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0007 HIGH STREET
J ,r i Y" I 4 w TOWN OF BARNSTABLE BUILDING PERMIT APP;>[.,ICATION Map Parcel Application # Health Division Date Issued I S Conservation Division Application Fee TO Planning Dept. Permit Fee A "I Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �_Project'Street Address _ ! f Cs Sao — Village WTU 1 Owner w 1 (T H'� Co��f Address P pbo x l 3 5 CDTL)1 .07..to35 1� Telephone (o 17 q 0 2 (o o"Z 5 FD ..Permit Request C_y N S-�(_ucA 1 o y\ o f WoKK,5ft? -S T b RA(sE 6 Pt(a g,e_ Zy X 3 fo FT Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq:ft Number of Baths: Full: existing - new Half: existing t new Number I Bedrooms: existing —new _u Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number. (0 1 -7 Address''T(D a� 1(6�j2s License # Cdty t' M� o2(a 3S Home Improvement Contractor# Email I &R-re.o DY(✓(?MA I L Co Worker's Compensation # ALL CONSTRUCTION DEBRIS.RESULTING.FROM THIS PROJECT WILL BE TAKEN TO �SIGNATURE— ATE' r•- FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED MAR/PARCEL NO. n ti ADDRESS VILLAGE C OWNER . k DATE OF INSPECTION: FOUNDATION c FRAME 2.0 l INSULATION -Z,2 ' - 7 cC",C ,le Flo St,wr4 FIREPLACE ELECTRICAL: ROUGH FINAL ,,PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL }. J FINAL S.UILDING I DATE„CLOSED OUT A$SOC.IATION. PLAN NO. �r r The rFssczg:*�e� t f�G Of 1w ad ens r ` f f f W�ljh*fm meet ffostar� A 12.E Wct- Cctmpe=ficmhaaanceA dam IlurddersfC�anfracEGrsMecfricianslPluribem a Inf of Please Pii F c- t s 7 lei(rl-1 eiT Phon.,--4 1-7 Are yan ail employer?Qmcktha apprffpriate bG= T of a ea E L❑ I am a employer with I i a ccanfracfar�I 3 F = . * trams hiat F t stzb�fzxs. tx_ ❑New e,>3rpfayees{fait a4dfotgatc-#ime�_ ❑ I am a sole praprif5tQr orpartaer- listed an th-e attached sheaf 7- ❑R-MmIe These wb-contractors have ship and have noemplayeas 8. �I�emalifiar< ra emglnyees and Gve,woAmrg, � mE �C-Pa�- ;nc y r i 1' 9- ❑Building addifion 5_'❑ We are a cozpar�mand ifs I0.[]Eectdcal fgnim ar addifians L = I aim a ham r doing au wow tafEc-,ers ha-m emu-cised thew 1��Piumbiag zepais or addifians rr Tf [Na worms'oomp- :6�,ofem=pfion per MCR- oaf rqmim- c 157,§1(#},and we haste no t 0 mcr�rsanr-.� ed,I F ]�'_❑{�(jIP1 employs_[Na war em 'Anyspp tbxtchRdz bosQmastElsnffiaatihesedioabLToatshairiheswadm:s'coaw—tiwpcYELT-.g ri Flo-metwnes pd�s>�L�t�s radar;, �T may,2M Team.=II,- tb h=e aide co�tractais roust snbusii s a amdscst ma`3�tn�such C-C:o- xs t L-tchPcY this bicc must xttacW m xdEffimAt slLe Ourwirg n of 6iE-mk-�u�d stsYz ul�tiier ncnnt fn�ss k i5es b, eMtivyEEs_.Lfthe s 5<QUtMa=h.-Ve mnaIg5e�s;-thegumsrpmciae tb r wwurk 'comp_paHCYnumber- lam=arrryZaj er rhatisprrrriLTfffg tsarBeets'cort�tirniiart&mzrrrrtce for nzy etrPfnyecs HPICtF is fltagaHcy artd,job sia ' Ias mace Company Name: ���ar S�tf-iris_Lis�`_ Exgirati4u hate_ Job�;r--Ad&es:r CitgfS Tsp: AtLzch 2L copy of the-vmrFcers'coratp=safiun pa lacy ded-zrsti on page-(sht wing the poheY Iaaber and expiration dste-}: Fai3are fo secare c erage as requirednnder Secfioai 25A of MGL c l5 c8ai lead fa tl�=pasitian of ciiminaF pet3afiies of s finE up toL50(}_(}D andlar one-yeat-; > or as well as ciz*t7 g�atEt�s in file fasm of a STC�1� C3 {)RI�IlZ and a Ent of-0P to$250-00 a day against the violator_ Re advised that a cry of this sfatP•rnr=nt may be forwarded to fire Office of Ftrcestcmtions of fine DLA-for insarrnc-c5 coverage vim-Ec adDn- lr aZn facie eby certFfp thatfh&irijorxzcdran proud abuve7 rs frne and carrect phone CWk ier£fza aaEy� Dzr"t tit ihr iEi fF urea,ta ha camplead by c tip or ktwn zrfrczn£ My or To-wm PMT3iff 7CCM%T LY „� Iss$u���afbarity{canlc ana�: : L Board 4f$eali3i 2.Bird ng Delrarfra ut t fdFa rt Qi rk 4_I Fet frical baspet£ur fi.Pkmbffigfitzptctor 6.Othcr i Coz ct Ber a= 6 If�assacl s i s General L Tws chapter-152 rues all cmployerg to provide v�arkeis'camne�sa tan far(heir errs>Ioy pumj tto this staff,an mT,1oyee is defined as'__may person in the service of aaofher underi'any contract ofhire, exprrss ar implied, oral or written" An w�pr6yez-is deuned as`pan mdi idnal,parfn=big,association,caiparadDn or diner Iegal entity,or any two or mare oftbe foregoing m gaged m alarpt enterprise,and iurcludhagthe Iegal representatives of a deceased employer;or the receiver or trustee of an mdividaal,partnership,association or other legal entity, employing employe. However the owner of a dwelttIIg house having not more than three apartments and who resides therein,or the occupant of the dwalFiag house of anatner who moploys persons to do maintenance, construction or repair work on such dwelling house or an the grounds or budding appurtenant f r_mto shaIl not because of such employment be deemed to be-an employer." _MGL chapter 152, §25C(o7 also sfii.--s th;t'every state or local>icens-ing agency shall withhold t_he issuance or renew•aI of a license or permit to aperate a business or to construct buildings in the commmonwealth for any applicantwho has not produced acceptable evidence of compliance with the insurance.coverage required.'' . Addidonally, MCM chapter 152, §2SC(7)states"Neither the commonwealth nor any of its political subdivisions shall eater iatn any contract for the performance of public v�ork until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting arrih ority." Applicants Please fiI1 orb the workers'compensation affidavit completely,by checking the boxes that apply to ycur situation and,if necessary, simply sab-'contractar(s)aame(s), addresses)and phone numbers)along with their ceri_Sicaic- s) of insurance. Limited.Liability Companies(LLC)or LimitedLiabrlity ParLuerships J I.P)veithno employees other than the members or partners,are notrequired to carry workers' compensation insurance: If an LLC or LLP does have employees;a policy is requsecL Be advised that this affidavit may be submitted to the Department or Industrial Accidents for conErmation ofin�nce Coverage. Also be sure to sign.and date the at=1i.davit The afnda�2t should be,retnmed to the city or town that the application for the permit or license is being requested,not the Departzaent of Indasfrial Accidents. Should you have any questions regzvd g -,law or if you.are t equired to obu l a vrorkers' compensation policy,please call the Depa_,tment at the number listed below. Self-dinged companies should enter their self-m=nce license ntnnber on the appropriate line. City or To-Fa Officials . Please be sure that the affidavit is complete and pzirtted legibly. The Department has provided a space of the bottom of the affidavit for you to fill out in the event the Office of InvPsti ens has to contazt:you regarding the applicant Please be sure to fill m the permiAcense number which wall.be used as a reference ntmmber. In adc�rtion,an applicant that must submit multiple pemit/Ecense applications as any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Tob Site,Address"the applicant should write,'all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses A new affidavit must be idled oit each year.Where a home owner or citizen is obtaining a license or permit notrelaf--d to any business or.commercial Venture (Le. a dog license or permit to buun If-ayes etc.)said person is NOT regtmed to complete this afndalit The Office of Investigations would at to drank you m.advance for your cooperation and should you have any questions, please do not hesitate to give i s a cal The Department's address,telephone and faxntimber. ` M�CaMmr,_„ th of Ma_,zzsach D�paz#�n�t of In��rst�al��irle�is Fes# 6I7- - . . Revised 4--24-Q7 Town of Barnstable Regulatory Services ��ofE roiy� Richard V_Scali,Director Building Division 4 ' xsrasr� Tom Perry,Building Commissioner v$ =6�39- ��� 200 Main Street, Hyannis,MA 02.601 �Eo Fitt.-c� www.town.Barnstable.ma.us Office: 508-862-4038 Fax_ 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: 1��� C� Zdls PteasePrint CJOB LOCATION[:i / R I&N SY, cdYU 1 1— -number COD sheet [� /I� p village ��OMEOWNER": ' Z./WIG-k-T X (;I-7-7 D6---Gasg Spl�tF_ Y name home phone# work phone 4 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 arid 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 hermit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance Kith 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- Signature of Homeowner- Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109-1.1-Licensing of construction Supervisors); provided that if the"homeowner engages a persons)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 &ReguIations 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 Iicensed Supervisor- The homeowner acting as Supervisor.is ultimately responsible. To ensure that the homeowner is fuIIy 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:\WPFILES\FORMS\building permit fonnslEXPRESS.doc Revised 061313 � E T Town of Barnstable t Regulatory Services i' HARNSTS. MASS. Richard V.Scali,.Direct6r E16 9,�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section g If Using A Builder as Owner of the s bj6ct property hereby authorize to act on my behalf, in all matters relative to work authorized bythis b permit application for. (Address of ob� "Poo l fences and alarms are the re crnsibility-4thae-ap. 'cant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:O WNERPERMISSI0NPOOLS N 7 High Street Garage Project: Dwight Cody 617-908-6258 Surveying work: (attached) Timothy R. Bennett, PLS Green Seal Environmental, Inc. Senior Surveyor 114 State Road Sagamore Beach, MA 02562 Office: 508.888.6034 x33 Mobile: 617.828.7224 t.bennett@gseenv.com Workers comp#WCV01062901 Foundation work: (attached) Donald Perry (Slab type with radiant heating) Pinnacle Site Contractors 33 Cohasset Avenue, Buzzards Bay, MA 02532 508-743-0455 Building Construction: (attached with license) Everett Skinner IV, P.E. The Barn Yard &Great Country Garages 120 West Road Ellington,CT 06029 www.thebarnyardstore.com 860-896-0636 x14(office) 860-896-3381 (fax) Solar panels (will pull a separate permit) Cotuit Solar 3800 Falmouth Road, Marstons Mills, MA 02648 508-428-8442 r 1 Fromallnderwribng Dept Fax: 617 488-6501 IrTo.60842820369refaz.co Fax r+15084282036 rPa e 2 f�2,QIR/206 10:59AM^� _ 4/15/2015 THIS CEig RTIFICATE 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 poliey(ies must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this c ortificate does not confer rights to the certificate holder in lieu of such endorsements(s) PRODUCER CONTACT - NAME B me lnswance Group PHONE Y p (A/C.No.Exll: (508)888-5185 crdo I (508)888 5184 PO Box 1908 E-MAIL ADDRESS Sagamore Beach,MA 02562 ppnru Irpo _. SLIST,MFR ins INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Atlantic Charter Insurance Company VDAC 44326 Green Seal Enviromental,Inc. INSURER B INSURER C 114 B State Road INSURER.D Sagamore Beach,MA 02562 INSURER E: INSURER F COVERAGES: CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_. INSR TYPE OF INSURANCE ADDL SUSR POLICY NUMBER LTR INSR WVD POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MMIDDIYY DATE MWDDIY( 1 ( Y) (In Thousand I GENERAL LIABILITY EACH OCCURRENCE g COMMERCIAL GENERAL UARLITY DAMAGE TO RENTED PREMISES Ea occurrence S CLAIMS MADE a OCCUR MED EXP(Art,•one person) g PERSONAL B ADNIINJVRY $ $ GEN'L AGGREGATE UAe GENERAL AGGREGATE i APPLIES PER: RODUCTS-COMPIOPAIG $ POLICY a PROTECT ElLOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT S (E a A[utlenB ALL OWNEDAUTOS a❑ (Per person)BODILY INJURY S SCHEDULED AUTOS BODILY INJURY $ HIRE 0 AUTOS (E a Arcioent) P NONOVm0E0 AUTOS ROPERTY DAMAGE E (Ea Accident) � ,UMBRELLA ❑ OCCUR LIABILITY EACH OCCURRENCE E EXCESS UAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE E E RETENTION WORKERS _ E A EMPLOYERS'LIABLITY AND WCV01O629O2 03/16/2015 03/16/2016 X STATUTORY POTHER ANY PROPRIETORIPARTNERIEXECUTIVE Y r N LIMITS OFRCERIMEMBER EXCLUDED? N NIA ❑ Policy Covers a State- MA EACH ACCIDENT $ ],000,OOO Mandatory in NH y II yes,describe under SPECIAL PPOVISIONS below DISEASE•POLICY LIMIT E 1,000,000 DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER ❑❑ DESCRIPTION OF OPERATION EA.00ATIONSIVEHIC LES(ACach ACORD 101,Additional Ramarts sMaduiq it mom space it mclutriid) 0. . _ - n,;� - F"'..s�t'FA.�" -W &��...',`a. _,r.�saxeu mar-- � ,'i• ,-.,R,.y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Dwight Cody EXPIRATION DATE THEREOF,THE ISSUING COMPANY VWLL ENDEAVOR TO MAIL 445 Osterville W.Bamstable Rd 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Suite#6 - I BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Osterville,MA O2(SS UTHORIZEDREPRESENTATIVE ACORD 26(20M,09) Paget oft CERTIFICATE HOLDER COPY 0 1989-2009 ACORD CORPORATION. All rl&s reserved. s PINNSIT-01 WROHR DATE(MMIDD CERTIFICATE OF LIABILITY INSURANCE 2/13/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED i REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT '- NAME:._. Corcoran 6 Havlin Insurance — -----. 287 Linden Street M.N :(781)235-3100 FAX Nor(781)235-7190 Wellesley;MA 02482 EMAIL - ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# __---__--__ INSURERA:Gontlnental Insurance Company INSURED INSURER 13:Citation Insurance Company(AAA) 40274 Pinnacle Site Contractors,LLC&PSC Group Inc. INSURER C:Associated Employers Insurance Company 11104 P.O..Box1087 INSURERD: _ Sagamore Beach,MA 02562 INSURER E: INSURER F: -----..__.—_- ---- ------- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN-MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR __...__ Al7C3L�S _---------- ------7-00 IZ�LY EFK PO Iff EXP LTR TYPE OF INSURANCE I D POLICY NUMBER A X COMMERCIAL GENERALUA131UTY (MMlDDlYYW (MMfDDlYYYY LIMITS EACH OCCURRENCE $ 1,000100 CLAIMS4v1ADE 1-ki OCCUR j .5099200063 10121/2014 101211201E UAWG S-(Ea� $ 100,00 MED EXP(Any one person) $ 5,000 — — PERSONAL&ADV INJURY _$_ _ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL 2,000,000 t—� ---——X (POLICY PRO-JECT LOC PRODUCTS.-COMP/OP AGG ;$ 2,000,00 1 OTHER: AUTOMOBILE LIABILITY COMBINED E BINEDISINGLE LIMIT $ 1,000,000 ANY:AUTO BGKSWY 10121/2014 10/2112015 BODILY INJURY(Per person) Is ALL OWNED X. SCHEDULED AUTOS AUTOS i BODILY INJURY(Per accident)1$ X HIRED AUTOS X NON,OWNED :PR�OPERTY DAMAGE f AUTOS Peraccloentl $ : 1 UMBRELLALIAB OCCUR j i EACH OCCURRENCE $. EXCESS LIAB CLAIM$MADE AGGREGATE _T i DED RETENTION$ WORKERS COMPENSATION - 1 PER OTH- X I AND EMPLOYERS'LIABILITY YIN STATUTE L--_ ER I C ANY PROPRIETOR/PARTNER/EXECUTIVE �r"�---;, iWGC50050116962014A 01/2612015 01/2612016I E-EACH ACCIDENT I$ 11000,00 OFFICERIMEMBEREXCLUDED? IN/A I i(Mandatory in and E.L.DISEASE-EA EMPLOYEE!'$ 1 000,000 IFyyea,describe ndor ! L---' --- DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT i.$ 11000,0......... t DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Dwight Cody THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Boston Connection inc ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1835 COtUPt,MA 02635 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014/01y The ACORD name and logo are registered marks of ACORD '4� CERTIFICATE OF LIABILITY INSURANCE 6/3 DATE0 2014 MIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT The WJ Irish Ins Agency The WJ Irish Insurance Agency PHONE (860)646-1232 ac o.(860)643-4055 280 Main Street E-MAIL ADD E P.O. BOX 360 INSURERS AFFORDING COVERAGE NAIC# Manchester CT 06045 INSURER A:Liberty Mutual Agency INSURED INSURERB:The Netherlands Insurance Co. 24171 The Barnyard Enterprises Inc. INSURERC:Peerless Insurance Company 4198 Po BOX 89 INSURER D: INSURER E: Ellington CT 06029 INSURERF: COVERAGES CERTIFICATE NUMBER:2014-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYpE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE X�OCCUR BP8786326 6/27/2014 6/27/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY r PR0 LOC $ AUTOMOBILE LIABILITY - EOMB NNdEDtSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED A8785026 6/27/2014 6/27/2015 AUTOS X AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Experience Mod Factor 2 $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ ' 10,OOC CU8789126 6/27/2014 6/27/2015 $ C WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N -EEL TORY LIMITS _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A •• (Mandatory in NH) C8783626 6/27/2014 6/27/2015 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Barnyard Enterprises ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 89 on AUTHORIZED REPRESENTATIVE Ellington, CT 06029 , A Parlante/AP ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025roMnnflni Tho Arr1R11 nama nnrl Innn ara ranieforarl mnrkc of Arnpn _2, '/ e, t(/(Jf?/?/�??(�/12 LCLG'f7if 21C t'1 /�� ✓ 'f Office of Consumer Affairs and Business Regulation ' 10 Park Plaza- Suite 51.70 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 127550 t Type: Private Corporation Expiration: 11/16/2016 Tr# 258847 THE BARNYARD ENT. INC EVERETT SKINNER t t P.O. BOX 89 ELLINGTON, CT 06029 s "> ,s,;•Y Update Address and return card.Mark reason for change. sca Address Renewal - Employment "i Lost Card i i Office of Consumer Affairs&Business Regulation License or registration valid for individul use only '7 #'*OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: J{egcstratiow 127550 Type: Office of Consumer Affairs and Business Regulation '70Expiration. 11/16/2016 Private Corporation 10 Park Plaza-Suite 5170 ' Boston,MA 02116 THE BARNYARD ENT.INC EVERETT SKINNER .i 120 WEST ROAD ELLINGTON,CT 06029 ._.__-i-- _.g .__ _....._..._ _.... Undersecretary Not vald without Si nature j 11111121 Massachusetts-Department of Public Safety } Board of Building Regulations and Standards ! Construction Sapervsf,r License:CS-098915 EVERETT W SKijVNE PO BOX 89 Ellington CT 060$9 i' , !72 . Expiration Corrxnissioner 06126/2015 J r;., Job Truss Truss Type 1QIy Ply BY-251-CODY T1 ATTIC 18 1 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:39 2015 Page 1 ID:ZDnNCziZsS 1 xAuH7iejd70zXN2D-ckmTYu_F 1 jM F47EoGR6EiZVwoxYxsmg2oH EKU PzvYUs TO- 221a11 11-110-9 4-9-1 34a1� 2-3101 1 Z 4-9-11 11-5� Z-1a11 108 HNH18 - SwWe=1:65.3 BEH18G BEH18G i2= F 4/ I 6x12 3x8 E •off/ H D O R 4x4 a 2x 11 11.45 12 7.1-1 6.811 1 T BxB II 2.8\1 2x8 B L 6-0-0 M A LU tl 81 9- 6 -10.9 R O N 5x8 Q SxB// 10x10— 8x10 MTiBHS= 10x10= 6x8 11 We II 1-0-q - a ,44 21-1-12 2 23- z5-ao2s-ap 0- 1-1 1a11 11 11:it 1a-9 16-38 1-11-5 1-9 1.10-11 -0- Plate Offsets(X,Y): [A:0-2-6,0-9-4],[A:0-9-4,Edge],[C:0-7-5,Edge],[F:0-0-1 1,0-1-2],[G:0-1-11,0-1-12],[1:0-0-11,0-1-2],[K:0-7-5,Edge],[M:0-4-0,0-9-8],[M:25-9-10,0-9-41, [N:0-3-8,0-6-8],[P:0-3-8,0-6-8] LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft L/d PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 0.65 Vert(LL) -0.55 N-P >535 360 MT20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.50 Vert(TL) -0.90 N-P >327 240 MT18HS 244/190 BCLL 0.0 Rep Stress Incr YES WB 0.52 Horz(TL) 0.02 M n/a n/a M1118 141/138 BCDL . 10.0 Code IRC2009/TP12007 (Matrix) Attic -0.36 N-P 543 360 Weight:237 lb FT=20% LUMBER BRACING TOP CHORD 2x4 SPF No.2*Except* TOP CHORD Structural wood sheathing directly applied or 4-11-7 oc purlins. T1:2x8 SP 240OF 2.0E BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. BOT CHORD 2x10 SP 240OF 2.0E WEBS 2 Rows at 1/3 pts D-J WEBS 2x4 SPF No.2 MiTek recommends that Stabilizers and required cross WEDGE bracing be installed during truss erection,in accordance with Left:2x6 SPF No.2,Right:2x6 SPF No.2 Stabilizer Installation guide, REACTIONS (lb/size) A=2382/0-3-8 (min.0-2-0),M=2382/0-3-8 (min.0-2-0) Max Horz A=-581(LC 4) Max UpliftA=-259(LC 6),M=-223(LC 6) FORCES (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-B=-3508/279,B-C=-3351/297,C-D=-1893/453,D-E=0/710,E-F=-257/70,H-J=0/572, J-K=-1891/453,K-L=-3357/294,L-M=-3514/275,E-H=-64/1326 BOT CHORD A-P=-236/2228,O-P=-73/1753,N-0=-73/1753,M-N=-125/2231 WEBS D-Q=-2874/511,Q-R=-2677/490,J-R=-2708/492,C-P=0/2043,K-N=0/2051, B-P=-797/258,L-N=-801/275,E-Q=-150/367,H-Q=-559/491 NOTES 1)Unbalanced roof live loads have been considered for this design. 2)Wind:ASCE 7-05;110mph;TCDL=5.Opsf;BCDL=5.Opsf;h=25ft;Cat.11;Exp C;enclosed;MWFRS(low-rise)gable end zone and C-C Exterior(2)zone;cantilever left and right exposed;end vertical left and right exposed;C-C for members and forces& MWFRS for reactions shown;Lumber DOL=1.33 plate grip DOL=1.33 3)Provide adequate drainage to prevent water ponding. 4)All plates are MT20 plates unless otherwise indicated. 5)Attach MiTek HNH18(Half and Half Plate)on each face of truss with USP NA11 nails(0.131"x 1.5')in pre-punched holes provided.All nail holes must be filled(5 Nails per side 10 nails total). 6) See BEH18 DETAILS for plate placement. 7)Provisions must be made to prevent lateral movement of hinged member(s)during transportation. 8)This truss has been designed for a 20.0 psf bottom chord live load nonconcurrent with any other live loads. 9)Ceiling dead load(5.0 psf)on member(s).C-D,J-K,D-Q,Q-R,J-R; Wall dead load(10.0psf)on member(s).C-P,K-N 10)Bottom chord live load(40.0 psf)and additional bottom chord dead load(5.0 psf)applied only to room.N-P 111)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)except(jt=lb) A=259,M=223. 12)Following joints to be plated by qualified designer:Joint(s)A,M,not plated. ,.. 13)This truss is designed in accordance with the 2009 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1. 14)"Semi-rigid pitchbreaks with fixed heels"Member end fixity model was used in the analysis and design of this truss. 15)Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord. 16)Attic room checked for L/360 deflection. LOAD CASE(S) Standard i Job Truss Truss Type Qty Ply BY-251-CODY T1A ROOF TRUSS � 0 1 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:40 2015 Page 1 ID:ZDnNCziZsS1xAuH?ieid70zXN2D-4wKHE?tot U6iHp_pBdTEn2BrLwfb7HC1x_tlrzvYUr Q 10,6 2-10 11 410 4 9-7-5 133 O-0 15-3-101$-4-11 21-1-11 23-1-5 26-00 2fi 10 8 d 10 8 2-1011 ' 1-11-9' 49-1 3 4_11 2-3-10 -1- 49-1 1-11-9 2-10 11 10 HNH18 Scale=1:65.3 BEH16G BEH18G ex8// F .:� ' 602— E A ^ H 3x12 q 4 = p J P G 1 44 11 2x 1 11 11.45 12 7.1.1 2x8 II 1 T c K d 2x8 B 16-OA L qy 1 1 C B1 B SxB O 5x8/i o N M 5x12 II 5x8 II 5.5= ` i-aq2-10 11,a 1aa 12-9-8 21-1-12 23-1-5 25-0-026-0-0 11 1-1% 7-11-4 8-4-4 1-11-9 1-10-11 %_ Plate Offsets(X,Y): [A:0-2-6,0-9-4] [A:0-4-4 0-9-4],[F:0-0-11 0-1-2] [G:0-1-11 0-1-12] [1:0-0-11 0-1-2] [J:0-3-0 0-1-12] [L:0-8-4 0-9-6] [L:25-9-10 0-9-4] LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl Ud PLATES GRIP TCLL 40.0 Plates Increase 1,15 TC 0.31 Vert(LL) 0.14 N-0 >999 360 MT20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.28 Vert(TL) -0.24 N-O >621 240 M1118 141/138 BCLL 0.0 Rep Stress Incr NO WB 0.95 Horz(TL) 0.01 K n/a n/a BCDL 10.0 Code IRC2009ITP12007 (Matrix) Weight:189 lb FT=20% LUMBER BRACING TOP CHORD 2x4 SPF No.2*Except* TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc punins. T1:2x8 SP 240OF 2.0E BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. BOT CHORD 2x10 SP 240OF 2.0E WEBS 1 Row at midpt D-J WEBS 2x4 SPF No.2 MiTek recommends that Stabilizers and required cross . WEDGE bracing be installed during truss erection,in accordance with Left:2x4 SPF No.2,Right:2x4 SPF No.2 Stabilizer Installation guide. REACTIONS All bearings 0-3-8 except Qt=length)N=Mechanical,K=0-3-0. (lb)- Max HorzA=942(LC 1),L=-942(LC 1) Max Uplift All uplift 100 lb or less at joint(s)except A=-561(LC 6),L=-423(LC 6),N=-190(LC 6),K=-604(LC 4) Max Grav All reactions 250 lb or less at joint(s)except A=1676(LC 1),L=1280(LC 1),N=587(LC 10),K=465(LC 11) FORCES (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-B=-1835/509,B-C=-1694/534,C-D=-1274/535,D-E=-311/132,E-F=-257/70, H-J=-323/138,J-K=-1302/594,K-L=-1511/598 BOT CHORD A-0=-250/299 WEBS D-P=-900/598,P-Q=-1145/733,J-Q=-1164/744,C-0=-82/607,B-0=-445/367, H-P=-428/451 NOTES 1)Unbalanced roof live loads have been considered for this design. 2)Wind:ASCE 7-05;11Omph;TCDL=5.Opsf;BCDL=5.Opsf;h=25ft;Cat.11;Exp C;enclosed;MWFRS(low-rise)gable end zone and C-C Exterior(2)zone;cantilever left and right exposed;end vertical left and right exposed;C-C for members and forces& MWFRS for reactions shown;Lumber DOL=1.33 plate grip DOL=1.33 3)Provide adequate drainage to prevent water ponding. 4)All plates are MT20 plates unless otherwise indicated. 5)Attach MiTek HNH18(Half and Half Plate)on each face of truss with USP NA11 nails(0.131"x 1.5')in pre-punched holes provided.All nail holes must be filled(5 Nails per side 10 nails total). 6) See BEH18 DETAILS for plate placement. 7)Provisions must be made to prevent lateral movement of hinged member(s)during transportation. 8)This truss has been designed for a 20.0 psf bottom chord live load nonconcurrent with any other live loads. - 9)Refer to girder(s)for truss to truss connections. 10)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 561 lb uplift at joint A,423 lb uplift at joint L,190 lb uplift at joint N and 604 lb uplift at joint K. 11)Non Standard bearing condition. Review required. 12)Beveled plate or shim required to provide full bearing surface with truss chord at joint(s)K. 13)Following joints to be plated by qualified designer:Joint(s)A,L,not plated. 14)This truss is designed in accordance with the 2009 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1. 15)"Semi-rigid pitchbreaks including heels"Member end fixity model was used in the analysis and design of this truss. 16)i,;ra hical Arlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord. Contlnu�d on age 2 Job Truss Truss Type Oty Ply BY-251-CODY T1A ROOF TRUSS 0 1 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:40 2015 Page 2 NOTES I D:ZDnNCziZsS 1 xAu H?iejd7OzXN2D-4wKri E?to 1 U6iHp_p8dTEn2Brtwfb7HC 1 x_tt rzvYUr 17)In the LOAD CASE(S)section,loads applied to the face of the truss are noted as front(F)or back(B). LOAD CASE(S) Standard 1)Dead+Roof Live(balanced):Lumber Increase=1.15,Plate Increase=1.15 Uniform Loads(plf) Vert:L-M=-20,A-C=-100,C-D=-110(F=-10),D-E=-100,E-G=-100,G-H=-100,H-J=-100,J-L=-110(F=-10),D-J=-10(F),A-0=-20,N-0=-110(F=-90) Job IT1 russ Truss Type Qty Ply BY-291-CODY G ATTIC 0 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:41 2015 Page 1 ID:ZDnNCziZsS 1 xAuH?iejd7OzXN2D-Y7uDzaOWZLczKROBNs9in_aKVIFUKfYLGajRZlzvYUq 10 2-10-11 4-10 4 9-7-5 13-0-0 15-3-101 4-11 21-1-12 23-1-5 26-0-0 2 10 8 10 2-10-11 1-11-9 4-9-1 3A-11 2-3-10 -1- 4-9-1 1-11-9 2-10-11 -10 HNH16 Scale=1:67.7 BEH18G BEH18G A7x8_ F ^:� l 6.12= 2 8_ D G R 4x4 II 2x II 11,45 12 7 1 1 3xB II 1 ., T 3x8 It C q K 2x8 1\ 2x8 I/ B A, 8 M i � 5 B7 LU 5x8 P S G N TSxe 506 11 10x10 7x8 = = 10x10= Sx12 II 1-0-q2-10-11,4-10-4 21-1-12 23.1-5 25-01 -0-0 1-0-01-1011' 1-11-9 16-3-6 1-11-9 1.10.11 -0 Plate Offsets(X,Y): [A:0-2-6,0-9-4],[A:0-7-12,0-9-12],[F:0-0-11,0-1-2],[G:0-1-11.0-1-12].[I:0-0-11,0-1-2],[M:0-7-4,0-10-6],[M:25-9-10,0-9-4],[N:0-3-6,0-7-6],[P:0-3-4 ,0-6-151 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft L/d. PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 0.44 Vert(LL) -0.34 N-P >861 360 MT20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.37 Vert(TL) -0.55 N-P >540 240 M1118 141/138 BCLL 0.0 Rep Stress Incr NO WB 0.63 Horz(TL) 0.02 M n/a n/a BCDL 10.0 Code IRC2009ITP12007 (Matrix) Attic -0.23 N-P 856 360 Weight:474 lb FT=20% LUMBER BRACING TOP CHORD 2x4 SPF No.2*Except* TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins. T1:2x8 SP 240OF 2.0E BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. BOT CHORD 2x10 SP 240OF 2.0E WEBS 2x4 SPF No.2 WEDGE Left:2x6 SPF No.2,Right:2x6 SPF No.2 REACTIONS (lb/size) A=2549/0-3-8 (min.0-1-8),M=2615/0-3-8 (min.0-1-8) Max HorzA=-1581(LC 3) Max UpliftA=-295(LC 5),M=-272(LC 5) FORCES (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-B=-3882/368,B-C=-3721/388,C-D=-2025/467,D-E=0/870,E-F=-257/70,H-J=0/707, J-K=-2016/468,K-L=-3765/392,L-M=-3924/371,E-H=-94/1563 BOT CHORD A-P=0/3442,P-S=0/2931,0-S=0/2931,N-0=0/2931,N-T=0/3487,M-T=-196/2487 WEBS D-Q=-3299/608,Q-R=-3053/532,J-R=-3087/534,C-P=-37/2392,K-N=-19/2364, B-P=-859/295,L-N=-922/322,E-Q=-154/403,H-Q=-600/496 NOTES 1)2-ply truss to be connected together with 10d(0.131"x3")nails as follows: Top chords connected as follows:2x8-2 rows staggered at 0-9-0 oc,2x4-1 row at 0-9-0 oc. Bottom chords connected as follows:2x10-2 rows staggered at 0-8-0 oc. Webs connected as follows:2x4-1 row at 0-9-0 oc. 2)All loads are considered equally applied to all plies,except if noted as front(F)or back(B)face in the LOAD CASE(S)section. Ply to ply connections have.been provided to distribute only loads noted as(F)or(B),unless otherwise indicated. 3)Unbalanced roof live loads have been considered for this design. 4)Wind:ASCE 7-05;11 Omph;TCDL=5.Opsf;BCDL=5.Opsf;h=25ft;Cat.It;Exp C;enclosed;MWFRS(low-rise)gable end zone; cantilever left and right exposed;end vertical left and right exposed;Lumber DOL=1.33 plate grip DOL=1.33 5)Provide adequate drainage to prevent water ponding. 6)All plates are MT20 plates unless otherwise indicated. 7)Attach MiTek HNH18(Half and Half Plate)on each face of truss with USP NA11 nails(0.131"x 1.5")in pre-punched holes provided.All nail holes must be filled(5 Nails per side 10 nails total). w 8) See BEH18 DETAILS for plate placement. 9)Provisions must be made to prevent lateral movement of hinged member(s)during transportation. 10)This truss has been designed for a 20.0 psf bottom chord live load nonconcurrent with any other live loads. 11)Ceiling dead load(5.0 psf)on member(s).C-D,J-K,D-Q,Q-R,J-R; Wall dead load(10.0psf)on member(s).C-P,K-N 12)Bottom chord live load(40.0 psf)and additional bottom chord dead load(5.0 psf)applied only to room.N-P 13)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 295 lb uplift at joint A and 272 lb uplift at joint M. 14)Following joints to be plated by qualified designer:Joint(s)A,M,not plated. Continued on page? Job Truss Truss Type Oty. Ply BY-251-CODY T1G ATTIC 0 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:41 2015 Page 2 NOTES ID:ZDnNCziZsS 1 xAuH?iejd7OzXN2D-Y7uDza0WZLczK.ROBNs9in_aKVIFUKfYLGajRZlzvYUq 15)This truss is designed in accordance with the 2009 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1. 16)Load case(s)1,2,3,4,5,6,7,8,9,10.11 has/have been modified.Building designer must review loads to verify that they are correct for the intended use of this truss. 17)"Semi-rigid pitchbreaks with fixed heels"Member end fixity model was used in the analysis and design of this truss. 18)Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord. 19)Hanger(s)or other connection device(s)shall be provided sufficient to support concentrated load(s)100 lb down and 21 lb up at 21-1-12 on top chord,and 300 lb down and 63 lb up at 13-0-0,and 1000 lb right at 25-0-0 on bottom chord. The design/selection of such connection device(s)is the responsibility of others. 20)Attic room checked for L/360 deflection. LOAD CASE(S) Standard 1)Dead+Roof Live(balanced)+Attic Floor:Lumber Increase=1.15,Plate Increase=1.15 Uniform Loads(plf) Vert:A-P=-20,N-P=-110,M-N=-20,A-C=-100,C-D=-110,D-E=-100,E-G=-100,G-H=-100,H-J=-100,J-K=-110,K-M=-100,D-J=-10 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=-100(F)S=-300(F) Horz:T=1000(F) 2)Dead+Uninhabitable Attic Without Storage:Lumber Increase=1.25,Plate Increase=1.25 Uniform Loads(plo Vert:A-P=-60,N-P=-30,M-N=-60,A-C=-20,C-D=-30,D-E=-20,E7G=-20,G-H=-20,H-J=-20,J-K=-30,K-M=-20,D-J=-10 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=-40(F)S=-120(F) Horz:T=1000(F) 3)Dead+0.6 MWFRS Wind(Pos.Internal)Left:Lumber Increase=1.33,Plate Increase=1.33 Uniform Loads(plo Vert:A-P=-10,N-P=-16,M-N=-10,A-C=-15,C-D=-21,D-E=-15,E-G=-15,G-H=32,H-J=32,J-K=26,K-M=32,D-J=-6 Horz:A-E=5,E-G=S,G-H=42,H-M=42 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=11(F)S=32(F) Horz:T=1000(F) 4)Dead+0.6 MWFRS Wind(Pos.Internal)Right:Lumber Increase=1.33,Plate Increase=1.33 Uniform Loads(plf) Vert:A-P=-10,N-P=-16,M-N=-10,A-C=32,C-D=26,D-E=32,E-G=32,G-H=-15,H-J=-15,J-0-21,K-M=-15,D-J=-6 Horz:A-E=-42,E-G=-42,G-H=-5,H-M=-5 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=11(F)5=32(F) Horz:T=1000(F) 5)Dead+0.6 MWFRS Wind(Pos.Internal)list Parallel:Lumber Increase=1.33,Plate Increase=1.33 Uniform Loads(plf) Vert:A-P=-10,N-P=-16,M-N=-10,A-C=52,C-D=46,D-E=52,E-G=52,G-H=52,H-J=33,J-027,K-M=33,D-J=-6 Horz:A-E=-62,E-G=-62,G-H=62,H-M=43 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=21(F)S=63(F) Horz:T=1000(F) 6)Dead+0.6 MWFRS Wind(Pos.Internal)2nd Parallel:Lumber Increase=1.33,Plate Increase=1.33 Uniform Loads(plf) Vert:A-P=-10,N-P=-16,M-N=-10,A-C=33,C-D=27,D-E=33,E-G=33,G-H=52,H-J=52,J-K=46,K-M=52,D-J=-6 Horz:A-E=-43,E-G=-43,G-H=62,H-M=62 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=21(F)S=63(F) Horz:T=1000(F) 7)Dead+0.6 MWFRS Wind(Pos.Internal)3rd Parallel:Lumber Increase=1.33,Plate Increase=1.33 Uniform Loads(plo Vert:A-P=-10,N-P=-16,M-N=-10,A-C=25,C-D=19,D-E=25,E-G=25,G-H=25,H-J=17,J-K=11,K-M=17,D-J=-6 Horz:A-E=-35,E-G=-35,G-H=35,H-M=27 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=8(F)S=23(F) Horz:T=1000(F) 8)Dead+0.6 MWFRS Wind(Pos.Internal)4th Parallel:Lumber Increase=1.33,Plate Increase=1.33 Uniform Loads(plo Vert:A-P=-10,N-P=-16,M-N=-10,A-C=17,C-D=11,D-E=17,E-G=17,G-H=25,H-J=25,J-019,K-M=25,D-J=-6 Horz:A-E=-27,E-G=-27,G-H=35,H-M=35 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=8(F)S=23(F) Horz:T=1000(F) 9)Dead+Attic Floor:Lumber Increase=1.00,Plate Increase=1.00 Uniform Loads(plo Vert:A-P=-20,N-P=-110,M-N=-20,A-C=-20,C-D=-30,D-E=-20,E-G=-20,G-H=-20,H-J=-20,J-K=-30,K-M=-20, D-J=-10 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=-60(F)S=-180(F) Horz:T=1000(F) 10)1st Dead+Roof Live(unbalanced)+Attic Floor:Lumber Increase=1.15,Plate Increase=1.15 Continued on page 3 Job Truss Truss Type Qty Ply BY-251-CODY T1G ATTIC 0 2 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:41 2015 Page 3 ID:ZDnNCziZsS 1 xAu H?iejd70zXN2D-Y7uDzaOWZLczKROBNs9in_aKVIFUKfYLGajRZlzvYUq LOAD CASE(S) Standard Uniform Loads(plf) Vert:A-P=-20,N-P=-110,M-N=-20,A-C=-100,C-D=-110,D-E=-100,E-G=-100,G-H=-20,H-J=-20,J-K=-30,K-M=-20,D-J=-10 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=-100(F)S=-300(F) Horz:T=1000(F) 11)2nd Dead+Roof Live(unbalanced)+Attic Floor:Lumber Increase=1.15,Plate Increase=1.15 Uniform Loads(plf) Vert:A-P=-20,N-P=-110,M-N=-20,A-C=-20,C-D=-30,O-E=-20,E-G=-20,G-H=-100,H-J=-100,J-K=-110,K-M=-100,D-J=-10 Drag:C-P=-20,K-N=-20 Concentrated Loads(lb) Vert:K=-100(F)S=-300(F) Horz:T=1000(F) . . i Job Truss Truss Type Qty Pry BY-251-CODY T1GE GABLE 2 1 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:42 2015 Page 1 I D:ZDnNCziZsS 1 xAuH?iejd70zXN2D-OJRbAwl8KekgxbzNxZgxJC7Yt9et3DcW ET_5kzvYUp 26-0-0 2600 HNH18 Scala=165.9 EH18D BEH18D _ .. 4A �4x4= N G F 34// 34J . E K 11.45 12 D L c V A d 7 d 7 B N O Nq d 1 U5 11 AA Z Y X w - V U T 5 R O P US 11 U5= 26-0-0 26-0-0 Plate Offsets(X Y): [G:0-0-11,0-1-21,[H:0-1-11 0.1-121 [.1-n-n-11 n-1-91 16-0-0 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/dell Ud PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 0.21 Vert(LL) n/a n/a 999 MT20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.17 Vert(TL) n/a n/a 999 M1118 141/138` BCLL 0.0 Rep Stress Incr YES WB 0.19 Horz(TL) 0.01 0 n/a n/a BCDL 10.0 Code IRC2009/TPI2007 (Matrix) Weight:169 lb FT=20% LUMBER BRACING TOP CHORD 2x4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins. BOT CHORD 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2x4 SPF No.2 WEBS 1 Row at midpt W-AC,E-X,T-AD K-S OTHERS 2x4 SPF No.2 JOINTS 1 Brace at Jt(s):AB,AC,AD WEDGE MiTek recommends that Stabilizers and required cross Left:2x6 SPF No.2,Right:2x6 SPF No.2 bracing be installed during truss erection,in accordance with Stabilizer Installation guide. REACTIONS All bearings 26-0-0. (lb)- Max HorzA=592(LC 5) Max Uplift All uplift 100 lb or less at joint(s)S except A=-279(LC 4),0=-118(LC 5).X=-211(LC 5),Y=-222(LC 6),Z=-154(LC 6),AA=-326(LC 6),R=-194(LC 7). Q=-160(LC 7),P=-323(LC 7) Max Grav All reactions 250 lb or less at joint(s)V,W,Z,T,Q except A=372(LC 5),0=266(LC 1),X=433(LC 11),Y=276(LC 1),AA=355(LC 11),S=437(LC 12), R=269(LC 1),P=355(LC 12) FORCES (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-B=-549/441,B-C=-375/400,C-D=-273/383,D-E=-236/467,E-F=-559/291, F-G=-292/88,F-1=-265/304,I-J=-295/90,I-K=-561/295,K-L=-232/388,N-0=-325/217 BOT CHORD A-AA=-153/285,Z-AA=-153/285,Y-Z=-153/285,X-Y=-153/285,W-X=-152/283, V-W=-152/283,U-V=-152/283,T-U=-152/283,S-T=-152/283,R-S=-151/283, Q-R=-151/283,P-Q=-151/283,O-P=-151/283 WEBS E-X=-395/231,B-AA=-266/312;K-S=-399/87,N-P=-265/309,E-AC=-12/274, AB-AC=-12/274,AB-AD=-12/274,K-AD=-12/274 NOTES 1)Unbalanced roof live loads have been considered for this design. 2)Wind:ASCE 7-05;11Omph;TCDL=5.Opsf;BCDL=5.Opsf;h=25ft;Cat.11;Exp C;enclosed;MWFRS(low-rise)gable end zone and C-C Exterior(2)zone;cantilever left and right exposed;end vertical left and right exposed;C-C for members and forces& MWFRS for reactions shown;Lumber DOL=1.33 plate grip DOL=1.33 3) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry Gable End Details as applicable,or consult qualified building designer as per ANSI/TPI 1. 4)Provide adequate drainage to prevent water ponding. 5)All plates are MT20 plates unless otherwise indicated. 6)All plates are 2x4 MT20 unless otherwise indicated. 7)Attach MiTek HNH18(Half and Half Plate)on each face of truss with USP NA11 nails(0.131"x 1.5")in pre-punched holes provided.All nail holes must be filled(5 Nails per side 10 nails total). 8) See BEH18 DETAILS for plate placement. 9)Provisions must be made to prevent lateral movement of hinged member(s)during transportation. 10)Gable requires continuous bottom chord bearing. 11)Gable studs spaced at 2-0-0 oc. 6&Tr Ay�y been designed for a 20.0 psf bottom chord live load nonconcurrent with any other live loads. Job Truss Truss Type Qty Ply BY-251-CODY T1GE GABLE 2 1 Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,(860)665-0000 Mario Giguere 7.510 s Jan 20 2014 MiTek Industries,Inc. Wed Jan 14 05:32:42 2015 Page 2 ID:ZDnNCziZsSlxAuH?iejd7OzXN2D-OJRbAwl8KekgxbzNxZgxJC7Yt9et3DcWET 5kzvYUp NOTES 13)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)S except Qt=lb)A=279,0=118,X=211,Y=222, Z=154,AA=326,R=194,Q=160,P=323. 14)This truss is designed in accordance with the 2009 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1. 15)"Semi-rigid pitchbreaks with fixed heels"Member end fixity model was used in the analysis and design of this truss. 16)Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord. 17)Attic room checked for L/360 deflection. LOAD CASE(S) Standard REScheck Software Version 4.6.0 Compliance Certificate Project New Barn Energy Code: 2012 IECC Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 1,728 ft2 Glazing Area 7% Climate Zone: 5 (6137 HDD) Permit Date: - Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 7 High St. Dwight Cody Cotuit, MA 02635 7 High St. Cotuit, MA 02635 Compliance: 6.1%Better Than Code Maximum UA: 817 Your UA: 767 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies �. ram:: �t�:'�:C'i`.r c k��,„y�i .�.�°;'���Y' .�a, ��z:,. .��,.;;' • z�..s. .y .a Ceiling 1: Cathedral Ceiling 1,080 27.0 0.0 0.038 40 Skylight 1:Wood Frame:Double Pane 21 0.460 10 Wall 1:Wood Frame, 16" o.c. 1,440 22.5 0.0 0.055 73 Window 1:Vinyl Frame:Double Pane 61 0.470 29 Door 1: Solid 20, 0.270 5 Door 2: Glass 40 0.480 19 Floor 1:Slab-On-Grade:Heated 864 10.0 0.684 591 Insulation depth: 4.0' Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: New Barn Report date: 11/24/15 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\Dwight Cody.rck Pagel of 8 4 AGRIBALANCE o - Company Name Phone Number o 6-3-7�� Applicator Name Installation Date � j� kc c Jobsite Address 'A-Side Lot #'s 3 Permit. Number. `B-Side Lot #'s wow M Walls S" _ — Attic - --) M M, M, AMMU', ga- ,wag" • • O -• O • • O - e - ` y www.Demilec.com kc5D'EMILEC . , 'TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ®Z� LO Application #Health Division ate IssuedConservation Division [11 Application Fee Planning Dept. Permit Fee Q Date Definitive Plan Approved by Planning BoardZD �3 Historic - OKH _ Preservation / Hyannis PR —/� Project Street Ad ress T" It Village e Orin d Owner Du t t" -CCJV Address O Yost Telephone Permit Request �� °�5d� �r< JCS, `I40,4kl �10/d PI/ ,-Skttia d t d z k/IKJ'��. S44-o, coopct ®P 2k - ;1f`L✓ rM®4, j ��fe�,� So k�Fl /�—�- WOO -IDS 1,4 t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation « Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new, Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing. ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION 1/ (BUILDER OR HOMEOWNER) Name S74L Vrl=rIMA — Co�✓����tl�� Telephone Number Address License # �� ' I qqg ' C yr► 04 d�fo � Home Improvement Contractor# i Worker's Compensation ALL CONSTRUCTION DEBRI RES LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE W)Juo__. DATE _ _`� Y s r FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED z MAP/PARCEL NO. 1 P, I 4 p r ADDRESS VILLAGE r E if OWNER 4 DATE OF INSPECTION: r FOUNDATION r FRAME f INSULATION I FIREPLACE 'k ELECTRICAL: ROUGH FINAL K PLUMBING: ROUGH FINAL �1 GAS: ROUGH FINAL 't FINAL BUILDING ok. 411 L ir/ f 1 5 I DATE CLOSED OUT t ASSOCIATION,PLAN NO. `J F x 5 t Town of Barnstable °" Regulatory See ices Tbn,nas'I"':C'e.aEer,Dir'x.c9rSr, '�'orti�Crr}', E�uildinb:C;rsmm.lssiunrf MA02604 ` °tv-�v.Etin�i,.E,ariYs �hle.nt�,nt , QFfict.; 508-86-4038 Fax: i508490 JO I' ci art .OW.- it t�E• Mus t t Cjom i 8i.k "'Ilia: If-Gsip, 1, ,� i r ,ads Quan�r of the su6jcct px:ope[ty hereby authorizt CO—A/ f V d Lr— tbufl on in t i- _ ti t�6A, dl, V[ `0llnzaiter� F ;afi��r v h } a atticljj f,= .' Hi . t C�-E4 S I Co`fiili �� r�oA It Pdt,j� tty' ©'J [3,CAC €. rap.� °An ,'}ear prz�ziti as r o;iprr.:��Ers [ ac :E:r�trJ[ =�rvtac r; T rt t_t { xrrn.�?r� nr,n, . ran t rt4ere rtlx. t ( Ni4ssachusetts Department qf e�ab tic .Safety • �?Guard of§Uild itg Regrila tons;and Staticia dL ` LnnitructicpSu�-ni.ear. ;' .• . Lrcense:CS 107947 , .r. r' JOHN:VREELAND 48QUASHNETROAD j MashpezMA 02t;19 =y y' r Cnsrtsris sr nner 0412512018 W rnert o aong vPeertdrren°" �, A . COMMONWEALTH OF MAS$ACHIi?S1:TTSr . s g as .9 s WIR Let a t 4g` 8 'M GF ` � �E1ECXR t C I ANSg �. stSSUESTHEPQLLOIJFNI�i'CENSESA �_ z R€GJST€RED�`'MA 1'EREL`E.C'ER�ICI'-AN'�� ,�� �:G07UIT"50LARLLG f FRANC I S�J BRAQY ' ���•PLYFtOUTH` � � p�A g023t;2�1366� �' ¢ �� ��� ' �- Office of Cbnsumer Affairs nd Business Regulation.: r : 10 Park Plaza m517.0 Boson, Ivtassaclausetts_02116 Home._ImprpN eni✓nt Contractpr Registration ; _ R6 st[tinn: 146 6' d a ' Type. SuPPle4tent Card' COTUIT SOLAR '� � k Expiration 4/8/2017 ' J.OHN UREELAND. P:O.BOX 89. COTUIT, MA 02635 Update Addn#cs':ind return turd :A9ark ressun;fur:chniige.. lddresa M Ren'6.�pi V Einploiyrp6t"[7, Ust Card = ticcr oPCen>nmrr APPnirs R$naurrss ftegulnttou ticinse'or regtstratiun 1.,41141 for tndixidul use only ttefore the eY �rntion dnte af.faund i eturn cn: H4�N1EtA4PROVEMENTCOtdTIL4CTOR P 0MIC"e;of Consumer Affn¢s and$us ncSs Regulattan r Registration 1a5776 Type: IOFn"rkPla�-Siiue.;5t.tl): xpira60n.-:41g1�y?7 SupgiernentCard Boston..-111A02-116 COTUIT.SOLAR }>' > ; ,sOFtN VRE ELAND { 3800 FALMOUTH RD. MARSTONS;Plt1LLS.UA 02ti t,�rdersecxetary J/ tint�aii l�+rtfioui.sr�naiure - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 W www massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Hanle (Business/OrganizationMdividual): Cotuit Solar LLC . ' Address: P.O. Box 89 City/State/Zip: Cotuit, MA 02635 Phone #: 508428-8442 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 12 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees.(full and/or part-time). , 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Rem,odeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' Building addition [No workers' comp. insurance comp. insurance.1 9. ❑ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner'doin all work officers have exercised their 11. Plumbing re g ❑ g pairs or additions myself. o workers' right of exemption MGL y � comp. on per 12.❑Roof repairs t insurance required.] t _ c. 152, §1(4),and we have no p employees. [No workers' 13:❑ Other Solar PV Installation comp. insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Travellers Insurance Policy#or Self-ins. Lic. #: 6HUB4988P868-16 Expiration Date: 3-26-2017� Job Site Address: llfallk 4-c' - City/State/Zip: C�vJP/ �-(:,S 144 vS 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 DIA for ilsurancp coverage verification. I do hereby c I Jnderq";ns nalties of perjury that the information provided above is true and correct. Si Date:afore: ' ' � Phone#: 5 4288442 ' Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermittLicense# 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#: Aco RAN CERTIFICATE OF LIABILITY INS DATEiMMIDDIYYYY) INSURANCE E 03/18/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lauren DON BUNKER INS.AGENCY PHONE (781)312-72os FAX A/C No: ADDRESS: Lauren@donbunkerinsurance.com . P.O BOX 221 INSURERS AFFORDING COVERAGE NAIC d HANOVER MA 02339 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA(THE) 25666 INSURED INSURER B COTUIT SOLAR LLC INSURERC: INSURER D: 3800 FALMOUTH RD INSURERE: MARSTON MILLS MA 02648 INsuRERF: COVERAGES CERTIFICATE NUMBER: 38425 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. " INSR I ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MWDDI EFF MMIDDY YM txP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE F—IOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ . MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ GENERAL AGGREGATE $ JEa LOC.- PRODUCTS-COMPIOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE NIA AGGREGATE $ DED RETENTION$' WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN X I STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE N E.L.EACH ACCIDENT $ 'SOO,000 A OFFICER/MEMBEREXCLUDED? IA NIA WA 6HUB4988P86816 03/26/2016 03/26/2017 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay' claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). L The status of this coverage can be monitored daily by accessing the Proof of Coverage Coverage Verification Search tool at www.mass.gov/lwd/workers-compensaton/investgatons/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Conrad,Geyser ACCORDANCE WITH THE POLICY PROVISIONS. P 3800 Falmouth Rd AUTHORIZED REPRESENTATIVE Marston Mills .- MA 02648 )J Daniel M.Croy,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD a'. 3y, 6` a� r' arw .., `* �. ,. � � ��'�s, ?�,.�.i"`� ���� ��f, rya . `'`",�'--•�"`���b'��• AMS ��,.. ;y T. / Ly�"•^w.�t•�1.. `,•�q4.,�'-+c. ,Z 3'���� .a''� .. �$ `�`* T.��` '.•a' <. PRO 10 ice" ;.�`x "e '• • yf" :,__'-•,-•�..' �p� �wM���o•.����-^'•,�'r.-7,,,W�,......'w^y ���+�x�`^�tT.as iT4'[+t '�`'.,4{d't R v:r�t-+6�*•,.a oll I•�'°' y 'i.+. y�dv,.„�,... 'w. � 'ww..^�•62„`��w.L L•`�c��7G '��r4�"+ k - L ".�•w.w,.�,,.maw�*.t� �� t.�'�`.� ?.. �'„`�ra"'i'* 1;t ,_�`•, - �•.r•yYiiiyy e � � �� A r � ` F.m • i JAME..... . 'CLANCY : ' . S..�: A.:-:" :PROFESSIONAL ENGINEER - .601 ASB,U Egg' AV ENS ...:.: NATIONAL PARK, NJ 08063 Q856D 358-1125 FAX: (856) 358-1511 Construction Code Office:....:.: _ ... Date:... April 3,2016 . Re: Cotuit Solar LLC,3860 Falmouth Rd.,Marston Mills,MA 02648 Subjt Dwight Cody Residence,7 High Street,Cotuit;lVIA 02635 We have provided an inspection and review:of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We.have found the residence to be of wood:frame construction bearing walls with:a rafter framed roof: system. :The main roof is constructed with pre-engineered.wood trusses @ 24"o.c. and is sheathed.with 1/2" douglas fir,ply sheathing and a_single layer.of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed meet the required.load/span.ratings.with sufficient capacity to carry.the minor additional load of 4.#/sf imposed by the proposed solar array per the,details below. Installation of solar rack systems shall be as follows., Each p.anel row shall be supported upon 2 mounting rails. Rails shall- be screw anchored .. . . Pp. . Ahrough roof and directly to rafters below.: Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. Silicone caulk shall be:applied between the;angle foot of:the mounting'system and the existing: roof shingles:at:each foot location... Typical mounting detail sketch attached. When installed per:the above specifications the system shall exceed.110 MPH.:wind & 30 PSF snow loads.as required by Massachusetts 780 CMR table 1604 j 1: - -± Should you have any further question or comment please feel free to contact our office _... ...... _. .. Respectfully, �NOF AGES A. NCV a V .46775 ca James A. Clancy Professional Engineer A► ° MA License#46775 . .. .. .. . .. .. ... .. .. .... loves vBNr... .. .. .... .. .. Y .. . � h .. ..... .. .... •. 40- IXS'PINE'BIARRICADE .. ... .. .. . .�. YEAR GO[TAINitm� . .. .. .AR!AIITECTURAL d11NeLED � 55 I1ymo. STRIPS c0Wl4,B'lATI ERED ) DRAWR!! .. .. �.. .. .'.: N9 LA FELT►APB1\ To SUPERe197E BECTIONAL o . •.. 40-YEAR GERTAINT� .. I D�.FIRY�O .. DRAMS .. 6 .'ARCHITECTURAL 9NIN6LE9 .. .. ..... . "` COLORi WEATHERED WOOD .. .... . �. 'OG. b •IB LS FELT PAPER 2XD TOP cH10RD - :. .. .. 12 w .... .. .. ...... .. .. .. .. 1.11PINE BAWCAM — .... ., �11.48 .. .. .. . I/2°DOU6LA4 FIR PLYWOOD__.THING .. 12 ... J TOP .. ....�.. PRE-BNfiIN®iBD ...,.; .. .. .... .: .. ... ,. U.. .... .: .. — ROOF TRLSSM o 241 9/4•rONSW .. e. 48 AND OROVVE � 7xD gyy .. OZ. AND GROOVE c110RD ALL" e . .. .... .. DPLYAOOP FIR ... .. m 'A'�16'-0°FLOOR SPADE G�®AER P� .. POW .. .. .. ...ALN�INUM. .. .....• .. DECKING .. .. .. .. T'WQ vFlR' S A9GA DRIP EDGE .. .::... .. :.::.. HY.O.M.. 91MP80N M23A M.9PJ _ W'37ORN Rm 3 d .: .. HIRRICATS TIES C AR eOTIT �i." 2%10 BOTTOM QIOIRD .. . .... 2XI0 BOTTOM .. .... "AW DIAMETER H °- N WESTERN" RED—OH ... .. _ SOUAR®R REBUTTED — rWAR FASCIA 91MPSON N29A,M,9P7 DTOP EPLATE• .e-'iRj9E .- l•®TERN RED'GEDAR ry.. ... .... . .. .. MIRRICAHS T .. .. .. IN .. . WESTERN RED CEDAR .. •, 9•RUN Q . SOFFIT YY2•DIAMETER LL .. .' .. .CIRCLE VENTS .. DOUBLE 2X4 .. .' .. B"LDIN' .. .. TOP PLATE .. ® (5. rrom PLAIN .. . � +PLrnDob sIBAiNIra ., . .. .. & F . . .. :...;. . •WALL 97Uv9 — SQUARED 4 REBUT .. .. cam• _ .. .. . LLLIII .. .. .. ,r. .. .. .. m 00 WESTERN RED.cEDAR _.. 4•.RP.ItdTORcdID r . * 9NAKF5'9I0INe .. .::.. .Fy EKPosIaiFJ .. ..... ...... . Q muw TYVEK BUILDING YwAP ORAVEI.. VAPOR BAwuRia R '� . -11`I UNOMPLOOR - V' y O' J'PLYWOOD SHEATHING :... :..:,. .. ...,. . a J .. ..... P .. .. ., -m WALL STUDS- .. 244 La 2Xe:5OTTOM PLATE .. .. SUILDINCG SECTION A-A.... «► Q .. 9(l'X12'ANCHOR <�BOLTS. .: TRP,A ecxa •I'-o• ,^ Y' . .WO A.04A4 PJwo3ED .. .. ..... .. . 4•.OF WILT PROM .. "... .. .. 4'THICK FIBER ""... .. .... .. sro• .710Yl4LL T MIN. REINFORCED .. .. - .... w PLR ...:.. HANDRAIL .. ... . ::: B•Cl/fID .. RAILS _ D .. .... — "....._. 94°-38•HIGH' ..... .. .. .. . 5 JOB NOe 378 i DATE 4-2015 .. ..... Z .. .. HANDRAI .. .. .. .. SCAI ......IO•GONGREre .. - • :FOUNDATION WALL b MM POLY: AT ENDS " RAILS . 5 DRAWN BY. NSL Q VAPOR ven FLOOR ..ARRIER RAILS.. V CHECKED BY' EWS . 7)C4'GONTINIOU5 .. .... C/ .. .. . .. Kn. .... ..... .. .. W MIN.TREAD. COMPACTED ILrTFi 4°MAX . lo7oo•cOHCRe2 ::`.. 6RAVEL . .. ..::.. INNER FOOTING ;. `is.; ...... .. IN... .. ..PEE ML�EITffit .....0-1/4".MAX.RISER....•.. .... .. FIN.FLOOR ... .. .. .... .. E1.IN&TOK 706024 ... .. . HEIBHT _ .. .:.:.. .. :. .. .. :. .. ... :.:�.CLOSED WALL SECTION . . R15ER9 . STAIR / HANDRAIL DETAIL5 ecAtp x••I'O• - ... :� .:' Au NMIDIWIq RIeBle�TIQIne To Neer cone ReWE�l/le .. .... R . V.. •. .. 110 ORfOMRI NR>A•TMMI Y OIM41Bl c .. .. .. .. .. .. i Map PFm.ant4/rM? Jr/16p sli NEX now u : XttNOaFF :. s 9N�IrM�r1; , .. ..... .. .. AA bRtV:' ZMao PF*ER Fc PR u� R.kgeapJ6 Pv :: CY James A.Clancy, PEi o 601 Asbury Avenue / b National Park, NJ 08063 Massachusetts PE Lic#46775 Cotuit Solar LLC: . Project: .. "System: 8.82 kW DC (STC) � Attachment Plan � 5.08-428-8442 _:. Dwight Cody 28- 315vv LG modules Revision April 1, 2016 PO Box 89 7 High Street' 7.6kW SolarEdge inverter & COTUI,T,S:OLAR«` CO: tuit MA:02635 Cotuit;;MA 02635 28 — p320 DC oP timizers Se y 1 Warning:,Dual Power Source .. _ Second Source �is PV System (9) LG 315 W Modules 2. Photovoltaic:AC Disconnect V6c=40.6V,..Isc=10.02A Revenue.Grade PV Meter 9 SolarEdge P320 2# 2,#12gnd Roof Top . ... . , DC Optimizers; Junction Box ®A', Outside' Utility Voc 48, Isc 11.0:: . UL 1741/IEEE 1547 .. ... .. .. .. Is ect(2) .. .... .. . ... 60 A ,. 2#12#12gnd : Ilty ® : ervlce 3#8,#8gnd- . (9) LG 315 W Modules - - 3/4"C Voc=40:6V, Isc=10.02A ..... . .. 3#8,3/4„C .... #8gnd [2#:1:2�, u:gnd Roof Top SolarEdge Junction Box.. SE7600-US - 9 S,o,larEdge P320,.. ... .. 10 Line side tap DC.Optimizers Inverter Voc 48,. Isc.11.0 2#12#12gnd UL 1741/IEEE 1547 —, „ 200A: AC C'. . am Pa � .. nel 1) ® ... " 200A Main " Breaker (1.0).LG.315 W Modules .. 12# g 2# 12 nd Voc=40.6V, Isc=10.02A -3/°c 2#12,#12gnd 10 SolarEdge P320 ... DC Optimizers Roof Top " Voc 48, Isc 11.0 Junction Box' UL1741/IEEE1547: - - Cotuit Solac LLC Project: .. . . System:. 8.82 kW DC (STC). Dlagra Electrical m .. 508-428-8442 Dwight Cody 287.315wIG modules Revision. Apri14,:2016 /6 _ �W PO Box 89 7 High Street " ".' TRW SolarEdge Inverter & #: 2130381 (OTUI,T SOLAR,« Eversource ISA Cotuit MA:02635 Cotuit;:MA 02635 �28 — p320 DC optimizers LGInnovation for Life's Good a Better Life . . LG N ON'2 d. d. LG's new module,NeCNTM 2,adopts Cello technology.Cello technology replaces 3 busbars with 12 thin wiresao enhance APPRoveo PRo�ucr power output and reliability.NeCNT"°2 demonstrates LG's p E E1�1 us 60..cell efforts to increase customer's values beyond efficiency.It C E Intertelk features enhanced warranty,durability,performance under KMS64573 95ENe121s .. .. - .. .. .. - .. .- .. .. .. I M A 1 .. real environment,:and aesthetic design suitable for roofs: "`°" °° Enhanced Performance Warranty �� � High Power Output • _. LG NeONTM 2 has an enhanced performance warranty. Compared with previous models,the LG NeONT"'2 The annual degradation has fallen from-0.71/o%yr to ... . has.been designed.to significantly enhance its output 0.6o/d/ r Even after25 ears,the cell'6 uarantees:2.4% efficiency,thereby making it efficient even:in limited space:' - y ... Y. 9.. P more output than the previous NeCINT..modules........ _.. Aesthetic Roof. O . Outstanding Durability LG NeONT"2.has:been designed with aesthetics In mind;' With its newly reinforced frame design,LG has extended thinner wires.that appear all blackat a distance:The the warranty of:the NeONT"'2.for an additional years. product may.increase the value of a property with its Additionally,LGNeONT""2 canendure a front load up to modern design. 6000 Pa,and a rearload up to.5400 Pa. • Better Performance on a Sunny Day Double-Sided Cell Structure - LG NeONT"'2 now performs betteron sunny days thanks The rear of the cell used in LG NeONT"'2 will.contribute to to its improved temperature coefficiency. generation,.just like the front;the light beam reflected from, • the rear of the module.is reabsortiedao generate a.great amount of additional power. —About LG Electronics ...... LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy-business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by LG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono XO series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2.013,NeON-(previously known as Mono X°NeON),won"Intersolar Award';which proved LG,is the leader of innovation in the industry. LG N ONT 2 e Mechanical Properties Electrical:Properties(STC*): Cells 6 x 10 315 W Cell Vendor LG MPP Voltage(Vmpp) 33.2 Cell Type Monocrystalline:/N-type MPP Current(Impp); 9.50 Cell Dimensions. 156.75 x 156.75 mrn/-6 x 6 inch__ Open Circuit Voltage(Voc) !' 40.6 ' of Busbar 12(Multi Wire Busbar) M Short Circuit Current(Isc) 10.02 Dimensions(L x W x H) 1640.x 1000 x 40 mm Module Efficiency(%) 19.2 64.57 x 39.37 x 1.57 inch Operating Temperature(°C) "' -40-+90 Front load: 6000 Pa./1.25 psf _ ::: Maximum System Voltage(.V) 1000 Rear Load 5400 Pa/113 sf )p Maximum Series Fuse Rating(A) ""' " 20 Weight 17.0±0.5 kg/37.48 t 1.1 Ibs Power Tolerance(%) 0-+3 Connector Type MC4,MC4.Compatible,IP67 STC(Standard Test Condition):Irzadiance1000W/m';Module Temperature'25'C,AM1.5 ... . .. *The nameplate power output is measured and determ ned by LG Elect'onics at its s.Ia.and.absoluta discretion. Junction Box :IP67 with 3 Bypass Diodes Th e typical change in module:erfic ency at 200 Vv/m'n relation fo 1000W/m°is _length of Cables:.: . .'2.x.1:000 Trim/2 x.34.37 inch Glass High Transmission Tempered Glass Electrical Properties(NOC *T ) , Frame Anodized Aluminum 315 W Certifications and Warranty Maximum Power(Pmpp) 230 IEC . SCertifications(In Progress) 5 MPPCufrent 78lISO 90071EC 62716(Ammonia Test), OpenCcu tVo tage(Voc) i 37.6 AEC 61701(Salt:Mist:Corrosion Test) Short Circuit Current ,(Isc) 8.08 Module Fire Performance Type_2(UL 1703). " �....:.: 'NOCT.Nominal O eratin CeII:Tem n ".. ..... ( p g perature):Irradia'ce 800 W/m2,ambient temperature 20:°C;wind speed l m/s:.: .. Product Warranty 12 years Output warranty of Pmax Linear warranty" Dimensions(mm/in) (measurement Tolerance±3%) - .:: .*I)IstyaOR5%,2)After 2nd year 06%p annual degradation,3)836%for 25 years a Temperature Coefficients = NOCT 46+3°C . Pmpp '-0.38.%/°C '. L-g'de 1.mc Isc 0.03%/°C Characteristic Curves ..... ..moo .....- 1o0oW .... ..... .. .. ..._ .... ...... ... .. ...... e 600W Iz:°.,... .. 600 .. .. .. .. .. 400W 200 200W • c.ot. " i, Voltage ly:. '... ... ,.. .. .. no, :i0:00 1600 3000 35,00` 40.00 45.00 g ae 140 _ k _ ' .. 120 .. .. -_._Isc .. .. .. .. .. ..6 . lea ..__-....-. .......................:.......____._.. so .. ..-... .... ...... Pmaw .. a ..... -..... ... 60 .. ... .. .....4p -15' 0 25 50. 75 .90 ... ' : - � :*The distancebetwPen the center of the mounting/grounding holes. - ® LG North�America Solar Business Team Produces ecifications are subject to change without notice. . .. LG Electronics US.A.Inc.. D P S N2-60.0 Ci -EN 50427 : Life's Good 1000 Sylvan Ave Englewood Cliffs,N107632•- M Copyright©2015 LG Electronics.All rights reserved. Innovation for a Better Life Contact:lg.solar@alge.com 01/04/2015 www.igsolarusa.com �1J ...... ...... ..soar=@e SolarEdge Power Optimizer Module Add-On For North America - P300 / P320 / P400 / P405 r Qpwerp'v h`ne. E 2f5 a �Ve o Wa�n�1 PV power optimization at,the module-level .Up to:25%more energy Superior efficiency(99.5%) Mitigates;all types of module mismatch losses,from manufacturing tolerance.to partial shading 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 USA-,CANADA-.G,ERMANY-ITALY-_FRANCE,.JAPAN-CHINA-_AUSTRALIA-,THE NETHER,LANDS,-UK-ISRAEL, ._ _ www.solareCl,u2 u5 C , a SolarEdge Power Optimizer solar _ Module Add-On for North America P300 P320 f P400 / P405 _. i320 :: ' 400 :P405P300 : .P&P(for h h- ower (for 7 (for thin film (for 60 cell modules) 60-cell modules) modules): modules) :INPUT Rated{nput DG Powerlti 300 320 400. 405 W. .. .... .. ........... .-............ .:.......lull.. ..lull .. ...... . Absolute Maximum Input Voltage 48 80 125 Vdc lute (Voc at lowest fem erature : :............. .:.... ................... A.........)............ ....................:............ MPPT Operating Ran e .... ............... g......,.:..... ..... .................,..;...8::4 ....;....::............... ...........:80........... ...:. 12.5=105. Vdc Maximum Short Circuit Current(Isc) 10 11 10:1 Adc ................................................. .........lull. Maximum DC Input Current 12.5 13.75 12.63 Adc y .................. ... . Maximum Efficient .... ...lull.................. ..._ ...... 99.5 lull.. % . ......,... Weighted Efficiency...:.....:.............. .................:..........:....:..........:.........98.8 % Overvoltage Category OUTPUT DURINGOPERATIOM(POWER OPTIMIZER CONNECTEDTO OPERATING SOLAREDGE INVERTER) Maximum Output Current :- " " -15 " -"' "Adc ....................................... ....:...............................................................:.... .,... Maximum Output Voltage 60 I 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED.FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF.) q. Safety Output Voltage per:Power pv Vdc. ..:Optimizer...:.: _lull STANDARD COMPLIANCE EMC FCC Part15 Class B.,1EC61000.6.2,IEC61000 6.3 ............... ................... ..:..................... .. qb Safety. IEC62109-1(class I safety);UL1741 ................... .....................................l ull,........ .. .. ........... .,.. . . o YeS, INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc ............................................... ........ ...,.. Compatible Inverters All SolarEdge Single Phase and Three Phase inverters 128 x 152 x�7,5/ 128 x 152 x 35/; ...................128 x 152 x 48/ Dimensions(WxLxH) = 5x5.97x_.O8 5x5.97x1:37 5x5.97x1.89 mm/in ................................................ ....................................................................................... . ............ ............ .............. Weight(includin cables 760/1.Z ..........830/1.8 1064 2.3 r/lb Input Connector . ,MC4 Compatible - ........... .... ................ ........ ..,............-.............,............,........,,...r,...., .-.....,...... Output Wire Type/Connector Double Insulated MC4 Compatible .... .................... ...., Output Wire Length 0 95/3 7 �.............. ........1.2�3.9:.....,...................n?�.ft.... .... ..... . ......... .......................j Operating Temperature Range -40-+85 40-+185 °C/'F .................................... Protection Rating. ....................................... . .. : .....IP68./NEMA6P .. ..,. ... . ..... .....:::...............:................. . lull. :Relative Humidity......., :.. 0 100........................:::.:...........:::.:...........:..% ..................... ........... ............... .....,........:,:.............:::............... ..................... . .......... . Rated STC powe r of the modu Is.Module of up to+5%power toierance'allowed: -- ... PV SYSTEM DESIGN USING SINGLE PHASE THREE PHASE 208V_ . . THREE.PHASE 480V ASOLAREDGEINVERTERZ Minimum String Length _.. (Power Optimiiers) 8` 10 18 ................................................. ..................................... ..... . .. .......... ..........,............. .............. Maximum String Length 25 lull -25 . . . 50 Power 0 timizers .,.........P........... ......................... .............. ..................... ......:. ..............-.......-...... ....................:................ ....... ..:.::.: Maximum Power per Strn$..........:.. ...':......... 5250 6000.... 12750 lull... W .. ................ . ..... ... Parallel Strings of Different Lengths or Orientations Yes ............................................... ........................... ........... ............ ............ ............ .... .... .. ....... ....lull RI It is not allowed to mix P405 with P300/P400/P600/P700 in one stringCE OR pInc.Alltightsreserved,Technologies. SOLAREDGE.theSolarEcIgelogo.OPTIMIZED BY SOLAREDGE .. e Technologies.Inc.All other tradeniat ks nientioned herein are lull.. lull -of owners. lull ..lull. .-lull'. ,r ...... ---- . ....... - Solarfdge:,Single Phase Inverters:* . .For North America SE3000A-US:/ SE3800A=US:/ S:E5000A-:US./ SE6.000A-US / SE7600A-US / SE1000OA-US / SE114OOA-US eri ... � y s. The best choice for SolarEdge enabled systems - - Integrated arcfault protection(Typ 11 e 1)for NEC 2011690.11 compliance Superior efficiency(98%) h.... .: Small,lightweight and easy to install on provided bracket. {I Built-in module-level monitoring Internet connection through.Ethern.et or.Wireless s Outdoor and indoor installation :Fixed voltage inverter, DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional—revenue grade data;ANSI C12.1 -- • r USA,:GERMANY:,ITALY'-FRANCE.-JAPAN,-,CHINA-AU.STRALIA-THE.NETHERLAN,DS-'ISRAEL . . www..solaredge.us Single Phase #nverters for North America.' so a , , SE3000A-US°SE3800A-US/SE5000A-US/SE6000A-US/ . SE7600A,US,SE10000A-US/.SE11400A US SE3000A-US I SE380OA-US I SE5000A-US I SE6000A-US I SEZ60OA-US I SEd0000A-65 =SE11400A-US OUTPUT 9980 @ 208V .. .Nominal AC Power Output 3000 3800 : : 5000 6000 . 7600 11400 VA .................................:.......... . .....°°......... .10000•@ 240V:........:. :.. Max.AC Power Output '3300 4150 5400 @ 208V, 6000 8350 10800 @ 208V. 12000 VA .......... ................ ............... .5450 @240V.. .............:.. 10950° 240V° AC Output Voltage Min:Nom:MaxJ1l ✓ ✓ .183-208-.229 Vac ........................................... ................ ............... ................. . .. .. .... .. ... ....... .. .... .... .. .. AC Output Voltage Min.-Nom.-Max...: ;.. 211--240-264 Vac..:.: ....... ........................................... ................ ............... .................. .....:.......... ...... .. .... . ..... ......... ............ ......... AC Frequency Min:Nom:Max.0.) 59.3-60-60.5(with HI country setting 57-60-60.5) Hz ......................... .............°.. °.............. .......°......... ................ ..... .......... .... ............. .:............... .:. ........... 24 @ 208V . 48 @ 208V Max..ContinuousOutputCurrent-- 12.5. . 16.. . 25:. 32. 47.5 A 21 240V ............ ..............°. .._4T�240V . GFDI Threshold ::: 1 .. A..... ......................... .............. ............. ...................................................:...........................;.... .... Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes . Yes INPUT MaximurnDCPower(STC)., 4050 5100 6750 8100 10250 13500 15350 W .......................................... ................ .............° °°° °.....°°°. °... ................ .. ..... Transformer-less;Ungrounded 'Yes' ..................... ... ............................°................_ .................... ...... Max-Input Voltage :-- .500. c Vd _. Nom.DC Input Voltage 325 @ 268V/350 @ 240V Vdc ..........:....... ................ .......:........ ................. ................ .. ....... Max.Input Current 9:5 13 18 23' S 240 34.1 Adc IZi.. ll 16 5 @ 208V 33 @ 208V ........................................ .. ...........'.'.....t...........:...I.15 5, 240V..I......:::.:.....I°....:::.::..:.°I°.3Q°:.@.-.......t. ..... ::.:....... Max.Input Short Circuit Current 45 Adc . ........................°......_._.°.............. ........................................._._....................°°°... .... ............................... .. ............ Reverse-Polarity Protection ... ..........° ..... ........... Ground-Fault Isolation Detection 600ke Sensitivity ..................... ................. ............... ................. ................ ................ .................. ........... Maximum Inverter Efficiency 97.7 982 98.3 98.3 98 98 : 98 .%: .,. ...............,.,........... ._.,,............ ,,..,..... .: ... ...............°..........:.. .... .. .. .. 97.5 @ 208V 97 @ 208V CEC Weighted Efficiency 97.5 98 97.S.' 97.5 97 5 93•° 240V 97 5 240V4. @......°.. ................ .........: ....... @.... .... ...,:: ..:...... ...°....... Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) ................................... ............................................°°°.................. .................................................... Revenue Grade Data,ANSI C12:1 - Optional0l ' ................................ ......... ............................ .. ................................ Rapid Shutdown-NEC 2014 690.12 Functionality'enabled when SolarEdge'rapid.shutdown kit:is:installed^!..'.: STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998;CSA 22.2 ................ .................................................................. ........ ................................ .... Grid Connection Standards IEEE1547 ...................................... ................................. .. ... .... .............. ....-... ..... .. Emissions FCC part15 class B INSTALLATION.SPECIFICATIONS AC output conduit size/AWG range. 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG ........................................... .................................................................................... ..................................... ...:°...... . .. DC.input conduit size/#of strings./. 3/ „_ .. / 3/4"minimum/1-.2.strings 4 minimum 1 2 strings/16-6 AWG AWG .,....... :........ :-....... ........................... 14 6:AWG Dimensions with Safety Switch 30.5'x 12.5 x 10.5/ n/ .... 30.5x12.502/775z315x184 �HxWxD) ...............:............... ................................ ...............................................:... ........... ..x 315 x 260-......... ...mm.... Weight with Safety Switeh 51 2/23.2 54.7/24.7 88.4 40.1 lb/kg . .................................... . .......-.. .................................. ......... ...... .... ............... .... ...... ........ .. Natural:... . :- convection Cooling:; Natural Convection and internal Fans;(user replaceable) fan(user ........................................... ........ ..............:............... ...... . .. ................. ...... ,••° °replaceable) .......:... . Noise - <25 <50 _ dBA .....................°................ .............................. ...... Min.-Max.Operating Temperature -13 to.=140/-25.to:+(50(-40 to t60:version availablels)) F/.C Range.... Protection Rating NEMA 3.R ...........................,...........-.. ,.................................................................,...............:.............. hl For.,her regiona tsettings please contact SolarEdge support. ixl A higher current source may be used;the inverter will limit its input current to the values stated.' ' (31 Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 7600W inverter.SE7600A-US002NNR2).' • "' "' - - " 0)Rapid shutdown kit P/N:SE1000-RSD-S1. isi-40.ve6i6n P/N:SExxxxA-USOOONNU4(for 7600W inverter:SE7600A-US002NNU4). , sunsP�c RoHS 0 Solai Edge Technologies.Inc.All tights reserved. . . OPTIMIZED B . . - .. .. .. ate trademarks or registered tradema,lks of SolarEdge . , . _.. professional . �s S L R �s,Eo Pr Aolare RoofTrac® products4007217 Intertek Bonding and Grounding.Guide UL2703 (Patent Pending) Applies to GroundTrac®and SolarWedge® � i mounting systems w hich ut'I'ze the RoofTra& .. .... cl gn. .• raiV amp deli For RoofTrac®Rail Bonding Splice le m o Irwin /2„#10 No buss bar Drill 1/2"ho sat bottom of.rails with 1 I in Unibit©using the rail support as a hole location guide:: • Insert 5/16"bolt through support holes and hand thread into thread rail splice insert. Fasten to 15 ft-lbs. i a i For Bonding Module Frame and Clamps to Support Rail: _. Green lock module: washer indicates • Fasten pre-assembled mid-clamp assembly to fram electrical bond , ... . s.:e :to15ftlb Module.Frame Design: double wall,aluminum, 1.2"-2.0"tall,0.05T-0.250" thickness, UL1.703.or equivalent tested module. _ UL467 standard tested:bonding equipment for use with. :. - -Professional Solar Products(ProSolar°)support rail. •. _Bonding of module to.Rooffrac®rai I:via ProSolar°rail �:. channel nut using:buss bar. ...... ...... _. Bonding of RoofTrac°rail to RoofTra&rail via ProSolar® Universal i insert an UC467 tested unive splice kit(splice inse d: 9 splice spli support): , Assembled Self-bondin Self-bonding Mid . Mid Clamp With SS Bus Bar' Clamp Fastened on Rail Grounding of RoofTrac®rail via Ilsco SGB-4 rail lug. (solar module not shown) System to be grounded per National Electrical.C.ode(NEC).. See NEC and/or Authority Having Jurisdiction (AHJ)for grounding requirements prior.to:installation.:See final:::: run (racking to ground electrode)grounding equipment installation instructions for specific installation information. COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746;029.RoofTra&and FasWack®are registered trademarks for PSP and are covered under.U.S.patent#6,360,491..RoofTra&bonding designs patent pending.. ProSolar®UL2703 Bonding and Class A Fire Rating Pagel of 4' pro • ProSolaro Roo Trac® SOLARi i Guide product&�� Bond ng and Grounding u de _. :(Patent Pending) s �. . m Can be placed under:module to hide connection if desired For Grounding Connection ' • ILSCO SGB 4 rail ground connection : Basic Wiring Diagram Roof7rac°Universal Ra il Bonding Splice.:: Grounding Lug ------------- Grounding Lug COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746;029. RoofTra&and Fast,lack®are registered trademarks for PSP and are covered under.U.S.patent#6,360,491..RoofTra&bonding designs patent pending.. ProSolar@ UC2703 Bonding and Class A Fire Rating Page 2-of 4 i q. Listing Constructional Data Report (CDR) . .. . . 1.0 Reference and Address Report Number 100779407LAX-003 Original Issued: 14-Se -2012 Revised: 28-A r-2015 Standards) UL Subject 2703=Outline.ofInvestigation Rack.Mounting Systems and Clam ping.Devices for Flat-Plate Photovoltaic.Modules and Panels..Issue#2:2012/11/13. Applicant Professional Solar Products, Inca Manufacturer Professional Solar Products,Inc. 1551 S. Rose Avenue. : 1551 S. Rose Avenue Address Address Oxnard; CA 93033 Oxnard, CA 930.33 Country USA Country USA Contact Stan Ullman Contact , Stan.Ullman Phone (805)4864700 . . Phone (805)48674700 . . . FAX (805)486-4799 FAX - (805)486-4799 Email s(cDprosolar.com Email s@prosolar.com so _. . Page:1 of 63: ... .. . This report is for the exclusive use of lnfertek's Client and is provided pursuant to the agreement between Intertek and its Client.Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement,for any loss,expense or damage occasioned by the use of this report.Only the Client is authorized to permit copying or distribution of this.report and then only in its entirety.Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be :approved in writing by tntertek:The observations and test results in this report are relevant only to the sample tested.This report by itself.does not imply.thatthe material,product,or service is or has ever been under an Intertek certification program. ProSolar@ UL2703 Bonding and Class A Fire Rating Page 3 of 4 Report No 100779407LAX-003 _ Pa9 e22.of 63 x" Issued::14-Sep-2012 Professional Solar Products,Inc. aRevised: 28=Apr-2015 2.0 Product Description Product: Photovoltaic Racking.System ... Brand name ProSolar The product covered by this listing report is a rack mounting system.at is designed to be installed on a roof. It will be secured by means of Fast Jack or Tile Trac attachments, depending on the type of roof it is intended to be installed upon. The Roo ftrac mounting system is comprised.of support.rails and top-down clamping:hardware.:This device can be used.on most standard construction residential roof-tops. This systemis in compliance with the. .mounting,bonding and grounding portions of UL Subject . 270..3.This system has the following:fire:class resistance ratings: Class A for Steep Slope Applications when using Type 1 or Type 2, Listed Photovoltaic q. Modules. Class A:for Steep Slope Applications.when using Type 2, Listed Photovoltaic Modules with or without the wind skirt.Class.A for Low Slope Applications.when using Type 1,.Listed Photovoltaic Modules when a minimum of 12 gap between the:roof.surface and the bottom of the module is maintained. Class A for Low Slope Applications when using Type 2, Listed Photovoltaic Modules when a minimum of 14".gap between the.roof surface and the bottom of the.module is maintained, .. . . ... _ . . _. ... ....... _. _.. _... _... RoofTrac has different types of bonding and grounding, below is a list of them: Bonding of module-to-Roof Trac rail:via Weeb PMG Description Bonding.of module-to-RoofTrac rail via ProSolar rail-.channel nut using buss bar Bonding of.module-to-Roof Trac.rail via Ilsc6:SGB-4 lugs: Bonding of Roof Trac rail-to-Roof Trac rail via WeebBonding Jumper-6.7 I� Bonding of.Roof Trac_rail-to-Roof Trac rail,via Ilsco SG134 Lugs_.. _. Bonding of RoofTrac rail-to=RoofTrac-rail via ProSolar UL 467;tested universal splice kit(Splice _. Insert and Splice Support). Issuance of this report is based on testing to PV.module frames with a height of 1.1/4 inch to.2 inches . .. . . The grounding of the entire system is intended to be in accordance with the latest edition of the National Electrical Code, including NEC 250:_Grounding and Bonding, and NEC 690: Solar Photovoltaic Systems. Any local electrical codes must be adhered in:addition tothe: national:electrical codes.. ..*:.: .....: ...... ... . This product investigation was performed only with respect to specific properties; a limited range of hazards, or-suitability for.Use under:Iimited or special conditions.The:following risks and other properties of this'06duct have not been evaluated' electric shock, Ultraviolet light exposure. Models RoofTrac Model Similarity N/A Fuse rating: 20 A Mechanical Load::30 PSF Fire Class Resistance Rating: . .. . . Ratings Class A for Steep Slope Applications when using TypeT and Type 2, Listed Photovoltaic:. Modules' Class A for Low Slope Applications when using Type 1 and Type 2,.Listed:Photovoltaic Modules Mechanical load was tested using 60 Cell Canadian-Solar:Modules model CS6P with 40mm Other Ratings frame height and maximum span of 48 inches using 4 inch and 6 inch TileTrac or FastJack posts with 1-1/2 inch tall RoofTrac rail.And maximum span of 72 inches-using 4 inch and 6-inch TileTrac or FastJack with 2-1/2.in6h tall RoofTrac rail. ProSolar®UC2703 Bonding and Class A Fire Rating Page 4 of 4 — ED 163a5 i1-Jan-13)Mandatory r PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE - BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 10/09/12 TIME: 16:23 -----------------TOTALS----------------- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 AMT APPLIED: 35.00 CHANGE: .00 APPLICATION NUMBER: 201206155 PAYMENT METH: CHECK PAYMENT REF: 2475 Town of Barnstable. e�it ��l�6CefSS Regulatory Services. Oahe. oft rc , Thomas F.Geiler,Director zT Building Division Fee: sn�arsrAets +` Tom Perry, Building CommissionerMAM � s $ NO Main Street, Hyannis,MA 02601 pf¢9 �a www.town.barnstable.ma.us Office, 508-862a4038 Fax: 5087790-6230� TOWN OF BARNSTABLE SOLID FULL STOVE PERMIT a C i nn. Ow �Q DL Phone: -40�. aaer: — Y Install at: -7 1-4 i&k S I .`Village: COTO i -r 1 Map/Parcel: .. bate: Stpyep Y µ A. !,Used - B. R.adaa /ff:irc*ting � ,• - `` C. Manufacturer- lab. No.. 00W; D. Model No.: . vL lit Chimney r A.. New ✓lst (lf existing,'please note date of last clean`ing) 3, Flue Size { _ 1 C. Are other appliances attached to elate? 96 P D. Pre-fab Type and Ma facturer l~. Masonry; 1✓inta tilaned - f Hearth A. Materials, 13. Sub Floor C:onstructio;n: _ivop g a .installea' y r Nacre: e rim Address:;�0, 13cyc Z/fi d tea��1 Phone: Location ofnstallatgQn: �'.- H I:C Registration## t✓orzstructiaza SuperS+isor# � OR check Ilomebwner lnstalling;no license requiied 3 F APPLICANTS SIGNATDRE = APPROVED�Bv; .Please make checks payable.to the Town o Barnstable *Tl is constitutes an official stove permit after inspection,photographed,.and apprvved.by,the' -wilding lnspector ' - Q:f4rms:stove` R6Y 103107 OCT-3-2012 08:46 FROM:SANDWICH CHIM SWEEP 5084775733 TO:5084282036 P.2'2 �Ia..;�chusrrr.- Belr:rr•1111unf All Puhlir�;1f�t) .�n_;\ Office of Consumer Ait'uirs&"sincis Regutadoa Board All'liuil1lirl Rr�ulatiunN Mill 11;1nda1'll� :4 ;iHOME IMPROVEMENT CONTRACTOR �,/ ConstruCt.ion Suporvrsor License 4 Registration; 120059 Typo: Ono.and Two-F:lmily Dwellings -' Explration: 3/1212014 Privoto Corporatior License CS 50557 SAK1bWICHCHIMNEY SWEEP:INC. KEITH A CLIFF .,i KE11'W CLIFF PO BOA_9D ' J 28 EMERAI.0 WAY : SANDWICH, MA 025133 ' FORESTDAI.F.MA 02644"•I.' Uadcrteerclory Expiration: W2712013 l•nuui..6,ner Trw: iDAM COMMONWEALTH OF MASSACHUSETTS Certified Chimney Sweep SHEET METAL WORKERS AS A MASTER-UNRESTRICTED nnrle, #2.722 ISSUES THE ARnvS LIUNSF TO: is imtt Valid �«u Thru : KEITH A CLIFF June C 28 EMERALD WAY 'FORESTQAL.0 MA 026410-1530 '�' 1108e 02/20/13 t3677 License or registration vnlid:for individul use only before the expiration date. If found return to: Office of Consumer Affoirs and Business Regulation Failure to possess a current edition of Chu , 10 Park rlaza-.Suite 5170- Mosruchusctts State'Building Code Hustun,MA 02116 is cause for revocation of this license. Refer tu.- WWW.9uar.Cov/DrS ,Not vnli shout signature g _ CONTROL# N208458 e�� AA6o �jc :( vAa .t., IMPORTANT v 8= i;k ""� o :Y3 If this license is lost or destroyed, nolity your Board at the: �J ° 6�.m Division of Profosslonal Llceneure 1000 Washington St. W "r 3 ti Suit*710 Boaton MA 62110-6100. 9 �, L •t sera t{• R I,.• 8 � , �• �� �:, 1F. D 9- Mil°et,r': S ell E t II your Warne or address shown Is changed, not 0 dY your board C $)i of correct name or address to insureproper mallln of next a p .-Z. vy 'c��" 6� � erg' � g y 1 „ x- 2 flQs l e •� :�t.� ': nonewal Application Always refer to your Gcenso number. V >:Z II •; ifs. A'y1 - fi Bb ra ''S = This liconso Is subject to the provisions of the G9neral Laws Q u d;�e a u s ';a• � " '10 amended. It is a personal privilego,and must not be loaned • e^ "� • a .« or assioned to'Any other person. Koop this liconso on your yy. ar a�• �1 ="A, n tl b O �'"' ; person or posted 05 required by law. The Commonwealth of Massachuselts Department of Industriat Accidents Office of Investigations 600 Washington Street Boston,MA 021.1.1- wwss,mass gov/dia' Workers' Compensation Insurance Affidavit: Boulders/Contractors/Electricians/Plumbers ' Applicant Information Please Print Legbly Name(BusinesslOrwmizationandividual): - A,ddress: RD Bdx q0 City/State/Zip: i J� l l� lPhone.#; Yea S�j�'j//` Are you an employer?Check the appropriate box: Type of piroject(required): 1.-9-I am a employer with -.3 . 4, ❑ I am a general contractor and I employees(sill and/or part time).* have hired the crib-contractors d. ❑New construction 2;El I am a sole proprietor or partner-' listed on the'attached sheet 7..❑Remodeling ship and have no employees These stab-contractors have 8.'®Demolition working for me in any capacity. employees and have workers' a workers'•co coMnp,irlsurance,t 9, ❑Building addition required 5. ❑ We are a corporation and its '10.P Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.[]Fht robing repairs or additions myself f No workm'co*. right of exemption per Iv1GL 12.®Roof r insurance required)t e. 152,§1(4),and we have no employees, [No workem' 13,�ther comp,insurance Tequired.] *Any appliraat,that chCCU boas#1 roust also tiA out tFre section be]ow showing their worlters'oorr�ests�tiott parley inforamtion t Homeowners who subnvt this a.Zdavit indicating they are doing all work and then hire outside contractors must mbnit a new affidavit indicting such. $Contractors that cheek this box must attached an additional sheet showing the name of the sub,contrdams and state vv wd=or not those entities have employees. Wthe sub-conAactm have oyee-s,they=*t provide their wcorkers'comp•policy nwnbm I am an employer that is providing workers compensation insurance for$try employees. Below is the policy and jab site information, Insurance Company Name: o' L.- 44Aete'---flos Ul1t9vV P t�a° Policy#or Self-ins.Lie,#: Expiration Date: lali / Job Site Address, •� / S�• City/Statelzip: �4 o all 3S' Attach a copy of the worker's'compensation policy declaration page(showing the policy number and expiration date). Failure to skure coverage as required under Sermon 25A of MOL c. 152 can lead to the imposition of criminal penalties of a finr,tip to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD 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 ttfcrrrance coverage verification I do hereby t4he Paints and penotifies ofp ry that the information provided above is true and correct a _ p Si true: Date: q lU fftcial use only. Do not ware this area,to be completed by sly or town official City.or Town; Pernut/License# a Issuing Authority(circle one): Z.Board of Health-2,Building Department 3.City/To"Clerk 4.Electrical Inspector 5.Plumbing Impector 6.Other Contact Person. Phone#: Town of Barnstable Regulatory Services MAM 'Thomas F,Geiler,Director m� 2 ° Building,Division. Tom Perry,Building Commissioner 200 Main Street,Hyannis,Mfg 02601 www.town.barnstable.ma,us Office: 508-862-4038 Fax: 508-790-6230 Pgnpert der Must Complete and Sign This Section If Using A Builder (20 Z. ,as Owner of the subject ro e J p P nY hereby authorize S� lilGC� wl ,M,�a/�y� �v�c� to act on my behalf, in all rnatters relative to work authorized by this building perm: t application for (Address of job) Signature of Owner Date I'nnt Name If Pro6ertv wear is applying for permit please corpplete the Homeowners License .Exemption Form on the reverse.side. Q.TORMS.OWNaE;RFERMISSIQN OCT. 3. 2012 8: 58AM HART INSURANCE NO. 547 P. 1 AC RO O CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD/rM) 10/03/2012 rMIS 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 po6Cy(ie5)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of tho policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsement(s), PRODUCER NAM LaUrd Murphy HART INSURANCE AGENCY, INC. PHONE 243 MAIN STREET (508)759-7328 FAx (508)759 7368 PO BOX TOO E•MAR. AIC No BUZZARDS BAY,MA 025320700 -§ INSVRERIS►AFFORDING COVERAGE NAIC 0 MAX SPECIALTY INSURANCE 20079 INSURED Sandwich Chimney Sweep -- ATLANTIC CHARTER INSURANCE COMPANY 44326 PO Box 90 INSURER B Sandwich,MA 02563 INsuaER c INSURER 0: INSURER!: INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDL BUBR( - `" INSR POLICY NVM9ER MWOONYYY MnuD IrrYY LIMITS A GENERAL LIABILITY I MAX013100005253 10/09/2011 10/09/2012 gACHOCCVRRENCE S 11000.000 COMMERCIAL GENERAL LIABILITY I I _ pAMAG 0 e e $ 100.000 CLAIMS-MADE OCCUR MED EXP(Any end parsorl 1 5,000 -� -- I PERSONAL dADVINJURY S 1,000.000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AOG S 1,000,000 POLICY PRC-JECT IOC- S AUTOMOBILE LIABILITY COMBINED SI ae6deelNGL ANY AUTO - I BODILY INJURY(Per person) S AUTOS L OWNED SCHEDULED ' AVYOSj BODILY INJURY(Per aoc+dent) S HIRED AUTOS NON-OWNED I PROPERTY DAMAGE AUTOS Per ecdde b f UMBRELLA LU18 OCCUR i I EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE I — AGGREGATE S DOD RETENTION S , B WORKERAND EMPLOYERS' WCV01032500 08/28/2012 08/28/2013 VO TATU- 0TM- S AND EMPLOYERS'LIABILITY Y/N I ANY PROPRIETOR/ L tJCECUTIVE I S SOO,000 OFFICERrUIEMBER EXCLUDED? E L EACH ACCIDENT I IV IINIA j (Mandatoryln NH) �J E.L.DISEASE•EA EMPLOYEE S Dyes. eunder DESCRIPRIP TI 0ON OF O 500,000PERATIONS DBlew E L DISEASE•POLICY LIMIT S 500,000 1 I 1 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IAnreh ACORO 101,Additional Rornbeks Schadule,U more apace la rpglred) Dperations as performed by Terms&Conditions in the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Faxed 508-428-2036 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Dwight Cody 7 High Street AUYNORIZ90REPRESENTATIVE Cotuit,Ma. stye/, < 18)1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Engineering Dept. (3rd floor) Map. 03 N Parcel 00 L F�A Permit# - House# Date Issued Board of Health(3rd floor)(8:15 -930/1:00-4:30) Fee Conservation Office.(4th-floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 BARNSTABLE. 059. tlED MPS�`� TOWN OF BARNSTABLE Building Permit Application Project Street Address 7 �i`<-A SJZ Village Owner . 'aLki 7 �* O Address Telephone Permit Request �S First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ,ff Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.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 - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑. Commercial ❑Yes ❑No If yes,, site plan review# - Current Use Proposed Use Builder Information Name ZQgM ICA Telephone Number Address `7 t 7 44C.- License# Home Improvement Contractor# Worker's Compensation#&/3/,S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - d- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) s. [P�ERMIT FOR OFFICIAL USE ONLY NO. . ll/ DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION • :FRAME j INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. The Town of Barnstable • s�+aivsrr+s� � - 161Q. ,0�' Department of Health Safety and Environmental Services Eo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-190-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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 otherIreuirements. Type of Work: Est.Cost Address of Work: v Owner's Name IM Date of Permit Application: S 1 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The C011111t01111•Calth of.4fassachusettti Dc partnut1t of Jurlitstrial Accidents h , iiw office.911Meslfga11ons • \ {':'.ji' _ 6011 !f'uslrilrgtulr Street •�•.�• •.f.�• � �. ;44fi:.i tea. ,�,�`:• ,�' Btimulr. . hux (12111 `" �• Workers' Compensation Insurance Affidavit �•_ al�Plicint iAforrnatitin• P1iTse PRINTI name, � �1�GaNl c ZA a� city � /� Anne 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. coomanv n tmt• ✓t- �OlfiarPl` addrecc• - city nhnnc#• - [, I am a sole proprietor. beneral contractor. or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: cmmmtnv n•tmc• - - addrr5c- city• nhnnc/�• incur-inrr rn nnlicv# cmmnnnw n•tmr atitlrccc� cin•• nhnnc fit• inntr•tnce co "Olio•# Attach additional sheet if neces_sarv_- --�%'- -• '• _—� �' Failure to secure coverage as required under Section ZSA of 51GL 152 can lead to the imposition of criminal penalties 01•2 line up to S1.500.00 andiur one%cars• imprisonment ax Ivell as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statentcut may be forwarded to the Office of Investigations of the D1A for coverage verification. !do hercht cr i I-It" t ins at •taities of perjure•dial the information provided above is true and correct. Sia-ature Datc Print name 1 c/l/l_,� ( F✓t-cAA0.!In phoney* y>-Sl`AUff/ official use unly do not write in this area to be completed by cits or town official ` cin or to% permit/license# rif3uilding Department C3Ucensing Board L 0 check if immediate response is required ❑ Selectmen's Office ►- C311c2011 Department contact person: phone#• MOther P. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ctmtpertsation for th employees. As quoted from the "law", an entpl({rce is defined as every person in the service of another under any contract of hire, express or implied. oral or«Titten. An enrpinrer is defined as an individual. partnership. association. corporation or other legal entity. or am, two or me the forcuoum, enanued 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 t! owner of a dwelling house Navin- not more than three apartments and who resides therein. or the occupant of the dw0lin;; house of another who employs persons to do maintenance , construction or repair work on such dwelling he or on the`_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employ, MGL chapter 152 section 25 also states that even•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 ,%f•ho lras not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither tite commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation and supplying company names. address.and phone numbers as all affidavits 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 tlae Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are require to obtain a workers' compensation policy. please call the Department at the number listed below. . City or•towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to full out in the event the Office of Investigations has to contact you regarding the applicant. K be sure to full in the permit/license number which will be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to Live us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents ... Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone ": (617) 727-4900 ext. 406, 409 or 375 ,aims. '�.. —ter _ —aa��• —_.__�.3.��> 3F�.se.-s'*sc�r.s.T. ""a,� ,. _ ,,� +.� .' .. e .. F �-Z i _ y 'E.' �w�4„a•Yr.L � t -� �'�+li c. - ,. .. _ tea` ¢. ��� � � r:�-t z� r r a t 3 1 c -• .1.�, Doi" % �0 .:4,� 4��,'"n.,�,. :.h a i., i .1, ,t �1 3 a+,� �' ✓,+I, l ffa �W"x � ,d^�'t�.C1 � �� ���,'u�x�,3t�v�yUr � # y � rn p � HOME :.IMPROVEMENT; CONTRAGTORS`aR.,EGISTRAT.ION � fp �� s Board of, Buildint7 Regulations ,and ,`Standards��� ����"��`�tC� � � '�� `� ` ♦ Jf �'tY" -s ;7t` x`rls ti ' .• ' ..F. fr+ ' r :.One Ashburton''P3acex.Room130,1fi?'�° � i� % r, . 4 �a r s t �ti laid al a Boston , rtMassac.husetts 02108 �� �a� k �+�� , "LC4�L. ° a ,:T = j — — — —'� ..e •: ....� ,� t{ , 1;�t`� �,rr � 1 P nil `�v ... ;-- r �;r{�;� �-, t�. '� c :a° u.kt��'�e q dfi�1 - �7. _ � � 4 HOMES°IMPROVEMENT :CONTRACTOR Registration J.12536� '� ,;," Expa rateq,n= 04/06%99� ��� "�, . :a �u .rdl ue� i i l; c� eT;ki4of „ 00 � ;Types ;DBAV y t�;�? 1'�� z��• "�E����... �' �7� .c�7� �yy, �c���*�.`h HONE�INPROVENENTCONTRACTOR: % Registrat ion-MU 12536 FRASER }.CONSTRUCTION; * RRASEC R EzPItk tiDEANg> 71 iTARRAGON tf r '�.,� nw r1 COTUIT,i MACONSTRUCTION � � RA5ER� N=.ISTR,,Aa4mRw ADMI i 5.�=r �r rC1OT`TU ARRA60.N01 �2C6I3R „ z 1. yi t TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0_ trt Permit#S3 7v'l f �ruPjt� Health Division P� fC / 4`i ;, Date Issued Conservation Division - Fee y a rr K �6�SU Tax Collector `— SSpT6C ®� �dfl. • INSTAL,LIED IN Treasurer `" 964� �,�Q,c;c�,P�c;, Ito((�1 , �IiIIir TtITITI.E 5 0� J ENVIRONIVIEN'�A��` --,. Planning Dept. 'r®WN RE�aI➢Lgq 6 's' Date Definitive Plan Approved by Planning Board r Historic-OKH Preservation/Hyannis Project Street Address -7 14/ Village Coto I I ` .Owner. ✓cii (,ITT . CO!) Address 3U P� � S 1 W A"TTE�k-TOCJ O Telephone I -7 9c2V - 57+35 WOXI< ( 1 7 789 5^9S7 Permit Request Square feet: 1st floor: existing - proposed 2nd floor: existing proposed Total new Valuation /. s!-5",0DO. °o Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes O No Basement Type: ❑Full Crawl "❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing f 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 Cvffe9%tly NcNer RtTla.usly SARM Wwo Qc__�►//p. ❑ �r� ® Central Air: Yes No Fireplaces: Existing V New Existing wood/coal stove: ❑Yes No ` Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:&existing ❑new size Attached garage: ❑existing ❑new size Shed:❑existing ❑new, size Other: Zoning Board of Appeal2,o horizatiori ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use uMMF-9- Proposed Use �0 nQ_Q c j►wU' BUILDER INFORMATION Name j -. D Telephone Number 66 17 —9 a LI —573�5 Address :30 PA21-�E S I APT ( License# C,c�A''��Z'CQc.J 1J "A O ay 7 a Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a* FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCELNO. ADDRESS. -a sr VILLAGE ' OWNER'�1— f 4 DATE OF INSPECTION: r :" FOUNDATION FRAME �(a tJCI i r r�vl cS�2 INSULATION 3 . FIREPLACE ELECTRICAL: ROUGH., FINAL PLUMBING: ROUG1 � FINAL i, eerrg GAS: ROUGH•o FINAL 174 FINAL BUILDING DATE CLOSED OUT' ASSOCIATION PLAN NO. + r. 1 r 7. Regulatory Services Thomas F. Geller,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street.Hyannis MA 02601 office: 508-862-403.8 Fax: 508-790-6230 Permit no. Date AFFIDAVTr HOME SWROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations.renovation.repair.ma dernizanon.conversion. improvement,removal,demolition.or construction of an addition to any pre-existing owner-ocetipied 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 .with certain exceptions.along with other requirements. $15 o00 i e �E ho�E L�iV Cr Cost i Type of work. ��tee. N Address of Work 14/&14 ST Cj)Tv T A-?A r. �$ owner's Names � W�lsflT � r!aDY Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 Building not owner-occupied owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING�O�DO NOT HAVE CONTRACTORS FOR APP TTON PROGRAM ABLE OR��D UNDER MGL c.142A. ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Contractor Name Registrauon No. Date OR �k `1 Date wner's Name q:forms:Affidav ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot Total Estimated Project Value /SDI " The Town of Barnstable aast,►srwBtE ns�ss. 94, 16?9. �e� Regulatory Services Thomas F. Geller, Director . Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: J��`r0� JOB LOCATION: I L 07y number street village "HOMEOWNER": _t04T 14, CDOV &/7 92V 67 1 3S &l7 IZ9 56g-7- name home phone# work phone+t CURRENT MAILING ADDRESS: 30 RV996z 5T A 7_ (�A tel�t,Jyi Y4 4 Oa 7 oZ 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 buildine 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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work.that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q.Rules.&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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:EXEMFM Deparrment of Industrial Acridenu �.��=� 0117caafla�es'tlgatloas ==- 600 Washington Street Boston,Mares OZIII ���_.c—�-----•,,•�, Wori{ers' Compensation Insurance Afrid,avit i loc ticrr 7 N1( 1 S� Sob t/a6 c203Co citv Co7V i r Ni A ohoae a I a�a sole nrcr�riacr�d bave na one�e is aa�ca4acity teems' ®easaIIaaf� em�icpea oa rhis joa. .. ..... .:{. �:•X:,,,..�+x�}?a4ecX. ..+oeoe�M�•""�?ca�x�'�'!'�"^�'�•,•'{. .: ,,,,,. .:.�s;r.�}:;,• .,oa„�,�?}•:;;:;;:. t,. ..ti,:::xowx{•a.::.^:.{y...,f.:..:0}a`S•xacyw ...... �:..{•.x:.;?l�^.Cw:}.,m•x$.LY`i,W:}}a.•::.:. ". 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Q nu v reat<ised cjLc&jf I=ea�r rpo - Qthetr, phone It: G=.--ai Laws chn=. ISZ seaaaa 25 n-qua-.s all ®iota to nrovidr Ivor a=* ioz•�s. As az=.e i fiaaz for "IaR►",an emplovee is d-ice as ==v p=on in tiz-scm=of of zrss or iz�ii.-a.� oral Or�vriteez. An=gdgver is cr as an iitaiviciu parm=snip, associaiiaa, caraar On.or otter Ieaai CEMTY, or=Y TWO c== t fflroing �� is a join Vie, and iaciuriiag the legal �.em-aznTs of a ' yeaoioir. or•.��.. recur-or as inaMdual p==Mhip ass13ci2==or otter legal=Jz3', cpovarg®jmc=. a�•clling izcuse baviaQ nat mare than thrc aaaroa�u and who r�di�-"�, artie accnnara Of tn.-aR :;: " �-. aiiNWr ZVho ®iOyS p ode m d0MI Or IMP=we=k an m=k dwching'nause or on t :. bt,f1 a�'th==shZ=b==of such=1aympffit be r!L-nCd to be as®ioper. MGL ch== 15Z stcdrm=wise states that weep state or IocaIIIc=sing agency sL.X withhold the issuaacr or of a license or permit to operate a husia s or to coastract baBd ngs in the cammauwealth for nay appuc.3ar F .-not produced acceptable evidence of whit thence coverage res�a�ir=d. Ad�oasII n. • ace nay afitr poiidralsabtitQ==shade =h=any com3art Y� ac..�-rrable..via�.�of iat�wit�t the r aitemeas arftbis A ;zz:hzvc bey prerezd to tL- -tppliz= 'tsc MI in tb.-way' comp may, ,:b=%hat,.gUjj s za yer T--oiyIU9 camcgaay as an amriavits may ne to the Dcga ==of Hd Acd&=fur aifb======= Also be sore to sign. uithe zMdavit. The ' A=Idba toga rifyairto tbatth.,ag� �forthe p==jj crRr .:e r ,aotthe D Acrid�ts. Sboaidpcttthasreuay s TC;zI thz "Law"cr L z�z�to oi�a water' ' � pc�cy,use s�Ilbe 3}rcars�tatthe:brfsrrd below . ry or Towns s be sur.-thattheax_MU'avais camalst~aadley, The Dhas provided a scat atth.-bar. c: vafaryoato El=izth:rrzattba Olr= 3S has to ca�actytMaaa _ P'.=-c n"II lathe = R�s�et _. :- .. p -which az �aaer. Th.-aamavits iaap b............... D_-;;a==by mad or fAX TM oth= hMM be��at 0 of 1rn�a ��weIIld Iikr to Liza pca is advance faryoa caaceziaa and shauld you have nay m:--^:-'r s.do na:hesizte m give us a'=IL ' "MONO IN IMM IMOMMOOMMEM ad i=�nrr The Commonwealth Of I f=achusetts Department ofIndustrial Accidents MD of Mnsagations 600 Washington Street Boston,Ma 02111 fax*: (617) 727--"749 i i i rl �. HIGH G STREET ` MAP 35 PARCEL 25 , eEE°I -IN I� ;HIGH STREET N/F Z5 PARCEL 97 ROBERT J. HURLEY N/F K MANN AND CBDc 1NE T. BIDDLE I --, 142'* 1-6 MAP 35 _ PARCEL 24 24,000 SF± /,�0 101X6If —Z— 18 OAK 100,E STORAGE \ BARN \ INSPECTI EXISTING PORT�a CESSPOOL 18•oAK OAX \EXISTING PROPOSED ;. (See Note 11) CESSPOOL CLEANOUT / CHOOL STREET (See Note 11) 40�-0• `35 PARCEL 2 E. I , �o� 2 O PT TP, �10 IGAR S. AND °'' (2) MANGIAFICO, TRS I / PROPOSED PROP ox s►+ a BEET REALTY TRUST 4 / CLEANOUT \' SPRUCE O \ _ I 102x5 p 1 i / OAK \ 1o1xsg�� N PROP0�A0 °A�it` ' I 6' MOD ��. n 1,500 � F+' FENCE & 'o• S—TANK 10• SHOWER OAK (2 o lUOxs � • STONE ORfVE 102x6 EXI$E# ln2.v7 HOU$ Ig 4 BEDR00J( 02,7q m iocx7 TOF= 18 FF-103• . r ��o o2x2 "o� / x � iWv 4 SIDEWALK 4 X h L F yx R • y V 7)/ 1 TAR } {rlq,j 13 ,+§j #31 HIGH STREET - - #23 HIGH STREET MAP 35 PARCEL 97 MAP 35 PARCEL 25 $ .hz N/F FRANK MANN AND ROBERTNJ FHURLEY - - , KATRINE T. BIDDLE 142f 60.5' 36.0 45.5' EXISTING o FOUNDATION o 36.0 STORAGE BARN MAP 35 PARCEL 24 24,000 SF± o C ° 4 s r o VXISTIN� M HOUSE # ._ ;.. . _. .: �. «- •':."fie- `,..•---a-.�..� � i. #66 SCHOOL STREET MAP 35 PARCEL-23 -- NSF . EDGAR S. AND JEAN C. MANGIAFICO, TRS - rn CHOOL STREET REALTY TRUST .may 101'f — L=4,3 R�375'f C, H ' o O L (VARIABLE WIDTH) S T R (STATE HIGHWAY -- 1918 LAYOUT). EE T FOUNDATION AS-BUILT I CERTIFY THAT THE FOUNDATION SHOWN HEREON, MAP 35 PARCEL 2'4' AS BUILT, CONFORMS TO THE TOWN OF BARNSTABLE �-+ ZONING SETBACK REQUIREMENTS, AND THAT SAID 7 HIGH STREET. FOUNDATION, AS BUILT, DOES NOT;LIE:IN A Y i F.LR.M. FLOOD HAZARD ZONE. ,(COTU IT). BARI V STABLE, 1HOFMgss4y MASSACHUSETTS f TIMOTHYR. < " SENNETT y SCALE: 1" =20' DATE: 07/07/2015. No.36856 ' srs�►�° � Gx e e� Green Seal Environmental,Inc. vp ANas�� 114 State Road,Building B Sagamore Beach,MA 02562 Tel:(508)888-6034 PROFESSIONAL LAND SURVEYOR DATE m Fax:(508)888-1506 www.gseenv.com DEED REF: BK 10774 PG. 293 0 20 40 60 JOB NO. CODY-1125 BARN PROJECT FOR: DESIGNED 4 FABRICATED BY: D�I: I 67HT GODY le -1 HIGH STREET BAre*q_{-�" >^r- G07U1 T, MA 02655 �-' ' ' YARD GARAGES - bow=- moo The DRAWING LIST GO\/ER TITLE SHEET 8 DESIGN DATA SHEET I FRONT ELEVATION SHEET 2 LEFT ELE\/ATION — SHEET 3 RIGHT ELEVATION SHEET 4 REAR ELEVATIONor -� t SHEET 5 FOUNDATION PLAN SHEET 6 FIRST FLOOR PLAN SHEET 7 ROOF FRAMING PLAN & NOTES ((( SHEET 8 BUILDING & WALL SECTIONS & DETAILS SHEET q HURRICANE TIE DETAILS SHEET 10 TRUSS INFORMATION T7 THE E3AF.,N YARD HEADQUARTERS RTE. '75 WIND50R LOCKS,CT RTE.6 BETHEL,CT RTE. 83 120 West Rood 560-623-4644 203-140-1433 P.O. BOX 84 Ellington,CT CT LICENSE a 558g1b MA LICENSE # 127550 8b0-846-0636 ww w born-yond.com 24' X 56' NEWPORT STYLE 1 -1/2 STORY BARN ENGINEERED BY: SEALED BY: E\,/ERETT SKINNER 1\/, P.E. GI\/IL ENGINEER DES16N DATA: 120 INEST RD �V,+A OF A44 0. � ELLINGTON, GT 0602q � TT G ROOF LOAD P W: 50 SF SNO LOAD; 5 PSF SOLAR PANEL LOADING W. St(p CVE!�E ER IV .y BASIC WIND SPEED: NOTE: MPH (5-SEC. GUST) NOTE:ELE\/A7I0N5 d RENDERINGS ARE u CIVIL ARTISTS CONCEPTIONS. COLORS o 9 0.50" Q SECOND FLOOR LIVE LOAD: 40 PSF AND OPTION STYLES MAY DIFFER T BUILDING CODE REFERENCE: THE MASSACHUSETTS STATE BUILDING CODE FROM ACTUAL CONSTRUCTION. EONAL N�\� 7aO GMR - EIGHTH EDITION. WOOD FRAME CONSTRUCTION MANUAL FOR ONE— PROJECT NO. 3-7B PRINT DATE: 5-4-2015 a TWO FAMILY DWELL 1 N6S, 110 MPH EXPOSURE B. o J N _ .. .N aD Ul m N U 42" WESTERN RED CEDAR °° a f NORWOOD COPPER TOP CUPOLA - .o . - a ® w/l-I OIP SCHO ONER R W ATH ERVANE o F P 1-P W N U M CONTINUOUS RIDGE GAP � Z N O O� m W w 3 F- w F— U 3 � 40-YEAR CERTAINTEED . _ o ARCHITECTURAL SHINGLES COLOR: WEATHERED WOOD . __. .. _ WESTERN RED CEDAR �FASCIA d SOFFIT Q .I vi " m wA .. -: O pW[ O 11.45:12 PITCH ILI V _ d 12' O.H. 12" O.H. 0 r p II II II II - I) II I II 6 8'xl' PINE TRANSOM 1 W NDD►N(I.OF I)If � It 11 If it ri IT I i _ _. : : t` j SOUARED 8 REBUTTED: J - WESTERN RED C f , SHAKES 51DING ED POUR ) _ Z 1 AR q f .(5" EX E � ~ W..LY EDAR - _ TE RE ED y 1 WESTERN RED C ill fillIQI (ICI a - b: .d a .�` �y .. ..Z . CORNER TRIM: O �H 1 11 If 11 11 wmll , IIIIII IIITII :111111: J yffi I: LLl _.. . _ _ F - _ _ _. If ii i _ _ . . _b' _ _ _ _ . xl' 4" SIMPSON'MODEL. . JOB N0: 37B I I HARVEY MODEL 2431 '1501 KNOTTY ALDER 8'xl.'-b" CEDAR SPLIT ARVEY MODEL:24310 z - I I .VINYL INSULATED DOUBLE DOUBLE :ENTRY DOOR w SLIDING BARN DOOR. VI YL INSULATED DOUBLE � � — g DATE: 3-a-2015: HUNG WINDOW w/.GRILL 5 FULL GLA w/ HERRIN& BONE HUG WINDOW w/ GRILLE5 .I I I - I _ " SCALE: 1/4 d TEMPERED.GLASS :PATTERN (I OF 1) OLOR: WHITE (I OF 2) I:' I COLOR: WHITE (I OF U �: : DRAWN BY: NSL r4�T — - - - - - - - - - - - - - - = = - - = - - - - - - - - - - - - - - - T�rl1. CHECKED BY: EwS L_ — —.- - - - - - -. . - - - - - - = - - - = — — — — — - - - - - -'_'_ _._ - - - - _—._ - -L — J. ENGIN RED .BY..., . P.E.CIVIL N6 E SKINNER IV E WEER ELLII20 HEST N6TON,GTR06029 �'-O" 8 -0" 6'-0' 8'-p' '1'_O, ya`����N cy OF M • SKINNER IV _ .. _.. 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VINYL INSULATED_DOUBLE , VELUX MODEL GO6 `s w HUNG WINDOW.w/GRILLES VENTING SKYLIGHT. : COLOR: WHITE (I OF I).. ..... :. .. : -(F OF 3) 12 - X. r J If II fill III If _.. . 11.45 _.. _ .' _. I WESTERN RED DAR z 3 � } F• .mo GE FASG A d SOFFIT . .: Q E- V� O Lu W z �. b _ .. r p 1 O:H. ... K : : a0 v 1 WES.TERN RED .. I CEDAR SOFFIT :,,: 11 IIITIII If IT II 2 N IITI i IIITII 11 .1. — - _. .. .d SQUARED A.REBUTTED - WESTERN RED CEDAR J _. IFI J _z SHAKES SIDING Q O t . (5EXPOSURE): I1 11. I�.11 = Q ` �. ER TRIM _�i WESTERN RED CEDAR CORN O a/ .WKa _. _. . 1 � W Z _.. rl n uI ❑ u.l 11I n I n t un 'n-I u I uLI II11 IT 11il...l. uII n nII n mil 1111 i HARVEY MODEL.24310 .. • - - JOB _.. _ I VINYL INSULATED DOUBLE -� — OATEN :3 7B-20t5; , HUNG WINDOW ri/ S GRILLE_ SCALE: t/4"=1'-0" WHITE ( I I COLOR DRAWN BY: NSL: I OF 2) CHECKED BY: EwS - - - - - ==._:.- - - - - - - - - - - - - - - - - - - - - ='�:-.J ENGINEERED-BY. .. . EVERETT SKINNER IV,' P.E .. :. :. .GIVIL ENGINEER. 12'-0" 12 ��P�� LL H OF M,gS,9 20 WEST FPO.D" C�; E IINGTON,GT 06029 Eip _ V _. 24'-O" SKI eE S I .' CIVlL y No. 034�� Q R16HT ELEV TION uj $T NAL�� 42" WESTERN RED GEDAR VELUX MODEL GOb F ` ® NORWOOD COPPER TOP CUPOLA VENTING SKYLIGHT o w/q&OIP SCHOONER WEATHERVANE (I OF 5) o GONTINUOU5 RIDGE GAP W ado 3 J =W � U • 3 40-YEAR GERTAINTEED . ` ARCHITECTURAL SHINGLES o COLOR: WEATHERED WOOD m � o m a a W WESTERN RED GEDP:R F _ ASG IA d SOFFIT cn ..: .: _ - Lu 11.45:12x _ : 12 O.H. 1 H _- Z � 1- 0 . wl #1 1#11 ml 1111 11 if 11 11 it 11 111111 111 IT 11 11 IT it 111111 11 If 11 it 1111 11 IT 11 11 IT 11 11 IT 11 1.1111, 1111 it TII it ii III A V .v ,. - .. ... .-... ... -. .n� .. .... ..... i . .V. .. . ... 11 .. III � 1:11 ... .. ... .. .. 11 11. ..... W - 3 ... .. o .. .. H SQUARED d REEHJTTED J F WESTERN.RED CEDAR : Z SHAKES SIDING EXPOSURE)POSURE) W I. : : . cj - Q N _ - - Q IM WESTERN RED GEDA R � Lu GOR ER :TR _Q .. . Y J N W LU 1 II I 1 'if I .IL.'1- 1! 1 If II 11,11 1 I"11.:1 II 111111 11 1111:1 11- 1.' 1:111111 If 111111 11,11 If IIH 11 11 'If If II I it I 'II '1111 1.11 If I A 1 IL::�II 11 II I II I iP"I IP'.i: - . AUt : I I : �. .. .. i IGRADE JOB NO: 378.. . z o DATE: .3 4 2015: _ _- SCALE: 1/4"=i' o" I I I Oj DRAWN BY: NSL �T = - - - - - - ;- - - - - - - - -'.- - - - - - - - - - - - - - - -:—.- - - - -,- - - - - - -- -;: .- - - -r�rl� V` CHECKED BY: EWS L_ — ._ - - - - =— - - - - = — = - - - - - - - - - - - - - - - - - - - - ----- J ENGINEERED BY:: . P.EI�OTWES RID ER•: E CIVIL SKINNER IV LL NbT A9,gss _ .. '4C'y E ON,CT 06029 ERE W: _. .� .. SK{NNER IV C y 36 O No. 00 REAR:. ELEVATION s oNAl. SC-ALE, Ida••1'-0• _ _ _ _ - J — - - - ---- -q V a c v _ I p ° CONTINUOU510" CONCRETE ° ° D Q CI I I w o of D FOUNDATION WALL IQ _ I ' GONGR ET p I I w o a # LLo j N 0 o P 2 N O h o m w I s w ° FROST NAL L ° I I 3 =uj 3 C7 I D ° FOUNDATIONli D _ . I _ v s v ]to Q. p ° _. 4 FIBER REINFORCED CONCRETE FLOOR I m �I jaly ,: q: &MM.POLY VAPOR BARRIER UNDER FLOOR pl I� : Q v a W D. p q &' COMPACTED GRAVEL - q zl 10 p I " 'L. .W la Q . o ° ° ° 5/8"'?:NGHOR BOLT"5PACED ® d .. I u- Q W I. 4 I � I I D Q 4' O G MAX AND 12 MAX FROM t` N p _ .. .. .. _ I q- .p FLAT SLAB CORNERS.AND.END OF PLATES.. _ EXPOSE.4"ABOVE TOP OF WALL I I d1 ° p D. :w/ SIMP50N BPS 5%8-3:PLATE WASHERS z QxO Q CI pp 4 I IV ttl I I. CONTINUOUS 10'-'X20.. a I : <ONCRETE FOOTING �. a . _ O I: o q q I a 1., � Z L : d :.. I I - - - - - -a o- - - — —0. - - - -y— - -�- -F OUN—DA—TIO—N DROP (SEE DETAIL) - - - - - - - _°— - -a—o - - - - - - - -p — Q Z ° , u•j .IFY—n. L.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - -— - - - - - - - - J_ _. PROVIDE 8" CURB � � W: Z W O _ JOB. • 'g GATE: 3 4 20t 5" 4' GONGRETE:FLOOR SCALE: DRAWN BY: NSL GRADE CHECKED BY EWS_ o E �a,eO .a - ENGINEER 0"BY::. < :a O EVERETT SKINNER IV, OF Ass9c P.E.20 HEs RID E 1 . ELLIN6T6N,CT 06024 ,. -'.... q:: ;... n <..... a . ..:... .... .. .. . o EVERETT W. _... . V _ FOUNDATION PLAN: : sKiclviR� _ .. Ke. iia.r-o. 9 No. 34 - sc DOOR DROP DETAIL - NAl Eta z -n LINE.OF ROOF I2" O.H. OVERHANG ABOVE x° — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — _ o L P • Go0 0.o y W m I d N Z m Z 0 O C W IS SQUARED a REBUTTED 51MP50N NDU5-5D525 8 w HOLD DOWN(I OF 4) WESTERN RED CEDAR SHAKES SIDING =u 3 (5"EXPOSURE)OVER TYVEK BUILDING WRAP ON kj"001,16LA5 FIR PLYWOOD OVER 2xb STUDS® 16"O.C. I. F - } W U fa HARVEY MODEL 24310 .... .. .... .. ..... .. ... .. ... .° - L. .. .. .. V - ULATEDNS DO UBLE W w bRILLESTN RMA TRUMODEL 262 HUNbW INDO . FIBERGLASS INSULATEO:ENTRY (1 OF 2) DOOR W/HALF bLA55: : .(I OF 1) UJII CORNER STUD: I.. I . .. m p F CONNECTED TO w. a L 0 � 4-PLY 2X6 CORJERTRANSFER SHEARLu W N I : LLI 'UP . 14-SDS Y4 X 2)4° am 5(DE WALL _HARVEY MODEL 24310 �� VVINYL IN5ULATED.DOUBLEQ _ . 2-12D COMMON:. . SIMP50N MODEL171 0 HUNG WINDOW w/iSRILLES,TEMPERED = 2 .. � I Z � � NAILS®b°D.C. UPPER a LOWER SASH. ry. 40 F' HOU5-5D52 5 .. Q — — — — !. HOLD DOWN (I OF I) I Q _ IL ANCHOR. — ... 5/5'xb"TITEN HD I ... ... .. .. _ I... :::Q f SCREW ANCHOR I m _.. � 8'..6" EXTENT OF HEADER. y I. w. "DASCORNER DETAIL : . ... ... 12O.H. ic3:.4'-S I M250N�AODE :' � T501 KNOTTY ALDER :' - .: .. .. DOUBLE ENTRY DOOR W . ' O FULL GLASS O OF:I) O "i O —.SHEAR WALL LOCATION - J O J LL IS) - _ FIRST FLOOR -PLAN _ `� z WINDOW: 5GHEDULE SCALE.Bn6-.I• u- _ _ . . MANUFACTURER MODEL TEMP OTY ROU6H OPENING - HARVEY 24510 N::: :: 2 2'-6" X 4'-1 Y•s" JOB NO: 378 _ . HARVEY 24310(TEMPERED LOWER SASH) Y 2 2'=6" X 4'-I Y�" _ DATE: 3 4-2015 HARVEY .. - 18-28310-18. N .. I 6-2 9/4" X 4'-.I.)4,. - _ SCALE: 1/a..-i, �:, HARVEY.;; HRD28J N: I 2'-10 X.1..-5Ya": NAILING SCHEDULE 8 NOTES:- ORAYVN BY: NSL ' PINE 8XI TRANSOM N f 5-0" X 1'-0 Yz" LOCATION NAIL ED6E`: FIELD SHEATHING" r: CHECKED BY: .VELUX GO6.VENTIN6 5KYLI6HT . . :. Y 3. 9 NAIL NAIL ENGINEERED_ NGINEE 0 BY::E� .. ..... .. 21";X 45 /a ROD IN6 O F SHEATN BD GOMM N 4°O.C. 4 O.G._- AF'ARATED (MAX) (MAX)' YWDOD SHEATHINb'. : EVERETT SKINNER IV,� -: .. (SINbLE SIDE) OF A44, P.E.CIVIL ENGINEER. ROOF®GABL RA D COMMON T E RAKES : 8 MON 4°O.G. 4°O.G. )9'APA-RA ED �C LLIN&T DOOR .SCHEDULE - .. _ .. :. .. .. (MAX) PLYWOOD SHEATHING W yG (MAX)IMAz) (M ) I O WEST RD, E ON CT 06029 "(SING - MANUFACTURER MODEL a SIZE HINGE ;SWING OTY ROUGH OPENING LE SIDE) BKENNER IV �+ .. WALL SHEATHING BD:COMMON 6°O.G. 12°O:G:: PAPA RATED THERMA.TRU 5262 3068 R IN I 349/e' X:82 Y�" (MAX) (MAX) �W E05 EEATNINb CIVIL (51 SIMPSON 6USTOM KNOTTY ALDER 6*6-8" BOTH IN I IS Y4" X 82 Y2" '9F 0, CUSTOM CEDAR SPLIT SLIDER 8'XT-b" NA NA 1 :: N/A o N. ,. GENERAL NOTES 0 J m ..F:W M U STRUCTUFLU WATIM, ALL yW�0AR.SMALL CONFORM 10 THE CURRENRRT�REQUIREMENTS a _ D�E MAONS AND DES BUILDING CODE 7BC EDCkf EIGINTH EN-EEW ORAVANGS m 3 tr DIMENSIONS AND pETAilS SHALL BE CHECKED AGA1 ST E QONN u THE CONTRACTOR SHALL VERIFY AND COORDINATE THE SIZE AND LOCATI Oi ALL OIENINcs.SLEEVES AND ANCHaR BOLTS AS REOUIRED By ALL TRADES 3 x o o a # OPENINGS OT SPEOFI ALLY SH0 1 SHALL BE APPROVED BY TH ENd EER, ALL�pRK fo CONFOI�41 To ALL APPLICABLE LOCAL,STATE AND NA110N o N m m i twit CODES AND AL REGULATIONS AND ME OYINERS OR DE94NATEO- TRACTORS -• o Ci- z ACT L SECUREUAL CONSTRUCTAPPROWIATE PERMITS EOUHIRED BEFORE E4. CEMENT Di g w m a w m 3 u ALL CONTRACTORS,SUBCONTRACTORS SUPPLIERS AND ALL OTHER 3 PERSONS ENGAGED IN ANr CAPACITY ON THIS PROJECT SHALL BE SUBJECT r 3 TO PROVISIONS OF THE OSHA OCCUPATIONAL SAFETY AND HEALTH " of ADMINIS1RAlldN1 WHICH IS ADMINISTERED AND ENFORCED BY U.S.DEPARTMENT OF REALM " FaUWDATIONG 12" O.H. .. .. . . ALL FOOTINGS SHALL BEAR ON UNDISTURBED NATURAL MATERIAL OR : ... _ r : � T T I— _I _: .T.. T �.: I I ILLGRVULAR EL ADONSF � .. .. OF BOTTOM OFFq0nN0 SHQVA�ON PLANS ARE FOR BIDDING - .. .. - .... PURPOSES AND SHALL BE LOAERED IF NECESSARY TO THE REQUIREDgEARIpG " .: .. MATERIAL AS FOUND UPON EXCAVATION. IF THE REQUIRED BEARI1{q MATERIAL .. _ > E 1 MM O IS NOT ENCOUNTERED.AT LEyAnONS SHOWy NOTIFY ENGINEER 1 EDIATELY. .. I - I RED:. I: I I I I I I .' CONTROLLED BAIX FILL AND COMPAQD0 V R�QN - • ... ... :A,SCOPE: VAIERE UNACCEPTABLE.MATERIAL MUST BE REMOVED .. -. .. .. ... W Ctb I. ..'AND REPLA WTH PROPER MATERIAL'A.CONTROLLED PROCEDURE ^ .. I .. I II - .-. I I I _ I - . 3 H MUST BE FdJ.OTIIED TO ENSURE PROPER BEARING FOR THE BUILDING B.F LLMc AND HRRADIN4 ORE BAIX FaLIN4 REMOVE caysTRucnaN DEem S.7 TH Ps'LEES IR00T5 Sao,H� Aw aRAss$ [ I II L I. L I _..I. I I I: : I L.. I I I I I' m -• ECAYED VEGETABLE MATTER AND OTHER UNSUITABLE yATERIALS FILL I _ I" MATERIAL SHALLBE"AS APPROVED BY THE ENGINEER. ..- .. C.WNSTRUCDON METHOD$ AFTER DEP091ING FILL OR BACK FILL:.......... . . - .. I I ..:I IN 1 FOOT LffMU,WELL MASHED IN.COMPACT 70 THE FOLL NG . 3 T8; <NEE WA L.PERCENT OPTIM DENSITY. I . .. -ME DRY pEN9ir AFTER COMPACTION SHALL 4O�7 BE LESS THAN, ':',', -. .: .'. . I :. I• " . 95X OF THE DRY DENSITY FOR T SOIL €N TESTED IN ... I,_���11 ' ACCORDANCE V.ASTM D1567,YETHOp 0. 1N THIS TEST,MATEMALS:. " �y .. - .....RETAINED ON YHE THREE-OUARTER;SIEVE:SHALL BE REPLACED rINTH ..::: ::�." :. I II :.I.,.,' I Y, I- I I' I I '� I::. I I • 'I I I ::'I: I I; . .. .....MATERIAL RETAINED ON THE 40.4 SIEVE.ASNOTED AS AN aPtiON.IN. ... .. ..... ... .... _ .. ..... .. ry .. .. -. ... THE sPEaFlcAnoNs FOR THIS TEST, — .: -. D.FIELD TESTS: PERFORM ONE R D DE49TY TEST FOR EACH ... SOURCE OF MATERIAL PERFORMED IN ACCORDANCE ASTM ... DI556, PERFORM.STAND FIELD DENSITY TESTS.EACH.OF AN ::.:: :. - .. W I: ...:. II- I I -.. ...I': I ' I :I I I I".: I ": .' I .. I - - I W .. .• O - .... ... ..ACCURACY OF PLUS OR MINUS ONE PERCENT. - ... .. - ... I.. - l7 J - .Q I'IT SHALL BE THE CONTRACTOR'S RESPONSIBILITY TO NOTIFY THE DOUBLE 2XI'O Q I .' o �W .. - ..: ENGINEER AND TESTING LA80RATORv�iEN"EAdH LAYER OF FILL IS TO "• Ll (V - .. .- ::: �XE PLACE AND READY FOR TESTING:, THE CONTRACTOR S. ALLo�/ HEADER, _" U I II -: -I- I I I •ry y _ :V I ~ O O , ....' TIME FOR TESNGIF ANY flLL IS PLACED INEXCESSai : LU WN(16J INCHES jylMdlT NESTING.ITSHALL BE$UB,ETTOALSEV£ANALYSISSHBEA7 THE CONTRACTORERVADOII ALL EXCAVATION OF UNACCEPTABLE MATERIAL IL.: _ .+. INSTALLATION a CONTROLLED FILL COMPACTQN.'FIELDTESDNpG AND .. .. .• W ... I I. - L. I I ".I : I I :I ': I 1 I -I I I _ _.... ... .. LABORATORY TESTING SHALL BE DONE.UNDER THESUPERN90N K.A ..... ..... ... RIME VENT'ABmVE ...I I I I I _ :.TESTING LABORATORY IIMO,SHALL PROVIDE TMfITTEN REPORTS OF ALL - 4 PHASES OF THE TyoRlc o THE ENG NEER.. *=Husso. - I 8''"�'.EIL"IN HE16¢IT I _ _. Q 18 I I I I I I ALL 11RUSSES SHALL BE FA7CATED AND ERECTED IN.A000ROANCE WITH ... _ 'W ; Ta 1 : . OF SrYANDARD:PRACTICE FOR THE METAL PLATE CONNECTED*ODD TRUSS INDUSTRY. '. '.. .� � .':::. W.. �I .p I I :.I" �- I I 'I n I� I -_: I �"I I W..I I I _ I I....: I I I I I. 1 I .: I :. I I :. .. L I...W ti •.TRUSSES SHALL BE BRACED DURING ERECTION IN ACCORDANCE*TH'COMMENTARv-AND ... ..:... .... .. :.. - .: _ Q I D1. : &: .. _ _ I � RECOMMENDATION FOR BRACING WOOD-TRUSSES'PUBLISHED BY TRUSS PLATE INSTITUTE. —H Lw" I I I I •a .I - . - .. ....TEMPORARY TRUSS BRACING SHALL-NOT��BBEE REMOVED UNTIL PANENT.LATERAL.TRUSS .: - I :. ———.0 ALL BRACING IS INSTALLED AND A OTHER ERM MOVEMENTS ARE.COMPLETE... .. PERMANENT TRUSS BRACING SHALL BE ANCHORED TO SOLID END*ALLS OR CROSS-BRACED AT BRAC14G ENDS y .. .. .. o .. PERMANENT TRUSS'BRACING SHALL BE.PROVIDED 14.THE BANE OF.THE TRUSS.BOTTOM ... .. .. ... .. .. .. .. .. - .. . ..., ... ..CHORD AND SHALL CONSIST OF BOTH'LATERAL BRACING SPACED A7 NO MORE"THAN Z W . FEET ON CENTER AND DIACONAL BRACED BAYS AT BUILDING ENDS AND INTERMEDIATE I :_ - ———.�I = I :• I ""I" I "I I I•. I: I I e I I. INTERVALS OF NOT GREATER THAN 20 FEET ON CENTER. .. 3'—$" KN I E WA L p n r O H ... .. .. .....PERMANENT TRUSS BRA04G SWALL*BE AT LEAST A NOMINAL 2X4. ..... ... _ —— _ .. .. .. e .. 40 SPLICES,CUTS OR OTHER MODIFICATIONS SHALL BE MADE TO TRUSS MEMBERS ... .." _ ..; - _' I I I I `J O I_. I (Q/ Z . UNLESS APPROVED BY THE ENGINEER OR SHOWN ON THE;SHOP DRAWINGS _ :::.. . ...- .' I I I' I_ I: :.. I I I :.I .I I .I :. I I I .I I I I :>. :. SHALL CONFORM TO.LOCAL BUILDING CODE REQUIREMENT:.': ..... .. .. :.... ... ..BASIC ROOF'SNOW CONSIDERING SHE DING.STACKING AND SLIDING SNOW. ". � .': ' T LL Z IS) W ——� I I : I I " I �.I :• I I I:". I I I ." I I I I THE ALLOWABLE*OOEI STRESSES MAY BE 1CREASED 15%WHEN USED UNDER SNOW - �.. .: I I I I I I I I .. ..I.' I I� I�. I I LOADING. .. .:. ..:. .. .. I I O .. .O. Q Z .. .. I 1V00D'TRUSSES ARE TO BE DESIGNED FOR ANr REACTIONS RESULTING FROM ADDITIONAL MEMBERS 5uPPORTED.BY FOOD TRUSSES .. I .: :.. .. I O .. BOTTOM CORD'TO:BE DESIGNED FOR A MINIMUM LOADING OF 10 PSF- ..... .._.. ..— .. .—• ._ .. —.. I_ ..._. _• .... .. ._. ... .. _... _ ALL TRUSS DESGNS SHALL BE PREPARED BY A PROFE5.0NAL ENGINEER LICENSED TO .I'2" O.H. - - PRACTCE DR ME STATE OF MASSACHUSETTS ALL SU9MK9dR5 SHALL BEAR t SINGLE 2XI0 _ .. ..:..REGISTRATION SEAL OF DES ENGINEER.. .. ALL iRins SUBMITTALS SHALL INaUDE TIRE FHxLQW+ND : HEADER JOB NO: 378.. . .. A.ALL TRUSS LOCATIONS.SPACING.BEAPoNC DETAILS,'.MEMBERS SIZES.PITCH,SPANS 36'-O" - .. DATE: 3-4-2015 AND DIMENSIONS ... .. ..IL.92E.SPECIES AND STRESS OF GRADE LUMBER- ... . .. .. .. .. .. .. .. .. .. ... .. ... .. .. .. - ..C..LOA�RTRRC CONDITIONS AND STRESS INCREASES ... :- :. < .:. .. _ a 1�4'- D."N 1NAL SIZES AND LOCATICNS a CONNECTOR PLATES AT ALL JOINTS .. . E..ACOIAL AbAL LOQA�DS IN EACH MEMBER. .. ...is CAMBER REOUIRE4ENTS. ... .. ... - ._ - ... RMAANN ..... .. .: ... .. .. DRA .. .....G LOCATION ENIT,LTEALBRAdN4 A . ... .... - .. ..... .. .. .. .. .. R LOCATION OF:TEMPORAR LATERAL 8R ONC S REOUIRED FOR ERECTION, -- :._.'. ... : : :" ". CHECKED BY: E1MS - 1'MANUFACTURERS DATA OR FABRICATORS SHOP DRAWING FOR METAL TRUSS HANGERS . ROOF FRAMIN& FLAN ... AND THEIR LOCATIONS.. ..... .. .. .. R .. .. PROVIDE MULTIPLE TRUSSES AS REOUIRED FOR LOADING AND BEARING. EVE..... .. .. - .. .. . . .TRUss SUPPLIER SHALL PROVIDE ALL REOUIRED HANGERS ANCHORS,AND CLIPS RATED - .. . ENGINEERED BY:: gG INNER IV e1 .. ...:::..FOR ANTICIPATED TRUSS OR BEAM END REACTIONS,FRAMING 1NTO'AND/OR-SUPPORTED .. - .- - ASSnyGIVIL TT SKINNER . ...By ALL TRUSSES HURRICANE RESTRAINTANCIHORS SHALL BE SUPPLIED AT ALL �' ... .. .. .. .. .. .. ..... .. .. .. .. .... .. ..... .. .. .. .. .. .. .... . . .. SUPPORT AND BEARING LOCATIONS OF ALL ROOF TRUSSES .. : .. : - ... .. : .. .. CyG �'(N 0E M P.E.E E LLIN6 " 120 OWN HEST RD. `a EVERETT W. E T T 019029 .. TIT :CIVIL34 _ J 9 1 TEP � 1S NAL t�� RIDGE GAP o �... •N , TAINTEED 40Y AR R E GE 3 r, p ARCHITEGRJRAL SHINGLES- F (,pLOR- (WEATHERED WOOD) NOTE, J IX3 PINE BARRICADE 015 LB FELT PAPER \\\\\\\\\\\\ SEALED TRUSS DRAWING TO F STRIPS SUPERSEDE SECTIONAL _ v2"DOUGLAS FIR DRAWIN6 - o _ PLYWOOD SHEATHING - F 2 40-YEAR GERTAINTEED w PRE-ENGINEERED WOOD z o > # ARCHITECTURAL SHINGLES _ N m z 0 z z ROOF TRUSSES 024.O.G. � LL COLOR: WEATHERED WOOD 11.452" IX3 PINE BARRICADE W 12 g w a w m 3 J = w 3 p15 LB FELT PAPER 2 TOP CHORD STRIPS .h 1/2" DOUGLAS FIR J J 3/4"TONGUE H PLYWOOD SHEATHING 11.45 w V 2X8 r i DOUGLAS F R CHORD P 4. AN D PRE=ENGINEERED WOO O DEGKI DRIP EDGE J ROOF.TRUSSES 6 24" 3/4" TONGUE in t PLYWOO ALUMINUM . .. .. Nb O.G. AND GROOVE '.. _ FLOOR SPACE WESTERN RED o 16' O" F Q • i DOUGLAS FIR CEDAR a I PLYWOOD ALUMINUM _. DECKING SIMPSON H25A,H�,5P2... m FASCIA_ W ...12" O.H.. .. _ .. DRIP EDGE HURRICANE TIE5' '- . 2XI0 FIT .. WESTERN RED a BOTTOM CHORD CEDAR SOFFIT �i � 2XIO BOTTOM CH RD - DOUBLE-2X6.: SQUARED a REBUTTED ' w m .:. N i • TOP PLATE b"RISE CEDAR WESTERN RED- 12"OH :WESTERN SHAKES S IDING F SIMPSON H2.5A,MI,SP2 ' - . CEDAR'FASCIA: HURRICANE;TIE W.RUN (5'EXPOSURE) aWESTERN RED .: : BUILDING WRAP .: 3 } II- CEDAR SOFFIT. a uj _ .. _ DOUBLE 2X6 E Xb BOTTOM PLAT W - ~ 0 LLI cz 0 TOP PLATE O 2Xb PRESSURE �j•PLYOOD SHEATHING _ W V H TREATED SILL "THICK:FIBER TUAAL _ REINFORCED 6 . ::. - .. — CONC.FLOOR — — Ib•O L5 � z H SQUARED d REBUTTED 8'CURB • F 0r - ' WESTERN RED CEDAR Z w WN1 LL Q ' SHAKES SIDING � W (5." EXPOSURE) I b''COMPACTED Q. GRAVEL ION J ... TYVEK BUILDING WRAP - .: - .. - .... FOAM = :. d .. - - INSULATION - .. � RIGID FOAM _ .INSULAT a PLYWOOD SHEATHING J J SIMPSON MODEL HDU5-SD52:5 Q HOLD DOWN ANCHOR 2X6 WALL STUDS:. W f BPS 5/8-5 PLATE WASHER . . :.: U I L D L N -j. Q G SECTION A A .. SCALE,9A6'=P-O' .. � 2Xb.BOTTOM PLATE. a Z Z /e"X12"ANCHOR BOLTSLu 0 4'O.G.(MAX) EXPOSED 2X6 PRESSURE.TREATED SILL - — 'Z 4"OF BOLT FROM o O- I-I/2 T.O.WALL.7.MIN EMBEDMENT DEPTH 4 THICK FIBER. HANDRAIL REINFORCED.'. 34"-38" HIGH 2.5" m W ° 8"CURB GONG. FLOOR - _ RA ILS � _ _.. .. JOB NO: 37B `\X \\/ RETURN F DATE: 3 a 20t 5 HANDRAIL. SCALE: 1/4 =t'-0" z \\\//�\/ , \/\�/ //\/\\\/�/. AT ENDS 10"CONCRETE �� ///\/\ \i� - AILS DRAWN BY: NSL ul _ R5 FOUNDATION WALL : ''.; �j` CHECKED BY: EWS F 2" RIGID FOAM W MIN. TREAD w ENGINE RED:tJ 1 2X4 CONTINUOUS INSULATION.:: WIDTH 4" MAX... KEY EVERETT SKINNER IV, b"COMPACTED GRAVEL r 'J�q. P.E.CIVIL EN61NEER 10"X20"CONCRETE FIN FLOOR 120 WEST RD,., SPACEFOOTING �:' $-I 4' MAX. RI LLIN6/ sER ssyGE TON,GT 060244" R161D FOAM INSULATION HEIGHT I?W.CLOSEDw. SKINNER IV . RISERS y N .. . WALL SECTION civil STAIR / HANDRAIL .DETAILS 9 a �Q :.. SCALE,S/H".L•0. .:: ..: - �lSTEQ` .. ... ..a ... .. .. .. : ..': :. .. ... ALL HANDRAILS,RISE�t TREADS TO kEEAMWTEE REOUIREMENT9 E, _ _ .... <css/ `v . -NO OFENI MORE THAN 4"'DI R :.. - VALE,a/e.,•.�•-O•. :_ ONAL - . o s 0 v Z V 1 =V n FASTENERS ALLOWABLE LQADS1z rCONNECTOR FASTENERS' ALLOWABLE UPLIFT LOADS2S:° W Z. (Quantity-Type) (Ibs) _ DIMENSIONS(in). (Quanti T e CONNECTOR MODEL b+- yp ) (Ibs) W N m MODEL 65 Lateral°' SERIES NO. Co=.1.6 m F Connection Uplift• C1=1,6 (W) (L) To Stud To Plate - To Rafter To Plates To Stud Configurations' Co=1.6 F, F1 S.G.=0.50 S.G.=0.55 o 0 0 � SP1 6-10d— — 4-1Od 585 585 ° H1 6 d x 1'/z 4-8d — 490 485 165 w 3 X z o a ,� H10 8-8d x 1% 8-8d x VA — 995 590 2Z5. 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H1'8 4-10d x t% 4-1Od x 1Y2 12-10d x 1'%z . 13 1,300 480 — 5 ; - X 11/2 — — P H15 2 " 4-10d x 1'i 4=1Dd x 1'/ 12-10d x 1'!z 1 300 480 . 12 10d 1,240 x Z 1,360. 1,490. . 8/e. z z _. 3 lL } ~ � . ..... .. V: 0 pW[ LFJ 11 IFIn Q p. ;Use a minimum .. ~ 0o p, to two8dnads° .�" a - `imum _ o$tdr�ss o r p ;Ihls slde z _. (total fliu nails into size Egj. m `� d - p 1 treated tamerLU 3 -required:k. Lu — . :Two 8d nails_ a`, Z into plates: - Q Q } .� ..� y ... I^ .. ... .. .a �/ LLI a Is to e, r :Studs _ SP2 _ .. . _ ..._ _. . q. JOB N0:_376. ... 51MP50N .5P2 CONNECTOR SIMPSON H2.5A::HURRIGANE TIE SIMPSON HT HURRICANE TIE_ S.IMPSON HDU5-5D52.5 - _ _: ' DATE: .3 .4 20t 5; 0 _ SCALE: 1/4"-- 1'-0" DRAWN BY: NSL w... . CHECKED BY: Ews. .: E. ENGINER D-BY::.. . - EVERETT SKINNER IV,. R LLINGT o E ON CT 06029 EVERETf W. SKIN R IV _... ... . .0 . ..... .. .. . ..... 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