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0121 LEWIS POND ROAD
y r Town of Barnstable Buildin x.0 ,..,- +,v.... ^—' �.�,.a., .,+�. �t.»,. g �PostrThis Card So That it is Visible Fromahe Street-Approved"Plans Must Fie Retained on Joband this Card,Must be Kept MASS. pi M, 'U^ & • {e' Postetl Until Final�lnspection Has:Been fbsq. , s' .. +.�...•, �' � y �� . .`�''e '�a :�� . Permit ° Where a Certificate of Occupancy is Required,such B,uiI ing;sha11 Not be Occupied'untiha,Fina,l Inspection has tieenfmade �' Permit No. B-18-2236 Applicant Name: HENRY E CASSIDY Approvals - Date Issued: 07/17/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/17/2019 foundation: Location: 121 LEWIS POND ROAD,COTUIT Map/Lot: 020-124 . Zoning District: RF Sheathing: Owner on Record: MORGAN, PETER A&SUSAN AContractor Name` ,CAPE COD INSULATION, INC Framing: 1 Contractor License 153567 Address: 121 LEWIS POND ROAD Y m 2 COTUIT,;MA 02635 $ � � 10" Est Proj ct Cost: $3,000.00 Chimney a Description: Install 10" layer R37 class 1 cellulose added to 396 sq ft Attic Space Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid' $85.00 , r � • t Date 7/17/2018Final: r , t Plumbing/Gas Ts _ - n Rough Plumbing: Building Official Final Plumbing: k I t This permit shall be deemed abandoned and invalid unless the work authorized 6i this permit is commenced within six.months afte"rissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the�approved construction documenis'for which this permit has been granted. Final Gas: t .�� j t .. � � ; All construction,alterations and changes of use of any building and structures.shall be in compliance with the local zah"irig by laws and codes. This permit shall be displayed in a location clearly visible from access street`or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. , V Electrical § Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: t �` � + 1.Foundation or Footin " a -� 3 Rough: g c � -tea 54_1 e �.r 2.Sheathing Inspection Final:. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation ? Low Voltage Final: 7.Final Inspection before Occupancy Iv Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /��0 v Map V Parcel Application Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 17 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner a.�r' .t/ Address Telephone JW !�Z 8 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®e_�o ®Construction Type /,a., Lot Size Grandfathered: ❑Yes ❑ No. If yes, attach supporting documentation. Dwelling Type: Single Family 0'' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 01 o On Old King's Highway: ❑Yes l-lo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new ���� H�If iF;Pi ing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing newPL First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Ot Vie niN Q� ' 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 ��,�_�(�s���� Telephone Number S-P -C Address , 10/ License # Home Improvement Contractor# Email lw%rl,���/�C� , �o Jay Worker's Compensation #ue,-*6 9G� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �Z all L FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED R f i� MAP/ PARCEL NO. ADDRESS VILLAGE k , OWNER a DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofldwaolluwls ' + be�arttneni of xndustrlalAoolde�tts ' 1 Congress Street, sulle 100 Boston, MA 021142017 wwwmass,�ov/dda 11rotkersr Compensation Insuranoe Aftldavltl;<�ullders/Contractorsl�lectrlolans/Plumbers, TO BE FILED WITH THE PERMI1-TIRO ACi1 Ko.pITY, Name (6uslnass/OrganlzalloMndivldual); CapeCo_d Insulation Address; 18 Reardon Circle City/State/ZIp1 South Yermouth,MA OM4 phone #I • 4rt you tin tmplyr9 Mick fhe appropr 508.776-1214 a y1,mlamemployorwlth_ apioyaas(�Il T f pr—o)oot (re—qulr. ed)I_ m andor �,❑I am a toll proprietor or partnership and ht y,no employees workln; forma In 7, ❑ New oonstruodon anyoapaalty,(Noworkars'oomp, lnsuranoe required,) 8, ❑ Remodeling S❑1 am a homeowner doing ail work myself',-No workers'oomp,Imuranoe rsqulr(d')t 91 d Demolition 4,❑I am a homsovmer artd will be hiring oomtraotors to oondvm all work on my propeny, I will 10 ❑ Suilding addition anru,e the{ell oontraators either have workers'eompenseNon lnstu•anoa or era loll proprietors with no employees, 11,❑ 1310otr10al repairs or addltic S❑1 am a general oont utor and I have hired the sub,00ntraoton lilted on the astsohsd shoot, 12, plumbing ropalrs or additic �f he o;0.4onvutore hsve employ"" and hlyo workers'oorrlp,insuranol', 13, ' ❑Roof repaUs $I[]we ue a aorporstlon and Its oi°loaIII have vxarolsed their right of axempdon per MGL o, Is2,¢1(d)',MdwehtvInoomployeos, (N0workan'oomp, lnaursnoerequlrod,) 1���Dt�er Weath6rization +Any s o can{the{a'haaks box I must also All out a slot on below ahowing Welr workers'oofiyensation olio t Homeownm who submf��ls`> davlt Indlaating theeyy are doing a1I work snd than hire outside oomaaotors must submit a new ahfidavlt lmdloatin su tConhotors Nt oheak Wls box mwt attaohed an addidonat shalt showing Wa thin h r the sub l Oon aotars and stateiwh War or no employees, Irthe M-Onft ton fuel em to vas they mwt rovlda their workers o h , l(o number, t those endues have h . , 1 am an employer t3►a1 is providing workers+ oompensallors lnsurunee far rt,y ar»pcoyeeS, 8¢low is olle the lnformallon, p y and Job site Insuranoe Company Name; Atlantic Charter " Polley or self:lrrs, Llo, { WCE004 31902 ''•. " •.. Bxplration bate 08/30/2014 Job SllaAddress;- dZf ,�o,�,�l �o,��✓ / ._._. Atuo4 a copy of the worlrersr oompensatloa policy deolaraHon a e City/S tat e/Zi P g (showl>agtbs polio Pn.� Failure to secure coverage as regulred under MOL o, �' mbar and expiration dot 132, §2SA I� a criminal Yiolatlon punishable by a tuna up to 51,500 0 atjcUor.onetyear Imprisonment, as well " olyll panaltlos In the form of a STOP WO day agaln9l the violator, A oopy of this stat.empnt may be forwarded to the OffSoe of CnY� Dgp, and a nno of up to S2$0'0 coverage Yerlloadon, stigatlons of the D1A for Insurano I do l►celo eer hdar to alas attd penallles of perjury that the r lrform me H w �on provided above is true d corregl � �, „ 6, w�Vwww�wvurM1wr.µ,y�.w,wl 508 75.1 1 OfJlolal use only, Do not write In tiffs area, to 69 oomplerad 6y city or rown 0ly70104 City orTkmI Issuing AuthorityForm)VLlcenae # (olrols ons)I I, Board of R'salth 21 Building Department 3, CltyMwn Clorli 4, Bleotrioal Inspector 5, P 6, Other lumbing Inspector Contact Persons " _.. Phone#, 1 �1 CAPECOD-27 AMAHLER CERTIFICATE OF LIABILITY INSURANCE DATE 06/0 512 01 YY) 06/05/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER C N CT 3 ray Insurance Agency,Inc: (PHONE A/C,N Ext); a/c,�Nte 1 ,No:(877)816-2156 South Dennis,MA 02660 J&glksso mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:West American Insurance Company 44393 INSURED INSURER B:Safely Indemnity Insurance Company 33618 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURERD:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 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. ILTR NSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR BKW(19)53328281 04/01/2018 04/01/2019 DAMAGE TO RENTED 100,000 occurrence) $ MED EXP(Any one erson 5,000 PERSONAL&ADV INJURY 11000/000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 NXX POLICY❑i f LOtA 2,000,000 PRODUCTS-COMP/OPAGG OTHER:see holder descrip of operations B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1(Ea accident) $ ,000,000 ANY AUTO 6232707 04/0112018 04/01/2019 BODILY INJURY Per person) $ �UTOS ONLY X AUTOSULED I EE pWNEp BODILY INJURY Per accident $ X ALR70S ONLY X A�OS ONLY PPeoraccident AMAGE $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE EXCI0006635003 04/01/2018 04/01/2019 AGGREGATE 2,000,000 DED RETENTION$ D WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY SIATUIE A�FFICER/MEIM OR EXCLUDED?ECUTIVE YIN ❑ NIA WCE00431903 06/30/2018 06/30/2019 E.L.EACH ACCIDENT $ OFFItM.ndatory In�l%t► 1,000,000 If yes,describe under E.L.DISEASE-EA EMPLOYE 1,000,0 00 DES RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, Excess Liability is follow form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. oft: I, C. Commonwealth of Massachusetts Division of Professional Licensure ,Board of Building Regulations and Standards Cons�rtCtlYit�l �lp�rvisor ;J :r CS-100988 lres: 11/11/2019 HENRY E CASi SIDY IT a 8 SHED ROW iri,, f • WEST YARMOGT f MA`'�1SSif l/ �'/( t101�, Commissioner "+M1- " 1� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, a 0a*b usetts 02116 Home Improve MO. ' .ol tractor Registratlon C ,.•, „'.":..`,:: .:. Type' Corporation ape Cod Insulation InC " ` i14"' I;'= Reglstration; 153587 18 ReardonuCircle Explration: 12/14/2018 So. Yarmouth, MA 02664 1 ;CA4 0 20M.05/11 _— { Update Address and return card. Mark reason for change, �\ da�omvnea�arvarl�o��ylrwJur�udeClJ ,.,rr•-•�r77Arf,_�-1,.�,�t.n,�,,.r�+.. Office of Consumer Moire&Business Regulation l`d (71 HOME IMPROVEMENT CONTRACTOR a TYPe, Corporation Registration valid for Individual use only before the expiration date, It foun urn to:,� __.<{1't$99136atrslon Explration Office of Consumer Affairs end si ss Regulation • 12/14/2018 10 Park Plaza- e 8170 Boston,MA. 11 Cape Cod InsulatiA"f1��1)'0 Henry Cassidy 18 Reardon So.Yarmouth, ,Qr��� �'"p ^� Undersecretary t al hout sI I . �F THE SME TQ Town of Barnstable s BAP-NSrABLE, : Building Department Services MAss. o Brian Florence CBO 9D�ATFoban��a°ems Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usina A Builder 1, Susan A Morgan , a, Owner of the subject property hereby authorize 1. 0 /`I. ,/ to act on my behalf, in all matters relative to work authorized by this building permit application for: 121 Lewis Pond Road Cotuit (Address of Job) I Signature of Owner Signature of Applicant S Print Name Print Name � hl � Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (5 Zb Parcel 12'-1 ;Application# Health Division Date Issued 2 Conservation Division Application Fee Planning Dept. Permit Fee 1 S_ Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis 0 Project Street Address S PCnA Village^C o�k Owner 'NA4 S Vsc o MorcAcxxn Address>ar e_ 20 Q 0 x 12 Telephone �O -- L-1 Lg "lC> 1 S Permit Request t-'( �1�0 (' 0� c St, car nn SAISVP EX�s� �, . Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2 00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .X Two aFamily ❑ Multi-Family(# units) Age of Existing Structure �- r bV111 1R-)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 _- C) Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other - ' Central Air: ❑.Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:""❑Y s ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing C:newusize_ 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 J dlC� T� won .fit 56 Telephone Number S 0 a -1-I \ 3 8 S Address )ZO a.�e License# �.02013 r n n,; 5, !h N 42 (D O 1 Home Improvement Contractor# ( U 3(0 Worker's Compensation # WCL 50b2014 10 1 201 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 ry III FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATIORi7. ' FRAME r - '' INSULATION a FIREPLACE :3 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS (_47 ROUGH4FAr FINAL _1* FINAL BUILDING f, r- DATE CLOSED OUT ASSOCIATION PLAN NO. -C The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 2 /G 16-T =n G< 3 , �n rt S:ri-r Z Address: 12 0 City/State/Zip: ,4 0Lr,n"�s , fr1K G L(Ou 1 Phone#: Svg S — 13'3S Are you an employer?Check the appropriate box: Type of project(required): L'k I am an employer with ;7— 4. ❑ I am a general contractor and 1 6. C New construction employees(full and/or part time).* have hired the sub-contractors 7. ❑ Remodeling 2. +❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Buildingaddition [No workers'comp.insurance comp.insurance.,f required] 5.❑ We are a corporation and its 10. ❑Electrical repairs or additions 3. u I am a homeowner doing all work officers have exercised their myself [No workers'comp. right of exemption perm MGL 1]. ❑ Plumbing repairs or additions insurance required]t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees.[no workers' 13. Other comp.insurance required.] s� 0..r' *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. -� Insurance Company Name: 1 Jr•La�,j, r �Nt�.i I �n S a rel e" . Policy#or Self-ins.Lic.#: \j-J C C._5 D O`.9 Q"A l O 1 2C l Q Expiration Date: 03 � 1 L l 1 i Job Site Address:—�2 1 ,--e u)�S Qn A KG, City/State/Zip: �t-, �� (1'1{� oz_1,2 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 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 $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the D1A for coverage verification. I do herby certi under thepains'andpenalties ofperjury that the information provided above is true and correct. Sign Date: Print Name: &—so-n sA S Phone#: 50" "1 -_ 3 5 Official use only Do not write in this.area to be completed by city or town official City or Town: PermitAkense#: Issuing Authority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact person: Phone#: i I Client#: 18348 2E2SO ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/22/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyannough Rd., PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis,MA 02601 INSURERS AFFORDING COVERAGE INSURED NAIL# E2 Solar,Inc. INSURER A: Acadia Insurance Jason Stoots INSURER B: Associated Employers Insurance 120 Chase Street INSURER C: Hyannis,MA 02601 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N R DD' LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD DATE MM DD LIMITS A GENERAL LIABILITY CPA0334532 04/22/10 04/22/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES E oaxnren $100 000 CLAIMS MADE OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OP AGG $2000000 POLICY n jEa LOC A AUTOMOBILE LIABILITY MAA0339671 04/22/10 04/22/11 COMBINED SINGLE LIMIT ANY AUTO (Eaaceident) $1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS , BODILY INJURY(Per (Per person) X HIRED AUTOS BODILY INJURY X $NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CUA0334534 04/22/10 04/22/11 EACH OCCURRENCE $1 000 000 X OCCUR ❑CLAIMS MADE AGGREGATE $1 000 000 DEDUCTIBLE $ RETENTION S $ B WORKERS COMPENSATION AND WCC5008041012010 03/16/1 O 03/16/11 X WC STATU- 0-M EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? YES If yes,describe under E.L.DISEASE-EA EMPLOYEE $500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. r CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Susan&Peter Morgan DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _20_ DAYS WRITTEN 121 Lewis Pond Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL COtuit,MA 02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ✓ C. ACORD 25(2001108)1 of 2 #S73984/M68144 LS1 0 ACORD CORPORATION 1988 4`Y W. '(fJrfOlydJLu9turncY•(ll'!• o�.�„ �r�aruer./r.u.�el ' License or rc gist►•►►taonvsilid for individul use only OI'liec of Corisurner Affairs Business Reg►lation b Y HOME IMPROVEMENT CONTRACTOR before the expiration dote. If found return to: � + ( . i �� ,•: Registration 160360 Type: Office of Consumer Affairs surd Business Regulation Expiration 7/16/2012 DBA 10 1'suA Plaza-Suite 5170 �? Boston,MA 02116 E2`S`OLAR JASON STOOTS 120 CHASE ST AA' HYANNIS, MA 0260'I~ "'' __ __.....:..._-•—-._. __.,__._._...._ <_._..._.,._,.._...__ thidersecretary No v lid lvitbout signature Nlass;lchtrsett:N - Department of Public ,5ui'cl,v R Board ul' Building I..Re ul;itinns :,,,(I4tanrl;lrtls + JJ4SON STOOTS �1� � C'.onstruc'tion Supervisor License (C (� �ry� ;l !il License: CS 90293 ` _ ' in Restricted to:. 00 .. ., Renewable Energy energy efficiency JASON,D STOOTS' r photovoltaics 120 Chase Street , solar thermal. Hyannis MA 02601 120 CHASE ST cell:508.237.3892 Arc ucu HYANIVIS MA 02609i.►JwWr loa n q'-•77 fax:508.775.1385 ' >,. •''''r d�.,. ,i: jl Jason@e2solarcapecod.com ' www.e2solarcapecod.com :, ` Expiration: 4128/2012, ('nnmisvl„ttrt' Trtd: 26887 Z S 0 a r Photovoltaic Installations E2 SOLAR INC 126 Chase Street Hyannis, MA 02601 (508) 237-3892 CS license#CS090293 Home Improvement Contractor's Lic. # 160360 E2SolarPV@gmail.com Contract for Photovoltaics OWNER'S NAME: Susan& Peter Morgan CS 7 _®0.7 o"7 PROJECT ADDRESS: 121 Lewis Pond Rd Cotuit, MA 02635 MAILING ADDRESS: PO Box 812 Cotuit MA 02635 1. PARTIES: This contract (hereinafter referred to as "Contract") is made and entered into on this 19th day of October, 2010 by Susan & Peter Morgan and between (hereinafter referred to as "Owner"); and E2 SOLAR INC (hereinafter referred to as "E2Solar" or"Contractor"). WHEREAS, Owner seeks to have one (1) 7.82 DC Kilo Watt grid tie solar photovoltaic (PV) system, hereinafter called "the system" professionally designed and installed at the above-named project address. WHEREAS, Contractor agrees to install the systems in accordance with all local code requirements and in accordance with current National Electric Code. WHEREAS, Contractor agrees to install the systems in a professional and courteous manner, leaving the job site secure and clean at all times. THEREFORE, In consideration of;the mutual promises contained herein, Contractor agrees to perform the following work: 2. GENERAL SCOPE OF WORK DESCRIPTION 2.1.) System Specifications: The 7820 DC Watt PV system will consist of Thirty-Four (34) Schott Poly 230 Watt photovoltaic modules mounted to the south facing house roof. The Dhotovoltaic modules will be mounted to the house roof using Unirac mounting: system. All 'roof penetrations will either meet or exceed the local building requirements. In addition the system will consist of seventeen (17) UL listed Enphase inverters to be installed under every other module. The AC disconnect will be located on the exterior of the Home, with all appropriate signage posted as required by the utility. This system will connect to the electrical grid via the homes circuit panel: This system will not include a battery.back up system, meaning the system will not produce power in the event of a power outage. THE EXPRESS WARRANTIES CONTAINED HEREIN ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, HABITABILITY, OR FITNESS FOR A PARTICULAR USE OR PURPOSE. THIS LIMITED WARRANTY EXCLUDES CONSEQUENTIAL AND INCIDENTAL DAMAGES AND LIMITS THE DURATION OF IMPLIED WARRANTIES TO THE FULLEST EXTENT PERMISSIBLE UNDER STATE AND FEDERAL LAW. 8.5 PERMITTING Contractor agrees to apply for and secure the necessary local building and electrical permits required to perform this work. All work performed will be done in compliance with the requirements of the local officials. 9. ENTIRE AGREEMENT, SEVERABILITY, AND MODIFICATION This Agreement represents and contains the entire agreement between the parties. Prior discussions, verbal representations or written memoranda of any kind by Contractor or Owner that are not contained or referenced in this Contract are not a part of this Contract. In the event that any provision of this Contract is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Contract will remain in full force and effect. Any future modification of this Contract must be made in writing and executed by Owner and Contractor in order to be valid and binding upon the parties. The parties have read and understood, and agree to, all the terms and conditions contained in this Agreement. �d(0 Date Jaso toots for E2 S r Inc, Contractor Date - . usan & Peter Mor n F sr S 2 — 0 0 -7 0-7 8 E2 Solar Inc Contract Susan&Peter Morgan :HU I 1 230 PV \` ULES, FLUSH MOUNTED PORTRAIT 0 Q LL z C9 0 g00 z wp wa ¢ 0- U)2E 0 Z § � Lu EXT'G 2X 8 RAFTER 0 N 16" OC _ a � � � TITLE: PLANS & 3 PARTIAL WEST ELEVATION PARTIAL SOUTH ELEVATION ELEVATIONS _ e 8 38 p:a E w�a�om@�m =Z r m N \ UZcl! 0 2525 N}O O N 2 In� N SSSSSS (12) PROPOSED j1L MODULES, 230 PV MODULES, FLUSH MOUNTED �m (24) PROPOSED \ ANDSCAPE SCHOTT 230 PV MODULES, FLUSH MOUNTED PORTRAIT \ GENERAL NOTES: eie!` o+.os.n 1. PANELS ARE ATTACHED TO EXT'G ROOF STRUCTURE WITH 16 X 5" SST HEX LAGS, snea 48" OC.TYP. \ 2. ALL RAIL AND MOUNTINGS ARE RATED'FOR 125 MPH WIND LATERAL LOADS A- 1 3. EXISTING ROOF,FRAMING CONSISTS OF 2X8s 16"OC 2 PARTIAL ROOF PLAN x --- - — — Y y • SCHOTT Solar POLYTM Polycrystalline Solar Modules Industry Iezd ng warsar~t�+ Narrow output tolerance Long-term reliability Ka Hujli resistance to-mechanical loads Up-to date f�atures Environmentally#r:enclly Rely Jn SCHO: Solar P1�` SCHOTT POLrf"220122512301235 �3LI�AI��'sri,C�`�11�It1 C!31 1 E'I ICE TT SCHOTT Solar has been a leading global developer and manufacturer of solar SCHOTT Solar PQLYT^"RV modules are ` products for over 52 years. Engineered in Germany and manufactured in America, manufactured with pnde m the high quality SCHOTT Solar PV modules are extremely durable and reliable as Albuquerque, Mew Mexico from demonstrated in several important ways: domestic and foreign components in an IS0..4001:2008'cert'rfied facility Industry leading warranty: SCHOTT Solar offers an industry leading linear power The modules from Albuquerque output warranty for 25 years in addition to five years warranty for any defects in ® Qualify_es._ domestic end"product ^n materials or workmanship.This enhancement provides 6%more guaranteed power under the Bi American Act: BAA over the 25 year period compared to standard step-down warranties common in the -y - ( ) indust © Qualify as a_U 5 made end product', ry under the Trade Agreement Act Narrow output tolerance: SCHOTT Solar POLYr"modules are among the industry 99 Qualify as a domestic manufactured:.:;: leaders in power output tolerances. SCHOTT Solar sorts all modules to a positive product under the, mencan'° tolerance(minus zero watts)which provides for a stable, high energy output you Recovery Sf Reinvestment Act(fiRRAj:. can feel secure in. Long-term reliability:SCHOTT modules are environmentally tested to double the industry certification standards for thermal cycling and damp heat tests to ensure consistent and superior performance over the long term. In addition, SCHOTT has performance data from over 25 years of actual field testing that supports our high quality products. High resistance to mechanical loads: SCHOTT Solar modules are tested to an extreme loading pressure of 5,400 Pa to ensure additional security for your investment. Up-to-date features: SCHOTT Solar modules offer up-to-date electrical features such as double insulated PV cables for use with transformerless inverters and locking connectors. Environmentally friendly: Due to our concern with jobsite waste and disposal costs, we bulk pack our modules in a manner that significantly reduces cardboard waste. SO �� W Technical Data Electrical data Module type SCHOTr'P.OLYTM'220 SCHOTT:`POL. 2-25 SCHM POLYRA 230 SCHOTr POLYrm 23S: a Nominal power[WO] A >22 >225mPP _ r ?330 ?:2359Voltage at nominal 2 30 sQVmpp Curentat302 nommal:power jA] Imp- 7 4T' 755 s s 7.'66 7 7$ Open-circuit voltage M Voc 36 5` 36 7 369 37_j c',• Shortrrcurt current[A] IX 8 15 8 24: 8 33 8 42 STC(7,000 Wl&,AM 1.5,cell temperature 25`C) „, d Power tolerance(as measured by flasher):-0 Watts/+4.99 Watts R Power measurement accuracy:±4 46 - e Data at normal operating cell temperature (NOCT) Nominal over l P. [Wp] Pmpp 158; 161; 165 169 Volta geat nominal power.NJ UmpP_ 26 7 26 9'; 27.1 Open circuit.voltage[Vj V« 33 3 33.5>fi 33:7 ry 33:9 Short-circuit Wrrerst(AJ Ix `' 6 53 ' ' 6.60 a o Temperature[°C] Tr.ocr 45.5: 6 67 6.73 0 45.5 45:5F 45 5 NO CT(800 WIne,AM 1.S,windspeed 1 m/s,ambient temperature 10°C) Power measurement accuracy:±4 Data at Low Irradiation At'a low irradiation intensity of 2001N/mz(AM 1 5 and cell2ern erature 25° _P C)97 95 of the STC module:efficiency.06 W/m)will,be achieved. Temperature coefficients Power[4!o/.'CJ Q 44 s93r39.ov so!(97 Open-circuit voltage[WIC]; Short-circuit current[yo/'C] t0 Q4 x Characteristic data o - [_) W ti Solar cells per module 60.. TIP- a Cell type: 6"(156 mm x,156`mm) full squareN Front panel _Low-iron solar glass„4:mm thick: Frame mated al .Anodized aluminum Q m Connection Junction box.With 3 bypass diodes 4 PV WIRE,43.3":(1,100 mm)x 4mm. oAt TYCO-SolarLok.connectors Dimensions and weight + Dimensions 66 34,,(11685 mm)x'39.09"(993 mm) tolerance t"0:118`.'(3'mm) Thickness 1.97"(50 mm)tolerance: 0 04''(1`mm)F Weight aPprox.50;6 lbs(23.0 kg) WE. Limits System voltage Na]. 600 ,:Maximum reverse current[AJ' 15 frame profile Operating modriletemperature[°CJ 40 to+85 Maximum load(Ibsj" 75 Fire classification C 'No external current greater than V«shall be applied to the module. Qualifications Au dmensions in mm/inches The SCHOTT POLY-220/225/230%235 modules*are certified to;aod meet; the requirements of_UL 1703= SE • . SCHOTT Solar reserves the rights to make specification changes without notice. For detailed product drawings and specifications,please contact SCHOTT Solar or an authorized reseller. SCHOTT Solar PV, Inc. U.S. Sales and Marketing U.S. Production Facility 6866 Santa Teresa Blvd. 5201 Hawking Drive, SE C 0 San Jose, CA 95119 Albuquerque, NM 87106 Z) TT Toll free:888457-6527 Phone: 505-212-8500 Email:sales@us.schottsolancom www.us.schottsolar.com P-59WER RAI ItLT�1�,L,�1T� u""�n^`°u+eo^»�sn,m,....w".wrwnanmv n^'mw+w.atw+nsma.o.W,+�u�ure�ewu4 NO GREATER ". . . Y",m w.n..,"w . NO!SPAN BETWEEN w TBFt THAN 32" SUPPORTS GREATER THAN 1,""' TILF.V911 0%"22%OF GR ATE THAN 32" �. QVBRALL LENGTPI I". a"�."°"'°"."." '®"®"'w„ R^�., .w. >o ti�5frgtJ9h OF OVERALL LgNGTH d05'a•?296 OF OVERALL LENGTH �w �`+^weq+.'�wwNNlaauliLL+oaum,«w*Mp"��"�wawwur/C"wtyLW, • w,Ylp,M.ra� �, AM"YMYbMYt.M", 919Y.fl,Nltry.aC�egYq"ypyO ,ArY.rMryr, � WTMTY�O IGC,ayM1y�- - . 1f11WCwYlgp.p �,pF� NMa - I '• - {01UICRgtMyt ,Glmr✓.ew nV,9i14�t¢.� 4 �"""� 99 � • 4. WrttA�M�RtYWpyy�NVr! aN R AT T AJB ., . .., NO SUPPORTS ORP.AT RETHAN 00"w...o m� �m,,.w�, ."-, ..."..,any NO SPAN BETWEEN ,R,La BR RUPPORTO GREATER THAN 00" 10-22%OF sB9b"20°Yo 4F g"92 OVE+RALL LENOTH ,.. . a. ,�. �.Q,�,Y�,,,a, m,��, �� "��.. .w��. aa96.2b9b aF UVEfiALL LE;NQTR! OVERALL LkNOTM�"" "°. "`�""`" 10-22%OF LOVERALL Lk om Ret.» 1..�wga,n,fAwlMpa •••u•••••w..�w..rwwuwwwae ,pwrtuaaw,a+mnw..�v".�'.wnn.,,.w..wm4.w,�.vnuwvwt „wo..e�aomo�rntccwtRmsygyy,y .-.-A■� nw.�ro �"' G. ' """" " — wnvm,n.r�w�.�re¢wwr •^w� wwmn�m G NO NTILEVE R 0 . ATBR T z"*� ""°"`�` NO SPAN BETWEEN " " .,,u,,.,„� NO SPAN BETWEEN SUPPOrRTS GAEATER TNIAN 60 SUr�POrt7 a ORBA'{'ER 1'd'RAN 80""""°"°""� — ,tr,.,"- NO SPAN 0STWEEN OVERALL hw I!1 27)�20 O y p,4 %O SUPPORTSORRATr"Fa'IHANA01-`"'"`.,®"'..,""'q d T�N7RL " O E«RALL LRNOThl�",�"n..",wraw,ww.a.""or,;r S7°�ELL L OF "xww.�xr�ouw•wuv."u�„"moww"w"".re� '�7�irw'696 CP - R�i1 OVERALL LENGTH AVBRALL LENSTbI.".`.w.�..."'""".. 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