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Home My WebLink About0350 MAIN STREET (COTUIT) 3S �,� �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map pp�: Parcel A licationl i Health Division / Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Addresss4 l�iN/ Sfi Village CGTvIfi Owner I �-��[I Address Telephone Permit Request (� "+ � �� S+ O (OYt C`�`�� T(,v Pole Square feet: 1 st floor: existing proposed 2nd floor: existing ' proposed Total new Zoning District Flood Plain Groundwater Overlay �roject Valuation iew Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) N_ Age of Existing Structure Historic House: ❑Yes ❑ No On Old King�'ighway:=E]Yes*❑ No. Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ff) Number of Baths: Full: existing new Half: existing nemF •o � Number of Bedrooms: existing _new rn Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name `>►� - Telephone Number —S�GS(A7 Address 1�'� 45 ( �h �M�` �51�� License # Home Improvement Contractor# Email .)Ki% I-kR d 1 L°I-C Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lykes — flwt�N�7 SIGNATURE �i DATE 7 + FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS:' ROUGH FINAL FINAL BUILDING �I / D/kT&CLOSED OUT ASSOCIATION PLAN NO. Hw Camnromw-aM of Miasstachrrse Depar&ntnt of huh so hd Accidents - Office of nvesfigations 600 Wi;isJr�zVon,Rreef wnw anass_gm fdier Workers' Compensation Insurance Affidavit-B►uldeers/ContractarsMecfrici anslPlumbers pikant Infarmation Please Print L+e�ibFy Nam A City/stat&zip_ ��I f9 dui P1.�47- -So s _. _._... . ._-Are . aan.employer:`Checkth.e.axppr'6pnn_tebo= - Typeo#groiect.(re�mret�: _.:---.-.- - L IJ I am a employer with 4- ❑I am a general contractor and 1 ❑ errtplayees{full andlor Bart-time)_ * have hired.the sul�•contfa�cfcns 6_ New�onshir�iort I am a sole propietor or partner listed on tine attached sbnet 7- ❑Remodeling ship and have nz employees These snir-contractars have g- ❑Demnlit au woddng foe me in any capacity, entplayees and have workers' may,-�,�rg 1 9- ❑Building addition'. - [No,workers' camp-fi=anre comp-e a10 Electrical r_ or additions required-� 5_� V�re are a corporafioraaud its -0 �s 3_❑ I am a bameowu:S doing all work offir•,ers ha-m exercised their ILo Plumbing repairs or additions myself[No workers'comp- right of exemption per MGL 12-0 Rnofrepairs rr��xsinrerequired-]1 e_ 152,§1(4%and wehxo,no employees- o wmke& 13_0 Other' comp_insarance mquireEi.j *Airy anpliutnr that chat s boa l-1=Lst also f M oni the sedioa below chrta-i�r their wo&e�compensation policy in irmatm� i Hnmeowners who submit this afndx=m c tti E day are damg sII mu*am3 Bien hire outside coahsauts Est sabu�a nffw afdavA inthrstig ma- C�xctos that check this 6mc urmt stterhe�as a3ditinnsl s�ePt shvccing the name of the sub--cedars and state uhetha�r arrant fia3s� :1�- emplayees If the sub-canttsctamhase empIoyees,thv mist provide ter workers'comp.palicy nImabes I am arz Lamph"r that is praiidi rg warl ers'conTmsn an irtsrmmce for my enylcyem Helvir is the pa cy and'ob site itzformatirnn. � , Insurance CompmyName: Poh y 4 or Self ias Liri ` FxpiratiuuDate. Job Situ_4ddress Cib4statitt _ AttAch a 0g of the workers'compensation policy dedarstion page(shoming the poficy number and expSation date).- Failure to secure caver$ge as regairedunder Sectioa 25A o€MUL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.50D_OD andfor one yearimpri!F n ,as well as civil penalties in me fionn of a STOP WORK ORDER and a fine . ofup to'25tJ_tHl a-day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Irrve*ptions'of the DIA€Dr insunen_ce coverage v r ficatlon Ida hemhy,CVI - hkapa ns andpsnaTiies afp,ed rp that the informatc¢n pravidc<d alun"e is hzre and correct SiQnstare.: Date - ) - f q Phone 9: C2 irI wise onfy. D&not write in this area,ita be comp£ew by cdty ar town official City or Town:. PertgitiLicense leaning Auffior4{drde one}: L Board of Health 2.Building Department I Cityffawa Cleric 4.Electrical f aspector S.Plumbing fuspector 6.Other Contact Persazt: Thorn ff: 6 Informration and Instruetions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuantto this statute,an employee is defined as"_._every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the. dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter I52, §25C(6)also stems that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constmct buildings in the commonwealth for ally applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situa ion and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their cert_ficait(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees, a policy is require:.. Be advised that this affidavit may be submitted to the Dep urt gent of Indus'u-i.al Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Se1r insured companies should enter their self-insurance Iicense number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly_ The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/licease number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licedse applications in any given year,need only submit one affidavit indicating current policy information (if necessary)and under"Job Site Address'the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn If-ayes etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: nFb Comm nn Wth of Massaehus,tks 'Depattme tofIndustrial.AcEcidmts G flt e ofkvi�stipt uxl 600 Washington Sit BQAGn2 MA 02111 TeL 9 617-727-49-GO W 4-06 or 14 MAgWE _.... Revised 4-24-07 Fax#617-727-7749 v :�nas gov/dia CATS 6S ISS(lELI ASt T i1FlCkT r = gn �E� FFOR � N F UCIES 6aOW- E. Gc 3g;6�� Etrt c�n r^rnie v � k �FCER .-' THIS CERTIEti.Fa k�CtC ir. r�iartet i.- t CONS ,4 i�:.rsris�?s�.-i.l�F e':'�}t;i� ��5URER[&}.,€�i1 Tt:ORUMD REPRESENTAT'L .C" rwE R . Gr At r s . _ — �-+sY�i y n.+.!yay-ia.avic_"aa�sne nai�*ez,rnu�,'vc cnu �i. n�uats++a fiw.K JS WAnfE0,3t1*d 16 .... e.CQY�1C21:E:I:G�UicrTG�__'�s�'��'cG•i'e�3g{k1_�5�. . _ .. _: :,. - _,._--, Ur.. -.. MURRAY&MACD YU-4 D INS... . PHONE. FAX- S50 2JIACAETH'JR'BLIr� t }_ tAdC.tJol: E-NNR.. $QLMNF..,Mile,.M32 75NIINI INSURERiS1 gk_FFOv^`,�CrF��CE NAtC SA7.Y.SrE.4E�r�?n CONS TRUMON. rIN"SwRE : FALMOUTHMA 02541003. .. PFRTABL-THE&MZM;;: - QEH�Tt4L- AMF GD Ig GENT-L AGG�Bhl E 1'.,1 1 i.At I ALTOMBR—E :c': 1 'rr_• x g R[t 1EII �1FL35. {ii vu. S. FIE1 R=—AUTOS a •. �. rt�er =soul i art,.,, •y .. �g fRF12 PS€'DS i Per _�1 _- .. . P. ci'CYDAMA,-E E ! I " I- tA1'.�CJ3 JAB �- DEDP di ,_ f 5 f c -= S :5DO.000 - ..T..�......_ � D6SCR1P714if Ctr t'kt-ctr tlbtMtzf�isG�9 , =c.k._ + � F DQ t+<atTa i�1?*i t`t SQF.A?SgtIITY STEVII. � . CERTIF�ATE.H6LDER` _ -- - G�r� 1 I9Qh1FS�'�' J t. AUiHOM .= r SANDWICH,MA C2563 :f�•�_ �: �� - �-�'�` , RD25 i J F� Rom.*u;.Ga,F_r_uf, _rF moister-impsdAtbKL3 7--a-zuTUncvkcu�VKrvi tlNn ctn�q tsleSetY Steven Kady Phone: 508-563-2515 Ma. Licensed Construction Supervisor#059847 Toll free: 800-567-9787 P.O. Box 493 Falmouth. Ma 02541 Cell: 508-566-5087 Fax: 508-563-2516 Email: skzx12r(a)aol,com www.SteveKadyMasonry.com PROPOSAL June 26, 2014 Bill Hall 350 Main St. Cotuit,'MA. 508-420-0118 Jbhall1 cDverizon.net WORK TO BE PERFORMED: ' • Construct ground staging` • Construct roof staging • Remove center chimney,down to roofline • Panflash • Re-construct with Concord Blend brick o With detailed crown //)4"(X_�Labor, material,disposal &building permit: *$4,900.00 *50%Day of start,balance due upon completion Massachusetts -Department of Public Safety �poa��naaoaueaL o�c�/2un�ac/u eCto ' Board of Building Regulations and Standards Construction Supervisor Specialty Office of Consumer Affairs,&Business Regulation License: CSSL-059847 "'' OME IMPROVEMENT CONTRACTOR <� egistration 'j26014 Type: '�, ® .'Expiration 4/8/2016 Individual STEVEN L KADY- -- 1 PO BOX 493 STEVEN KADY �r FALMOUTH Mk 025'j41F .e\ STEVEN KADY .� \` j• 10 ROCKLEDGE DR 554..- J1i�c. Expiration � x... Commissioner 10/03/2014 i N. FALMOUTH,MA 02556 Undersecretary j e istrafionval►d for,individul use only License or r g , elation before-the expiration date. If found.ness'Reg Office of.Consu suite 5'170 Affairs and'B I 10,park plaza Boston,.MA.021-16 No.valid ithout signature e III` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION C: 6 : Map . 02.2 Parcel O// Application # � rr Health Division Date Issued Conservation Division Application Fee Planning Dept. ofy Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 350 14,41W cs�reef. [_a il; 1%JA Village Owner J/Ii4m tall Address 56Z-P1W.4 S Co�ic�i�i1� O.?6,3✓1 Telephone_ Permit Request iatTA6L 601r94 ELEG yiPJG p.4A1gL 5 CW RQDF of Ek1STiNG f bu.M' ?V 59 ,e5ed0MA/J--e7E� Wiy q AoMd E'4EC7Xie . W5� 7- 4S 5,o?✓` AA1 .Square feet: 1 st floor: existing Afq proposed 2nd floor: existing proposed "" Total new ..Zoning District RX Flood Plain - Groundwater Overlay ' Project Valuation >3.000 Construction Type so..a�q PoN�'LS -Lot Size Arc eNr., Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family'` Two Family ❑ Multi-Family (# units) Age of Existing Structure 9 gr Historic House: ❑Yes V No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Ma Basement Finished Area (sq.ft.) Am Basement Unfinished Area (sq.ft) NAQ Number of Baths: Full: existing AiA new Half: existing A,/A new Number of Bedrooms: /Vitt existing —new Total Room Count (not including baths): existing AM new "' First Floor Root Count Heat Type and Fuel: ❑ Gas/VAdOil ❑ Electric ❑ Other w,. Central Air: ❑Yes ❑-WoA1A€fireplaces: Existing •' New Existing woodA oal stove. ❑Y ❑ No Detached garage: ❑ existing LL;iaM Sze_Pool: ❑ existing ❑ new size = Barn: ❑ e isting OJnew�ize= Attached garage: ❑ existing ❑ wv 4,Rize_Shed: ❑ existing ❑ new size Other: rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review# Current Use ND &NG Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name < 0lar 4:% `Crpor44174,17 Telephone Number �"8�• j'/d - �y�� Address Ldd g&roo6ga:� Y4k -Dr. License# C5107443 ",q 4�3.59 Home Improvement Contractor# /6d'57.Z Email ftJm1 ff1F ?,%ftA Rd,-Td. CAPM Worker's Compensation # 6✓.9 �66V0642650z3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c� �urovr�er �l L5ar19A SIGNATURE ��i DATE ✓�'=�30 J� FOR OFFICIAL USE ONLY ,..y APPLICATION# ` DATE ISSUED 's ' MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL:,. GAS: ROUGH FINAL r FINAL BUILDING 341 DATE CLOSED OUT ASSOCIATION PLAN NO. z - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www massgov/din - a Workers'Compensation Insurance Affidavit: Builders/Contractor"s/Electricians/Plumbers Applicant Information Please Print Legibly Name($usiness(orgattizatioMndividuat): SolarCity Corporation A Address: -055 Clearview Way City/State/Zip: an.Mateo,_CA,94402 888-765-2489 Ph one #: Are you an employer?Check the appropriate box: Type of project(required): 1.El I am a employer with 5000• 4. 1 am a general contractor.and I 6, EJ New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner-: listed on the attached sheet. t 7. EI Remodeling . ship and have no employees These sub-contractors have 8. E]Demolition y + workingfor me in an capacity. workers'comp. insurance. Y P tY• 9. �Building addition [No workers'comp. insurance. 5. We are a corporation and its required.] r officers have exercised their 10. Electrical repairs or additions 3.® I am a homeowner doing all work right of exemption per MGL 11.E]Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.[0 Roof repairs insurance required.] t employees.[No workers' comp:insurance required.] 13. Other Solar. *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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Company_ 766 ,066 650 9/1/14' Policy#or Self-ins.Lic.#: Expiration Date:, 350 Main Street Job Site Address: City/State/Zip: Cotuit,MA 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 5/30/2014 j Sign ture: Date: Phone#: 888 765-2489 Official use only: Do not mite 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 r. Contact Person: Phone#: .ac R CERTIFICATE OF LIABILITY INSURANCE °08/21,D°" 08/21/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS, CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policli 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 0726293 1-415-546-9300 CCOONN an Quin CONTACT ME- Arthur J. Gallagher 6 CO. PHONE FAX Insurance Brokers of California, Inc., License #0726293 a • 415-536-4020 �(gIC,NoI: 1255 Battery Street #450 EADDRE 4AA1LSs brendan quinlan@ojg.com San Francisco, CA 94111 INSURER(S)AFFORDING COVERAGE NAIC0 INSURER A: LIBERTY NUT FIRE INS CO 23D35 INSURED INSURERS: LIBERTY INS CORP 42404 SolarCity Corporation INSURER C 3055 •Clearviep Nay INSURERD: San Mateo , CA 94402 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 35272277 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. I�SR TYPEOFINSURANCE ADDL UBR POLICY NUMBER PMOIVOD EFF MMND YYY LIMITS A GENERAL LIABILITY T82661066265053 09/01/1 09/01/14 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY OHMAGE PREMISES (Ea RENTEDocckarence $100,000 . - CLAIMS-MADE a OCCUR MED EXP(Any one pendas $10,000 X Deductible: $25,000 1,000,000 PERSONALBADVINJURY $ GENERAL AGGREGATE. $2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 JECT X POLICY PRO- LOC $ A AUTOMOBILE LIABILITY AS2661066 0 3 COMBINED SINGLE LIMIT (Ea aWdem) S 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ :AUTOS AUTOS NON-OWNED —PR(Per e accident) DAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LAM OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE 8 DIED RETENTION$ $ B WORKERS COMPENSATION WC7661066265033 (WI Retr ) 09/01/1 09/01/14 X ITORYLIMITS1 OTR AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNERIEXECUTIVE Y/N WA766D066265023 (Ded) 09/01/1 09/01/14 E.LEACHACCIOENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N NIA . (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 it yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Atiaeh ACORD 101,Additional Remarks Schedule,It more space Is required) Proof Of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD satyasan 35272277 i rle 6Wt0610 Office of Consumer Affairs and Business Regulation - J 0 Park Plaza. - Suite 5170 Boston, Massachusetts 02116 -Home Improvement Contractor.Registration Registration: 168572 i } Type: Supplement Card k Expiration: 3/8/2015.. SOLARCITY CORPORATION CRAIG ELLS 24 ST. MARTIN STREET BLD 2 UNITr11 ° -- -- MARLBOROUGH, MA 01752 -- �-�-- _ - 01 Update Address and return card,.Mark reason for change. sCAI Co 20M•0�:riI Address, CI Renewal n Employment LI Lost Card � `;�''��r,�i`r'dr)!re°i)n.y-rr�(�r/�/(rrriYs,/irrrr.,t✓;F . ,... � •-, - - �- trice of Consumer Affairs&.Business Regulation License or registration valid for individul use only 114 OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ►i Office of Consumer Affairs and Business Regulation u Registration: 168572 Typc',. 10 Park Plaza-Suite_ 5170 =' Expiration: 3/8/201.5 Supplement:ard Boston,MA 02116 SOLARCITY CORPORATION CRAIG ELLS r; i 24 ST MARTIN STREET,BLD 2UNI N1AALBOR06611,MA 01752 Undersecretary Not V lid without signature f Massachusetts -Department pi P.u6tic§afetf7 ( ` Board al Building Regul tiotis and SI36',Itr ., 'C'Fil 1-114 trN-y'y ;Ilp rl kol'I' 'scense.CS-107663 a CRAIG ELLS ' r, , •� 206 BAKER STREET" r Keene NH 03431` Cor+.i±ri+s,•ri�it , 08/29/2017 rr ., Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement.'Contractor Registration Registration: 168572 Type: Supplement Card �!r + �"' Expiration: 3/8/2015 SOLARCITY CORPORATION R MILE MILLERiw 24 ST. MARTIN STREET BLD 2 UNITMARLBOROUGH, MA 01752 " Update Address and return card.Mark reason for change. SCA 1 0 2OM-05111 [] Address Renewal [� Employment �_i Lost Card ��e Tfciraiiu3�ruse.•u�rr�r��.11r:rrc�rcle•C/° frice of Consumer Affairs&Business Regulation License or registration valid for individul use only '~ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 168572 Type. 10 Park Plaza-Suite.5170 Expiration:P 3/8/2015 Supplement r:-ard Boston,MA 02116 SOLARCITY CORPORATION } NILE MILLER 24 ST MARTIN STREET BLD 2UNI TAAhLBOROUGH,MA 01752 Undersecretary Not valid without signature A DocuSign Envelope ID:29820617-4D6F-43F5-9E71-509031980723 r �o, SolarCity 3055 Clearview Way, San Mateo, CA 94402 SolarLease T (888) SOL-CITY F (650) 560-6460 SOLARC SUMMARY Date: 5/12/2014 y T Customer Name and Address Customer Name Installation Location Contractor License William Hall K350 Main St MA HIC-'168572/MA Lie. 350 Main St Barnstable, MA MR-1136 Barnstable, MA 02635 02635 Estimated Solar Energy Production First Year Annual Production: 6,363 kWh Initial Term Total Production: 121,393 kWh Payment Terms Amount Due at Contract Signing: $0 Amount Due when Installation Begins: $0.00 4 i Amount Due following. Bldg. Inspection: $0.00 t Estimated Price per kWh First Year: Annual Increase":"."' 0.0 % ' First Year Monthly4SolarCity Bill: $75.47 "4 Lease Term 20 Years" SolarCity's Promises to You: I Your Prepayment and Transfer Choices 'During the Term: • SolarCity will -insure, maintain, and t repair the System (including the,• % If you move, you may transfer this inverter) at no additional cost,`to you ;agreement to -the .purchaser- of your Home, . as specified in the agreement., '` as specified in the agreement. • SolarCity will, provide�24i,3',web-enabled! If youmove, you may prepay the monitoring at no additional cost to �you% remaining payments (if. any) at a' as specified in :ythe agreement'. discount. • SolarCity will provide a money-back f /' Your Choices at the ' End of the Initial production guarantee, as specified rn Term the agreement. ' • • SolarCity will warranty your roof, • SolarCity will remove the System at no against leaks and restore your roof at additional cost to you. the end of' the agreement as specified • You can upgrade to a -new System with in the agreement. the latest solar technology under a new • The pricing in this Lease is valid for contract. 30 days after 5/12/2014. . If you don't • You may renew your agreement for up to sign this Lease and return it .to us on „ ten (10) years in two (2) five .(5) year increments. a or prior to 30,days after 5/12/2014, • Otherwise, the agreement will SolarCity reserves the right to.reject' automatically renew for an' .additional this Lease unless you agree to our then one (1) year term at.;10%'less than the current pricing. then-current average rate charged by your local;.utility.. SolarLease version 6.2 1 " May. lst, 2019 SAPC/SEFA Compliant Document Generated on `5/12/2019 DocuSign Envelope ID:29820617-4D6F-43F5-9E71-509031980723 22. PUBLICITY I have read this Lease and the Exhibits in their entirety and I acknowledge that I SolarCity will not publicly use or have received a complete copy of this display any images of the System unless Lease. you initial the space below. If you initial the space below, you give SolarCity permission to _take pictures of the System as installed on your Home to Customer's Name: William Hall show to other customers or display on DocuSignedby: our website. �� :-A--7 Signature o� er's Initials �05721 6BE940o Date: F 5/12/2014 23. NOTICE OF. RIGHT TO CANCEL YOU MAY CANCEL THIS LEASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS Customer's Name: / DAY AFTER THE DATE YOU SIGN THIS LEASE. SEE EXHIBIT 1,_THE ATTACHED NOTICE OF Signature CANCELLATION FORM, FOR AN EXPLANATION OF THIS RIGHT. Date: 24. ADDITIONAL RIGHTS TO CANCEL IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS LEASE UNDER SECTIONS 6 AND 23, YOU MAY ALSO CANCEL THIS LEASE SolarClty. AT NO COST AT ANY TIME PRIOR TO 5 P.M. OF THE 14th CALENDAR DAY AFTER YOU SIGN SolarLease — THIS LEASE. 25. Pricing ! •SOLARCITY APPROVED The pricing in this Lease is valid for 30 days after 5/12/2014. If you don't sign this Lease and return it to us on Signature: or prior to 30 days after 5/12/2014, LYNDON HIVE. CEO SolarCity reserves the 11 right to reject SOlarLease this Lease unless you agree.,to our then current pricing. ;-;.SolarCity. Date: 5/12/2014 SolarLease version 6.2.1, May lst, 2014 SAPC/SEFA Compliant s, "E$OlarCity - l OWNER AUTHORIZATION Job ID: Location: PoA�N��p��L� t I' yy I,'1 ° �^^ JI as Owner of the subject property hereby authorize SolarCity Corp—HIC 168572/ MA Lie 1136 MR to act on my a behalf, in all matters relative to work authorized by this building permit application and c, , signed contract. t Signature of Owner:-- D e: i 24,St Martin Drive,Building 2 Unit:11 Marlborough,MA 01752 T(888)-50L-CITY F(508),460-0318 SOLARCITY.COM AZ ROC243771,CA CSLB 888104,CO EC 8041,CT HIC 0632778,DC HIC 71101486 DC HIS 71101488;HI CT-29770. - MA HIC168572,MD M111C 128948,N1 13VH06160600,NY WC24624H11,OR CC8 180498,PA 077343,U TDLR 27006,WA SOLARC•91901 _ . Version#36.1 p ,.,SolarGty. tHOF 3655 Clearview Way,San Mateo, CA 94402 Y00 J IN (888)-SOL-CITY (765-2489) (www.solarcity:com K f - . r1 May 23, 2014 N0.41y Project/Job#026325 RE: CERTIFICATION LETTER Oh1M. Project: Hall Residence Digit Yoo Jin Kim 350 Main St Date: 2 14.05.23.09:01:32 Barnstable,-MA 02635 ' 07t00t To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes= MA Res.Code,8th Edition,ASCE 7-05,and 2005 NDS -Risk Category= II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf -MPl: Roof DL= 15 psf, Roof LL/SL= 16.8 psf(Non-PV Areas), Roof LL/SL;= 10.5 psf(PV Areas) -MP2: Roof DL= 10.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) -MP3: Roof DL= 15 psf, Roof LL/SL= 16.8 psf(Non-PV Areas), Roof LL/SL= 10.5 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19312 < 0.4g and Seismic Design Category(SDC) = B< D On the above referenced project,the structural roof framing has been reviewed for loading from the PV assembly on the roof.The structural review only applies to the section(s)of the roof that directly supports the PV system and its supporting elements.After this review it was determined that the existing structure is adequate to carry the PV system loading. I certify that the structural roof framing and the new attachments that directly support the gravity loading from PV modules have been reviewed and determined to meet or exceed requirements of the MA Res. Code,8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Yoo Jin Kim, P.E. Civil Engineer Main: 888.765.2489,x5743 email: ykim@solarcity.com 3055 Clearrview Way San Mateo,CA 94402 T(650)638-1028'(688)SOL-CITY F(650)638-1029 solarcity.com AZR00243771,CAC5I SM104,CAEC80 i,I:Trti1G0632779..ClCItId7.i�b1aES6,AC N15�7:;tOt48g,t1ticT•2ATtq.MA NIC ts8572,MgtttttC 1283•#S,N✓,lavnoS160Fi00. _ OACGB180®98,PA07r^.43,TXTDLR?7006,YJAG61-SOLARC-910,?7Q.2013 SVArQSy.AN eight$t"e eu. A 05.23.2014 =\,l,. TM ; SolarGty SleekMount PV System Version#36.1 Structural Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Hall Residence AHJ: Barnstable Job Number: 026325 Building Code: MA Res. Code, 8th Edition Customer Name: Hall,William Based On: IRC 2009/IBC 2009 Address: 350 Main St ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category: II Zip Code 02635 Upgrades Req'd? No Latitude/ Longitude: 41.630116 -70.443676 Stamp Req'd? Yes SC Office: South Shore PV Designer: Aditya Vichare Calculations: Grady Kou al EOR: Yoo]in Kim P.E. Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19312 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY MAP a d o '9 � r 046 G��' - .r. - � •., • =d.• ��, �� .sir 1.1'iL�� yir ' • � • c._- •- • •- e�. 350 Main St, Barnstable, MA 02635 Latitude: 41.630116,Longitude: -70.443676, Exposure Category: C .:" l [CALCULAT_ION OF`WSIGN�WIND`LOADS�NIP_1 .� Mounting Plane Information Roofing Material Comp Roof PV System Type _SolarCity SleekMo ntT" Spanning Vents No _ Standoff Attachment Hardware Coma Mount Type C Roof.Slope 380 Rafter Spacing 16"O.C. ., Framing Type/Direction Y-Y Rafters ; Wind.Design Criteria Wind.Design Code ASCE 7-05 Wind.Design Method " Partially/Fully_Enclosed Method's Basic Wind Speed V 110 mph .Fig.6-1 Exposure Category C� Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof,Hei ht fi h k. ;. 25 ft uaSection 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic factor = Krt 1:00 s Section 6.5.7 Wind Directionality Factor ICd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6.15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure'Coefficient Down GC '° 0.8 8 OMIr. Fig 6 116/C/D 14A/B Design Wind Pressure P p = qh(GC ) Equation 6-22 Wind Pressure U -23.7 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable.Standoff Spacing Landscape 64" 39" -- Max Allowable C_antileve_r Landscape 24 NA Standoff Configuration Landscape Sta gered: - Max Standoff Tributary Areas_ Trib 17 sf PV Assembly Dead Load W-PV 3 psf Net Wind„Uplift at Standoff T-actual�� w 385 Ibs° x Uplift Capacity of Standoff T-allow 500 Ibs StandoffdC �. =Demana ac � ; � " X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 17" %" NA StandoffConficiuration Portrait staggered Max_ Standoff Tributa Area �_ Trib_ 22 sf " _ _�!_ PV Assembly Dead Load W-PV 3 psf NetNet Wind Uplift Uplift Capacity of Standoff T allow 500 Ibs Standoff=Demand Ca ace i �' , a DCR ^ ° " 4_ _ t 96.40' �. o (CALCULATIOWO DESIGN WIND LOAOS MP2 Mounting Plane Information Roofing Material Comp Roof PV System Type Sola_rCity SleekMoun_tTM Spanning Vents No Standoff Attachment Hardware Comp Mount Tyae C Roof Slope 160 Rafter Spacing 16;O.C. Framing Type/Direction Y-Y Rafters Wind Design Criteria Wind Design Code ASCE 7-05 __-_-- Part losed Method l Wind Desi n Methods '� Basic Wind Speed V 110 mph Fig. 6-1 Exposure---Category_ :` - m G "Section 6.5.6.3 ------- ---- Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height . h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind.Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor Krt_ 1.00 ,. Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factory '.' �I r ;. r :> 1.0 <7.,.: ;' Table 6-1 . . Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(VA 2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC p 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure P p = qh(GC ) Equation 6-22 Wind Pressure Up p„ -21.8 psf Wind Pressure Down 11.2 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" � 39" Max Allowable Cantilever-:��!� .� ;, �Landscape.�y _. 24" "" .T N NA Standoff Confi,uration Landscape Staggered Max Standoff Tributary Area`,` Trib_ tea_ 17 sf PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at Standoffs T-actual -348lbs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR 69.5% X-Direction 'Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever, n= Portrait_ tr I�NA a Standoff Configuration Portrait Stag ered f Max Standoff Tributary,'Area 22 sf „ Asse mbly embly Dead Load W-PV 3 psf Net Wind Uplift at Standoff a ,_ T-actual -434 Ibs a4. Uplift Capacity of Standoff T-allow 500 Ibs Standoff 6emand/CapaEity, 7 DCR 86.9% [CALCULATION O�GN WIND:LOADS MP3t Mounting Plane Information Roofing Material Comp Roof PV S stem T e � $Olgi SleekMount` Spanning Vents No Standoff Attachment Hardware Comp Mount Tyoe C Roof Slope 380 Rafter SP g acin w 16"O.C. _ _ ; . Framing Type/Direction Y-Y Rafters Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method r - " ' k -rPartiall /Full Enclosed Method. u Basic Wind Speed V 110 mDh Fig. 6-1 Exposure Cate_go_ry M xy _ _Section 6 5.6.3_ Roof Style Gable Roof Fig.6-11B/CjD-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 To o ra hic Factor .00 rt k "' Section 6.5.7 Wind Directionality Factor Kd _ 0.85 Table 6-4 Importance Factor u .` I ;.: x ° ,., 1.0 „��:. ' a .. Table 6-1 qh — 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Velocity Pressure ,,' qh 24.9 sf Equation 6-15 Wind Pressure Ext. Pressure Coefficient U GC u -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GCp(Qown, 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure P p=qh(GC ) Equation 6-22 Wind Pressure U -23.7 psf Wind Pressure Down 21.8 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max AllowableC_antileyer ' ____� . _ . Landscape , 24" "'"` NA Standoff Configuration Landscape Staggered Max Standoff Tributary Areas _ Trib 17 sfA — � PV Assembly Dead Load _W—PPV 3 psf Net Wind Uplift at T actual -385 1l6s Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/CapacityDCR X-Direction, Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cant�leyer Portrait =Y + 17 w Standoff Confi uration Portrait Sta ered Max Standoff TYi6utary Area M` .Trib ' ,. 22 sf _ _ PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at_Standoff y T-actual' -482 Ibs' Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 96.4% t a LOAD ITEMIZATION 7 MP1 PV System Load PV Module Weight(psf) 2.5 psf Hardware'Assembl Weight s . ; 55 sf._ PV System Weight s 3.0 Psf Roof Dead Load Material Load Roof Category Description MPl _ Roofng l ype Comp Roof - .,., (`2'Layers) Osf.,. Re-Roof to 1 Layer of Comp? No .�... ..., - r.... Underlayment- 'Roo 5 I psf Plywood Sheathing Yes 1.5 psf Board Sheathing Rafter—Si_ze-an d Spacing_ 2 x 8 @ 16 in. O.C. 2.3 psf Vaulted�Ceilmg Yes 4.7 psf Miscellaneous Miscellaneous Items 1.0 psf Total Roof Dead Load 15 Psf(Mpi) 15.0 Psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load Lo 20.0 psf Table 4-1 Member Tributa Area Af <_ 200'sf -rYv-- Roof Slope ___ _ 10/12 Tributary Area Reduction __ _ _Rl 1 Section 4.9 Sloped o 2 I Roof Reduction R 0.725 _ _Section 4.9 o _ _ _P Reduced Roof Live Load Lr 4= Lo XI)(R2) Equation 4-2 Reduced Roof Live Load Lr 14.5 psf(MPI) 14.5 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load p9 30.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? _ Yes _ Effective Roof Slope Roriz. Distance from Eve to Ridge �W �. 17.7 ft Snow Importance Factor IS 1.0 Table 1.5-2 Snow Exposure Factor Ce _Partialli EOxposed Table 7-2 -_ Snow Thermal Factor Cc All structures except l 0s indicated otherwise Tab le 7-3 Minimum Flat Roof Snow Load(w%� Rain-on-Snow,Surcharge) Pf-min 21.0 psf 7.3.4&7.10 Flat Roof Snow Load Pf pf=0.7(Ce)(Ct)(I)pg; pf>_ pf-min Eq: 7.3-1 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding C roof All Other Surfaces Figure 7-2 Roof S 0.8 Design Roof Snow Load Over PS-roof= (CS-roof)Pf ASCE Eq: 7.4-1 Surrounding Roof PS-roof 16.8 psf 56% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules CS_PV Unobstructed Slippery Surfaces Figure 7-2 0.5 Design Snow Load Over PV Ps-pv= (CS-PV)Pf ASCE Eq: 7.4-1 Modules PS p" 10.4 psf 35% ti LOAD ITEMIZATION - MP2 PV System Load PV Module Weight(psf) 2.5 psf Hardware Assembly Weight(psf) 0.5 psf PV System Weight s 3.0 psf Roof Dead Load Material Load Roof Category Description MP2 oofin9,TYpe , 77717 R Comp Roof (c2 Layers) Re-Roof to 1 Layer of Comp? No ., °, 'Roofin Pa er x sf Underlayment .,i .. k I,.4 gp. ..,. _., �:as a" Plywood Sheathing Yes 1.5 psf — - Board Sheathing None Rafter Size and Spacing 2 x 8 @ 16 in. O.C. 2.3 psf Vaulted_Ceiling No Miscellaneous Miscellaneous Items 1.2 psf Total Roof Dead Load 10.5 psf MP2 10.5 Psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load L. 20.0 psf Table 4-1 Member Tributary Are_a z ALu;;,• < 200 sf r a Roof Slope 4/12 — Tributary Area Reduction a Rl °• ,.. 1 .'„ Section 4.9 Sloped Roof Reduction RZ 1 Section 4.9 Reduced Roof Live Load ` "` � -'' 7�.,ry,,. Lr, 'L = (Ri)(Rz) . ,.<��, x l - 77 Equation 4-2 Reduced Roof Live Load Lr 20 psf MP2 20.0 psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load py 30.0 psf ASCE Table 7-1 Snow Load Reductions Effective Roof Slope f 160 I Honz Distance from,Eve to Rid Snow Importance Factor. - IS . 1.0 Table 15-2 Snow Exposure factor C � r," Partially Exposed"" +M xx fi� 1.0 ,.Y Table 7-2 All structures except as indicated otherwise Snow Thermal Factor Ct 1 0 Table 7-3 Minimum Flat Roof Snow'Load(w/_ „ 4 ge) pf"""" 21.0 psf 7:3.4&7.10 Rain-on-Snow Surchar Flat Roof Snow Load Pf pr= 0.7(Cj(Ct)(I)pg; pr? pf-min Eq: 7.3-1 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding All Other Surfaces Roof Cs-goof 1.0 Figure 7-2 - x Design Roof Snow Load Over Ps-roof= (Cs-roof)Pf ASCE Eq: 7.4-1 Surroundin Roof Ps-roof 21.0 psf 70% ASCE Design Sloped.Roof Snow Load Over PV.Modules Surface Condition of PV Modules CS_PI Unobstructed Slippery Surfaces Figure 7-2 1.0 Design Snow Load Over PV PS-PV= (Cs-PV)Pf ASCE Eq: 7.4-1 Modules Ps-PV 21.0 psf 70% r • [LOADITEMIZATION _ MP3 PV System Load PV Module Weight(psf) 2.5 psf �_ -��._ .- — Hardware Assembl Weight(psf) 0.5 psf PV System Weight s 3.0 psf Roof Dead Load Material Load Roof Category Description MP3 Roofing Type _ _�" ." - _Comp Roof (2 Layers) psf Re-Roof to 1 Layer of Comp? No . _ _U_derla ment 7 fng Pape _ Plywood Sheathing Yes I psf Board Sheathing _ :_ . `,;,. None . Rafter Size and Spacing 2 x 8 @ 16 in. O.C. 2.3 psf Vaulted Ceiling M psf Yes = 4.7 Miscellaneous Miscellaneous Items 1.0 psf Total Roof Dead Load 15 psf MP3 15.0 Psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load L. 20.0 psf Table 4-1 Member Tributary Area f _ At < 200 sf - -- — -- - — Roof Slope 10/12 Tributary Area Reduction Rl *' . . 1 " ��c SectionT4.9 Sloped Roof Reduction R2 0.725 Section 4.9 Reduced Roof Live Load�� 7;'4 •. . Lr "te_, L�= Lo.(Rl)(R2) .kfl E uation 4-2 Reduced Roof Live Load Lr 14.5 psf MP3 14.5 W Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load pg.— 30.0 psf ASCE Table 7-1 Snow Load Reductions Allowed? Yes g - Effective Roof Slope 380 I Honz D--stancemvRe .ioE e . 12 ft r• E i Snow Importance Factor IS 1.0 Table 1.5-2 w Partial) Exposed Snow Exposure Factor= � „� Ce - Y ,� �� Table 7-2 _ 1.0 .. Snow Thermal Factor Cr All structures except)s0 indicated otherwise Table 7-3 Minimum Flat Roof Snow Load'(w%'r T Rain-on-Snow.Surc,har e)- = pf-""" 21.0 psf 7.3.4&7.10 Flat Roof Snow Load Pf pf= 0.7(Ce)(Ct)(I)pg; pf>_ pf-min Eq: 7.3-1 21.0 psf 70% ASCE Design Sloped Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding All Other Surfaces Roof Cs-roof 0.8 Figure 7-2 Design Roof Snow Load Over Ps-roof= (Cs-roof)Pf ASCE Eq:7.4-1 Surrounding Roof Ps-roof 16.8 psf 56% ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules Cs-PV Unobstructed Slippery Surfaces Figure 7-2 0.5 Design Snow Load Over PV PS-PV= (C.-PV)Pf ASCE Eq: 7.4-1 Modules Ps P° 10.4 psf 35% '� COMPANY . PROJECT ' WO 0 Wor, kS® SOFFWARF FOR WOOD OMCAF May 23, 2014 09:50. MP1.wwb Design Check Calculation Sheet WoodWorks Sizer 10.1 „ Loads: Load Type Distribution Pat- Location [ft] Magnitude Unit tern Start End Start , End DL Dead Full Area No 15.00 (16.0)* psf SL Snow Full Area Yes 21,.00 (16.0) * psf PVDL Dead Ful-1 Area No 3.00 (16.0) * psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 0' ', 1'-2" 11'-7.8" Unfactored: , Dead 193 r 156 Snow 16.11 -147 Factored: Total -374 y 303 ` Bearing: F'theta 567. a 567 Capacity Joist .1744 425 Supports 586 E . 586 Anal/Des Joist 0.;50 0.71 . Support , 0.64 ; 0.52 Load comb • #2 #4 Length .. 0.50* 0 50* Min req'd ' 0.50* - 0* . . 0.5 Cb 1.75 _ 1.00 Cb min '1.75 _ z. s; _ _ 1:00 Cb support 1.25 1.25 Fcp sup 1 1 . 6251 1 625 `Minimum bearing length setting used: 1/2"for end supports and 1/2"for interior supports MP1 . Lumber-soft, S-P-F, No.1/No.2, 2x8 (1-1/2"x7-1/4") - Supports: All-Timber-soft Beam, D.Fir-L No.2 Roof joist spaced at 16.0"c/c; Total length: 15'-0.4'; Pitch: 9/12; Lateral support: top=full; bottom=at supports; Repetitive factor: applied where permitted (refer to online help); WOodWorkS® Slzer SOFTWARE FOR WOOD DESIGN MP1.wwb WoodWorksO Sizer 10.1. Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis .Value• Design Value Analysis/Design Shear fv = 31 Fv' = 155 fv/Fv' = 0.20 Bending(+) fb = 713 Fb' = 1389 fb/Fb' = 0.51 Bending(-) fb = 36 Fb' = 726 fb/Fb' = 0.05 Live Defl'n 0.18 = L/896 0.65 = L/240 0.27 Total Defl'n 0.36 = L/436 0.87_ = L/180 0.41 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 gib'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 - 4 Fb'- 875 1.15 1.00 1.00 0.523 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - 1.4 million 1.00 1.00 - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: . Shear : LC #2 = D+S, V = 246, V design = 223 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 781 lbs-ft Bending(-) :' LC #2 = D+S, M = 39 lbs-ft Deflection: LC #4 = (live) LC #4 = (total). D=dead L=live S=snow W=wind I=impact Lr=roof live Lc=concentrated E=earthquake All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) Total Deflection = 1.00 (Dead Load Deflection) + Live Load -Deflection. , Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3.10.3 Design Notes: 1.WoodWorks analysis and design are in accordance with the ICC International Building Code(IBC 2012),the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6.The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. COMPANY PROJECT WoodW6'rkS SOFTWARE FOR IVOOO OfSICN May 23, 2014 09:49 MP2.wwb Design Check Calculation Sheet . WoodWorks Sizer 10.1 Loads: Load Type Distribution Pat- Location [ft] Magnitude Unit tern Start End Start End DL Dead Full Area No 10.50 (16.0) * psf SL Snow Full Area Yes 21.00 (16.0) * psf PVDL IDead Full Area No 3.00 (16.0) * psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 0' 0'-10" } 13'-3.8" Unfactored Dead 160 140 Snow 199 175 Factored: Total 358 315 Bearing: F'theta 567 567 Capacity, Joist 744 425 Supports, 586 ;.,t 586 Anal/Des A Joist 0.48 0:74 Support 0.61 ro 0.54 Load comb #2 #4 Length 0.50* 0.50* Min req'd 0.-50* 0.50* Cb 1.75 1.00 Cb min ry 1-.75 - 1.00 Cb support 125 1.25 Fcp sup I 1 6251 625 *Minimum bearing length setting used: 1/2"for end supports and 1/2"for interior supports , MP2 Lumber-soft, S-P-F, No.1/No.2, 2x8 (1-1/2"x7-1/4") Supports:All Timber-soft Beam, D.Fir-L No.2 , Roof joist spaced at 16.0"c/c;Total length: 17'-1.4"; Pitch: 9/12; Lateral support:top=full, bottom=at supports; Repetitive factor: applied where permitted (refer to online help); FII WoodWorks® Sizer SOFTWARE FOR WOOD DESIGN MP2.wwb WoodWorks®Sizer 10.1 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis Value Design Value Analysis/Design Shear fv = 32 Fv' = 155 fv/Fv' = 0.21 Bending(+) fb = 892 Fb' = 1389 fb/Fb' = 0.64 Bending(-) fb = 16 Fb' = 626 fb/Fb' = 0.03 Live Defl'n 0.36 = L/525 0.78 = L/240 0.46 Total Defl'n 0.64 = L/292 1.04 = L/180 0.62 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 - 4 Fb'- 875 1.15 1.00 1.00 0.451 . 1.200 1.00 1.15 1.00 1.00 - 2 Fcp' 425 1.00 1.00 - - - - 1.00 1.00 - E' 1.4 million 1.00 1.00 - - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - 1.00 1.00 - 4 C.RITICAL LOAD COMBINATIONS: . Shear : LC #2 = D+S, V = 253, V design = 233 lbs Bending(+) : LC #4 = D+S (pattern: sS) , M = 977 lbs-ft Sending(-) : LC #2 = D+S, M = 18 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=live S=snow W=wind I=impact Lr=roof live Lc=concentrated E=earthquake All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) 'Total Deflection = 1.00 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3.10.3 Design Notes: 1.WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that.the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6. The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. COMPANY PROJECT Woodworks SOFEWARE FOR WOOD.DESIGN - May 23, 2014 09:48 MP3.wwb Design Check Calculation Sheet WoodWorks Sizer 10.1 Loads: Load Type Distribution Pat- - Location [ft] Magnitude Unit tern Start End Start End DL Dead Full Area• No 15.00 (16.0) * psf SL Snow Full Area Yes 21.00' (16.0) * psf PVDL Dead Full Area No 3.00 (16.0) * psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 13'-0.7" 0' 0'-10" F 10'-0.8" Unfactored Dead 164 138 Snow 153 129 Factored: Total 317 268 Bearing F'theta 567 567 Capacity y 1 Joist 744 a ._ 425 Supports 586 586 . Anal/Des - Joist 0.43 0.63 Support 0.54 0.46 Load comb #2 - #4 Length 0.50* 0.50* Min req'd 0.50* 0.50* Cb .1.75 a 1.00 Cb min 1.75 1.00 Cb support 1.25 1.25 Fcp sup 625 625 *Minimum bearing length setting used:.1/2"for end supports and 1/2"for interior supports MP3 Lumber-soft, S-P-F, No.1/No.2, 2x8 (1-1/2"x7-1/4") Supports:All -Timber-soft Beam, D.Fir-L No.2 Roof joist spaced at 16.0"c/c;.Total length: 13'-0..7"; Pitch: 9/12; Lateral support:top=full, bottom=of supports; Repetitive factor: applied where permitted (refer to online help); WOodWOrkS® Slzer SOFTWARE FOR WOOD DESIGN MP3.wwb WoodWorks®Sizer 10.1 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 : Criterion Analysis Value Design Value Analysis/Design Shear fv = 27 Fv' = 155 fv/Fv' = 0.17 Bending(+) fb = 557 Fb' = 1389 fb/Fb' = 0.40 Bending(-) fb = 18 Fb' = 804 ` fb/Fb' = 0.02 Live Defl'n 0.11 = <L/999 0.58 = L/240 0.18 Total Defl'n 1 0.22 = .L/633 0.77 = L/180 0.28 Additional Data: FACTORS: F/E(psi)CD CM Ct CL CF Cfu Cr Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.200 1.00 1.15 1.00 1.00 4 Fb'- 875 1.15 1.00 1.00 0.579 1.200 1.00 1.15 1.00 1.00 2 Fcp' 425 - 1.00 1.00 - - - - 1.00 1.00 - - E' 1.4 million 1.00 1.00 - - - - 1.00 1.00 - 4 Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear LC #2 = D+.S, V = 216, V design = 193 lbs Pending(+) : LC #4 = D+S (pattern: sS) , M = 610 lbs-ft Eending(-) : LC #2 = D+S, M = 20 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead. L=live S=snow w=wind I=impact Lr=roof live Lc=concentrated E=earthquake All LC's are listed in the Analysis output Load Patterns: s=S/2, X=L+S or L+Lr, _=no pattern load in this span Load combinations: ASCE 7-10 '/ IBC 2012 CALCULATIONS: Deflection: EI = 67e06 lb-in2 "Live" deflection = Deflection from all non-dead loads (live, wind, snow...) -otal Deflection = 1.00 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3.10.3 Design Notes: 1.WoodWorks analysis and design are in accordance with the ICC International Building Code(IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2..Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 5. SLOPED BEAMS: level bearing is required for all sloped beams. 6.The critical deflection value has been determined using maximum back-span deflection. Cantilever deflections do not govern design. s ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. WHERE ALL TERMINALS OF THE DISCONNECTING AC ALTERNATING CURRENT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, BLDG BUILDING A SIGN WILL BE PROVIDED WARNING OF THE CONC CONCRETE HAZARDS PER ART. 690.17. DC DIRECT CURRENT 2. EACH UNGROUNDED CONDUCTOR OF THE EGC EQUIPMENT GROUNDING CONDUCTOR MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY (E) EXISTING PHASE AND SYSTEM PER ART. 210.5. EMT ELECTRICAL METALLIC TUBING 3. A NATIONALLY—RECOGNIZED TESTING GALV GALVANIZED LABORATORY SHALL LIST ALL EQUIPMENT IN GEC GROUNDING ELECTRODE CONDUCTOR COMPLIANCE WITH ART. 110.3. GND GROUND 4. CIRCUITS OVER 250V TO GROUND SHALL HOG HOT DIPPED GALVANIZED COMPLY WITH ART. 250.97, 250.92(8) I CURRENT 5. DC CONDUCTORS EITHER DO NOT ENTER Imp CURRENT AT MAX POWER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR Isc SHORT CIRCUIT CURRENT ENCLOSURES TO THE FIRST ACCESSIBLE DC I KILOVOLT AMPERE DISCONNECIING MEANS PER ART. 690.31(E). kW KILOWATT 6. ALL WIRES SHALL BE PROVIDED WITH STRAIN LBW LOAD BEARING WALL RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY MIN MINIMUM UL LISTING. (N) NEW 7. MODULE FRAMES SHALL BE GROUNDED AT THE NEUT NEUTRAL UL—LISTED LOCATION PROVIDED BY THE - NTS NOT TO SCALE MANUFACTURER USING UL LISTED GROUNDING OC ON CENTER HARDWARE. PL PROPERTY LINE 8. MODULE FRAMES, RAIL, AND POSTS SHALL BE POI POINT OF INTERCONNECTION BONDED WITH EQUIPMENT GROUND CONDUCTORS AND PV PHOTOVOLTAIC GROUNDED AT THE MAIN ELECTRIC PANEL. , SCH SCHEDULE 9. THE DC GROUNDING ELECTRODE CONDUCTOR SS STAINLESS STEEL SHALL BE SIZED ACCORDING TO ART. 250.166(8) & STC STANDARD TESTING CONDITIONS 690.47. TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER voLrncE AT OPEN clRculr W wnrT VICINITY MAP INDEX 3R NEMA 31 RAINTIGHT PV1 COVER SHEET F PV2 PROPERTY PLAN PV3 SITE PLAN _ PV4 STRUCTURAL VIEWS LICENSE GENERAL NOTES PVS UPLIFT N PV6 THREE LINEE DIAGRAM IA DIAGRAMRAM GEN #168572 1. THIS SYSTEM IS GRID—INTERTIED VIA A X>, Cutsheets Attached 1 1136 MR UL—LISTED POWER—CONDITIONING INVERTER. 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. • I IL 3, SOLAR MOUNTING FRAMES ARE TO BE GROUNDED. • 4. ALL WORK TO BE DONE TO THE STH EDITION MODULE GROUNDING METHOD: ' OF THE MA STATE BUILDING CODE. Ai Barnstable 5. ALL ELECTRICAL WORK SHALL COMPLY WITH • REV BY DATE COMMENTS THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. R A NAme oA e mmnenrs O UTILITY: NSTAR Electric (Cambridge Electric Light) CCNnDENnAE-THE INFORNAnDN HEREIN ,DB NWBER: JB-026325 00 PRa4SE O9NER DESCRIPnM DESIGN: , WNTAINED SHALL NOT BE USED FOR THE HALL, WILLIAM HALL RESIDENCE Aditya Vichare BENEFIT OF ANYONE EXCEPT SOLARGTY INC., yWNTWC SYSTEI. � �,Sofia rClt NOR SHALL IT BE DISCLOSED IN Vi OR IN Cam Mount Type C 350 MAIN ST 5.25 KW PV ARRAY , Y P PART To OTHERS PT IN THE REaON I BARNSTABLE, MA 02635 THE SALE AND EXCUSE OF IN CONNECTION M1n1 YDDUIES. THE RACE AND USE of THE UT THE (21) YNGL YL250P-29b zA sI.won:.on»,aA D1 z wn n SOIARGIY EOUPwENT,MTHWi THE 1N8TiET! /, PACE NAME SHEET REV DATE: worroo1028 wA W) 752 PERMISSION OF SOLARGTY INC. INKAIER' (508) ^20-0118 COVER SHEET PV 5/21/2014 (BBB)-SOL1. 'GiY(765-2A89)6�mrfiworlul9 SOLAREDGE SESOOOA—US—ZB—U r°°'" s • . 8 - PROPERTY PLAN Scale:l"=20'-0' 0 20' 40' ^"F CONFIDENWIUSED FON rNE HALL, WILLIAM AditYo Vchare TIAL-THE INFORMATION HEREIN -Num— J B-0 2 6 3 2 5 00 PROMISE OWNER: �RaE P ca�TANEo i NOT HE us HALL RESIDENCE BENEFIT of ANYONE EXCEPT Sa.ARaTY NC. Map=SYSIETE - � NON SHALL IT BE DSMOSED IN nNaE OR w Comp Mount Type C 350 MAIN ST 5.25 KW PV ARRAY �„SOlaf '�r PARr ro 0TxERs OUTSDE THE REaPDNYS YoouEs BARNSTABLE, MA 02635 ORGANIZADON,EXCEPT N COFaaMON YYIN 24 SL MWM OHra 2,Unit It THE SALE AND USE OF THE RE�ECJIYE (21 YINGLI YL250P-29b PAGE NAME,' SET, REe DATE- Ymibami�,YA N)52 SOEARaTY EQUIPMENT,NIHOUT THE WIT. INvmTETe T:(e5o)we-tote F:(650)638-10% PESDssoNOFsoEARarrINC SOLAREDGE SE5000A—US—ZB—U (508) 420-0118 PROPERTY PLAN PV 2 5/21/2014 (eee)sa-an(Ts5-24e> ..+.."war.�n S1 S1 ` KVI O�n 4° 10'-6° . 12'-6 No.4 7 1'- (E)LBW . (E)LBW r T - SIDE VIEW OF MP3 NTs NUE A SIDE VIEW OF MP1 Nrs C Digitall signe yYooJinKim MP3 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES Date:2014.05.23 09:01:57 MPl X-SPACING X-CANTILEVER Y-SPACING Y[ANTILEVER NOTES LANDSCAPE 64" 24" STAGGERED AwoscAPE 64 za^ STAGGERED -OTOO' PORTRAIT 48" 17" PORTRAn 48" 17 RAFTER 2X8 @ 16"OC ROOF AZI 227 PITCH 38 - RAFTER 2x8 @ 16"OC ROOF AZI 227 PITCH 36 STORIES:2 ' ARRAY AZI 227 PITCH 38 STORIES:2 ARRAY AZI 227 PITCH 38 C-1 None @24"OC com Shingle C.I. 2x8 @16"OC Comb Shingle _ .. s I s PV MODULE 5/16" BOLT WITH LOCK - INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZED LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH 0 9'-3" POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT(LASHING. (E) LBW r (E) COMP. SHINGLE (1) (4) PLACE MOUNT. SIDE VIEW OF MP2 NTS (E) ROOF DECKING V (2) INSTALL LAG BOLT WITH 5/16"DIA LAG BOLT (5) N SEALING ALI S MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES WITH SEALING WASHER LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH (2-1/2° EMBED, MIN) (6) BOLT& WASHERS. LANDSCAPE 64" 24" STAGGERED PORTRAIT 48" 19.. (E)RAFTER ROOF AZI 227 PITCH 16 Si STANDOFF RAF rER 2X8 @ 16"OC ARRAY AZI 227 PITCH 16 STORIES: 2 J Scale:1 1/2"=1' C.I. 2x8 @16"OC Comp Shingle JB-026325 00 PREMISE°�" DESCRP CONFlDEND SHALL-TE INFORMATION HEREN JOB NUI®EIt \-rd•SOIa�CIty. CONTDENTI -THE BE USED FOR THE HALL, WILLIAM HALL RESIDENCE Aditya Vichare BENEnT OF ANYONE EXCEPT SOLARCITY NC., MOUNTING SYSTM NOR SHALL IT BE DISCLOSED IN WHOLE OR N Com Mount Type C 350 MAIN ST 5.25 KW PV ARRAY PART TO OTHERS OUTSIDE WE FMNENTs BARNSTABLE, MA 02635 a sL M u.Bu6®nq z -it n ORGANIZATION,EXCEPT N CONNECTION MSTN MODNEs; THE SALE AND USE OF THE RESPECTIVE (21 YINGLI YL250P-29b SEES REv: DAIS Yadb"rough,MA 01752 SOIARaIY EQUIPMENT,rA1H0UT THE WRITTEN INVERTER PACE NAME TI(650)635-1028 F.(650)638-1029 PENSSIONOFSOLAROTYNC. SOLAREDGE SE5000A—US—ZB—U (508) 420-0118 STRUCTURAL VIEWS PV 4 5/21/20t4 (66B}sa-aTr(76szwB) ... 3Lr.� rr PITCH:38, ARRAY PITCH:38 MP1 AZIMUTH:227 ARRAY AZIMUTH:227 MATERIAL:Comp Shingle STORY:2 Stories PITCH:16 ARRAY PITCH:16 MP2 AZIMUTH:227 ARRAY AZIMUTH:227 B M © MATERIAL:Comp Shingle STORY:2 Stories PITCH:38 ARRAY PITCH:38 Z1AOF MP3 AZIMUTH:227 ARRAY AZIMUTH:227 D I MATERIAL:Comp Shingle STORY:2 Stories -_-�--'_. o`er Y00 JIN K c z VI y No.4 7 w T P OMALE Digitall signed byYooJin Kim Date:.2014.05.23 09:01:47 -07'00' LEGEND B Q (E)UTILITY METER &WARNING LABEL Front Of ous O INVERTER W/INTEGRATED DC DISCO & WARNING LABELS C 1 DC DISCONNECT& WARNING LABELS ® AC ga AC DISCONNECT& WARNING LABELS Pitd DC JUNCTION/COMBINER BOX&LABELS Q DISTRIBUTION PANEL& LABELS LOAD CENTER &WARNING LABELS O DEDICATED PV SYSTEM METER 0 STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR CONDUIT RUN ON INTERIOR — GATE/FENCE 0 HEAT PRODUCING VENTS ARE RED INTERIOR EOUIPMENT IS DASHED L_J SITE PLAN y Scale:1/8"=1' 01' 8' 16' s F CONTMMAL-THE DTFORIAMIGN HFIDRN x� JB-026325 00 PHA OENEx aaPDL S��a(Clty. CONTAINED SHALL NOT BE USED FOR THE HALL, WILLIAM HALL RESIDENCE Aditya Vichare BENEFIT OF ANYONE MEPT SMAROTY INC, MOUNTING SMOA NOR SNAu IT BE DISaoSED IN VHOTE OR IN Comp Mount Type C 350 MAIN ST 'i�: PART TO OTHERS OUTSIDE THE KaPDrrs 5.25 KW PV ARRAY ORGAIGUTION,Exam IN CONNECTION WITH MomaTs BARNSTABLE, MA 02635 THE suE AND USE OF THE RESPECTIVE (21) YINGLI YL250P-29b ��a ueen ONE,IMA 01 2 umI 11 SowTaTY EOUIPNEnr,W11 OUr THE TWD.— NUTM PAGE NAME SIM, RM. DATE: T:(650)6M 38-11�P(650)638-10" PERMISSION OF SOARCITT.Ne SOLAREDGE E5000A—US—ZB—U (508) 420-0118 SITE PLAN PV 3 5/21/2014 (My)-SOM-STY(T65-246) .. d—ftr _ ..solar r' • • ! Single Phase Inverters for North America '+ SO�at' • • — SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ a SE760OA-US/SE10000A-US ISE1140OA-US SE3000A-US I SE390DA-US SESOOOA-US SE60°OA-US SE76OOA-US I SE1000aA-US I SE11400A-US OUTPUT SolarEdge Single Phase Inverters Nominal AC Power Output 3No 3800 5000 "Go" 7600 99800208V 1.... VA @2<w............... .. Max.AC Power DOtPut 3300 4150 5a00 0 z08V fiD00 ..8350 SO8000 208V 12000 VA For North America saso.�zaw....... 1o9so�z4ov..... . Voltage Mln:Nom:Max.• J - / / 183-z08-229Vzc ....... ................................................................................................................. SE3000A-US SE380OA-US/SE5000A-US/SE6000A-US pu ............. 21 Outt 2"Va Mln.-Nom.-Mar• J J J J J J J SE760OA-US/SE1000OA-US/SE1140OA-US xn-zoo-2- --- Maa 'd.....O 1Put Current 1L5 16 3z1@24pV 11 nNi 25untry mn$3z 60..I604x0240V I 47.5 A ... e T real >• -r ..GFDI. .. .. .... ... .. 1.. ..A.... +�s 4P � ,�.•a i r 1Y y.- _ .. ProltecHo Iis,dr,I lendingable ... .... re ..... .... .... ... • - '4S' Thresholds INPUT Recommended Max D[Power•• 3750 475D 6250 7S00 9500 12400 14250 W a .... .. _k •' �^ ' v� �Trans}onner less.ungmunaee ...... ....res.. .......................... .... .�� ti a > - Mar mputVolUg .....I............................................ .. ..... ......................................... yac � .... vd , T I { - M I P[C rat••• 95 .. ...13 I ...19... 23 I 303S 02240V I 345 Adc r ; �,..•,_..� � - u ... ......................................... ..... .. ............. ....... .. E .I. 15.5 LD 240V Max Inp t Short Circuit Current 30 65 Adc c',.y 91 R Pdanry v d .... re:. .. • `t ^� G d f ult i:ol 0 D tecdon 6°Oko Se ..tr _ SSA ` 1 1 L. "Y`gp*fir M Invert F/fli ry 9]] 98] 9g3 983 98 mq 98 ..9g ........... 9].50208V 170211V a4sq - CEC Weighted Ef6denry 97.5 98 975 975- 97.5 % 's+ ,T,� •® ,,� .... ... ..98@z40V.. ..... ....... 9J50240V... .. : I _ � _�'z NI h[Hme Power Consumption <4 - .�� ADDITIONAL FEATURES — f �'+..,� {+tea I e t' 5` .wpportea ePmmpnlonon mtedaces .. :.. ., Z.s PS485,RS232,Ethernet,ZlgBee lPphonall ...... c. R G d D t ANSI ax 1 opd,,.I - j 'y' '""' '^ � STANDARD COMPLIANCE - "r.Y" g' -.. n Safet .. ,,, U11741,ULi6990,UL1998,6A222........................................ .,.... 'r ppR 2 Y riu�g 4 Tq 'MT Grid Wnneclfon Standards IEEE154J ,, ... .d ........ .. ..... .. ...FCC art15loss 8 ... �- ', ��Y� q•i _� � '"�`4� INSTALLATION SPECIFICATIONS Yp .�'. A yy AC outPu[condui[size/AWG range. AWG...-. 3/d'minimum DClnpu[condult sire/poi strings/ 3/4'minlmum/12 dgs/24-6AWG 31eineimum/12 stags/146AWG y�o' kvn I �.,.�.s" x h. t'�4> ..Dlmerubru wrath AC%DCSareN ..3aSx1Lsx7/ 3oS Ii 5,7.5/ . 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NEMA 3P .n•.... ...... - ,,rl' .: •: .--� t 1 +:,. ,mot xww� .n...u.w.h.wd.w uax a.m.,»�. nras'c.�,ar.ns+a.mw.,,, ... n. �nns�c _ � —Small,lightw ght and eary to install on promded b acket } - a - ru,uta•o.e.u>mm.»x,» ' Pro g ,.- vct' ',� aan�>nn»•dou.b MON•n.rn,b��a rl.,�m�.sn.ow�vsawl . _ —Internet connection through Ethernet or Wireless —Outdoor and indoor installation —Fixed voltage inverter,DC/AC conversion only _ _ - Pre-assembled AC/DC Safety Switch for faster installation ' Y -Optional—revenue grade data,ANSI C12.1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL WWW,50Iaf2dgE:.US - ) - - _ r YGE-Z. 60 YL2 pill YGE-Z 60 CELL SERIES YL255P-291,P 29b- Powered by VINGU CELL SERIES YL250P-29b YING`�7i' Larl YL245P 29b ELECTRICAL PERFORMANCE YL240P-29b U.S.So—Powered by YingO S,lw GENERAL CHARACTERISTICS MadW tYW.. (a'tl°eP- z'1]SSP-Ali nxeowxsb nHY Iep3eb Ipo—s.—M I dl9dF1 m)Avi.IPAr•d/ raw.,eapw mom' as. Asa Ideal for residential 15•e ae waeM —__aum oe.d Mwule e0ld•my I rF i Y i _ S. and commercial applications where cost savings, ;:; A I ;Je° all PACKAGING SPECIFICATIONS installation time,and aesthetics matter most. v I "' m»a.ned,"ewer I e • I e.v: e.ss xwnb"ap.o.M w.aa mntiM.; xa n,r l..m.e,acm, i.yp•me.•®mvoer save•. :::e�waw•ma-.z,.e.ua. »�,mro"Fn mwwt r•n•9"e bmm�x� oa,nn�isv.nna.a/ - a/w/Ia n+sed s Lower balance-of-system costs with Zap oo<,,,IgM tmm.wad Compatible"frame. paw..eam,w t= w( I 1 h Reduce on-roof labor costs by more than V.—•'r_ In.x U.Iou Inrh Imm) 25%. c.,.",��1 L.I w r Lever. the built-in grounding stem- °P•ea^"'ads• I =1 ;a sea 1 — 9e 9r 9sY snenawlr wawa 1.i w i { ssla if it's mounted,it's grounded. p„.se,.,,ad,e••p•,,,m,,,.,,p»,»„"emvmr,�..am�..,mc.ak.,�.,e»....,I»/..Me w..d a 1 Decrease your parts count-eliminate screws, rails,mounting dips,and grounding hardware. THERMAL CHARACTERISTICS nmp...m.co.xkb"ta I a.i,fl'c� - h Minimize mof penetrations while maintaining the system's structural integrity. Q�pMPATiO T«ape.em•raemde"ay.,• 1P..'vci •�='a to a® & S i r Invest n an attractive solar array that includes .black frame,low mounting profile,and ./ ro W OPERATING CONDITIONS aesthetic array skirt. r M"wae na» y Increase energy output with flexible module ratt:.,-, ey ,•�• 1 ISA aS� D�OMP.P�x. — layouts(portrait output 's!iet 'i0ng y Trust in the reliabilityand theft-resistance of —'—'--- s �s'N c,—o" the Zep Compatible'"system. '•"'°•'•"'^'•"s• ee tes•Ft.omesq d s.wnw w<k Iwd Mu M"an.imp.n ldi—•,«/wbdM � x5mml1SN• Leading limited power warrantyensures on AC SOLUTION OP LION 91.2%of rated Tha YGE-ZSeriesisnowawilableas power for 10 years,and 80.7% CONSTRUCTION MATERIALS of rated power for 25 years. ' an Eophese Energized-AC Solution. i lewaee,"�nw N—/sawn I li fi This solution�e. deliverso timum sEcrroN c-c I P � 10.year limited pmduct wartan ty. CA lge•wy/w•Mdd/'mm•wbm/ (O/muebwtlhwelkm/ 1 — / � performance and integrated intelligence. ,. eamb..ab�»b.•I Iseam.lwwn/:«s 1 ) tdnphas The Enphase M215-ZZep Compatible .,_ ._.. _.—: _—..._...' ,.;=_„s 6,o-d"n oe•adA ednkn• •oet•lA'a is CA, / Miminvemef is designed to connect •Mcwopn""ewi --"eyt"neew mnAtlaw. '1~ F»n•bv[Md/W"/wp•rdhgl 1 •e•dzw•Y»u•en tlw/hbd/,9mwwtap 138 deealy into the Z S,fies module gmrwe,eliminating -' xae•uaa bo.0"qw«p•et•oMn••t4n1 f ames \`` /// the need for tools or fasteners—all with one eery step. - 1 wa,nag new NM I—.—wu•..M—1 Has mdwty e•bl.0•ned/vo•wed"W«•a x0anm/emM W—handr» in-Se q,and op—tir Yrgh mwukz. - n•"w lyp./Mgr•••pwt mntl"gl wml,.d w/aipd) • PW 9001:xaa8.W..Wgant ma-Ninasod . I.-( uyd and module level with BOBS uI�h"ern,ae�.., .,,�.,e, ary»sul,— .0anish hE.tama20 guMentaw w wbjecl to chenae without prier neuce�� datuhmt campliea with EN 503na:2(103 brlghtm. �N1E0 �•'�nm awur/»�l Ya•b I Yingli Green Energy Americas,Inc. - - •�` Tel:+1'(888)68b6820 YIN G_LI SOLAR �\�tVl\141%•Yf/JJ YINGLISOLAR.COM/US NYSE:YGE YINGLISOLAR.COM/US(Yingli Solar ergo Ew�rwd ee.ud. rcEuocn us xmeo wl U.S.Setter Pewerw by❑gli Solar i a R SOlaI'— • • ' Solar' • • a SolarEdge Power Optimizer Module Add-On for North America s P300/P350/P400 . . SolarEdge Power Optimizer vow Module Add-On For North America - odukU In) u�_ P300/ P350/ P400 ■ lei wg oDPPN as . ....... ................... 3.�......... 350 ........ ............. - Abr«uk d u N Itag IVacAlmpentu! B - . +Ti2}✓. .8.. o 0. .... Aa $ ■ c •_ aaua oc lrroa _ � s ERldemy �.... 995 % n �o I I OUTPUT DU ING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) do • sty � >."�''.. � � Y.I... .... .... ........... ... .......... ....... .� .�... ' s - ,�.�fP yi'^a^ Y 1(. ■ _ .OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF( 3 Sal ry Vul COMPLIANCE STANDARD COMPLIANCE kry, .. .. .. .. ............... .. ECCP IE SO..-Ida 11 ry11Ut]<L � LA ae sa ..... INSTALLATION SPECIFICATIONS - _}. :�E"' •ye a„N'� f. NkxeESri Voltage .. .. �..... ..I1 /555 31 /_In . c„`�'""3'+a .r' y�` • g P 1 aie N ! .. ... .. c I Sege U yc ................. �" .. ... °w wa..AmMeaol . ................ Y. d db R .. ... ..... IW .. %... r .y4u�t^4 y s 4 f�p+m Re uMdltT ... PV SYSTEM DESIGN USING ASOLAREDGE SINGLE PHASE THREE PHASE THREE PHASE e ,1 4 ,� t '$i.g f i• 'y.+'"i-.Tv y a.+ 'gR' INVERTER 208V 48W .+. ", y'` ra f -".•w' s,V „', t'k.*». '�. * M" Mkanum smog Le„gth lvwnoptlmlarsl a . 2p Le PV power optgmgzati at the module level y s -- � ju UP 25% 8Y ! t..I� -�. I i r 9dg 550. 6000 ..1250 ....,_.. w 'i wpe efH i my(99.5%)'' ,: t �. �,Lku"•Y P k15 es o!.He LenglAs ar tl .. ....Y - M bg tesall types of module m smatch losses,Imm manufacturing tolenrrce b porn I h ding d5•/ " ' Fi lel:yatem design I"mad mum s "fitNaM1°n - \ 1 -Negl generation maintenance with module level monitoring , _ -ModuleJevel voltage shutdown for inualler and firefigM1ler sakry p "' 's g USA MANY-ITALY- FRANCE-JAPAN-CHINA-ISRAEL-AUSTRALIA www.solaredge.us - - SolarCity SleekMountTM-Comp SolarCity SleekMountTM-Comp The SolarCity SleekMount hardware solution •Utilizes Zep Solar hardware and UL 1703 listed Installation Instructions is optimized to achieve superior strength and Zep CompatibleT"modules t - aesthetics while minimizing roof.disruption and Drill Pilot Hole of Proper Diameter for labor.The elimination of visible rail ends and •Interlock and grounding devices in system UL Fastener Size Per NDS Section 1.1.3.2 mounting clamps,combined with the addition listed to UL 2703 of array trim and a lower profile all contribute •Interlock and Ground Zep ETL listed to UL 1703 ® Seal picot hole with roofing sealant to a more visually appealing system.SleekMount as"Grounding and Bonding System" (D Insert Comp Mount flashing under upper utilizes Zep Compatible-modules with •Ground Zep UL and EfL listed to UL 467 as layer of shingle strengthened frames that attach directly to grounding device ® Place Comp Mount centered Zep Solar standoffs,effectively eliminating the - ... need for rail and reducing the number of •Painted galvanized waterproof flashing - upon flashing standoffs required.In addition,composition Anodized components for corrosion resistance - \ 0 Install lag pursuant to NDS Section 11.1.3 • \\ shingles are not required to be cut for this \ with sealing washer. system,allowing for minimal roof disturbance. •Applicable for vent spanning functions © Secure Leveling Foot to the Comp Mount using machine Screw ® Place module � Components ® (3)5/16"Machine Screw ©Leveling Foot ©Lag Screw ®D Comp Mount • {' n © ®Comp Mount Flashing _ �►. ms -'SolarCity, January2013 ®RR I" ® UL LISTED rT„Solaitity. January 2013 GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND(N)B8 GEC TO TWO(N)GROUND Pcnel Number. Inv 1: Cgrounded INV-1-(I SOLAREDGE ASE5000A-US-ZB-U&A7EL: A -(21)YINGU d YL25OP-29b ONp168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number.43 981 875 Inverter, 50 W,24OV,97.5X; x/unied Disco and ZB,AFCI PV Module; 250W,226.2W PTC,H4.40mm,YGE-Z 60,Black Frame,ZEP Enabled ELEC 1136 MR A - Underground Service Entrance INV 2 ' � •. Voc:37.6 Vpmaz: 29.8 INV 3 Ise AND Imp ARE SHOWN IN THE DC STRINGS IDENIIFIER �E 200A MAIN SERVICE PANEL E;20OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E)WIRING SO ARD _ CUTLER-HAMMER METER 200A/2P Disconnect 3 SOLAREDGE _ SE5000A-US-ZB-U rt(E) B C 1 SolarCity ____ GNO _ __ r,Np ___ __________----________-_- _GEC __ _ e10f210nMP3,Mp1,! LL-T _—_—------------------_____ ________ __ Er>C--------- I - N = EGGGEC 71 Y TO 12D/240V SINGLE PHASE - I 1 - •. -. - ., UTILITY SERVICE Voc• = MAX VOC AT MIN TEMP " AC A p)s21 r a4 STRING JUNcnON BOX T (1)CUTLER-HAMNFJt BR2I0 PV BagaTFD BREAKER B (1)CUTLER-HAMMER OG221URB LIT GS,UNFUSED,GROUNDED - DC _ Ol BreaY 70A/�2 Spacm DlewnnecC ILIA,T40Yu,Non-F 31a NEMA 3R (f)7EP.�850-1196-002 -(2)Ground..Rat 5/8'x 8,Capper 4 -(t)gITLER AMNER DGWONB Group r.bM-al&Loa Geneve My(D.) - LmJ-1 8.p arodmt(PKG B) C SalarCuord Monitoring Sy6tem -, Znd (21)pOLAIR�Bo:�Qpl i Jl10WSH4,Be m DC,IFP (1)AWG#6,Sdkl Bare Capper . - -(1)Ground Rod,5/8'x 8•,Capper •' _ (N)ARRAY GROUND PER 690.47(D).NOTE: PER EXCEPTION NO.2,ADDITIONAL 1 AWG S10.TIiWN-2,Black 1 AWG CIO,IHNN-T,Bled Vac' =500 VDC Isc=15 ADC O�TDF(2 AWG 10,PV YAftERE-RED,fI�IRFn nFPF OINC,«N I O�CO.A.I VDC ID �(fa_ELEGIRO C K G ` O F(I)AWG/10,THWN-2.Red ' OI'sa-F-(I)AWG ILO,iHWN-2.Red Vmp =350 VDC Imp=14.8 ADC 1 (i)AWG/6.Solid Bare Capper EGG Vmp =350 VDC Imp=14.8 ADC (1)AWG d10,THWN-2,While NEUTRAL Vmp =240 VAC Imp=20.83MC ........L.(I)AWG/10,THWt1-2,Green„CCC....-{1)Condail,Kik.3/4'f)nT.......... ..................... PREMISE OWNER: - _ DESORPTION: DESIGN: CONFIDENTIAL ALL N T BE USED RHEREINTHE JOB NUMBER: JB-026325 OO Adit V(chare '`1ASolarCity. .. BENEFIT O SHALL NOT BEUSED FOR THE HALL, WILLIAM - HA LL RESIDENCE va ' BENEFIT OF ANYONE EXCEPT SOLARgTY INC., MOUNTING SYSIDE ` NOR RRr w oTxEBE EornOSED IN ViH RECIPIENTS OR IN 350 MAIN ST 5.25 KW PV. ARRAY ,• ��` Comp Mount Type C ORGANIZATION,EXCEPT IN CONNECTION WITH MaoulES BARNSTABLE, MA 02635 24 SE M.M.Ddre,BNnda,y z unit 11 THE SALE AND USE OF THE RESPECTIVE 21 YINGLI YL250P-29b - SIELT: REV: DALE - - Madbo-*.MA 01752 " SOLARCITY EQUIPMENT,WITHOUT 1HE WiBTTETI ` PAGE NAME T:(650)638-1028 F.(650)638-1029 PERMISSON OF SOLARg1Y INC - INVERTER 508 420-0118 PV 6 5/21/2014 (BBB)-SOT.-CITY(765-2489) ww.edarcilYcam SOLAREDGE SE5000A-US-ZB-U ) THREE LINE DIAGRAM y V UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. JB-026325 00 PREMISE OWNER °E�"P°°� DESIGN: CONFlDEND S-THE F BE USED R THEREIN JEO N6NBFk fir„^OI��'�� CONTAINED SHALL NOT BE USD FOR 1HE HALL, WILLIAM . HALL RESIDENCE Aditya Vchare ✓` BENEFIT OF ANYONE EXCEPT SOIARCITY INC.. YWNIING SYSTAt -,, NOR SHALL IT BE DISCLOSED IN MOLE OR IN Comp Mount Type C 350 MAIN ST 5.25 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIFNYS ORGANIZATON.EXCEPT IN CONNECTION T. waaHAEs� BARNSTABLE, MA 02635 - THE SALE AND USE OF THE RESPECTIVE 21) YINGLI YL250P-29b 2A SLY n ,MAa0, Unit N SOLARCITY EQUIPMENT,V47HOUT THE WRITTEN PAGE NAME' SHEET REV: DATE- T(650)6D8-1028 F:(650)638-1029 PERMISSION OF SOIARCITY INC. a OLA 508 420-0118 PV 5 5 21 2014 (Bea}5 Ill(T6s-2�e9) .....a—RY.� SOLAREDGE SE5000A—US—ZB—U UPLIFT CALCULATIONS � � d n Lowe-?-- (30LL-A-,c-- Lem 1 Vim/ C. TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 022 011 GEOBASE ID .1034 ADDRESS 356 MAIN STREET (COTUIT) PHONE Cotuit ZIP - LOT 6 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT. CT PERMIT 22411 DESCRIPTION 28'X28' DETACHED 2 CAR GARAGE -PERMIT -TYPE-- --BADDI - - -TITLE - BUILDING-PERMIT--ADDIT-ION_ .__.____.._----- ----..-----.----- CONTRACTORS: EVERITT, WILLIAM T. . Department of Health, Safet3 ARCHITECTS: and Environmental Services TOTAL FEES: $80.60 Im BOND $.00 CONSTRUCTION COSTS $26,000.00 - ~ 438 ADD RES.' GARAGE & CARPORT 1 PRIVATE P Q MA88. OWNER HALL, WILLIAM P & JO-ANN i639 ADDRESS 27 TURNER ST � NORFOLK MA BUILDING DIMS BY. DATE ISSUED 04/15/1997 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- READY TO LATH PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. i 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST-THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 i I 1 wtl,l, - 2 1�6 Jj ar ec ru,-cvc �s NG INSPECTION APPROVALS ENGINEERING DEPARTMENT (,awe Co �� t. r- "— A nO / BOARD OF HEALTH [� REVIEW APPROVAL aVL- A' Co AA r0 d�wl 1'Ih-ems' WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. )engineering Dept.(3rd floor) Map Parcel O& Permit# House# A4,{j Date Issued l Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) t-f - Iv�,`�7 4. Yn Fee Conservation Office.(4th floor)(8:30- 9:30/ 1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) Definitive Plan Approved by Planning Board. "` ;' 19 TOWN OPBARNSTABLE 40�1 Building Permit Application Project Street Address J® M p 'k) ` Village CO i V Owner WA lar��t�t 1��,�..�,_. Address 27 -ZO-AX& S77 ABqYj�, �,�;1. Telephone 566 0770 Permit Request Vo K, 028 `I"'wo C-, ,z First Floor Mq square feet Second Floor I (a square feet Construction Type L Estimated Project Cost $ , C)00 Zoning,District RT- Flood Plain Water Protection 1114 Lot Size Z-7 560 Grandfathered ®'Yes ❑No Dwelling Type: Single Family fA Two Family ❑ Multi-Family(#units) Age of Existing Structure f y25, Historic House ❑Yes A No On Old King's Highway ❑Yes �No Basement Type: S Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Nv;c: Basement Unfinished Area(sq.ft) ?136 Number of Baths: Full: Existing 2 New A14 Half: Existing Vf-- New No.of Bedrooms: Existing 3 New AIJ A Total Room Count(not including baths): Existing --6' New First Floor Room Count 3 Heat Type and Fuel: [' Gas ❑Oil ❑Electric ❑Other ifl=l k) Central Air ❑Yes 1f No Fireplaces: Existing New 4i Existing wood/coal stove ❑Yes ;@'No Garage: dDetached(size) 48 XX28 Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) 1 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes gNo If yes, site plan review# - Current Use 5jQC-i15r- �r�M t�-�/ �u�.,y� Proposed Use -yWg;e� tt�it��eyG.- Builder Information Name Q1,i-t,i&-k C, . k—LT—t— Telephone Number —5OB 7Q0� Address I (6 �b Ll -�O' 1 RD , License# a`'a� Co-ro t_�' 1`1,►N-, Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WpILL BE TAKEN TO (� o SIGNATURE ��;�Q�. r DATE5�7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` MAP/PARCEL NO. µ , ADDRESS VILLAGE J OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ,ROUGH FINAL GAS: DOUGH FINAL FINAL BUILI*q� —o ,- 'i; fl •�+kw DATE CLOSED OUT>•. _. .. n� ASSOCIATION PLAN NO. TOWN OF BARNSTABLE Permit# MASSACHUSETTS gatG ' +► BARNS ABLE. MASS. / 9� i639• 0� 'OrE,p Mp,•�A1 SOLID FUEL STOVE PERMIT Fee: �s oa; Owner: WX Phone: Address: �r /� ,� �� Village: v t � Approved by: Date: l G — Stove A. New %�� w Used B. Type/Radiant ,�/,f of H f Circulating - C. Manufacturer GA rri`5 0 k, Lab No. 4-1 D. Model No. 64 7- o 70?-fd- 7o!9 Chimney A. New Existing/if yes, date of last cleaning A ve i- v g,ea 17ol,, B. blue Size j "K 7 " C. Are other appliances attached to flue? Ala D. Pre-rab type and Manufacturer E. Masonry/lined 7/ e .3 Unlined Hearth / A. Materials r o`v/ j��All r r" Z'.# 'Jul) Poor construction / Installer //0. Address Phone Location of Installation 'Polaroid Moto Necessary "7his constitutes ari olliciat sto ve permit,-flier inspection and approval by Bud&ng Inspector ai �, a i :- `+At Q �� u� a � 1� = 1 �, iI~ ..>� s'. •:-:i-Tom'... .�3�i y5 f fir�f�•s ias� -� a —�f:ti° Assessor's map and. lot number ......��:; ....". �� /t•/� t ypF THE Sewage Permit number .... ..�.: ........... d``Q K ♦� Z 33AH39TADLE, i House number ...................... ...................................... 900,o�M &6 0� 'E0 MAI a�6 TOWN OF BARNSTABLE BUILDING INSPECTOR I APPLICATION FOR PERMIT TO -... b y ..... ........ ` UX .....1 ' >r1`�............................. TYPEOF CONSTRUCTION ... " < c ' --........................................... ........................ ............................................. .. ..............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (� Location . ... ...............:--Zt .V�.. .........:.. `rta.!.!......... ��......(H(=�ti 3...�� .... `.p.rZ t t /�� :...P. ProposedUse .tea .......... ................................ .......................................... Zoning District .... ................................................................Fire District ....4"). i?..:. . ..!.............�"�. .:.:...........................: Name of Owner .....i t1 t tY=1:.i!:5........N JN t- ..................Address .7 .�i.e!d ... �...../...........O OL A'lf� y. .. .... Name of Builder l?r�21'.` .............. , , ............. .....Address T'`..<->. C. 0 ..... y .................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......................6�.....................................Foundation ................r.F.................................. Exler,or 1 } # Q µ t` .�.. ...... t��a C,��....,�.................Roofing ........ k.................................................... Floors ......Interior . �.. Heating ' O'er Li: !to...................... .................................Plumbing .......................... ............... ts6 Fireplace ) ......-t„1 ? ...��tau� ....................Approximate. Cost ......... .. J :....-............ Definitive Plan Approved by Planning Board ________________________________19________. Area ..... 1 .......................... Diagram of Lot and Building with Dimensions Fee ....:C?.P!. .................. `. SUBJECT TO APPROVAL OF BOARD OF HEALTH ,f g tt OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r r Namei4!....�•l,% i(..... - �.!f...:{. ................ • ..... Construction Supervisor's License Vic .. -�......... HALL, WILLIAM A=022-011 No .....2A4H. Permit for .... ............... ............Single... aniay..A.W.P-111mg................... Location L4.t...6......3SA... d. Cotuit ................................................................................ Owner .........William. . . ...Hall .. . . ........ ...... Type of Construction .....F)7amP........................... z ............................................................................... Plot ............................ Lot ................................ Permit Granted ......Sept............... 19 85 Date of Inspection 19 Date Completed ......................................19 i �s7� i z - zo ass Assessor's map and. lot number ...... .�.'. / THE rot Sewage Permit number.l .( �.......Q... d``Py ♦� IN COMIS 'WITH TiTL House number 3 .............:......:.:.. flyl1'a L C AND 9KE 0 AM A"STABas'� ........................ .. .. ENIy ,ems TOWN I��`-1 ATONE o'FOYPY.a�00 TOWN' OF BAR NSTABLE BUILDING. INSPECTOR APPLICATION FOR PERMIT TO ..1..�...........�.�....... .. .. ........... ..�.............................................................. 'TYPE OF CONSTRUCTION ... © � � I ' ........ .`�..............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �1n Location ..`-ts."......................................... . ...................................... .............. ProposedUse ...... .6. ............................................................................. Zoning District ....�V:..........................................................Fire District .....�1,1- L.?.L77. '� �............................. u l� � / Name of Owner .... �L.1•L .........).��1��....................Address X 7 /f� 'i .0 /UO!e�� / ... .t................ Name of Builder � �` .... t�'.:... =r:. Address Cp ,••„....... Nameof Architect ..................................................................Address .................................................................................... • Number of Rooms ..................... ....................................Foundation ................................. Exterior ......(;.EMA�......��: !h5f?'4 C- .................Roofing ........1...1. `7"l17t .................................................... Floorsu- �s u.:R�.L G(��tit.Cr..............Interior .`- 1� aT %� ................................................... ........ .............................................................. Heating �& ..Plumbing �[� 4. ✓.o`U£ 9��....................... - etc kFireplace .. ......':.� ....`�...1�....��... ....................Approximate. Cost ��,le.��•:.••.................. ....... . Definitive Plan Approved by Planning Board ________________________________19________. Area ....1/ e............... Diagram of Lot and Building with Dimensions Fee G..�!..7 .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH 3& d':5P OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ist'� ....G!••• •,P ��c�.. ...................... Construction Supervisor's License 7 � ........................I........... t - - FALL lWILLIAM No 28468 ... Permit for ..1 .....Sto.Xv.............. ........... Location .....ot... .,......3S.R.. �a. ... u.i ..Road .....................cptl i t............................................. Owner Willie. a�.�.................: ,............. ............ Type of Construction ' ............................................................................... Plot ..........................:. Lot ........... ................. } M ` Permit'Granted ....• Sept. 26, .......19 85 Date of Inspection l { a......... ................. .19 qoftecd :. 1j1:. ............19 cc M - g r� 2 M 4 16 64. c � 1 � f •1 RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Main St, Santuit LAND 4700 22 1.0 - �3 BLDGS. OWNER C TOTAL 700 RECORD OF TRANSFER- DATE sK a� I.R.S. REMARKS: 01 LAND a T s BLDGS. TOTAL Farkas ary _ -LAND. orr. oaf. .Memarc`. levy-Ja►ea-D��,Lr.--, �u - ],. .. BLDGS: -Mamarelxetld, Stre�ern - 7=3Es�• It 2071 33----,'-No ,eO TOTAL, - - — LAND BLDGS. Hall, James J. & Janet p (-ense-- - - �. TOTAL 023 u—R nt �T` /�o�er-oc -. LAND r. T£� BLDGS. a TOTAL LAND, 0) BLDGS. - -- . TOTAL ` LAND BLDGS- - TOTAL LAND BLDGS. INTERIOR INSPECTED: TOTAL DATE: LAND e ACREAGE COMPUTATIONS7-1 BLDGS. Of LAND TYPE - # OF ACRES PRICE TOTAL- DEPR. VALUE TOTAL - HOUSE LOT 79 90 , 63 O©0 0 D 0 V 70 0 LAND CLEARED FRONT BLDGS. REAR - TOTAL - WOODS&SPROUT FRONT is LAND REAR BLDGS. WASTE FRONT TOTAL REAR - LAND � BLDGS. TOTAL LAND ch BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONTFT:,PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND. ROUGH TOWN WATER at �aJ • - -. BLDGS. HIGH GRAVEL RD. TOTAL LOW ' ': DIRT RD.: LAND - a �• SWAMPY NO RD. a BLDGS. zt:e' u a5 :•. ':�:: - .. .. ,F:., y: TOTAL - - 1 � ' RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT - SUMMARY STREET , Main St;• Santuiti 22 12 c LAND o BLDGS. I SSD O OWNER TOTAL o?5 /D D LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS:: Lot 7 BLDGS. 1- TOTAL h Art'.Ylllr_T• &...Emie__N- .6 69- ..,c lh45--2.85 t1d LAND BLDGS. 71 McGlynn, John A. & Anna J. 7-29-75 2215 6 33 500 TOTAL LAND Z/ BLDGS. TOTAL LAND BLDGS. TOTAL.. LAND _ BLDGS. Ol -TOTAL ry LAND � BLDGS. TOTAL 'LAND BLDGS. INTERIOR INSPECTED: — rn TOTAL DATE: ; t j , r(` / _ 7� ✓5 -'t.%?i.' \e' ' /C C 1 1.��t LAND ACLEAGECCOMPUTATIONS.„ BLDGS: LAND TYPE $♦: OF ACRES PRICE - TOTAL DEPR. " VALUE`- TOTAL - - HOUSE LOT LAND CLEARED FRONT BLDGS. 0) REAR. .- TOTAL WOODS&`SPROUT FRONT LAND r. REAR r BLDGS. WASTE FRONT ' t ' - TOTAL REAR BAND BLDGS. LAND77 _ BLDGS. LOT COMPUTATIONS ,, LAND FACTORS _ TOTAL _ FRONT DEPTH STREET PRICE DEPTH q6 FRONT Fr.PRICE TOTAL DEPR. COR. IMF. VALUE` JLAND' HILLY _ TOWN SEWER IRS ROUGH TOWN WATER oI DLDGS. a.... ::•HIGH GRAVEL`RD. , TOTAL LOW'a " DIRT.R0. n LAND ,. », "SWAMPY ` NO RD. : BLDGS. „.:'..; ._. :. ,�; '.:;��°:` 7,t`.«c r�,:�, a-T.,,, }Nt w .?,•F i`* — r u-:z.+. .. �- TOTAL ,. .. ..,. .,..: 1 ..:;,•... ,:o:+t .,.:.Y..X a ...... d .... , ... 'rrNry ,"�, .,a3 .,.:.;�.a„�.,.Li.�n:. .. ...a.:. .,xdm .�.r*-.xia. ,..... ...,_ .. -,.. ..:z,. _ ..�:.. .. -._ t_ .. _ RESIDENTIAL PROPERTY MAP NO. LOT NO FIRE DISTRICT SUMMARY STREET Main St.,. ►Santuiti " 6 .22 11 C LAND t.9 p / 7 BLDGS: OWNER �G+ti,. �. i? TOTAL (� 700 .LAND RECORD .OF TRANSFER. , DATE BK. PG I.R.S."` REMARKS: �p T CO BLDGS. ;Mamarchev-ova r 0 36/6& ] 16 �1U^�-. : 0 TOTAL �6 S LAND" Hall :_-William P'.`&. Jo � F,' (tens, ent 6- 0- 8 2739 260 $8,OOC. BLDGS. /(/R NC. J l:� A'4_.-� L {' U O.S" TOTAL' R �15 LAND BLDGS. y i TOTAL LAND BLDGS' • a (31 T C TOTAL. -.. _ R LAND , r, _ BLDGS. -• 7. r TOTAL LAND: BLDGS:' _ r - TOTAL' 'LAND INTERIOR-INSPECTED _ 7. BLDGS. TOTAL DATE:- f` LAND ACREAGE COMPUTATIONS a ;' " BLDGS. '"LAND.TYPE ,# OF ACRES PRICE-•- TOTAL"' DEPR. VALUE � - � � � TOTAL ' HousE LOT : a 63 00 oaC oo LAND CLEARED FRONT .' - <. BLDGS REAR. 3 TOTAL WOODS 8 SPROUT FRONT •- L }x, ,t LAND REAR r�` BLDGS. 1'. .� 4 0l. WASTE FRONT '' ,TOTAL Sri tk,., i '�.. {° a REAR s �: >, .LAND' LDGS TOTAL -LAND' , -. BLDGS. LOT COMPUTATIONS ^k .-,a LAND FACTORS r TOTAL FRONT FDEP STREET PRICE DEPTH_q(� FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE 'HILLY 5 #", a .' }'. TOWN SEWER,'; a= LAND DEPTH- TOW R ..,a s.. f S; ROUGH KWATE BLDGS. c 4 a HIGH TOTAL _ DIRTRD.• - '' LAND., €z LOW_ } � � a .. ;y.,' },� a> su, �y�,�(,"'��YS'gke;,.,- s -;":�RD LDGS. '}raw �,.. a..'.- _t... -� ._ �..,:. :.✓.c - ,2wrt� .r w.-„ ti� s xt T TALC" Y .-.. x ,y,ft... ,: ;r.f, ,...,:.•"i... -c„4. o. .a- ^ :> .: ,.?F,. H, 4 t� ,a ,.wlr.�ti i° �, NOx�. t 0`�.4�iSt,� .•,'nE.e3�S- -"� r;t X �"f.... S`. 0 zo �7,5 00 N 12SoD � RICHARD a; A. o BAXTER u��? No.24048 'A O � ..may �• f C.�,eT T11A7- Tye (-vuN��rrv� LaG�iTio�c/ �j7-v /T Sf/oWiV yE,2E0�[/COMCL YS k/jry S'CA L G— /.t/Z-- A//oSETBAC,r< l �, �EQU/.2E�JE!/TS Ors" T.�/� 7-ot�r�it/aF �,L AA1 8A�2 45T A 3 t-H A.vr� /s. ��7" .C.oc,47-E17 jyiT.�,�/N T .�La�PL�4/�f! ,aA XT.E.E?� BASEGO dit/;4if/ �2EG/STE,�'�� ,�,c(�c/p SlJ.eIY�'yQ� DES/ A DA rA i ►� ` GA iZ6a6 t CZi,Ks D c R. [S Nl I_ FLovJ _ : 116, .X 3 - .33 o G. P. D. t SEpT'IC TANK= : o 1, 150 * 4q5 33 0. G.P.O �1SPdsP,L. P.iT VSE' 1Oo0L, 01 51 DEW t.1� /�iZCA• _..I5'o 3. (=. T�zoi 375 G4: P. 0. Cj 2t l(s� t E3oTr'o iy So 6.F ! o -'..`To?'f C.;.77.c51G tJ= 4Z.!"- f�: P`. D. r�u FL PEl�GoL�lT7c3N Ri4Ts 2. M►N oC2 LeSe, czs , K P s , r � i Yt T R �UILfVAN �� . '97.5 d. _ I •97 , i ,. .... l 0 4, + e . ( f�" /0 00 /.s/ii SIG.� /coo /.v✓. , CAI, 3 sox • AT. •O TAN. ' ar W 1 r F4 / ///; • 3��1ic 9s-Z L I.." G'E2T/F/E.O /�G oT pG:4, . pRo F'i LG ,d�w s , �)o SCALE eery cY 771 4T'Ty.E f/av �- Sxlewv 94 Pe%; ,�/E,�Eov Cor�P�Y�S Wirx/7h'E S��s'L✓NE Baxr�,e�-',Vjy,E; iN�. AND.SET!�/lo` .e�'QV/�'ENI�Nr.S O,� 7ry� ,2�6isr�,ec=�,GQ.vo,Sli,2t/Eyo,P� TOWiV OF �/��n/Sj'�d.'/3L•�/s�vl� /,S �S/dT G�ST�.2Y/LLc a- iyf,,�.� L ocstr�o W17W14000' T7-/.-- ,cL aop ot�4/ti Al -4•v-��YST,e- -!/�I,EiYT.Sv,2l/EY.4it/O Tf/E�Gr�5.�� ShlolT/x/f�E.e�4N..S.4��UG IJ yaT-QE US.Ep TOWN OF B ARNSTABLE Permit No. __----'8468_ Building InspectorSAIMAU cash • -- ------------ �UCJ OCCUPANCY PERMIT Bond X Issued to Gilliam Hall Address Jot #6, 350 Wiring Inspector �/ / , tom Inspection date Plumbing Inspector- Inspection date Gas Inspector l,I� _r �• Inspection date Engineering Department E , f - Inspection date Board of Health Inspection date 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. ._ .f.. .................................................... 1 1.9......._._ %:................:..... _........................................ Building Inspector £t. • � `� � z ~ ,Jy •'-Y.v ! r�.,�l5.f r*..a.�=�6.,,}.,.X.- -1.. +4.:c .., :d. �` n,!"gii'r 'V IJ,t'i.."'r^�Ar" y-� �e�.;y-t �«t��: . TOWN OF BARNSTABLE BUILDING DEPARTMENT t asaaSTAsc : TOWN OFFICE BUILDING NASAL �9',►�z6 9M` 1 HYANNIS, MASS. 02601 Y�Y I' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit Chas been issued for the building authorized by BuildingPermit #............ ..? ?,!!..1�....................,...................................................................................... issuedto .........�� . - 1 wx..g. .._................................. ................. Please release the performance bond.•► ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE ® square feet X $55/sq. foot= c,?- 4 ,;—Go GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH LI© square feet X $20/sq. foot= DECK T 1 7( square feet X $15/sq. foot= . 6 �{ 0 OTHER square feet X$??/sq. foot= Total Estimated Project Cost 6 40 g990915b 0 Zo OCR 2.r' a 9D' • �IZ�,•oa • � . AAA Q 6AXTER P40. 2a048 'f�Q lrTE0 07- 50 S'CA L G— l2EQU/�2E�JENTS ors" T,S/�' �"ott�it/DF P�''4� '�E'c�'eE�C� 8r) hl'ST a 3 L&• Aic./O /.5' 1,1o7' I.O CA TELL fit//7-17111V /1 113 1(iv/4 e � - ,QA XT,E,C s 7'/�/S �L�lt//S il/oT'BASED Div;4i(/ ,eEG/sTE<e� 1�,C�� SU.�ij�Ya� 0,�,45-E'TS SyaLs/.1/S,ypUGJ� IV07— 49,C-- USEj� 7"451 -......- The Commonwealth of Massachusetts Department of Industrial Accidents - =' Office oflayesaatioas 1? == 600 Washington Street Ji Boston Mass. 02111 Workers' Com,pensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. cotnpnnv name: address: ® city: l^�`T-L a t 1^ � A 02-6� phone#:��—�o�O /�-7 ?0? insurance cn.7VklCli'- --X--kz5,1R4AV oala policv -515 57Z ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name. address: city phone#: insarnnce cn. olii v# carnranv name. . address: city phone#c _. . ituurance co. olicv# ,,,//%0/%///%/% Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to 51,500.00 and/or one year,'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties o er'u t the information provided above is truo and correct M Signature Date Print name UL.L. L At d-k !�'• '��.��— Phone#St�-Xa9" 7?o 1? official use only do not write in this area to be completed by city or town ofilcial city or town: permitlilcense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Offlce ❑Health Department contact person: phone#; ❑Other :::•..., ....... (tevueo 9i95 PJA) Information and InstructionsOt Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coau-..c-, of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive:c: trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names,.address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been.made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. FEE FEE The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents o flce of InvesugauOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis' STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-4-1999 DATE OF PLANS: 10/4/•99 TITLE: Hall Job PROJECT INFORMATION: 350 Main Street, Cotuit, MA COMPANY INFORMATION: MAP Insulation, Sagamore, MA COMPLIANCE:' PASSES , Required UA =- 159 Your Home = 143 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 392 38. 0 0. 0 12 WALLS: Wood Frame, 16" O.C. 756 15. 0 3 . 0 51 GLAZING: Windows or Doors 148 0.400 59 FLOORS: Over Unconditioned Space 440 19. 0 21 HVAC EFFICIENCY: Furnace, 84 . 0 AFUE -------------------=----------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions. found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 .and J4.4. Builder/Designer �� , Date 149 7 9 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 Hall Job DATE: 10-4-1999 Bldg. Dept. Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows .without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1. Furnace, 84. 0 AFUE or higher Make and Model Number THERMOSTATS: [ ) Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and. installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8 . 0. DUCT CONSTRUCTION: [ ] A1.1 ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids . below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- COINS RU-CITHIN >GFEB.'JI',Jn _iC p'it -Re�Irlc�ed I6- 9 P633 } ;. 07e�m�e�naru�ealGi�../uaa�ac/«ae� r . HOME IMPROVEMENT CONTRACTOR I Registration 101645 Type - INDIVIDUAL Expiration 06/26/00 f i WILLIAM T. EVERITT 868 MAIN STREET/BOX 1340 o�uit. MA 02635 r ! ADMINISTRATOR The Town of Barnstable .w:Hsrw�. Department of Health Safety and Environmental Services- Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 , .Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Kbb yi-i oe D Estimated Cost 000 Address of Work: 350 M N 1 L3 :S T. Czrvu� MA 02-r,3- Owner's Name: ::�D —A►)tJ Ms,\ Date of Application: /D4/9 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E]Job Under S1,000 Building not owner-occupied C]Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY i hereby ap ly for a permit as the age t f the owner. 119 A7 Dad Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav Gi as NORTH SIDE ELEVATION FRONT ELEVATION SCALE:1/e•.i'-0• SCALE.VD••1'-0' n _ n � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIUu�u�U��lllllilllillll�I I I _ _ l SOUTH SIDE ELEVATION REAR ELEVATION SCALE,VB°•I'-0• SCALE.. I0, I5, 20, ADDITION TO HALL. RESIDENGE MAIN STREET GOTUIT, MA SMOKE DETECTORS C.,:,. 9/1/9e SHEET 1 BARNSTABLE BUIL®ING DdP f. -------------- I :� . \ --------------- NEW l / \ BULKHEAD I I I NEW I e I I I v I I ? 9 I I DECK CL. SECTION z� 1 I I Wr � I I NEW _ EX15TING BASEMENT III �SEMENT i 0 \ NEW I NEW I 0 BATH I FAMILY ROOM \ lOPHNING I I T I I GL. CL. KITCHEN i \ rEJ I III I ` I 1 III I I I III MASTER I I I III BEDROOM NEW I Ji LIVING ROOM I DINING ROOM I .°• I BASEMENT PLAN cL. r ---------- I � F I I ,CALF.V6•.I'"m. -------------- L J L J /I I ,- \ I I I I CL. - -------- I I I PORCH I ---\ S I I NEW I FIRST FLOOR PLAN I UNFINISHED SPACE I UNFINISHED SPACE I I I �_--------------------------� I I I I SCALE OPEN II m 5' 10, 15, 20' tl: TO BELOW I II ADDITION TO HALL RESIDENCE L J MAIN STREET COTUIT, MA SECOND FLOOR PLAN ---------_ SHEET 2 ECl.LE+UD•.P_m• r� t RIDGE VENT IT r� a I/2"CDX PLYWD. �R ROOF SHINGLES Y 2x&COLLAR TIES - - - F 2x8 RAFTERS 9 11 `EAVE VENT \ AND GUTTER °° MAIN STREET 2.10 JOISTS SITE PLAN Ib"O.G. &CA.LE,r.30• . EAVE VENT 2x4 STUD WALL W/ AND GUTTER R-13 BATT INSULATION 1/2"CDX PLYWOOD TYVEK HOUSE WRAP PORCH 2x10 JOISTS POURED CONCRETE - CONCRETE FOOTING - FOUNDATION AND FOOTING POURED CONCRETE SECT I O I SLAB SCALE: 1/4"=I'-ra" ADDITION TO HALL RESIDENCE MAIN STREET GOTUIT, MA SHEET 3 TOWN'OF BARNSTABLE BUILDING PERMIT APPLICATION. Map d o?aZ Parcel G!, .* Permit# f\I Health Division - Date Issued Conservation Division `( `` I Fee Tax Collector F. a y :c ..: `/O 71,r 9 "moo Set Treasurer �� `� � b o'6TE-M,MU$T 0i If'�S ALLED IN COMPLIANCE Planning Dept. WITH TITLE S r r q Date Definitive Plan Approved by Planning Board _ r ENVIRONMENTAL CODE AND TOWN REGU TIONS, Historic OKH Preservation/Hyannis ter,: SXS ,6� O: tY1 A 5 '. K , .Project Street Address i fJ .. 4 117 Village �4�'l��C' (Y) t`% 0 Z6Z Owner W116.u051"kl -A. _o4w Ak\..i__ Address 3-5-0 /h st cmu sTMooa2635 Telephone 15076 - ',7� 0 -O//S Permit Request 1.oa5TR,T' P�- Ilk A a.8 A&fi-yno ae ry X(o E19��.�o jl?S A s �G I�oRC�k any Pe�p� OF A0066 ,4� r9 /ax/7 • Square feet: 1st floor: existing766 ' proposed 446 2nd floor:existing 361A proposed Total new 71/6 3/6 V, Estimated Project Cos Zoning District Flood Plain Groundwater'Overlay �— Construction Type 1!`W®o5 I'r Aka Lot Size Z8 7�D _5dp F�7 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family. W Two Family ❑ Multi-Family(#units) 4 ' Age of Existing Structure lyehwks Historic House: ❑Yes ji No On Old King's,Highway: ❑Yes D(No Basement Type: gFull ❑Crawl ❑.Walkout ❑Other Basement-Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ,JOB Number of Baths: Full: existing. new iUoN0-• Half:existing wives , new A1.0 l ' Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new Z First Floor Room Count lv Heat Type and Fuel: Gas '❑Oil ❑Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New P e vXV: ,r Existing wood/coal stove: ❑Yes XNo Detached garage:l (existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size 'r/ Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# '� Recorded O Commercial 0 Yes XNo If yes, site plan review# 6A W Current Use � f Proposed Use . I BUILDER INFORMATION Name 16_Lk('AP" l y ��C"� Telephone Number Address License# d,k-4 Ck 55 1_11�6 X /3 VO Home'Improvement Contractor# A 0 <v Worker's Compensation# _TC S-52V?77 -ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT.WILL BE TAKEN TOC��'_1.3 SIGNATURE DATE _ ®�7�9 r { FOR OFFICIAL USE ONLY " -^ DATE ISSUED MAP/PARCEL NO., ADDRESS VILLAGE OWNER �5 _ - s .''`c - • !.; � .yam_ i, i i DATE OF,INSPECTION, �` .';, 4 � r z• r k. '. � � * � t � ! � r h F r �dNJ ��Y�J -•Z `3 • 'r r � � �,s �, � ' ° r• ' r � - f � � t• '• FOUNDATIONS ��2 : 4'y,�° •_ /l�/ Z�Q 'f _ t`�' -; r i ": FRAME aC)o-I�� INSULATION KD FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL a GAS: ROUGH 'i '`" i FINAL, FINAL BUILDING • -. t. r ; • ram+ f3� • . ,•`1_', frr •I i ' . . • • t { ' '+ j '�y 'r• DATE CLOSED OUT , ; to ASSOCIATION PLAN NO. P b S r >s I 1 M t I SOUTH AIDE ELEVATION 1e•_0• MAUL STREET MF Viz' —7 FBI r �tt`n .s • _ - - ... i _ NORn+amE ELEvarloN - ? r.j.;d Ir wrlw •: .pro..�. ; 9 3 it .I o❑❑❑❑❑ ❑❑❑❑❑❑ II i v`. •[ _LL_ - _ '' Je•.m• ® - "a"r.aaa.row � ' PROW GI FVATION A•� ..I �a 21-66 Fy = 36 ksi BEAMS W Shapes w 14 w 12 Allowable uniform loads in kips All for beams laterally supported r For beams laterally unsupported, see page 2 .46 f _ For b Designation W 14 W 14 W 14 Designation Wt./ft 53 48 43 38 1 34 30 2f 1 22 Flange Width B 8 8 63/463/4 63/4 5 5 ,Deflection Wt./ft 136 120 I In. Flange Width 123/8 23% L, 8.50 .8.50 8.40 7.10 7.10 7.10 5.3C 5.30 L� 13.1 13.0 L 17.7 16.0 14.4 11.5 10.2 8.70 7.00 1 5.60 53.1 13.2 L„ 6 1014 ! 91 .04 9 305 268 126 115 108 9 77 .06 10 295 258 7 124 110 95 8C i 66 09 11 268 235 8L48 135 120 108 96 83 7G 57 .11 12 268 235 9 137 124 110 96 66 74 62" 51 .14 13 227 199 10 123 111 99 86 77 67 5E 46 18 14 210 184 11 112 101 90 79 70 60 5: 42 .21 12 103 93 83 72 64 55 47 I 38 .25 5 196 17 1 13 95 86 76 67 59 51 4: 35 30161 r 14 88 60 71 62 : 55 48 4C 33 .34 15 82 74 66 58 51 44 37- ! 31 .40 18 164 143 16 77 70 62 ' 54 48 42 3= 29 I 45 19 155 136 17 72 66 58 51 45 39 35 1 27 I .51 20 147 129 18 68 62 55 48 43 37 3• j 26 .57 21 140 123 19 65 59 52 46 41 35 a 24 .63 22 134 117. 20 62 56 - 50 43 38 33 2E I 23 .70 23 128 112 Y 21 59 53 47 41 37 32 27 22 77 U) 6 24 123 108 22 56 51 45 39 . 35 30 2E 21 .85 " ti 25 118 103 u c 23 54 48 43 38 33 29 24 I m c 26 113 99 CL Co 24 51 46 41 36 32 28 23 19 1.01 II m 27 109 96 25 49 45 40 35 31 27 22 18 1.10 vai 28 105 92 26 47 43 38 33 30 26 22 18 1.19 29 102 89 27 46 41 37 32 29 25 21 17 1.28 30 98 86 f 28'1 44 40 35 310 27 24 20 16 1.38 30 41 37 33 29" 26 22 19 15 1.58 32 39 35 31 27 24 21 17 14 1.80 34 36 33 29 25 23 20 16 14 2.03 F i Properties and Reaction Values Sx 1 163 in.3 186 SX in.3 77.8 70.3 62.7 54.6 48.6 42.0 35.3 29.0 V kips 186 163 1 1 V kips 74 68 60 63 57 54 51 46 For R, kips 90.9 76.4 fi R, kips 31.6 27.8 23.8 19.6 16.9 15.0 14.2 12.0 explanation RZ kips/in. 18.8 16.9 Rz kips/in. 8.79 8.08 7.25 7.37 6.77 6.42 6.06 5.46 R3 kips 160 128 R3 kips 37.3 31.2 25.0 25.3 20.9 17.8 17.0 13.0 of deflection, R,kips/in. 18.0 15.1 R4 kips/in. 3.37 2.93 2.40 2.51 2.23 2.26 1.74 1 62 see page 2-32 R kips 157 136 i R kips 49 41 33 1 34 29 26 1 23 119 Load above heavy line is li Load above heavy line is limited by maximum allowable web shear. Values of R in bold face e A MCAN INSTMITE OF STEEL CONSTRUCTION A l - i I T' NEW GARAGE EX15TING 28' LEACµ PIT EXISTINCs DIST. BOX EXISTIW3 SEPTIC TANK I 9 /�//►�-�/� w /EXISTN 4CU E'5 I .. ' I n f i = I Y U- U l i 1- X ,- w 125' I"IAIN STREET ''- SITE f:FL,AN SCALE ' / E i UB HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 HO ME IM PROVEMENT CONTRACTOR Registration 101645 E Expiration 06/26/98 a Type - -INDIVIDUAL WILLIAM T . EVERITT 1136 Old .Post Rd/ BOX 1340 ; Cotuit MA 02635 48311 =� DEPARTMENT OF PUBLIC SAFETY 48311 ONE ASHBURTON PLACE , RM 1301 BOSTON, MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 WILLIAM T EVERITT Detach bottom, fold , sign on POB% 1340 r r', t? back; and laminate license card. COTUIT, MA 02635 Keep top for receipt and change of address notification. • The Common lrealth of Afassac h usetts Department of Industrial Accidents OMCV911AMSt/ga1/ons h(1(1 11 aAhigfun Street Boston, A1a.u. (12111 Workers' Compensation Insurance Affidavit app-iis�intinforrnaiion'• w PlcisePRINTIe�t ''"~""�'�•"•'�'•�M^ ---'+ name LO lLi at P_�y .` location: k��Co OaX> cit-• (20- -) 7Z-4z,__3� a I am a homeowner performing all work mvself. ®' I am a sole proprietor and have no one working in any capacity •l...'.�P.�._....��1P^'.w_......_-1..A�.-.lM.l...'��T�T.�.�MI„/.7A�:...�T��w+...ww.�,�,,lrl.�w�w..�. w.• w...f.w./.._r..__w..... CI I am an emplover providing workers' compensation for my employees working on this job. comnanv name- address• ' city Rhone#• . insurance en. Holley# [✓?' 1 am sole roorrietor. enerai contractor, or homeowner(circle one) and have hired the contractors listed below who have the followin_ workers' compensation policed:: company name: adtiress• eClJX -(S cin•: V�,f��1��'�.��_ �-^�� : �� ®��j� nhonc#: .J�O�--7JP9" �fv.�� insurance co C _V A+(9RA,aA4_) •-U.-25 . Q0 Holies # 61L)U6 Y,37C-9-'.z55 comnanv nnmc: �� ►U "hUG�I®Iy address: city /��XX/!(% f'//r �,��✓ nhonc#• � insurance co. Wl�so�� noiic�•# ��'�� -0 9999� Attach additional sheet if neccs_iary- �_ :; _,, _ __ :'�''-''^.`•:.... ,._,..�.: --' Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a line up to SI.500.00 andiur one years' imprisonment as►vcll:is civil penalties in the form of a STOP WORK ORDER and it fine of 5100.00 a day against me. I understand that a copy of this statement ma% be forwarded to the Wee of Investigations of the DIA for coverage verification. 1 do herchr certift•un her the pains and enafties o rrjun•that the information provided above is true at d co ect. 1�Si_naturc k Date p Print name W[U_l&-&k �� Phone �oS �fo"ZS 7707 �r rci�tv`o:r il use unit• do not write in this area to be completed by city or town official tmvn: permit/license# nl3uilding Department C31-icensing board check if immediate response is required asclectmen's Office C311c2lth Department contact person: phone#: r'IOthcr s: a Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the "law", an enrplgree is defined as every person in the service of another.under an%, contract of hire, express or implied. oral or written. An etnplure►r is defined as an individual. partnership, association. corporation or other legal entity. or any two or mor the forcaoin�_ CI1L:1�_ed in a joint enterprise, and including; the legal representatives of a deceased employer. or the reeciver or trustee of an individual , partnership. association or other legal entity, employing employees. However th( • ` oWlicr of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the dwelling- house of another who employs persons to do maintenance , construction or repair work on such dwelling_ ho; or on.the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: � t even•state or local licensing agency hall withhold the issuance or MGL chapter 1�'_ section _5 also states that g agency s p renewal of a license or permit to operate a business or to construct buildings in the commonwealth for an applicant who has not produced acceptable evidence of compliance with the in coverage required. Additionaliv. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter 1, been presented to the contracting authority. Applicants Please full in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppiNIn�_ company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sibn and date the affidavit. The affidavit should be returned,to the city or town that-the application for the permit or license is being requested. not the Departmdnt.of Industrial Accidents. Should you have any questions regarding the "law' or if youare required to obtain a workers' compensation police, please call the Department at the number listed below. _... .... is City or'Powns Please be sure that the affidavit is complete and printed legibly. The Department ltas provided a space at the bottom o; the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to naive us a =11. �.._y..r�'_•-. .... .� ..�.A..7.•.T.••ri7�..- _....�....-.•—�w+,Rn.�++-mow ...:. -•�IwaM•J1Rr._!r.vw�.g9ss.wr•..- Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts r Department of Industrial Accidents Office of Investigations 600 Washington Street • b Boston,Ma. 02111 fax #: (617) 727-7749 phone P,: (617) 727-4900 ext. 406, 409 or 375 oFTMe The Town of Barnstable • B�arrsreaie. • Department of Health Safety and Environmental Services 1659. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission( For office use only Permit no. Date -� t AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied..building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,•along with other requirements. Type of Work: oW Xa9 199&&WEEst. Cost A6 OOd Address of Work: Owner's Name LOU , `+ 'AC>phjUdlj 9Z.- Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO .NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner - Date Contractor Name Registration No. OR