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0190 LITTLE RIVER ROAD
� W �,,. i ' �`� l ,.- _ __ - \ . '� �o T n HomeWorks ,rC Energy, Inc Insulation Affidavit HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements Project Address:. Permit Number: 20435 190 LITTL_E`RIVER-RD,`COTUIT Name with ' 190 Little River Road i Barnstable Massachusetts 02635 Location Material Addt'I Thickness Final Assembly R-value Attic Floor Green Fiber Cellulose 5" Sincerely, DEPT- %����� F Eg �,g 2020 Scott Veggeberg T 0 �STABLE HomeWorks Energy Inc. U CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com Town of Barnstable Buildin Y Post Thiss,Card So That it's Visible From,`the Street A roved Plans Must be,Retamed,on,Job and this Card Must be;Kept EARAtSRAHL6. " i Spd Until�mal;lnspection Has<Been LVlade� 3 A v A yam ! +.p ;Where a, pCertificateof Occunnan'c =is;Re aired such Bp�ld�n shall.NotbeOccun�ed wntil°aFinal Ins ection has been madey 1 ej ijll� - ,...:;..� .,w<: .wk„�a^ ... .'..r, .... ::'..«M,z.. .�..w.;.. :a _.,g...w,a�-:..w:.4i ..5. r..:.-...Q r,+."E.h'=;..,.e. .-: v`"n:. ,sa,�; ,'3.:-„e.:'a x'a',.«.`.a." -..><- >..•<..,.n... w.' Permit No. B-20-435 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 02/14/2020 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 08/14/2020 Foundation: Location: 190 LITTLE RIVER ROAD,COTUIT Map/Lot 054-006-001 Zoning District: . RF Sheathing: Owner on Record: STEWART, ERNEST M&CHRISTINE Contractor,Name: HOME WORKS ENERGY INC. Framing: 1 Address: 190 LITTLE RIVER RD Contractor'License 181138 2 COTUIT, MA 02635 i j5 Est Protect Cost: $2,209.00 Chimney: a Description: Weatherization Permit Fee: $85.00 Insulation: Fee Paid $85.00 Project Review Req: •• Final: Date kq 2/14/2020 J� J Plumbing/Gas ( wl Rough Plumbing: �• - _ Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work au,thonzed by'this permit is commenced within six months ' er`issuance. All work authorized by this permit shall conform to the approved application and the approved construction documerTtsfor which tfiis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures sh la I be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street o road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. � Electrical dg adFireOiciasak h .The Certificateof Occupancywill notbe issued untilall applicable signatures bytheBun ispermit. Minimum of Five Call Inspections Required for All Construction Work: " ; ^.` Service: 1.Foundation or Footing a _ Rough: 2.Sheathing Inspectiontk, 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: 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: "Perso dip&with unregistered contractors do not have access to the guaranty fund" (as set forth in MGt c.142A). s� Fire Department e Building plans are to be available on site Final: , All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT . r Zt�E Application numb ' ....,Lb........ ... . ... ..... �+ Fee ....................................... .. ...(0-3- ...CNAM ... • � f • � Building Inspectors Initials.......... ............. .L,�r,�. DIN !a'DF Date Issued............... .................. ................ pr DEB r 3 2�2� °FMap/Parcel....... ....... ... ... . .. ... .... Tol,N OF6TgffN OF BARNSTABLE EXPEk6TED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATH.ERIZATION PROPERTY INFORMATION R;✓4 Address of Project: 19041-ittld Road D L NUMBER STREET VILLAGE NNED Owner's Name: Paul Stewart Phone Number 781-389-0247 I & 7070 Email Address: IeapseVenagmail.com Cell Phone Number Project cost$ 2 2 0 9 Check one Resideytial yes Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding 0 Windows (no header change) # Insulation/Weatherization El Doors (no header change)# Commercial Doors require an inspector's review 0 Roof(not applying more than l layer of shingles) Construction Debris will be going to 2510 B Cranberry Highway Wareham CONTRACTOR'S INFORMATION Contractor's name HomeWorks Energy Home Improvement Contractors Registration (if applicable)# 181138 (attach copy) Construction Supervisor's License# 103832 (attach copy) Email of Contractor neil.donaghya_homeworksenergy.com Phone number 781-305-3319 ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR/F THE SUBJECT PROPERTY/S/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. � r APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model /I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature44Date �2J Jr APP ICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. � e Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Home Improvement Contractor Registration Type- Calpwatian Regislratian: 181138. HOWE WORKS ENERGY,INC. � Expiration: DN0212021 101 STATION LANDING STE 110 *; MEDFORD,MA 02155 41. update Address and Return Card.. off'N of C-umer Atfairs A BYefalFt rte0ulatbn f1O1a E tM PROVEM ENT CONTRACTOR Registralion valid for individual use ardy TYPE:Coonnr aw betars tha expiration data.It round return toy R"iiyetfpn Exulration Office of Conaumor AFfatrs and euainesa Regulation 181138 03t02=21 100a Wash o Stre;' U`;a ' HOME WORKS EVER Y.,INC. aoctan,to 02111 hfAXVEGOEBERG 101 STP.TtON LANDING STE 110 p valid without signature ,14COFORD.NUN c21SS Underswelary Commonwealth or Massachusetts Construction Supervisor Specialty Division of Professidnal Licensure Board of Building Regulations and Standards Restricted to: yY !'r CSSL4C-Insulation Contractor COn§truCtio'al Elp8rAspr Specialty i Ff CSSL-103832 E5xpires: 1 011 3/20 2 1 SCOTT VEGGEBERG`..r r f r 8 COVINGTOiN ST#i t r 4 BOSTON MA.92127 Failure to possess a cur .iition of the Massachusetts ' State Building Code is c, or revocation of this license. Commissioner �,{.,< 1I,� -- For informabuir about this license / Cali(617)7273200 or visit www.mass.govldpt The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Homeworks Energy Address: 101 Station Landing Ste 110 City/State/Zip:Medford MA 02155 Phone #:781-205-4520 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ 1 am a employer with 200 4. ❑ I am a general contractor and i employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself o workers'com right of exemption per MGL Y � P• 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.N Other Weatherization comp. insurance required.] *Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: NH Employers insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 1/1/2021 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#:781-205-4520 / wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: - I HOMEW-1 OP ID:LL ACO/?O" DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/29/2019 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 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 978-686-2266 'CONTACT Lisa Lariviere Foster Sullivan Insurance ME: _ 163 Main St. :PHONE Ea,:978-686-2266 F Na,978-686-6410 North Andover,MA 01846 -MAIL certiticates@To-st-e-r-s-ullivan-group.com Foster Sullivan Insurance LLC INSURER IS)AFFORDING COVERAGE NAIC P INSURERA:SAFETY INDEMNITY INS CO, 39454 INSURED Homeworks Energy Inc. INSURER B:A.I.M MUTUAL INS CO 33758 101 Station Landing Suite 110 Homeland Insurance Co of NY 34452 Medford,MA 02155 NSURER C INSURER D: i 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 T DOL UBI POLICY EFF POLICY EXP TYPE OF INSURANCE I IWV POLICY NUMBER t�pryYYY) IMMIDDYYYY1 LIMITS C 'X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I CLAIMS-MADE OCCUR 7930060650002 1 04/01/2019 04/0112020 DAMAGE TO RENTED 500,000 ' j PRE S!Ea occurtence MED EXP Any one rsun_j$------- PERSONAL 10,000 A ADV INJURY 1,600,000 GEN'L AGGR GATE LIMIT APPLIES PER: I GENERAL AGGREGATE _I$_ 2,000,000 JECT ❑ I 2,000,000 POLICY LOC PRODUCTS-COMPIOP AGG OTHER: A COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY 1— $----_-._--__-_ _ OWNED PILY AUTOS ONLY INJURY(Per HIP ONLY I X ASTOS ONL° �OPERTY DAMAGEacpdent $ ANY AUTO 6244378 04J0112019 04101I2020 BODILY INJURY(Per personl_ X X (perewigen� E ---- S___ C UMBRELLALWB X OCCUR I EACH OCCURRENCE 2,000,000 X EXCESS LIAB I CLAIMS-MADE I 7930060660002 04/01/2019 04101/2020 AGGREGATE $ 2,000,000 B WORKERS COMPENSATION X PER T OTH- ANDEMPLOYERS'LIRTNEY YIN MCC-200-2000552.2019A 01101/2019 01101/2020 T T C ER 1,000,000 ANYPROPRIESTEXCLUDE EXECUTIVE ❑NIA F.L.EACH ACCIDENT $_—.-_--._ OFFICERJMEMBER EXCLUDED? 1,000,000 (Mandatory in NNN) E.L.DISEASE-EA EMPLOYEEI If yes,des,-nhe under 11000,000 DESCRIPTION OF OPERATIONS below - f E.L.DISEASE-POLICY LIMIT $ ES RIPTI N F PERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addllianal Remarks Schedule,may be attached if more space Ia required) Zvi`denC$BnPy 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. Homeworks Energy 101Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE �ICJ ACORD 25(2016/03) ©1998.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HomeWofies Energy, Inc To whom it may concern, Scott Veggeberg is a current employee of Homeworks Energy Inc.and operates.under our insurance policy. Policy numbers that Scott is covered by are as follows: Commercial General Liability:793006065002 Automobile Liability:.6244378 Umbrella Liability:7930060660002 Workers Compensation and Employers' Liability.: MCC-200-2000552-2019A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.glenn@homeworksenergy.com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy. Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvee�-m-elR 0.onttractor Registration Type: Supplement Card a = Registration: 181138 HOME WORKS ENERGY, INC. "' -= to Expiration: 03/02/2021 101 STATION LANDING STE 110 MEDFORD,MA 02155 1 Update Address and Return Card. SCA 1 0 20M-05/17 GVAI W.zcuea&/I�IPQ&;Wadllalli Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: RegistrationL Expiration Office of Consumer Affairs and Business Regulation 181�Y38�=-=t 03/02/2021 1000 Washington Street -Suite 710 HOME WORKS ENERGY I� Boston,MA 02118 ELVIS VERDEZOTQ 101 STATION LANDING=STE1;1'0 MEDFORD,MA 021 Undersecretary of val' without signature Insulation/Air Sealing Permit Authorization Specialist: 0 Company: HomeWorks Energy1� Email: 0 Address: 101 Station Landing HomeWorks Cell: 0 Medford,Ma 02155 E"y`gY'Inc Phone: 781-305-3319 Customer: Paul Stewart Address: 190 Little River Rd Email: 0 Barnstable,MA 02635 Site ID: 3964491 Phone: I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. /Y Custome 7 Signature: Date: 1/27/2020 Paul Stewart Proposal Terms �6 Customer: Paul Stewart Specialist: 0 n*n Site ID: 3964491 Date: 1/27/2020 HomeWorks Ene,ge,In, • NOTICE CONCERNING SPONSORSHIP:Customer understands and acknowledges that HomeWorks Energy is not an agent,vendor or sub-vendor of the sponsoring Utility with respect to the installation of any energy efficiency measures. In the event of the failure of any energy conservation device to perform as expected,Customer agrees that Customer's sole recourse is to Contractor and not to Clear Result or to the Utility.The Utility and:its operating companies shall not maintain, remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that its participation in the MassSave Home Energy Services Program is voluntary and that it has consented for Contractor to install the propose energy conservation measures.Customer agrees that it shall not hold Clear Result,the Utility,their affiliates or operating companies liable for Contractor's failure to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures • ENERGY BENEFITS:The sponsoring Utility is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.HomeWorks Energy agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and products. • CLEANUP OF THE WORK AREA:Weatherization projects can generate dust,some of which may contain traces of lead.The Contractor agrees to follow Lead-Safe Guidelines and to make reasonable efforts to control dust and other mess through the draping of cabinets and furniture with plastic,hanging plastic sheet walls,and cleaning floors of dust and any paint spatter. However,the Contractor will not leave the interior white glove clean. Outside work area will be left broom clean and all debris and trash removed.However,the Homeowner should be aware that minor amounts of cellulose and wood chips—which are harmless and biodegradable—may be left on the ground. The Contractor agrees to be conscientious about picking up nails and other fasteners,but Homeowner should also be prepared for the occasional fastener that escapes contractor's notice. • CUSTOMER INFORMATION ➢Storage Removal: ❑Perimeter of the Basement o Attic o Knee Wall ❑Crawl Space ❑ Interior Walls Notes: ••If the storage is not removed,HomeWorks Energy will charge$0.53/square foot of storage to move it. ➢Wall Insulation:There is a chance your walls may crack due to the pressure that is required to achieve a dense pack.If your walls crack,we will hire a plasterer to plaster over the cracked area.You will be responsible for repainting. Please review and sign the wall disclosure form. ➢Insulation Removal:Insulation must be removed from the following locations: •lf it is not done,HomeWorks will charge$1.26/square foot for the removal. ➢Parking Permits:If the energy specialist or operations manager determines that a parking permit is required for installation and if you do not have a pre-existing solution,we will procure one and add the cost to your invoice. ➢Bath Fan Venting:Installing a hose and flapper to an existing bath fan may increase noise levels due to proper venting procedures. ➢Exposed Pipes:If the energy specialist finds pipes that may be exposed to cold weather,leaving pipes outside the thermal envelope may cause them to freeze. The auditor will recommend a solution to the best of their ability,however,HomeWorks Energy will not be held responsible for any damage caused due to frozen pipes. • DEPOSIT: A$50.00 deposit may be required when signing this document.it is completely refundable until the weatherization work is scheduled. The remaining customer copay it is due in its entirety upon completion of the weatherization work. • DISPUTE RESOLUTION:The Contractor and the Homeowner hereby agree in advance that in the event the Contractor has a dispute concerning this contract, the Contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the Consumer shall be required to submit to such arbitration as provided in Massachusetts General Laws, Chapter 142A.The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the Contractor. The Homeownermafinitiatrnative dispute resolution even where this section is not separately signed by the parties. Customer Signature: Date: 1/27/2020. Paul Stewart Auditor Signature: Date: 1/27/2020 0 -` t Page 1 c r�� ',H mass save E(12rgv� If1C PARTNER 101 Station'landing Ste 110,Med}ord,MA 02155 (7B1)305-3319 ext.120 Customer Name:Paul Stewart Email:leapseven@gmail.com Phone:781-389-0247 Premise Address: 190 Little River Rd,Barnstable,MA 02635 Mailing Address:190 Little River Rd,Barnstable,MA 02635 Project ID:3973765 Date:Jan.27,2020 Job Description Measure Description Location Quantity Unit Total Cost Cust r ost AIR SEALING Other 8 hr WEATHERSTRIP DOOR &ADD SWEEP. Other 1 $-ton 00 $0.00 each $80.00 $0.00 ATTIC FLAT- 5"OPEN R-19 CELLULOSE Other 900 SF $1,134.00 $283.50 ATTIC HATCH: SEAL& INSULATE Other 1 each $60.00 $15.00 VENTILATION CHUTES I Other 70 each $244.30 1 $61.07 ATTIC DAMMING- R-38 FIBERGLASS Other 20 SF $49.20 $12.30 Project Total Weatherization incentive ($11115:63) Air sealing incentive ($7/20.00) Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the.material and labor specified for the listed tota price. Payment of the balance of the customer contribution is expected upon completion of the work_ Customer Signature: Date: Customer Phone: Specialist Signature: Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility Masssave Home Services Program offers. Proposals can he sent to:tnboxeHomeworksEnergy.corn Page 2 c n0MeW0dG mass save Energy, Inc PARTNER 101 Stotion Landing Ste 110,Medford,MA 02155 (781)305.3319 ext.120 Customer Name:Paul Stewart Email:leapseven@gmail.com Phone:781-389-0247 Premise Address:190 Little River Rd,Barnstable,MA 02635 Mailing Address: 190 Little River Rd;Barnstable,MA 02635 Project ID:3973765 Date:Jan.27,2020 Total Program Incentive -$1,835.63 Customer Total $371.87 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to rform the above described work,furnishing the material and labor specified for the listed tota price. Paym nt'of the glance of he customer contribution is expected upon completion of the work. c._ Customer Signature: _ Date: ? Customer Phone: Specialist Signature; Date: 7 �02. 0 LIMITED 71ME OFFER: The price and incentives in this contract ar subject to change in accordance with the sponsoring utility MassSave Home Services program offers. Proposals can be Bert to:tnbox@NomeWorks£nergy.com Project Summary Name: Paul Stewart HomeWorks Energy,Inc. r'�d Phone: - 101 Station Landing Email: 0 Medford, Ma 02155 HomeWOs Site ID: 3964491 781-305-3319 ner(ly,Inc MASS SAVE Cost Incentive Air Sealing $720.00 $720.00 Weatherization $1,487.50 $1,115.63 Duct Sealing $0.00 $0.00 Duct Insulation $0.00 $0.00 - MASS SAVE REBATES Incentive Preweatherization Barrier $0.00 IC Rated Lights $0.00 tDryer Vent $0.00 tAttic Floor Removal $0.00 r Rebates may only be applied as reimbursement of your cost to the Contractor for services rendered.. SUMMARY Cost Incentive Mass Save $2,207.50 + Beyond Mass Save $0.00 _ TOTAL PROJECT $2,207.50 $1,835.63 Total Copay $371.88 Customer Deposit Applied $50.00 FINAL COPAY (due on completion of work) $321.88 HomeWorks Energy, Inc. agrees to perform the above summarized work (Mass Save & Beyond Mass Save), furnishing the material and labor specified for the contract price (Total Project).All work is subject to change, and homeowner's approval is required for completion of any and all work. Preferred Da ek for Insulation Install: Customer Date: 1/27/2020 Paul Stewa Specialist: ` Date: 1/21/2020 0 0 0 . vaa r PLAN VIEW Name: fxt&(. Site ID; �t(j1 I Finished Sq. Ft: Phone: Year of House: Electric Acct#: )5056 Zc.D I Address:_ft lr c- r_tiyCejw #of Floors: 1 -S Gas Acct#: / }QlbyflgL �f1 G22 S Unit#: ( #Occupants: 2 Housing Type? C,4 DUCTWORK INSPECTION Ducts Insulated?Cl ' Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours Duct Insulation Duct Insulation Removal ---- -• (S` . . _ _ BASEMENT INSPECTION Existing Spec'ing Ln/Sq.Ft. Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill r Bsmt RJ NO Sill Vapor Barrierl, sgft.I Bsmt Door 1, s4 01 . Y N Blower Door? WALLS&GARAGE Drill Location? Siding Cell.Height Existing Spec'ing S .Ft. Framin Exterior Wall 1 Z x 79 x/Z--Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Bafloon/Plat7form Garage Ceiling X x Insulation Remov Sweeps: WX'Stripping:1_ WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawls ace I I Other: K&T Y Moisture Y N Combustion Sfty IY Kneewall Overhan /Gara a Asbestos Y/ Mold>100 sq.ft Y/N CO Detector Missing ly/ Ductwork I Exterior Walls Vermiculite Y11 Structl Concerns Y/N I Other: Notes for Lead Vendor/Work Not Contracted: r ;• ' KW WALL AND KW FLOOR Blind Spec? O R = KW SLOPE AND GABLE END Blind Spec? ❑ Why? _ Why? FRAMING G EXISTING S 'I G S .F FRAMING EXISTING SPEC'ING SQ.Fr. WALL X x SLOPE X X FLOOR X X _- GABLE X X "- ACCESS X TRANS x X ATTIC TRANS X X - ATTIC SLOPE X X SLOPE x X EXISTING VENTING? • EXISTING VENTING? 1EXISTING PIPES? Y/N KIN Veriting Vent BF BF .- Da.min Sheathing Access Temp Access -. KW Venting Vent OF -Temp Access 0 2 .• �' 9 36 7 S Did CDC_ ~s p K/rcN G i � X 7a . -a • f ._ .' - •. _ .dr .. '. .- of ' ..-1t. Insulated Wall X X Reed Light O Ins.Hose ao Vent BF r8_F_Vj Chim.CH- Damming I r Roof V t 12RV e Air Handler AH Temp Access M Puil Down DS Hatch HQ Wall Hatch n/Mod- _Door o, A3 Roof Vent. RV ;�l l. .X .0058 x ATTIC 1 Blind Spec? ? ry) x e X ATTIC 2 Hnd Spec. ❑ ory{} —.Existing Spec'ing 5q ft Existing Spec'ing Sq ftory)UnflOOfed 0" C U O Cross Batting. l Floored ` Floored _ _ Mixed Insulation Duct Work Cath Slope Cath Slope >5"Loose None Walls Walls Access r7� P©CY Tt X Access Venting, Propavents Vent BF BF Hose Dammin enting p avents Vent BF BF Hose Dammin on c °�° WHF Box: w �0" Z Terpp Access:— N _ N Sheathing Acce Sq.Ft/3tX)_ (Exist.NFIVVeriting)_ (Needed Sq.FtJ 360= (Exist.NFA VenangjFm (Needed R.L.Covers:A - Existing Venting? ' f v "FA"en°"gI Existing Venting? NFAVenting( Roof Type: C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map © � Parcel ®�6 T ®m Application`# Health Division Date Issued, 7Z2.� L Conservation Division , Application Fee Planning Dept. Permit'Fee �� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �j�n/►l�S� S E�T Project Street Address q o L�-Ntc �� Village Owner ��y 1 � ��u ` �5+� Address L ® L �I e Telephone [ "02_4 /_ Permit Request o )n�� �I a �`®® -Lw� � S� ' ��g 10,0� k�i�► r� 1� 2. bile C®� � �,Jk oc 4!n4 4 a Q4 el Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 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 oal stove:,❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing 4-new:;�;size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 0 t c. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Z.5 A c� Current Use Proposed Use NO rn - —APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name d"'"�y��[ M Co ` �� Telephone Number ^�� �(?4 Il Z Address 601 d,& Q1 License # CS `r0�`l�r co4v 4 A yWS�_ Home Improvement Contractor# Email Worker's Compensation #�� C�`tu J�SoI��Cc�lati ( t4 0 —ggV9^14 � ALL CONSTRUCTION EB1RI�S REtULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r ' I r } FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED t MAP/ PARCEL NO: - ADDRESS VILLAGE - OWNER •i DATE OF INSPECTION: FOUNDATION FRAME + INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: ROUGH FINAL " FINAL BUILDING DATE CLOSED OUT s ASSOCIATION PLAN NO. f r �fNE Town of Barnstable Regulatory Services BARMABLE, `+ g Y MAss Richard V.Scali,Director. �;;9.�►`� Building Division Tom.Perry,Building Commissioner 200 Main.Street,Hyannis,:MA 02601 wwwAow n.b arnstable.ma.us Office: 508-862-4038: Fax:: 508-790-6230 Property Owner Must - Complete and Sign This :Section - If Using A Builder I: Paul Stewart ..:as er iibject property - Own .:oft the:subject hereby authorize Cotuit Solar-John Vreeland act o o n my behalf; t in all matters relative to work authorized by,this building permit:application for: 190 Little River Ro6d,Cotuit,MA 02635 (Address of Job): *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of OwnerAct' nature of Applicant Paul Stewart John Vreeland:: Print Name Print Name 6/22/16 ... Date 1 jr I i-)ssachusetts—Department of Public Safety t' '�.fi'oard of Building Regulations and Standards ;. nmtructin¢5upcn iu,r . - ,. .. ,:..: .. i ... .. License:CS-107947 9. JOHN VREELAND r f ._ Ad 48 QUASHNET ROAD :MashpeeMA 02649 r , r.'Commissioner 04/25/201$, Fold,Then Detach�Along All Perforations COMMONWEALTH MASS G U S e OAgP Q F � . p EiECTRICIANS' ,� t5$UE$ THE=,FOLLOWING LhCENSE S A ; REGI,STfREO MASTER FiLECTR'FC'I'AN;y OTUI,t, SOLAR LLC . . FRANC I V,Js BRA.DY JR 41 PO sox t366 ` �? PLY r �A o 36F32z Anom- sp CJ . affice of Consumer;Affairs d Busii ess Regulation k 10 Park Plaza - Suite 5170 . 'Boston, Massachusetts 02 16 Hone Im rovement Contractsr Registration R x• i,�1 -* j I :. eAlstrType: Supplement Card . C a` � E:xpiri3lion 4/8/2017 COTUIT:SOLAR (� JOHN VRE�E:LAND::. P.O.Box 89 _ f COTUIT,MA 02635 /r Update.Address and return card Mirk reason for aringe. $CAi e. =asm Cj Address © Renewal Employment n Lost Card: ' ... �... CL.f�ir•Vrrs liar/�q���/�e���fer�e/�irt;r//J. '... -..- _. ,. .- .. _ (fate of Consumer Affairs of BuaBless ltcgulaUom. License or registration Yalltl for:tndividul use galy a - .. ME IMRROVEMENT CONTRACTOR before the expiration date,If found return to: ; t Office of Consumer Affairs and Business Regulation ` egfstration 1gg�76 `, Type .10 Park Plaza-Suite 5170 ga. (Expiration•418l2017 ;,;r.. _' Supplement Card : _. Boston,NIA 02116 COTUIT SOLAR .# 3800 FALMOUTH RD. , MARSTONS MILLS.MA 02848. . tJnderseeretery. "" Not valid without signature ' The Commonwealth of Massachusetts Department of Industrial Accidents I Congress:Street,Suite:100 .: Boston,MA 02114-2017 ..:... www mass.gov1dia . Ulorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers: ::TO BE;FILED WITH THE PERMITTING AUTHORITY. :: Applicant Information ' Please Print Leeibly Name(Business/Organization)Individual): Cotuit Solar LLC it Address: P.O. Box 89 City/State/Zip:Cotuit, MA 02635 Phone 4:508-428-8442 Are you an employer?Check the appropriate box: - Type Of project:(required)::: 1.❑✓ I:am a employer with 12 employees(full and/or part-time).* 1. ❑New construction: 2.M I:am a sole proprietor or partnership and have:no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance.required.] . IM I am a homeowner doingall:workmysel£.[No workers'comp.insurance:required.]f 9. ❑Demolition. 10 Building addition 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole: I I.[]Electrical repairs or additions proprietors with:no employees.: 12.0 Plumbing.repairs or additions;. 5. Lam a general contractor and I have hired the subcontractors listed on the attached sheet. ❑ 11E]Roof repairs These sub-contractors have employees and have workers'comp.insurance?: Solar PV Installation: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�Other. 152,§1(4),apd we have no.employees.[No workers'coinp..insurance required.) *Any applicant that checks box:#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing,all work and then hire outside contractors must submit:a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and:state whether or not those.entities have ... employees: If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'c6nipensation insurance for my employees. :Below is the policy and job site information. Insurance Company Name: Travellers Insurance 6HUB-4988P868-16... .: 3=26-2017:...,.: _.. Policy#or Self ins.Lic.#: Expiration Date: Job Site Address: t ro �� �G `uf V►C City/State/Zip: co'fl lWA 0 35J . :Attach:a copy of the workers'compensation.policy declaration page.(showing the policy number:and expiration date). Failure:to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement:may forwarded to the Office of Investigations of the DIA for insurance: coverage verification. I do hereby certl nder the p 'ns and penalties of perjury that the information provided above is true and correct Si nature. (C Date: ..Phone#: 508-428-8442 ..... Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle:one): 1.Board of Health.2.Building Department 3.City/Town Clerk. 4.'Electrical Inspector. 5.Plumbing Inspector 6.Other . Contact Person: Phone#: • DATE.(MM/DD/YYYY)... .4coRo CERTIFICATE OF LIABILITY INSURANCE, 03/18/2016 THIS CERTIFICATE IS ISSUED AS A:MATTER OF INFORMATION:ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.'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- Lauren ... . ... .... .NAME: .. . .. .. .r .. .. DON BUNKERiNS.AGENCY PHAlcONE:. Nc EXt: (781)312 7206 aC Nu: E-MAIL;. Lauren o _._ ADDRESS: �OdOnbunkerinSUranCe.COm P.O BOX 221 INSURERS AFFORDING COVERAGE NAIC# HANOVER MA 02339 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA(THE) 25666 . .INSURED .:: .. ... .:: INSURER B_: . COTUIT SOLAR LLC iNeRc: .: INSURER D: • - 3800 FALMOUTH RD... . INSURER E:.. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE'AFFORDED BY THE POLICIES DESCRIBED HEREIN IS'SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ..- INSR ..... .• ,:.: ADDL SUBR .: .;.: ....:.: POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - CLAIMS-MADE OCCUR DAMAGE'TO RENTED • PREMISES Ea occurrence $ P(Any one person) $: .: ..... N/A.:. PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY . PRO-JECT a•LOC - -• - PRODUCTS-COMP/OP AGG $ - OTHER: .- -< ::i $ ... :.: AUTOMOBILE LIABILITY..:.: ,:.: ..... .: .:. - - - ..... �-���•� �� � COMBINED SINGLE _ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED :AUTOS AUTOS N/A • _ .., BODILY*INJURY(Per-accident) $ • - - - - NON-OWNED •' :PROPERTY DAMAGE - ' HIRED AUTOS: AUTOS: " t " '" .... :Per accident "' - $ L UMBRELLA LIAB OCCUR - it - EACH OCCURRENCE $_ - - EXCESS LIAB CLAIMS-MADE NIA AGGREGATE - $ .. DED: I RETENTION$ .. .. .`is .. ::: .. $ - WORKERS COMPENSATION - - -- - ..- - X PER: -..OTH- _..... AND EMPLOYERS'LIABILITY Y/N - :t STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE p V E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED? _ NIA N/A :N/A 6HU64988P86816 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 OPOPERATIONS/:LOCATIONS/VEHICLES(ACORD 101,Addition al.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).'The:status of this:coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at W".mass.gov/Iwd/workers-compensation/investigations/:: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE: WILL BE DELIVERED IN ACCORDANCE Conrad Geyser T uc ON WITH THE PO Y PROVISIONS. S 3800 Falmouth Rd ... AUTHORIZED REPRESENTATIVE Marston Mills MA 02648 L- t Danie M.Cr y,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 ....... ....... ...... ....... ..... Cotuit Solar LLC Project: System: 10.08 kW DC (STC) Site Platt 508-428-8442 Paul Stewart 32 - 315w modules Revision: June 29, 2016 PO Box 89 190 Little River Road 10kW SolarEdge inverter COTUIT SOLAR Cotuit MA 02635 Cotuit, MA 02635 & 32 DC optimizers �■ 1 Warning:,Dual Power Source . Second Source is PV System (16) LG 315 W Modules 2. Photovoltaic AC Disconnect Voc=40.6V, Isc=10.02A Revenue Grade PV Meter 16 SolarEdge P320- [2#12,#12gnd Roof Top Outside - DC Optimizers: Junction Box Utility Voc 48, Isc 11:.0 D .. UL 1741/IEEE 1547 Disconnect(2) .. ... .. 60 Amp LL 2#12#12gnd — _g/Q,C Utlt Ily . .... SeNICe ®� s - 3#8,#8 nd . 3/4"C (16) LG316W Modules _Vo6=40:6V; ..... _. 3#8;3/4"C #8gnd Isc=10.02A 2#12,#12gnd Roof Top SolarEdge e_sad e tap Junction Box; :: SE100007US <10' 16 SolarEdge P320 DC Optimizers Inverter Voc 48,..Isc 11.0 2#12#12gnd 1 OOA AC UL 1741/IEEE 1547; _ 1.00A Main . .... Breaker p. .. . Cotuit Solar LLC: . Project:- System:. 10.08 kW DC (STC) Electra Diagram cal 508-428-8442 Paul Stewart 32.- 315w modules . Revision: .rune 29; 2016 PO Box 89 190.Little River Road.., : ' 10kW SolarEdge inverter COTUI.T:S:OLAR. Cotuit MA:02635 Cotuit, MA 02635 & 32 DC optimizers JAMES..� ' A.,:.: CLANCY . :PROFESSIONAL ENGINEER NATIONAL PARK, NJ 08063: : (856) 358-1125 FAX: (856) 358--1311 Construction Code Office Date:... June 24;2016. Re: Cotuit Solar LLC,3800 Falmouth Rd.,Marston Mills,MA 02648 Subj: .Paul Stewart Residence 190 Little River Road, C:otuit,MA 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 of 2x8 @ .16". o.c. and is sheathed with:1/2" ext-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:panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored p. .. . . PPo n. . P. . g through 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.1:10 MPH.wind & 30 PSF snow loads as required by Massachusetts 780 CMR table 1604.11: Should you have any further question or comment please feel free to contact our office. Respectfully, OF ME N Y . . 46775 Ca James A. Clancy Professional Engineer At MA License#46775 i §641R MoDoE � PRuiR '.. : 5: #EX BoLS LAC 'CY Ps�k1- M ayN4s*16 '�2� PV FPS J SJL. _ G� _... .. .. CV I James A. Clancy, PE 9Fo 601 Asbu Avenue _ ems/ s G� . .. rY .. National Park, NJ 08063 Massachusetts PE Lic#46775 Cotuit Solar LLC: . Project: System: 10.08 kW DC (STC) Attachment: Plan 508-428-8442 Paul Stewart 32 - 315w modules Revision: ,rune 29, 2016 PO Box 89 190 Little River Road ': 1OkW SolarEdge inverter COTUI.T..S;OLAR,« Cotuit MA.02635 Cotuit, MA 02635 & 32 DC optimizers Pv solar SolarEdge Power Optimizer Module Add-On For North America P300 / P320 / P400 / P405 �P werpv, a 25Veat5� wa��y F I 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 NETHERLANDS,-UK,-ISRAEL_ _. . www.so'lafedge.us tti S.qla.r SolarEdge PowerOptimizer Module Add=On for North America P300 % P320 / P400 / P405 P320 P400 P405 P300 (for high-power (for 72&96-cell (forthin film (for 60-cell modules) 60-tell modules) modules) modules) INPUT :. Rated Input DC Powerlii 300 ..-•--....320 400 405 W -. . ................. . . ..... .... .. .. .. ........ ...... .......... .... .... Absolute Maximum input Voltage Voc at lowest tem erature 48 80 125 Vdc ......................P..........)........... ...-.................................................. ....... -................... ............................ .: MPPT.Operating Range 8,-48 8--80 12.5 105 Vdc .... Maximum Short Circuit Current Isc 10 f 11 10.1 Adc ( ).. ..-•................ ( ....:............-.. ..............-......., Maximum DC.Input Current 12;5 13.75 12.63 Adc .........-. ................... ... ....... . _.. Maximum Efficiency 99.5 Weighted......iencY...................... .................:.....................................98:8.:.......................................-.............. .....�°........ -Overvoltage Category•- II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING:SOLAREDGE INVERTER)_ Maximum Output Current 25 Adc .............................. .......... ................... ......... ......................... ..... .................... ...... . Maximum Output Voltage 60 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED.FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF.) Safety Output Voltage per:Power 1 .. Vdc . Optimizer_ _. . STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000.6.2,IEC610006.3 ............................................... ................... ...:..................... ............ ... Safety...........:.::............... IEC62109.1(class Il safety);UL1741..........:.-........:..: - RoHS 4 Yes: INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc Compatible Inverters . All SolarEdge Single Phase and Three Phase inverters •128x152x27.5/ 128x152x35% 128x152x48 .:Dimensions(W x L x H)- .:_ _ mm/in. 5x5.97x1.08 5x5.97x1.37 5x5.91xJ.89. ...... . ...... ............................................... ....................................................................................... ................ . .. . ...... Weight(including cables). 760/i.Z 830/1.8 1064/2.3 gr/16 .. .................. . ..............-................................... ............................. ............... .... -. Input Connector MC4 Compatible . ......... ........... ..................... .........,..........................,--.,.............,.,,... ..P........,. ...................,............,........... ...-,...._....... Output Wire Type/. nsu Connector Double Ilated P MC4 Compatible utWlreLen h 095/30 12/39 m/ft Out 1 .. . .p St....................... .................................................... .... ..... ............- ............ ................. ...... ..... ........................ Operating Temperature Range -40-+85/-40;+185 C/ F ................................. ....... Protection Rating. . IP68/NEMA6P ..................................... .......................................................... ... ................................... .. ...... Relative Humidity............ 0-100 ............. -...-....... ........•..................... ...........................................,, Rated STC power of the module.Module of up to+5%power tolerance allowed ------ -- - - PV SYSTEM DESIGN IN A SOLAREDGE INVERTSER G SINGLE PHASE THREE PHASE 208V_ THREE.PHASE 480V Minimum String Length .... ...... 8 10 18 (Power 0 timizers) ..... .............. Maximum String Length 25 25 50 (Power Optimizers) .............. Maximum Power per String 5250 6000 12750 W ................................ . Parallel Strings of Different Lengths, or Orientations Yes : . _ . Ixl It is not allowed to mix P405,with P300/P400/P600/P700 in one string. .. .. 0 SolarEdge Technologies,Inc.All rights reserved.SOLAREDGE.the SolarEdge logo,OPTIMIZED BY SOLAREDGE,: .. .. .. T soar • • � . :. : :. . ... : . SolarEdge ,Single-Phase Inverters For .North America SE3000A-US:/ SE3800A-US / S:E5000A-US % SE6000A-US / SE760OA-US / SE1000OA-US / SE1140OA-US 7 OW : I - _ j e JI r rt! The best choice for S.olarEdge enabled systems Integrated.arc fault protection(Type 1)for NEC 2011690.11 compliance Superior efficiency(98%) Small;lightweight and easy to install on provided bracket Built-in module-level monitoring - 4 Internet connection through.Ethernet or Wireless Outdoor and indoor installation }} Fixed voltage inverter, DC/AC conversion only 4 Pre-assembled Safety.Switch for faster installation i. -- Optional=revenue grade data;ANSI C12.1- USA ,GERMANY.-.ITALY-F RAN CE-JAPAN.-CHINA-AU.STRALIA-THE,NETHERLANDS-ISRAEL . W SOIdr2dg2.US W .W.. Single Phase Inverters for North America solar ® SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US SE7600A-US/SE10000A-US/.SE11400A-US . SE3000A-US SE380OA-US SE5000A-US SE6000A-US SE7600A-US SESOOOOA-US SE11400A-US: OUTPUT 9980 @ 208V Nominal AC Power Output. 3000 3800 5000 6000 1600 10 11400 VA 000 240V 5400 @ 208V 10800 @ 208V Max.AC Power Output 3300 4150 `6000 8350 12000 VA' 5450 @240V ............:... .10950•�240V .............. ..4. p. ........ ................ . ..... .. ... AC Output Voltage Min.-Nom.-Max.hl 183 208 229 Vac ....................... ....... ............ ............... ................. ................ ........... .................. ....... .... AC Output Voltage Min:Nom.Max.'I 20-264 Vac . 2 .... . ....... ...... ............... ...... ............... ................... ........... 1 HI country setting 57 60 60.5 Hz AC Frequency Min Nom:Max; - 59.3 60 60:5(with cou y g ) .. Max Continuous Output Current ...... _. 12.5.. 1 ..._.16......� .21 240V,...�.... 25.......� .....3? ......I..._42@'240V.._I........�.......... ..... .... GFDI Threshold ....I 1 A.. .... ..................................................... ..................................................... . ........ Utility Monitoring,Islanding Protection;Country Configurable Thresholds' Yes Yes INPUT Maximum DC Power(STC). 4050 5100 6750 8100 10250 13500 15350 W Transformer-less;Ungrounded Yes .....I............... Max Input Voltage- 500 Vdc . ........... ............................. ....... ................. ........................................... Nom:DC Input Voltage.__.__._ ............... 325@208V/350@240. WE.._._.... ....,.............. ....... Max Input Current 9:5.......I....:.13...'...t. 240V..1......18......I......23.......�..30 345..... ...Adc.... ........... ................... . Max.Input Short Circuit Current 45 Adc ......_......... . ....................................................................... . .. ...... ....... Reverse-Polarity Protection Yes — ............................:.............. ....................................................................................... ........ .............. .. Ground-Fault Isolation Detection 600kst Sensitivity :Max lmum invert erEfficiency 97.7 98,2 98,3 98.3 98 98 98 % ........1l. }} I..........,i:..1.998 2.OVv..�.........::..... .....:... 975@�22 OV.. .:....:......... CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 % Nighttime Power Consumption . <2.5... <4.. .... W ADDITIONAL FEATURES Supported Communication Interfaces RS4851,RS232,Ethernet,ZigBee(optional) .................................. ....... ...................................:................................................................................. ........... -. Revenue Grade Data,ANSI C12 1 Optional ........................ :................:....-...........:............ ... .. Rapid Shutdown—NEC 2014 690.12 .. Functionality enabled when SolarEdge'rapid shutdown kit is installed0l .. STANDARD COMPLIANCE Safety - UL1741,UL1699B,UL1998;CSA 22.2 ........................................... ...............................:............... ...... ...... ......... ........ .... . . GridConnection Standard ............ ........p.................-.. ......... _..........._... ............ ........... Emissions FCC art15 class B ... ....... _ _.... INSTALLATION SPECIFICATIONS AC output conduit size/AWG range. .........................3/4"...minim. u.m/16:6 G AW 3/4"minimum/8-3 AWG . ........................................ .. .... .. ... . DC input conduit size/#of strings./ 3/4' minimum/1-2 strings/ 3/4' minimum/1 2 Wings/16 6 AWG AWG ran&e _ ....... ................. 14 6 AWG Dimensions with Safety Switch_ 30.5 x 12.5 x 10.5/' in/ HxWxD 30.5x12.5x7.2/775x315x184 �........)............. 775x 315 x 2E'0.'......... ...mm.... Weight with Safety Switch 51 2/23 2 54.7/24.7 88.4%40.1 Ib/kg .................. .......................... ...... ..... .. Natural:... convection Cooling Natural,Convection and internal "'Fans(userreplaceable) fan(user ......................... . .......................................................... :... replaceable) Noise ° ... <25 So dBA.... .......................................... ........................ ........... ................................ ..................... .. .... ... ...... . :Min.-Max.Operating Temperature Ran a 13 to+140/ 25 to+60(40 to t60Nersion available(')) F/'C .................................. ................:.................,:..........:...................................................._ Protection Rating NEMA 3R ........................................... ,............................................................................................. I?I For other regional settings please contact SolarEdge support. IZI A higher current source may be used;the inverter will limit its input current to the values stated. ' 131 Revenue grade inverter P/N:SExxzkA-US000NNR2(for 760OW inverter:SE7600A-U5002NNR2). "I Rapid shutdown kit P/N:SE1000-RSD-51.: : . is)-40 version P/N:SExxuA-US000NNU4(for 760OW ioverter.5E7600A-US002NNU4). SUl15PEC • . i tr O • A• • logo'OPTIMIZED BY SOLAREDGE .. .. .. Technologies,are trademarks or registered trademarks of SolarEdge professional SOLAR - ProSolare RoofTrac® ...... ®R- 4 US products Intertek Bonding and Grounding,Guide 4007217 UL2703 {Patent Pending) Applies to GroundTrac®and SolarWedge° w utilize oo mounting systems which ut'I' a the R fTrac° e cl design. raiV amp deli n. For RoofTrac®Rail Bonding Splice Drill 1/T h t bottom of rails With 1 2"410 1 • No buss bar n o s a o om o rai s wi rwm le / • Unible using#he:rail support as a hole location guide, Insert 5/16"bolt h support holes and hand •thr ad into thread rail s plice insert. Fasten to 15 ftdbs. i a For Bonding.Module Frame and Clamps to Support Rail Green lock ` • Fasten.pre-assembled mid-clamp assembly to module washer indicates frame,:to 15 ft-lbs. electrical bond Module.Frame Design: double wall,aluminum, 1.2"-2.0"tall 0.059"-0.250" thickness, UL1.703.or equivalent tested module. UL467 standard tested bonding equipment for use with Professional Solar Products(ProSolar®)supportrail. Bonding of module to RoofTra&rail via ProSolar®rail channel nut usin buss bar. Bonding of RoofTrac®rail to RoofTra&rail via ProSolar® UL467.tested universal splice kit(splice insert and: s lice su ort ' P Rp_ .)• Assembled Self-bonding Self-bondln Mid g.: Mid Clamp With SS Bus Bar Grounding of RoofTrac rail via Ijsco SGB-4 rail lu Clamp Fastened on Rail g ® g (solar module not shown) ... System to be grounded per National:Electrical.Code(NEC).. See NEC and/or Authority Having Jurisdiction (AHJ)for grounding requirements prior:fo:installation::See fin a[: 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. RoofTrac®and FastJack®are registered trademarks for PSP and are covered under.U.S.patent#6,360,491..RoofTrac®bonding designs patent pending.. ProSolar@ UL2703 Bonding and Class A Fire Rating Page 1 of 4 professional SOLAR ProSolar® RoofTrac® products Bonding and Grounding Guide (Patent Pending) m I Can be placed under module to hide connection ,� .• ; if desired For Grounding Connection . ILS a n CO SGB 4 rail ground connection Basic Wiring Diagram RoofTrac°Universal Rail 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 FasWck®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 Page 2 of 4 i Listing Constructional Data Report CDR p. 1.0 Reference and Address Report Number 100779407LAX-003 Original Issued: 14-Se 2012 i Revised: 28-A r-2015 Standard(s) UL Subject 2703-Outline.of Investigation 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. Address 1551 S. Rose Avenue w Address. 1551 S. Rose Avenue Oxnard; CA 93033 Oxnard, CA 93033 Country USA Country USA Contact Stan Ullman Contact Stan Ullman Phone (805)486-4700 Phone (805)48674700 . .. . . FAX (805)486-4799 FAX (805)4864799 Email s(d)prosolar.com q Email s@prosolar.com _ . . w. _ . . _ _. _ . Page:1 of 63 This report is for the exclusive use of Intertek'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 units 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 Intertek:The observations and test results in this report are relevant only to the sample tested.This report by itself:does.not imply:that.the martedal,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 p Page.2 of 63 Issued::14-Sep-2012 Professional Solar Products, Inc. Revised: 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 systemAt 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 Rooftrac 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 system is in compliance with the mounting,bonding and grounding portions of UL Subject 2703.This system has the following:fire class resistance ratings: 7. Class A for Steep Slope Applications when using Type 1 or Type 2, Listed Photovoltaic 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 I1sco.SGB-4 lugs: Bonding of Roof Trac rail-to-Roof Trac rail via Weeb Bonding Jumper-6.7 Bonding of Roof Trac rail-to-Roof Trac rail via Ilsco SGB=4 Lugs .. _ . Bonding of RoofTrac rail-to-RoofTrac rail via ProSolar UL 467Jested 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 bean 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 to... national electrical codes. .... .: This product investigation was performed only with respect to specific properties, a limited . range of hazards, or.suitability for:use under:limited or special conditions. The:following risks and other properties of this product 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 Type 1: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 inch tall RoofTrac rail. :. .....: o.. . ....� .. :....:.: ...... ...... ED 1 1 -Jan-13)Mandatory .... ProSolarC�OL2703 Bonding and Class A Fire Rating Page 4 of 4 s.3. s�1 `own of Barnstable o� $ • � �. �IE Permit: Regulatory Services ate; //is//& of rHF r Thomas F. Geiler, Director Building Division 77 MASS. Tom Perry, Building Commissioner $e� 1:19. A�� 200 Main Street, Hyannis, MA 02601 WWW.town.barnstable.ma.us ' Office: 508-862-4038 TOWN OF BARNST E so8-�90-623o SOLID FUEL STOVE ERlY1IT Owner:�� isi i'y y Ph ne: . Install at: °! Villageroil ?. �s Map/Parcel: d Date: �y A\e Used B. Type: Radiant/Circulating C. Manufacturer: era Lab.�No. y_ vim- D. Model No.: . Chimne M . New xisting (If existing, please note date:,of last cleaning B. ue.Size C. Are other appliances attached to Flue? p D. Pre-fab Type and Manufacturer �r E. Masonry.: Lined/Unlined t ��• Hearth .A. Materials: B. Sub Floor Construction Installer Name: L« ----�—c��t� Address: /�Phone: 7l r�� ✓.�. Location of Installation: H.I.0 Registration Construction Supervisor# OR check„ :"Homeowner Installing, no license required.. APPLICANTS SIGNATURE APPROVED BY: Please make checks payable to the Town o Barnstable *This constitutes an-official stove permit after inspection,photographed, and'approved by the Building Inspector The C'ominonwealth.ofMassachusetts, Deparfinent of Inrustriallcczdents. Office 9f bzvestigazybm - ' 600 Washington Street Y Boston,M4 02111` Workers} Compensaffon InsnrAnee Affidavit: Builders/CottrHefOlSIEIBCtI1C1211s/Pl Ijey 5 Applicant Information. PIease Print Legibly Name(Business/Organization/Iudividuat): -Address: City/State/Zip' ZZ��t Phone.#: Are you an employer? Check the appropriate.b om. :Type of project(required): 1,❑ I am a employer with 4, ❑ I am a general contractor and I employees (full and/or part time);* have hired the sttb-contractors 6•.❑New construction. 2,❑ I am a'sole proprietor or partner- listed'on the:attached sheet 7. ❑Remodeling ship and have n.o.employees These sub-contractors have 8. ❑Demolition 'working for me in any capacity, employees and have workers'. co $ 9. ❑Bulding addition [No workers' comp, Tne„ra„ce comp, insurance, q>$ed•] 5. ❑ We area corporation and its 10,[I IF repairs or 3. am a homeowner do' a'll•wor c , officers have exercised their - 11.❑Phimbmg repairs or additions myself [No workers comp.. right 6f exemption per MGL 12 Q Roof repairs insurance required.]t c, 152, §1(4), and we have no employees. [No workers, 13,YOther comp, ;ne,rra„ca required.] *Any applicant that checks.box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such #Contractors that check this box must atiached an additional sheet shaving the name of the sub-contractors aad state whether ornotthose amities have employees. If the sub-contractors have employers,theymust pravidh their worimrs'cep,policy number. I sm an employer that isproviding workers'compensation insurance for my emplayees Below ts.thepolicy'pndjob site information. Iusurance CompanyNa!me: f Policy#or Self-ins.I'a#; Expiration Date; lob Site Address: /�f.�zip:_ Attach a copy of the workers}compansation policy declaraflon page'(showing the policy number and expiration date). Faflure•to secure coverage as regnired;tmder Section 25A ofMGI,c, 152 can lead to the imposition of crirninalpenalties of a fine tip to V,500,00 viNor ono-year imgris anent, as well as civil Penalties in the form of a-STOP WORK,ORDER and a fine of up to$2S 0,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the•Office of' Iuvesti lions of the DIA for Mi surarce covers verification.. Zdo hereby certify under fie pains and penaltFes of perjury that the information prgvided above is true and correcr, Si hire: Date: Phone# Official•use only. Do not write in this area to be completed by city-or town off�ctal City or Town: ' YermitUcense•# Issuing Authority(circle one): .•1.Board ofHealth 2.BuildhazDapart apartment 3. Citv/Town (7P.r1r d T, ,;o.+ , r -� 1 t Town of Barnstable Regulatory Services * s�RrtsrasrE, Thomas F.Geiler,.Director 9�A g Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: /W -!-�' r►�frJ:`!�� (�. C�Q/ number street ��r. village "HOMEOWNER": i id��S�— y /9iA��� Y�9 2 7_e�t4 pZy7 name home phone# ' work phone# � CURRENT MAILING ADDRESS:_/9Q T j city/town state zip code I The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowner s 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"hall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for'a'%' such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements.468t ` gnature of omeowne 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 fomi/certification for use in your community. Q:forms:homeexempt 1 �'THE r� Town of Barnstable ° Regulatory Services *. 1ARNST"LF y� MASS. g Thomas F.Geiler,Director 1639. Arfp3rs Building Division Tom Perry,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 Tl is"Section'-. If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work.authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and.all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPEFMISSIONPOOLS 62012 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission.to operate. ou must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: iZ Fill in please: APPLICANT'S YOUR NAME S: - �- Q� / r` BUSINESS YOUR HOME ADDRESS: C��1 /, ��y ;t���z TELEPHONE # Home Telephone Number rE � NAME OF CORPORATION: NAME OF NEW BUSINESS i TYPE OF BUSINESS IS THIS A HOME OCCUPATION? ,.YES NO ADDRESS OF BUSINESSZ MAP/PARCEL NUMBER Assessing): When starting a new business there are several things you must do in order to be in compliance with the rules and rlations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth • :i Rd. & Main Street] to make sure you have the appropriate permits and licenses required to legally operate yo`�u`r mousiness in t is town. 1. BUILDING COMr NER'S OFFICE This individual h s e n Info m f ny p rmit requi"rem�nts that pertain to this type of bus �AAI YL� MUST ' PLY WITH HOME OCCUPATIO %'.,MENTS:L2A ** AN® REGULATIONS. FAILURE TO Aut of-ize Si nature �ULE.S PLY MAY RESULT IN FINES. . 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: .e Town of Barnstable mop t"E rp� Regulatory Services o Thomas F.Geiler,Director Building Division WWSTABLE. + y HAB& Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit# HOME OCCUPATION REGISTRATION Date: '�rlll ZR Name: ����,L�. '��/ 9r�©� r Phone#: © LJ f y Address: Name of Business: Sxt. ����. t ����ez Type of Business-;&Z� 4iLr— �e, �� .�2 Map/Lot: dt j INTENT: It is the.intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residenti, volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is tamed on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space; • There are no external alterations to.the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. o There is no-storage-or:use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be mei.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • .There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick up-l3uck-aot•=to•exceed•one•torr:capacity,and one trailer not to exceed 20 feet in length and not to. _ ...-.. — ex=d 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit . I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant-* _ Date: Az" i C R ' I r a , f Jw T1 ni ;•J 'Ilk c v,i uS= L� � r to t r Assessor's 9ffiGe(1 st Floor): Assessor's Snap and to number ®. t�t7f0. G?$7�,m ��,;,.w+�.� m o f THE to Conservation S� ` .LEI IN COMPLIANCE Board of Health(3rd floor): W WITH TITLE 5 Sewage Permit number. v2- DENTAL CODE AND : seassranc ' y ru• Engineering Department(3rd floor): °o 1e39. House number ! / 6ik NEGULATIGNS �o rrr Definitive Plan Approved by.Planning Board � ) 19 yob )$r(-?R ov 4 o f 09 vt (-A P,,l APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only �N, (0/a_� ��4" '�` 13 0� ' ' TOWN OF , BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION Lt 19 q TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ` r "�LIC C 6V J1 j .b Proposed Use N s 2 S I (?r>\t t Zoning District :F L ry p Fire District C:: c 7' 99' q4 /Q Name of Owner A r,,,L \ r A)CA IXA Address !LI,0 R c I It I Cp Rk 1 Name of Builder_e �e� t �L -��s�.v�%y Address .�i 7 �,�} (;rz; t LkAx.-4 6e-�ex-a ly- Name of Architect W A-✓zp s k V Address 10 e 04, Number of Rooms 60 Foundation Gat?A )c Exterior - Q 4 YL- Q11 AA AA Roofing AS PV1-t`E-- Floors LL)t9 Interior C� Heating -rLpvLe.e-v7 Plumbing S Fireplace �_ Approximate Cost 4Gl0. t-� Area c/ Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl rding the above const ction. r- Nam Construction Supervisor's License ©0 6 6 Y -f STEWART, PAUL • � No 35409 Permit For BUILD DWELLING & BARN single Family Dwelling r � Location 190 Little River Road y rr• . � �•. -; - _�r`�� Cotuit Owner. Paul Stewart 4 t `Frame Type of Construction Plot t► �� Lot r ' Per{ it Granted September~ 30 ; - 19_- 92 Date of nsp is n /5-Q—o 19 1:;17 t r 19 -21 - f BUILDING PB?�iIT I�'0. S�`�O2 - 7'& ti,V ASSL�SORS P.�.?CZi. No C.. -00C ' C0=1 NUATION Or ROAD BOND The uncle--sly e3 ow eT/contractor herebv agree to mai^Lain the_'_ Load bond ':i , ., force unt_i ', the-folloviz" wor'� .ite_s are cc=ldtad. to t::e sat- Se on of -tae Sec_-_o 'ot the`" De'�a=.:..:ent 0l Public warSs Ica-- and seed shoulders as soon as wea_Ze= peTits: e_�iain) � 0 14 ry TnJCA-=U�i' -I lJ L-� ( C 1\\�� d�' �_�ii 1 tPr;nt name ) 1 TOWN OF BARNSTABLE BUILDING DEPARTMENT = aAUS R Na r ' TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: /s�q �C� An Occupancy Permit has /b/een�issued for the building authorized by Building Permitpayls4ojor-l #........_:�`qo�..,!... ............................................................................._......_..........� �......_.. ...._ _.. issued to .......... ........_...._..................................................... .._.................................. ..... ....... .................. .........._......._.._...._......_..._._»..__..� Please release the performance bond. a*TY[,, TOWN OF BARNSTABLE 35409 Permit No. ...... ......... ` BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 ■Yl HYANNIS.MASS.02601 Bond ......X.......... CERTIFICATE OF USE AND OCCUPANCY Issued.to Paul Stewart Address 190 Little River Road Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. February 41 94 19................. .................................... Building Inspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A I DATA .:MBAR'' ' , { AIL®ING PERMIT DATE ' 19 PERMIT NO ' APPLICANT - _i_C. ADDRESS -� =f' _ .. ,7 (_._... .. _ li (NO.) (STREET) .CONTR'S LICENSE) PERMIT TO -'���-."� ' `--'.=._..:! u ":?,' NUMBER OF "P9 STORY DWELLING UNITS (TYPE OFF IMPROVEMENT) NO. (PROPOSED USE), AT (LOCATION) 190 1,:L 1 d? j 1 �t_l _i ZONING L.1; (NO.) (STREET) DISTRICT I` BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT I N HE IGHT AND SHALT' CONFORM IN CONSTRUCTION TO TYPE USE GROUP I BASEMENT WALLS OR FOUNDATION (TYPE) C' r REMARKS: `�•'"'1i"`(� '«2-379 AREA OR VOLUME �'�EJ :..,i • C;'1�j 0CL.i, i�tl - PERMIT (CUBIC/SQUARE FEET) - ESTIMATED COST $ FEE OWNER 14c iJ ,..-L. ..J..�_ ...... ....._. !t L."-iS.! ...,.r+...to.;.'. BUILDING DEPT. ADDRESS .dz o.,.. BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY, ENCROACHMENTS PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- ON® PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED ! FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - i k MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE. INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS, 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL j MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE - OCCUPANCY. PAST T��S �V%RD .SO IT IS VISIBLE .€nO`A STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION=PPROVALS ELECTRICAL INSPECTION APPROVAA C 0 ?f-i/)////� 4T tl--I ' • � I 3 ''' HEATING 1 PECTION:-.PPROVALS ENGINEERING DEPART-ENT A-, -ram �r Vv - 2 BOARD 4f LTH OTHER SITE PLAN REVIEW APPROVAL 1 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF'CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WoK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. EBASCO SERVICES BY DATE �' / INCORPORATED SHEET NO. OF -CHKD. BV DATE NEW YORK E.O. NO. _ DIV. COMPANY PROJECT S e U-) SUBJECT �Oh� (�J r/VFG✓ �C VI, C� x 3 — s s � x , ITI • p c 1^ c l n FORM 581 REV 7.59 F i 'i } 4 Wd9H 2404Ap ' 8 f i C�•eT/.c'Y �Ti�,Q7" T.�/E '�DN1DATl0�. .., L�C,4T/dit/ �oT-v/T 9• G- t :SSETBA Ck 0C.4 7"E� TyE .�LoaaPG4/�! M 9 qe ��iA �1ze D4 rev Tf /S G.CA.v/S+i(/oT B,4SE0 Iry Aif/ .E3AXT,E.2 it/YE /C. %iVS7-,eU�/E�t/T;5'U,2YEY F THE OS7-E.21i/,Cl�a o.�,4s-E'Ts syawy sr�v�� .tloT- B� . 4/A/�S P�(JL S7FWA2j' PA U L C) L• - 9'L or j i-UTUQ . y 33.3 _�BArZt4I- j 31 33'7 1 J Y� z i L,30 t I WELL. 31.E -*•F�G� 4 � _... Y �0 l .. 1 o l 31. 7 to P(T St1LLIYAAI '29733 A. * tU ���� � �So 31•�S - r 3 *1 \� Y _= TJ SIGN yA A RMiLf r-- p i_ - AI.L� :FI-oul-�.�3_�C:lla .SEFrir_ TAIJv 33o )<1501= 49G 6PD; . V7� (b00 GAS.:- I ( 5E p��fiv rrai'e it �t Ail AAA; - isb 51=, r ti TZ L t)e,,) �S45 6fPf I, 5 s.: 7CTA L DAILY F i,& = 'moo z vim. E260C.AT1oN_:-2A'(E c q�. Pi - F ? La'AN ° ? 77 MG. t t- ��'•- f i � 4 .. -. '� �."' 1 ram{ .t y _. ri i . f- f -1y�TY � ;. , `�' r,c�/ GAL ��l✓ I 5 GAL /•S /., TANL TT ( wm9m i SaN�` STONE FZA I �tzao + C EPTI Fy TE CE �wtcwG. t NC. - _ (sFlourN ; NElztrow 4 otiMFL S u/'_rA ..T�t 517PEtJQE LoT -A Le .1-� wl t 'i�► I� Gov p Tc.�It� Pc��� p�~�cr� r4 '1-11- 1i5 DAY FLAN. ; is Nor 43Mp oN tiN' l lS'T Dti4 +.IT IL ISu2�lcy AIJD rN1E ow= er" 44ouLD uvr 'a� o5[E�GvIL MaS4 , E6TAEL15N ' Fv-cFa zTy u wz i _ APPLI c-A NT s PiwL_ S`FL-VVA-2'J- DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH 1010 COMMONWEALTH AVE. OF MASSACHUSETTS BOSTON,MASS.02215 �.yi ENCLOSE CHECK OR MONEY ORDER 'LICENSE FOR REQUIRED FEE, EXPIRATION DATE CONSTR. .SUPERVISOR MADE PAYABLE TO 06/30/1,993 6 EFFECTIVE DATE LIC-NO. {: 6 ! `,RESTRICTIONS ." 'COMMISSIONER OF PUBLIC SAFETY" NONE = 06/30/1991' . ' 006674 n � (A0 .4T ND -- PETER CHALPARA `CE'J'm t5 57 PATRIOT WAY CENTER.VI,LL,. MA 0263.2 P EASE NOTE F Ei AAiCREASE lPHOTO(BLASTING OPR ONLY) .FEE: - �' 100.00 El FECTIVE f . 1 , 989 ! _ - N NTtI IGNEDTBV U SEE AND OFFICIALLY' D O O a ' "HEIGHT: STAMPED O -SIGNATUR THE COMMI$$IONER LU� �'LLJJ��✓✓ i 0 NOT DETACH LICENSE STUB THIS DOCUMENT. MUST BE SIGNATURE OF LICENSEE SIGN NAME IN FULL-ABOVE'SIGNATURE LINE CARRIED ON THE PERSON OF THE HOLDER WHEN ENGAG- �yJ{q COMMISSIONER 1 OTHERS-RIGHT THUMB PRINT EH IN THIS OCCUPATION ate/ A�C�re'-� 20OM-2-87.81429 .. e...... .._......,..«.,..._...._... +.•...w..^+..,.,._.m .......—.-.,......, +�- Inrlud,d in ne,P!arn w,u t,Ina tOM FLOOR PLANS. I _ £,LLVATICNIt,FOUNDATION PLAN,SEC rIONS{as noeded),aC TAILS las needed).FRAMING PLAN1, PLEASE NOTE NO ARCHITECT SUPERVISION ON THIS PROJECT SUGGESTED SPECIFICATIONS srLCIFcnT + SPAGE ' t CLN R4L a.QlJ@M..a,1°.(. Gel-al Cmuf l r s are its pe r Jwn. Co u tta Ad-I-ril. In - 1 r.I.,of cots''('bn't':.en$g9esn•u n< -i,.+.anti in,Owt r l C%allru.lol A,1 illell. _ 0 bFuS s'IVII be ;uguraiy !lad III ;,face 10 prevent dl:,loCallen .A11,rn1, r_ All caulking,h101 be n accordance with elanumctr!roi„speen ett.l'i ,It Iolnt, ol I 1 ',n.•r C 1raclor Agr(t- e fall line la:nf 1a^.hens at splices' to he Caulked or Scalar! nall ba ,hau,ughty(1 a pd h:•,0 a k Core eeh(:1,1 d P M r r .."or Ill Ca for fir nlording 3" for Joel g, 314'hour ,robs nI..d Prime all to ill•,wee )q.,,od uY manufactut. t n n ethic!ens L US.Cl1LICLINS..E. ANJ LEB.1.5 Cathem,snail give a apices. „bar,. all p -1 I f S C'.I 1 c I 1,;pecnun 0improval of Ili, 1 fv arid rtu, s:h5. o 6U�.a Nl.n.fii:r 0'Joints! lw corked and ix sealed shall Ill nut fief u,:1,.11tad l0 R , C, r _c. ,':for floor slab +, p s to have ela slum Of 4%for WI IA-flu,Cn'le .. .. .i. E.le«O, felots e r•IS rp(lu IL`d Inr h s we k d p'y kill call, o(II o. fell., - 1 iCi to ,iai.LI all 'toCn55ar) Efl(.1 q ann 1- for Cerl,un I- m n d G b a. Windows. i( .,_,:+(j(�TS(BA�EEL I! \!> labia) b Bolvi disc. is mlerials. - dell• Conuarlut sli d1,t d .r. p v!or the nu r g n. ,� r , c Under Sa,hlas a to sits. ( L r !'_lif Ii,•Srupe of wn'h 1 1 1. d ry g,:, II(11d,„mr, 1.11 f' J I (ni $nJ .,rl Jn of I.hurlul.11 S:JIt: 1. f,-n'G,In 10 '... . 4 1,,1 IG nitI kAte no Alf,autelh„t: and flans. Cited A C n.C:; Al ,,,l rto t ilfa!m to ASTM A,U% A-1A A:i3 to, pen 2,',In Joinia j / ;•• our wore sp i co J- a. where noted on drawings. I9 P I loll, 1I All strap c I.—IltI s e w b (i Ued. (Mil weld I/4'). 15, ROOFING AND FL ASFIIY(;' { ,,milanniq.0 d air cowlrlornn';wmF, C. Burning o.lk,:as or c ,I,, unit'r unrolo re Ill In.field ad n,!pomhulid unLrv;g A Roofing shall be asphalt Salhseal fig shulglp5 as m.muaclun.d NY R ]li 1t1 E o71 e F f-L Ol PI rill ail plan,I piov4lr.d, :I t` 111, Coat'aio'S o sppc'firally eppro—I by Arch Ipol will,UL Class A the at fig. Color to be spinraU by Ownr I wiaG J n,5 I,. y 1 I eq p I 10 design,1 td ashlh y:1 I11 5 a•d 1!form SInCI conhac,o, to field r - k anchor bolt selling hotel,, Irociing E.wol and slaroard tango. pl❑is , general connector to be lospen,iti J for Suit-same acc I ll,.,an., B Provide and install Concealed aluminum flash try_ Al all mlCrnaC1 on;n( o 4M i •+ �e._t. 1 ply .:pPI C:IUIr; Fori,•, :ilulU F Conh'1Ltor to laid meal;rr;and be relpcnsibip for all ..! _ s alit cling !, weils,ehlnvluys,valleys,and elsewhere- Load II I•,q to be"'I'd or ell m"iltr.•Y S Ali work :ha tar I w Ifi Lill 3 I:a.crPal ark. our n'IS and bola Fllummunl Ilashmgs cannot Ja angled fo. pope, k;ol.0 . ❑r, Y , rtlgu'dl era ord nidcos and co+ena nis Contract.; c rospcns hie id - Ily 1 1:1 10f Illy d.cu,parC as Or no,,,,onl0m tm1 n pion:: aid In b:1.0 all F. All sleet 10 by sh.P piel-11 tag,-ICU 10 wmrr tlglunnss fir-.I'll I.m reeurymg w0rw ono•,ugh patloml•d av'n Ip in law c '(•sl. C. Feid onnneclo n to Jill"boos Unless who—so n led plans. I; INSUl[IDOW it g f 1 H P,o•,'de 9115'notes, 0"O C.10, for all wood bkiCkItU 0faChud to$loe!. A. Provide and instals glass floor insulation as showl,on :raw ngs or gcIII,a1 r: S 1 lL. - t.Si.iESY4LIK. Ail wok snail be m ! o dance w Ill aLLe PICC 'ratio 1. Cuts holes.cop Pic..required,n steel gionibeis to bt mar,(i t the shop, 1. In 2. .Its: as per plan 1 all realm ells sludl be ski robin far mil pu{xis 1 O will ad,udga - All b0ams b be I lb..alnU with natural cambGn up, 2. in ist floortraining; Ion-lacptl insulation as Per plan. 4 12. p,[i FLAND FINIStjEp CC]P,P1:i:1TQV' 3. In roof/coiing: per pan krah-laced insulation. of Ine work and will avJ tin r t hi I- :, tiny o,k. Jim risI All n fig Iwnnu -cup! her.oIJM - omd en )a 1> fo ba Foster❑ 4, polini.in,Slas, Silt speller' ` DUI k 1.L.E.E.E"fluor an ellle -se noted Ihi,Conf ict0 till.gualalleo ail A•ark. Sp <d 'Ill I, self( g hi..........te p•OPetl Fh-'U07 00 E+1.200000 5. 5"at unit piral on walls.' t " ,..,r.l�.I,,for Gar± (1) Yen, from shill, pl lub;:lallal ronph0t On Necessary B U,c. wo !21 Selp..ol A3511 hairline anclm,at each fd 0 boarn 11 or or G 3�1,2 at rote Inr balh!oom walls. 11 ch, /e+ In r,:luUO mlk fig good dnlecuvp or 'nln,w•work;Ind n. (.,,:coon RaL '.t S oted-'e—O cn d,:lwngs, Use Srapso '!U o ! ha•ige,s ai all 18. QQQ$$-p.ND HAROIUBky, . ::I I y .uLh ,O,k or bl r.rn0 I 11 'I n t r u of Ic sls io be1 n unless 1010:1 ore )I d,aw ngs. Use A E.(erior doors snail nova storm/screen doors(per plan).!'o f r'c.s Y 1];.t 1 ! L .IOCt tl .tildes ` Si ps c n .'rlp;in ell loot hills 1.ptuln.(. c s. 8, Inlorlor doors shall be 1",318'thck raised panel doors I" :n s to b. a$ lily to t r d.Is t. rn fig^ lu coma 1 Io Ill,,"Nofel J ,pert o +, ls5 shown on drawings 4 .b Jr +oil. laid ell,I,b t li. . ., Gr 0.:Oe ILL, inn Cvi'.'n and a... .l.d all it IdE sire Ibd,anti❑s Fa5 o f ns by file National Lunibe,Mailer A„aG❑lion C Garage tlOoln shelf b motonited.upward NCI ng lal.laul s.cnoeal doe,, Re note 6 r n:lily!.. till, R bl s I, J fi CI - 17 - r. cif illy. D. Plywood Ghea!h'ng motor opunshon by r•ldo control device. Furnish one per door I, .;I ,try tau , Ill born .try wo Af. Sao Floors, L-rposli,e p' 3/4' ARA 'Sturd l-Floor 2.:d dY (It Jr.O earl n1!ftl (1 Finished hardware including but nol'I-m l,,d 10 closures step d„ - r.s of ai all ni rl i-rp cl 1 1,v nrl]w.4 c0 lslruCl'on looks,overhead usckc, closet polite and weaihol,l,>( our ( .;,a 4 IOC h In9 I r rl< 1 ill fill +,Y J' A d II Ile, p I h ( I i 1 i c- 1 2 Willis.Ind roots, '/2'COX - tedol gads plywood. instated by Ine Comfaclor He Shelf allow a sum of A fo, n .:fins,'1,) P ,, r r•.!' �,rL.'?s\'.,.,I. :1,,. nf,-(11 I.•I,rolu,.t o, �I.sN>»•r1(' - of: l R of Soto, be Wp!man2od' OG5 lb!:./ cu. 11 rownti.e. T!eswd hardware including all roles and shipping costs. . s 1 { 1l t ill >` 1 1 hi o n 19 Yl'1NL1.W;At L WINDOVlSTOf.1E HIGH FF M RFORANCE CLASS(f s i id P' I•c (' : •1 r v ' All u, Ill, o l f t !rl rsonly, A,Windows to be as per Ian of sizes and types 1 I 1'1 r� olh or In I ! of�(o: 2 E t:to I�.l'earring Il A will! II verily sizes whir mane aeluMr s latest specifications rl cations Pr10 on 1—IferConI off ,11 14U A(, 5l,tquwd c•e 1... r 1 b,Carried by O 1r,en 100e,o! P � 1 1 n s o. Ito)to bur square edpu.n,'n V/l^.fin graded'n2'. oriented, 1 y me n c. r!,g 0I.,Irlor m0 s o,oy :fit "f I J•, o g n.d C MCI EI 8. Pack vo ds beI window and rough opening w Ih glass!,her nodal On C1 Etle-i s0,l1fj J,4 led c' r .o what Is shown on el.,I0IS C Britoil s Io havo it;!east one (1)oponable window o1 n,,lera door a pe«ne n .... I, „Gilt 0n ,.,u! I:t.1,I J tic r,n nlunl nu., l;•ra{.t„ly of 2,ens per H. Gyp sue, 1.1 1( :. ]o is ] be 1,2'o.cLpt G rl a, Ile salad. emergency ogress of rele... . "Imed mind 10 5i L;n foul r.:I0 gypsum wall board, 'spored nd,ler to,P.0 20 QAEL[LNa .e I r: p 8�;Ovo,:1•. Gf 0,1a dr)col i05 IG h•: CafriUJ minimum of 4'0' bolow h(dS'ned a,rsu•ar,an manular retail by IJ.S Gypsum Ce!n,gs and walls:tape A. Thou Contractor snail prepare the plywood Si in a ev:ld"'er wall no .•i.a•^ti -.Jr.•1r.A ;, f^rnry , illults will, :hN.' t.(1) ca of sp r -1 t oy to panting accoplahle 10 the carpel installer. . 1.bit 'rpuf.(f no Ito,..i.tn Iwo 2) i..o. a 1 - ;) Ir„0'corno"i r cn v. nil I r< ( b ] r .,J 1 Jn .does MIJIUa vrl ncm t;u e tars halzut.11 to too i.,I 'L 10 In wul areas fulls still ,hown s. (.^ vlondr mad«I In A. Cloth fig and piepn+aion of Surfaces. ..'I r-c„vd,,.anti In;!.d horn eouslfuuunn to fie in Ihp dry No concrete is !o be 'Du,cck" "al ernfool boards. Screw wallhoa:d Witt,hugie'1enr1 type "VJ" screw, 8. Painting and finishing of all wood,shpetfock,.unfin)shed furious metals and an drier spaced a nth. ,ue of 7'O.C.loi Leiun,ln,no 8'o.c Inr w.1:1. Surfaces through intelict and e..le!ief of con,tiructlon area of hui!O,m) Mlle's lit -.,9:n51 tmlu,: lnwmfn,on wails noun lalpml':;upnnes, top end - YlQDV_TEILKI E.:(11 Applwaba) othrnwise spul."iad.I.Pply (:It cents fir:all sulleca,; 11 s adequaipiy br',cod A. All truss unf15 shall be do.gnett by a pfoWSsonal angioutr C. Prolncung and cleaning of Inruh^.n vak • ,wall.. b (;ampnmlted will,a Coal ill rglprdved DePnl^one B. Trusses shall no 00pul and spans as I ldiCi;tod on I:r,d-16"d^and fp fie designed 0 Painting Colors selected by Owner. �",�.1 •. •+:q to,the following: Suponmposed,,head load- 10 In::Jsq ;Cp nhord.10 Ib,Jsq.fl. E Oat,ltoonag and oaY Jim Ehali liav,:a color slain healmm,;and he ulnshed wn'i call t, V,r,nrUr 1.11,1,(.;n„r.n,:.try to mer:l Ine:rgU,rl:d Slab elevmrO,is,p,aV Up a 9r:mua: l)nllrun 0-IJ,Live loads as required by coda. ,1)coal of clear 50a1e1 pn'nof and Iwo(2I cents of polyt!"no n,;saint clear"MtIll I re I IIll 1 nit r, d d/ln':.Ih) !I—10 :ay(e -fl. G,ale o hit Sinppl.d G. T t e I 1, n accordance w lh the J faChili r o dl,ols and talent Sf:nn to fin solLe!ed by Owner It aP`PlIcabie. + I (. .•{.1nt vu n.I,•1,.0 tn•Nro Ik Ply I.q ill m' t I l 5 Fiat.I tlm,lu Manual Dd 9n p efor!g'u rnahJl pare 22 EIBEeit1S:.L.S' i �I ( d l _ „0 t.y L,of mile lab+a over courfi„1•, pipes,c•ic where same Is r ctG wood I A To be constructed as par Losa1 sad Sate Building Codes S,to,1 ,hop d -g and camulanons Signed and e..n . I,m;•r rag.,,_red �3, GLI�t IS. pl rill s to 1 iarh J it I'11;eilbOM1 d held,P';ta' 0 Io II a I..t I In Ill, I of M SUr.lusuira 1p Ine A•clun or n,r ape •3. P,m1 t Iliq A KilCnrn can eel walk allowance as Per Own( _(O.t c.Gr Al,:,el,r f 8unral to f r!t -c to l br•r,nut ,1 lama Tilts Conaa ai r(:mal. !•u`'s`s +•pl y all b10ck nq required to,Installation 01 all bi s a vannrs J ] or p'• i ,pl(1 ne'lagar lam anon Sot TOPS o,all stab,to accommodate E fnn Ifar g conhaCla,Shan be mspon5rp,• _.1 w h1m fir) n ..,d Tl +,hde. Ili,- ..i lt— I-u.I his v for Ifuss nsl]lili.o f i w.t.•11 u+.y h p ahit'y to dfa (1 ).1 I d r- t y C Nr t : ,^LALEBI RQ L'.Y�S ti n LP BQJLL fa u n n. 1 I d d ) p r r W 0/r.ohng l mbf.mo Shull be'ra Vlnal'Is nLl r 7 Lv VI.R. f.Inad— ill II 1 1 1- I 1 I 19 1.A A co :)la s'la n•;`ic :Jti•ng mil i„fig a n.n inum slrnngih 01 3 000 PIS.].:,I i { .8 d 3 ' (iC Erg i I 1 Ian 2Crold fig la me.lula ClUl,!::! tit CI d e'llVal 1 II .,—w them h.f 41ftllto-,Lot ur,l.n.t d 1•Mrni'll nulily lb, i(1 B D oPraol nq :t li h Sff!irntstrf.'olualsm. type t n' I'.. fly Nf R A .h u 1 ittl r tx.oar,:+1. . f,ey faun m,Infect In h.PI n, n; 1::l ,11Ltrnprl':r!u grade tic-, n11uI Slci:l ASlft A- 5 615, - t +r:r I t AS7',f n305.W W.F nSTM n 185 its ,dcatr•d Inc -L Baton Par I,UiJtI p'1 .1 -fir i.qual y I (l ,q. :,dL1JSLGAN SSI.F�!N_r'.' YAROSH ASSOCIATES INC A. ;la irti for 1pl is to'd or th. 01-.-ngs a9 mold• tl'1 01'Oynanol - n, f l•r,n<I 1g L IGren: walls and sioof, a1C Shall be keyed and dowelled P f ANhi PS t r.- i<) Per Is"" . ,Iran I cl d by P(fora or q '1. _. 7 Q] O B. Cd Ik' 10 1611111 "'tell JI II dta Ile. ,i I) .•.,al on 0707 as .] ) ill II I !•1 Coni'nu0us 10 he lappl,d 32 it mils a!SpIiCUs and corners HOOK h;irc _ 4_,•y___ T_4— _+•_.�Y nn'I co011In uus fled?. niam,a,.lurpd by PTI o BC 158 11 rral,altictu;00 by Fau.'i df lot I. '! SPECIFICATIONS .. i '] f. .h f I 9. i t \ ( 1 I It 'ill I - d tells d hit, y {,p..,Vdau, r",r hale i I r theI f fl hv,..e,It III,J,,," illl , I - 'p.fir lU,rl1> rii,i Y_ -,...... ....�.�.. �.__ ,.._.��........_...._Y.._.-_.—_...�._ .+......�..........._..,... .. — _._..._�,._..�.�.�...._........._.,-.._..............� �. ....�,...�,.�..�. ... ��..._.... 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'„;�'_• % r^;;::_ aa�c � n' W:i BEEN UOtAITTED FOR A' UiLU NO PERMIT AFTER'. / '/G (� ''•�:�r.+' 4'xW.:' ,r..., .;}' :^;".� ■IDY,.•:.I s'•. J.n,.ts • :kr : ;•..' H v...� „,.xy.. ;;y son- FM{ems $,�"%- aTe•.B..s'.•. e;,-r t .h:.1 Yt ..,r:,..,"taS,RS•.,�,,;a ..� ". '"., y "':1';�'. ." .ti'N'!.+> '-•^•r A"�§"9 ,,,:.:.+''c»' ..n.,:-,k:,rp P• PtiE0.4k CONTACT OUR OFFICE SOTHAT YJE.MAY RE-QHECK IT, ;"y •...Iw, ,d.> ..',*':., ..3.r{, t•,,.. - t,' 9 .. ` 'rat rrq, 14+ � ,,.•o-'�S �« �,4 'a. �.�`t.rr •,i{,y +�a,� �■�� tOCepoDrlvet..., } r- xn. le■ M Q-TI ' 5.q"`•f. R MA a "•t. . f. .r _$`"..Y,,>'.'%�i•k >rS; 1 ,�t ,1:#G r 'd'e {i.t" ,.� �•--n..;,, '4!a ,a+ -■ MM €'�.r «��,''r+o,+n+aFY*w .!r .,t�r.°+!'r-.-„�,.. Y'. +r tY'�`'.t- a -'�� k'!: `t i.. ? ,'. .. -w4• .� .x • , ,; � i•: ,w=. < ,, / ,'ti: � ,.,>rn "� � a � ,�.� :,M ,•d4� .r. "`, w;,,� a(50�)¢, 1a1,:'. 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M r r9Fr.,_, ,,!'y" .,.� r= a.°; .'k.�3.1a .: �. ,� a. �+. r� , 1 �f,�,�� •�, �'�:c-r� �:.i` "9��� s�,, ty. 5a•��h"1• Y :.,u.w�:r a.e :�, r, .�, .„•� ,: � .,., ,Jt'`�'�, �''ne��+rv:��`i�°` N+i�4�ds,' '�Si�i�i''� ^� ;� k �•�7�1)�e�d`. ,hX"��+`#m�� rr. �,., ,-:.•,�fa Town-,of Barnstable Permit: -(a %/ Regulatory Services Dater oFrHe Tow Thomas F. Geiler,Director. Building Division Fee: BARNSTASLE Tom Perry, Building Commissioner y MASS. m' 0.19. �� i200 Main Street Hyannis, MA-02601 ' Y AjFo nna�" , www.town.barnstable.'ma.us Office: 508-862-4038. Fax: 508-790-6230 TOWN OF BARNSTABLE . SOLID FUEL STOVE PERMIT u" Owner: � .�--- ` < == � llf �C/�rva. Phone: 9 a yi9 /az� Install at:-/ X � Village: . , Map/Parcel: ' LP C Date, � I Stove A.(�/Used , B. Type: adian /Circulating C. Manufacturer: Lab: No. D. Model-No.: _ Chimney A. Ne Y w xi �stin I exstin pl ease note date o la - .� g�p . .� st cleanang) B. Flue Size rZ c C. Are other appliances attached"to Flue?_ /� W .D. Pre-fab Type and acturer E. Masonry: Lined nlined' t x. s t,x.Y T •• YF I Hearth ` x r`- f A. Materials: rn B. Sub Floor:Construct on io Installer Name: ! v Address: Phone: k Location of Installation. . Construction'Supervisors License.&-Home Improvement Contractors License OR Homeowner License Exemption-Form a . ` APPLICANTS SIGNATURE ai ' APPROVED BY: :' / /o ©Z1,0ep �. p - le ase make checks payable to Town B arnstable *This constitutes an official stove permit after inspection,&photographed,,and approved byr the Building,Inspector' Q:forms:stove . v. Rev 103107 ,- Town of.Barnstable i of SHE r, �� .. a N Regulatory Services Thomas F. Geller,Director BARNSiAB[,'E. - - 1619 Building Division Toth Perry,Building Cotnntvssioner . 200 Main Street; Hyannis, MA 02601 ,K w Jown.barmtable.ma.us ice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXI-1I4PTTON Please Print DATE: $ , JOB LOCATION: number street village "HOMEOWNER"; ��i�PS� � L i� � m �P �u.�/ work hone# name hoe phone# P CURRENT MAILING ADDRESS: city/town state by code j 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 p'ssess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons) who owns a parcel of land on•which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or faun 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 es onsible for all such work performed under the building permit. (Section 109.1,1) t (he undersigned"homeowner" assumes responsibility for compliancewith the State Building Code and other applicable codes, bylaws,rules and regulations: ' -be undersigned"homeowner"certifies that he/she understands.the Town of Barnstable Building Department sinimum inspection procedures and requirements and that he/she will comply with said procedures and equirements. ._ � . ignaturc of Homeowner t oproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or'.larger will be required to comply with the ate Building Code Section 127.0 Construction Control. HOMEOWNER's Ex-iwnN OO `he Code states that "Any homeowner.perforrtnng work for which a building permit is Tcquired shall be exempt from the provisions this section"(Section 109.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a Pcrsan(s)for hire to do such .rk,that such Homeowner shall act as supervisor_" " Many homeowners who use this exemption ardunaware that they arc assumirig the rosponstbilitics of a supa-visor(see Appendix Q. les&Regulations for Licensing Constructian Supervisors,Section 2.15) This lack o ilawarcncss often results in serious problems,particularly cn the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would hith a licensed rcrvisar. The homcowncx acting as Svpa visor is vltimstc)y responstblc. 7o ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, age of this issue is a form :the homcowncr certify that hdshe undastands the responsibilities of a Supervisor. On the last p "eu t}y used by ral towns. You may care t amend and adopt such a forin/certification for use in your community." , yL �10FVEA�y gown of�airnstable ` Regulatory Services a"r:s-rw M ; MAR& � Thomas F. Geiler,Director. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable_ma.us Office: 508-862-403 8 Fax: 508-790-623 0 -Property Owner Must Complete and Sign 'f'1-ds Section ff Using A Builder" as Owner of the'subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signatute of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th'e reverse side. � I ' t PLRMIT PAYMENT RECEIPT TOWN, OF BARNSTABLE � BUII.DING DEPARTMENT 2(;0 MAIN STREET' HYANNIS, MA 02601 08/07/08 T 1 t,h: 10:07 --------------------TOTALS--------------- PERNIT $ PAID 25.00 AMT TENDERED: 25.00 { AMT APPLIED: 25.00 CHANGE: .00 f APPLICATION NUMBER: 200804211 PAYMENT METH: CHECK ' PAYMENT REF: 8132 - LOC &Qet— LITTLE RIVER ROAD CT 01 TDS 200 ur. KEY 36035.*--.,' ----MAILING ADDRESS------- PC A 1301 PCs 00 YR 86 PARENT 3093:2, PARK, WILLIAM E MAP AREA 09AA iv MTG 0000 LITTLE RIVER RD SPI S P::.2 SP:3 UT I UT2 731 SO FT COTUIT MA 02635 AYB EYB fob CONST 0000 LAND 254600 1 MP OTHER ----LEGAL DESCRIPTION---- TRUE MKT 1—�254600 REA CLASSIFIED #LAND 1 254, 600 ASO LND 154600 ASO imr., ASO OTH #PL LITTLE RIVER RD COTUIT DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE::.' #DL LOT I. TAX EXEMPT, R[-'--SIDENT"L: 254600 254600 254600 OPEN SPACE COMMERCIAL, INDUSTRIAL SPLIT12098�1... EXEMPTIONS SALE 00/00 PRIC[:.� ORB 1251/507 AFD LAST ACTIVITY 12/09/36 PCR N 1 a v a�C.B. FND. ,p2"E GF to.OFF 6gh0 0 5 o. W VJ 3 ¢J I CERTIF BEEN PREPARE) io W n THE RULES AN) ro a REGISTERS DF o coo LD 3 3 w V z`� i w rMi I a a o? REMAINING LAND N lo 00 302,199 S.F. z 6.94 Ac, N co Q Qi C 'v co o c? 98 S.B. FND. o Q39 g2 ,.6g'10 5h � � , .E 44,75� S.E.] in (o Og 50 S,#= 1.2 G.F.C. C.B. ^ sEa. N1�� 3315� V- FND. LOT S c , ti w 1— 47,917 S.F. i 3 �i 1.10 A c. ❑ la C.B. FND. i c5 OFF �E 5 2 z N6g� g1, o A a 3 of 3�g' o n > N �7 n' LOT 4 to N CU 47,917 S.F. � LL+ 0 1.10 A c. — a ° C S,#= 21.31 w co ro 6o q2 f �r CO 'a 510�45 3� O m �-�� 3 S MINPRD I fRPNK Q L, \ PLAN OF LAND IN (COTUIT) BARNSTABLE M FOR GEORGIA M. PA ooG . oo/ 4� Ier . yoFTx roe`• . . TOWN OF BARNSTABLE 2 seaasrAU moo r639 MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION .......�........ ...... ..... ... ...................... F98NMUW. ISSUING PERMIT S .. .... �. NAME. (owner) .�.......,!�:ta„0..1..... G d,� ....... NAME (Installer) ..:................i�l.��...................................................... ADDRESS oi..:.4.�.. '.......1.� ..L�C��2.... ADDRESS ........................... !J? ................................................................ n STOVE TYPE ... 19...0................................................................................. CHIMNEY: NEW ......................... EXISTING ........................ Manufacturer t .Lkf�7 Iv............................................... CHIMNEY: Masonry .........11.............................................................................. /// t� Mass. Approval ......................k//................ ........ .....��� .................. CHIMNEY: Metal .............. ./......... ............................................................ This is to certify that the above installer has permission to i 11 a 4dfel b rning appliance at the listed address in accordance with an application on file with ther ?� �.. �.......� ................. Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued By: .................................................�.................................................................Title ... - .`.....D !........................... Date ..... �....:..... ...... Permit to install expires 60 days after issue date Stove ..[4�.� ..................................................................................................................:.......................................................................................................................... StoveClearance .................... ........................................................................................................................................................................................................................................ Floor .................................... ................................................................................................................................................................. ....................................................................................... Smoke Pipe .........:...................A ........ ...................................................................................................................................................................................................................................................... SmokePipe Clearance ............. ....................................................................................................................................................................................................................................... Chimney ....................................... .................................................................................................................................................................................................................................... SmokeDetector ............................ ............................................................................................................................................................................................................................... The undersigned hereby certifiey Oat the installation of solid fuel burning stove and equipment made under au- thorityof permit dated ...r . .. ................ has been made in accordance with provisions of the Commonwealth • of Massachusetts State Buildi g Code now currently in effect and pertaining, thereto ............. ........................ ............................... Installer J s ..... Title / y .......� INSTALLATION APPROVED .��... �.1,�..,T ......�•�...�.......�. d e WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT -��,�•ndss'Y�.".y�,.;;',.+*+,,. ,k`� �!�,'r+.1+�1'�'v.�*-y«.`�,ra"1� -."'t+tia"Y]r;;i.r��'T�r '.. �a`+r^'�"y�� '�`*�!;t"Pse�+'r"4y;.'*m .��} :..r'+..�+--•-.. r. _ � "jet ST}If�'�'• "`Ir� %4''_•^°ki'ti}';t+ `�rW�^'r'"f'^,++.� ..•.�s}�f.?Hui,jrt�r, THE TN,e� TOWN OF BARNSTABLE Z DARISTAUNUL i ..3y. y k� MASSACHUSETTS Solid Fuel Stove Permit i .....1."":"........ ......!. 9�.................. F;1-REtDEPT. ISSUING PERMIT .� as ✓���r!�Q!. DATE OF APPLICATION C NAME (owner), �... ,_ ,r r•.r,/a...!%..�X......-.........y NAME (Installer) ...................!. /./1... ...................................................... �a ADDRESS _! U l a ) t `1' �i ....................................r C. ADDRESS ........................ � STOVE TYPE ... , ,jQ .. ................................................................................. CHIMNEY: NEW ........................ EXISTING ........................ i � Manufacturer ...'F-ir..�..�1,R1 ivY1 A Yl t CHIMNEY: Masonry ........ ......................................................................... : .................................... ................................... Mass. Approval .....................IJ4...............;.t l.....�r / ................. CHIMNEY: Metal ............ ....... '. .0..................................................... 1 This is to certify that the above installer has permission to ,install a solid fuel burning appliance at the listed address in accordance with an application on file with the ........... �:c........r�.. :................ Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. IssuedB 4� .......................................Title ......................`...................... i........................... Date ..... ...... Permit to install expires 60 days after issue date Stove ..............................................!`.... ................................................................................................................................................................................................................................................ Stove Clearance .................... ....................................................................................................................................................................................................................................... Floor ..... ...........-........................................................................................................................................................................................................................................a:... SmokePipe .................................... ...............�..................................................................................................................................................................................................................................... SmokePipe Clearance ..........' !..!........................................................................................................................................................................................................................................ Chimney .......................................lr!a..�.............•.......................'......................................................................................t................................................................. SmokeDetector ................................ ::.�:":............................................................................................................................................................................................................................... The undersigned hereby certifiers, that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ...-�...f?' � ............... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ............ .... ............................. Installer T' ...........� �............��a�,,,'� Title:;, ..... .. ....�. INSTALLATION APPROVED ............�..�......................o............... B y y' v- rr Cd" e / WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT a