAY. .' I wt.a.; - = vness Regulation lation ffce of Consu merA and us O l Suite.5170 0 park Plaza - Boston, Massachusetts.02116 I istration Home hnProvement Contractor Reg i . Registration_ 14ogs3 -Type: IndwWUa{ j Expiraiian: 1 y17/2011 Tr# 291632 i MICHAEL _ VIOL i MICHAE a HADASSAH WAY HULL, MA 02045 _— -- Y],date Address and return card-"ark reason for close Ca lJ Address C1 Renewal [] EmploYmemt [} Lost Card i DPS-CAI 6 8 -G%0I-M B -License or registration valid for iudividnl use oaly utatios iratiOn date. 11 found return to: lation r I1 ®fiice of Coosumer AI'rain&Bosio�OR °fice Consumer Affairs and Business Regtl I� IiDME IMPRAVEMENT CdNTR�T 10 Park plaza-Suite 5170 p�. Registration: 440993 Tr$ 291832 Boswa,MA 02116 b: 12A7/2011 Expiratio Individual. . Type: � MICNAEL J,VIOLA MICHAEL VIOLA. ✓13 HADASSAN WAY t)adersecrelary without signature Not va . HULL.MA 02045 F Oct 05 11 10:22p Chris Read 1-508-681-8800 p.1 -� IiOME IMPROVEMENT CONTRACT -' Vt PLEASE READ THIS" p e - Sold,Furnished and installed by: ' Branch Name: Boston Dates e THD At-Home Services,Inc. `. d/bfa The Home Depot At-Home Services 345A Greenwood Street,Unit 2,Worcester,MA 01607 Toll Fret:(800)657-5182;Fax f508)756-8923 Branch Number.31 Federal ID#75-2698460:Mb Lic#C 02439:Ri.Cont.Lic#16427 CT Uc#,HIC��0565522:MA Home Improvement Contractor Reg.#126893 Installation Address: �,�� /ram S L JL1Tr�irX- rY1� � City. State Zip. - t - I Purchaser(s): Work Phone: Home Phone: Cell Phone. asLG Home Address: �� — (If different from Installation Address) City State tie 7rp E-mail Address(to receive project communications and Home Depot updates):ezz ®i DO NOT wish to receive any marketing emails from The Home Depot Proiect Information: Undersigned("Customer"),the Owners of the property located at the above insudiatiun address,agrus to buy, and THD At-Home Services,inc.T'The Home Depot")agrees to furnish,deliver and arrange ror the installation(•installation")of all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract.by this reference,along with any,applicable State Supplement and Payment Summary atwched hereto and any Change Orders(collectively, "Contract"): Job#: iwv w tat-) Products: Spec Sheets)#: •Project Amount oofmg Siding Windows Insulation Ica ' ❑Gutters/Covers ❑Entry Doors ❑ �Ok []Roofing ❑Siding ❑Windows U insulation S ❑Gultcrs/Coves ❑Entry Door., ❑ (_]Roofing []Siding Windows❑Insulation ❑Gutter,/Covets ❑Entry Doors❑ . ❑Roofing ElSiding LJ Windows LJ insulation ❑Gutters/Covers []Entry Doors ❑ Minimum 25%i isit of Contract Amount due upon exertion of this mnhact kp Total Contract Amount $ Maine Purchasers n-v not deposit more tlran one-third of the Contract Amount m t/ Customer agrees that,immediately upon completion of the work for each Product,Customer,will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,-at its discretion,if The Home Depot or its authorized service provider determines that it cannot perronn its obligations dire to a structural problem with the home,environmental hazards such as mold,asbestos or lead paint,other safety concerns,pricing cnvrs or because work required to complete the job was not included in the Contract.' Payment Summary: The Payment Summary# 7f , included as part of this Contract:sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER ` You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(note: there is one Completion Certificate for each listed Product ds.defined by individual Spec Streets)before work on that Product is complete. , In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed raider applicable law..THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement hetween Customer - and The Home De with regard to the Products and Installation services and supersedes all prior discii4sions and agreements,either pot oral or written,relating to said Products and installation.This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot.Customer acknowledges and agrees that Customer has read,undertands.voluntarily accepts the terms of and has received a copy of this Agreement. a„t Ac h fC Sabmitt y: 'Date Sales Cotiultant's Signature Dat - 1 H C nmur's Signature _ X Telephone No. - Customer s Signature = Date Salc9 Consultant License No. ' v_ CANCELLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENAi.TY OR OBLIGATION BY DELIVERING WRITTEN NOTICE.TO.THE HOME " DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE , 4STATE SUPPLEMENT �Af1ACHFD HER ETO O ,CON'1'A1N5 A FOItIVI :CU U SIS'• Ile ONE IS SPF..CIFICALLY PRESCRIi3ED BY LAW IN CUSTOMI R'S 5TATE. NOTII E:ADDITLON;\I;'I'F:RStti AND CONDITIONS ARE tiTATED ON THE REVEIttiI?11t)L tNI)\RF.1'.WR'C OF '"1ilt5(gV't RAC"1' 04-i141 C-SC White—Branch File Yel'rnv—Customer t t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 �� Parcel ` Application# V-z_-77 Health Division Conservation Division moo/ Permit# Tax Collector Date Issued 1 Treasurer Application F' Planning Dept. Permit:Fee 0 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/HyannisVY Project Street Address Village, M I LLS Owner%, -7' Address Telephone Permit Request ,Y 00AITRAO G clk,E -',q Square feet: 1 st floor:existing2,60 proposed 2nd floor:existing 768 proposed 768 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation b 010 Construction Type -e Lot Size , r Grandfathered: ❑Yes ❑ No If yes, attach supporting cumentaDIn. Ma Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ;-FD Historic House: ❑Yes to On Old King's Hig way: LdYes No cn Basement Type: ?11 ull ❑Crawl Walkout ❑Other - Basement Finished Area(sq.ft.) -T Basement Unfinished Area(sq.ft) 76A Number of Baths: Full:existing new Half:existing 6 new Number of Bedrooms: existing new Total Room Count(not including baths):existing new _ First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Xllectric #Other 6 5gli Central Air: ❑Yes _AA. Fireplaces: Existing New Existing wood/coal stove: ❑Yes Po Detached garage:❑existing A,new size�.3U 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 XNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Namur Telephone Number fl:Dg Address /jq NR&ES L1J License# U i u,S o A- Home Improvement Contractor# C9L6 qg Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO `bU MiT Ar SIGNATURE DATE �-?��d-' FOR OFFICIAL USE ONLY PERMIT NO. .00 DATE ISSUED MAP/PARCEL NO. !' _ ADDRESS r ' VILLAGE ' r r OWNER t DATE OF INSPECTION: y ' FOUNDATION FRAME r' G(/b�.( ►�'�j �Z. _2 L INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH �� FINAL , FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable yP��F1HE Regulatory Services Thomas F.Geiler,Director sAMSTAni.E. 9 MASS. 1639• Building Division lEC MP't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number 4 - street village "HOMEOWNER': ?_7Rr_T name /+ home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(S)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requireme s. Signature o Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner,shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly . when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt f - °FTME r�, Towns of Barnstable ti Regulatory Services sa MAss. Thomas F.Geiler,Director y Mnss. $ � . MA+ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 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 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: N F W Cam . (.0 V104 E") stimated Co Address of Work: if% PrE-9A/E5 L K-S r M tu-5 Owner's Name: .?2G-'1g PL-e2S&C4— Date of Application: -7 I hereby certify that: Registration is not required for the following reason(s): 7Work excluded by law ❑Job Under$1,000 ElBuilding not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD 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. OR Date Owner's Name Qlorm ,homeaffidav n 16 \ 1/4G {,+V/!L!/LV/L7YGWL4/4 V� llllialJ W.4.fL Wa7 GLi.l �jo• Department oflndustrial Accidents . Office of Investigations Is. 600 Washington Street' Boston,MA 02111 www.mass.govldia ' 'porkers' Compensation 14surance Affidavit: Builders/Contractors/]Electricians/Plumbers Applicant Information Please Print LeEibly Name(Business/Orgmization/Individual): ��a .fgS 2L . •Address: J/5 AF;9,6/E5 Lmt ' City/State/Zip: !!1. l�Jl(,LSD�.lA- !!Z . Phone:#: tib3-4 0-1 g 7� Are you an employer? Check the'appropriate box: -Type of project(required) 1.❑ I am a employer with 4. I am a general contractor and I employees(fall and/or part time).* have hired the stab-contractors 6. New construction . 2.[l I am&'sole proprietor or partner- listed ou the'attached sheet. 7, ❑Remodeling ship and have no employees These sub-contractors have g• Demolition' working for me in any capacity, employees and have workers' • [No workers' comp,insurance , comp,insurance.t' • 9• ❑Budding addition e uired. 5. We are a corporation and its 10:❑Electrical repairs or additions q � 3. I am a homeowner doing.all work officers have exercised their 11.E Plumbing repairs or additions ri t of exemption per MGL m self, o workers co P P Y � �P• - 12.E Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13:0 Other r, 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 affidatiit indicating they are doing all work and then hire outside contractors must submit anew affidavitindieating such. $Cantrzctors that check this box must attached an additional sheet sbowing the name of the'sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employges,they,must provide their workers'comp.polidynumber. I sin an.employer that is providing workers'cornpensafian insurance for my employees. Below is the policy an.d job site information. Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date; Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator, Be advised that a copy of this statement maybe forwarded to the Of ce of Investigations of the DIA for insurance coverage verification. I'do hereby certify under the pains•and penalties of perjury that the information provided abovee is true and,correct, Sipnatare• � Date: Phone#: y —"/ ,q 7 / Official use only..-Do not write.in this area, to be completed by city or town official City or Town; Permit/Licehse# Issuing Authority(circle one); ard 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 recP,vPr nr tr i`ee of an individual,partnership,association or other legal entity, employing-employ However the owner.of a dwelling house having not more than three apartments and who resides therein;or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such-dwelling house or on the grounds or building appurtenant thereto shall not because of such-employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renev al,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•.they erformance of public work until-acceptable evidence•of compliatce with the insu r-ar ce requirements of.this chapter have beenpresented•to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along v#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, 13;advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.license Is being requested,not the Department of Industrial Accidents.; Should you have any questions regarding the law-or'-if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should-enter their self-insurance license number on the appropriate-line. City or Town Officials. Please.be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant, that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy•information(if necessary)and under"Job Site Address"the applicant should write"all•locationsIn (city-or town),"A cbpy 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 bum leaves-etc.)said person is NOT required to.complete this affidavit, The Office of Investigations would hike to thank you in advance for your.cooperation and should you have any questions,please do not hesitate to give us a can. The Depaz meet's address,telephone:-and fax number; -,Com=Tiwl 4 of Mazsao4=tts Depazimmt of Wastrial Mai dmts' Office ofInyestigations 600 Washingt ai Street Boston,MA U111 Tel, 617-727-00.0 e t 4.06 or 1-0 7 MASSAFE Fax 4 617-727-7 749.. Revised I1-22-06 . vt 6��a WL�Gy.rrEaSs�Q RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100,00 Residential Addition $50.00 A.lterations/Reaovations $50.00 Building Permit Amendment $25.00 ME YALUE WORKSEEET NEW LIVI qG SPACE square feet x$96/sq.foot= x.0041= plus frombelow(if applicable) "- ALTERATIONSIRENOYATIONS•OF EXISTING SP.ACE square feet $64/.sq.foot= x,00 = 41 plus from below(if applicable) GAR&GES(attached&detached) square feet x$32/sq,ft, o U x,0041= x ACCESSORY STRUCTURE>120 sq.ft. , >120 of-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 pernrit square feet x$96/sq.foot= x.0041= ' STAND ALONE PERMITS . Open Porch x S30,00= (number) Deck x$30.00= ' (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool $60.00 ' Above Ground Swimming Pool $25,00 Relocation/Moving S150,00 (plus above if applicable) ' Permit Fee Projrost Rev,063004 L �� 1 f r . , ft.,_� . . �, RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition S50.00 . Alterations/Renovations $50.00 BuildiAgPermitAmendment $25.00 FEE VALUE WORKSHEET ; NEW LIVING SPACE square feet x$96/sq,foot= x.0041= plus-from below(if applicable) ALTERATIONSIRENOYATIONS•OFEXISTING SPACE square feet x$64/.sq.foot= x.0041= plus fr�n below(if applicable) GARAGES(attached&detached) ,:it��square.feet x$32/sq,ft,_ C� U x,0041= ACCESSOB.Y STRUCTURE>120 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.0041= ' STAND ALONE PERMITS ~ Open Parch x$30,00= (number) Deck x$30.00= ' (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool S60,00 Above Ground Swimming Pool $25,00 Relocation/Moving S150.00 (plus above if applicable) P ermit Fee Projcost P.ev;063004 3 0 0 a A O a , O k - 3-0" /\ 3,0"-� �- - -30-0"- y _ � � � . •�� r �� f - - � - � N - A . � �. OO + y - I -� +�. •_ � i r f 1 c not less than 4V I - f co � _1-4------ 12 Pre engineered roof truss 2x4 KD double plates zo 2x4 KD doubled plate 2x4 PT bottom plate y MAY-01-2007 04:19PM FROM-HOLE DEPOT +508Z816461 T-4 5 P.001/091 F-TU s'7a-tea Work.. thdid., Creates Engineered Wood Products Please help us to help you In order fbfus to assist you efficiently and to size or quote Busses prpperly,we ask you to answer the following quesdans: Trusses Company C i Contact-____, Project Name Project Location jtA,V--, a,QS M I U--C- r 1A Truss 'Type 1(c.e- (Regular, Scissor, Gaaubrel, Attic,Floor...,) Span ' Bearing(U4,W) Zie Overhangs 1 2 �r Pitch Spacing (16"o.c. 124" o.c.) omutity-# Gable Ends# � ' 2X PI,�, Bearing i 1�W SPAN ' Please Wn'Le the answer and fax it back to us at (413)M2432. It you have any gats ions, please call us at (900)8324W99. `' .are always lrappY to assist`you ti � ;-n �A 0Jt�G ./fib The Boise FWP Tram �He^ pe-�Ao7- SOS a 9� Go � - .casts 19�6, tAi.7 CA-d^5 e- £00/E00 In -dAG dSIoil ' ZCVZ ZL9 ETV XH3 9Z:LO LOOZ/ZO/90 f r f� � r . l L0T i I _ t - _-._.... . i`I L (;T ) U- .. W 20 I1U ' I;. N i ul 1 '1 I i N I I 3y r ice/ LOT I0;3 J , f lij i og CERTIFY/THAT THE - SHOWN ON 'THIS PLAN 18 LOCATED ON THE GROUND a 4 PAUL AS INDICATED. To LEVY No. 106 17 , DAT . E I5TERE LAND U.RVEYOR :EVY a ELDREDGE ASSOCIATES,INC. BA Q�J' ',�'�� i E CLIENT �_G.)lMt , u, 1;[x p � ENGINEERS — LANDSCAPE ARCHITECTS JOB NO. -12•�1 UT I U 17C t3 B1 E S LANE PLANNERS — LAND SURVEYORS A�. L. I N D R. ®Y CHKD. BYt : G� ,. . >1AR,NJ aTA .., ... E ) MA, 689 .WE MAIN STREET -------- CENTERVI LLE MA. 02632 SHEET OF I SCALE, I = 4 0 DATE'— ►� � � 9 Lot 89 4 Johns Lot 105 Path �b\P -^ !, Vofll 0 99 1"� I .�6�� Lot 104 ��\D 561 1�C o Lot 98 REFERENCES: )' "Woods Rood" As Shown On ♦\ \ Pion By Down Cope Engineering CB DH Assessors Map: 027 Fnd Filed in PB 272192 Parcel: 130 Deed Book: 102761157 N \ \ \ i N ZONE: RF o r \ \ \ o_ w \ \ Setbacks: `\ 33.6' "_ Front: 30'min m 80.1' Side: 15'm in. o \\ \ \\�� Rear: 15'min \ New Concrete \ \ Foundation 26.2' -; \ \\\ \\ 129.75 ,.W 148'� Lot 103 \\ \\ 365� e \\ \ \ S NIF e Anse \\ J P & M0761 /222 \ aF0ass'C' I certify that the foundation RICHAR � shown hereon conforms to LHEU. -4 the setback requirements of PLOT PLAN In #34312 the Zoning Bylaws of the At 119 Debbies Lane town of Barnstable. BAR/VSTABLE OpE S\O ` z71)0.411el (Marstons Mills) Professional Land Surveyor D to MASS. NOTES: DATE:261JUN107 SCALE: 1"=40' 0 10 20 30 40 60 80 FEET 1.) The structures shown were located on the ground by conventional survey methods on 25/JUN/07. PREPARED FOR: Bertil& Dawn Rosell 2.) The property line information shown hereon was 119 Debbies Lane compiled from available record informotion. Marstons Mills MA 02648 3.) This plan is not for recording and is not to be PREPARED BY: CapeSury used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 DWG #: C577gl FIELD BY. WHK/DWB (508) 420-3994 / 420-3995fox q:,LFP= SYSTEM MUST BE Assessor's offioe (1st floor): �t\.LLED IN COMPLIANVE O`7NET0 Assessor's map .and, lot number .../. (,� .. � ., X�547 LTB-E TITLE 5 4rP O Board of Health (3rd floor): _ ',�� `i; , Sewage...,Pp umber 9..7 n..S...7-5.. J ®� e_ _ €ngineen � a,ftmpnt (3rd floor) i/—� �n � `�` o 0b a Le,�e House nUtrm c .................. .,/�... ..... ` APPLICATION8','iPpibCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only r . TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........kt.� ..... ................................................. TYPE OF CONSTRUCTION �1/ U vcL ZCr ' �.--.........,94.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locatio Q ..�... ........ C'.. &es n........... ',0.q o ..:.�..... i.�l..�................................................. ProposedUse ... d.if.... N.C.G,!! ?.G................................ ............. . ................................................... ZoningDistrict ............. ..:.........�..........................................Fire District ... .. . ... .. . . . ............................................ Name of Owner ..l7�JlA�I/J.�... .Address ....�DQ... :. ..!.r►..5 .--,/1 15.�..'./ Name of Builder 41,111.Ctm....6:... .Gi.�a/ ..✓R..............Address ..IAA..... ...... .�'�.��..xl. ..../) . Name of Architect ....l..N..C..ry... U .....Address ....... . .................................... Number of Rooms /..................... . Foundation �... C�>►LLG. 1- Exterior .. .... .A..... 'vim .(isii �'�Q ...Roofing ../..7.5.�'C?:..L/.....�hi � .. ........................ V �` / Floors ::'.Z..�:. .., .... ��'4'.. ..�! ��e.... ..... .�tf L1L lf�!�? .Interior ......... ......G.................................... L� Healing ...✓..GCL..Z�..L......................................................Plumbing .................................................................................. Fireplace ...IVIA......................................................................Approxi7-- ate Co t .... �.. 'Q� ' j Definitive Plan Approved by Planning Board ______ _____ _ ______1L____19 Area .......... ��...�.�............ '�yJ r Diagram of Lot and Building with Dimensions Fee ............... //�� r �Dd ....................... ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH �7y �e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name ....:r<2�-49� .::...:-.. ! r/��.......... ........... Construction Supervisor's License ....0... . icARNSTABLE HOLDING CO. , INC. No ....3-1.2.6.q. Permit for ..One....S t.o.0......... .. .... .... .. .....Single Fami.iy... i.ng......... Location ......L.Q:...UA.........1.19 Debbies Lane .. .............................. ................UAXA��tS .Ultrll` ......... Owner .....Ba.rdns.t.ab.le....Hql.d.i.na...Co..,.. Inc. .. .. .... .. .... .. . .... .. .. . ... . ....... Type of Construction . ....Frame......................... .... ....... . ................. ....................................... .................. Plot ............................ Lot .................. October 5 , 87 Permit Granted ........................................19 Date of Inspection ....................................19 2 Date Completed 1 ...- .... ...7.........ig f. Assessors mpp st floor.): / and, lot number �`f/....f. �/.. ... Assessors offioe O ' F i ?HET BcQrd of Health (3r• d floor): /Q) - •/� ..- - .• , ,err' M 1 . Sewage ..P,ermit pumber i 33AH39TADLE• Engineenn8:,ke' m t (3rd floor): ras& s k�ouse niJrttE er1639- �•.................................... �I... ..�......... �e�ar°"... ui .�..� t APPLICATIONS'!' -.vR'OCESSED 8:30-9:30 A.M, and 1:00 2:00 P.M. only a TOWN OF BARNSTABLE I BUILDING INSPECTOR A APPI<ICATION FOR PERMIT TO .... g . C....................................................................... TYPE-00 CONSTRUCTION ........... ..� 7 v s t...3/...--- .....,9..I.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ' ` Locatior,104 �0'-/ �e..66/es /(n ,e- �a is�4/J �� / ' %/ll.S................................................. .......................................... ......... ,............ .......... ProposedUse s�l'JC�.!.e..... mF�y Guv�/ ................................,..................................................................... Zoning District ............ ,__.......................................................Fire District ..�.... ... .. . ...... Name of Owner Gr ,S G, I(..1..7.,0.l .0 f..4.4k.Address ....��.�... :..'.:/ ..!.�?.. / /G/►/►/S ' !X Name of Builder L; / /!.Gn►....L:...)��. ..✓.R:.............Address ..�6D.... ...�J�'.��.. ...../..y.'h�.n.ts�..M�`L..... Name of Architect ..../.. .r!^. ..."` v� .. SS�C : Address .......lG/t� S AA Number of Rooms .................................... ....,....Foundation 0e�). «ram �rin c'It ( . .......................... Exterior ...........................................................,..�.:. = Roofing ......... Floors ....... .............................:...... ? Interior .................... ........................................................ a Heating ............:.......... ....... ...Plumbing .................. N/A 1 ' Fireplace ................................................. .....�# ...............Approximate Cost ....l� 5.... C> . ...................................... Definitive Plan Approved b Plannin Board ___�K X-- 7, pP Y 9 19 �`�U ' Area ............................./` '....... -6 a-J c Diagram of Lot and Building with Dimensions Fee ................. Z,!<....... SUBJECT TO APPROVAL OF BOARD OF HEALTH --------------- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS , I hereby agree to conform to all "the Rules and Regulations of the Town of Barnstable regarding the above construction. �`r/V� Name ...:.:-'......... ........................ l' Construction Supervisor's License ^/. .:�. .... JBARNSTABLE HOLDING CO. , INC. A=0 7-13 0 I t Y No ....31260 Permit for ..l...Stor.Y................. „Single Family Dwelling - - Location .Lot... 10.4 r......119 Debbies La.,ie ................ .........................:............................. ou .. Owner ........Barnstable Holding Co. , Inc. ......................... .......... Type of Construction ..,Frame ................................................................ Plot ............................ Lot ................................ Permit Granted ...October„5.............19 87 Date of Inspection ....................................19 Date Completed ......................................19 r,.s ra"'-.'^'-, -.-.t._ ... 't-- .". -r-`n-.. -�a -^,..: n,+Tt� - y'�...rt-, ...r. s ,, w� -..... •�,_`i✓rv<".^*Wry ,. ,, ✓^ , •1^a,T �':'3. 1e .-*+r t�_.f .:;..ice" ,,y„� .n,v " ., :,�;..K, :q.f-.«'V-.,.a,r.,,,.1 C' ufTHE}� TOWN OF BARNSTABLE Permit BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING HYANNIS,MASS.02601 Bond ........X.. CERTIFICATE OF USE AND OCCUPANCY Issued to BARNSTABLE HOLDING COMPANY, INC. Address lot #104 119 Debbie. Lane, Marstons Mills " USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 10 87 Building Inspector r nw , dug`t „t G ICANT Wi.111am E- UaCe .Jr ADDRESS 10U YJ ltii l'i StYt'!tit + ��° 1�31i ' cf14�(\31t_ (NO.) (STREET) (CONTR'S LICENSEI NUMBER OF 2MIT TO Hlll O I�WF�1 yy'}T_(L1 STORY a ' 1`.".Tip:: :ziTt'_.L'•:' LlllT-: kgWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) /; nn -ZONING I' Li�t1. f l�'3 1 �.7 De'nAllr'...0 1..S l DISTRICT (LOCATION) �i�-vsrcril� .�5 j (NO.) (STREET) I . 'I ETWEEN AND (CROSS STREET) (CROSS STREET) LOT BDIVISION LOT BLOCK SIZE I} ILDING'IS TO BE FT. WIDE BY FT. `ONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT)C 1 mli. TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) i '- MARKS: Sewage 87-575 k1 EA OR 7bc f : q PERMIT Q5jU0U FEE JU. Ui LUME EST MATED COST ' t (CUBIC/SQUARE FEET) ✓INER �3e1Y21r `i3f]�f> Nn 9 CZ 1 ilC] C'��l �'�• ( y BUILDING DE PT. DRESS 100 We Maui StI:(::ot ;i '<iIif i :,. BY /� :"°' f` ✓' r !� IS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR .SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY ORI RMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-_ OVED BY. THE JURISDICTION. STREET OR ALLEY GRADES AS WELL.AS DEPTH AND LOCATION OF.PUBLIC SEWERS MAY BE OBTAINED OM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS ANY APPLICABLE SUBDIVISION RESTRICTIONS. I - NIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE { SPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR - 1 L CONSTRUCTIONWOR K: ELECTRICAL, PLUMBING AND j MADE. WHERE A CERTIFICATE OF OCCUPANCY. IS RE- MECHANICAL INSTALLATIONS. FOUNDATIONS OR FOOTINGS. ltl PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. FINAL-INSPECTION BEFORE OCCUPANCY. I POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ( a I j 9 HEATING INSPECTION APPROVALS INEE N EPARTM T a-U 4-7 BOARD OF HEALTH j OTHER r. 67 .o LHASAPPRO?\/ED T PROCEED UNTIL THE INSPEC- PERMIT 'A!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD L BE ' THE VARIODUS STAGES OF WORK IS NOT STARTED '+WITHIN SIX MONTHS OF DATETHE ARRANGED FOR BY TELEPHO(JE OR WRITTEN F PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. �! Y I i ( L 0 1- 4 0 _ ....I_..__._'.._- , � 7 L O_ -. . ) 04 - W f Z C� 11 O ' - i I - I z 1 rV' � V 7.S L,f LU7 v�J ,f . ' 1 I , CERTIFY THAT THE ltk QSI SHOWNN CAN 'THIS PLAN IS l/, `, LOCATED ON THE GROUND �=� PAUL AS INDICATED. To 7i;T LEVY No. 10517 10 I c3�j� i DAT E(VSTE RE LAND MRVEYOR _EVY a ELDREDGE ASSOCIATES,INC. BA 2 CAR I ® PLOT PL N CLIENT 'SOLD! ENGINEERS - LANDSCAPE ARCHITECTS JOB NO. I Z U 104 , 7 C l E 5 LANE PLANNERS - LAND SURVEYORS DR. BY � /� 5; I- IN 889 WEST MAIN STREET CHKD. BYl , ` =_� IDAF_m,TAi_ E) M�. CENTER ILLE, MA. 02632 SHEET OF I SCALE, I` DATE, I0 8-1 o B rristp s Walk G. S. sa�ia,�.��tW�ia�rd�/4 Olfyd. April 9, 1986 TO: Joseph Daluze Building Inspector Town of Barnstable Town Hall Hyannis, MA 02601 STATEMENT Re: ' Contiguous ownership of the followinfi lots in Plan 272 , Page 92, dated May 1, 1973 "Wakeby Estate in Marstons Mills: Present Owner: Lots 30, 32 , 34, 50, 52, 66 , 68 , 76, 86, 97 & 101 - G. Johanna Pol Date Acquired: February 27 , 1986 Date Recorded: February 27 , 1986 Title Reference: Book 4941 , Page 144 . Prior Owner: New Advernture Realty Trust Two Date Acquired: January 31 , 1986 Date Recorded: January 31, 1986 Title Reference: Book 4908 , Page 213 Prior Owner: Concetta M. Iafrate All Lots except Lot 97 Date Acquired: May 24, 1980 Date Recorded: May 29 , 1980 Title Reference: Book 3103 , Page 163 ' Lot 97 Date Acquired: October 6 , 1980 Date Recorded: October 6 , 1980 Title Reference: Book 3167 , Page 24 r Present Owner: Lots 8, 16, 18 , 20, 22 , 24, 26, 28, 369 42, 44, 46, 542 56, 58 , 60, 70, 72, 74, 802 82, 88 , 90, 98 , 1002 102 , 1041 106 , 108 , 110 - William E. Dacey, Jr. Date Acquired: February 27 , 1986 Date Recorded: February 27 , 1986 Title Reference: Book 4941 , Page 146 Prior Owner: New Adventure Trust Realty Three Date Acquired: January 31 , 1986 Date Recorded: January 31 , 1986 Title Reference: Book 4908 , Page 205 Prior Owner: Joseph P. Ressa Date Acquired: November 27, . 1979 Date Recorded: November 28 , 1979 Title Reference: book 3022 , Page 62. I, John F. Sullivan, Esq. , hereby certify that the above owners of the aforementioned lots at no time during their owner- ship contiguously owned other lots in the above mentioned subdivision. Resp ctfully submitted, n F. Sullivan, Esq. JF$:ne Y I t' 7 •=� " : Town of Barnstable *Permit Expires 6 months from 'ssue date Regulatory Services Fee Thomas F.Geiler,Director � Main Street,Hyannis,MA 02601 wilding Division �v TomR#i► �, Building Commissioner J�L \" 0�O 3 TOW Wain Office; 508-862-4038 OF BARX. S7' Fax: 508-790-6230 4 o EXPRESS PERMIT ICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel.Number r, n Property AddressF 0 LA2�s CQr �. Residential Avalue of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -t hAw M Z 4 I/9 1'e� i —�i(�1�S`►'�� ,�., , STD- o z , Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor KI 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) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side G PReplacement Windows/doors/sliders. U-Value ?kZt-A' (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. A copy of the Home Improvement Contractors License is required. SIGNATURE: Z Torms:expmtrg tevise061306 1 ne t ommonweazrn of lvlussucnuYeus Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Blunders/Contractors/Electricians/Pluiliibers Applicant Information Please Print Legibly Name (Business/organization/individual): 7!Fle-T cz�C!.L Address: 11q DIFWSIZ S L ti3 City/State/Zip: .0, M l t.,_5,,(::L14 6Z O S Phone#: SD(3-4.2&f3 —) 3 7� Are you an employer? Check the appropriate box: 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 $ 7. © Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical r airs or additions required.] officers have exercised their eP 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 12.0 Roof repairs insurance required.] t 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 wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such FContractomthat 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 is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER; and a fine of up to.$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa'is andpenalti ofperjury that the information provided above is true and correct Si ature: -� Date Phone#: U Official use only. Do not write in this area,to be completed by city or town official j City or Town: Permit/License# Issuing Authority(circle one): 1.Boas of Health 2.Building Department 3.City/Town Clerk e.Electrical Inspector S.Plum bina Insp-stoa, 1 6. Other Contact Person: Phone r: Information and Instructions • r� Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal.entity, or any two.or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance req,�rements of this chapter have beeirpresented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that mast submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in . (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided:to the applicant as proof that a valid affidavit is on file for fixture 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. E 617-727-4900 ext 406 or 1-877-MA SSAFE rax 617-727-7749 Revised 5-26-05 w ww.mass.zov/ciia Town.of Barnstable *Permit# 66 a�e� Expires 6 montlis from issue date Regulatory Services . Fee 'a Thomas F.Geiler,Director , Building Division ' 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 c):� Property Address �,� �) tJabi e�S L-�>'L� j��l�i ,..� \t t �^ © ('g -ZResidential Value of Worib"?00 Minimum fee of$25.00 for work.under$6000.00 Owner's Name&Address ba.�Y1 4��Y ' i \ MA a-zckg-e Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) X-PRESS PERMIT ❑Workman's Compensation Insurance Chec one: 0 C j - 2 2007 I am a sole proprietor ®-am the Homeowner TOWN OF BARNSTABLE ❑ 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) ❑ Re-roof(stripping old shingles) All construction debris will be taken to = ❑ Re-roof(not stripping: Going over existing layers of roof) E Re-side ❑ Replacement Windows/doors/sliders: 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:, A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Fonm:expmtrg Revise061306 ,,.• The Commonwealth of Massachusetts Department oflndustrialAecidents Office oflnvestigations • 600 Washington Street Boston,MA 02111 ' www.mass.gov/dza Workers"Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �,J� •Address: City/State/Zip: WX A AtSIW4 ph ne.#: Are you an employer? Check the appropriate bog: Type of project(required):. 1.❑ I am a employer with 4• ❑ lam a general contractor and I employees (full and/orpart;time). * have hired the stab-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 working for me in any capacity. employees and have workers' insurance,#" 9. 0Building addition [No workers' comp,insurance co mP• VI quued•I wner doing all work 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. am ahomeo officers have exercised their 11.[:1 Plumbing repairs or additions myself: [No workers' comp. right df exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fin out the section below showing theirwarkers'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 in g dicatin 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-contactors have employers,they must pravidb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below isthe policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA for insurance coverage verification I do hereby certify;ender the palns•and penalties ofperjury that the information provided above is true and correct: Sienature; Date: Z> _ Phone �b� g� F6. Other only. Da not write in this area,'fo be completed by city ar town official n: Permit/License# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son. Phone#: to �oEvE, Town of Barnstable Regulatory Services r BAMSUBEZ : Thomas F.Geiler,Director MASS. �A11639• A�m� Building Division EO AAA'I Tom Perry,.Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: 0a - 07 JOB LOCATION: �(� jj S� l�✓LJ� r1-� o � � ,\ number street village "HOMEOWNER"� � name home phone# work phone# CURRENT MAILING ADDRESS: s Vti Ms � ��e_qg city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes; bylaws,rules and regulations. The undersigned`.`homeowner"certifies that he/she understands the Town of Barnstable.Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from.the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly. when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. .To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ty i Y &IR 0 •�' fir. � ..x« 8 � 3s�x � - s a ti q. ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A r� ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV 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. 1 CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. 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 PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV5 THREE LINE DIAGRAM Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING ' • MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR AHJ: Barnstable . REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Boston Edison) • ' CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: J B-0 2 617 3 4 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT USED FOR THE ROSELL, BERTIL ROSELL RESIDENCE Daniel Hogberg �,BENEFIT OF ANYONE EXCEE PT SOLARCITY INC., MOUNTING SYSTEM: � ,,solarCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 119 DEBBIES LN 8.215 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: MARSTNS ML, MA 02648 TMK OWNER: THE SALE AND USE OF THE RESPECTIVE 31 Hanwha Q—Cells Q.PRO G4 SC 265 * 24 St. Martin Drive, Building 2 Unit II ( ) #SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN / � PAGE NAME: SHEEP REV: DATE: Marlborough, MA 50) PERMISSION OF SOLARCITY INC. INVERTER: 508 648-7206 PV 1 $ 25 2015 T: SOLO)ITY(7626 F: SOLO)fi38-1029 SOLAREDGE SE7600A—US002SNR2 � � COVER SHEET V � � (BM)-soL-cm(�6s-2ass) .wW.9darcitW.c«n PITCH: 20 ARRAY PITCH:20 MP1 AZIMUTH:251 ARRAY, AZIMUTH:251 MATERIAL:Comp Shingle STORY: 2 Stories PITCH: 28 ARRAY PITCH:28 .` AC H OF MP2 AZIMUTH: 157 ARRAY AZIMUTH: 157 MATERIAL:Comp Shingle STORY: 2 Stories ON. N AC 1 r, �� SKANDA n+ D , RUCTURAI. y 1 ,o 651866 ON AI r 0 Digitally Signed by Paymon Eskandanian 201508.25 17:16:22 -07'00' LEGEND . Front Of House , ME `(E} UTILITY� TER & WARNING LABEL m Inv 71 INVERTER W/ INTEGRATED DC DISCO . WARNING NIN LABELS S DC FDC-1 © JEEE11 DC DISCONNECT & WARNING'LABELS FAC©� AC DISCONNECT & WARNING LABELS DC JUNCTION/COMBINER BOX & LABELS � DISTRIBUTION PANEL & LABELS .- Lc LOAD CENTER & WARNING LABELS • O DEDICATED PV SYSTEM METER STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR . --- CONDUIT RUN ON INTERIOR GATE/FENCE w 0 HEAT PRODUCING .VENTS ARE RED ^ 1_, INTERIOR EQUIPMENT IS DASHED e L- SITE PLAN N r Scale: 3/32" = V 01' 10' 21 4 S J B-0 2 617 3 4 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN EDGE ��\ � CONTAINED SHALL NOT BE USED FOR THE ROSELL Daniel Ha ber � `�Oh��' ` / ' BERTIL ROSELL RESIDENCE 9 9 �- ; `,/m BENEFIT OF ANYONE EXCEPT SOLARCITY INC., TEM: �'�$ NOR SHALL IT BE DISCLOSED IN WHOLE OR INComp ount Type C 119 DEBBIES LN 8.215 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MARSTNS ML, MA 02648 ' ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Dram Building Z Unit 11 THE SALE AND USE OF THE RESPECTIVE nwha Q-Cells # Q.PRO G4/SC 265 PAGE NAME SHEET. REV: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE MITIQJ T- (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SE7600A-US002SNR2 (508) 648-7206 SITE PLAN PV 2 8/25/2015 (8B6)-SOL-CITY(765-2489) r�.�laratr.aom. S 1 . . H of , .. . ON , { SKANDA ^' RUCTURAL S 1 - 4" ° 5-8' (E) LBW • . (E) LBW - - SIDE VIEW OF MP1 NTs : , . A SIDE VIEW OF` MP2 NTs MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 6411 24" STAGGERED MP2 X-SPACING X-CANTILEVER 'Y-SPACING Y-CANTILEVER NOTES 4 LANDSCAPE 48" 24" STAGGERED, PORTRAIT 48" 119" " 16" '. PORTRAIT 24 ROOF.AZI 251 PITCH 20 RAFTER 2X8'@ 16„0C STORIES: 2 ,. ROOF AZI 157 PITCH 28 ARRAY AZI 251 PITCH 20 TOP CHORD 2X4 @ 24" OC +ARRAY AZI 157 PITCH. 28 STORIES: 2.- C.I. 2X8 @ 16" OC Comp Shingle POT CHORD 2x4 @24" OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE f COMPACTED BACKFILL GRADE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT O «, Y_ „ _` f ifl 6 HOLE. �. {{ SEAL PILOT HOLE WITH w $„ 6, I = I.�. 7u�'- UN __ l1ITiT�CDF` I I E (4) G(2) POLYURETHANE SEALANT. > 11TR _ I DISTURB D SOIL a1f31i11f11 ZEP COMP MOUNT C L, I ZEP* FLASHING C Z (3) (3) INSERT FLASHING. z LI__ (E) COMP. SHINGLE RED WARNING TAPE (4) PLACE MOUNT. "' I l i r- W/ TRACE WIRE (E) ROOF DECKING U (2) �INSTALLAG BOLT WITH J APPROVED BACKFILL5/16" DIA STAINLESS (5) G WASHER3«, STEEL'LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH - SCHEDULE 40 PVC WITH SEALING WASHER (6) IT CO BOLT & WASHERS.' TRENCH DETAIL CONDUIT (2=1/2" EMBED, MIN) i a (E) RAFTER T1 Scale: 3/4"=V-0'� S1 STANDOFF Scale: 1 1/2" = 1' 7 rt FO PREMISE OMER:_ DESCRIPTION; DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER:,SHALL NOT J B-0 2 617 3 4 0 0 CONTAINED USED FOR THE SolarCity. ROSELL, BERTIL ROSELL RESIDENCE Daniel Hogberg BENEBENEFIT OF-ANYONE EXCEPT SOLARCITY INC.,. MOUNTING SYSTEM: `�.NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 119 DEBBIES LN 8.215 KW PV ARRAYh PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES « ORGANIZATION, EXCEPT IN CONNECTION WITH MARSTNS ML, MA 02648 THE SALE AND USE OF THE RESPECTIVE (31) Hanwha Q—Cells # Q.PRO G4/SC 265 24 sL Martin Drive, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: T: (650)638-1028 F. (650)638-1029 SOLAREDGE SE760OA—US002SNR2 (508) 648-7206 STRUCTURAL VIEWS PV 3 8/25/2015 (888)—SGL—CITY(765-2489) ,r„n,.saarcRyca,n ' UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. J B-0261734 001 0NNQ2 DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMA71ON HEREIN JOB NUMBER: ■ CONTAINED SHALL NOT BE USED FOR THE ROSELL, BERTIL ROSELL RESIDENCE Daniel Hogberg ;So�arCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: . NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 119 DEBBIES LN 8.215 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: MARSTNS ML MA 02648. ORGANIZATION, EXCEPT IN CONNECTION WITH24 SL Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (31) Hanwha Q—Cells # Q.PRO G4/SC 265 PAGE NAME: SHEET: REV. DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T.- (650)635-1028 F.- (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE7600A—US002SNR2 (508) 648-7206 UPLIFT CALCULATIONS PV 4 8/25/2015 (888)-SOL-CITY(765-2489) ,w,.solarcitycn GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS " MODULE SPECS LICENSE BOND (N) #8 GEC TO ONE (E) GROUND Panel Number:G3030M61200 Inv 1: DC Ungrounded INV 1 (1).SOLAREDGE SE7600A-US002SNR LABEL- A -(31)Hanwha Q-Cells Q.PRO G4 SC 265 GEN #168572 Meter Number: ELE C.1136 MR ` M ber• ## RGM AFCI ## 2233163 Inverter; 76'OOW 240V 9 w Unifed Disco and. ZB, PV Module; 265W; 241.3W �TC 40mm, Blk frame H4 ZEP, 1000V N GROUND ROD AT 7.5 ,- ROD AND ONE %. 7 . PANEL WITH IRREVERSIBLE CRIMP Underground Service Entrance INV.2 Voc: V max: 38.01 p 30.75 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL SQUARE D E; 20OA/2P MAIN CIRCUIT BREAKER (E) WIRING Inverter l Disconnect CUTLER-HAMMER CUTLER-HAMMER Disconnect Disconnect 5 SOLAREDGE DC+ FPP • . D 40A SE760OA-US002SNR2 DC- MP 2: 1x18 (E) LOADS C - - ----- ---- -- -- - -----------------/--� , EGC Ll 200A/2P Lz (1)Conduit Kit; 31e EMT i pC+ N Da l3 Z -------- _EGC/ ,DC+ + - - - TRENCH: . : GEC --- N DC- .-ti.. C 1X a/,-I��•,'� MP 1: 13 ("---.-J - i 3) GND •__ .EGC--- ----------------------- -_ --- G ----`-- --- --- -f•J�. BRYANT (I Conduit Kit;13/4" EMT , N l (N) 200A Load Center . - l. (1)Conduit kit; 1,°PVC, Sch. 40 + - B (E) LOADS c i 6 RELOCATED TO 120/240V NEUT • SINGLE PHASE EGC/GEC- UTILITY SERVICE cEC- GND ----� - i PHOTO VOLTAIC SYSTEM EQUIPPED WITH. RAPID SHUTDOWN r *NOTE: OK TO RUN RELOCATED LOADS WIRES IN SAME CONDUIT AS(N)SUB FEEDERS IF ,CONDUIT LENGTH IS 24"OR LESS. IF,CONOUIT LENGTH EXCEEDS 24, RUN SUB FEEDERS IN,SEPARATE CONDUIT. Voc* = MAX VOC AT MIN TEMP OI (2)ILSCO 4 IPC 4/0-/6 B (9)CUTLER-HAMM�R #BR115 A (1)SQUARE D HU361R8 PV (31)SOLAREDGE P300-2NA4AZS Insulation Piercing.Connector, Main 4/0-4, Tap 6-14 Breaker, 15A 1P, 1 Space AC Disconnect; 30A, 60OV, NEMA 3R PowerBox Optimizer, 30OW, H4, DC to DC, ZEP DC -(I)SIEMENS#Q260 NEW LOADCENTER BREAKER -(3)CUTLER-HAMM BR120 Sregker, 60A/2P, 2 Spaces Breaker, 20A 1P,1 Space _ -(1)Ground Rod; 5/8" x 8', Copper (1)BRYANT#BR1224L200R I�d _ (1)AWG #6 Solid Bare Copper SUPPLY.SIDE CONNECTION. DISCONNECTING MEANS SHALL BE.SUITABLE Load Center, 200A, 120/240V, NEMA.3R (1)'Ground Rod; 5/8 x 8, Copper S C (1)CUTLER-HAMMER #DG222URe (N) ARRAY.GROUND PER 690.47(D). NOTE: PER EXCEPTION N0, 2, ADDITIONAL AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. ( Disconnect; 60A, 24OVoc, Non-Fusible, NEMA 3R (1)CUTLER-tIAMMER #DGIOONB ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE Ground/Neutral d; 60-100A, General Duty(DG) 1 AWG#8, THWN-2,Slack (1)CLITLER-HAMMER #DG222NR8 1 AWG#10, THWN=2, Black Voc* _500 VDC Isc =15 ADC 2 AWG,#10, PV Wire, 60OV, Black Voc* =500 VDC Isc=15 ADC I'i rj (1)AWG#8, THWN-2, Red Disconnect; 60A, 24OVoc, Fusible, NEMA 3R 3 (i)ANC#10, THWN-2, Red Vmp'=350 VDC. Imp=9,71 ADC 1 (1)AWG #6, Solid Sore Copper EGC Vmp 350_ VDC Imp=13.45 ADC O (1)AWG#10, 1HWN-2, White NEUTRAL Vmp =240 VAC Imp=32 AAC -(1)CUTLER- AMMER g,DG100N8 O O Ground�Neutral Kit 60-100A, General Duty(DG) . . . . . . . .. AWG#10, TIiWN-2,,Green... EGC, -(1)Conduit Kit..3/47,EMT_ , , (1 Conduit Kit;,3/4..EMT. ,• , • .„ • * - D 70)AWG#8,,TFIWN-2,.Green . , EGC/GEC-(1)Conduit.Kit;:3/4".EMT. , ,, ,, , ,, -(1)CUTLER-HAMMER bS16FK �(1 AWG#10, THWN-2, Black Voc* =500 VDC Isc 15 ADC (2)AWG #10, PV Wire, 600V, Black Voc -500 VDC Isc 15 ADC (1)AWG #4, THWN-2, Black Class R Fuse Kit# O Isel-(1)AWG#10, THWN-2, Red Vmp =350 VDC Imp 13.45 ADC O (1)AWG #6, Solid Bare Copper, EGC Vmp 350• VDC Imp=9.71 ADC © (I)AWG#4, THWN-2, Red -(2)FERRAZ SHAWMUT#TR40R PV BACKFEED OCP- (1)AWG#10, TIiWN-2,,Green. . EGC, -(1)Conduit,Kit;,3/4";EMT, • ,. , . . . , • (1)Conduit Kit'.3/4.EMT. , . . , . . :. (1)AWG 14, THWN-2, White Neutral Vmp =240 VAC Imp=N/A AAC, Fuse; 40A, 250V, Class RKS. .. . . ..70 1 AWG#1.0, THWN-2,.Green. .EGC.. . .-(1)CCfIDUIT KIT (8)AWG#10, THWN-2, Black (5' WFRL) T z 1D EMT CandUlt. . . . . .. . (1)AWG #6, THWN-2, Black O (8)AWG#10, THWN-2, White (5' WFRL) ®�(1)AWG #6, THWN-2, Red (1)C1NDUIT KIT Vmp =240 VAC Imp=N/A AAC (1)AWG #6, THWN-2, White NEUTRAL VmP =240 VAC Imp=32 AAC c 1 x 10 EMT Conduit _ olidRare _ CONFlDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0261734 0O PREA6 OWNER: OEsaaP110R: DESIGN: \\`, . �. CONTAINED SHALL NOT BE USED FOR THEDaniel �•a TIL Ha ber T INC., ROSELL, BER ROSELL RESIDENCE9 9 BENEFIT OF ANYONE EXCEPT SOLARCITY C , MOUNTING SYSTEM: • NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 119 DEBBIES LN 8.215 KW PV ARRAY 'i,�50h rcity PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: MA 02648 ORGANIZATION, EXCEPT IN CONNECTION WITH MARSTN S ML THE SALE AND USE OF THE RESPECTIVE (31) Hanwha Q-Cells # Q.PRO G4/SC 265 24 St.Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: T: (650)638-1028 F: (650)638-1029 SOLAREDGE SE760OA-US002SNR2 (508) 648-.7206 THREE LINE 'DIAGRAM PV 5 8/25/2015 (666>-soL-CITY(765-2469) www.solarcitycom • i WARNING:PHOTOVOLTAIC POWER SOURCE _Label Location: Label Location: Label Location: Code: WARNING _NEC NEC •POI) WARNING Code: � ELECTRIC SHOCK HAZARD Code: -• ELECTRIC SHOCK HAZARD , 690.31.G.3 DO NOT TOUCH TERMINALS 1 NEC •THE DC CONDUCTORS OF THIS 1 LabelTERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE TO BE USED WHEN PHOTOVOLTAIC DC LOADN THE OPEN POS TIONIZED MAY BOENDRGIZEDINVERTERIS UNGROUNDED DISCONNECT •'" NEC ••1 LabelLabel Location: on: PHOTOVOLTAIC POINT OF • fV1AXIMUM POWER-_ D INTERCONNECTION _ A VVARNING: ELECTRIC SHOCK Code: CURRENT(Imp) Per Code: ••1 690.54 HAZARD. DO NOT TOUCH fVIAXIMUM POWER- VNEC 690.53 TERMINALS.TERMINALS ON POINT VOLTAGE (Vmp)� fV1AXIMUM SYSTEM_ BOTH THE LINE AND LOAD SIDE VOLTAGE(Voc) V N1AY BE ENERGIZED IN THE OPEN SHORT-CIRCUIT POSITION. FOR SERVICE CURRENT(Isc)®A DE-ENERGIZE BOTH SOURCE AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC LabelOPERATING VOLTAGE V WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD 690.5(C) IF A GROUND FAULT IS INDICATED NORMALLY GROUNDED -•- • - • CONDUCTORS MAY BE CAUTION • UNGROUNDED AND ENERGIZED DUAL POWER SOURCEPer Code: SECOND SOURCE IS NEC 690.64.13.4 PHOTOVOLTAIC SYSTEM .•- • • WARNING ' Per Code: Label Location: ELECTRICAL SHOCK HAZARD _ DO NOT TOUCH TERMINALS ••/ CAUTION ' • TERMINALS ON BOTH LINE ANDPer Code: NEC LOAD SIDES MAY BE ENERGIZF_D PHOTOVOLTAIC SYSTEM 690.64.13.4 IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS AUNAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT ,.- • • Per WARNING ..- INVERTER OUTPUT Label • - • CONNECTION NEC 690.64.13.7 Disconnect PHOTOVOLTAIC AC • DO NOT RELOCATE DISCONNECTPer Code: THISODEVCERRENTConduit NEC ••1 :. (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect MAXIMUM AC A ' '•I) (LC): Load Center OPERATING CURRENTPer Code: MAXIMUM AC OPERATING VOLTAGE VNEC 690.54 • Point of ' ' • • .,• 3055 Clearview Way :a •a • � San Mateo,CA 9W2 LabelSet • i , O • « •• • ri^SoiarCity I ®pSotar Next-Level PV Mounting Technology ''r;SOlarUty I ®pSotar Next-Level PV Mounting Technology Zep System Components ` k _ for composition shingle roofs Ground Zep Intertock ,(Key site semen} Zc Groove .. P - I Description . m PV mounting solution for composition shingle roofs r coMPP<� Works with all Zep Compatible Modules �1 - Auto bonding UL-listed hardware creates structual and electrical bond. Zep System has a UL 1703 Class"A"Fire Rating when installed using ' V� LISTED modules from any manufacturer certified as"Type 1"or"Type 2" Comp Mount .` O r " CPart No.850-1382 InPart No.850-1388 LPaftlNo.850'1397'.. t Listed Listed to UL 2582& .Listed to UL 2703 is ed to UL 2703 1 e Specifications Mounting Block to UL 2703 Designed for pitched roofs �n .. Installs in portrait and landscape orientations ' P P r Zep System supports module wind uplift and snowload pressures ` - � P Y PP P P s s 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 ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24"• , , Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448- Listed to UL 2703 and 850-1421 850-1460; Listed UL 1565 ETL listed to UL 467 850-1467 ' zepsolar.com zepsolar.corn Listed to UL 2703 • This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely ' each product The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely - responsible for verifying the suitability of Zap Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability,of Zap Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 02 27 15 ZS for Comp o f - `C Shingle Cutsheet Rev 04.pdf Page: 1 Of 2 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 2 Of 2 _ t solar=@@ solar=ee SolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer - P300 - P350 P400 Module Add-On For North America (for 60-cell PV (for 72-cell PV (for 96-cell PV modules) modules) modules) P300 / P350 / P400 Red nput DC Power"I x 300 350 400 W.....1 Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc ..........p.......g...g..... .......... .. .. ..... .... ,. MPPTO erafin Ran e 8 48 8 60 8 80,� Vdc . Maximum Short Circuit Current(Isc) 30 Adc ` ......................................... ........................................................................................................ Maximum DC Input Current 12.5 Adc - ................................................................................................................................................................. .... Maximum Efficiency ,,,,,,,,,,,,,,,,99.5 .. ......g................ ............................................I.............................. .................................................... - Wei hted EfficientY ..............................................................988............. % Overvoltage Category ,.OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) :I _ Maximum Output Current 15 Adc Maximum Output Voltage I. 60 'OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc r'✓ - ''a STANDARD COMPLIANCE - I �. EC FCC Partly Class B IEC63000 6 2 IEC61000 6 3 Wf•. .... .... ..... ..- Safety IEC62309 1(dass II safety),UL1741 - • RoHS Yes i INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc - Dimensions(WxL x H) 141 x 212 x 40.5/555 x 8.34 x 1.59 mm/in " ._ ._.... ....... ..._........ ... r Weight(including cables) 950/24 gr/Ib ,. Input Connector MC4/Amphenol/Tyco ....... .. .............. .. .. .. ...... ......... ............. ... .. .......... ......... .... Output Wire Type/Connector Double Insulated;Amphenol ............. ...... ....... .. ...... ... .. Output Wire Length 0.95/3.0 I 1.2/3.. - .,. ... ............. ....... .. :.A..... .... ......... ... .. ...... ........ .. .. : Operating Temperature Range -40-+851-40-+185 ....... ..... ......... ................ ........... Protection Rating IP65/NEMA4 .............. 0 300 ....................%... mnnm s*cow�erorme awame.moama or uaw sx ow�e.wieaea anowae. - -PV SYSTEM DESIGN USING A SOLAREDGE - THREE PHASE,_ THREE PHASE �. )INVERTER s. SINGLE PHASE 208V 480V PV power O(Jtlrl'11Z0t1Or1 at the 1'T10du)e-)eVe( i Minimum String Length(Power Optmuers) 8 1.. '18 . .......... ...._e ....... ... .... .. ... — Up to 25%more energy - - Maximum String Length(Power Optimizers) :25 25 50 .. ..... .. ........................... ... ...... .. .. .. ....... ...................... .. - Maximum Power per String 5250 6000 12750 W ................................................................................:.................. ..............I..................... ........ — Superior efficiency(99.5%) - Parallel Strings of Different Lengths or Orientations - Yes — Mitigatesalltypesofmodulemismatchlosses,frommanufacturingtolerancetopartialshading - """ ""'"" """ """" - , - -,Flexible system design for maximum space utilization - - Fast installation with a single bolt . . — Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety - - - . 4'. USA a GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.SOlaredge.u5 -_ MECHANICAL SPECIFICATION Format = ,:.65.7 in x 39.4in x 1.57in(including frame). - (1670 mm x 1000 mm x 44G mm) - Weight - 44.09 lb(20.0 kg). - Front Cover 0.13 in(3.2 mm)thermally prestressed glass .with anti-reflection technology . _ Back Cover Composite film Frame 'Black anodized ZEP compatible frame +Cell 6 x 10 polycrystalline,solar cells l s •"'",`��_.,.•,�..'''•�''�� 1 Junction box Protection class IP67,with bypass diodes ,.r,-,,;,�,,,,E,.a., °`°""'^"°'•' Cable 4 mma Solar cable;(+)a47.24 in(1200 mm),(-)a47 24 in(1200 min) ��ww..•" Connectors Amphenol;-Helios H4(IP66). �`, -`°""' 143 I ELECTRICAL CHARACTERISTICS • • , i `� • ,I r PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/m2,25-C,AM 1.5G SPECTRUM)' - 1°1 POWER CLASS(+5W/-(W) ` [W] 255 - 260 - 265- - I Nominal Power 255 - - 260 --_. -.-`� 265 • , ' . • ' ' '.Short Circuit Current --_- �` I c [A] - �. 9.07^meµ - 9 15 Open Circuit Voltage - V cy [V]' t 37.54 37.77 38.01 - - - Current ate P.,,,.-» *,-:-1 T [A] -- 8.49 -•.8.53. '----- 8.62 _ Voltage at P, - VeW [V1 30.18 30.46 30.75 ' The new Q.PRO-G4/SC is the reliable evergreen for all applications,with Efficiency(Nominal Power) ' $ _ 1%] z15.3 z15.6 Z15.9 P P .g P P NORMAL mlzed material usage and increased safety.The 4th solar module genera- POWER CLASS(5W/-OW OPERATING CELL M1„URE(NOCT:800 WAiir 45 t3 C.AM 1.56 SPECTRUMY ., improved ._,,.' ..• Namiha6Power-..--,,.......r......--^-.-- P. „4�.,-.•..�...«_a.�...-.-....,•.•..o-•�.�.:.W...........axr�,...- ,•----_�-._,.-.°. 255 260 -. _.265 a black Ze Compatible frame design for Im roved aesthetics o ti- LTEMPERnry °[w] g Tin g [w] tion from Q CELLS has been optimised across.the board: improved output 188.3 -- - 192.0 195' Short Circuit Current „.. ., 1. [A], 7.31 7 38 � � � 7.44 yield, higher operating reliability and durability, quicker installation and opeocircuitVultege " `R ;._ IV] -� more intelligent design. ( current -- - °°� rn a.95 --- 5.16 --- 5.38 3 3 3 r` la,p W [A] �-e- 6.61 6.68 _6.75 - - - 1 Voltage at P•„ Vmn [V] 28.48 28.75 -� - 29.01 - _ '.Measurement tolerances STC::3%(P_);:10Y(I',V-,I_V,°pp) z Measurement tolerances NOCT:z5%(P pp), 10%(1,Vp,Im,,,.V,°pp) ' - INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY Q CELLS PERFORMANCEWARRANTY 1,, A PERFORMANCE AT LOW IRRADIANCE ,•Maximum yields with excellent low-light •Reduction of light reflection by.50%, = " _ 7 At least 97%of nominal power during X -r-- ---- - --n--r and temperature behaviour. plus long-term corrosion resistance due ss• -ro� first year.Thereafter ma=.o.6%deg a- __ _ . - 21 3 a ___ -----. - dation per year. - - •Certified fully resistant to level 5 salt fog to high-quality _2 At least 92%of nnmmat power after - __ __________ l0years E - - - •Sol-Gel roller coating.processing. - , E1'D At least 83Y of nominal power after '" -- -- - - ENDURING HIGH PERFORMANCE e• - 25 years. - •Long-term Yield Security due to'Anti EXTENDED WARRANTIES All data within measurement tolerances. m r• r• _ •^ -.. `Full warranties in accordance with the ' _. PID.Technology', Hot,Spot Protect,. •,Investmentsecurityduetol2-year warranty terms of theoCELLSsales iRRADUNpl(w�a•, and Traceable Quality Tra.QT"" product warrant and 25-ear linear Drgamsati°°Dfy°urrespechyq`°°°ty' •- ty p. y y - - -- - ; Trans The typical change in module efficiency at an irradiance of 200 W/m'in relation m�rs,.,- an •Long-term stability due to VDE Quality performance Warranty2. 01^ to 1000 W/m'(both at 25°C and AM 1.5G spectrum)is-2%(relative). - - Tested-the Strictest test.program. . . _.___ I TEMPERATURE COEFFICIENTS(AT t000W/M2,25°C,AM 1.5G SPECTRUM) - • ' QCELLS ZTemperature Coefficient of Iu a [%/K] . - +0.04 a Temperature Coefficient,of V. [%/K] -0.30 , °mrroamm _ ' (-TOP BRAND-PV Temperature Coefficient of P«o. - 7�^-` 4+ } - - SAFE ELECTRONICS - ' P -Y [�/K] .r. -0.41 -NOCT � ~R +--� [°Fl 113 t 5.4(45 t 3°C). "•Protection against short circuits and E°.o "OP �' DESIGN thermally inducedpowerlossesdueto. 2015 Maximum System VoltageY°, [V] ' "10000EC)/1000'(uL) Safety class u breathable junction box and welded _� Maximum Slides Fuse Rating � [A DC] 20 Fire Rating � C/TYPE 1- E FMax0 s/fl']Lad(UL)' - {Ib 50(2400 Pa) Permitted module temperature -40°F up to+185°FCab10S.. -- ,. -- . on continuous dirty (-40°C up to+85°C) Phnfnnd Rating(UL)' [Ibs/(t'7 50(2400 Pa) p see installation manualQrAus ....-, , , ..-....,-. .. ---•-»•-F..-w-,+-. eear D°Ircrystanim ! 1 ' 1 ' 1 ' 1 +row mccule2ola Y - - t. 1 n°v...° arro�2rs UL 1703;VDE Duality Tested:CEcomplianh - Number of Modules per Pallet 26 J°'°""-""'•"-° IEC 61215(Ed.2);IEC 61730(Ed.l)application class A '• - -THE IDEAL SOLUTION FOR: ID.'40032587 Pallets_ 5 - -_ r�At° Number of Pallets per 40 Container• - .._. 26 ®Rooftop arrays on - r - - V �{�® _ '® residential buildings - QGOMPAT�A 1) E - C E c�1-us % W Pallet Dimensions(L x W x H) ' 68.7 m x 45.0 m x 46.0 in - cv C� ° F �.,, O• (1745 x 1145 x 1170 min) - - u"„" "-.r.•.ighl•ww.+ ...as'-.-+,..•s-.-....-._.-._s54lb( c . t 1 i _.,. ,- •Pallet Weight '� ,._ 1254 Ib(569 kg) o _ ' APT test Conditions:Cells at-1000V against rounded with Conductive metal foil Covered module surface - Fq ev NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further.information on approved installation and use of g R COMPPT this product.Warranty void if non-ZEPcertified hardware is attached to groove in module frame. y 25°C,168h r. .. - -. 2 See data sheet on rear for further Information. - •Hanwha Q CELLS USA Corp. - -300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA TEL+1 949 748 59 96 1 EMAIL gcellsusa0gcells.com I WEB www.gcells.us Engineered in Germany Q 'ELLS Engineered in Germany -O CELL i Solar=gg Single Phase Inverters for North America SoIar SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE1140OA-US SE3000A-US SE380OA-US I SESOOOA-US I SE6000A-US I SE760OA-US SE1000OA-US I SE11400A-US a OUTPUT Single P p 9980 @ 208V SolarEdge Single ■ tease Inverters � Nominal AC Power Output 3000 3800 5000 6000 7600 10000,�a�240V. 11400 VA Max AC Power Output 3300 4150 5400. 208V 6000 8350 1085 . 208v 12000 VA For North America ........ .......... ....... at240y. ....-.... .......... .1Q95�.�24�y. ..... AC Output Voltage Min.Nom,-Max.t'I 183-208-229 Vac ............... ................ .................. .................. ........... SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ c t ll " �" m.- " " """" " """AC Output Voltage Min:Nom:Max.('( SE760OA-US/SE1000OA-US/SE1140OA-US 211-240-264Vac �AGFrequencyMin.:Nom;Max.(ii.......... ..•"".."•".... .".".."""".•..59.3-60-60.5(withHlcountrysetting:57-.60.-60.5)"••••...•.••• ••.•••••..""••"" ".Hz ......••• 24 @ 208V 48 @ 208V • Max.Continuous Output Current...... .....12.5......I..:...lb......1...21.�° 240y..I................I... 32.......I...42,#,240y...1........:........ .....A..... GFDI Threshold 1 A . . ,., Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes . .INPUT - erte, Maximum DC Power(STC) 4050 5100 8100 10250 13500 W - Transforme r-less,Ungrounded Yes _ - ................................... yt5 =t Max.Input Voltage..................... ......................... ........................ ..... .500 Vdc ............:..... .................................... ... J Wartan� S Nom DC Input Voltage 325 @ 208V/350 @ 240V Vdc•••• 9.5 I 13 I16.5 @ 208V I 18 I 23 L33 @ 208V 34.5 AdcMax.Input Currentl2l 15 3... .. ........ .... .......... .._._ Max.Input Short Circuit Current 45 Ad $.. v Reverse:Polant Protection.......... ............... ............................... .......Yes....... ................................................. ......... Ground-Fault Isolation Detection 600ko Sensitivity .............................. ................ ............. ................. ................ ................ .................. .... Mazlmum love rter Efficiency 97.7 98.2 98.3 98.3 98 9S 98 .� .............. 97.5 @ 208V 97 @ 208V , CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 % . .......... ............... ..98.@.240y.. . .....,. ..240y.. .................. . . ....g....................... ............ .. . ............... ................ ...... _ Nighttime Power Consumption <2.5 <4 „W_ ADDITIONAL FEATURES - - • _ - Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 Optional �.. ... "......."................... ............................... ...... ... ............................................................. ........ ........... Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed(41 STANDARD COMPLIANCE I i a afet UL1741,UL16998,UL3998,CSA 22.2 Grid Connection Standards IEEE1547 - -•� U ...................................... .... ... ....... ......... .... ....... ...... ....... ..................... ....... ' .,•• - ,. - _ Emissions - - - - FCC part15 class B • rt'", f .-t INSTALLATION SPECIFICATIONS _ """" AC output conduit size/AWG range 3/4'minimum/16 6 AWG 3/4 minimum/8 3 AWG 14.. ...................................... ...... ................... ......... .. ..... ............. .... ....... DC input conduit size/#of strings/ minimum/1-2 strings/16 6 AWG - 3/4"minimum/1-2 strings t . . ...�......... ....................3/4" m - - 14-6 AWG _ Dimensions with Safety Switch - 30 5 x ii5 x 10.5/ in"/ . a i 305x125x72/775x315x184 .......... ............................ ..........775 x 315 x 260.......... .,.min.... ..................... ................................ ................ . . r - 1 Weightwrth Safety Switch.".""•.•• S1.2/23:2..........I...................54.7/24:7.". .. ..... ..........88 4/•40.1 ...... lb/•kg".. . . . . a Natural �.,.•... _ _ r m - `' Convection �,-. rx • . . - - � - - Cooling Natural Convection and internal Fans(user replaceable) - - fan(user -The best choice for SolarEd . replaceable)a enabled s stems s.................... ............... ........ ..................... . . ....................... ........ . . ................ g y Noise .............................<25: <50 - ..dBA.... Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance Min:Mex.operating Tem erature""" " P -13 to+140/-25 to+60(40 to+60 version availablels)) •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 saiarEeae support. 121 A higher current source may be used;the inverter will limit its input current to the values stated. Built-in module-level monitoring - 0(Revenuegradeinwner P/N:SEn,,A nve US000NNR21for7600Wirter SE7600A-US002NNR21. (<)Rapid shutdown kit P/N:SE1000-RSD-51. Internet connection through Ethernet or Wireless ° (° ». n"e er. . (-00 nP/N:SE zA USOOONNU4I(o 7600W rt �SE7600A-US002NNU4) Outdoor and indoor installation t ;. 5. - ,. Fixed voltage inverter,DC/AC conversion only „aPopp Pre-assembled Safety Switch for faster installation Optional revenue grade data,ANSI C12.1 su�spEcRoHS USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us _ OPTIMIZED BY .