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0759 MAIN STREET (COTUIT)
�� �� �. __ \ ,\ l ��I Town of Barnstable Building to Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept snm P� Posted Until Final Inspection Has Been Made. : Permit ,�ccp Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been . t Permit jij made. Permit NO. 13-18-4124 Applicant Name: SOLECT ENERGY DEVELOPMENT LLC. Approvals Date Issued: -01/02/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 07/02/2019 Foundation: Location: 759 MAIN STREET(COTUIT), COTUIT Map/Lot: 036-006 Zoning District: RF Sheathing: Owner on Record: BERKEY,SCOTT A& PATRICIA A Contractor Name:`4�,SOLECT ENERGY DEVELOPMENT Framing: 1 LLC. Address: 759 MAIN STREET 2 Contractor License: 183188 COTUIT,MA 02635 �{ - s Chimney: Description: Install Additional (17)solar Modules to ass to ex solar;array.At Est. Project Cost: $34;918.00 i insulation: storage battery witll be installed,permitted separately Permit Fee: $.228.08 Ef Project Review Req: ,:' Fee Paid" $228:08 Final: { Date: 1/2/2019 Plumbing/Gas Rough Plumbing: Final Plumbing: B 'uilding Official t � � � Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced within six� months aftecissuance. - All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open-for public inspection for the entire_duration of the work until the completion of the same. Electrical r. Service:. b .the Buildin and�Fire Officials are rovided on this permit. The Certificate of Occupancy will not be issued until all applicable signatures y g p p Minimum of Five Call Inspections Required for All Construction Work: _ Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy _ Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund„ (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 7 ( Parcel (20 (__1 'O 4�(r Application I I Health Division ,,Date Issued Conservation Division >� Application Fee Planning Dept. /'��emit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis' Project Street Address 15 1 M A-341-J S'I. Village coTL" Owner C� ��tf JI% Address Telephone 5D6 3 5-3 9 -7 L17S Permit Request T-N&70rt--L A-9 0"D O`YA-t- O.-T) S 0L.O,(Z c✓ i I,t.,. �. I,�3 >I � � t I S� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name t 1> Telephone Number �� 5 7 9 Address l A-`7IJ P_JV �O L, License# S t 1 Z. IC, 0 H-0P Y--(&/ !U HA Q 1 -1 Llg Home Improvement Contractor# y 3 f 00 Email `J JiT �� 1; s®�'1� Worker's Compensation # (56 OU E -066- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO G�5 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER %P DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. m, £ EAH'Structural Consulting _'-` ''' 11 Ponybrook Lane k Lexington,MCA 02421 C PHONE 1.978.406.&921 EAW c®NsuLc iNa Elaine@EAHstructural.com December 12, 2018 To: Solect Energy 89 Hayden Rowe Street Hopkington, MA 01748 Subject: Structural Certification for Installation of Solar Panels Berkey Residence 759 Main Street Cotuit, MA.02635 To Whom It May Concern, A design check for the subject residence was done on the existing roofing and framing systems for the installation of solar panels over the roof. From a field inspection of the property,the existing roof support structures were observed by the client's auditors as follows: The roof structure of(MP1-east old roof)consists of composition shingle on 1x decking that is supported by true dimensioned 2x7 rafters @ 28"o.c.max.The rafters support a vaulted ceiling and have a max projected horizontal span of 9'-6",with a slope of 40 degrees.The rafters are butt jointed at the peak,and at the eave by a load bearing wall. The roof structure of(MP2-west new addition)consists of composition shingle on roof plywood that is supported by nominal 2x10 rafters @ 16"o.c..The rafters support a vaulted T&G ceiling and have a max projected horizontal span of 9'- 6",with a slope of 40 degrees.The rafters are supported at the ridge by a continuous ridge beam and at the eave by a load bearing wall.There are faux rafters and ridge beam under the finished T&G ceiling. The existing roof framing system of(MP1-east old roof)is judged to be adequate to withstand the loading imposed by the installation of the solar panels. No reinforcement is necessary. The existing roof framing system of(MP2-west new addition)is judged to be adequate to withstand the loading imposed by the installation of the solar panels. No reinforcement is necessary. The spacing of the solar standoffs should be kept at 32"o.c.max with a staggered pattern to ensure proper distribution of loads. I further certify that all applicable loads required by the codes and design criteria listed below were applied to the Unirac solar rail system and analyzed. Furthermore,the installation crews have been thoroughly trained to install the solar panels based on the specific roof installation instructions developed by Unirac for the racking system and Quickmount for the roof connections. Finally, I accept the certifications indicated by the solar panel manufacturer for the ability of the panels to withstand high wind and snow loads. Design Criteria: • Applicable Codes Massachusetts Residential Code,9th Edition,ASCE 7-12,and 2015 NDS • Roof Dead load= 14.67 psf(MP1-east old roof) -- 15.9 psf(MP2-west new addition) • Roof Live Load=20 psf • Wind Speed= 140 mph, Exposure C • Ground Snow Load=30 psf - Roof Snow Load=25.5 psf Berkey Residence, Cotuit 1 EAH Structural Consulting % 11 Ponybrook Lane Lexington, MA 02421 PHONE 1.978.406.8021 EAM CoNsuL.TiNm Elaine@EAH'structurel.corri Please contact me with any further questions or concerns regarding this project. Sincerely, 6 �ov0F 41gS c ELAINEA GN o HUANG CIVIL H Elaine Huang, P.E.: 4 �No.M290 Project Engineer S/ANALN�' I Berkey Residence, Cotuit 2 a EAH Structural Consulting yJ 11 Ponybrook Lane Lexington,MA 0242.1 PHONE 1.978.406.&921 EAH CONSULTING E:Iaine@EAHstructural.com, Gravity Loading Roof Snow Load Calculations p9=Ground Snow Load= 30 psf Pf=0.7 Ce Ct I p9 f HI (ASCE7-Eq 7-1) Ce=Exposure Factor= 1 (ASCE7-Table 7-2) Ct=Thermal Factor= 1.1 k(ASCE7-Table 7-3) I=Importance Factor pf Flat Roof Snow Load 25.4 psf PS=CSPf (ASCE7-Eq 7-2) Cs=Slope Factor= 1 - ps 7 Sloped Roof Snow Load= 25.4 psf PV Dead Load=4,psf(Per catalog) Roof Dead Load(MP1 •east old roof) Composition Shingle 4.00 1x Decking 3.00 2x7 Rafters @ 28"o.c. 1.67 Vaulted Ceiling 4.00 Miscellaneous 2.00 TotalRoof DL(MP1 east old roof) 143 psf�},' DL Adjusted to 40 Degree Slope 19.2 psf Roof Dead Load(MP2-west new addition) Composition Shingle_ 4.00 Roof Plywood 2.00 f 2x10 Rafters @ 16"o.c. 2.90 Vaulted Ceiling 4.00 Miscellaneous 3.00 Total Roof DL(MP2 swest,new additfon)N. psf _ 4_ DL Adjusted to 40 Degree Slope 20.76 Berkey Residence, Cotuit 3 i :a M EAH Stria-ctural Consulting 11 Pony brook Lane �` `- Lexington, MA.02421 `~f PHONE 1.978.406.8921 EAH CoNsuL--rwa Elaine@EAHstructural.com Wind Calulations Per ASCE 7-12 Components and Cladding Input Variables Wind Speed 140 mph Exposure Category C Roof Shape Gable/Hip Roof Slope 40 degrees Mean Roof Height 20 ft Building Least Width- 40 ft Effective Wind Area 17.5 ft Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0,00256*Kz*Kzt*Kd*VA *I (Eq_6-15) Kz(Exposure Coefficient)= 0.9 (Table 6-3) Kzt(topographic factor)_ ,1 (Fig.ii-4)', - Kd(Wind Pirectionality Factor)= 0.85 (Table 6-4) V(Design Wind Speed)= 140 mph I Importance Factor= 1 (Table 6-1) - - qh_ 38.38 Standoff Uplift Calculations Zone 1 Zone 2 Zone 3_ Positive GCp= ^ -0.90 -1:10 -1.10 0.85 Uplift Pressure= -34.55 psf -42.22 psf -42.22 psf 32.6 psf X Standoff Spacing= 2.67 . 2.67 2.67 Y Standoff Spacing= 2.75E 2.75 2.75 - Tributary Area= 7.34 ;=� 7.34 7.34 ' Footing Uplift= -254 lb -310 lb -310 lb Standoff Uplift Check Maximum Design Uplift= -310 lb Standoff Uplift Capacity 400 lb 400 lb capacity>310 lb demand Therefore,OK R' Fastener Capacity Check Fastener= 1 -5/16"dia Lag i ,Number of Fasteners-`1 Embedment Depth= 2.5 w Pullout Capacity Per Inch _ 250 lb Fastener Capacity= 625 lb w/F.S.of1.5= 417lb 417 lb capacity>310 lb demand Therefore,OK Berkey Residence, Cotuit 4 EAH Structural Consulting 11-Ponybrook Lane Lexington, MA 02421 t i PHONE 1.978.406.8921 €Aid' CONSULTING Elaine@EAHstructural.com Framing Check (MP1 - east old roof) PASS w=113 plf Dead Load 19.2 psf PV Load 4.0 psf Snow Load 25.5 psf t2xTRafters @'28'd.c. -_ 0 Governing Load Combo=DL+SL Member Span=9'-6" Total Load 48.7 psf Member Properties Member Size S(in^3) I(in^4) Lumber Sp/Gr Member Spacing 2x7 16.33 57.17 HF#1 @ 28"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 975 x 1.15 x 1.2 x 1.15 Allowed Bending Stress=1547.3 psi Maximum Moment = (wLA2)/8 = 1279.34 ft# = 15352.1 in# Actual Bending Stress=(Maximum Moment)/S =940 psi Allowed>Actual--60.8%Stressed Therefore,OK Check Deflection Allowed Deflection(Total Load) = U180 (E=1500000 psi Per NDS) = 0.633 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5'w'LA4)/(384'E'1) = 0.243 in = U470 > U180 Therefore OK Allowed Deflection(Live Load) = U240 0.475 in Actual Deflection(Live Load) _ (5'w'L^4)I(384'E'I) 0.128 in U891 > U240 Therefore OK Check Shear Member Area= 14.0 in^2 Fv(psi)_ 150 psi (NDS Table 4A) Allowed Shear = Fv'A = 2100 lb Max Shear(V)=w L 12 = 539 lb Allowed>Actual• 25.7%Stressed Therefore,OK Berkey Residence, Cotuit 5 EAH Structural Consulting 11 Ponyarook Lane Lexington,MA 02421, PHONE 1.978.406.&921 E.AH oNsuLTwm Elaine@EAHstructural.com: Framing Check (MP2 -west new addition) PASS w=67 plf Dead Load 20.8 psf PV Load 4.0 psf Snow Load 25.5 psf ' 2x10.Ra(ters`@ Governing Load Combo=DL+SL Member Span=.9'-6" Total Load 50.3 psf Member Properties Member Size S(in A3) 1(in A4) Lumber Sp/Gr Member Spacing 2x10 21.39 98.93 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.1 x 1.15 Allowed Bending Stress= 1272.9 psi Maximum Moment = (wLA2)18 = 755.934 ft# = 9071.2 in# Actual Bending Stress=(Maximum Moment)I S =424.1 psi Allowed>Actual-33.4%Stressed - Therefore,OK Check Deflection Allowed Deflection(Total Load) = LI180 (E=1400000 psi Per NDS) = 0.633 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*LA4)I(384*E*I) = 0.089 in = U1281 > U180 Therefore OK Allowed Deflection(Live Load) = U240 0.475 in Actual Deflection(Live Load) = (5*w*L^4)I(384*E*1) 0.045 in U2534 > U240 Therefore OK Check Shear Member Area= 13.9 inA2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1873 lb Max Shear(V)=w*L/2 = 318 Ib Allowed>Actual 17%Stressed Therefore,OK Berkey Residence, Cotuit 6 ' Town of Barnstable Building Department Services R&UNsTy ,� g, Brian Florence,CBA s63g tw eo�►, Building Commissioner 200 Main Street,Hyannis,MA 02601 W WW.town.barnstable.ma.ns Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must - Complete and Sign This Section - If Using A Builder SCOTT BERKEY J property I, as Owner of the sub'ect ro hereby authorize DAVID A.FITZGERALD (SOLECT ENERGY�o act on my behalf; in.all mattets relative to work authorized by this building pets * application for. 759 MAIN STREET, COTUIT,MA 02365 (Address of Job) **Pool.fences and'almns.ate the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all'final inspections are petforrned.and accepted Scot.•er4eljC c7?,2.019i' Dave Crtzpra'd(Dec r,.D18) Signature of Owner Signature of Applicant c` = SCUT BER EY DAVID A. FITZGERALD arint%am.e Print Name' ate R. . . Q:F0Paa:oWNMPm-MS10NP00L5 Rrv:09/16/17 usin lJOIlRegue�C6 _ Office of Consumer Affairs& usin Bess Regulation HOME IMPROVEMENT CONTRACTOR Type: Supplement Card Re' istration Ex iratiort i � �183,y 88 09/07/2017 SOlect Energy,,,. oprtieni L c. David Fitzgerald - 89 Hayden Rowe See "�'F ,rZc Hopkinton, MA 01:748j�T'�`� r - Undersecretary i 9/18/2018 Details .ate ._ ,,..�a:..�._.,. ;i;o•F<�. :;=° , - - - nsee Details uemographic Information Full Name: DAVID A FITZGERALD er Name: icense Address n orma ion ity.: HOPKINTON State: MA ipcode: 01748 o nt : U fed fates icense InTormation License No: CS-112160 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal:Issue Date: Expiration Date: 4/27/2022 License Status: Active Today's Date: 9/18/2018 Secondary License Type: Qoing Business As: atus Chancie Reason: License Isgugance rerequisi e inTormation No Prere uisite Infor nation Close Window ©2011 Commonwealth of Massachusetts Site Policies I;Contact Us' commonwealth of Massachusetts Division of Professional Licensure ` Board of Building Regulations and standards Constrn tStj�rvisor EppTres:0412TI2022 CS-112160 ' DAVID A FITZGERI>,LD 4 167 HAYDEN ROWE HOPKINTON MA 01748 <N Y 1} Commissioner http://elicense.chs.state.ma.uwedflcallon/Details.aspx?agency_id=l&license id=891226& 1/f SOLEINC-01 CFERGUSON ACORN" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F06/08/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT,BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Provider Group PHONE 781 444-0347 FAX 160 Gould Street,Suite 122 (A/C,No,Ext):( ) (A/C,No):(781)444-8961 Needham,MA 02494 E-MAIL needhamr@providerig.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Landmark American Insurance CO INSURED INSURER B:SAFETY Insurance Group Solect,Inc.,Clean Energy Installs LLC,Solect Energy Dev. INSURER C:RSUI Indemnity Company LLC 89 Hayden Rowe St.Suite E INSURER D:Hartford Hopkinton,MA 01748 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INS MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [X] OCCUR LHA111474_ 01/09/2018 01/09/2019 DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECOT- LOC PRODUCTS-COMP/OP AGG`'$ 2,000,000 X OTHER:Deductible-$5000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO 5900678 01/09/2018 01/09/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED ' AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X AUUTOS ONLY Peer aCC d tDAMAGE $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE NHA081844 01/09/2018 01/09/2019 $ . ' 5,000,000 AGGREGATE �" � DED RETENTION$ $ D WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 6S60UB-OG04294-8-16 05/16/2018 05/16/2019 1,000,000 If FFICER/MEMBER EXCLUDED? N/A and . E.L.EACH ACCIDENT $ Mandatory in E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under u _DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES.(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Inc a,vnenivaweuua of Irlussucnasecis Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SOLECT ENERGY DEVELOPMENT, LLC Address: 89 HAYDEN ROWE ST City/State/Zip: HOPKINTON, MA 01748 Phone #: 508-598-3511 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 75 4. I am a general contractor and I 6. New construction employees (full and/or part-time):* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. # 9. Building addition required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no SOLAR employees. [No workers' 13. ✓ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 'PROVIDER/HARTFORD Policy#or Self-ins.Lic.#: 6S6OUB-OG04294-8-16 Expiration Date: 5/16/2019 Job Site Address: -7 5q hA'l N S t . City/State/Zip: wTL1',r L 2 6 33 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 pai an alties of perjury that the information provided above is true and correct Signature: Date: Phone#: �8 -74 1053 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: `J � =f•I %��solectenergy Smart Solar. rt AnnualProduction Report produced --. Shamani Design 1 Berkey Resi, 759 Main Street Cotuit, MA 02635 IN Report $ System Metrics (] Project Location Project Name Berkey Resi f Design (Design 1 -- _ _ j 4 Project Address 759 Main Street Cotuit,MA 02635 Module DC - I _ -_._ - {:Nameplate 15.10 kW Prepared By Deep Shamarn i t, 1 � dshamani@solect.com i Inverter AC q 93 kW j r Nameplate Load Ratio:1,03 Annual Production 6.362 MWh t Performance 1 73 5°h f f Ratio 1 kWh/kWp 1 1,247.4 i Weather Dataset TMY,.10km grid(41.6S,70.45),NREL ' (prospector) 11f01512ceb-3a521clab2-f54d0035ec- r s simulator version i i 1f4250ba9b i §, r f f Monthly Production Sources of System Loss f 750 ! i AC System:0.5% k � Inverters:3.3% Shading:7.2% I 500 � 1 Wiring:0.0% Mismatch:0.1% 7■/�. 3 Temperature:6.6% (} Reflection:2.9% f 250 i Irradiance:1.0% C { Soiling:9.3 i L-J-.Lj e_T«Jan Feb Mar Apr MayY .JunJul � y Aug Oct......,._.Nov-,-Dec t i c Month 'GHI T_ �PDA ''Shaded Nameplate Grid E •_• (kWh/-M)--- (kWh/m2) ,(kWh_/mz) (kWh) (kWh) -_ Ijanuary 157.4 96.5 80.9 ^ 1283.5 2746 rFebruary *79 2 115.9 1 01 7 355.8 1345.3 March _`118.9 {148.6 _ 2 591.3 t 555,2 y April .� +152.6 t 166.9 161.4 1767.6 688.4 May 170.1 168.8 777.2 ,680.o9 - _92116 ._ 6_ 7d 81.une_ F i July 185.2 180.3 1829.7 702_9 - August 166.0 172.9 167.4 4.795.5 672.3 September<130.0 _ 155.2 147 S 701.4 _ 605.5 _ j October 95 9 133.4 1 17 4 558-5 W T,f 501.9 j November�59.0-M• 93Y6 77 7 `T 369.7 -342.3 i December 52.1+ (93.4 176.7 326.2 310.7 I O2018 Folsom LabsDecember 1I ���solectenergy � . Annual Production Report produted by Dbep Shamani ......._ ...-... ....._------- ----....._........... ..------...- - ---_ ----- ...............--......_.. ............................ _ ..........._...----- .._.- Yu Annual Production - Condition Set Description O uutp t %Delta LDescription - I Condition Set 1 Annual Global Horizontal Irradiance; 1,445.8, f Weather Dataset `TMY,1 Urn grid(41.65,-70.45),NREL(prospector) - ' -- _ POAlrradiance 1,697.4' 17.4%' -I I Solar Angle Location �;Meteo Lat/Lng Irradiance Shaded Irradiance, 1,575.2 -7.2%1 o y-•- - (kWh/mz) Irradiance after Reflection 1,530.1 -2.9%' Transposition Model Perez Model _ i y .. a.. . - -_..-.._....._..._ ..-.._ _ . ...."_ Irradiance after Soiling• 1,388.21 -9.3%1 Temperature Model Sandia Model Total Collector irradiance 1,387.2 Rack Type 4a Temperature Delta _ Nameplate. 7,148.5, ' j - - Fixed Tilt 3.56 -0.075 1 YC - - ture Model Parameters - - . -- - .. - Output at Irradiance Levels 7,078.8 1 0% Tempera r_ « Flush Mount t 2.81 0.0455 0°C Output at Cell Temperature Derate 6,612.2} 6 6%i f East-West { 3.56 »•0.075 ; 3°C Energy Output After Mismatch 6,607.9 0 1% r }" t - r J F M a A 1111 J J A S 0 N D (kWh) Optimal DC Output 6,607.9 0 0% i Soiling 1%) ___.�. ;. .y .__ _ _ _ Constrained DC Output 6,611.2i 0.1% E 30 30 15 j 5 5 5 5 1 5 f 5 5 A S 15 Inverter Output 6,390.9 -3.3%1 i Irradiation Variance 5% Energy to Grid 6,36117 i Cell Temperature Spread ;4°C Temperature Metrics - I Module Binning Range - 0%to 1.6% Avg.Operating Ambient Temp 12.6 C - _ -- - •-- r -- ----• - - s AC System Derate 1.00% Avg.Operating Cell Temp 26.8 C tt - -- -- - Simulation Metrics Module _9 Characterization w___ .._ T - - j Module Characterizations w . 11 _. ._ _ _-_ J LG300N1 C-G4(LG) Spec Sheet Characterization,PAN .., Operating Hours 4677 Solved Hours 4677 i Device Characterization i i Component Characterizations ( j IQ6+-72-LL-x-240(Enphase) Default Characterization 1 Components i ® Wiring Zones --- ..«.... .._.. _ ...._... _-_ _-_w•. ....... ...: 1 __ ------- . ....... _. __............... Component Name Count i Description Combiner Poles String Size Stringing Strategy Inverters IQ6+-72-LL-x-240(Enphase) 17(4.93 kW) a Wiring Zone 12 1-1 Along Racking ) T AC Branches 1 AWG(Aluminum) 2(139.6 ft) Module LG,LG30ON1 C G4(300W) 17(5 10 kW) i Field Segments -...__- - _ _ _ Description Racking Orientation Tilt Azimuth Intrarow Spacing Frame Size Frames Modules Power Field Segment 1 Flush Mount Portrait(Vertical) 34° 165.444° 0.0 It 1 x1 13 13 3.90 kW. Field Segment 2 Flush Mount Portrait(Vertical) 34° 16S.444° 0.0 It 1 xt 4 4 1.20 kW K Annual Production Report produced by Deep Shamani jo e < t , s t .•�' � F r�." Ai h J ^ems • y, , A • '� a Kk 4 Wtf ti yam_ _ r+Y•t JM1,p� ,�; *' � it W t. �' 1a « �'-'S 1:.�f r �I,�5 � t Mkt �„„ ... � yF "Y"�.� � ?" ,'� ♦,�.s ..' y Ijt l �+ a k «a o . wy 2018 Folsom Labs 3/3 December 10, 2018 I 9 LG Life's Good � H 9 x. LG NeO track LG's new module,NeONTM 2 Black,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires APPROVED PRODUCT to enhance power output and reliability NeCINTM 2 Black I (� 60 cell demonstrates LG's efforts to increase customer's values a C E us PAcs, beyond efficiency.It features enhanced warranty,durability, Intertek v KM 5645-13 65 EN 61215 S. performance under real environment,and aesthetic design Photovoltaic Mudutes suitable for roofs. Enhanced.Performance Warranty ,• High Power Output TM - TM LG NeON 2 has an enhanced performance warranty. Compared with previous models,the LG NeON 2 The annual degradation has fallen from-0.70/o/yr to has been designed to significantly enhance its output -0.6%/yr.Even after 25 years,the cell guarantees 2.4%p efficiency,thereby making it efficient even in limited space. more output than the previous NEON TM modules. Aesthetic Roof O Outstanding Durability LG NeONTM 2 has been designed with aesthetics in mind, With its newly reinforced frame design,LG has extended thinner wires that appear all black at a distance.The the warranty of the NEON TM 2 for an additional 2 years. product may increase the value of a property with its Additionally,LG NeON TM 2 can endure a front toad up to modern design. 6000 Pa,and a rear load up to 5400 Pa. • Better Performance on a Sunny Day �® Double-Sided Cell Structure . �•• LG NeONTM 2 now performs better on sunny days thanks The rear of the cell used in LG NeON TM 2 wit[contribute to to its improved temperature coefficiency generation,just like the front,the light beam.reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by LG Group's rich experience in semiconductor,LCD,chemistry,and materials industry.We successfully released the first Mono Xm series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2013,NeON`(previously known as Mono X°NeON)won"Intersolar Award';which proved LG is the leader of innovation in the industry. F r LG NeO.N'2 Blank Mechanical Properties ` Electrical Properties(STC*) Cells 6 x 10 300 W Cell Vendor LG MPP Voltage(Vmpp) 32.5 Cell Type Monocrystalline/N-type MPP Current(Impp) 9.26 Cell Dimensions 156.75 x 156.75 min/6 x 6 inch Open Circuit Voltage(Voc) 39.7 e of Busbar 12(Multi Wire Busbar)' Short Circuit Current(Isc) 9.70 Dimensions(L x W x H) 1640 x 1000 x 40 Trim Module Efficiency(%) 18.3 64.57 x 39.37 x 1.57 inch Operating Temperature(*C) -40-+90 Front Load 6000 Pa/125 psf, 4 Maximum System Voltage(V) 1000 Rear Load 5400 Pa/113 psf 10 Maximum Series Fuse Rating(A) 20 Weight 17.0±0.5 kg/37A8±1.1 lbs Power Tolerance(%) 0-+3 ConneetorType MC4,MC4 Compatible,IP67 STC(Standard Test Condition):Irradiance 1000MOW,Module TenloarcUrra 25-C,AM 1,5 *The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. Junction Box IP67 with 3 Bypass Diodes -The typical change in module efficiency at 200 W/m-in relation to 1000 W(m'is-2 0%. Length of Cables 2 x 1000 mm/2 x 39.37 inch Glass High Transmission Tempered Glass * • Electrical Properties(NOCT*) Frame Anodized Aluminum 300 W Certifications and Warrant/ Maximum Power(Pmpp) 218 MPP Voltage(Vmpp) 29.5 Certifications(In Progress) IEC 61215,IEC 61730-1/-2,UL 1703, MPP Current(Impp) 7.38 ISO 9001,IEC 62716(Ammonia Test), Open Circuit Voltage(Voc) 36.5 IEC 61701(Salt Mist Corrosion Test) Short Circuit Current(Isc) 7.83 Module Fire Performance Type 2(UL 1703) *NOCT(Nominal Operating Cell'remperature):Irradiance 600 Wtm2,ambient temperature 20°G wind speed 1 m/s Product Warranty 12 years 0 Output warranty of Pmax Linear warranty* Dimensions.(mm/in) (measurement Tolerance±3%) *1)1 st year 96%,2)After 2nd yea,0.6%p amival degradation,3)63.6%for 25 year, Temperature Coefficients - � s NOCT 46±3°C Pmpp 0.38%/°C Voc -0.28%/°C mwl% UezailY pereili long side frame Sh°rtsidefmme Isc 0.02%/°C Characteristic Curves ,o.00 ,000w v 800W Now 6.00 400W 4.00 cw 200W 7 2Ao t S S Y -ftcge(V) Y E 3 0.o0 5,00 10,00 15.00 20.00 25.00 30.00 35.00 40.00 45,00 "J 3 F S 140 a Voc Pmax ° a $ m o Tempermure(1) -40 -25 a 21 50 2s oo *The distance between the center of the mounting/grounding holes. LG North America Solar Business Team Product specifications are subject to change without notice. Q IAJM LG Electronics U.S.A.Inc DS-N2-60-K-G-F-EN-50427 ff Lifes Good - 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 Copyright 02015 LG Electronics.All rights reserved. Innovation for a Better Life Contact:ig.solar@tge.com 01/04/2015 www.Igsolarusa.com NMI JOF".a Data Sheet Enphase Microinverters Region: AP?G Enphase The high-powered smart grid-ready IQ 7 IQ 7�- and IQ 7� Enphase IQ Series Micros" achieve the highest efficiency.system eciency. Mieroinverters Part of the Enphase IQ System,the IQ 7, IQ 7+, and IQ 7X Micro integrate perfectly with the Enphase Envoy-STM, and the Enphase Enlighten'"" monitoring and analysis software. The IQ Series Micros extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty. Easy to Install Lightweight and simple - Faster installation with improved,lighter two-wire cabling Productive and Reliable Optimized for high powered 60-cell,72-cell*and U I 96-cell*modules • More than a million hours of testing Class II double-insulated enclosure mW. Smart Grid Ready En- Complies with advanced grid support,voltage and frequency ride-through requirements a . Remotel updates to respond to than in Y P P 9 9 ' & .,•< " grid requirements • Configurable for varying grid profiles *The IQ 7+Micro is required to support 72-cell modules,and the IQ 7X is required to support 96-cell modules. r Enphase IQ 7, IQ 7+, and IQ 7X Microinverters INPUT DATA(DC) IQ7-60-2-INT IQ7PLUS-72-2-INT IQ7X-96-2-INT Commonly used module pairings 235 W-350 W+ 235 W-440 W+1,2 320 W-460 W+1,2 Module compatibility 60-cell PV modules only 60-cell&72-cell PV modules 96-cell PV modules only Maximum input DC voltage 48 V 60 V 79.5 V Peak power tracking voltage 27 V-37 V 27 V'-45 V 53 V-64 V Operating range 16 V 48 V 16 V-60 V 25 V-79.5 V Min/Max start voltage 22 V/48 V 22 V/60 V 33 V/79.5 V Max DC short circuit current(module Isc) 15 A 15 A 10 A Overvoltage class DC port II II II DC port backfeed under single fault 0 A 0 A 0 A OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter IQ 7X Microinverter Peak output power 250 VA 295 VA 320 VA Maximum continuous output power 240 VA 290 VA 315 VA Nominal(L-N)voltage/range3 230 V/184-276 V 230 V/184-276 V 230 V/184-276 V Maximum continuous output current 1.04 A 1.26 A 1.37 A Nominal frequency 50 Hz 50 Hz 50 Hz Extended frequency range 45-55 Hz 45-55 Hz 45-55 Hz Maximum units per 20 A(L-N)branch circuit° 16(230 VAC) 13(230 VAC) 12(230 VAC) Overvoltage class AC port III III III AC port backfeed current 0 A 0 A 0 A Power factor setting 1.0 1.0 1.0 Power factor(adjustable) 0.8 leading...0.8 lagging 0.8 leading...0.8 lagging 0.8 leading...0.8 lagging EFFICIENCY @230 V @230 V @230 V EN 50530(EU)weighted efficiency 96.5% 9 6.5% 96.5% MECHANICAL DATA Ambient temperature range -400C to+65°C -400C to+65°C -400C to+60°C Relative humidity range 4%to 100%(condensing) Connector type MC4(or Am phenol H4 UTX with additional Q-DCC-5 adapter) Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating Outdoor-IP67 FEATURES Communication Power Line Communication(PLC) Monitoring Enlighten Manager and MyEnlighten monitoring options Compatible with Enphase Envoy-S Compliance(pending) AS 4777.2,RCM,IEC/EN 61000-6-3, IEC/EN 62109-1,IEC/EN 62109-2 1.No enforced DC/AC ratio in NZ.In Australia,CEC design guidelines state inverter continuous AC power output cannot be less than 75%of the array peak power. 2.Maximum DC input limited to 350 W at 250C as per AU/NZS 5033:2014 4.3.12(d). 3.Nominal voltage range can be extended beyond nominal if required by the utility. 4.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. Tn laarn mnra nhni it Fnnhaca nffarinnc visit PnnhasP enm/an Luick Mount P Your Solution in Mounting Products Solar a H2O 0. Conduit a HVAC a Custom Composition Mount Specifications - 5/16" - PV - Quick Mount PV®is an all-in-one waterproof flashing and mount to anchor photovoltaic racking systems, solar thermal panels, air conditioning units, satellite dishes, or anything you may need to secure to a new or existing roof. It is made in the USA of all aluminum and includes stainless steel hardware. It works with all standard racks, installs seamlessly and saves labor by not need- ing to cut away any roofing, will out live galvanized 2 to 1, and is a better low-profile mount. lCC Split Lock Washer SS 5/16" (Not atheft- prevention feature) Fender Washer SS 5/16"x 1" EPDM Rubber Washer 60 Durometer 5/16" Sealing Washer SS 5/16" ESR-2835 Hanger Bolt SS 5/16" x 6" 1 1/4" Machine, 1 3/4" Spacer, 3" Lag \ (2) Hex Nuts SS 5/16" Mount& Flashing Aluminum Mount 1 1/4"x 1 1/4" x 2 1/4".Beveled Block , Flashing .05"thick F �� For standard composition roofs: flashing is 12"x 12" mount Is attached 3 off.center .. { r i , Lag pull-out (withdrawal) capacities (lbs) in typical lumber: Lag Bolt Specifications Specific 5/16"shaft 5/16"shaft gravity. per 3" per V e> thread depth thread depth Douglas Fir,Larch .50 798 266' Douglas Fir,South .46 705 r 235 Engelmann Spruce,Lodgepole Pine (MSR 1650 f&higher) .46 705 235 Hem,Fir 43 636 212 .. Hem,Fir.(North), T .46 705 235 7 Southern Pine .55 921 307 1'7 Spruce,Pine,Fir .42 615 205 Spruce,Pine,Fir(E of 2 million psi and higher grades of MSR and MEL) ..50 798 +"266 Sources:Uniform Building Code;American Wood Council ' Notes: 1)Thread must be embedded in a rafter or other structural roof member. 2)See IBC for required edge distances.' 936 Detroit Ave Suite D, Concord, CA:94518 Phone: (925)687-6686 Fax: (925)687-6689 Email info@quickmountpv.com www.quickmountpv.com 1 of 4 Aug 2011 Know Your Roof It is a good idea to do a thorough roof evaluation prior to our project installation.At this time you should do a layout on the roof confirming everything on the drawing 9 9 P Y P l Y Y 9 ry 9 9 will fit as it is intended.Any irregularities should be noted now,so that you can deal with them simply on install day.The quality of the roofing should be determined, so that any repairs or replacement can happen before or in conjunction with the installation.On a composition roof it is important to know as much as possible about: the manufacturer,the age of roof,the type of substrate(plywood or oriented strand board[OSB]),the rafter size,the spacing and span,the age of roof structure,who roofed it,who built it,etc. Photos should be taken of all of the roof variables and associated with the job file for any future reference either short term or long.Typically the building owner can look in a file and find the composition manufacturer. If not,take apiece to the roofing yard,they can usually recognize the maker and the rough vintage.It is then easy to obtain the written manufacturer's installation instructions for the roofing.materials you are dealing with.The manufacturer's instructions will spell out exactly what does and does not void the warranty of their roofing product.Most have a clause about roof temperature.This is commonly missed,but can easily be noted if you read the instructions. Officially,the roofing manufacturer's instructions supersede our instructions,as our product is weaving into theirs. It is also important to have their instructions in the job file,for any future reference.If the manufacturer cannot be found,there is obviously no warranty in place. ' On a roof that has a material and labor warranty in place(new roof),it is recommended to at least consult the roofer of record. Often the roofing contractor will void the labor portion of their warranty if another trade modifies their work. Give the roofing contractor the option of handling the roofing modifications,or at least give them the opportunity to inspect and approve the modifications you make. There will be fees to this roofer,but if it maintains the labor warranty it should be good money spent. Product Selection Product Includes The Composition Mount is intended to fit within most composition and wood shingle Each box includes all necessary mounting hardware,mounts with flashing, roof systems, but not all. Specifically it is sized to fit within a standard 5"to 5 1/2" and written instructions. row or course. To confirm that the Comp Mount will match your roof, measure the course exposure of your roof. The"exposed"surface course height should measure Alternative Attachment Methods no more than 5 3/4". If it turns out the roof tiles are a non-standard size greater than 5 3/4",the alternative method is to use a Quick Mount Shake Mount The Composition Mount is intended to be attached into a lumber rafter. instead. In this case,follow the directions for the Quick Mount Mounts are usually laid out based on the location of the rafters. In some Shake Mount. (See Compostion Mount Instructional cases it is desired to place a mount where there is no rafter. In this case it Video at quickmountpv.com/tech.php,then is possible to place a block between rafters,then lag into the block. In the Shake Composition Video: case of metal rafters,lumber blocking the rafters is a solution,but should be done per the building's engineer of record. S•ryplcal Shared Rail &5" Rule On a shared rail system,where the mounts must be in an exact spot,it is important to make sure the unit is flashed properly. Normally the vertical placement is guided by the exposed front edge of the shingle. If(on a 5" exposure comp)the flashing is flush with this,then you have 5"of flashing High Definition Comp- Presidential over course 1,5"of flashing under course 2,and 2"of flashing under cours- Irregular surface-If the penetration lands in a low between two highs,it is best to shim es 2 and 3. This is important because if there is a vertical joint in course 2 the low under the flashing with extra asphalt to level out the surface. the water cannot find its way under the flashing because it extends under course 3.When the flashing must be shifted to catch a shared rail,it is ad- Irregular tooth pattern-If the shingles have a tooth pattern wherein the bottom edge vised to shift the mount up the roof only,leaving less flashing over course jogs up and down to give it a higher profile look,it is important to understand that the 1,and more flashing under course 3. If it is necesary to shift downward, excess shingle that hangs lower than the rest of the shingle is for looks only. The 5"rule it is advised to move down a whole course and then shift up accordingly. starts at the top of the tooth. If a tooth interferes with the mount block,cut the tooth off. Sealants It is important to put a compatible sealant into any and all holes drilled into QUICK MOUNT Pv a roof. Most roofing manufactures list a suggested, approved sealant in COUNSE3� 3 _ their specifications. In the freeze-thaw zones,it is important to follow the WATER couesez�' s• -- i manufacturers' rules for freeze-thaw conditions. Use the properly rated PROOF COURSE I S' sealant for each specific application and condition. Some that may be LOOKS ONLY more appropriate for asphalticomposition roofs include Geocell 2300 and ChemLink M-1 but be sure to do your own research to confirm a compat- ible and appropriate sealant with the materials you are working with. How Many Mounts Per Module? IBC There are two questions that must be asked when adding anything to a roof. 1. Can the roof/building/foundation handle the additional load? ��`P International S� 2. What is to keep the new load from blowing away? Building (` National It is assumed that a licensed solar installer can answer these questions. If he/she Roofing Code State can't,he/she will need to find somebody that can. A licensed engineer is the easiest Contractors Building solution. Some of the racking manufacturers have guides to calculating a code compli- Association Code ant install as well. Many variables must be considered and determined to complete the Q Asphalt calculation. The spacing between mounts has the variables of:strength of rail,distance between parallel rails,cantilever of modules over rails,pull out strength of mount,slope Roo ng International Manufacturers �( of roof,height of roof,wind zone,roof type,structural integrety of roof framing,etc.The Q Association Residential only values in the variables above that we can provide is pull out strength and shear of A HJ Code mount.We provide structural test reports on all of our mounts as needed.You will need Authority to gather the rest of the applicable information and do the calculations for your specific Sheet Metal& Having National Jurisdiction Fire project. tJ� Air Conditioning 15. Contractors' Protection 9 Further Resources 7 National Association (L In the process of all the research we have done,we came up with what we call the Association OSHA Z "Wheel of Accountability". It is a graphical look at the many official entities that govern International how waterproofing should be done. At our web site you can click on any wedge of the code wheel and get the code snippets that pertain to that entity's focus on roof penetrations. council PA Please don't hesitate to use it to your advantage.And of course if you have any feed q�Gq X Underwriters L back pro or con,let us have it. Take photos of your jobs using Quick Mount Products Ile Laboratories and submit them to us at info quickmountpv.com,we'll put them up in our web gallery. 'QF Put Photo Gallery in the Subject line. U 2of4 • a.: F_--------- -----.._ .__. --- ---- __.__....------------- .. ». ._._._._. Racking of Choice , � . Not Included 12 I I I I 9 i I I I I t I I S• _ � . I I 6 ' ' t 6 i I I 5' _ 12 III I (I 1 3 } 3 i ? •. . f i 4 7 ITEM NO. DESCRIPTION QTY. 1 Sheet .050"xl 2"xl 2" Aluminum 1 2 , Fastener .499x.750 H 1976 1 j 3 EPDM Washer .125" Thick x .875" OD 1 4 QMSC Base Block for Standard Mounts 1 t 1 5 Fender Washer 5/16" x 1"SS 1 6 Split-Lock Washer 5/16" 1 1 7 Hanger Bolt 5/16" x 6" SS 1 8 Sealing Washer 5/16"x 3/4" 1 ` 9 Hex Nut 5/16-18 SS 2 f 'PRO PRIETARY AND CONFIDENTIAL THE NFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF QUICK MOUNT PV.ANY REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERM6SION OF QUICK MOUNT PV LS PROHIBITED. _ nt 'V uIck Mou P 01 COMPOSITION MOUNTING INSTRUCTIONS - 5/16" - PV - Installation Tools Required: Tape Measure, Roofing Bar, Chalk Line, Stud Finder, Caulking Gun, 1 Tube of Appropriate Sealant, Drill with 7/32" long bit, Drill or Impact Gun with 1/2" Deep Socket. o 4 Locate, choose, and mark centers of rafters to Lift Composition roof shingle with Roofing Bar, Slide Mount into desired position. Remove any be mounted.Select each row course of roofing just above placement of Quick Mount. nails that conflict with getting Mount flush with for Mount placement of Quick Mounts. front edge of shingle course. Mark center for drilling. +yam k, xxx i Using drill with 7/32" long bit, drill pilot hole Clean off any saw dust,and fill hole with Seal- Slide Mount back into position. Prepare Hanger into roof and rafter, taking care to drill square ant. Bolt with 1 Hex Nut and 1 Sealing Washer,insert to the roof. Do not use Mount as a drill guide. through Block into hole and drive Hanger Bolt into rafter,tightening to 13 foot Pounds. You are now ready for the rack of your """"`"'"~•" " ,,.,, „! choice. Follow all the directions of the rack manufacturer as well as the module manufacturer. All roofing manufacturers'written instructions must also be followed by anyone modifying a roof system. Please consult the roof manufac- turers'specs and instructions prior to touching the roof. Insert EPDM Rubber Washer over Hanger Bolt Using the Rack Kit Hardware,secure the rack of into Block. your choice(see 9*). Tighten to 16 foot pounds. For Questions Call 925-687-6686 www.quickmountpv.com info@quickmountpv.com QM-PV-Comp-Install@2011 4 of 4 Aug2011 Town of Barnstable Building P,ost,This"Card Sod That rt isUisible:From the Street App";roved P,.Ians:M'ust be Retained on Job andrthis Card Mustbe Kept f: u�Y�A�(.� .� '.Y. Sh6" Y 4 �3a✓T��, k �k s. y,. :.� �.'b'� 6 Posted Until Final Inspectidn Has BeenyMade y^ yY r.. " � > . Permit . rwMa�a Where a Certificate of Occupancyas Requlred,,such Buildmgshall Not be Occupied until a Final fnspectiorr has been made Permit No. B-18-3912 Applicant Name: James Fellows Approvals Date Issued: 12/04/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/04/2019 Foundation: Location: _759 MAIN STREET(COTUIT),COTUIT Map/Lot: 0,36-006 Zoning District: RF Sheathing: Owner on Record`. BERKEY,SCOTT A^& PATRICIA A Contractor Name:' James D Fellows Framing: 1 Address: 759 MAIN STREET q Contractor Licenser CS-040858 2 COTUIT, MA 02635 Est Protect Cost: $2,400.00 Chimney: Description: Window replacement Permlt Fee: $35.00 Insulation: §' FeekPaid 3 $35.00 Project Review Req: r i Final: Date ; 12/4/2018 t trey :. Plumbing/Gas Rough Plumbing: .• ,''' `: Building Official ` " y Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within six"months after issuance. Rough Gas: x , All work authorized by this permit shall conform to the approved application'and th'approved construction documents for which this permit has been granted. R,- All construction,alterations and changes of use of.any building and str>�ucturesshall be in compliance.with the local zoning?by laws;and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road a"nd shall be maintained open for public inspection for the entire duration of the work until the completion of the same. : ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures )ythe Building and Fire Officials are provided on thispermit• Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Rough: 2.Sheathing Inspection : 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons'contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department I Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ff-*%AX-_ _ S Fw1 T Town of Barnstable *Permit# J Expires 6 months from issue date Regulatory Services Fee MMMSTASLE, • = e ]� P� MAM � Richard V.Scali,Director Istep Mfd . Building Division Pi Tom Perry,CBO,Building Co issionerJ 200 Main Street,Hyannis,MM� 6 Z0�6 - www.town.barnstable.ma.us fl y t�I/ OC 48 Office: 508-862-4038 1Y9,, ax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL 01AV Not Valid without Red X-Press Imprint Map/parcel Number Property Address���CI?�� Ca Residential Value of Work$�57WO Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name���yi j�, Telephone Number�'W 7�/S 46 Home Improvement Contractor License#(if applicable) 7 Z Z-7 1A i''Email: �S C-ro'Y1 nI.D l� 1®0��, Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �I have Worker's Compensation Insurance M. Insurance Company Name v 1 eC5 Workman's Comp.Policy# (/v' (p 01 j ` ZO I . Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to��b�� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ®'fie-side ❑ Replacement Windows/doors/sliders.U-Value -(Maximum .32)#of windows #of doors: T1 Smoke/Carbon Monoxide detectors 4 floor plans marked,with red S and inspections required. Separate Electrical&Fire Permits required. , *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. . copy of the Home Improvement Contractors License&Construction Supervisors License is /TFquired. SIGNATURE: C-co Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc Revised 040215 , ��i�ll�er#t lt,��tli�IlSl7TQ�1�CL71�EF� • , Basion,HA 02HI • 14'FH'R1�7flffs:££�f1p�t�ZQ ', Wa"lmrs' Cun3p]miff II i�' cs Affi&vxit 1313ilderstCmtm.ct 5M_ edT i3II hiP a ers Appli amd InfumiatfhII Please Priuf Are you an employer?Checktheapprapriate,bay Tyke of project(rapireigc L E I=a employer uift y 4_ ❑I am a general confmcter and I * lave hired:t7se=b-cCM&at-foss 6- ❑New consftuc:i(;m ' employees CHI�lor Bart time. Z_❑ I am a sale pmpaidtor argar nw- listed amfhe att6ched sheet` .. 7. ❑Remo&H rg sbgp and have no emplayees. These sab-c=raclorshae�e., $ ❑Dem6aba why forma in any capacity employees and-ham W� S�PS �o wodm&comp.ma ce ` comp_L„mcin .$ 9. 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Fail=to secam coverage as repiredunder Section 25A o€MGL c-15-7 can lead to 8ie imposiiiaa of criminal peaalhes of a t E=up to$L 50D O0 ar d,P'ar one-yearimpsisoument,as wa as civil peaelgt-- in the fazm of a STOP WORK 0RDER Md a Hne: Of up to$250_Qt1 a day apt tlxe mold=- Be advised a copy of this Ademeot maybe fx-erarded to the Office of Iavesfigafians•of the DIA for cavexage s-ed5bdion_ ' Ida herby pains W d�Psaa1€ixs afF d u td is&fbrx�m;pmm.*Wa v is h=and correct Si _ � �0VL� hate_ Pie . - U `737. �Sp 02 al=w w* Da not mite in t1ds axes,to be satt[gFeW 5y diy aartatm offidd City or Taws: Permiffkense;g Issuing mrfty(drd�one): L Bw d a#Ekalth .`F,,leg Delwfm nt I Ci Tovea Qcrk•4L Mec&1=1Impxtor S.PImmhUag:Iasperter 6t.Other C'antacf Persom Pheni 9: 6 ►J .� -■■w�.■.. ii■i'- ■.1■{� �'\!■.�'- _I at■n ■•iiR ■■ •7 ■• ■- •••1■.lr. .•nrn il• :■■•I■ fal t■- . �ir•1• • n •rnl n n a, r_nn1 .n �•u ■ ■am -■ :a -•r r iiR■■ 1■ is- r . _n.u ■n• _u rmnsilo .r • m- �.wY.l■.■ r.rl ■• _n•1■ • ■■.a l �,■nt ' •t .■■• ••• • ■..1 • n- Uf --■■.: �•1::<a n - •u �ln■a n•M� _n• u u uu_ ■■" _ - - - •r • ■ ■ -- • :n n! u■r. ._nn aR u1. _ww•.+r.•■n .1 .■■� -•r. �■n■ �ln■. •• n_ am■ • ■^•■� • ■. l o• ■.a ■_• n• ■• n■7 n_n m � .n a u■a■Ia a■• -••■ :..Y. i■a n u n • ru•_■■1 . i■ ■ •■ ■■ J ■■1■• ■- •■t nu J■■■I ■Gi■J■1 •1�+ -t■ ■ I .■ ■it■ - • ! ■ -0■■■ ■•!■:nl •- t«■■�• n ■" -n ii■tn ••r. /� -\:•■■mil : �.. -■ - • ■ �7 - I ■- n 1 ■■ I ■- f' ■ ■/.11�Y. ■ ■/ •■■ ■ I Y • 7■ ■ 1. � t1 ■■ - r■i1•■■■ ■ - ■ ■ ✓. . - ■ • ■ - a t ■ a■ I Yam■ ■Y. ■ - -• a�./ ■." 1 ■■1 ■ 1 r '•171 ■• !1 Ir ■ r _ ■:■�.. aflt.r1 ■■ .■I.■■.■.It••/-■■! •■ _I■' la ■■ 1■r.: ■\■ Y•1■ ■.I /■■- O • .1■• •■ ■-r 1■1 ■■ •ill■■u.Ir. ■ r■. •'■■, tltn �•■n it■.-r1a • [. ■•■•Ir ■- .Fi3t • .+arl■ in V■n• .nn■•. ■ • r ■ a v_ - 71 •■1 n ••.•fir■. auu::■'r■■■ ■■■.•1 ■nu one is •nunl�r n n- �- r. mar • ■m u. .- -■•t■r i/ we ■- ■wl \I t••'■ 1■ .n■■K.■■1! n r■- ■w■■■■1 • .►a■ .-[ along -■.I ■■■il•1 _ i■ ■nl■■.a l■:-■ ■- ■.. 1■ n Y. .■1■n■.■.!w ■■■ • i?■ /■"1 n■n.�. •■ ■■I ■ .c - .rl n I� - n n _u - .nt u■n!.a u■ n- .n• rn._n- u- it - ■ .--■ � G■ r- • I - .- OR - t■_I Ia- .rn■ •1 r■1■■i• f- :■•• ■■Itl■�. 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Town of Barnstable - Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 a www.town.barnstable.ma.us Office: 508-862-4038 Fax:' 508-790-6230 Property Owner Must _ Complete and Sign This Section = } If Using A Builder T as Owner of the subject property M herebyauthorize C oll"t� to act on m behalf, Y in all matters relative to work authorized by this building permit application for:, . S !M �� ;� 5� Co��� (Address of Job) Aix- (0 Signature of Owner ". 'i Date a Print Name w _ . If Property owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. FILE,\FORMS\buildin permit foims\EXPRESS.doc - :\WP S Q gP - . Revised 040215 , Town of Barnstable Regulatory Services oFtin Richard V.Scali,Director Building Division t sxuvsznsi.E. ' Tom Perry,Building Commissioner MAM 1639. bk 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790=6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of g Buildin Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0.Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing'of construction Supervisors);provided that if the homeowner ( erson a engages s)for hire to do such work,that such Homeowner shall act as supervisor." P Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, articular) when the homeowner hires unlicensed persons. In this case,our Board cannot P particularly proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 il . AC RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 6/5/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: JIM HINDMAN Schlegel & Schlegel Ins Broker PHONE (508) 771-8381 FAX No; (508) 771-0663 34 Main Street E-MAIL West Yarmouth, MA 02673 ADDRESS: schlegelinsurance@gmail.com INSURE S AFFORDING COVERAGE NAIC# I NSURER A:NGM INSURANCE COMPANY 14788 INSURED INSURER B:TRAVELERS Patrick S Cronin 376 Lakeshore Dr INsuRERc: Sandwich, MA 02563-2745 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POUCY EFF POLICY EXP LTR TYPE OF INSURANCE IN SR WVD POLICY NUMBER MM/DD/YYYY) (MMIDD/YYYYI LIMITS A GENERALLIABILITY MPT1326G 10/16/15 10/16/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEb_- PREMISES(Ea occu ante $ 500,000 CLAIMS-MADE a OCCUR ME EXP(Anyone person) $ 10,000 PERSONAL&ADVINJURY $ 1 000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMITAPP LIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO E T LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION B VWC-100-6015576-201 5/4/16 5/4/17 ICSTATU- OTH- ANY PROPRIETOR/PARTNER/EANDEMPLOYERS'LIABILITY Y/N "RyOFFICERIMEMBER EXCLUDED? NIA and If yes,describe under N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory in E.L.DISEASE-EA EMPLOYEE $ 100,000 D SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICYLIMIT I $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) PATRICK CRONIN HAS 'ELECTED NOT TO BE COVERED UNDER HIS CURRENT WOPRKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET HYANNIS, MA 02601 AU IZEDR TA E BUILDING DEPT, ©1988-2 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: PSCRONIN@OUTLOOK.COM - IV1dbD41U11UDCLlD L t:P41llllClll UI rUU11G JA1CIy Board of Building Regulations and Standards License: CS-081321. Construction Supervisor "' ' PATRICK S CRONIN 376 LAKESHORE DR SANDWICH MA 02663 Y` 2,01 Expiration: (� Commissioner 07/16/2017 V 1w (L049Ymwuve24 o/C%GCidyCLG06effa-{-.. Office of Consumer;z airs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: e '6' ration 172274. Type Office of Consumer Affairs and Business Regulation xpiration: 6L6/�Otfi DBA 10 Park Plaza-Suite 5170 Boston,M 2116` WCRONIN CONSTRUGTd6N r P`t PATRICK CRO.NIN 376 LAKESHORE DRIVE { � SANDWICH,MA 02563 3Jndersecretary Not valid without signature ' 4 •- t ° ' r v s ♦ ICI 4 .. • + " A ^ 1 ., ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION., Map Parcel d(p Application, ""` Health Division �;-, . Qate Issued Conservation Division App6cat on Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 739 Mat/n 94 Village m Owner S�� C�e-)-Re-q Address '`7J9 MaIm Telephone /I Permit Request !�-Q0 I4*,p So lam- :F_v\,s-6_1`a_-6o► ) LJ'A 0 nn 50lay, t'a Oe l 1-1 . ,� Kin/ go C 41wGis b J o0 Square feet: 1 st floor: existing proposed 2nd floor: existing—proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (`{ 0 0 Construction Type So 1 ow- Fv ��oo�W OAY- o ti Lot Size Grandfathered: ❑Yes ❑ No If es, attach supporting documentation. Y Pp 9 Dwelling Type: Single Family . Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes >lo On Old King's Highway: ❑YesANo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal #Nyl� — Recorded ❑ Commercial ❑Yes g No If yes, site plan review# t�3 O Current Use PESt peo�j-MAC Proposed Use RES) D-O%R)�� APPLICANT INFORMATION _-(BUILDER OR HOMEOWNER) - Name Telephone Number Address g License #_ ,a 17YE Home Improvement Contractor# V319 .N�;_ Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO SS w ov'4p T7 SIGNATURE DATE 43 11 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 Q& 3/l'r/lL DATE CLOSED OUT ' ASSOCIATION PLAN NO. I ti� 5 The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 SV.�a www mass.gov/dia N orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):SOLECT ENERGY LLC Address:89 Hayden Rowe Street City/State/Zip: Hopkinton, MA 01748 Phone#:508-598-3511 Are you an employer?Check the appropriate box: Type of project(required): 1.[a I am a employer with 40 employees(full and/or part-time).' 7. ❑New construction 2.n I am a sole proprietor or partnership and have no employees working for me in an capacity. 8. ❑Remodeling y [No workers'comp.insurance required.] 9. El Demolition 3 fD I am a homeowner doing all work myself.[No workers'comp.insurance required.]? 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors I isted on the attached sheet. 13.❑ROOf repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. 14.Q Other PV Solar Install 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Hartford Insurance Policy#or Self-ins.Lic.#:6S60UB-4194P55-8-14 Expiration Date:4/1/2016 Job Site Address:756 Main Street 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 MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificatiorl. I do hereby certi qnderthepainqn1penalties o erju that the information provided above is true and correct. Si ature: k1 Date: Phone#:508-598-3 1 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Geographic Information System July 31,2015 036036 #746 036046 #737 036007 #751 3 a Z m 036059 036006 #756 0759 036005 #34 GDoL IDG�St 035037 #9 035038 #29 0 23 Feet 035041 #775 035105 #790 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:036 Parcel:006 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:BERKEY,SCOTT A&PATRICIA A Total Assessed Value:$863100 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this mapW+i are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.45 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:759 MAIN STREET(COTUIT) + s� such as building locations. Buffer I rr I T Design, LLC Structural Engineer 1248 Randolph Avenue, Milton, MA. 02186 quo6tuanpe@gmail.com Phone: 617-797-6637 July 22, 2015 Town of Barnstable Building Department 200 Main Street, Hyannis, MA. 02601 Re: Existing roof structure 75I1Main Street Cotuit, MA To the Town of Barnstable Building Inspector; Based on roof framing plan provided, I certify the existing roof structure located at 756 Main Street, Cotuit, Massachusetts will adequately support the additional loads of the new solar PV system in'accordance with the 8th Edition of the Massachusetts Building Code and 2009 International Building Code. The following loads were used to calculate the capacity of the roof system. 1. Roof Dead load =2.0 psf 2. Collateral load=2:0 psf 3. Ground snow load= 30 psf 4. Design snow load=25 psf(Control) 5. Wind speed= 115 mph 6. Panel weight=2.8 psf If you have any questions, please call me at 617-797-6637. Regards, l Tuan Nguyen (Structural Engineer License 45563) OF MgsS� per' .TUAN V. yGN NGUYEN STRUCTURAL No.45563 A� 9F�I SIT tiP� OFFS ONA ti '4� CERTIFICATE OF LIABILITY INSURANCE D/31//DD15 7/31/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Provider Group PHONE (781)444-0347 FAX C No•(781)444-8961 160 Gould Street E-MAIL ADDRESS: Suite 130 INSURERS AFFORDING COVERAGE NAIC# Needham MA 02494 INSURERA:Landmark Insurance INSURED INSURER B:Liberty Mutual SOlect, Inc. , Clean Energy Installs LLC, INSURER C:Hartf Ord Insurance Solect Energy Development LLC SED Two LLC INSURERD:Hanover Insurance Company 89 Hayden Rowe St. INSURERE:RSUI Insurance Hopkinton MA 01748 1 INSURERF: COVERAGES CERTIFICATE NUMBER34aster REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE D POLICY NUMBER MDLSUBR MIDDY EFF POLICYLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 A CLAIMS-MADE a OCCUR LHA110023 /9/2015 /9/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 17 POLICY X PRO LOC $ AUTOMOBILE LIABILITY Ea BINEDISINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X71 SCHEDULED BAS56258949 9/4/2014 9/4/2015 AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS N NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ Uninsured motorist BI split limit $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 E EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DIED I I RETENTION$ RA070568 /9/2015 /9/2016 $ C WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 11000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) 6S60UB-4194P55-8-14 /1/2015 /1/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Installation Floater -9676953-04 /1/2015 /1/2016 Job Site $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE William Darcey/ERNIE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 ron1nn51 nt Tho Af npn nnma 2nel Inn^aro roniefarort morke^f Amin 1 i s �zH� ti Town of Barnstable Regulatory Services BARN* MASS. » Richard V.Scaly Director 1��ATf u► Building Division Tom ferry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Scott Berkey 4 ,as Owner of the subject property hereby authorize Solect Energy LLC to act on my behalf, in all matters relative to work authorized by this building permit application for. � i 759 Main Street Cotuit,MA (Address of job) VI'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final ections are pe ormed and accepted. 4 a ature of O Signature of Applicant Print Name Print Name ff - .2- Date Q:FORM&O WNERPERMISSIONPOOLS Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 183188 Type: LLC Expiration: 9/8/2017 Ti# 270348 SOLECT ENERGY DEVELOPMENT, LLC. EDWARD KELLY 89 HAYDEN ROWE STREET HOPKINTON, MA 01748' Update Address and return card.Mark reason for change. SCA 1 0 2MA-0e111 (] Address Cf Renewal LI Employment 17 Lost Card • r"/��`�ttr��uiiiurcall/r tf llit.�sar/t.:c//' _._.___. ..-.-- .. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: h 11Registration: 183188 Type: Office or Consumer Affairs and Business Regulation Wit? Expiration: 9/8/2017 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 SOLECT ENERGY DEVELOPMENT,LLC. EDWARD KELLY 89 HAYDEN ROWE STREET HOPKINTON,MA 01748 Undersecretary Not valid wi out signature - S.I T Design, LLC Structural Engineer 1248 Randolph Avenue, Milton, MA. 02186 quoctuanpe@gmail.com Phone: 617-797-6637 July 22, 2015 Town of Barnstable Building Department 200 Main Street, Hyannis, MA. 02601 Re: Existing roof structure 759 Main Street Cotuit, MA To the Town of Barnstable Building Inspector; Based on roof framing plan provided, I certify the existing roof structure located at 756 Main Street, Cotuit, Massachusetts will adequately support the additional loads of the new solar PV system in accordance with the 81h Edition of the Massachusetts Building Code and 2009 International Building Code. The following loads were used to calculate the capacity of the roof system. s 1. Roof Dead load=2.0 psf 2. Collateral load=2.0 psf 3. Ground snow load= 30 psf 4. Design snow load=25 psf(Control) 5. Wind speed= 115 mph 6. Panel weight=2.8 psf If you have any questions, please call me at 617-797-6637. Regards, Tuan Nguyen (Structural Engineer License 45563) � C TUAN V. g NGUYEN n� STRUCTURAL r CA� No.45563 .10 9FCi/STE �t�Q �/' I'T e FSS MAL i . _m. Office of Consumer Affairs and Business Regulation ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 183188 Type: LLC Expiration 9/8/2017 Tr# 270348 SOLECT ENERGY DEVELOPMENT, LLC_ EDWARD KELLY 89 HAYDEN ROWE STREET — HOPKINTON, MA 01748 - Update Address and return card.Mark reason for change. SCR t 0 2WA-051ii Address (-1 Renewal u Employment 17 Lost Card ----- - Office of Consumer Affairs&Business Regulation License or registration valid for individul use only y ,,HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. Registration: 183188 Type: Office of Consumer Affairs and Business Regulation Aeration: 9/8/2017 LLC& 10.Park Plaza-Suite 5170 Boston,i♦9A 02115 SOLECT ENERGY DEVELOPMENT,LLG EDWARD KELLY 89 HAYDEN ROWE STREET tea, HOPKINTON,MA 01748 Undersecretary`+ Not valid without signature I mow- t a.tn)uu$!s)nogl!M _lttA ION Cnaa.taasaapu(1 117£9L0 VW '3901H81-11HON OVOid A113N OL£ , " .11l3N tJM13 0NI 1N3W30dNV1N'NOI10f181SN00 0N3 91 I z0 V IN`uo)sog r j OLIS aa!nS-tzuld)I.teci 01 =o!leaodjo0 alenud �9lOZ/90z :11.1101)endx3 uoquln2011 ssau!sn8 put'sa!e33V.tawnsuoD jo 33yj0. :edA.L s91364L :uol)et)s168 :ol wrila.t punojjl •a)up uo!)u.t!dxo aq)aaolaq HMOV2l1NOO 1N3W3A08dW1 3WQ fl(10 astt Inp!A!pu!.to3 ptiuA uo!)uJ)S120.!.to asuamr, . 110!f1,1112321 ssauisnll 1's.arr.•JV.iautnsu0DJ0 aaplp �* di ,�.."..,,.�.m....:�.... . .. .... ., _. - saw. dH 36-004562715 ��•-�H finfotq*1 N.•Im � �NdMW.mtlo, Jauo!ss!wwO3 LLOZ/L L/b0 This card acknowledges that the.recipient has successfully completed a ;,. 10-hour Occupational Safety,and Health Training Course in construction Safety and Health ; �� �'NL��ZTflITLiIOAt f.L'..'RwwFd Kelly '�. 11f'I �I 13 _;ry 7� 7/'Ij b3 W9090-SO :asuaoi� � 68"' _�_ �os!:�.tac!t!Suiltl tt!Is�trt; (Course end date) (Tramername-print or type) +y ,_ sp.tepue}C pue suolle!n6aZ1 6u!pltnq jo pJeog AjajeS o!Ignd;o;uaLuvedad- sl4asnyoesseW STATE OPRI-10DE ISLAND (1 O R R . / LICEN�ING BOARD AUTHORIZEDREGISTRATION NO, EXR DATE REGISTRANT'S NAME DRIVER'SE. •• -- i TOWN OF BARNSVABLVBUILDING PERMIT APPLICATION Map Parcel (mot✓ Application o 4� Health Division, Date Issued �� 4 Conservation Division �-� Application Fee Planning Dept. Permit Fee ��V5161 Date Definitive Plan Approved by Planning Board Historic - stork OKH _ Preservation/ Hyannis Project Street Address _ ?!-5 "1 d�f 5 Village 0 v •` Owner SC u 4.. P-i P>0/_A 44 Address Telephone 10 '� -3 Permit Request T2) , ✓� ��s G� c.� 6 a 6 q.-g,s- cg @,-Cl, S-e Square feet: 1 st floor: existing proposed 2nd floor: existing� kproposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ..Construction Type SUll_DING DEPT- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting ocumentation. Dwelling Type: Single Family &r' Two o Family ❑ Multi-Family (# units) Yr S RNg Age of Existing Structure p Historic House: VYes ❑ ivy '❑T No On Old NgV0H YesABLE&No Basement Type: II rawl ❑Walkout ❑ Other 6 5 e `oa Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing new First Floor Room Count SY Heat Type and Fuel: Alias LJ Oil 2-61ectric ❑ Other Central Air: UfYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: 2/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 4lo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ?-,AV Y��tom-! Telephone Number 3 7 45 / 0 Address 3 7� I_C'4 s Y'e. df f License # C � 0$ 131 6'e'r Home Improvement Contractor# a a� Email S �,(c�r�t� , oU .�&O IL uyv`, Worker's Compensation # V tk)C— 0 0 157�6-301 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE Z 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. :. r ADDRESS VILLAGE' ' OWNER DATE OF INSPECTION: FOUNDATION FRAME 3Sts INSULATION Q0 3 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING S DATE CLOSED OUT ASSOCIATION PLAN NO. f � t � Ty Town of Barnstable o� Regulatory Services E AaStNIT�Rf C! f •. . , . r MA FM � Richard V.Sc214 Director16>96 < i `~a Building Division Tom Perry,Bmldmg ConmAsssioner 200 Mum Street,Hy=ds,MA 02601 - wweP.town-harnstablema.us Office: 508-862-4038 ; Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section If Us ing A Builder as Owner of the subject property hereby authorize �C `'lam to act on behalf, 0A� my , in all matters relative to work authorized bytbis buldiag permit application for. - (Add=ss of job) t� ``Pool fences and alarms are the responsibility of the applicant.Pools are not to be filled or utilIzed before fence is installed and all final ' pemons_are performed and accepte t 0�%V\l / S' o Owner Sknatzue of AppEcan j ;f � �- N=Name Print Name Date . Q:F0F1a.0WMERFERMISMJe00 S 'down of Barnstable , Regulatory Services r Richard P Sca%Director DrdIding Division t MA116MAI a Tom Perry,Building Commissioner MA S9 _* a� 200 Mans Street; Hyaoms,MA 02601 www towu Barnstable—us Office: 508462-•038 Fax: 508-790-6230 H0MM0WNER racMayss EXEIt M0N .PcczsePrinr DATE: 70B LOCATIOK nnmbcc shcct 'FiO1�fEOWi�t: . name - homcphonog wo&phonc#r . T , CUpjc=NLk=GADDRES5: _ city/ftrR'n sty zip codc The current exemption for`homeowners'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFINITION OBHOAMOTRgFR p erson(s)who opens a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached sfractares accessory to such use and/or farm structures. A person who constructs more than one home i-a a two-year period shall not be considered a homeowner. Such`homeowner'shall submit to the Building Official on a form acceptable to the Building Official,thathe/she shall be responsible for an such work performed underthe bmldi az permit (Section 109.1.1) The undersigned`.`homeowner"assumes responsibility for compliance wtth&D State Buuldmg Code and other applicable codes, bylaws,rules and regulations_ - The u ndersigaed`-`homeowner"certifies that he/she understands the Town ofBamsfable Building Deparfinentmiuimmn inspection procedures and regniiements and tiiat he/she will comply witTi said procedures and requi mments. Signal=ofHomcownrr , Approval ofBnildingOffcial Note: Three family dwellings con i„mg 35,000 cubic feet or larger willbe regvizedto comply with the Starr,Bulding Code Section f 27.0 Cor sfxv c(i on ControL HOMF,OWNEg'S EXEMPTION a ee e that: homeowner performing work for which a building permit is rewired shall b exempt The Code suites Any p rIDing from the provisions of this section sec Section 10911-licensing of construction Supervisors);provided that if the homeowner ( shall act as supervisor." engages a gerson(s)for lure to do such Mork,that such Homeowner sup Many homeowners who nse this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.L5) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would wiifi a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsr"brTit['es,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On fhe last page of this issue is a form currently used by.several towns. You may,care t amend and adopt such a for m/certifrcat ion for use in your community. Q�wPF1I�s'�oRMsrbmZ�Pe�icfrnmslF�PR,Fss.doe Ravised 061313 ?lie Commomvealth af_Vassadrwetfs Deparanevxt ofrndusbialAccidents ` Offwe of Investigations. ' 600 Washuxg'on,street _ Boston,MA 02111 'Workers' Campensation Insurance Affidavit Builder-s/Cnntractars/EIectricians/Plumbers Applicant InfGrmatiGn Please Print Le,-ffiIY Name(13ussiIIeesstMganization/Individuals 4-0 v1 r Vl C.irv'vi vl C-® S .)C Address: 3 7 G, L---,.'L-e- City/State/zip; Phone 4 '6 73 -1 /'S: Are pu an employer?Check the appropriate box: Type of project(required): 1_Ol am a employer with • 4 ❑I am a general contractor and I ,�/ employees(full and/or part�ime)_ * h LJave hired the sub-contractors 6- New construction 2.❑ I am a sole proprietor orpartner- listed on the attached sheet: I ❑Remodeling ship and have no employees These sub-confrac#ors have $- ❑Demolition _ wod:ing for!rP lfr any C3paG1ty employees and haveolicers' [No rv-arlaers�'comp-ins1-„ce comp.itrsura>zt�1 � S'. ❑Building addition 1 Electrical r required-] � 5. ❑ �1e are a corporation and its ❑ epaiis or a,dtistions , 3.❑ I am a homeoumer doing all work officers have exercised their 11.0 Plumbing repairs or additions myself,[No workers' right of exemption per MGL comp- 13-❑Roof repairs ., insurance required-]i c.152,§1(4h andwe have no employees-[L'�b workers' 13_❑Other comp:insurance required_ '31ttyappUcant gut cbecks box 91mast also filloutthe section bekwshavdngtb&wotitexecompensatiauparicyinf madoa #Homeowaen wbo sabxoit this.dffdngt i atmg they axe Hoeft-all wal and then hie oattside contractors mast mbnnt a new affidavit indicating such fConttacton that chest this box mast attached an.additi-sl sheet showing the nmeof the sub-canitwAm sad state whether.or not those entitiesbav employees.I€the sub-caattactctshave employees,they must provide their worlten'camp.policy nmober_ I alit an empIayer that is prauiding lvorkers'congwnatiart h zirance far my enipta3wes Bellow is file poticy and jolt site infarraatian \ Insurance:Company Name: �'`Vim'"\ �Ys Folicy 4l or Self-ins-Lie. ` V C, I 6 - 60155 () 'i Expiration Date: Job Site Address: 7 S �t IW (;. U i City/Stafe/25p: n-L(,w- Attach a copy of the workers'compensation policy declaration page(showing the poficy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c-152 can lead to the imposition of rrinnical penalties of a fine up to$1,54a OQ and/or brie-y 6ir imprisotmienk as well as civil penalties-in the form of a STOP WORK ORDER and a frne of up to$250-00 a dap against the violator. Be adidsed that a copy of this statement luny,be forwarded to the Of of ' investigatiom Of theDqA for insurance coverage yerificahon Ida hereby certify a ttfe is and petialfies a,f veduty diattlie ircformafymrmllc prd�d bmle is b=and correct r sionature: F Date: Z / Phone O,oWd use only. Do not write in this area,.fix be completed by city artomrl official 71 My or Town; 4 PertaitlI,isease# Issuing Authority(cucleone): " L Board of Realth 2.Boil "ing Department 3.{ityl To n.Clerk 4.Electrical Inspector S.Phzmbing inspector 6.Other - CbRtaCt Person: Phone#: Taformation and lustruCtions Massachusetts General Laws chapter 152 roes an employerS ID provide w033-,eas'compensation for the> =PIoyem. p tD this ,an mV&gme is defined as_"_.every person in the service of another under any contract of hoe, express or implied,oral or witth n An VnF1aye2'is defined as"an individnA paltnerI4,association;corporation or other Iegal entity,or any two or more of the foregoing engaged m a Joint eatmTrise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,part ersbip,association or other legal entity,employing employees_ However the owner of a.dwelling house having not more thin throe apartments and who resides therein,or the occapa at of the - dwelling house of another who employs persons to do mamte=ce,construction or repair work on such dwcBiag house or on the grounds or building appurrtenam thereto shall not becanse of such employment be deemed be an employer." MGL chapter 152,§25C(6)also states that"evergsfate ar.locaI licensing agency shall withhold the issuance or renewal of a Hcrose or permit to operate a business or to construct buildings in the commonwealth for any ELpplican-f who has not produced acceptable evidence of cdmplian.ce with the isnran ce.coverage required" Additionally MGL chapter 152, §2SC(7)sues-Neither the commonwealth nor any ofits political subdivisions shall enter into any contract for theperfoum.ame ofpublir,woticuniil acceptable evidence of compliance with the;,,c,„-ance._ requirements of this chapter have been presented to the contacting g authority." AppIican-ts Please El out the worlsrrs'compensation affidavit completely,by checking the boxes that apply to your sitnation and,if necessary,supply sob-contractors)name(s), address(es)and phonenumber(s) along wdh their certificafe(s)of hisu,-anc,. Limited Liability Companies(I.LC)or Limited LiabRRyPartaerships(LLP)with no employees other than the members or partners,are not requmed to cony workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitfed to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date;ffie afiidaviE. The affidavit should be retrnned to the city or town that the application for the permit or license is being requesbA not the Department of T ALTs: ial Accddenf s, Shouldyou have any questions regarding the law or ifyou.are rued to obtain a workers' compensation policy,please call the Dep�im.ent at the mmnber listed below. Self-insured companies should enter their self-ii s*ance license number on the approFdate line. City or Town Officials Please be sure that the affidavit is complete and priofed 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 pennit/license number which will be,used as a reference number. In addition;an applicant that must subnait muYtiple pemmifiJIicen se applications m arty given year,need only submit one affidavit indicating rent p olicy infom ation(if necessary)and under"Job Site Address"the applicant should write"all locations in, (ctiY or. town)-"A copy of the-affidavit that has bey of iciaRy stamped or marked by then city or town may be provided to the applicant as proof fiat a valid affidavit is on file for f±=permits or licenses A new affidavit must be,fiIle:d Dirt each year.Where a home owner or citizen is obtaining a license or permit not related to any burliness or commercial veatnre (i e. a dog license or pemmit to bum leaves etc.)said person is NOT reqqh:Dd to completn this affidavit ions would like to thank u is advance for your cooperation and should your have any questions, The Office ofInvestigafl. 3'0 I please do not hesitate to give us a call The Departments address,telephone and fax nmnberr CGD=MWeajtjr cifMassachuselb ` Degarfmmt cif Iiidush:ial AceidL-nts Ce r�.f Xn�e�fig�tta� 6 Washington Sfr BQdon=MA O�1II Tf,-L #617' -4900 cxt 446 car 1477 MA S4M Fax 9 617-727 774 Revised 4-24-07 .mas�IgwIdi ,4coRo® r CERTIFICATE OF LIABILITY INSURANCE DATE,MM/DD12/ �...-�' i/12/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: JIM HINDMAN Schlegel & Schlegel Ins Broker PHONE FAX - 34 Main Street E-MAIN.L � (508) 771-8381 A/ No: (508) 771-0663 ADDRESS: schlegelinsurance@qmail.com West Yarmouth, MA 02673 INSURE R(S)AFFORDING COVERAGE NAIC# INSURERA:NGM INSURANCE COMPANY 14788__'__ INURED _ F INSURER B:TRAVELERS Patrick S Cronin INSURERC: 376 Lakeshore Dr I NU RER D Sandwich, MA 02563-2745 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY MPT1326G 10/16/15 10/16/16 EACH OCCURRENCE $ 1 000 000___I X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMI E Ea occurrence) $ 500,000_ MED E i CLAIMS�NADE OCCUR t XP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2 000 0(ff) GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 i POLICY PRO-- LOC $ _ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ _ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY Per accident _ AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ f UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION VWC-100-6015516-201 5/4/15 5/4/16 WC STATU- I JOTH- AND EMPLOYERS'LIABILITY Y/N TORY IMITS ER_ _I ANY PROPRIETOR/PARTNER/EXEWINE 100000 OFFICER/MEMBER EXCLUDED? y N/A E.L.EACH ACCIDENT $ , (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) PATRICK CRONIN HAS ELECTED NOT TO BE COVERED UNDER HIS CURRENT WOPRKERS COMPENSATION POLICY r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SCOTT AND PATTY BURKIE ACCORDANCE WITH THE POLICY PROVISIONS. 759 MAIN STREET , COTUIT MA AUTHORIZED REPRESENTATIVE IN HAND, ©1988-2 10 PPORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of AVQfZD Phone: Fax: E-Mail: PSCRONIN@OUTLOOK.COM Details Page 1 of 1 The Official Website of the Executive Office of Public Safety-and Security(EOPSS) Mass.Gov Home State Agencies ensee DetailsDemparaohoc Information ullName: PATRICK S CRONIN I er Name: dress: ddress 2: ity: Sandwich tate: MA ipcode: 02563 o nt : U 'ted tates Icense o: S- 2 License Type: Construction Supervisor rofession: Building Licenses Date of Last Renewal: 10/23/2015 Issue Date: Expiration Date: 7/15/2017 Icense Status: Active Today's Date: 10/29/2015 econdary License: Doing Business As: atus Change: Lic se Renew I o Prerequisite Information eiscipiine No Discipline Information ocumen um Close Window _ -- ©2011 Commonwealth of Massachusetts Site Policies Contact Us i http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=27026... 10/29/2015 , s '- � ° License or registration valid for individul use only `Office of Consumer halaits&Business Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration ti172274. Type: 10 Park Plaza-Suite 5170 xpiration.c.615L2Qi6 a Boston,M 2116 CRONIN CONSTRUjI ' , PATRICK CRO.NIN 376 LAKESHORE DRIVE SANDWICH,MA 02563 Not valid without signature _ UndersecretarY :'; Massachusetts -Department of Public Safety. Board of Building Regulations and Standards Construction Supervisor License: CS-081321 s PATRICK S CROON 376 LAKESHORII;DRY SANDWICHMAr02 > - .nroA•' • Expiration. .Commiss io ne r 07/15/2015 , i REScheck Software Version 4.6.2 Compliance Certificate BULL p��G � Project Room Above Garage F EPT. Energy Code: 2012 IECCE8 22 Location: Cotuit, Massachusetts 710wN OF Construction Type: Single-family BARNSrABCE Project Type: New Construction Conditioned Floor Area: 550 ft2 Glazing Area 29% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: +759 Main St. 759 Main St Sy&Sons rCotuit, MA 02635 Cotuit,MA 02635 15 Marrion Rd. W.Yarmouth, MA 02673 3; ✓ E.. ,u' i &-= € ;?'., � 'Y:�L :,r 'F"' .kao; tyya )^. a . •'', '" t�e.., ., & t;v' .rY1 ia : •`4' !�;�..a% ` Compliance: 0.0%Better Than Code Maximum UA: 95 Your UA: 95 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies :fir �'� �q s ,�� •. - - , Ceiling 1: Flat Ceiling or Scissor Truss 224 38.0 0.0 0.030 7 Ceiling 2: Cathedral Ceiling 400 30.0. 0.0 0.034 14 Wall 1: Wood Frame, 16" D.C. 420 21.0 0.0 `0.057 16 Window 1:Vinyl Frame:Double Pane with Low-E . 97 0.290 28 Window 2:Vinyl Frame:Double Pane with Low-E 25 0.280 7 Door 1: Solid 20 0.270 5 Floor 1:All-Wood joistfrruss:Over Unconditioned Space 550 30.0 0.0 0.033 18 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\*11442 Sy& Son.rck Pagel of 8 i 1 REScheck Software Version 4.6.2 Inspection Checklist Energy Code: 2012 IECC Requirements: 15.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section 1Plans Verified ' Field Verified # Pre-Inspection/Plan Review ? Complies? Comments/Assumptions &Req.ID( t Value Value 4 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the building envelope. ❑Not Observable I ❑Not Applicable_ 103.1, �.Construction drawings and ❑Complies 103.2, documentation demonstrate []Does Not 403.7 energy code compliance for [PR3]1 lighting and mechanical systems. ❑Not Observable Systems serving multiple ❑Not Applicable i I dwelling units must demonstrate ; i compliance with the IECC Commercial Provisions. } 1302.1, Heating and cooling equipment is Heating: Heating: —❑Complies 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not j[PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable ; Manual J or other methods Coolie Coolie approved by the code official. Btu/hr Btu/hr ❑Not Applicable r s _ Additional Comments/Assumptions: i, 1 i High Impact(Tier 1) 1 2 Medium Impact(Tier 2) 3 i Low Impact(Tier 3) Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\#11442 Sy& Son.rck Page 2 of 8. Section S # Foundation Inspection Complies? Comments/Assumptions i &Req.ID 1 �- 303.2.1 A protective covering is installed to ❑Complies [FO11]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in.below grade. []Not Observable ❑Not Applicable 403.8 Snow-and ice-melting system controls ❑Complies [FO12]2 installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: j 1 High Impact(Tier 1) 2 (Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\#11442 Sy& Son.rck Page 3 of 8 geciion �A Plans Verified ' Field Verified j # iFraming J Rough-in Inspection) i Complies? Comments/Assumptions! &Req.ID I Value ? Value ! 402.1.1. Door U-factor. U- U- ❑Complies See the Envelope Assemblies 5402.3.4 ❑Does Not table for values. } [FRl]1 ❑Not Observable ❑Not Applicable 1402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies j402.3.1, average). ❑Does Not table for values. s 402.3.3, 402.3.6, ❑Not Observable '402.5 []Not Applicable I[FR2]1 303.1.3 U-factors of fenestration products ❑Complies [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or []Not Observable i taken from the default table. ❑Not Applicable 40r 2.4.1.1 Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's []Does Not instructions. ❑Not Observable ❑Not Applicable 4 ;402—Fenestration that is not site built ❑Complies I[FR20]1 is listed and labeled as meeting []Does Not i AAMA/WDMA/CSA 101/l.S.2/A440 5 or has infiltration rates per NFRC []Not Observable s 400 that do not exceed code []Not Applicable } — limits. 1402.4.4 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housingfinterior finish ❑Does Not and labeled to indicate:52.0 cfm. I I ❑Not Observable leakage at 75 Pa. _ []Not Applicable E 1403 12 12 Supply ducts in attics are R- R- ❑Complies ---- [FR12]1 insulated to 2!R-8.All other ducts R- R- ❑Does Not in unconditioned spaces or ' outside the building envelope are ❑Not Observable insulated to aR-6. ❑Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies [FR13]1 air handlers,and filter boxes are ❑Does Not sealed. []Not Observable []Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable ; i ❑Not Applicable i 40�3.3 HVAC piping conveying fluids R- R ❑Complies [FR17]2 above 105 4F or chilled fluids ❑Does Not below 55 QF are.insulated to>_R- 3. []Not Observable ❑Not Applicable 1403.3.1 Protection of insulation on HVAC [ Complies [FR24]1 piping. ❑Does Not j ❑Not Observable ❑Not Applicable s 403.4.2 Hot water pipes are insulated to R= R- ❑Complies [FR18]2 >_R-3. []Does Not ❑Not Observable []Not Applicable 1 ;High Impact(Ter 1) f 2 'Medium Impact(Tier 2) i 3 ;Low Impact(Tier 3) Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\*11442 Sy& Son.rck Page 4 of 8 Plans Verified Field Verified t # Framing/Rough-In Inspection Complies? 1 Comments/Assumptions &Re ID Value Value t t Req' -- ----- } 403.5 Automatic or gravity dampers are y ❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact Ti _. ____- p (�er 2) _� 3 !Low Impact(Tier 3) Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\#11442 Sy& Son.rck Page 5 of 8 -Section ; — ! plans Verified Field Verified &Re ID Insulation Inspection Value Complies? Value Comments/Assumptions € 303.1 All installed insulation is labeled ❑Complies Requirement will be met. [IN13]2 or the installed R-values ❑Does Not provided. []Not Observable _ []Not Applicable 402.1.1. Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values. [IN1] ❑ Steel ❑ Steel ❑Not Observable. []Not Applicable —i 303.2, Floor insulation installed per ❑Complies Requirement will be met. 402.2.7 manufacturer's instructions,and []Does Not j ([IN211 in substantial contact with the underside of the subfloor. ❑Not Observable ❑Not Applicable i 402.1.1, Wall insulation R-value.If this is a R- T R- ❑Complies See the Envelope Assemblies 1402.2.5, mass wall with at least lh of the ❑ Wood ❑ Wood ❑Does Not table for values. 1402.2.6 wall insulation on the wall _ [IN3]1 exterior,the exterior insulation ❑ Mass ❑ Mass ❑Not Observable '}}} requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies Requirement will be met. i[IN4]1 manufacturer's instructions. []Does Not l ❑Not Observable i ❑Not Applicable Additional Comments/Assumptions: _.._..._..__-_---.,_. __...__.._.__..__._W. ._ 1 (High Impact(Tier 1) 2 ;Medium Impact(Tier 2) T3 Low Impact(Tier 3) Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\#11442 Sy& Son.rck Page 6 of 8 Section _ Plans Verified Field Verifiedd s # I Final Inspection Provisions Complies? Comments/Assumptions &Iteq.ID I Value Value 402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope assemblies ,402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, '402.2.6 ❑ Steel ❑ Steel []Not Observable r [FI1]1 ❑Not Applicable } ---- --I 1303.1.1.1, Ceiling insulation installed per ❑Complies Requirement will be met. 303.2 manufacturer's instructions. ❑Does Not i[FI2]1 Blown insulation marked every 300 ft2. ❑Not Observable _ ❑Not Applicable --. --- --- `402.2.3 Vented attics with air permeable ❑Complies Exception: Requirement is [F122]2 insulation include baffle adjacent []Does Not not applicable. to soffit and eave vents that extends over insulation. ❑Not Observable f []Not Applicable j402.2.4 Attic access hatch and door R- R- ❑Complies _ — s[FI3]1 insulation>R-value of the ❑Does Not adjacent assembly. []Not Observable, ❑Not Applicable } 402.4.1.2 Blower door test @ 50 Pa.<=5. ACH 50= ACH 50= ❑Complies 1[FI17]1 ach in Climate Zones 1-2,and []Does Not ' <=3 ach in Climate Zones 3-8. []Not Observable []Not Applicable 403.2.2 Duct tightness test result of<=4 �cfm/100 cfm/100 —❑Complies T [F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air ❑Not Observable handler @ 25 Pa.For rough-in tests,verification may need to ❑Not Applicable occur during Framing Inspection. _ 403.2.2.1 Air handler leakage designated []Complies [F124]1 by manufacturer at<=2%of ❑ 1 design air flow. Does Not j []Not Observable i j ❑Not Applicable 1403.1.1 Programmable thermostats ❑Complies 1[F19]2 installed on forced air furnaces. []Does Not []Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies J1FI10]2 on heat pumps. []Does Not ❑Not Observable []Not Applicable 403.4.1 Circulating service hot water ❑Complies �[FI11]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable t 1403.5.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable _ []Not Applicable I 1404.1 75%of lamps in permanent T [ Complies _ z [F16]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable ) lighting. ❑Not Applicable 1 !High Impact (Tier 1) 1 2 Medium Impact(Tier 2) —j 3 ;Low Impact(Tier 3)_� Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\*11442 Sy& Son.rck Page 7 of 8 # Plans Verified ? Field Verified Final Inspection Provisions Complies? Comments/Assumptions 1 T - i Value Value �&Req.ID 1404.1.1 Fuel gas lighting systems have ❑Complies [F123)3 no continuous pilot light. ❑Does Not i []Not Observable f ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [F17]2 ❑Does Not 1 ❑Not Observable € ❑Not Applicable r03.3 Manufacturer manuals for ❑Complies FI18]3 mechanical and water heating ❑Does Not systems have been provided. ❑Not Observable 1 t []Not Applicable Additional Comments/Assumptions: 1 Hi h Impact(Tier 1) 2 !Medium Impact( 9 P p Tier 2) 3 L Low Impact(Tier 3) Project Title: Room Above Garage Report date: 02/17/16 Data filename: \\Bruins4\profiles\clegere\My Documents\Documents\REScheck\*11442 Sy& Son.rck Page 8 of 8 2; Energy, nency Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 30.00 Ductwork (unconditioned spaces): Window 0.29 .µ Door 0.27 Heating System: Cooling System: Water Heater: Name: Date: Comments �• ��O Ild P� Cal 1 ®� t/1 I` 4 er-6pCe� �% � Il - 767 d U/ X r°d'C i Ste' /� X4b ,� rsc�i '►S SMOKE DETECTORS.REVIEWED T E BUIL NG DEPT. DATE .� FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 19 anrm � t Yv� ytlix dw�f "..v,•iw•: 1t � ., Lj too 1 i . 1 I i .. ,.r;;,Nww,;;w,t:'.,,,,,, ..>.•n,w.«,.r.,««. .ry,,,n.,�,rn,.., .a,.Y_........r.. .,v...,..,..,...,.....-w 6n ) > pt ' n� • c, ap, sr !( •g ID �^ !s' Ilkta r - 5 Ply oc k Hoge < qq4& �`e Nfa,. wivvw ( f I �y 4"o j1/ w" LLI 4 CD h u!q Q v ? LL/ mioz �' 3 DL i -yn-w.;M�ruv v..w,a Yv,„h'n , , nwir xMrn+..1^. mar,nn.rw ..rot.+P•, +e",w+".p+.r, wen vr..w.way Mw uWw.4N u�wa+ .A.�'+'+, .,m.�n'w+.'u,+r+r•�a v.r..w..:u�ervw�.,..u....bnw.u..4.' .�u..w.LL.,y. SMOKE DETECTORS REVIEWED AAB UILDIN DEPT. DATE ..:..,.,t.'i6i'fG.+Ywa,LL.'r:+r:.r,^>i.^+rr..ti•.w.kw.r.�ro'.��:w.rf:,�n.:uw.k.:.lb'ww:a'..ww+e�,un':..f..�4'w:�Y1�.�it.. ,;.',..+,.W.:i..:.,..M.::+.,iinrn.grow.wmr�,:.«...,.,.r,r+..rwwww......ww.�..+++!�+........r.,.w...m.r.. FIRE DEPARTMENT DATE A BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 6 i 64 a rqProf moo �s' I i I ''KaY.N:NW', iT.WFa4n#iwN.:?.n11A'..M11.aWA4F1ti' - �.vwh . ��/I!J�/ (y�p/�',�//y��/' rr uef�+��'w^+'��✓r +e.,.uuw,n.i.ntr-,w�w•rowr.,. m.�....«uv�n..�..e...,+...r.nxv i+nYeAMMa1W�NrgaFN'hrRa�PoMmAA++MMnMa+v!MVMN+rt,m,mkmrnivMmummWn,HaiM.w YW'wanw,Wu`M�+�i+l'r ��� y��� malewivMr,vrorwf.wa.wWww+'�W+�..+W.�w'uviuweu • I l 1r I Pr p p o X Y i� i i1 4 Sol— 9. 11,74 t off ecL t .p•� h,Pc.�c,� C7c �-rrc� .- 6uno tisT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �' Parcel 1)0�7 Application # ad Y L S a q Health Division Date Issued to k I Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis \v Project Street Address Village 00 Owner y Ite Address --n e Telephone Permit Request U L l CC4mod r<�c.,� �-C, �r.J C/,Q / Square feet: 1 st floor: existing proposed 54- 2nd floor: existing proposed "N-) Total new ` dt Zoning District �'• Flood Plain Groundwater Overlay Project Valuation c� 00 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attaEa upportinq dochentation. Dwelling Type: Single Family U"" Two Family ❑ Multi-Family (# units) ' Age of Existing Structure Historic House: m'Yes ❑ No On Old King's Highway: ❑des U�No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing C new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing A new size_Pool: ❑ existing ❑ new si2Q a1Barn: ❑ 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 _z ` (BUILDER OR HOMEOWNER) v �` ame �. 0 t Telephone Number Ut 3^7 5 d ,t( 11 nn Address ��i � Sdtc�XP- dCrr License# 0 8 Z I Home Improvement Contractor# ) 7 7Z7 4 Worker's Compensation #,Df 0/3 ALL CONSTRUCTION EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE 7/ x �P r FOR OFFICIAL USE ONLY `J ` APPLICATION# u i•T DATE-ISSUED Y MAP PARCEL NO. _ ADDRESS VILLAGE r OWNER `s • DATE OF INSPECTION: ,t I II FOUNDATIONS r�.� , ,,.��tl_�I:�.►0�0 :t . .FRAME a INSULATION GAc*-Moc Je--ZLL,jhtuS 2-3o c io,.16 E FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING o _(r!; 15_ DATE CLOSED OUT r ASSOCIATION PLAN NO. • s - t• T The Commonwealth of Massachusetts Deparhnent of fi dustr al Accidents - Office Of iftves oiians 600 Ff'ashartgtom Street Bastan,,MA 02111 wn iv.7nass gvWdia 'markers' Compensation Insaran� fidavit:Builders/ContractorslElectricianslPlumbers Applicant Information Please Print Legibly Flame Oumzss/Orpnization&&vidniat)_ Q , CityfState/Zip: c�4yic ClaL� d g ?-SG 3 phom 47 727 I"y Are you an employer?Check the app:rapriate bo - Type of project(required): 4. I a contractor and I 31� P� d 1_❑ I am a employer with 6 ew consfr, t, employees{full and/orpart-3ime}* have hired the sub-contractors 2❑ I am a sole proprietor or partner- listed on the attached sheet: 7_ ❑Remodeling . ship and have no employees Thine mib-contractors have g_ ❑Demolition w for me many Capacity. employees and have workers' ��, y , 9_ ❑Building addition [No workers'coring_iasurance comp_insurance-1 required-] 5. ❑ We area corporation and its 10_.❑Electrical repairs or additions 3_❑ I am a homemmer doing all work of&zrs have exercised their 11_❑Plumbing repairs or additions myself[No warkers'comp- right of e2xmptiou per MGL 12.0 Roof repairs iumnance required_]t c.1.52,§1(4} and we have no employees_[No workers' 13-❑Other comp_msurance required_] *Airy appbom-t taut checks boa#1 mast also fill out the section below showing fli&wakes'compensation policy informatim2 T Homeowners who submit this affidavit in&cstiug they are doing all treat and then ham outside contracmrs Est submit a new affid3 vit ind'icsting snob_ tha t at check this boa must attached an additional sheet showh3g the nme of the sub our&3cbors and suite whether oc aot those affities have omployees_ If the sub-contractors have employees,they must provide their workers'comp.policy ni mbez Tam an employer that is providing tt�orke-rs'compensaiion inaurarice for aty enrpEcyces. Belau is Ste policy an.d,}ob site information!_ Insurance Company Name: KekVe e-0 ; Policy 9 or Self-ins_Lie.4-- /(2 o ©/s i 7(o " �_o/ ExpiiationDate_ Jot/"Sit$Add ens: 770 CitylStatelZip: ® Z— Airtach 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 head to the impositim ofrrimiftal penalties of a fine up to$1,50100 and/or one-year intprisonment,as well as ci%il penalties in the form of a STOP WORK ORDER and a fine of up to 5250-00 a day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of Im estigations of DIA tier insurance coverage veriEcation- I do hereby cet4i it. t pains id penalties ofpedurp thatthe information prat2ded e rs and correct Sit�oature: ✓� `lZ Bate: G�5 Phone#- 7 7 15-40 0 r,alrue o i[at rite in tJais arert #ribs-crrArpleted by city ortar Town:. Permit/License It Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City-flown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 R Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an errcployee 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 Iegal entity,or any-two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an.employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance 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 situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their ceri_rcate(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 i isurance. If an LLC or LIP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit I he affidaS it should be returned to the city or town that the application•for the permit or license is being requested,not the D,:partrnent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to BE out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the permit/license number which will be used as a reference number. In addition;an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all 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 (Le.a dog license or permit to bum leaves etc.)said person is NTOT required to complete this affidavit- The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: `The Commonwealth of Massachusetts Depaitnent of Industdal Accidents GffiQe of kvestigatiaw 600 Washingtaa Strut Boston,MA 02111 TeI. A 617-727-4900 ext 406 or 1-977-MASWE Revised 4-24-07 Fax# 617-727-7749 v,7v w.mass-gov1dia Rightfax N3-1 4/7/2014 5:39:18 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYYI IRCATE 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. HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE ERTIFICATE HOLDER. IMPORTANT:If the certfficate holder Is an ADDITIONAL INSURED,the poiicy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the arms and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to the erfificate holder In Neu of such endorseme s. PRODUCER CONTACT NAME: HUMPHREY COWL,&COLEMA PHONE FAX P O BOX 1901 (A/C,No,Ext): (A/C,No): E-MAIL NEW BEDFORD,MA 02741 ADDRESS: 26WMK INSURER(S)AFFORDING COVERAGE NAIC NY INSURED INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA ZARTHAR,SIAD F DBA SY&SONS INSURER B: INSURER C: INSURER D: 15 MAROON RD INSURER E: W YARMOUTH,MA 026733319 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: AT F N811RAICE LISTED BELOW H BEEN O HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTYISTHSTANONG 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.LWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA MI, INISR ADD B POLCY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY kUUBER (MMIDWYYYY) (LWM) YYYY) LINTS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. AMAGE TO RENTED $ REMISES(Ea occurrence) ED EXP(Any one person) $ GEN'L AGGREGATE LIMB APPLIES PER: ERSONAL&ADV INJURY $ ENERAL AGGREGATE $ POLICY PROJECT❑LOC RODUCTS-COMP/OPAGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ' ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY SNJURY $ 1 SCHEDULE AUTOS (Per person) r HIRED AUTOS BODILY INJURY $ NON-0WNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLANS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION$ $ A WORKERS COMPENSATION AND X we SrgnlrORv OTHER EMPLOYER'S LIABILITY YM UB-2E00e216-14 OW02014 01/3N2015 LIMlrB ANY PROPERITORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ®WA E.L EACH ACCIDENT $ 100,000 (Mandmory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 ti yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESMESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CEWMCATE ISSUED TO THE CERT(FTCATEHOLDER AFFECTING WORKERS COMP COVERAGE. ZARTHAR,SIAD F IS COVERED BY THE WORKERS COMPENSATON POLICY. CERTIFICATE HOLDER CANCELLATION PATRICK CRONIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 376 LAKESHORE DR BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT` .VE SANDWICH,MA 02563 LA-Wi ..::... ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1AFA-2010 ACORD CORPORATION. All rights reserved. ,CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrYYYY) 09/24/2014 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)i, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIOI IS WAIVED, subject to the t®mis 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). CONTACT x PRODUCER NAME: PAUL SCHLEGEL SCHLEGEL INSURANCE BROKERS INC PHONE 508-771-8381 FAX 508-771-0663 AIC,No,Ext►: I.C.Nol• 34 MAIN STREET E-MAIL SCHLEGELINSURANCE@GMAIL.C6M WEST YARMOUTH MA 02673 INSURER(S)AFFORDING.COVERM96 NAIC0 / INSURERA:NGM INSURANCE COMPANY 14788 INSURED INSURER B:TRAVELERS Patrick Cronin INSURER C 376 Lake Shore Drive INSURERD: 0 INSURER E: ' Sandwich, MA 02563 --URERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF jN URANCE 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 I RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH P0116IES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP I LTR INSR WVD POLICY NUMBER (MMIDDNYYY) (MMIDDIYYYY) LIMITS A GENERAL LIABILITY MPT1326G 10/16/201310/16/2014 EACH OCCURRENCE j S 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) S 500,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 ' GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OF AGG S 2,000,000 POLICY PECT RO- LOC I S J 1 AUTOMOBILE LIABILITY (Ea accident) I S ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS PROPERTY DAMAGEj HIRED AUTOS AUTOSWNED (Per accident) i $ S UMBRELLA LIAR .OCCUR EACH OCCURRENCE $ EXCESS LIAR / CLAIMS-MADE AGGREGATE I S DED I I RETENTION $ r S B WORKERS COMPENSATION VWC-100-6015576-2013A 05/04/2014 05/04/2015 TORY LIMITS ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1 00,000 If yes,describe under E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS below 1 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space Is required) PATRICK CRONIN HAS ELECTED NOT TO BE COVERED UNDER HER CURRENT WORKERS COMPENSATION POLICY I r l { CERTIFICATE HOLDER CANCELLATION I PATTY 6 SCOTT BURKIE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 759 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN COTUIT MA ACCORDANCE WITH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENTATt i PSCRONIN@OUTLC K.COM I f C)1988-2T10 ACORD CORPORATION. All rights reserved. e ACORD 26(2010105) The ACORD name and logo are registered marks AC RD MassachusetCs-Departmenfof Public Safety Board of Building Regulations and Standards Construction Supervisor License: CSM81321 " PATkICK S CROYN Q k6 LAMMOREDI s SANDWI;CHAW, ��.�.��d►/t'�,fc. '��'��` �` "+` Expiration Commissioner 07115/2015 t - V�'��i77/p24/ZfIlQlLLUL 6�C-:/!/LQG��LG[3P�6 . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: istration: ,t�74 Type: Office of Consumer Affairs and Business Regulation piration: lfi DBA" 10 Park Plaza-Suite 5170 _ : Boston,M 2116 CRONIN CONSTRUCTWW7� - =-u PATRICK CRONIN = 'z 376 LAKESHORE DRIVE SANDWICH,MA 02563 Undersecretary Not valid without signature �7HE. Town of Barnstable * * Regulatory Services * snxxseABM r Mass, g Richard V.Scali,Director �'ArEnc A`� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder T, ct,7— ziL ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) '`''Pool fences and alarms are the responsibility of-the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections ar performed and accept ig tore of er Signpure of Applicant Print Name Print Name r Date Q:FORMS:O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services -ME Toly,� Richard V.Scali,Director _ Building Division 'A'S'ABLE. * Tom Perry,Building Commissioner Mass. 1659. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name Lome phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION ` The Code states that: "Any homeowner performing work for which a'building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &ReguIations for Licensing Construction Supervisors,Section 2.15)This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORKS\building permit fomis\EXPRESS.doc Revised 061313 22'd z1'4 1's f�lev D�e1-nr� 17' L' T a I L�s t Ate'' 2 3t l U n DS "�,•u��t<S ��?�� � 9�top�f ill I. L_1_I J 1 i s y I I lit M ai MWS't 4'MM NN) i in •iG'HiIH�M DR w I I N ti C ISO 1y1Y 6�u9fYDL OL V/y).- i iWioHa ! '� OrI '2 SA K•D �('" i I ti y �6FI•r�OVkb�fY'.Il'W.� i ^ i n ~ V ,!C4 t � F,l y { 3'I s'Ia.K' 3'G3G' i'P 3'63f' 2' !'f 5'iSf.' z'a 5'vs' taK'G4i� 1IVA! 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(� ►�3t�RmEDiATti i-p�AMItJ� 'I O,G, (� VERT. W5P ED6�,g 'l F O R T E MEMBER REPORT Level ROOF,Roof.Flush Beam PASSED 2 piece(s) 1 3/4" x 18" 2.0E Microllam0 LVL Overall Length:22' o - o 22' U 0 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual®Lawtlon Allowed . Result LDF Load:Combination(Pattern) System:Roof Member Reaction(Ibs) 6312 @ 4" 6322(4.25") Passed(100%) -- 1.0 D+1.0 S(All Spans) Member Type:Flush Beam Shear(Ibs) 5238 @ 1'11 1/2" 13766 Passed(38%) 1.15 1.0 D+1.0 S(All Spans) Building Use:Residential Moment(Ft-Ibs) 32956 @ 11' 44566 Passed(74%) 1.15 1.0 D+1.0 S(All Spans) Building Code:IBC Live Load Defl.(in) 0.531 @ 11' 0.711 Passed(L/482) 1.0 D+1.0 S(All Spans) Design Methodology:ASD Total Load Defl.(in) 0.854 @ 11' 1.067 1 Passed(L/300) 1.0 D+1.0 S(All Spans) Member Pitch:0/12 Deflection criteria:U.(L/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 5'1 1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Snow Total Accessories 1-Stud wall-SPF 5.50" 4.25" 4.24" 2411 3960 6371 1 1/4"Rim Board 2-Stud wall-SPF 5.50" 4.25" 4.24" 2411 3960 6371 .1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed. Tributary Dead Snow Loads Location width (0.90) (1.15) comments 1-Uniform(PSF) 0 to 22' 12' 16.8 30.0 Roof Weyerhaeuser Notes l SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator ��60f MAS840, G s�-4 •�a1f� a A 9F(31S��c S1011A Forte Software Operator ,lob Notes 8/29/2014 1:52:09 PM Michele Cudilo Forte v4.6, Design Engine:V6.1.1.5 Michele cudilo,P.,E. 2014-154SyBerkeyGar.4te (508)771-7601 mcudilo@comcast.net Page 1 of 1 F ® T E ® MEMBER REPORT Level 2,Floor:Drop Beam PASSED 3 piece(s).1 3/4" x 18" 2.0E Microllam0 LVL � e f Overall Length:22'7" 0 0 � 22' FJ All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.' Design Resuits Actual @ Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 7070 @ 2" 7809(3.50") Passed(91%) 1.0 D+1.0 L(All Spans) Member Type:Drop Beam Shear(Ibs) 5948 @ 1'9 1/2" 17955 Passed(33%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 38745 @ 11'3 1/2" 58130 Passed(67%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.555 @ 11'3 1/2" 0.742 Passed(L/481) 1.0 D+1.0 L(All Spans) Design Methodology:ASO Total Load Defl.(in) 0.724 @ 11'3 1/2" 1.112 Passed(L/369) 1.0 D+1.0 L(All Spans) Deflection criteria:LL(L/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 10'8 1/8"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Length Loads to Supports(Ibs)' Supports Total Available Required Dead Floor Total Accessories Live 1-Stud wall-SPF 3.50" 3.50" 3.17" 1650 5420 7070 Blocking 2-Stud wall-SPF 3.50" 3.50" 3.17" 1650 5420 7070 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Tributary Dead Floor Live Loads Location Width, (0.90) (1.00) Comments 1-Uniform(PSF) 0 to 22'7" 12' 10.0 40.0 Residential-Living Areas Weyerhaeuser Notes 4 SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator OF MAgSgcyG o STR�G �- NO 34774Q �Q A9�FSSIONP Forte Software Operator ,lob Notes 8/29/2014 1:41:49 PM Michele Cudilo Forte v4.6, Design Engine:V6.1.1.5 Michele Cudilo,P-E. 2014-154SyBerkeyGar.4te (508)771-7601 mcudilo@comcast.net Page 1 Of 1 C? -15q I JAI Al Sr.� tT M� or Aft-`('Guide it) Wood Construction in Higli Wind Arens: 11 D mph Wind Zone Massachusetts Checklist for Comp.liance (780CMR5301.2.1.1)' 0 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph WindExposure Category................:......................:.......................... ................................I............................B 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................ Iz-_stories 5 2 stories RoofPitch ................. .......................................................(Fig 2) ..................................... _2-512:12 Mean Roof Height ..............................................................(Fig 2)............................................k,x ft 5 33' BuildingWidth,W ...............................................................(Fig 3)................................................ZZft 5 80' BuildingLength, L ..............................................................(Fig 3)...............................................aft 5 80' Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................LLj ; 15 3:1 Nominal Height of Tallest Opening ...................................(Fig 4)................................................. !-"s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .................................................................... ................................................................ 2.2 ANCHORAGE TO FOUNDATION'•3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchor)as an altemative in concrete only in. Bolt Spacing-general ..........................................(Table 4 ............................. . +.T- Bolt Spacing from endCoint of plate ............................(Fig 5)....................................4:i0n. 5 6"-12" Bolt Embedment-concrete.........................................(Fig 5).................................................4 in.a 7" Bolt Embedment-masonry.........................................(Fig 5)............................................ _,-- in. t 15" PlateWasher...............................................................(Fig 5).................:.............................t 3"x 3"x%" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)........................�.�2 ft s 12`or L/2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearl'ng Walls or Shearwall................(Fig 7).................................................... &ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... - ft 5 d FloorBracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)........................... .. ..... Floor Sheathing Thickness .................................................(per 780 CM Chapter 55)......................3 In. Floor Sheathing Fastening.................................................:(Table 2)..Qd nails at�in edge/L in field 4.1 WALLS Wall Height p Loadbearing walls........................................................(Fig 10 and Table 5)........................... "! ft 5 10' Non-Loadbearing walls................................................(Fig 10 and Table 5).......................A ft 5 20' Wall Stud Spacing ......:................................................. (Fig 10 and Table 5).....:.............t�_in. 5?4"o.c. Wall Story Offsets ....................................................I.;.(Figs 7&8)............................................&ft s d 4.2 EXTERIOR WALLS Wood Studs ///// Loadbearing walls:.......................................................(Table 5)..............................2x - ft in. Non-Loadbearing walls................................................(Table 5)..............................2x - in. Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10).................................................................. WSP Attic Floor Length................................................(Fig 11)............................................. ----ft 2:W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)...........................................7--Lft t 0.9W. ofMASS ( .g ).............................. .............................. us icep Length . . (Fig 13 r , 2 x 4 Continuous Lateral Brace 6 ft. o.c. .. i 11 To Plate ,I� n ft a' NE ......................... .. ... .. . ... ....... .... and Table 6)..G�T....V11kLl..l. ....,..li gMG�Ot�aP� ce Connecti n (po, of J 6d common nails)..............(Table 6)............................................_.......-I&A IIo� TRUC�� A lv/ o0. SNo17�0 �� 9 GIs 9GFFSSIogm, i WC Guide to Wood C'onstrnction in High Wind Areas: 110 mph Wind lone Massachusetts Checklist for Compliance(780CMR'53ot.2.t.1)' Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)........................................................� Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8)...................................:.................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ...........................................:.............(Table 9)................................... ft=in.5 11' Sill Plate Spans ........................................................(Table 9)................................ ft --in. s 11' Full Height Studs (no.of studs)...................................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table ) HeaderSpans.............................................................(Table 9).................................. Tft ' in. 5 12' SillPlate Spans...........................................................(Table 9).................................. ft-in. 512" Full Height Studs(no.of studs)....................................(Table 9)........................................................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Z 2 t o Nominal Height of Tallest Opening 2 .............. ................................................................jl;j5.5 6'8" SheathingType.........................:....................(note 4)..................:...................................w.S P Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ _in. Field Nail Spacing..........................................(Table 10)................................................. A-Z ; Shear Connection(no.of 16d common nails)(Table 10).............................................Percent Full-Hei ht Sheathin Table 10 .......................................Z. fit;.° 9 � Opening>ti'8"(Design Concepts). .....5/o Additional Sheath' for Wall with Maximum Building Dimension, L = P g 1 y �' Nominal Height of Tallest O enin 2 :...........................6- S 6'8" SheathingType..............................................(note 4)...................................................... .J Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 11)................................................. in Shear Connection(no.of 16d common nails)(Table 11 Percent Full-Height Sheathing.......................(Table 11).......................................... o Xc 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).fsf"._� .. r Wall Cladding Rated for Wind Speed?.............................................................. ..... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ............:...:.................................. (Figure 19)...........b lift S smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls S,P AIJ = l Proprietary Connectors s(!'t IP Sit Uplift................................................(Table 12)............................................U=a4tLb 5� Lateral.............................................(Table 12).............................................L= Shear................ .. . ...................(Table 12).................................I..........S_ _2 Ridge Strap Connections, i collar tie ot�r page 21..... = — 9 P P 9 (Table 13)..............................T- Gable Rake Outlooker.............................:........... (Figure 20)...........PX ft S smaller of Tor L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).................. .........................U= — lb. Lateral(no., 16d common nails)...(Table 14)............... ......................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 an 59).................. Roof Sheathing Thickness............................................ .............................. .. . .! in. Roof Sheathing Fastening ....................................:.......(Table 2)....'&. .,.�p.. ..... .G....�- .� �. Notes: (p �'f�t,,p 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to compCy with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11` c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing of MASS requirements shown in Tables 10 and 11,. QcyG 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness..pressure treated#2-grade. M0 oSFVD3A 74 Q S N0C � '9EGIS1 9G SslosP- GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others.- 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage c.) All walls longer than 25'shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing: Spruce-Pine-Fir No.2 with Fb=I000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per--750 psi, Fear-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,U360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. 1 x6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion ofjob. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-I0d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code. CONSTRUCTION DETAILS FOR THE APA NARROW WALL BRACING METHOD FIGURE 1 NARROW WALL OVER CONCRETE OR MASONRY BLOCK FOUNDATION Outside Elevation Side Elevation --- --- Extent of header(two braced wall segments) - -----__.-_-__—_. - Extent of header(one braced wall segment) ---:! Top plate continuity is required per R602.3.2 Sheathing filler l r" 3"z 11 1/4!net headerK, .41 if needed «' — 2'to 18'(finished width)-- - �"•f r «t 16d sinker nails Fasten sheathing to header with 8d common ; (0.148"x 3-1/4") Mr nails(0.131"x 2-1/2')in 3"grid pattern as shown $ in 2 rows @ I".'r and 3"o.c.m all framingstuds and sills f " ( )A P� 3"o.c.' ! ^•; ��� �- 1,000 lb. header-to-jack-stud strap l h� "N 1" 1,000 lb. header- onboth sides of opening to-jack-stud strop Mox. f.. ;,.� (install on backside as shown on z �. on both sides height �;; °' Side Elevation,Ref.No.LSTA24) ..�, of opening Ref- ' P g( ". 4 �� No. LSTA24) 10' Min.(2)2x4 tYP. «• ;. j «• If panel splice is needed it shall Braced wall occur within 24"of segment per mid-height. « r �• "� g R602.10.5 «" 3/8'min- �.., Blocking is not required. ` ` thickness wood " r Min.width based on 6:1 No.of'` ; structural panel height-to-width ratio:For jack studs ;; 4" a`''' sheathing example:16"min.for 8'height, per table .« 20"for 10'height,etc. R502.5(l&2) j I �• Min. 2"x2"x3/16"plate washer I ; ;.• -- Anchor bolt per R403.1.6 Typ. -- -Foundation per code Not to stole 'Or other code-recognized fasteners providing lateral resistance equal to or better than the prescribed nails. Noie: This narrow Ball bracim:segmeni meets -,he mi:nnium reamremenis for will hraurg FIGURE 2 tracKmg iosds in the plane o; ine %adl) The building designer should determme -&hat spe EXAMPLE OF REQUIRED OUTSIDE CORNER DETAIL(IRC R602.10.5) cif--c details are nece.iary io provide a ottiplete lied pails for using this bracing in flic siruaure At corners,connect the 16d nail at 12"o.c. two walls together as - outlined in this detail to /' provide overturning G / --- Orientation of stud may vary restraint. Gypsum,when required, installed in accordance with IRC Chapter 7 --Wood structural panel t 5�---2- 6 Message Page 1 of 1 Shea, Sally From: Miorandi, Donna Sent: Wednesday, June 25, 2014 9:16 AM To: Building Dept Subject: FW: APB for 759 Main.Street, Cotuit Just an FYI. Donna -----Original Message----- From: Miorandi, Donna Sent: Wednesday, June 25, 2014 9:11 AM To: Heath DeptMailbox Subject: APB for 759 Main Street, Cotuit - Hi all, On the lookout for permit number 2009-202 which was completed and approved by Tom Mckean on 6-12- 09. Permit is not in street file. Owner wants to add a garage with an exercise room and shower above ( clearly an apt./bedroom to me). Problem is there are plans that show possible 7 bedrooms to me and only 4 were approved in the zone on .45 acres. Recommendation-do not sign off on any building permits for this and we still need the septic permit and plan. Donna 6/25/2014 Building Performance Contracting,LLC Nauset Insulation r. P.O. Box 1044 N.Eastham,MA 026SI Phone(774)316.4464 Fax(774)316.4462 Date RE:Insulation Permits Dear Mr Perry, This affidavit is to certify that all work completed for the insulation work at `J has been inspected by a certified Building Performance Institute(BPI)Inspector.All work performed meets or exceeds Federal and State requirements. Respectfully, s Emon ZZ C C i r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map T Parcel Application l ,3 Health Division Date Issued &M Conservation Division Application Fee Planning Dept. Permit Fee 3� Date Definitive Plan Approved by Planning Board Historic - OKH �-- _ Preservation/Hyannis /Project Street Address / Villages Owner cs Address Telephone J<-N — -35 — Permit Request t, Square feet: 1st floor: e�Cisting p oposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2 Se 6D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attache�porting cur ntation. C w � Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) �� Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'-, Highway ❑cot ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sIft) Number of Baths: Full: existing new Half: existing new M Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) C Name ��S ��'k�w� Telephone Number Address 1 06D gc 1220 License# ` 0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO� UGGGc2 O — ) SIGNATUR DATE y FOR OFFICIAL USE ONLY I A 4PPLICATION# DATE ISSUED MAP/PARCEL N0. ` ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION } FRAME t INSULATION y FIREPLACE ELECTRICAL: ROUGH FINAL •t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT - + f ��!1. � �/it V!.. ,.• .,. / i ASSOCIATION PLAN NO. f The Commonwealth of Massachusetts y Department of Industrial Accidents -- Office of Investigations 600 Washington Street. ' r Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibly Name (Business/Organization/Individual): d4w mdl� Address: -0 3 City/State/Zip: ,4'f�(,(,i� Phone #: q Z3—5_G(3 J 61 Ar�yan employer?Check the appropriate box: Typeofproject(required): 4. I am a general contractor and Il. a employer with , :�� ❑ 6. ❑New construction employees(full and/or part-t me :* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition _ working for me in any capacity. employees and have workers 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roo epairs insurance required.]t c. 152, §](4),and we have no /J employees. [No workers' 13. ther comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workeis'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. p` Insurance Company Name: /� GG/ � &Ge-1(//_- Policy#or Self-ins. Lic. Expiration Date: IP26- Q?®l Job Site Address:QS9 W)n e')_j la( City/State/Zip: � ( A DaL�3S 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 naId s of perjury that.the information provided above is true and correct. Si nature: ' Date: Phone#: / 6 r �✓t� Official use only. Do not write in this area, to be completed by city or town offaciat City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#- 015ee of Cossomer Affags&Dwiiu=Regewon -lAcem or registration vafid for individat use only ME IMPROVEMENT CONTRACTOR before the expiration date. Iffound return to:>�. LLC 10 P2&Flm-Suite 5170 =-- :,• Bunn,MA 02116 BUILDING P LNG,LLC_ JOSH EDMOND 8 KINNIYJNMCK RD TRURO,NIA 02666 of valid without signature Massachusetts-Department of Pub.",--Safely Board of Building Rz9u.ationIs asBci Stzr�ka€€� Construction Super% License:CS-078845 FOBOX03 Truro MA ftW- a Expiration Commissioner 03/2-SM5 • ` I OWNER AUTHORIZATION FORM ' I, C1-4 (Owner's Name) . owner of the property located at /Ila I" -'stre-2 e-4 (Property Address) CCU (Property Address) ti hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. s g -r's Signature i 3 _3.� 113 Date L011/1�1/21013 0258 9787778415PAGE 01 CERTIFICATE OF LIABILITY INSURANCE 1/11/2013 THIS CERTIFICATE 18 ISSUED A8 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 t NSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S� AUTHORED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE "OLDER' N S,U9RODATION IS WAIVED,sub)sct tocer IMPORTANT: If the 9ftms holder Is W ADDITIONAL INSURED,the poi rsembnt A)recast lb,snd tetenlet on n on Nds CsrNRtreb dose not confer Np htr t0 the tl�s terns and condltlons of OM pollry,¢erlsin polldes may require en sndasen . perdncets holder In Hsu of such endorsemen s. PRODUCER :(978)777-8a15 COUNTY INSURANCE AGMCY INC PH (978)774-2463 Arc i 123 Sylvan St Danvers, MA 01923 elttunE") AFFORDbIa 004MUs INSURER A:Commerce Ins. CO- INSURED Btulding Performance Contracting. LLC, INSURER 5-.Essex xns• Co. brsURER C:Atlantic Charter P.O. Box 633 INSURER 0 Truro,. Ma 02666 INSURE RE; 1 RER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P 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 TERld4, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UMIT$ �tR ?VPE OF INSURANCE I WW POLICY NUMBER EACH'OCCURRE14M 3 1,00 ).000 GENERAL LIABILITY i S0 000 X MEMSES COMMERCUII GENERAL LIABILITY oxurte� CLAIMS-RAAOE .� OCCUR MED E%P An one Peroml i 1 OOQ e 11/ 3DB9441 19/1 PER SONAL RSONAL&AOVIWURY $ 1,600,000 GEI�R�L A�GREaATE : 2, ooQ ooa DENL AGGREGATE LIMIT APPLIES PER PRODUM-COAAPIOPAGG s Z OOO 000 3 POLICY LOC 1 000 000 AUTOMOBILE L,"ILITY Ee nddent BODILY INJURY.(Per Perebn) S ANYAUTO LQ3 98 3 ALL OWNED X HEEDULED ALL INJURY(Peraredent) $ A AUTOS AUTOS ED 2/2/12 2/12/1 Per ent _ HIRED AUTOS AUTOS i x MIRELIA.I" OCCUR EACH OCCURRENCE $ 2,000,000 CUM904112 5/1/12 5/1/13 AGGREGATE : 2,000,000 D EXCESS LIAB CIAIM5IAADE S DEO RETENTION i W WOMBS COMPENSATION RY AND EWLOYERS•LIABILITY YIN 11/23/1 11/23/13 E.L.EACH ACCIDENT i Soo .000 Amy C OFF PICFA/h@INIfER ARTNDCDTMERf mwnvE NIA t K WCV00939900 E.L.D19fA8E EMPLOYE.s 500,000 rc+lboIO -do' E.L DISEASE-PoucvuMlr s 500 0V00 RIPTN OF OPERATIONS beloYr DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeauh ACORD 101,Addlgona(Remadm Srhemile,If more space Is m4Wred) CERTIFICATE HOLIER CANCELLATION Tovn of Barnstable. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable, Ma THE EXPIRATION DATE THEREOF, '.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORVED NTATNE 0 I ge8-2010 ACORD CORPORATION. I tights reserved. ACORD25(2010105) The ACORD name and logo are registered marks Of ACORD' N o w 15.0' o 0 199.01' . = to o -------=- 31.6L-- J i Setback Requirements New Leach Field Tank '45.5' 19.6' f0.3, sn, Exist. ' Exist. She 1 .3' i Dwg. 44.1' ao i BNck #759 ►v New Con c. Fdn. `O i Fdn. ww �o 21.4' � 1 197.78' COOLIDCE ,S77BEET STREET ADDRESS: #759 MAIN ST., CO7UI T MAP 36 PARCEL 6 OWNER: JAMES & ANELIA ADAMS DEED REF.: BK., 13780 PG. 21 PLAN REF.: PL. BK. 500 PG. 10 t TOM OF BARNSTABLE ZONING BY—LAW ZONE : RF (WP-Wellhead Protection) I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS : KNOWLEDGE, INFORMA77ON AND BELIEF THE ADD177ON FRONT = 30' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE = 15' OF THE ZONING BY-LAW FOR THE TOWN OF BARNSTABLE. REAR 15' PROPERTY LINES SHOWN HEREON OFMASS WERE COMPILED FROM AVAILABLE qcy PLANS OF RECORD AND VERInED a TERRY GSF ON 7HE GROUND. o ANN N WARNER No.38721 g "AS--BU/L T 7H£ ADD17ION DEP107ED ON THIS PLOT PLAN PLAN WAS LOCATED ON THE GROUND IN BY TAPE SURVEY ON JULY 7, 2010 AND - BARNSTABLE, MASS EXIS7S AS SHOWN AS OF THE DATE. / OF LOCA770N. ` SCALE. 1"=40' JULY 7, 2010 7HIS PLAN IS FOR PLOT PLAN •. 7ERRY A. WARNER, P.L.S. PURPOSES ONLY. 22 LONG ROAD " HARW/CH, MA. 02645 (508) 432-8309 , THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT N0. 09-138AS I GENERAL NOTES: ASSESSOR'S MAP: 36 PARCEL; 006 - Benchmark set 1. VERTICAL DATUM: Assumed REFERENCE: PL.BK.500 PG.10 Orange paint On brick Wall 3. $CHED2. IULE 40 PVC PPAL WATERIPE TO BE USED THRQUGHOUT SYSTEM COr4�r4 Route 2a so�SM\\\ FLOOD ZONE: C Town of Barnstable EL.=106.55(Assumed) 0. 4 UNLESS OTHERWISE NOTED. #2500010018 D(7/02/92) C 4, ALL PRECAST UNITS TO CONFORM TO Ln PIPE PITCH-114"PER FOOT UNLESS OTHERWISE NOTED. /pq m P i •�- 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA C afiet IO., 1 ��' i ENVIR.CODE(TITLE 5)AND LOCAL REGULATIONS. I m 1't 7, CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO LOCO Lew ge i :r CONSTRUCTION. 68`51,03 E LEGEND:. 1 LOOU9 MM N.T.S. - N ��b++ 7r tl� ��®-/� PROPOSED CONTOUR 0� � 1.4 PROPOSED SPOT GRADE Stockade Fence 1D5 j10$.74 !`Z1iJr•/r n a ..1' .•.40 - E%ISIINGCONTOUR �: 2 ;L i!�i�,t'1rLiVC:NiJ F I -30.23—EXISTING SPOT GRADE W T AP,.f: TEST PIT -3F I ?MAF'1-c. 36.5' x ;`r.'71 i. ` 1.n_r '�j i. L� ®-- MSTING WATER SERVICE 13`--I FH•� !3 1J5?c 5 L O 1 ®xcJ WORK LIMIT LINE o z j D'3 7 / Z/ TOFa106,20 °a g .j 7 (Assumed) ':' 1t3- Iy :I 46' ? : Brick i WON HH#J ANN $ Former Cottage p_ Cape Cod Cellar yr i (No Foundation) _ �- " " No. lobed, 38721 �:' �•r.q,i �.� Crawl SpaceSr k 3 - "� NOTE:This plan Is to be used for septic 19,373*S.F. 0,443 AC, ;,=r' ? NOTE;Watch for Gas Llne -. u; 1= system purposes only and is not to be Map 38 o near sevler line, a property line survey. Parcel 6 197.78' — --W— 7% considers �Y - -� 759 MAIN STREET, COTUIT, MA is r•: 9 of avement ? , .0).�•5 i V H ' PREPARED FOR: assac a es Anne Adams COOL STREET aenw eTsnM oa n a aaeco nrxan P.O. BOX 1906 W�„'AA028" Catult, MA 02635 NOTE:Pump and backfill all cesspools, - LEACH TRENCH OPTION: use 4 infiltrator 3050 units Te,ryA ma RLS. „a;�' �" e DATE _ REVISED SCALE SHEE'T'.N0, -(H-20)wlih washed stone:4'ends,4'sides for 36,52'L x 12.25`W x 2'H, Total Capacity m.475,41 gpd(642,45 s.f,) 06/16/09- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel �G Application Health Division Date Issued Conservation Division Application Fee ( Planning Dept. Permit Fee c;- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address -7 5-cl 54--- Village w'o, +- Owner -91 4- ?, JR e Address Telephone Permit Request al�� C _ G(,L e Lo L W /vL''X av 0".J r�loCue /l X17 ''keel Square feet: 1 st floor: existing 0 proposed a/,,) 2nd floor: existing proposed Total new e?, /U Zoning District C Flood Plain Groundwater Overlay Project Valuation Odd Construction Type W �� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family I' Two Family ❑; . ' Multi-Family (# units) Age of Existing Structure G2 Historic House: VQ ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout' ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new c--) Number of Bedrooms: 'Ll/ existing O new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: YGas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes Jo Fireplaces: Existing New _� g Existin wood/coal stovery ❑Yes 8'No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: O;`existing 0 nevA5 size_ Attached garage: ❑ existing ❑ new size _Shed: 2"existing ❑ new size — Other:`.,.�_'1 _--- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes YNo If yes, site plan review # ` Current Use n<,dn,� Proposed Use S^41 P APPL CANT- NFORmATION (BUILDER OR HOMEOWNER) Name MACK ���`� `� Telephone Number 66<� 9 96 (a ;t S Address \?eet, �b P+ License #11 Home Improvement Contractor# Worker's Compensation # 6A 6'00IQ 61Q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 6 L-� - FOR OFFICIAL USE ONLY APPLICATION# ~DATE ISSUED `j MAP/PARCEL NO. 1 ADDRESS VILLAGE E- OWNER 6 DATE OF INSPECTION: y ?_ FOUNDATION FRAME ZlWls ., INSULATION �)t1JS041% t (LW1%, FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING Z c DATE CLOSED OUT ` ASSOCIATION PLAN NO. , r r Town. of Barnstable Regulatory Services t ki,tR?t3TA'BL� Thomas F. Geiler, Director Building Division rya�• Thomas Perry, C1BO,Building Commissioner 200 Main Street, Hyannis,MA 02601 WWIY-town.barns-table.ma.us - r Fax: 508-190-6230 Officei 508-862-4038 • -it•Zv l v-o-;t%o� PLAN REEEW Orner: 1GEy Map/Parcel: 1 PI jcct Address '7" )A4W--YV C7! Builder: J The following items were noted on reviewing: • �v�f � hirvdou� /biro>�ric�/ ... iVot• �i'Ect� . w 9 > pK- y Gc� No w y Gc--f-Roro- c All t Reviewed by: Date: D The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street ` t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ '-Please Print.LeLyib1Y Name (Business/OrganizationAndividual): •,`,g \� \b �' Address: City/State/Zip: C e A Phone # 9 107 .LQo5I f b Are u an employer? Check the appropriate box: Type of project(required): 1.LI 1 am a employer with 4• ❑ I am'a general contractor and * have hired the sub-contractors 6:. New construction employees (full and/or part-tune). - - - - 2.❑ I am a sole proprietor or partner- listed on the attached sheet. _`� 7: ,Remodeling ship and have no employees 7 These sub-contractors have g• demolition employees and have workers' working for mein any capacity.. 9• uilding addition comp.insurance.# [No workers comp. insurance� 10.❑ Electrical repairs•or additions required.], . 5. 0 We are a corporation and its 3.El I a homeowner doing all work, officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. nght.of exemption perMGL 12.❑ Roof repairs E insurance re uired. t- t c. 152, §1(4), and we have no q ] ployees. [No workers'- i13.0 Other em comp.insurance required:] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tbontractors that check this box must attached an additional sheetshowing the name of the sub-contractors and state whether or not those entities have ees If the sub-contractors have employees,they must provide their workers'comp.policy number. employees. P Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: jje YK Policy#or Self-ins:Lic.#: 0�'i0 -� ��' td\® ' Expiration Date: r Q `I � I yl J City/State/Zip: Job Site Address: 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 foi insuraW coverage verification: I do hereby certify tinder t i nd p a ' s of perjury`that the information provided above is true and correct. Si .,. .Date: ature: Phone# b V ,0 D 6 a2_../ Official use only. Do not write in this area, to be completed by.city or town officiaL City or Town: Permit/License# 4 Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5._Plumbing Inspector 6.Other Contact Person: Phone#; '. information and. fpstructi®ris Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute an employee defined as"...every persorf'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 enteiprise, and including the le gal.representa•tives of a deceased employer, or the receiver or trustee of an individual•partners}iip, ass other legal entity,employing employees. However the occupant of the owner of a dwelling house having not more than three apartments and who resides therein,.or the dwelling house of another who employs persons to do;maintenance„constniction or repair work on such dwelling house or.on the grounds or building appurtenant :hereto shall not bec use�of'such employmenibe deemed to be an employer." MGL chapter 152,§25C(6)also slates that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with'the insurance coverage required." •Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into anypontract for the perfofmaiice 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 situation and, if necessary,supply sub-contraetor(s)name(s), address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the ' c ensation insurance. If an LLC or LLP does have members or partners, are not required to cant'workers omp ' t d to the Department of Industrial ' advised that this affidavit ma be submit e p required. Be adv Y employees,a policy is req e affidavit should affidavit. Th and date the f of insurance coverage Also be sure to sign Accidents for confirmationg be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents: Shouldyou have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below:'Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials "► }; + Please be sure that the affidavit is complete and printed 1pgibly.,,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 permi0license number which will.be`used-as a.reference number, In addition, an applicant that must submit multiple permit/license applications in any given year, need only'submil 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 maiked 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 cornmercial venture (i.e. a dog license or permit to bum leave$ etc.)said person 1�is NOT required to Complete this affidavit. The Office of Investigations would like to thank you in advacce,foryour"'ooperation and should you have any questions, please do not hesitate to give us a call. The Department's'address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 61?-727-4900 ext 406 or 1-87.7-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.1nass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR -ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: �m ��'�� �- e � Site Address: 4,m print Town:-' Applicant Phone; 6 6� ,Date of Application:, - c�: "► . Applicant Signature: NEW CONSTRUCTION: choose ONE of the followilig two o tiolns 780 CMR TABLE 6107:1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab ;; Basement Option l: Fenestration exposed Wall- Floor' Wall � perimeter APUEe HSPF .SEER U-factor floors R-Value R-Value R-Value R-Value and Depth 4 `R-Value National Appliance Energy R-10,. •Conservation Act(NAECA)of .35 R-38 R-19 'R-19 R-10 4 ft. .. 1987 as amended,minimums or reater as a licable� Note: This form is not required ifyou choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 41.2 of 4later variant software analysis must.be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http•//www evergycodes.gov/rescheck/ ADDITIQNS OI2 ALTEI2ATIQNS,TO EXISTING BUIX.,DINGS 0VER.5 YEARS OLD* *Buildings under 5 years old must use option.41 or 42 in New Construction section above. Complete the,following formula to determine the% of glazing: g (a) Gross Wall& Ceiling Area equals Formula:. (100 x b SF l _ 100 x — _ % of glazing q (b) Glazing area equals SF If glazing is< 40% use the chart below', If glazing is >40.% proceed to "SUNROOIv1" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE'COMPONENT CRITERIA*ADDITIONS TO EXISTING LOW-RISE.RESIDENTIAL BUILDINGS MAXIMUM MINIMUM _ ling and t' Slab Perimeter Ceiling Fenestration Exposed floors": all Floor Basement Wall R-Value R-Value r R' a vlue R-Value U-factor R-Value_ acid Depth •39 `R-37 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation'may be'used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area'Q.e. not com ressed over exterior''walls;'and including an access o enin s): V SUNROOM—An addition or alteration to an existing building/dwell dwelling unit where he total glazing.area of said additionrexeeeds 40% of the combined gross wall-and ceiling area of the. addition. Note: Owner, to fill,out Consumer,Information`Forni(found in"A endix`120:P) :. 4 . A FVC Gir.ide to F'Vood Cons•trcr.ctiori in Hi,lr !-Yind f(recrs: J~10 t,�ph 1Vrnd Zor�.e Massachusetts Checklist foi- Co>lnpliance (?so cir rR 53012.i.1j' . Check Compliance 1.1 SCOPE ; Wind Speed 3-sec. gust)...".... 4 P ( 9 ) .......................... .... 110 mph Wind Exposure Category.......•.................................................................... .... B Wind Exposure Category................Engineering Required For Entire Project .::. :..' .. .... ....... .............. 1.2 APPLICABILITY Number of Stories(a roof which exceeds B in.. n 12 slope shall be considered a story) ` stories s 2 stories"4 t/ Roof Pitch ....................:.........:............................... ...._:.(Fig 2) ............................ -/y 5.12:12 • r• c/ Mean Roof Height ..................................... .-.(Fig 2)...........: :... .....: ft 33' Building Width,W ................................... :''. ...:...:` :(Fig 3) _. ......'20 ft <B0' Building Length, L ..................................... .(Fig 3) ............ 0 s .j Building Aspect Ratio(L/W). ....................... .... .... ....... ..(Fig 4) ..............Q �., _3:1 Nominal Height of Tallest Opening2 .......... ........(Fig 4) � 6 8 -�- 1.3 FRAMING CONNECTIONS General compliance with framing connections......................(Table 2) ..::: .: ' r '2.1 FOUNDATION q 04.1 t Foundation Walls meeting requirements of 78D CMR 54 , v Concrete.:.................................. ConcreteMasonry.................................... ............................... ...................................................... .2.2 ANCHORAGE TO FOUNDATION "f r, 5/8"Anchor Bolts<imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete o Bolt Spacing-general ................... .(Table 4) " ............ . liY min v Fi 5 .. . :. �os in._ 2" Bolt Spacing from endrjoint of plate .................. .( _g' )....... Bolt Embedment-concrete.... ..(Fig 5) ... :.:_. 12-in'>_7n ..... ..... ' ...... ._3 x3 xi5 ' Bolt Embedment-masonry:... .. .. ... .. .. ..(Fig 5) .. { 9. ) ' ' Plate Washer..*..................... ....................... Fi 5 :.....>......:. ... . 3.1 FLOORS Floor framing member,spans checked ............... '.. .,..(per 780 CMR Chapter 55)... Maximum Floor Opening Dimension ..... (Fig 6)............ fJ ft<12 Full Height Wall Studs at Floor Openings less than 2'from.Exterior•Wall(Fig 6).:. :: ..: ...:. .. ................ c/ Maximum Floor Joist Setbacks ., Supporting Loadbearing'Walls or Shearwall: .....::: ...(Fig,.7)....... . : ....................... .. ......eft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall (Fig 8) ..... .... r..: .....• .... ... ... 0 ft <_d Floor Bracing at Endwalis.. . `(Fig 9) ..:..... a:...... Floor Sheathing Type ...... .(per 780 CMR Chapter 55)... 3 y _ Floor Sheathing Thickness ..... .... ..... .. . . (per780 CMR Chapter55)......................... Floor Sheathing Fastening ::... :.:: {Table 2)::4d nails at R L , in edge!- in field 1/ 4.1 WALLS 'Wall Height Loadbearing walls.-.... (Fig 10 and Table 5) _ 'ft <.10' Non-Loadbearing walls ........... . ". ,{Fig 10 and Table 5).. /.',ft J ft•s 20' Wall Stud Spacing; .......................................: . . . .(Fig,10 and Table 5)..................../ n. o.c. ... ........................................ (Figs 8).......:..............p. _ <d Wall Story Offsets ...... .. ' .7& • �ft �. 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls.....:. ... ..... . (Table. ) ....... ........ ...... —- _ ..... .. 2x G ��m.-, ..(Table 5) ..............2x _ ft in. . Non-Loadbearing walls......................... ... . . •••_••• •••••• _ � Gable End Wall Bracing' = Full Height Endwall.Studs...:... : ;. .:.,(Fig 10) 4 k . WSP•Attic Floor'.Length........... ............ .I. ::....... :(Fig 11) .. .......................... ....... .... -ft zW/3 R V. . •Gypsum Ceiling Length(if WSP not used) :. ... ....(Fig 11)........:.°. �z 0 9W and 2 z'4 Contlnuou 9Lat I@race @ 6 ft o.c. .. (Fig 11).....:..... ..... . ...... 1/ or 1 x 3 ceilin 'fumn stn s 16.s acing min.with 2 x 4 blocking @ 4 ft spacing in end joist or truss bays Double Top Plate Y ✓ ' Splice Length ..... ....... :.....................(Fig 13 and Table'6).:. . ..... ......1 b ft Splice Connection(no.of 16d common nails). .....:...:(Table 6)......... ......... t'..... :.... f AWC Guide to [V0oil Construction !11 High [Yhid{Areas: IID lnj)h IVind Zone Massachusetts Cieeldist for Compliance (186 Ci1.1R5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails).............................-..(Tables 7}........................I......................... ... � Non-Loadbearing Wall Connections Lateral(no.of 1.6d common nails)................................(Table 8).................-............................... f.. Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table= ) Header Spans ........................................................(Table 9).......................... (s.�� Oin- < 11' SillPlate Spans ........................................................(Table 9)..........-...................... Full Height Studs (no. of studs)....................................(Table 9)....................................................... 30 Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans.................:...........................................(Table 9).................................. Aft in.5 12'. Sill Plate Spans....................:.:..............................:.....(Table 9)..................................�ft_in.5 17' Full Height Studs (no, of studs)....................................(Table 9).............-...................-.-................... ✓ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension,'W ✓ , Nominal Height of Tallest OpeningZ ............................................................................... 1- 5 6;8. SheathingType............................. ................(note 4)...........-..........--..-...--...................-. Edge Nail Spacing Table 10 or note 4 if less .................... ... _ n- ✓ Field Nail Spacing .......... able 10 ............................... ......... ....._�in. ' ✓ p g................................ (T ) Shear Connection (no. of 16d common nails)(Table 10).................... v Percent Full-Height Sheathing able 10 ............ �A � 9 g..................... (T ) ..-.-..-........-..........-...........4 5%Additional Sheathing for Wall with Opening> 6'8'(Design Concepts).................... Maximum Building Dimension, L 1� Nominal Height of Tallest Opening2............... .........................:............................. ✓s 6'8' �Z v Sheathing Type..............................................(note 4)..........-... / - ' Ed a Nail Spacing......................................... Table 11 or note 4 if less ...................... in. . 3,a Field Nail Spacing .... able 11 in ` Shear Connection (no. of 16d common nails)(Table 11)...........I....................... . Percent Full-Height Sheathing ......... able 11 .......................... .V.. .....�% 5%Additional Sheathing for Wall Wth•Opening> 6V(Design Cgncep s).................:.. Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) V Roof Overhang ...................................................(Figure 19) ......-....../ft<-smaller of 2'or L13 ✓ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors f/ Uplift ... ..(Table 12)........................................I...U=�203plf Lateral l'..........................••---•.-..........-(Table 12).............................................L=112L plf v Shear............................:..................(Table 12)............................................S=_2_7 pff • _/� Ridge Strap Connections, if collar ties not used per page 21... (Table 13).................. -•�40 Gable Rake Outlooker.................:........................(Figure 20 / ft<-smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors 17 Uplift.................................................(Table 14)........-...............-................:..U= b: . Lateral (no. of 16d common nails)....(Table 14)............................ ..........L 4?5- VIb. Roof Sheathing Type....................................................(per 780 CMR Chapters 58 and�59) .�.7.... Roof Sheathing Thickness........................................... ............................................. n. 116-WSP "Roof Sheathing Fastenipg.........................................:..(Table 2)......................................................... r/ Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. • Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. • I I AWC Gir.i(le to JP6otl Coiisfl'llctlon hi Ilt lr J-Pinrf Areas: 110 mph IVi-n l Zone Al assachusetts Checklist f of-Collipliance (780 CN'tli_301.2J:1), r 4. „ a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: 1. Panels shall be installed with strength axis,parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate, iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of.panel. Upper attachment of lower panel shall be Made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band,joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below. Vertical and Horizontal Nailing.for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to shore (generally,south of Rte. 28 or north of Rte.6) - b)vertical addition—not required unless there is extensive renovation to the first floor'' c) replacement windows—needs energy conservation compliance only(chap 93) _J 6.Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council' (AWC)website: _ ON VJi-1 EN THtS EDGE Fit;STS MAMING USEM}JAILS , AT6-ot 1� - o `� I r I I to :Er CL d r5d •�I �i FRAMING MEMBERS 1 EDGE INTFJWEDMTE •r u LU IL u g r 1, L II J it It 'I [L r • ' r r 1 1 1 1 id +STAGGERED a•M1fJ N AK PATTERN PANEL r PANEt_ - �+ PANG EDGE }DOUBLE NAIL EDGE SPACM DETAIL See Delail on Next Page Detail Vertical and Horizontal Nailing `Vedieal'and Horizontal Nailing for Panel Attachmehil for Panel Attachment NOTICE NOTICE TO V TO EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22&30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME OF INSURANCE COMPANY ` 54 THIRD AVENUE, P.O. BOX 4070,BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY AWC 7016215012010 .01/10/2010 - 01/10/2011 POLICY NUMBER EFFECTIVE DATES P O Box 494 Leonard Insurance Agency Inc' Osterville, MA 02655 (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE Mark Herbst 35 Peep Toad Road Centerville, MA 02632 EMPLOYER ADDRESS 01/11/2010 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in uses of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary, and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified thit the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY `y NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER ,t 05/21410 FRI 14:06 F.0 50$ 775 8874 BUSI-SESS CENTER CAPE COD 9001 C Town of Barnstable Regulatory Services 9 � Thomas F.GeHer,bireetor IguU ing Dlvidoli Tom Perry,building CommiSdUer 200 Main Strr-:t,Ryanais,MA 02601 www.tawva barnstable.ma.us Office: 508-862A038 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I t ��- ,as Owner of the subject piopenY 4 ht=by authc rite to as on my behalf, in all nrau:ers relative to work authorized bythis building peru it application for. (A,ddirss of Job) 1 ;,§j6jat=of Caner 7lJ Nw I3ame ` f 1'r2peity pier is applying for permit please complete the Homeowners Lkense Fxetbpti.on Fomi on the reverse side. c�:Fo��s;vv�� sstvn �'lae -t°arrvnzo�iicaeal� o�✓�aaaczc�uioeCt �� _ - - .. -- Board of Building Regulations and Stanaj ds. f License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR i` Before the'expiration'date. If found return to Registrah.on\ 126480 / Board of Building Regulations and Standards Expiration �j8/2010 V - One Ashburton Place Rm 1301 `T ' Tr# 267766 II r, yp4e Indii,`idual ikf Boston,Ma:02108 S 4 MARK HERBST w g.� j, MARK HERBST'Q 35 PEEP TOAD RD` j f CENTERVILLE, MA 02632'- � Administrator ,Not valid without signature IbLISN Ichusetts- Depa►-tment of Public SafetN Board of Building Re,• emulations and Standards Consfructicf Supervisor: License License: CS 48546 Restricted to: 00 ^^�r-�•aw MARK D HERBST l' �. 35 PEE TOAD =;.C, RD. r E CENTERVILLE, ,MA*62632 Expiration: 1/27/2012 Commissioner': i Tr#: 13699 LL z' E Z I o2 �� 5 „z m t ; m � \. i= I IMPO RTANT ,,: J Z. ANY CONSTRUCTION THAT INCREASES LIVING SPACE6 rBEYOND 1200 SO.FT.PER� LEVEL MAY REQUIRE THE - - INSTALLATION OF ADDITIONAL SMOKE DETECTORS. A; - - v NOTE: A SEPARATE PERMIT IS REWIRED FOR THE ma INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. 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' I f 3'G' � a'G' 3�G' �•4' a'o1£' �,+£' 3bSL' � 3'01£. 's�Y' i ! f 1 ' IdG' f 4 ff'! -5-T- F oD P1 I-A M ,s.tillGd.U,.Y F'•,��f.�5 .y li"a.c iIH?`'"N N Z� rfeAP-r!FS A470'S P--IQ4 A.-f -.Z:P -p WOLe SELv +n CA12- s T!"it wrl • I . i I Y._.._....., v_ v. - x w u '(�Q` - � ; I "'' - -- .:._.- ._yam .._.__.- - ___-_. ---__-_--__--- _. . _._......_.....__.. '__.p.,�_r.__ • _...._..�.,, '� � t P1JJL.JJVI� J Iv{Mr. . -- PARCEL: 006 Benchmark set. cute REFERENCE: PL. BK. 500 PG. 1O Orange paint on brict � R go'� FLOOD ZONE: C Town of Barnstable EL.= 106.55 (Assumt #2500010018 D (7/02/92) �o* OCU a o ge e MAPK,a OEM- N 88°51'03"E --'' Stockade Pence ` 121 3 .TH�1 ,ra � ui C ;; i 0759 TOF-108.20 a S 01 1 (Aseurrd) Srlok 1 Ivad % 01een t Forger rger Cottage Cape Cod Cellar (Nd Foundation) —! �•�,�.�... Crawl Spann 3 a Clc�nooul � j 19r373i S.F. 0.44t AC. O NOTE: Wetc Map 38 o near sewer Paroel 8 197.78' Edge of pavement s 881134153"W 104 CT �10 r 9.\ tq yt V ,�� a .f....,,r A _ { .;.� ,• ��y�,j._ �s�A r arlit, lei t#Y � 4 ��, l s is 't .n i"�s � �.' +4� "+c�it+r! }!�,"a"4",• \ t � r { N .rM''.��, '^ `-uc. ".R. ^��'6'-*A ,1 ! � �tr � !�(...�n4• � qZM� 'd,i s f��`�i�, S„sFj� r �Sk�(^ .!.\� a �,3)� ipTy � :.j;�'7��+ a', ' 3• ,( t 1 \'�,i{F t/{ t'iye'�'f �A�i`�I*'�ii �'^i �}�• 'yl !i�l�«"a l,/� '� `1 }4� �'_ qY�. e,m:♦`- r�F�' .:� <�,', '. Rr' t v,f � qa•, ,r }.�•�-'Y('t �'4t'� ,,�.,-�`Jf j�v �.,t.a.-a,,,.�w, "a',+,f, . 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K r; k �.. - • N�, ��. .. v_ a .. _. -�S- ,LL ,6�• _ S `.`{'"x 1 s# '# f't +Asr+ �"` ^yf <riy v ,� � {1� �-> � � r m 7 ✓� 7,�i-;.,,�.,y�t-h � �y '�i u `�.�s, ,ins� � a�d�.� �� � �t�w�� +v : r - "E t APPROVED m W ry a m xsIto UZI- fff RAF sk�rY-,�tv I �I cL z of • ExIYfII.JG�LVhVnT1oN __ i - O L1J PAS� �{- E APPROVED ! � o o t U 5 2 3s�•�����SYN��, M� � i -tb Ixe =+-sL4� FxIaTIN4 `/-10 I �� i m a I 46ESEG'rl0u O . - i �sou Kit•.,: Tttwi�wo.w+ fT�FLE Po<P-0 4Vf�13-�.+T.I Cj/4{4 'fib s�SMlM4. LOaN'LF-7�`�DNS _Q HWD L.K W4 / h4 5No-vN: � —r WG(411.I9) FH� L(1 wWt. ® Qs I . RNL SYSTAN TO P'6re I. FMIS MITERMH-P W I 1-^ III i 111 1—f"-if?r �i�As. I my +i „T�^"?_1T rcr.+IFl R� 13AA'N�PIJS li iI IL�I I II II.JI I Qi?p�R tlz;LK F� LTLE5 tO InagD G S w R+e MxRN zxi4i1N4$trJLK�'OR�= �y�qi f,�y,pp iW,--M I b'1.{� Q I i I (Ki'LGQN4C'71bLR I NvRTAe R r*- f l J l l l nA'gi'J r J \ q"✓MMLH, Tate CorrcIrfonwcartrf of�ilctssdchr�sef[s Deparfinersl of br dustrial cciderfts Office of rnpestigalions 600 ) ashing�on Street Z3ostolz, AkL4 021J1 Workers' Compensafion rns>zrance Afdavit: Builders/Contractors/EIectricians/ Iuzimber 1'Iea.se Print LEe ffibl A • licant I_nformatiop - • �a7]1e (Susi.ncsslOrganizstion/Lndividuel):�jfE �f o S A��ress: �- cs¢-tss T ��� C� /f3�' Phone.#: 2 r ' City/S tatdzip: l��t`is�2��� Arc YOU an employer? Check the appropriate box: Type of project (required): I'am a general contractor and 6 1gcW construction 1•[�,7 am a employer with t 1?y crnplayccs (ftill andlor part:Umc).* bzvo hired the stab-contractors 7;. Remodeling listLd on the attached sheet ❑ 2.❑ 1 am a•sole proprietor or pa:dnrr- Tbcsc sub-contractors have g• ❑ DcmolifiOn ship and have no rMplOYccS cmployces and bavc NDrkcrs' working for me in any capacity. 9. F1 Building addition camp. tnsuraucc.$ [No workers, comp.•ingiirancC 10.El Electrical repairs Or addi rbguirod] S. [� We are a.corporation and ifs ofcc'n havexe ercised their 11_❑Plumbing repairs or aid 3•❑•1 am a bomcowncr doing all worl`' rigbt of exemption per MGL mysef. [No workers' comp: 12.[] Roofrcpzirs l �. 1(4); anal we liayc no inc„ranceregvrcd]'a 13.K Othcr cmployoes. [14oworkers' _ comp,instnancc rcquired.J f�y applicant that ehcels.box#I crust ako fill out the rixtion below showing their workers' coTnp�on policy information t Homoowntrt who rubmit this s$tdaYit indicating Posy¢rc doing all worldan c o'f the u'b�onhaLtrnz and rfAt whcthcr or>nw�� c} sc onuses havo iGontraclnrs l'nat check Chit boXTnll3tatbjrbCd an additional nc�at rhowing employers. )fthc sub-conh-actnrs have cmploycct,they mut{pro-vidb that workcs'comp. policy numbs..- Ism Mn errcp[oyer thrd is provfdbtgworkers'cornpensalion insurance for my employees. BelIorp fs thepolicy artd job sit • info rrn anon. ff - , Instuancc Company amh: ' Expiration]late: �i ' ( ' 2aS 1 f Policy# or Self--ins• Lic. # �1 e �� J?•3!"1 �� _ '. City/Statc/Zip:L"pirL�T Job Sitc Address'. 1 t Attach a cope of the workers'.comperssafion policy de�laraidon.page (showing the policy nirsntier and expo aeon da Failure to secure covcragr, as rC;q=&d under Sr"ction 25A of MGL c. 152 can Icad to'thc:urr osition of rnr ponaltics c fine tip to 31,500.00 �ndlor ono-ycar iu�risonmcnt, as well as`civil penalti•es`in the foam of a STOP WORK ORDER and of up to S250.00 a day against the violator: Ro adyiscd that a copy of this statcmcnt may be forwarded#o tlic.Offcc of Invcsti ations of the bIA for insurance covers 'c verification I do hereby cerfify.0 pains• ersalties ofperjury that the irrformadon provided abate fs true arts colrer>r �- f Si a_ture• 1�� 2[S sp a-a l Date-; •. Ph•nc#: Official use only. Do not write in.tb r area, fb be completed by oily or town offIciaC City or Torn; Perinit/License# Issuing Autbority(circle one); nspecfor 5, Plumbing Inspector 1• Board of Hralth 2, Building Department 3, City/Town Clerk. Q. Electrical Z 6. Other . Oyc chusetts Gcncral Laws chaptef 152 requires all employers to provide wockecfsag th P natioCr a y GO tract�oflhirecs: Massa crson in the scrv� pursuant to this statute, an employee is defined as "...cYcry p express or i=npbcd, oral or written-" corporation or other legal entity, or any (wo or more eirrpl�yer i.e drfmcd as "-aa individual,partLcrship, association, Ip . a1 representatives of a deceased employer, or the of the fcrcgoing,ongagcd in a joint cntLrprisc, and including tho Icg c Io cos. HOWcYGr the roceiver or trusteo of an indiv?dt p? e�h'P, �sociation or other Icgal entity, employing u� Y owncz of a dwelling house having not Mort than three aparbcns and who resides therein, or the occupant of the dwelling house of another who employs persons to do rnaintcnancc ocons h m loci cut be deemoed to bedan e Pj°oWc or on the gzo mds or-building appurtenant ther,to shall not bccaue f P ym issuance or' MOL chaptcr 152, §25C-(6) also states that' every SUfe or,local IIMIsing ag ency shall IRithhold the in the rerxe al of a Jicense,or permit to operate a businessce of ocom li rice vsithdthestnSru � °r age qLU �y applicant)Y.hb has notpro:duced•acceptable cyiden P o fits political y�rbdivisions shall AdditdonaIly,MGL obaptcr 152, §25C(7)states "Ncithcr the conimonwcalth nor any P cnter•into any contract for,rbe perforzmnec of public work until accoptabIo evidence of��lience a2th the in urance rcquircmcnts of this chaptcr have bccn prescatcd to the contracting authority. Applicants• d, ifIzing . the boxes that;apply to your situation an please fill out the workers' courpensatio(mod�ss(j and pbon n by nmbcr(s) along with thou'ccrtif eatc(s) of ncccssazy, supply sub-coatra.ctor js)n�c s insuzance, tcd Liability CampanksI(LLC) or Limited Liability Paztacrships(L rr— If�)withoroL�docecbavcCcr than the rnombcrs orpartncrs, arc notrcquircd to carry workers eompeosa.hoainsuran employees, a policy is required he advis Of ed that this affidavit ma to sis�and date thclaffida�t.ntThc afEdavrtlshould Accidents for�p5smatlon of insurance coverage. Also be sure gn bo returned to tl]c city or town that the•applicaton tot the permit or co o cif o Marge rgcquircd to obtain acwo�rs t of Industrial Accidents. Should you have any qucstiDns.rcgardmg tho 1 w y co trig on poky,pXcasc call the pepaxtmcnt at the nurgbcr listed below. Sclf-insured companies should enter thciz self uzsuran�o Jiccnsc number on the appropziatc line. City or To- OftlOats Plcasc be sure that the affidavit is'complctc and printed legibly. The Department has pro ujr iu�gthe apglicnnt of tho affidavit for you to fill out in the eycnt the Offico of Investigations has to contact y g applicant Pleaso bo sure to fill in the perrlut/llccnsc number which will be used as a reference number. In addition, aPP cuRent that must submitmvltiplc pcm /?ccDsc applications in any givrn year,need only submit onG affidavit indicating olicy i formation(if peccssary) and under"Iob`Site Address" lho apple abG sthhoe d wrr town 1aY t ndrd to the or I? . cbpy of else ef�davit that has bccn oi�cially stamped or mark Y applicant as proof that a valid affidavit is on fil,c fox fuhuo permits t n trclatcd o any in ss orscozamrrcialovcntc year.Whcro a home owner or citizen is obtaining a Iiccns c or prrzm c.) said persoA is NOT required to complete this affida (ie, a dog Jicense oz permit to bum leaves et vit you in advance for our coo oration and should you baYc my questions, y p Thp Office of Invcstigabons would hkc to thank y • plcasc do not hcsitato to give us a calk The Department's address, tclephone,and fax number Tbo Cbmmonwt th of MaswhusC-tts DC-Pukmept of kdust A,ccid(-,nts Elffu-of LnYestiptio .•s 600 WaShingfion Street $Aston, MA 02111 TQ1; # 617-727-490.0 cxt 406 pr 1-8'77-MASSAFE Fax# 617-727-7749 Rcviscd 11-22-06 wy,w.ma5$-gov/dia i ACORD. CERTIFICATE OF LIABILITY INSURANCE 05/13/2010 PRODUCER (603)432-3666 FAX (603)432-6076 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lakeside- Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Three Wall Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Windham, NH 03087 INSURERS AFFORDING COVERAGE NAIC# INSURED South Shore Gunite Pools and Spas, Inc. INSURER A: National Fire - 20478 7 Progress Avenue INSURERS: Valley Forge 20508 Chelmsford, MA 01824-3606 INSURERc: Everest 10120 e INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY INS4013391907 04/01/2010 04/01/2011 EACH OCCURRENCE S 1,000,000 _X1 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPRFMIAPq(Fa $ 100,000 CLAIMS MADE 1771 OCCUR v MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC JECT AUTOMOBILE LIABILITY SAP4013391888 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ B HIRED AUTOS - BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) ' GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 71C1000110-101 04/01/2010 04/01/2011 EACH OCCURRENCE $ S,000,000 X OCCUR FI CLAIMS MADE AGGREGATE $ 5,000,000 C $ DEDUCTIBLE $ X RETENTION $ $ WORKERS COMPENSATION AND WC4013391891 04/01/2010 04/01/2011 X I we STATU- OTH- EMPLOYERS'LIABILITY - E.L.EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEd$ 1,000,OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ - 1,000.000 000 OJHF.R INS4013391907 04/01/2010 04/01/2011 A Limited Pollution Occurrence - $1,000,000 orksites Coverage Aggregate - $1,000,000 DESCRIPTION OF OPERA11ONS/LOCATIONS/VEHICLES IqXCLUSIOIJS ADDEP BY ENDORS MENT/SP CIA PROVISIONS overing swimming pool construction/related operations o t�e named insured during policy term. C Statutory coverage is provided. for NH and MA. No executive officers are excluded from coverage. I. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY } ��71Cj6 liter,,F OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE w Jose h Rossetti SANDY �h� - ". • ACORD 25(2001/08) ©ACORD CORPORATION 1988 �pFYHer Town-of Barnstable. Regulatory Services BARN6rABtx, ` Thomas . G.eiler, Director v .buss. g. BU' ildin ',Division FO MA Tom Perry, Building Commissioner 200 Main Street, Hyannig, MA 02601 www.town.barnstabie.ma.us Office: S68-862-4038 Fax: 5087790-i Property 0-,v 1et Must Complete 'ari.d Sigh Th�s Section If s. i7g A. Builder 7 c as OwilC' of(the'subject p_ropetty --sa4 6ltoR� , hereb autlsorize .Gu�� Q� w a iA�� ?Cal o act on my behalf, y in.all matters relative to wotk authomcd by this building permit applsca iois for: SDI MA� �© [mot (Address of Job) Signature caner. Dat Print Name If Property Owt?er is applying for permit please complete the Homeowners License Exemption Form on th'e reverse side. Town of Barusi`able OpYHE rye Regulatory Ser'vzces Thomas F. Geiler, Director Tho . sAxxsrAat.E, Mtis� Building Division s67Q• �� �'PrFo µrtA Tom Perry,Building Commissioner 200 Main Strcct, 'Hyannis, MA 02601 ytrlyly.town.b2riistable.m-a.us Fax; 508-790-6230- Office; 508-862-4038 -- _ RoifEOWt\TR LICENSE EXEhIFTfON . P)case Print DATE: )013'LOCAT)ON: s4cct village number. "1IOMEOWNL;R hone N work phone# home p name CURRENT MA1LINO ADDRESS: slntc zip coda city/town CUjngs of ts or less The current exemption for"homers was extended to include oyocr-oca jicensei�oYided that the owner acts s to allow hom,Owners`to engage an individual for hire who does not posse ss superYisor. DEFTNIrION OF ROhiEOwh'ER . t ed persons) who owns a parcel 6f land on'which kie/she.resides or intends to resOiduch us el no e£ or is to be, a one or two-family dwelling, attached or detached structures accessory t , -red a P erson Who constructs more than one home`in a tivo ya f period ehtable to tl>c Budding Official, the hehshall be '`homeowner"shall submitto the Building Official Dn.building runt, (Section 109,1,1) 1 res onsible•for all such work crformcd under the buildin e undersi ncd "homeowner" essumcs responsibility for compliance with the State Building Code and other Th g applicable codes, bylaws, rules.and regulations, rp "homeowner''certifies that be/she understands the Town of D said Brocedusels ardent Th'o undersigned minimum inspection procedures and requirctnents and that he/she 111.comp y P requirements, Signature of Homeowner r , Approval of Building Official q 1 With tho Note; Tbrcc-family dwellings containing 35,000 cubic feet or larger will be re aired to comply State Building Code section. Construction MMOWNFR,S EXEMPTION crforming work for which a building per r•hire to -nit is required shall be exempt from do provisions The CDdc state ihaC "Any.tomcowncrp a erson s fo do such of this section(5ccdon 1Q9.1,1 -Irccnsing of constnaction Supervisors);providcd that if the homeowner cngcs a g P work, that such Homeorma shall del essupervisDr," the responsibilities onstbtlitics of a supervisor(sac Appendix Q, Many homeowners who use this czcmptian a'rc.unawarc that they arc assuming P arti w)arty ncss Rulcs &'Regulations for Licensing Construction e pervi this Drsour Board can,o plrDCc d again;(s Jack-of cthe un iccnscd personin n resultsc snit woe dui l H�[h►licensed when the hoMCDwncr hires unlicensed p Supervisor. -Dc homcowocr acting as Supervisor is uldmatcly respons�lc, . TD ensure that the homeowner is fu)lyda c rc)otnshcr T,Ccs ofsi Slupcs, or.y0n the Intl page of this aissue is atform he currm Y used by that the homcowncr ccrtifythat hdshe undcrslan s P r�,;,✓�.cr�;ficalion for use in yourcommunity. 0 . 0 South Shore Gunite Pool & Spa, Inc. Quality Pools And Spas Since 1975 Fencing spec for swimming pool installation @; 759 Main.st. Cotuit, Ma. Property owner: Mr. Scott Berkey Pool Builder: South Shore Gunite Pools 7 Progress Ave. Chelmsford, Ma. 021984 508 962 0007 Swimming pool fence enclosure: 0 The fence enclosure will be a 5' wood , with openings between the slats not to exceed 1 3/4" inch (44m.) w/ all horizontal bracing to be set on the pool side of the fence. Gate shall be set to open outwards, away from pool and have a self latching mechanism located no less than 54 inches from the bottom of gate and at least 3" from the top and will be located on the pool side of the gate. The opening on the gate shall not exceed 1/2" within 18" of the self latching mechanism. "Audible door alarms on doors with direct access to the pool area in accordance w/ CMR 421.10.1 / 9.1 All fencing to be installed by owner: Both will be in place and inspected "prior" to filling pool. 7 Progress Avenue • Chelmsford, MA 01824 • (978) 250-6845 • (800) 649-8080 • Fax: (978) 250-5927 vA n) II �� I ti� u � 2 I r V i I Select r Efficiency•Conservation 3 Pentair Water r. ` Pool and Spa' Meet the most valuable and responsible addition to your pool.IntelliPro®vs+svRs pump is the"intelligent"pump that can cut the pool portion of utility bills up to 90%,saving you hundreds of dollars per year and thousands of dollars over its life.This revolutionary pump also features a built-in Safety Vacuum Release System (SVRS)that senses drain Slash costs by hundreds per year. blockage and nl tomcods seconds l shutsthe P P to Enhancepool safety. Provide an important layer of protection against entrapment. This is the revolutionary way to reduce energy costs and meet the desire for the safest possible pool. Traditional Pumps Are Notorious Energy Hogs Traditional pool pumps offer a limited number of single-speed and two-speed designs.Their motor speeds are set and unchangeable.These set speeds are almost always higher than required,thereby overpowering the jobs they are assigned to do,which wastes energy.What's more,these pumps rely on induction motors that are renowned energy wasters. In fact,even so-called"energy efficient"pumps can cost more to operate than almost all other home appliances combined. Pump-related electric costs typically total hundreds of dollars per year—and often more than$1,000 in areas with the highest energy rates.With all this in mind,read on to learn about a revolutionary change in pump technology. • Choice The • Select brand identifies our . most COequipment choices.These products save energy,conserve water, (E eliminate noise,or otherwise contribute to . more environmentally responsible equipment system. LN 'C. 0 •dMediam Filters — SM Series Econ seieot byPentair Water A One cleaning for an entire season? The System:3® Mod Media' filters from Sta-Rite° handle An Eco Select' Choice 2-3 times more dirt than other filters to deliver maintenance- free performance for up to a full season.Featuring perfectly Water flows very efficiently through the balanced flow and an integral manifold design,these filters System:30 Mod Media"' cartridge filters, Ecol- are engineered to deliver the ultimate in labor savings. often allowing the use of smaller pumps or Select Eftiency•Conswatim System:3 Mod Media filters are ideal for inground pools, lower pump speeds to minimize energy use. 0 Pentair Water inground hot tubs and water features. And when you rinse cartridges rather than P eI.Msp backwash,you can significantly reduce water use,too. • Patented balanced-flow tank hydraulics direct water T through each side of the filter module for uniform dirt he Eco Select brand identifies our"greenest"and most loading,no clogging,and long,unattended operation. efficient equipment choices. • Complete media coverage combined with shallow As the global leader in pool and spa equipment manufac- pleats for greater dirt holding capacities,longer filter turing,we strive to provide greener choices for our cus- cycles and less cleaning. tomers.We hope you'll join us in embracing more • Shallow pleat design also permits quick and thorough eco-friendly poolscapes by choosing Eco Select products cleaning—just rinse the module with a hose.* for your swimming pool. *Modules used in conjunction with certain pool/spa sanitizers may require soaking in special cleaning solutions. TM System :,YMedia _ c JI rjt C I . Top-mounted for at-a-glance viewing. ,�. Split tank design permits rinse-in-place cleaning. . provide safe,secure access to tank and filter .. 0 Dual drain plugs available side plug to remove waste;bottom plug to drain entire filter. a Balanced-flow tank hydraulics provide maximum dirt-loading and prevent clogging. r I , Performing to a higher standard Based on extensive research in filtration and media science by Ultra-Capacity Filtration Sta-Rite® System:3® Mod Medial" filters make Ultra-Capacity Balanced flow tank design assures debris is Filtration- a reality. Unlike conventional"cartridges;'these filters evenly collected by the media—no clogging combine a patented balanced flow and integral manifold design, and long runs between cleanings. plus an easily cleaned media element. Modular filter tanks permit quick change of filter media.The result is a filter system that not Filter Performance only requires less frequent cleaning,but is also easy to clean. For Pools optimal' up to(Gal.) Filter Area Flow Rate The System:3 Mod Media Filter is constructed of Dura-Glas" Model 8 Hr.Turnover (Sq.Ft) (GPM) high-density composite resin to weather the elements for long, S7M120 48,000 300 50-80 dependable life. And its sleek,contemporary appearance and S7M400 55.000 400 50-90 matte black finish looks attractive in any pool setting. S8M150 60,000 450 50-110 S8M500 62,400 500 50-115 Dirt-Loading Comparison Handles 2-3 times more dirt than other media-type filters— t Operating at this GPM will provide the longest filter cycles combined with up to an entire season without cleaning! the best and greatest dirt-loading capacity. 50 lbs.or more Operating Limits—Maximum continual operating pressure is 50 psi. For pool/spa(bather)applications,the maximum operating water temperature 35 lbs.or more within the filter is 104°F(40°C). ' 18 lbs.or less One-year limited warranty.See warranty for details. Available from: (Filter Area 450 sq.ft.) (Filter Area 300 sq.ft.) 9 � L ♦ � IM Simply Smarter. www.staritepool.com Phone:800-831-7133 Fax:800-284-4151 pumps / filters / heaters / heat pumps / automation / lighting / cleaners / sanitizers / maintenance products 4/08 Part#PI-724 02008 Pentair Water Pool and Spa,Inc.All rights reserved. T r ` FROM FAX N0. :ISMM1.7710 Mar. 21 2011 10:11AM P1 EI',/2IJi1321 10;Z1 p6771;t203 STAPL,'.' jf'PAGE 0i'0a Tt�'4grIA �f Barnstable To F`I'OF AP N� SL Regulatory Servim �-C!i PP'(4;P, 22 PHI2: 15 . �' ?hvmasF,CDeller,L11rcc�• 'i ' o �„naneMa q Building l'Di visitm Tam Psrry,Bn0dift Cam,ffdw4*er ZDu Main SVwt, Hymis,%KA 02609 ti > ` -• � " MUCw.tvvN.bard0llllalallDll.t7� �r° •.���.�� Offirm 108-66Z.4* ��t'`�' i i Fax: 308-790.6236 ' 9f R,EG1ST1i1►fi�QN W ignare feet er We Lmidan of thed(addrom) 8a x 5677 eq, Peeporcy owner a aaa+e Tracy9zveo brs /D 5 Oaro I Hyaamis�4tafa 6trset�atar&an,:H3sta�ie 13ialsiot? ' old K{nj'3 MSIVU Hiscode Dlicric4 Canvmis4 cn jurtocon7 taa190rt+stien ComrsLiaefoa(11gtaMvre 98 Yegt+3rea) �J�, lip of licurR ft Coasavatfaa 8;00-P:30 di 3;30•4:10 PLEASE NOTE; XF YOU MR'WtTMN'=JUMBICTION OF ANY OF THI ADOn CZ-VXX6V J 3,7M=MAY RE A,=VMW PROCE48 AND APPLICAVON rzz >P�,ia�►S����•�P't'�OYR.ia1.T9>+cc:_�ssfoly?6'0»oEr.,�, PLOT PLAN �4txtf�6 4 r-- PARCEL, _ 006 Route 28 REFERENCE: PL, BK, 500 PG, 1.0 Benchmark set: FLOOD BONE: C Town of Barnstable orange paint on brick wail 5 EL.= 106,55 (Assumed) d #250001 00l8 D (7/02j92) CD ,nr OCU Le °° ge a WdOS MAP N 88°51103"E ---d- StOcRade Fence41 N. . i 36,6' t1 � 1t 1 TOF-10e,20 i 46' ' (Assumed) ao Brick ' r -' Former Cottage o (No;Foundation)' Cane Cod Cellar Crawl Space r�ricic. , _✓39,3731 S F Clr�tiucliil 1 . 0 0,44t AG, ., _ •. •,. Map 36 NOTE: Watch for Gas Line Parcel 6 197.7$' o bear sewer One, ,I Edge of pavement -- S 88°34'53"W 1p4 ` 'G'q��''�C"r'L, r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION D Map Parcel '6C�C Application TFoe �, Health Division Date IssuedConservation Division '' Application v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7 S 1L�q 5 Village C L2 �- Owner SC �-F ����P_ Ne Address Telephone 6-0 & - S-3 ' 70S Permit Request G -V� 0 * ( S u d t31J,-/cZ ZA.2 IteaQ $ �r c�e v C� /rev✓ A' /'eS'Lt c r.�C ei Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay -�4--Proj ce t Valuation ��Construction Type w D v Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 21/* Two Family ❑ Multi-Family(# units) Age of Existing Structure l Sd i .f Historic House: U res ❑ No On Old King's Highway: ❑Yes Qlo Basement Type: R'Full J16rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq..ft) _ Number of Baths: Full: existing oZ new �_ Half: existing a-, new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Mdas ❑ Oil ❑ Electric ❑ Other a? Central Air: ❑Yes LKo Fireplaces: Existing p g New Existing wood/coal stove 4❑Yeas �-P4o Detached garage: ❑ existing ❑ new size—Pool: ®existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ffexistmg ❑ 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) N�a e! C6A1 ✓` Telephone NLirhBer Jae 737 Address _7� �L_s-hdrt_ aPei,ye License# 3 Home Improvement Contractor# f 7o2a 7L Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 3 Ar KfiW le_ SIGNATURE r1 v `(1 FOR OFFICIAL USE ONLY v 's APPLICATION# DATE ISSUED G MAP/PARCEL NO. r i ADDRESS VILLAGE i OWNER i ' DATE OF INSPECTION: FOUNDATION FRAME a INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 31��13 t _ DATE CLOSED OUT T ASSOCIATION PLAN NO. The`f✓ommonwealth of Massachusetts Deparhnent of lndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compere' sation Insurance Affidavit: Builders/Contractors/Electriciaus/Pluinbers' Applicant Information Please Print Le 'bl Name(Business%oto nlzation/Individnat): - i`"�fJll_ -✓1 , Address- 76 Ct �•P1Y`e.`a' . ,Ci /State/Zi � ..,� 7 3 7 FAre ou an employer? Check the appropriate bog: Type of project(required); I am a employer with—' 4. ❑ I am a general contractor and I employees(full and/or part-time).* . have hired the sub-contractors 6• ❑New construction .❑ I am a sole proprietor or partner- listed on the attached sheet 7. [i i emodeling shipand have no em to ees These`sub-contractors have P Y 8; ❑Demolition working for me'many capacity. employees and have woikers' o com insurance. ,$' 9. ❑Building addition [N ,workers comp.insurance p required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §l(4), and we have no employees.[No workers' 13.0 Other comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tcontrantors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers':compensation insurance for my employees.- Below is the policy and job site information an Insuranc pany Name: rT-i M01 4, Policy-#-or-Self--ins. Lic.#: a"7 0 43QJ Expirai on'Date Z JobTSite Address: .761 1M1}lYl,j�, C'QUi-� q City/State/Zip:- V Attach a copy of the workers' compensation policy declaration page(sho g he policyumber and expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition+of criminal penalties of a . fine up to$I,500.00 and/or one-year imprisonment,`as we.0 as civil penalties in the form of a STOP WORK ORDER and a fine of up,to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereb certi u der the pains and penalties of perjury that the information provided above is true and correct: Si -ature t1tq�� Phone-#:, O'� 797-1 y EEt only. Do not write in this area,to be completed by city or town official n: PeirinitlLicense# horify(circle one): �: Health 2.$rWding Department 3. City/T`own Clerk 4.Electrical Inspector. S.PlEbinhi son Phone#: , CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 101/10/2013 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAUL SCHLEGEL Schlegel & Schlegel Insurance Brokers Inc PHONE 508) 771-8381 (FAX 508-771-0663 (A/C-No,Ext): .. - AIC,No). 34 MAIN STREET F-MAIL ADDRESS: SCHLEGEL INSURANCE @VERIZON.NET A PRODUCER CUSTOMER ID p: West Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAICM INSURED INSURERANGM INSURANCE COMPANY Patrick Cronin INSURER BALM MUTUAL 376 Lake Shore Drive msuRERc: �. INSURER D'. Sandwich, MA 02563 INS URERE: INSURER F: - - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO- WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS .SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DDIYYYY) (MMIDD/YYYY) LIMITS A GENERAL LIABILITY MPT1326G 10/16/201210/16/2013 EACH OCCURRENCE $1,000,000 AMAGE TU RENTED g COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $500,000 CLAIMS-MADE Ix I OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE _ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PET _ LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ (Per accident) , NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE - - RETENTION $ $ B WORKERS COMPENSATION - - WC STATU- OTH- - - AND EMPLOYERS'LIABILITY YIN X TORY LIMITS ER - ANYPROPRIETOR/PARTNER/EXECUTIVE - VWCO2704309 05/04/201205/04/2013 E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? Y❑ NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5500,000 FT_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) PATRICK CRONIN HAS ELECTED NOT TO BE COVERED ON HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE 200 MAIN STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HYANNIS, MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZ REPRESENTATIV d 1988- 09 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD - � ay Town of Barnstable ti 0 Regulatory Services NAM g Thomas F.Geiler,Director 16;q. �0 iOlEn an► " Building Division . Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.u§ Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section' If Using A Builder /`/ , as Owner of the subject property hereby authorize �/ � :�/_J ZVJ to act on my behalf, in an matters relative to work authorized by this building permit e (Address of Job) Pool fences and alarms are the'responsibility'of the applicant._ Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. �CI C ignaturef Owner Signatures f App"licant Print Name Print Name Da QYORMS:OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable 'Regulatory Services t znRlvcrwsr,F, f Thomas F.Geiler,Director Y MASS. .639 �� Bllllding D1v1SIUII pr� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 62601 www.town:barnstable.ma.us . 6ffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMBOVINER": name home phone# work phone# CURRENT MAILING ADDRESS: ci city/town state zip code tY P The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hue who does not possess a license,provided that the owner acts as ,supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official .> Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any.homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor.•The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understanes the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forni/certification.for use in your community. Q:forms:homeexempt C�1e�wrwnaoasruealC�c+P,C/�aavac�ccaetZ'd I • �\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: , egistration: 072274 Type: Office of Consumer Affairs and Business Regulation ,::.6Lfi1201:q>::. DBA 10 Park Plaza-Suite 5170 x iration: i Boston,MA 02116 CRONIN CONSTRUr'TION ! PATRICK CRONIN ;�- f 376 LAKESHORE DRIVE � r SANDWICH, MA 02563 Undersecretary Not valid ►out signature • A..- IVlassachus(�tts.-De�).irtment of Public Safeh Board of Buildin- Regulations and Standards s` Construction Supervisor License License: CS 81321 , PATRICK S CRONIN f \� 376'LAKESHORE DR SANDWICH, MA 02563 r cif- is Expiration: 7/15/2013 ('ununissiuncr Trtt: 1503 ' - Ij E v tw f New y � } >000, r • ' . 25 / �lvv �t it, D i�"t� � f o 7� E R� µHi fry .� CA , �,V1� n k ` . ` . f Qn f T1 , 1 s� r , , : I ' t 1 � S 1 i i 1 : lbr I , 1 t { : , , , ' , _ f k. NO 1 , , : i q I i t... i i I , 4 : f • : — ....... 1 - , j , ' I ., ..... .. .. ,...> f .k N� r ':• ,: � � � ��t k ty'k� �� � � i r �i4sc�`�<,u�+t���+Sr e��Vcn n ;,<- zip.:' aLbJ.L.?:F.t, o--; G, ..L....L,..-;.t;'_:,;�"l:v,.,`i 1.;. '3'•` �.;:s.15 r '..... -.. �,.. ... f ._.. ..�., � .. ..'_... a ... .. ..:. 4 i M1�f }R ryn : a. .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel Application # ® �UV- o� Health Division Date Issued Conservation Division / Application Fe Planning Dept. Permit Fee �� Date Definitive.Plan Approved by Planning Board O� Historic - OKH Preservation / Hyannis Project Street Address _75n/ C"�►4 c,,l l Village —ILALl— Owner c oTr -f_- Address Telephone_ 1 - 6 <�-!2^-7 ZV �{ Permit Request iUCr P_ot -b CrustML l�� --�z (='�12t1 - �� 34 _42>e_-p� �'Z.KCl1�IL • �•�(F��I.rTcll NCB �"�T S G Ifi c�UIT���. 1+�44�.►''� I�S�Zg b � ��dl'r Cf DART il lb �, L 1_y_ �ln -Fi4CIL LI.V44- 1C£&'b Square feet: 1 st floor: existing proposed '2nd floor: existing proposed Total new Zoning District Flood Plain C. Groundwater Overlay Project Valuatio�;o,:2 Construction Type�o Lot Size 1 �' 3 73 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout . ❑Other --3 Basement Finished Area (sq.ft.) Basement Unfinished Areal(sq.ft) Number of Baths: Full: existing new Half: existing p' a,, new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Ggunt 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 U No If yes, site plan review# Current Use �t 14 rz n - Proposed Us t�e- �ml - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1G�6tzt_O�C t 3J_f64t4 �oo�s Telephone Number Address S-q l n.sy t►ieX P-o.1tco License # .5';;/7y L1l j 00 a2,0 / Home Improvement Contractor# ,/D5-4B5 < 01 d Worker's Compensation # 133`1 9C) I - ALL CONSTRUCTION DEBRIS RESUL G FROM THIS PROJECT WILL BE TAKEN TO 7PN4 -&s5 �%tr_ r -sF V- vk Z SIGNATURE DATE �" 2 2ds,} J FOR OFFICIAL USE ONLY x e., APKICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ,Q FOUNDATION FRAME �..�` 40(�az� INSULATION FIREPLACE `ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' Y,. .� ti'd�il'4.`I'�'"1�#{iiMf}11�4�'•�t��(9-/i'�L�4�G�21�dtKdt�Ef:aP'ifU '� �� • i�3nnrrl of-told h��tiog lbl ns tl&tatitlnrda . Rogisirahlon., 06485 Expirah6tu fill20to a ,X type: Sualel;6ni t'latd ` ', SOUTH SHORE GUNI`t POO1.i V • r 7 P ogo2ss Ave, kRik Cho lmstdrd MA 01824 _X, �. Ad�ninl�trutsr .max,. 4 (141 4ltt�tal t11��?4i11114 ;�.�ij1' 1�0;ircl tit Bill.t►tlf�) ?il �11 �1' o! �1�lnitttrta� f s 4 Z n;lijrootcioy��,8ap*rvlrmr Ufoonso 4i{t;111 jE4i. }41w t hL.SirltoLrtt;�oo ,, �ylet RlCHARDV BEI N."T 54 C1:15HING HiL NORW/r;LL M42-0;) r> .4- e .%+*�,r�,, c rErp�r ., /4612011 .r Try; 9.1391y t . , 'r �� �' T ��:3 a 3�a �. 9 � �+k -e`• S �i t • V , 5: h • F } t i "Y _ _ F _ I `Board otBn��jipgcc�Cli,�, gnl HOME 1 afions and t ° MPROVEM!NT StaadardS . _ ':, ti Rogistraton G4T�Tla�C 90 OR Lie EXPrto r► 5485 �. ! before`or re atio ; Z/ e the ��str n valid 2 e d © x f Ypo,` Hoard ion d divrd SpUTi i S �,,.` &*Memen ofBui/din ate.`-If ul use nnl s e N t O` n Y O d C r a ne gRe e' E; rd' A to GUN——p' shburton gulattans rn't0, a xr �t 7 ..Boston Ma. 42108 lace Rm 1301 d Standards M gross;qve 6rr/-Mq 24 Q 18 4 l Administrator rvr ' otVah ith m °ut Sig ature — rA r-: Town of Barnstable 200 Main Streeter ', q (J + 3 Hyannis, MA T:TN i ,I i4 tE [a [ offntenf'ro lflemc l s� :&.'. om'amfls#oric 8u�idit7 l$truc#ure Is Building/Structure located in a Local or Regional Historic District: YES NO If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out the remainder of this form. PRINT IN INK �1�� Date of Application: --1 ��-�� 0 Building/Structure Address: =�?— c., ' Number Street Town State J_.tp Assessor's Map#: ---Assessors Lot#:-�� Cf� Is Building/Structure listed on the National Register of Historic Places or on a pending Test with the National Register of Historic Places: (!M WO How old is the Building/Structure: �_-) How is the Budding/Structure Occupied: A�Opt2 I Number of Stories: ..__ Architectural style of Building/Structure,describe if not known: Material of Building/Structure: 14.L Is this Buildino/t ructure associated with one or more historic events or persons. Please list event,description or names: Type of Building/Structure and proposed work L Explanation of the proposed use to be made of the site: /�- �- Zoning District: Fire District: Applicant's Name: So i^!L 4 ~'C �� 4 ~�!!<L Address: �7� � �1 Nu Street _ Trnm State Zip Owner's game: Address: -- Nur4W�r treat Town State zip Contractor: Address: Number r Street Town State Zip Program of Lot and Auilding0ructure with dimensions: x Name: / , . ram.... :,°r' •. t 1 _ +•Wi ;.v"�-:'•._ •err, +Fn� dj�r .. .�. .c, 1 fir.';• _�1014a� t+r - Town of Barnstable 204 Main Street � Hyannis, MA 42641 ,I; r•.� � Aw`4lnfyY� l� Notice of Intent to Demolish ar Move an Historic.B�uyi in /Struotur�F, Is Buildiri /Structure located in a Loral or Regional Historic District: YES��y C"s,i �t g a�i� ry If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out the remainder of this.form. Date of Application: 0 PRINT IN INK �--� Pp i Building/Structure Address: �771—.';1 tt `-'" Number Street Tnwn State zip Assessor's Map n: �� _._._... _ . _ Assessor's Lot 4: r< Is Building/Structure listed on the National Register of Historic Places or on a pending list with the National Register of Historic Places: YES N NZ. How old is the Building/Structure: LcS n1,-V�� _I How is the Building/Structure Occupied: „`v'�.I�. �Z_ ._..__ Number of Stories: � Architectural style of Building/Structure, describe if not known: t `C''L Material of Building/Structure: _; Is this Building/Structure associated with one or'more historic events or persons_ Please list event, description or names: Type o Buifding/Structure and proposed work: i s- -�- Explanation of the proposed use to be made of the site: t�y) 14 P A C j Zoning District: Fire District Applicant's Name: C Address: �7 •� Numb r. Streeter r�,1�, State Zip. Owner's Name: 1 i�' Address: ���C :tee-�►^✓ �1 - Q; 3 Nrt trees Town State Zip Contractor: ..._ ;�� '� / Address: �U'�n ?�!`'i �- :�+ .._��'?�S fi �f et �};}$ /All Number Street Town State zip Program of Lot and Building/Structure with dimensions: Name: i r��a�aavn a rvirr.�.�+ PARCEL;, 006 ---- � Route.28 5���1 REFERENCE PL. BK, 644 PG. 10 Benchmark set orange paint on brick got• FLOOD ZONE: C Town of Barnstable #2500010018 D(7/02/92) EL. 106,55 (Assume 0o go LMMAPIUA N 880151'03"E --� stockade Fence i,•� �i l oil ,n O cA i 0 ;*i759 ' 8 TOF*108,20. (Assumed) Brick. Former Cottage (NaFoundatlon) Cape Cod Collor (Z'ZL0G�4 Crawl Space ch. 3 v0 :< 19,3731&F. (r,711@i)11Ulit v 0.44t AC, . . Map 38 r NOTE:WeWh for Parcel 8 o near sewer line. Edge of pavement S 88°34,53"W j04. AREA FORK N0. I 24 B - BUILDING , ' CTB 20 >SACHUSETTS HISTORICAL COMMISSION I WASHINGTON STREET, BOSTON, MA 02108 ,A TownBarnstable (Cotuit-Cotuit Port) a Address 759 Main Street - '- Historic Name Capt. John Handy House Common Name Charles Brooks House Use: Present: dwelling. single -- -- 1tt Original dwi-11 i ng., tkin family ' 17 DESCRIPTION ' Date 18b0's Source Santuit/Cotuit Historical Sccietc SKETCH HAP Show property's location 'in relation Style Ital.ianate w;/Colonial 'Revival alts. to nearest cross . streets and/or geographical features. Indicate Architect unknown, all buildings between inventoried property and nearest intersection. Exterior- Wall fabric clapboard Cl Indicate north. . '-Outbuildings none . tis --- Major alterations (vith dates) o p tit a wide frieze and window trim added E20th c. Ct 13 Moved rear ell (?) Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �C(Z':-�J LI DATA lot JF Q I ' �• �Y C o't 7 1� L r"9 oFTHE ram, Town of Barnstable Z2�50 Expires 6 months from issue dale * Regulatory Services Fee * BARNSTABLE, MASS. 9ch i639• ��� Thomas F.Geiler,Director. 1DlFn rrinr°' Building Division Tom Perry,CBO, Building Commissioner 200 Main-Street,Hyannis,MA 02601 www.town.barn stab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0-3(��T Property Address of i'� S - C�/ L(/ / '/�/ ��c) �S Residential Value of Work �p��0� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address S)eA B r ke� of 7V Contractor's Name?O--Jlnr �j�/ J1)U.W c) Telephone Number Home Improvement Contractor License#(if applicable) SlD j lO IS Construction Supervisor's License#(if applicable) J �Q J/ !� P EST PERMIT ❑Workman's Compensation Insurance Check one: iAPR 2 ` 2010 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNS'TABLE I have Worker's Compensation Insurance Insurance Company Name VC l A / 4 S5 Workman's Comp. Policy# 0 / � / Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) i ❑ Re-side. #of doors Replacement Windows/doors/sliders. U-Value -3b (maximum .44)#of windows Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.' "Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. - a i SIGNATURE: , C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 of t1KffE rq�, * EARN B e, "`" i6 Town of Barnstable 3 9. �� Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Using A Builder r i, Sco- &etke l , as Owner of the subject property hereby authorize�odM V 1&M beL`5 C,2 t -�/Y►C� to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) S gnature of Owner Date " Print Name if Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc . Revised 090809 K The. Ct?Tl motisrealth of assaclrt,<.setts Zlepnr'tment ofbidi.strial Accidents Office of Investigations l f = 600 Washbigion.Street ,f Bostott, 1021.11 ^9�""' stri�nit nr(r5s.goVt�llr(t Wo ,kers' CCoinpensation Insurance?iffida-vit: Builders/Contractor°s.'Electi icians 'lumber's l ca.rrt Infortnat on [' Please Print Le gib Naille{Blrsiness=OrQmliz 7cntIndLvidttalj: YlAJ beI"S o1- ' Address: Cites Sta3tz;`Zip: C TZ�r 1 t I d a P1iot�e S�� So``� �� Are you an employer"Check the appropriate box: ripe of project(required) 1.[�I am a employer with�_ 4. ❑ I am a general contractor and I employees(full and'or part-time 1. have hired the sub-contractors 6. El New ccia tr:ctiou ElI am a sole proprietor or partner- li-->ted on the attached .heet ❑Remodeling slip and have no employees Thee sub-contractor,}have S.. ❑Demolition ,,orkinQ for me in any capacity.cap employees and.have,-workers 9. ❑Building addition [No workers'comp.insure,ace comp.insurance.- required.) 5. ❑ 4WTe area corporation and its 10'-❑Electrical repair 5 Or additions 3.❑ I am a homeowner doing all--work officer have exercised their 11-❑Plumbing repairs or additions. uiyi<elf.(Noworkers'comp. right of exemption per14IGL 12_-❑Rtofrepairs insurance required.]_ c. 151 1(4),and we lun a no empl�cyeer:..[into workers' �?-❑Other comp.insurance.required-] •Inc app:e,aut tvm checks hor.?1 musi also fill Put the section below showdnz tier worlsen7 compmsabon poL€4 inform".o¢_ l oniemn:e.s who-sbm-It tads affidavit indicatine they are doing all wocrk and tieu Lxe outa:e contractors must submit a new affidava i¢dicaaue stuh- :Ccntrac:o schat€heed+this box must attached au additional sheet s vwmf tL*e¢sane of the sub-contractors and stare whether or mot those ear-Mies bay:e employees. If the sub--cutractors have employees,taey mustprouide their worLers'comp.police number. �LrlJf dttf E!!t�?l0}'er tliaf r'SpJ'tIt'tdltitg�i'prlLeYs�cdriitlTeFt5dFP](tH EFFSfdrdrtiCP fdtJ"tFt�'�'tJtplt 't�P.S. Below h thepolicy and fob Site information.- � I yy�� ` InmranceCompaneName_ J raV�lefS lJifC' 055 1Cn Mer� Policy r Self-ins.Li—c.r:u l Q ITJ- Expiration Date: � —a-7-YO' Job Site ddre-,: � &3f—city,StateiZipi , Attach a copy of the workers'compensation polio-declaration page(shoning the policy number and expiration date). Failure to secure co t.-erage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties.of a fine up to.51,500-00 and or one-year impnsonmenl;as well a civil penalties in the form of a STOP oVORK ORDER and a fine of up to$?50.00 a dad•again-wit the violator. Be advised that:a copy of this statement may he forwatrded to the Office of Investigations of the DLL for imurance coverage verification. l do here=bt'cer finder the}xtilfs at p !i /ties f p er rirt'tlirtttire-ritforFFtrit ort firs 7�l rf ab tie is rpl alidl correct. Signature: C Date.: ��7 U Phone ir. Official use oral{-. Do not it-rite,i!f this area,to be coinpl£ted bt'cirl'or ton-If official City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health ?.Building Department 3.C:ity/Toxim Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 4 6 ll.l Sll 1,1'0.1i 1`IG-G L/ GU/ GV1V 1V JV V1 1••fl'1 Y'C1V'L. G/ VVG UG1 VGi ACORD. .`.CERTIFICATE OF INSURANCE DATE(MMMD\YY) 02-26-10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WFARRELL BACKLUND INS HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 0 BOX 549 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 148 WEST GROVE ST COMPANIES AFFORDING COVERAGE MIDDLEBORO,MA 02346 COMPANY 77137W A TRAVELERS DIRECT ASSIGNMENT F INSURED COMPANY B PAINT BY NUMBERS OF NE INC& COMPANY 18 REED ST C TAUNTON,MA 02780 COMPANY D . COVERAGE 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 REOUIREMENT,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. CO POLICY EFF POLICY EXIP LTR• TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD1YY) DATE(MM\DDIYY) LIMITS GENERAL LIABILITY GENERALAGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Anyone fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS - GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: a EACH ACCIDENT $ . AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE - $ WORKER'S COMPENSATION AND A EMPOLVER'S LIABILITY UB-0767N286-09 05-27-09 05-27-10 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 500,000 PARTNERS/EXECUTIVE X INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE- $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CE•RTIPICATE ISSUED TO THE CERTD'ICATE HOLDER AFFECTING WORKERS COMP COVERAGE. COVERAGE IS PROVIDED FOR CLASS CODE 5474 WHICH INCLUDES LEAD ABATEMENT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE _ COMMONWEALTH OF MASSACHUSETTS EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT - DEPT OF LABOR&WORK FORCE DEVELOPMENT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY 19 SANFORD ST,2ND FLOOR ,. KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES, BOSTON,MA 02114 AUTHORIZED REPRESENTATIVE AcORD 25-5(3193) Charles J Clark .g" �lasachusetts- p. - �partrncnt of Public Safet' ' Board of BuiJdin�� Reaulation, and Standards Construction Supervisor License License: Cs 63136 Restricted to: 00 RHONDA K MCLAUGHLIN XM -� 8 TONY TERR BRIDGEWATER, MA 02324 ` Expiration: 12/14/2011 ('ummisiuner Tr=: 14328 HIC Registration Complaints Page 1 of 1 The Official Website of the Office of Consumer Affairs& Business Regulation (OCABR) Mass.Gov Consumer Affairs and Business Regulation Home > Consumer > Housing Information > Home Improvement Contractor Program > _. . ..... _ _... HIC Registration Complaints Registration# 156765 Registrant PAINT BY NUMBERS NE INC Name ANTHONY MCLAUGHLIN Address 18 REED ST City,State,Zip TAUNTON,MA,0280 Expiration Date 8/2/2011 Status Current No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search 1 7 r o ©2010 Commonwealth of Massachusetts http://db.state.ma.tls/homeimprovement/llcdetails.asp?txtSearchLN=57820 4/27/2010 Apr;27 10 02:33p p.2 I PAIN-T BY\T.-N- IBERS OF: .E_, IBC. IS Reed Street,'I'aunton M.1027 SO " 'I'elephoiie:50S-5:�i-00 0 April 27, 2010 Barnstable Building Department 200 Main Street t Hyannis, MA To Whore It May Concern; This is to inform you that 1.Anthony V. McLaughlin,President of Paint By Numbers of NE, Inc., certify that Rhonda McLaughlin CS License Number 63136 is authorized to pull permits for the company. I; Anthon V IV cLa ghlin;; zee that the above statement is true. Anthony V. McLaughl' ate Sinned this 27`h day of April 2010 . CAROL H ULAK " Notary Pubfic Ulf CAMMONWFI�LTH.OF MASSACNUSETTS My Commission Expires June 17,2D16 F ^N7 rn - �_ r 30 10 01:52p p.1 T,. Department of Public Health/Department of Labor & Workforce Development NOTIFICATION OF DELEADING WORK All sections of this form must be completed in order to comply with the notification requirements of M.C_L.C. 111 197 454 CMR22.00 and 105 CMR 460.000 as most recently amended Contractor performing project Paint by Numbers of N.E.: Inc. License#D"C.000021 Exp"Date 02/24/11 Lead Paint Inspector Fred Hemmila Date of Inspection 01/07/10 License Number 2736 Address of Project: Street Address: 759 Main Street . 4 City: Cotuit -State: MA Zip: 02635 Property Owner: Scott Berkey. Address: 13 John Matthews Road Hopkinton MA 01748 Telephone Number: 508-353-9705 " De-leading Method• Wet/Dry Scra ing Heat Gun uid.Encapsulant Demolition Caustics Replaceme Coverin : Other If other selected, please esp ain: dipping Check One: Dwelling is multi-family Single family X Other Start Date: March 26,2010 Completion Date: 4priL30.--2VIW -May 3 r oZOI(� When will work be done: AM X . PM X (specify times on site)Weekends Project Supervisors Names: Mike Bushe License#DS3413 Exp.Date 1/10111 Arnold Thomas License#DS000854 Exp.Date 9124/10 Worker's Compensation Policy Number UB-0767N286-09 Carrier Travelers' In case of emergency, contact Anthony McLaughlin Telephone Number 508-8211-0080 Deleading Contractor " The undersigned hereby states, under the pains-and penalties of perjury,that he/she has read and understood the Commonwealth'of Massachusetts Deleading Regulations,454 CMR 22.00,and the Lead Poisoning Prevention and Control Regulations, 105 CMR 460.000,and that the information contained in this notification is.true and correct to the best of is/ er knowledge and belie_f.'' Li V3o 10 3 Date Marshes` LI33I0 Signed. �� Ww.:,. Company Name: Paint by Numbers of N.E.,Ins .. UJ Address: 18 Reed Street,Taunton,MA.02780 � I, Telephone Number. 50S,S24-0080 :Y - Co + ft �7 lJ C )C-pPz Town of Barnstable *Permit Expires 6 months from issue date ✓UC A�� egulatory Services Fee �r 7-OW� 1 3 200? Thomas F.Geiler,Director OP Ll,AP Building Division v ` 7454 o Perry,CBO, Building Commissioner 00 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �"S 1 (V1ot I 1 Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 7JVt vvttr-5 Contractor's Name Cc T J C Telephone Number TO -3 a 3c? Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 40ran's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ IP the Homeowner D-11have Worker's Compensation Insurance Insurance Company Name < (3 �Z 1/�✓ Z v Workman's Comp.Policy# a I !n Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to i�(bu `^ �13 'yS� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of they Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts 4 Department of IndustrialAccidents _ Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �yPlease Print Ledbly Name(Business/Organization/Individual): . V1 k)T 'e-D 7 rO T,__ (17�UC_k e�j s / Address: ��-� 04 c, �1 � City/State/Zip: Try�( YVW Phone A �'(I 3 0 Y- o Are you an employer? Check the appropriate bog: Type of project(required):. l.M>I am a employer with � 4. ❑ I am a general contractor and I 6. ❑New construction . . employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity, employees and have workers' • Y P tY• 9. ❑Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.[�oof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' .13.❑ Other comp.insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is.the policy and job site information. Insurance Company Name: 1 �o�'G n Cz!�' Policy#or Self-ins.Lic.#: SP — /4+ Expiration Date: ®�/0 Job Site Address: /Sy PRA 1 yl 5Y , City/State/Zip: (fo .-v t 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 ern thepains and enalties ofperjury that the information provided above is true and correct / - . (J Date: Signature: �' Phone#: 5-O 3 �S Official use only. Do not write in this area,tt7 be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Cs Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insuLrance 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 situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations iu (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe 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 fo any business or commercial venture (i.e. a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number:. bl4 commonwWt'1 of MassaohuS�tts Dopartment of Industdal AecidantS Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.rnass.gov/dia y nFIME r Town of Barnstable, Regulatory Services RAMSTAIM$ Thomas F.Geiler,Director MAM Building DiAsion g Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma,us Office: 508-8 62-403 8 Fax. 508-790-62.3 0 Property Owner Must Complete and Sign This Section If Using A Builder S as Cvner of the subject property` hereby authorize to act on my behalf, in all matters relati7e to work authorized bythis building permit application for; . 7 S-1- t';A Cl' Cz (Address of job) S' afore of Owner Date TC VKC 64, Ga`VUL Prat Name r OFOpM :OvrvMRPc.R'vIISSION Board OfBuildi o/-1/16 iuop-C�' g Regulations and Standards HOME IMPROVE MENT CONTRACTOR License or re Reg" TRACTOR before the ex registration valid for individul use only Expiration 152902 expiration d 16/13/2008 Board.of B�ildin ate. If found return to: T One g Regulations and Standards YPe , `` Ashburton place R n 1301 OCEAN MOUNT Boston,Ma.02108 SCOTT BU AIN INC CKLEY ti x 244 S ANTOT COTUIT,MA 02635 �tw ,,` Administrator Not valid without signature THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M A I j DATA DATE ,CERTIFICATE OF LIABILITY: INSURANCE,'—- i 888 0207 Fax (5m)888-05so 06J08fn07 ' 9N INSURANCE AGENCY INC. T� CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE 569 MOLDER THIS CEIMFIGATE DOES NOT AMEND, EXTEND OR i ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# UNTAtN COMPANY INC INSURER k Liberty Mutual Insurance f!BUCKLEY INSURER 9: Insurance Innovators Agpn of Net,,,England Inc. INSURER C: -" AMA 02635 INSURER 0: ,RAGES INSURER E: - /I.ICIE8 OF INSVRANCE US 0 BELOW HA BEEN ISSUED TO THE INSURED NAMED A84VE POR THE POLICY PERIOD INDICATED, NOTWITHSTANDING T',OVIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN7 WITH RESPECT TO WHICH THIS CERTIFICATF MAY SF ISSUED OR 01IRTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH. ,GIST, AGGREGATE LIMITS SHOWN MAY LAVE BEEN REDUCED BY PAID CLAIMS. I WR TYPB OF INSURANCE ~R IMFtR POLICY NUMBER FOUCYEFFECTNE Po41CY0XF1RaTloro GENERAL LIABILITY nTE M!D UATE MMAMNY LIMITS l NPPIO82SUS 05129107 65/29108 BACHOCCURRENCE $ 300,000 X. COMMERCIAL GENERAL LIAHII.ITY OAMMA C!ToAnTeD / PREMISE& M'tuM�+M $ 50,000 CLAIMS MADE� OCCUR _ MF,O.FXP(Any orie Perm) g 5,000 i' PERSONAL&ADV INJURY $ _300,000 GENERAL AGGREGATE $ 600 000 GEN'LAGGREGATE LIMIT APPUESPER X POLICY PRO PRODUC75.COMPJOP AGG. $ JECT Loc 600,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT - (Ea arcidarlU $ ALL OWNED AUTOS _..._ SCHEDULED AUTO BODILY INJURY AUTO,,; (Pet perBon) $ HIRCD AUTO$ NQN.OWNFD AUt09 BODILY INJURY (Pdr accident) $ PROPERTY DAMAGE $ 12ARWE LIABILITY Per ac6dom) ANY AUTO AUTO ONLY.EA ACCIDENT $ OTHER THAN 6AACC 3 AUTO ONLY; AGG $ OXC_E$9!UMBRELLA LIABILITY V11CCURRENC1 $ OCCUR ❑CLAIMS MADE $DEDUCTIBLE $RETENTION$ SWORKER$COMPENSATION AND $EroPLaYlisL�LIABILm BINDER OBr02107 06/02108AANY PROPMETO"ARTNERVECUTIVE 100,000 ofRttllDJMliMM6R rxcWoma `•3' Myee,uneaRCeuntler ` g E.L.DISEASE-EA EMPLOYEE $ 700,404 PPQCIAt PRCYIlroNB below OTHER' E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPEPATTONSILOCATIONSNEHICLFSIEXCLUSIONS ADDED SY ENDORSE CARPENTRY MENTf SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 OAY3 TOWN OF BARNSTABLE REGULATORY SERVICES WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE SALLY SHEA TO DO SO SHALL IMPOSE NO OBLIGATION OR L ABILITY OF ANY KIND UPON THE INSURER, 204 MAIN STREET ITS AGENTS OR REPRESENTATIVES, HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE Attentlon: 508.790-6230808420-2974 ACORD 25(2001108) Certificate 0 3211 ©ACORD CORPORATION 1998 I i ASSESSORS MAP: 36 GENERAL NOTES: PARCEL• vte Z$ 1� REFERENCE: PL 8006 i van - r,Q Ro �s�� K 500 PG. l0 pie paint brick VERTICAL DATUM: Assumed 0 2 MUNICIPAL WATER�_AVARME.E. am s° FLOOD ZONE C Town of 6amstable EL-106.'55(Asmil ed) 3. SCHEDULE 40 PVC PIPE TO BE USED THRQUGHOUT sYSTEM #25 10018 D(7/02/92) a UNLESS OTHERWISE NOTED. 00 4. ALL PRECAST UNITS TO CONFORM TO s��oe AASHTO. H-10&20 .ti f 1 m 105,%?PIPE PITCH-1/4"PER FOOT UNLESS OTHERWISE NOTED.L L x 103.02 x 103.34 l x 10447 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA ge ) Oh ENVIR.CODE(1TTLE 5)AND LOCAL REGULATIONS. LOCUS ww H.T.S. / 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO N 88'51'03•E / 5 f Lf Lwtl I IWA CONSTRUCTION. _ R E F► rn 102.87 103.11 - 104:T 103.49/ 104.5 0 LEGEND .�i,. _., PROPS ll / x f } 105.98 M CONTOUR 103.03 / �104.74 CB/DH/FND 105.� ® ��EDSPOT GRADE 102.85 - ._ .. r _.�._.__.• 3F T-MAPLE 2F T-MAP E - . _. 1 I(� 'mot-- 6 S�ti WG OOMouR y3 -30.23--oasmG SPOT GRADE i104.87 _.=L TEs M mcmn .�,. - ;105.22 -® EVSVNG WATER SERME N WORK UNT UNE W `: D = \ 462 � � • ' �''. ~ vt�' et Z 106.02F . ^% r+ S PT l ETCO ti 2.81 ` -105.3�0 0 1.78 '.-414 , G Bndc _ a " 1k 105.5 •; amo i �(N a . §. - `'. � caoLoFoundationj 3.08 �.CapeCod:Cellar` _ i .T ' 'w•N o ,� 1�ot�cHo[� �^. o _Y �, 102.30 102.90 �=- -_F I05.5 �5.64 Na 1068iw N VARNI:R Craw/SEPTIC/NET-COV �L . k-A II&Lr w x _ �GIS1f Na 38721 6rkk ' 3 ' x 102.68 01.89 19.373t S.F. 0.44t Ac. / "T �X 1 554 Map 36 SEP(C/ OV =3, • NOTE-,Watch for Gas Line .• 0 NOTE:This plan Is to be used for septic Parcels 103. 0 0 . gear Ser bl;- System purposes only and Is not to be 197.7fr considered a property one survey. Edge of pavement 10�31 103.24 10�t. 6 104.99 G/M s 86.3�'S3•W 104.54 lOs 759 MAIN STREET, COTUIT, MA �SS" It t G ld FIX ML ioV H COOLIDGESTREET UP/48/1 4 7 - assod ates PREPARED FOR ' SELF Lt2T,^ !,A-"[ N1AJ CT- C, SEPMOSM0050ka �'F�F�1C-- � to WNW �1 J TU 5t.1'T(L TV1l�K IT TL� '� Uluk\T � �w`� ' &1' 3` 1 1�' TL1 l9'� 1�V G I I , ;: 00tuit. MA 02635 LEACH TRENCH OPTION: Use 4 Infiltrator 3050 units Tad ��I F T . LLIALObt 5T� PC; ' (H-20)with washed stone:4'ends, 4'sides for 36.52'L x G ,r g, 12.25'N!x 2' H. Total Capacity=475.41 T-L1 .t �T. '" .T T�+TI'�- warner.Pi-S. gpd(642-45 s.f.) - a. 'r . � DATE REVISED -SCALE SHEET NO. ceoq .� a3oo 06/16/09 of 7 RENISIM ROOF PLAN, SOUTH AND EAST BUILDING ELEVATION, BERKEY RESIDENCE PROPOSED SOLAR ARRAY ON ROOF 1100Q14 WECS MMAL 2 7110015 MODULES MAL 8 7/�115 MODULES MILL 11'-4 4 TIMIS DIVERIERS MAL MODULE COUNT: 16 MODULES -------------- - -- I I ARRAY SIZE (KW DC): 4,800 W OR 4.80 KW DC I I MODULE MODEL: LG SOLAR MODULES I I MODULE WATTAGE: 300 WT I I I 4a. ' MOUNTING SYSTEM: DPW RAIL OR SIMILAR ARRAY TILT: 400+/- OV; " AZIMUTH: 1660+/- INVERTERS: (16) ENPHASE MICROINVERTERS o s MODEL M-250 I I I L---------------- ---'- -- --------J LG-305 INSTALLED LANDSCAPE 16 MODULES MAXIMUM 16 X 3DO = 4,600 KW OC uj ROOF PLAN 0 z v 5-3/8' 21'- p 5-3/e g g U cE°� LL- W z 6A O N � U Al, W N 0 W a w z cn 0 .� Y ~ Og � �� Q� O Wu) .O (L (n mr- U SCALE 0 Aa NOT® 5 OATE OCTTOBW 1a.2M4 DRAWN MAL Q: CHEO =D . _ SOUTH ELEVATION EAST ELEVATION PV-1 0 a OECk-O-SEAL SZALANr ON 04OG AAe#*r 4 BARS L''XTB'NGE9a FROM " AAPROYL'O zww- er CONTRAcroo' ar O/✓AMae Wn4 r»ze C'eat/mmo /V //e W/OE X %Z" OEEP BY ZZ.FerEV/C/AN POLY-VO/G j" PER/ME7"ER BOND SEAM MrAre L//VE COPM/fr, EXPANs/ON✓O/NT MAtRe,044 100WAST aY POOL • „ CONC,tNwd 0_'77 �'�'•P irme a CAN!/NND!/r//V eSCWS0l4E.4M�, ELEV to EACH WAyFILL SPOUT DETAIL L/N`/F RE !1//?E� .13Y /1EF/LT i1 UEPT , p rELEV 4'-O" /1/0T,�': 9A0/T/ON/9L ,BARS TO BA CQA/C,tETB SHALL 0E 4 s3000 PS/.STRENGTN AT SIT s'f'LrETANO CREiOTEi{i' • „ pl H CED IN CA"/VrAA AF RZ'ef( L*R 248 OAY.? wmN $t•' sreAer GEPTN AvoIrioNAL. +'3eAas �'LEV S'-o /C/ESVLT//)✓6 //V /9 6 X /2 # r4r CNRCAG LOCAL Q11iL0.014 C042E.5 qt TERM/NATit BARS W/TN/N ELEV 6=O" ,Q�j/Q ^fT�C/Qn/ FOR 000/T/O/VAL �1PXr,/Co4r1oNS b /fI�OT OF�P Of'Qt.'AM fit. LAr AL.L, 490001r.3 /B'•M/N ELEV =0'• �rEEI eA�e DECK WITH STANDARD COPING � ELe:'v e•-o" y2� x 3eN • • 2"CLEAR CONC COVd'R og"AWN TYO DECK/N4' TYP/CAL FL0014 R!'/NFORC/N4 COP/NCB' comothT BEYOND TN/S L/GNT/N REMOVEv w j&/t•• O/C EACH WAY PO/NT BY EL ECTR/C/AN POS/T/ON STANDARD WALL SECTION 6" �,• • II T/L E MIN q . ZO p TOP OP I✓AL L GRABRAIL INSTALLATION _ NOTES and SPBCIFICATIONc q v WATER LEVEL 1. All codes. construction work to conform to State and Local• • L/CN7•N/CN£ h�,l9 IOC 2. Pool shall be wired and grounded in strict SWIM4?MZP e.0159,T R4/1- SEALED 6W/T /• ��, accordance with the latest edition of Article 680 STA/A/LESS STEEL WATE/2 COOLED `�_ of The National 8lectric Code. /.90 O/A X.0,19 WALL AREA _ 3• Concrete to be placed by the Gunite method and ADO/T/ANAL "j BARS AT/2"O/C IVEOCC ANCHOR COPPER N/CNE LOAow/TuOiNAL ATsLoPE have a 28 day strength in excess of 3500 psi. SwiM4v/o ie4o2/ TRANS/T/ON Po/NT 4. Reinforcing steel to meet ASTW615 Grade 40 Q ESCt/TCNEON NYDR05TAT/C .QEL/!r/�' g 1. s ar Vr''!r/E_ :�,;l.s. - ?!�< nOs- _.yY�1.�/�S R.T,/G . �PF1F/.t 11�9L1/E. gua2it�s _. p�.. r�•t± ate +fin _h� .ler+;aed a miasiceetr* of 40 b SW/MQU/P 4570 LIGHT INSTALLATION.WITH JUNCTION BOX F._ r� Ar WATER L'NccuwrZeiD /''!f4/4/ /,7.P/�/1')/S FALL A L//l/C bar diameters: • SIC E NOTE 180.1 O W = /¢LG,POSS �DaL f 7- QE��57- /'D/,u'T' S. Piping to be NSF approved Schedule 40 PVCpiping, 1 �}• WATEA2'LEVEL p g 1_ 2 /"//1/ SRI WA/S 191-SO solvent welded after cleaning with solvent $ FRAME AND !,'RATE PLASTER ALL SelecgCES )e)=*PU/A:)E1>. POOL CROSS SECTION cleaner. NOT %O SCAB E 6. This pool is to be completwly enclosed by an _ approved $ Pt. high fence with self closing, self latching gates:n�oEr1,vG /rzc �uvE .s.�r. RGiUS 7. As per^9 IRC Code Section AG 106 (3109) , all pools and spas are to be equipped. with •2 Main Drains 'separated by 3 feet... Further, the 60" iejeA�l'S 9 G"GI/C suction piping shall have a' Safety Vacuum.-Release EACN WAY System as per ANSI/ASM'E...Section. A112.19.17. ¢ /f'WAVER TABLE ENCOUA/TERED, /y,R/.�/ p/i'N//V GOd,r?S /yd./J"d3E Vdlf APf'Re'v�4 �:'�c •.v.. /f/YQR05TAT/C REL/EF ✓ALIKE HANDRAIL INSTALLATION ANo cocL6-crone rueE �2Ep//�REo ANo o✓ER 0/4' OEEo ewo Z'ANo 29",Sp PLACE M/N/MUM ZO 7VM/ " m*a,BOCK DeAeN~1114F j q REBAQS/N BOND BEAM TOP Of'BOND QEAM DECK Q4 ,� TY// C-R L /AYDR D V A L Y .E CAP 3 /N'STi�<Lf3 T/D/V . sir � p PRESSb.�i 6AvGE' • f t " . `I \'� F/LTER N ., /e S/'A POOL • .o (No aACxwA3�V L/A/E.B6pv carry SO uth.S.h o re .Q u n lte I • Pool & Spa Inc. CA.PTR/l9CE F/LTER.) e I /�"RET/lRN L/NE T!9 pooL (AACKWASA/LANE 4Aft1,Es 7b I 5AN0 ae O/ATa w,4nra00S EARTH Quality Pools And Spas Since 1975 I SK/i►�NER r14 rEas ONLY. �--1 •/J AvcTEAt ��N U OACNWASW 4I.VZ I Z A�1/N,ra,eA/N riesv 2 /`!/�//V ,D.Q f3/JV s • ` ' A./NL'S ~Wow W/TN NAhe ANo L/NTS7"RA/HER W17•'ff 3'- p„ .f'e-A"AT/e7N . IrlARA/OM NYORO.STAT/C AWSSUAW SV RS }f/TT/Hors Re4te - VAL P6-S' l;S i R O vseaeD R,Epv//�E!/ /�t/ -sPA OS,E' OOL • 4`MAN (z.N/A/) a e / //V A115!I L 'o9v A"/9"/2 P J° f R - TYPICAL PLUMBING SCHEMATIC T NA Ns paSSvl�LE RECESSED LADDER-STEP DETAIL cP 10 _ � SPA ADJACENT TO POOL s NOTE: That if a hydro valve is installed, it must be placed STANDARD CONSTRUCTION in a interaction with 9C drain ���K OF M S pot z TIMOTHY � s to preventti DRAWING . . ' the Vacuum Release System. o WALKER ►vL �'Er oN31376[ T . NOME FfsORAwII Tw"- DAM o s-Os- /o LICENSED FE�SIONAL ENGINEER Noy. 4 w TIMOTHY WALKER — CONSULTING ENGINEER NOTE: IF THE SIGNATURE AND ENGINEERS.SEAL ARE NOT IN A 19 WOODSIDE AV . WESTPORT CT' ; 06880 CONTRASTING COLOR, THIS SHEET IS A COPY AND IS NOT VALID cufff SourH s//o,QE Gv/✓�r•F uccrnc�o. o��wtNo cR 7 AROCrR.ESS P.O.A Mq At 3/37G 40 -17- / C f/ELMSA04A MA 081N er M sy"IP r 2J LOCUS COQ�_tpGE 5" COTUIT BAY S Z LOCUS MAP ASSESSORS MAP 3G PARCEL G RECORD OWNERS: SCOTT A. *PATRICIA A. \ BERKEY _ --— REFERENCE DEED: 24399-342 PRIVATE DRIVEWAY , REFERENCE PLANS: -- N 10 29' 52"W / BOOK 72, PAGE 33 N880 I I' 20"If 199.05' — — — ! 1 .OG' BOOK 500 PAGE 10 SEPTIC SHOWN PER TOWN AS-BUILT CARD 0 I ZONING DISTRICT: RF O PARCELI PARCEL II U uj I BUILDING SETBACKS: _ FRONT 30' Qrn n � I 51DE*REAR 1 5' EX15TING POOL rn }— EXISTING COVER BY STRUCTURES = 14% TOTAL AREA G)19,04G± S.F. s �� � ( TOTAL PROP05ED COVER BY 5TPUCTURF-5 = I G.8% • i '.4 ^ O OVERLAY DISTRICTS: POOL WP,SALT WATER ESTUARY RPOD ;. o 1 Z Io I FEMA DATA: Co POURED r Irn LOCUS DOES NOT FALL IN A SPECIAL N CONCRETE N 3.5' I i FLOOD HAZARD ZONE. GARAGE Q ''FOUNDATION MAP: 25001 C075GJ r. I �EXISTWG MAP DATE:JULY I G, 2014 N _ DWELLING o I> Iv N880 52' 20"E _ — —— — — — �" PAVE —— ——————— —— I FOUNDATION CERTIFICATION PLAN "----- ------- -------------- EDGE —OF I E "'���`""� I PREPARED FOR COOLI DG i _ _--- — ———————————— — — .....— _—._...------ -- ` #759 MAIN 5TREET COTUIT, MA55ACHU5ETT5 DATE: NOVEM13ER 20, 2014 SCALE: 1" = 20' I 1 PLAN REVISIONS: 0 20 40 1 HERESY CERTIFY THAT, TO THE 13E5T OF MY Feet KNOWLEDGE, 6A5ED ON AN IN5TRUMENT 5URVEY, f'SCALE: 1" = 20' THE 5TRUCTURE5 5HOWN HEREON ARE A5 i THEY EX15T ON THE G 4 STEPHEN� y� DOYLE 3 NO. 37559 C'Di 5TEPHEN DOYLE AND A550CIATF5 42 CANTERBUR.Y LANE EA5T FALMOUTH, MA55ACHU5ET75 0253G 1J ,� zo, TELEPHONE: 508 540-2534 5J D5U RVEY@ AOL.COM Q 2 ' LOCU5 COOLypGt 5" COTUIT BAY s LOCUS MAP A55ESSOR5 MAP 3G PARCEL G RECORD OWNERS: SCOTT A. *PATRICIA A. \ BERKEY _ ---^ -- REFERENCE DEED: 24399-342 PRIVATE DRIVEWAY REFERENCE PLANS: N 10 29' S2"W / BOOK 72, PAGE 33 N880 11' 20"E 199.05' r— _ — — 1 1 .OG' BOOK 500 PAGE 10 ( 0.94' ' I SEPTIC SHOWN PER TOWN AS-BUILT CARD 0 — ZONING DISTRICT: RF RICT• Q PARCEL{ — PARCEL II — — I BUILDING SETBACKS: Ol n W FRONT 30' rn I--- - - -- - - -_f SIDEREAR15' I f 26• EXISTING POOL r➢.,, TOTAL AREA 0 I r 0 �� , �'^ I EXISTING COVER BY STRUCTURES = 14% SEPTIC LEACH AREA 1 9,04G± S.F. I I 0� �G�. m TOTAL PROPOSED COVER BY STRUCTURES = I G.S% , o, OVERLAYD15TRICTS: �� POOL ., I ( WP,SALT WATER ESTUARY RPOD RELOCATE 24 PATIO � 15• _.- ` O SHED... M r FEMA DATA: - _._ = D E N T FA IN P z _ � `• � .., ._ . � __ Ip I �._._- � .� N PROPOSED 'K) rn I I FLOOD HAZARD ZONE. ' 3.5 Qn SHE GARAGE MAP: 25001 C0756J ♦♦r ►►' � — DWELLING r `. MAP DATE:JULY I G, 2014 ►► O [VIA,S,�s _" . ui 1 • I � . O .PROPOSE03 D • ' t I I : �STEPHEN �-�,► IvEXI5T. SHELL DRIVE I �• •, �p . � � '� o ggY1-E u'� �J ShELL NO.3�55g ► rI1 DRIVE i. •; *• •.. O i N hFC�o�/' �► A90 ��� I N88° 52' 20"E 197,74' --OF PAVE -"- --- -- —-7-7I PLOT PLAN Of LAND _— I COOLI DGE 5T RE ET I PREPARED FOR I ..._......_ -_...._-.._..---- ------ - --------------.., --- #759 MAIN 5TREET 1 i I COTUIT, MA55ACHU5ETT5 1 I I DATE: AUGUST 8, 2014 SCALE: 1" = 20' 1 PLAN REVISIONS: 0 20 40 Feet SCALE: 1" = 20' 5TEPHEN DOYLE AND A550CIATE5 42 CANTERBURY LANE EAST FALMOUTH, MA55ACHU5ETT5 0253G TELEPHONE: 508 540-2534 5JD5URVEY@AOL.COM _ K y - - G - I - F - - E - I - D - I C - I - B - A - L A19 EQUIPMENT NOTES KEYED NOTES SOLECT EXISTING UTILITY OWNED STR-01„v ________ N r ru N ry Smart Solar. Smart Business i POLEMOUNT TRANSFORMER EVERSOURCE DATA: PROPOSED EVERSOURCE DATA: SITE SYSTEM SUMMARY "' ; 1. (N) PV MODULE (17) LG300N1K-G4, 1. (E) POLEMOUNT UTILITY OWNED 1 120 f 240,1 .3W _ _ 89 HAYDEN ROWE ST. SYSTEM SUMMARY LC-01 - ' - ' _ ' _ 300W. TRANSFORMER, 480YJ277VAC. HOPKINTON, MA 01748 ° 2B1: Aggregate AC kW Rating: 12.93 2B1. Aggregate AC kW Rating. 16.93 1 _ I _ I _ I _ I 2. NOT USED. 2. (E) UTILITY METER#2697387 LOCATED office:508.598.3511 ° g 2B2: Aggregate AC kVA Rating: 16.93 (8) PV MODULES - p ; ❑ ; ❑ ; ❑ ; 3. (N) INVERTER (17) ENPHASE IQ6+, ON BUILDING EXTERIOR. www.solect.com 2 B2• Aggregate AC kVA Rating:: 12.93INVERTERS/STRING ❑❑ c ❑❑ ; ❑❑ I ❑❑ I 8 8g UNDERGROUND SERVICE: 290W, 240VAC, 10, 3W. 3. (N) PV INTERCONNECTION ON DUAL CONFIDENTIAL - THE INFORMATION ° 3w ST�snICONFIGURATION 3a. (N) (1) SONNENBATTERIE ECO8.0/10, LUGS OF 200A MCB. HEREIN CONTAINED SHALL NOT BE ° 120/240,10, A 8kW, 10kWh, 120/240VAC 10, 3W. ATS 4. (E) 200A FACILITY SERVICE ENTRANCE USED FOR THE BENEFIT OF 1 PER FEEDERIsc=9.7; Voc=39.7 ANYONE EXCEPT SOLECT ENERGY OINTEGRATED IN ENCLOSURE. PANEL MDP, 240Y/120VAC. AND THE FACILITY OWNER SHOWN 4. N 10kWh BATTERY. 5. BELOW, NOR SHALL IT BE E UTILITY METER O (E) EXISTING 4kWAC PV SYSTEM, . DISCLOSED IN WHOLE OR IN PARTS M #2697387 _ n L 19 5. N AC PV LOCKABLE UTILITY STR 01 -------- --------- - - -- -- -- --- -- - -- -- - ( ) , WO#2105104. TO OTHERS OUTSIDE THE DISCONNECT, 30OV, 100A, 30A CLASS-L 6. (E) 100A SUBPANEL IN GARAGE, RECIPIENTS' ORGANIZATION, - ' FUSE 10 3W NEMA-3R ENCLOSURE. EXISTING PV SYSTEM INTERCONNECTED EXCEPT IN CONNECTION WITH THE EXECUTION OF THE PROJECT LC-01 1 6. NOT USED. ON BACKFED BREAKER. SHOWN, WITHOUT THE WRITTEN ' _ PERMISSION OF SOLECT ENERGY. ______ _ _ _ _ _ __ _ BUILDING EXTERIOR 7 TYPICAL FOR 2. ER 600V, 3P, 7• LISTED GRID-INTERACTIVE UL 1741DWITH NTEGRA L (9) PV MODULES - ❑ . N 15A PV CIRCUIT BREAK ELECTRICAL ROOM (9) ❑❑ ; ❑❑ ; ❑❑ ; ❑❑ ° Ac-ol 7a. (N) 15A BRANCH CIRCUIT BREAKER, RAPID SHUTDOWN AND GROUND FAULT ' Ic 4 ; STRING CONFIGURATION p 30OV, 1P, TYPICAL FOR 1. , DETECTION & INTERRUPTION. TYPICAL 7 Zg;Q B (1) PV STRING PER FEEDER Isc=9.7; Voc=39.7 7b. (N) 30A MAIN CIRCUIT BREAKER, 30OV, 8. CONDUCTORS FROM MAIN PANEL TO (E) MDP era 5 1P, TYPICAL FOR 1. SUBPANEL INTERCEPTED AND U J�" 8. (N) 100A AC COMBINER,PANEL ACCP-1 INTERCONNECT ON SONNEN ENCLOSURE ELECTRICAL ROOM 200A �' 8 MAIN LUG, 240VAC, 1�, 3W, NEMA-3R. AND REFEED (E) 100A SUBPANEL. m 2P wi (N) 100A,1P AC 18kAIC 9. NOT USED. i N UTILITY, LOCKABLE 9. (N) PV REVENUE METERING, ENPHASE 10. NOT USED. Q 100A r DISCONNECT w/VISIBLE BREAK L,_J - 2P ► 24/7 ACCESSIBLE, EXTERIOR WALL MONITORING, NEMA-12. DATA LINE 11. NOT USED. - TERMINATION FOR INCOMING INTERNET 12. NOT USED PROVIDER. 13. NOT USED. m 6 10. (N) EGAUGE MONITRING PLATFORM. 14. NOT USED. ______ _ _ __ ____ BUILDING EXTERIOR 11. (N) 3/4" EMT CONDUIT FROM EXTERIOR 15. ALL CONDUITS SHALL EMPLOY ° + - EL€Cfil�icAL ROOM INTERNET LINE. GROUNDING BUSHINGS AND EGC IN Q ° E LOADS < 4 (E) SUBPANEL 4- GARAGE 12. (N) 3/4" EMT CONDUIT FOR CT CONDUIT SHALL TERMINATE THROUGH 6 - Ac-02 CONNECTIONS. GROUNDING BUSHING. w ° 14 13. (N) 3/4 EMT CONDUIT FOR POWER 16. NOT USED. I SUPPLY. 17. NOT USED. ;---------------------------------------------r 14. PREASSEMBLED METERING 18. NOT USED. cr) CONFIGURATION IN 2011X20"X10" 19. (N) PV SOURCE CIRCUIT. CONDUCTORS NEMA-12 ENCLOSURE. SHALL BE RED (+) and BLACK (-). n 1 15. 120V CONVENIENCE OUTLET. 20. (N) PV MODULE LISTED TO UL 1703. 20A 21. ALL CIRCUITS ARE ADEQUATELY SIZED Q 2P O FOR TEMPERATURE AND CONDUIT FILLCD E LOADS DERATE SO THAT ANY (2) OR (3) (J� I ; ° CIRCUITS CAN BE ROUTED TOGETHER IN L� LJJ (1) CONDUIT PROVIDED THE CONDUIT IS z w ° 5 ------ ---------------------------- ------- Lj o � C 5 UP-SIZED TO ACCOMMODATE. THE EGC ' SHALL BE SIZED FOR THE LARGEST m m F- ° ° _ _______ _ _ __ _ ______ _ ____ _ _ ___ _ GARAGE 13 8 SINGLE OVERCURRENTDEVICE Q Q co Q -09 • PROTECTING CONDUCTORS IN THE CD CDz :2RACEWAY PER ART 250.122(C). U cif U Q - 15A b 30A EXPANSION JOINTS TO BE USED ON � � - - - 1P 2P _ _ _ tp v22 ^INVERTER AC OVER/UNDER-VOLTAGE Q Q CD N CONDUTTRUNS OVER 75 � � � � � 5 �-- 7 TRIP SETTINGS PER NATIONAL GRID IZ Ln n- f` U cD y 15A 15A SPECIFICATION ESB-756. l 2P C 2P VOLTAGE AND FREQUENCY TRIP LINES AND TIMES � µ OF _ _ _ _ _ ________ ___ _ __ ELECTRICAL ROOM ROOF THE DEFAULT TRIP LIMITS AND TIMES EMET UL 1741 ANTI-ISLAND REQUIREMENTS.VOLTAGE y ----- o MATTHEW W. G 4 (N) 60A, 3P AC TRIP LIMIT FIELD ADJUSTMENT RANGE AS A PERCENTAGE OF NOMINAL:88%TO 110%(THE T I LE ma 4 UTILITY, LOCKABLE LC-01 ACCURACY LIMIT OF TIME MEASUREMENT IS:50 MS) ELECTRICAL co ° DISCONNECT w/VISIBLE VAC CONFIGURATIONS No. 51073 ° BREAK EXTERIOR WALL 7 7 FACTORY FIELD FIELD SETTING ��O,cF�OfSTER�G��4.�� SETTING ADJUSTABLE TRIP TIME FIELD ADJUSTABLE TRIP SS/ONALEN CONDITIONS (VAC) RANGE(VAC) (SECONDS) TIME RANGE(SECOND) N - - VOLTAGE PHASE Digitally Signed by - 3 HIGH 264 183.0 TO 229.0 1 0.000 to 999.999 VOLTAGE PHASE Matthew`W ey LOW 211 183.0 TO 229.0 2 0.000 to 999.999 c -_ VOLTAGE PHASE E FAST HIGH 264 183.0 TO 229.0 0.16 0.000 to 999.999 Date: 201 8.1 1 .09 ° ° STR-01 VOLTAGE PHASE 3:38:27 -07'00' 3 ❑❑ FAST LOW 138 183.OT0229.0 0.16 o.000to999.999 CONTRACTOR VERIFICATIONS 3 ❑❑ ❑❑ FREQUENCY TRIP LI MITS AND TIMES REVISIONS ° 1 ❑❑ �, ❑❑ FACTORY FIELD FIELD SETTING SETTING ADJUSTABLE TRIPTIME FIELD ADJUSTABLE TRIP 1. ELECTRICAL CONTRACTOR TO BY DATE COMMENTS XX CONDITIONS (HZ) RANGE(HZ) (SECONDS) TIME RANGE(SECOND) LEGEND VERIFY CONDUCTOR SIZING TO x A- A- ALLOW FOR No MORE THAN 3% LINE FREQUENCY LOW 59.3 57.0 TO 63.0 0.2 0.000 to 999.999 CURRENT TRANSFORMER VOLTAGE DROP: LINE FREQUENCY (DOT INDICATES DIRECTION) DATE: - LOW 60.5 57.0 TO 63.0 0.2 0.000 to 999.999 REQUIRED BY NATIONAL GRID:THE INVERTER UNDERFREQUENCY SETTINGSARE REQUIRED TO O METER 2. ELECTRICAL CONTRACTOR HAS BE SET AT 57 Hz ATO.16 SECONDS AND 58 Hz AT 32 SECONDS j COMPLETED FIELD VERIFICATION (t CIRCUIT BREAKER OF ALL CONDUCTOR SIZING PER j + N EC2017 ° \ SWITCH DATE: 2 2 INVERTER OUTPUT CONDUCTORS SIZED FOR Icont*1.25• DC CONDUCTORS SIZED FOR Icont*1.25 AC CIRCUIT SCHEDULE (*=Same Wire) Ht AC R JOB DETAILS #Phase Conductors Phase Neutral Conductor Min, Circuit Max. Circuit ° FUSE 3. ELECTRICAL CONTRACTOR HAS Immia MA ° Circuit# Icont per conductor Vmp Temp Derate Conduit Fill Derate Conductor Metal #of Conduits per Conduit Conductor Size Size EGC Size GEC Length Length /oV Drop Wire Insul. Min EMT Size (in) READ AND FULLY UNDERSTANDS ❑❑ THE PROPER INSTALLATION AND (17) LG300N1K-G4 30OW ❑❑ PV MODULE OPERATION MANUALS TRINA SOLAR STR-01 12.13 32.5 NA NA NA NA NA NA NA NA AWG 06 NA NA NA NA NA DATE: MOUNTING SYSTEM N INVERTER IN�ERTIR - ENPHASE o = 17 ENPHASE IQ6+240V LC-01 10.8 240 VAC 1 1 - 2 CABLE AWG 08 - - 20 <0.5/o THWN-21THHN-2 1 MWB DC COMBINER CHECKED BY.' Ss GENERAL NOTES AC-02 20.5 240 VAC 1 1 CU 1 2 AWG 10 AWG 10 AWG 08 - - 10 <0.09% THWN-2/THHN-2 1 ss MARKET; PROJECT MANAGER: AC-01 20.5 240 VAC 1 1 CU 1 2 AWG 10 AWG 10 AWG 08 10 <0.09% THWN-2ITHHN-2 1 + BATTERY STORAGE 1. ALL ELECTRICAL WORK SHALL COMPLY Dix KS PAYMENT TYPE: 11-08-18 1 WITH THE 2017 NATIONAL ELECTRIC * 1 SHEET NAME: CODE (NEC) AND CURRENT REVISION OF LINE DIAGRAM ° G GENERATOR THE INTERNATIONAL BUILDING CODE Nu ° (IBC). SE-0 2 6 3 5-01 ffr-rn TRANSFORMER f SHEET: REV: PV E1 0.0 : e°m -rives per° ions Projects er ey Kesiaence - �orage_ esrgn - - _ � _ , wg K _ H _ I _ G _ I - F - I - E - � - D - I - C - I - B J I �. REVISIONS NO. DATE DESCRIPTION BY ERKEY RESIDENCE HASE 2 501 kW DC ROOF MOUNTED PROPOSED ROOF MOUNTED SOLAR DESIGN ISSUED FOR MODULE COUNT: 17 MODULES PERMIT SOLAR ARRAY MODULE MODEL: LG30ON 1 K—G4 MODULE WATTAGE: 300 W SYSTEM AS DESIGNED: 5. 1 kW DC / 4.93 kW AC MOUNTING SYSTEM: SNAPNRACK r LO ARRAY TILT: 340 +/_ w L �. AZIMUTH: 1650 ± U=31 00 �. o Lo INVERTERS. (17) ENPHASE IQ6PLUS-72 °' a) Fm u. SYSTEM VOLTAGE: 2P 240Y/120V o CE 0`. SERVICE VOLTAGE: 2P, 240Y/120V � - (� -0 m .. k Mp r ` ty ,e3 r ib 1t:� IC o r �a � D ° o _ DRAWING LIST , PVT: PHOTOVOLTAIC TITLE SHEET a "f PVGN : GENERAL NOTES � � � � PV1 : SITE PLAN , ARRAY SPECIFICATIONS AND PROPOSED ROOF r . R r d' T i3 +4�t .� _- !u" /o- oo , M I I I LLJ... - Y Ank .: Q R ' y. ��Iy■fir Q n YI II 'Y#Feau ' t AP_ a Makeup Artist v CL r � Lij .. �� LL W Z LO W W t CQtuat Fresh Market LLJ � : t O c� cv k , . , v/ W 4 4. -� Coturt Mosquito � U) 759 Main Street Yacht Club 0/1 / r �LIJ > � ) C � Z .. O LL W O � cy 0ootildg W Ln { Cn m U e , i -w , SCALE ���etSO, AS NOTED DATE IL Coluit Fire District 12/10/2018 + DRAWN DS CHECKED PROPOSED ROOF LOCUS MAP SHEET 759 MAIN STREET COTUIT , MA 02635 PVT REVISIONS BERKEY RESIDENCE - PHASE 2 SITE PLAN , ARRAY SPECIFICATIONS AND PROPOSED ROOF 5. 1 kW DC / 4.93 kW AC SCALE: NTS NO. DATE DESCRIPTION BY MODULE COUNT 13 MODULE MODEL LG30ON1K-G4 MODULE WATTAGE 300 ARRAY ARRAY SIZE DC(kW) 3.9 ARRAY SIZE AC(kW) 3.77 ZONE - 1 MOUNTING SYSTEM SNAPNRACK ARRAY TILT 34°± ISSUED FOR AZIMUTH 165° ± INVERTERS (13) ENPHASE IQ6PLUS-72 PERMIT MODULE COUNT 4 r- MODULE MODEL LG300N1K-G4 MODULE WATTAGE 300 �. ., ARRAY ARRAY SIZE DC(kW) 1.2 I ARRAY SIZE AC(kW) 1.16 w ZONE - 2 MOUNTING SYSTEM SNAP NRACK ' t ARRAY TILT 34° Lo K AZIMUTH 165° ± W cy) :, N INVERTERS (4) ENPHASE IQ6PLUS-72 Lo x , s, a cn M;. m _ � � . a)- _ NOTES _ -- V)/E� cn 00 01. LAYOUT SHOULD ACCOMMODATE ACCESS TO SERVICEABLE ROOFTOP EQUIPMENT. .�J 2. MAINTAIN S-0" MIN. WORKING SPACE AROUND ROOFTOP UNITS. o �° o " MAIN ELECTRICAL 3. MAINTAIN 4'-0" MIN. ACCESS AROUND SKYLIGHTS. cn <C Iw£ ROOM 4-j C - 4. MAINTAIN 4'-0" MIN. SETBACK FROM ROOF EDGE FOR FLAT ROOFS UNDER 250'-0" & 6'-0" MIN. -0 4: FOR FLAT ROOFS OVER 250' o 5. MAINTAIN - IN. SETBACK FROM ROOF RIDGE AND RAKE FOR PITCHED ROOFS. O _ 6. ARRAY ZONES SHALL CONTAIN A WHOLE NUMBER QUANTITY OF MODULE STRINGS. 0000 Q � ° p • + 7. LOCATIONS OF ROOFTOP EQUIPMENT, INCLUDING ROOFTOP DRAINS SHALL BE VERIFIED IN = FIELD PRIOR TO CONSTRUCTION. � 8. DIMENSIONS SHOWN ARE TO MODULE FRAME. 9. LAYOUT IS SUBJECT TO CHANGE PENDING CHOICE OF PV MODULE, MOUNTING SYSTEM, LOCATION OF ROOFTOP EQUIPMENT, AND FINAL WIRING/COMBINER BOX LAYOUT. 10. DIMENSIONS SHOWN ARE FROM ROOF EDGE. 'CONSTRUCTION DOCS NOTES RI N 3 V NOT USED REVENUE GRADE PRODUCTION METER FOR PV LOCATED IN COMBINER PANEL IN GARAGE uj RP t \ Q w POINT OF _. ONE INTERCONNECTION N99N Z Z EXTERIOR UTILITY FUSED & LOCKABLE DISCONNECT SWITCH ACCESSIBLE AT ZO O ALL TIMES BY UTILITY LOCATED ON EXTERIOR WALL P CU OLE MOUNTED TRANSFORMER LL w Z Lo O � wwcle) 0U) pwN � >- � � o p U) w U) Q w > 0 U) D- >- Z .. O io� uj 0- Q O —j 0� �— ar- O wLr, 0 0- U) 00 r- U SCALE AS NOTED DATE 12/10/2018 DRAWN IDS Imo^ CHECKED SHEET REVISIONS BERKEY RESIDENCE - PHASE 2 - GENERAL NOTES 5. 1 kW DC i 4.93 kW AC NO. DATE DESCRIPTION BY PROCEDURAL NOTES: 4. BENDS SHALL NOT DAMAGE THE RACEWAY OR SIGNIFICANTLY CHANGE THE INTERNAL DIAMETER OF RACEWAYS (NO KINKS). 1. MEANS SHALL BE PROVIDED TO DISCONNECT ALL CURRENT CARRYING CONDUCTORS OF THE PHOTOVOLTAIC POWER SOURCE 1. PRIOR TO COMMENCEMENT OF ANY WORK THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF RECORD OF ANY 5. SUPPORT CONDUCTORS IN VERTICAL CONDUITS IN ACCORDANCE WITH REQUIREMENTS OF THENEC. FROM ALL OTHER CONDUCTORS IN THE BUILDING. DISCREPANCIES NOTED TO EXISTING CONDITIONS, STRUCTURE, ELECTRICAL RUNS (SPECIFY EXISTING ITEMS), WALLS, 6. INSTALL ALL WIRING MATERIALS IN A NEAT WORKMANLIKE MANNER, USE GOOD TRADE PRACTICES AS REQUIRED BY THE 2. THE GROUNDED CONDUCTOR MAY HAVE A BOLTED OR TERMINAL DISCONNECTING MEANS TO ALLOW MAINTENANCE OR PARAPETS, FLASHINGS, ETC. AMONG SITE CONDITIONS, MANUFACTURER RECOMMENDATIONS OR CODES, REGULATIONS OR NEC.ALL EXPOSED CABLES, SUCH AS MODULE LEADS, TO BE SECURED WITH UV RATED MECHANICAL OR OTHER APPROVED TROUBLE SHOOTING BY QUALIFIED PERSONNEL. RULES OF JURISDICTIONS HAVING AUTHORITY. MEANS WITH A 25 YEAR LIFE. 3. THE DISCONNECTING MEANS SHALL BE REQUIRED TO BE SUITABLE AS SERVICE EQUIPMENT FOR STANDALONE SYSTEMS, AND 2. ALL DIMENSIONS OF EXISTING CONDITIONS MUST BE VERIFIED PRIOR TO COMMENCING WORK. 7. INSTALL CONDUIT TO MAINTAIN PROPER CLEARANCES AND IN A NEAT, INCONSPICUOUS MANNER, RUN PARALLEL AND AT LINE SIDE TAPS AND SHALL BE RATED IN ACCORDANCE WITH NEC. 3. CONTRACTOR INITIATED CHANGES SHALL BE SUBMITTED TO THE PROJECT MANAGER OF RECORD VIA AN RFI FOR APPROVAL RIGHT ANGLES TO STRUCTURAL MEMBERS OR OTHER CONDUITS. PROVIDE BOXES, FITTINGS, AND BENDS FOR CHANGES IN 4. EQUIPMENT SUCH AS PHOTOVOLTAIC SOURCE CIRCUITS, OVERCURRENT DEVICES,AND BLOCKING DIODES SHALL BE PRIOR TO MAKING ANY CHANGES. DIRECTION. FASTEN CONDUIT SECURELY IN PLACE. SUPPORT CONDUIT USING STEEL PIPE STRAPS OAE, LAY-IN ADJUSTABLE PERMITTED ON THE DC PHOTOVOLTAIC SIDE OF THE PHOTOVOLTAIC DISCONNECTING MEANS. 4. APPROVED CHANGES SHALL REQUIRE A DRAWING REVISION TO MAINTAIN CONTROL OVER THE ENGINEER APPROVED DESIGN. HANGERS, CLEVIS HANGERS OR SPLIT-HANGERS. HANGER SPACING SHALL BE INSTALLED PER NEC REQUIREMENTS FOR THE 5. AS REQUIRED BY THE NEC,ALL D.C. COMBINER BOXES SHALL BE EQUIPPED WITH DC CONTACTORS PERMITTING REMOTE DEVIATION FROM THESE PLANS PRIOR TO ENGINEER APPROVAL PLACES ALL LIABILITY ON THE CONTRACTOR. TYPE OF CONDUIT BEING INSTALLED. USE APPROVED BEAM CLAMPS FOR CONNECTION TO STRUCTURAL MEMBERS. SHUTDOWN OF THE COMBINER BOX FROM THE GROUND LEVEL. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ISSUED F O R 8. PROVIDE PULL,JUNCTION OR CHRISTY BOXES WHERE REQUIRED TO FACILITATE THE INSTALLATION OF WIRING IN ADDITION INSTALLATION OF ALL EQUIPMENT RELATED TO THE CONTACTORS. GENERAL NOTES: TO THOSE SHOWN ON THE DRAWINGS. BENDS IN THE CONDUITS BETWEEN PULL BOXES SHALL NOT EXCEED THE PERMIT 1. STRUCTURAL AND GEOTECHNICAL FIELD CONDITIONS ARE TO BE DETERMINED BY OTHERS, AND PLANS ARE TO BE MODIFIED EQUIVALENT OF FOUR 90 DEGREE BENDS PER NEC. DISCONNECTION OF PHOTOVOLTAIC EQUIPMENT: AS NEEDEDIIF APPROPRIATE.DEFICIENCIES SHOULD BE NOTED AND CORRECTED PRIOR TO THE START OF CONSTRUCTION. 9. WHEN FIELD CUTTING IS REQUIRED, THE CONDUIT SHALL BE CUT SQUARE AND DEBURRED. 1. MEANS SHALL BE PROVIDED TO DISCONNECT EQUIPMENT SUCH AS INVERTERS,AND THE LIKE FROM ALL UNGROUNDED 2. THE ELECTRICAL CONTRACTOR IS RESPONSIBLE FOR INSTALLING ALL EQUIPMENT AND FOLLOWING ALL MANUFACTURER'S 10. CONDUIT SIZES NOT SPECIFIED SHOULD CONFORM TO NEC SPECIFICATIONS TO INCLUDE FILL FACTOR AND DERATING FOR CONDUCTORS OF ALL SOURCES. IF THE EQUIPMENT IS ENERGIZED FROM MORE THAN ONE SOURCE, THE DISCONNECTING AND/OR ENGINEER'S DIRECTIONS AND INSTRUCTIONS SHOWN ON CONSTRUCTION DOCUMENTS. NUMBER OF CONDUCTORS WITH A MINIMUM CONDUIT SIZE BEING 3/4". MEANS SHALL BE GROUPED AND IDENTIFIED. 3. THE ELECTRICAL CONTRACTOR IS ADVISED THAT ALL DRAWINGS, COMPONENT MANUALS, ESPECIALLY THE INVERTER 11. CONFORMANCE WITH NFPA 70E AND OTHER SAFETY REGULATIONS (LOCK OUT-TAG OUT OSHA, ETC.) IS THE FULL 2. DISCONNECTING MEANS SHALL BE PROVIDED TO DISCONNECT A FUSE FROM ALL SOURCES OF SUPPLY IF THE FUSE IS MANUALS,ARE TO BE READ AND UNDERSTOOD PRIOR TO INSTALLATION OR ENERGIZING OF ANY EQUIPMENT. RESPONSIBILITY OF THE CONTRACTOR DURING CONSTRUCTION. ENERGIZED FROM BOTH DIRECTIONS AND IS ACCESSIBLE TO OTHER THAN QUALIFIED PERSONNEL. SUCH A FUSE IN A CLARIFICATIONS SHALL BE DONE WITH AN RFI 12, THE WIRING SIZE IS BASED ON THE ESTIMATED CONDUIT ROUTING AS SHOWN IN THIS DRAWING PACKAGE. SHOULD THE PHOTOVOLTAIC SOURCE CIRCUIT SHALL BE CAPABLE OF BEING DISCONNECTED INDEPENDENTLY OF FUSES IN OTHER 4. THE CONTRACTOR IS DIRECTED TO HAVE ALL COMPONENTS&SWITCHES IN THE OFF(OPEN)POSITION AND FUSES REMOVED CONDUIT'S LENGTH INCREASE DUE TO RELOCATION OF SOURCE AND/OR ROUTING, THE CONDUITS AND THE CONDUCTORS PHOTOVOLTAIC SOURCE CIRCUITS. PRIOR TO INSTALLATION OF FUSE-BEARING EQUIPMENT. MAY NEED TO BE RESIZED. PLEASE CONTACT THE ENGINEER VIA RFI PRIOR TO MAKING ANY FIELD CHANGES BEYOND 40' 3. ALL DISCONNECTS AND COMBINERS SHALL BE SECURED FROM UNAUTHORIZED AND UNQUALIFIED PERSONNEL BY EITHER 5. THIS PHOTOVOLTAIC SYSTEM IS TO BE INSTALLED FOLLOWING THE CONVENTIONS OF THE LATEST ADOPTED VERSION OF THE DIFFERENCE FROM DESIGN DRAWINGS.. LOCK OR LOCATION. NATIONAL ELECTRIC CODE, MASSACHUSETTS ELECTRICAL CODE AND ANY LOCAL CODE WHICH MAY SUPERCEDE THE NEC 13. ALL WIRING IN CONDUIT SHALL BE THWN-2 FOR 90 C APPLICATIONS. USE PV 1 K2K INSULATED#6 GREEN WIRE FOR GROUND SHALL GOVERN. FOR ALL EXTERNAL GROUNDING. USE-2 OR APPROVED EQUIVALENT SHALL BE USED FOR ALL EXPOSED OR PV JUMPER MARKINGS: r 6. ALL COMPONENTS TO BE INSTALLED WITH THIS SYSTEM ARE TO BE UL LISTED OR LISTED BY A THIRD-PARTY TESTING HOMERUN WIRING. 1. ALL INTERACTIVE SYSTEM POINTS OF INTERCONNECTION WITH OTHER SOURCES SHALL BE MARKED AT AN ACCESSIBLE r' AGENCY (CARPORTS ETC.). EQUIPMENT SHALL BE NEMA 3R OUTDOOR RATED OR BETTER, UNLESS LOCATED INDOORS OR 14. ALL CONDUITS SHALL BE FREE OF ANY OBSTRUCTIONS AND PROPERLY SECURED BEFORE WIRE IS PULLED. LOCATION AT THE DISCONNECTION MEANS. Uj W M OTHERWISE DIRECTED ON THE DESIGN DRAWINGS. 15. ELECTRICAL CONTRACTOR TO PROVIDE SIGNAGE TO ALL ELECTRICAL BOXES, JUNCTION BOXES, PULL BOXES, DC 2. A PERMANENT PLAQUE OR DIRECTORY SHALL BE PROVIDED IDENTIFYING THE LOCATION OF THE SERVICE DISCONNECTION U) ap 7. DC VOLTAGE FROM THE ARRAY IS ALWAYS PRESENT AT THE DC DISCONNECT ENCLOSURE AND THE DC TERMINALS OF THE DISCONNECTS, CONDUIT RUNS,AC DISCONNECTS, SUB PANELS AND MAIN SERVICES PER NEC ARTICLE 690. MEANS AND PHOTOVOLTAIC SYSTEM DISCONNECTION MEANS, _ 0.) INVERTER DURING DAYLIGHT HOURS.ALL PERSONS WORKING ON OR INVOLVED WITH THIS PHOTOVOLTAIC SYSTEM MUST BE 16. MEGGER TESTING: MEGGER(INSULATION)TEST ALL CONDUCTORS AT 600V/1000V TO 250 MEGOHMS MINIMUM BETWEEN THE 3. PHOTOVOLTAIC MODULES SHALL BE MARKED TO IDENTIFY LEAD POLARITY, DEVICE RATINGS,AND SPECIFICATIONS FOR U? Lo AWARE OF VOLTAGE HAZARDS WHILE SOLAR DISCONNECTS ARE IN THE OFF (OPEN) POSITION.ALL DISCONNECT SWITCHES CONDUCTOR UNDER TEST AND GROUND WIRE. CONDUCT TEST AFTER WIRE IS PULLED THROUGH THE CONDUIT BUT BEFORE VOLTAGES, CURRENTS,AND POWER. p ARE TO BE LABELED TO COMPLY WITH ARTICLE 690.17 OF THE NEC REFLECTING THE HAZARDS PRESENT. TERMINATING TO THE MODULES, COMBINERS, DISCONNECTS OR INVERTERS. DO NOT MEGGER TEST THE MODULES AS THAT 4. ARC FLASH WARNINGS SHALL BE PROVIDED PER NEC AND NFPA 70E a) Lo 8. ALL PORTIONS OF THIS SOLAR ELECTRIC SYSTEM SHALL BE CLEARLY LABELED/MARKED IN ACCORDANCE WITH THE MAY DAMAGE THE DEVICE. 5. ALL DISCONNECTS OR"SOURCES"TO BE LABELED APPROPRIATELY PER NEC. cz NATIONAL ELECTRIC CODE ARTICLE 690. 17. ALL FASTENERS SHALL BE STAINLESS STEEL, UNLESS OTHERWISE NOTED ON DESIGN DRAWINGS 6. ALL OCPDs TO HAVE APPROPRIATE AMPACITY AND VOLTAGE RATINGS AS SHOWN ON DESIGN DRAWINGS. ' 9. THE ELECTRICAL CONTRACTOR SHALL PERFORM INITIAL HARDWARE CHECKS AND PV WIRING CONDUCTIVITY CHECKS PRIOR 18. CIRCUIT NUMBERS ARE DIAGRAMMATIC. THE EXACT NUMBERS SHALL BE DETERMINED IN THE FIELD AND REFLECTED ON (D E TO TERMINATING ANY WIRES.ALL AC AND DC WIRE RUNS SHALL BE MEGGER TESTED AT 600V/1000V D.C. TO DEMONSTRATE A AS-BUILT DOCUMENTATION BY THE ELECTRICAL CONTRACTOR.THE ASSOCIATED CIRCUIT NUMBERS THAT ARE APPLIED TO GENERAL NOTES FOR GRID TIE PHOTOVOLTAIC INVERTERS: ■�a {� � ti E MINIMUM OF 250 MEGAOHMS RESISTANCE TO GROUND. EACH DEVICE AND PIECE OF EQUIPMENT INFERS INTERCONNECTING BRANCH CIRCUITRY. INTERCONNECTING BRANCH 1. SYSTEM GROUNDING MEANS: INVERTERS SHALL BE INSTALLED AS PART OF A PERMANENTLY GROUNDED ELECTRICAL SYSTEM j 10. DO NOT MEGGER THE SOLAR MODULES,AS THIS WILL LIKELY DAMAGE THEIR INTERNAL DIODES. MEGGERING IS INTENDED WIRING SHALL BE SIZED EQUAL TO THE HOME RUN UNLESS NOTED OTHERWISE ON DESIGN DRAWINGS. PER THE NEC. Q FOR ALL CONDUCTORS INSTALLED BY THE ELECTRICAL CONTRACTOR WHILE UNTERMINATED.. RESTRICT MEGGER TO THE 19. VOLTAGE DROP HAS BEEN CONSIDERED UP TO 60'NOMINAL IN THE DESIGN OF ALL BRANCH CIRCUITRY AND FEEDER SIZES 2. CONDUITS AND CONDUCTORS: ALL INTERCONNECT WIRING AND POWER CONDUCTORS INTERFACING SHALL BE IN A , NOMINAL VOLTAGE RATING OF THE INVERTER. BASED UPON THE ILLUSTRATED EQUIPMENT LAYOUTS AND SHORTEST CONDUCTOR/RACEWAY ROUTING.THE ELECTRICAL ACCORDANCE WITH THE NEC AND ANY APPLICABLE LOCAL CODES. LARGE GAUGE WIRE MUST CONFORM TO THE MINIMUM '- 11. FOR PROPER MAINTENANCE AND ISOLATION OF INVERTERS, REFER TO ISOLATION PROCEDURE IN INVERTER OPERATION CONTRACTOR SHALL BE RESPONSIBLE FOR DEVIATIONS TAKEN THAT WILL INCREASE CONDUCTOR/RACEWAY ROUTING -BEND RADIUS SPECIFIED IN THE NEC. KEEP ALL WIRE WIRE BUNDLES AWAY FROM ANY SHARP EDGES TO AVOID DAMAGE TO cz �' MANUAL. CONDUCTORS INSTALLED BY THE ELECTRICAL CONTRACTOR. RESTRICT MEGGER TO 600V/1000V AS APPROPRIATE LENGTHS BEYOND 40' OF INCREASED LENGTH.. BRANCH CIRCUITS LONGER THAN 75' SHALL BE INSTALLED WITH EXPANSION WIRE INSULATION.ALL CONDUCTORS SHOULD BE RATED FOR 90 DEGREE C MINIMUM. FOR OUTDOOR INSTALLATIONS,ALL _ C BASED ON INVERTER SPEC. FITTINGS FOR ANY CONDUIT TYPE USED. INTERCONNECT CONDUITS AND FITTINGS MUST BE A NEMA-4 RATED AS REQUIRED BY THE NEC. FOR WIRE GAUGE, BOLT SIZE 0 Y 12. THIS PHOTOVOLTAIC'S SYSTEM UTILITY INTERCONNECTION POINT SHALL MEET THE SPECIFIC REQUIREMENTS OF ARTICLE 20. NOT USED AND TORQUE VALUES, CONSULT THE INVERTER INSTALLATION MANUAL. 00 CL 690 AND 705, NATIONAL ELECTRIC CODE. PLEASE FOLLOW THE SPECIFIC INSTRUCTIONS IN THIS DRAWING SET TO MEET THIS 21. NEW CIRCUIT BREAKERS ADDED TO EXISTING PANELS SHALL MATCH EXISTING FRAME AND AIC RATING. 3. INVERTER ENCLOSURE: INVERTERS SHALL BE INDOOR/OUTDOOR RATED, IEC GRADE, NEMA 3R,ALUMINUM CONSTRUCTION 0 CODE REQUIREMENT. 22. SWITCHBOARDS, PANELBOARDS, METER SOCKET ENCLOSURES AND MOTOR CONTROL CENTERS SHALL BE FIELD MARKED TO WITH POWDER COATING. ALL SURFACES ARE TREATED WITH A ZINC RICH PRIMER AND THEN POWDER COATED TO INHIBIT = 13. THE GROUNDING OF THE PHOTOVOLTAIC SYSTEM SHALL COMPLY WITH NEC 690 AS PER THE DESIGN DRAWINGS... ANY WARN QUALIFIED PERSONS OF POTENTIAL ELECTRIC ARC FLASH HAZARDS. THE MARKING SHALL BE LOCATED TO BE CORROSION. �� CHANGES NEED TO BE COMMUNICATED TO THE ENGINEER OF RECORD VIA RFI, REVIEWED AND DEEMED ACCEPTABLE BY THE CLEARLY VISIBLE TO QUALIFIED PERSONS BEFORE EXAMINATION,ADJUSTMENT, SERVICING,OR MAINTENANCE OF THE 4. OPERATOR INTERFACE CONTROLS: OPERATOR INTERFACE CONTROLS SHALL BE LOCATED ON THE FRONT OF THE MAIN ' ENGINEER,MANUFACTURER,AND LISTING AGENCY FOR PRODUCT SAFETY. EQUIPMENT. INVERTER ENCLOSURE, CONSULT THE OPERATIONS AND MAINTENANCE MANUAL FOR INSTRUCTIONS AND CODE Fs<11 14, THE ELECTRICAL CONTRACTOR IS NOT TO START OR COMMISSION THE PV OR INVERTER SYSTEM AT ANY TIME, UNLESS REFERENCES. NOTIFIED OTHERWISE IN WRITING.. MODULE INSTALLATION NOTES: 5. THE INVERTERS SHALL AUTOMATICALLY SHUT DOWN WHEN THE LOSS OF GRID POWER IS DETECTED. 15. THE CONTRACTOR IS RESPONSIBLE FOR MOUNTING ALL EQUIPMENT PER THE DESIGN DRAWINGS OR MANUFACTURER'S 1. REFER TO THE MODULE MANUAL FOR MORE SPECIFIC DETAILS ON RIGGING, UNPACKING,HANDLING, PLANNING, 6. PV PROTECTION DEVICE: THE INVERTER SHALL BE EQUIPPED WITH UL1741 APPROVED GROUND FAULT DETECTION SPECIFICATIONS. IF SPECIFICATIONS ARE NOT APPARENT,THE CONTRACTOR SHALL COMMUNICATE WITH THE PROJECT INSTALLATION,AND TORQUE SPECIFICATION. INTERRUPTER"GFDI"AND ARC FLASH DETECTION INTERRUPTER"AFDI" MANAGER OF RECORD OR ENGINEER OF RECORD VIA RFI PRIOR TO CONTINUING WORK.. 2. THE MODULES MAY BE SHIPPED WITH SEVERAL MODULES PER BOX. TAKE CARE WHEN OPENING THE BOX TO ENSURE THAT 7. EQUIPMENT GROUNDING CONDUCTORS SHALL BE SIZED PER NEC TABLE 250.122 . 16. ANY METAL SHAVINGS RESULTING FROM SITE WORK SHALL BE CLEANED FROM ENCLOSURE INTERIORS, TOP SURFACES OF ALL MODULES ARE SECURELY HANDLED. ENCLOSURES, ROOF SURFACE, GROUND SURFACE AND ANY ADDITIONAL AREAS WHERE OXIDIZED OR CONDUCTIVE METAL 3. NEVER LEAVE A MODULE UNSUPPORTED OR UNSECURED. CONTRACTOR IS RESPONSIBLE FOR ALL MATERIAL HANDLING ON SHAVINGS MAY CAUSE RUST, ELECTRICAL SHORT CIRCUITS, OR OTHER DAMAGE. THE JOB SITE. 17. ALL EQUIPMENT SHALL BE INSTALLED IN A NEAT AND WORKMANLIKE MANNER, SQUARETO TO BUILDING OR STRUCTURE. 4. DAMAGED MODULES SHALL BE REPLACED PROMPTLY AND CONTRACTOR SHALL MAINTAIN INVENTORY OF SPARE MODULES 18. ALL COMPONENTS SHOWN ON THE RISER DIAGRAM, BUT NOT ON THE PLAN (OR VICE VERSA), SHALL BE INCLUDED AS IF ANTICIPATING BREAKAGE DURING INSTALLATION AND ARRAY START UP. SHOWN ON BOTH. NOTABLE OMISSIONS SHALL BE COMMUNICATED VIA RFI. 19. CONTRACTOR SHALL REVIEW TRADES' CONTRACT DOCUMENTS TO DETERMINE SPECIFIC MOUNTING LOCATIONS FOR ELECTRICAL NOTES FOR NEW PHOTOVOLTAIC SYSTEM: ELECTRICAL EQUIPMENT AND COORDINATE EXACT MOUNTING LOCATIONS WITH THE PROJECT MANAGER OF RECORD 1. THIS PHOTOVOLTAIC POWER PRODUCTION SYSTEM IS INTENDED TO OPERATE IN PARALLEL WITH THE UTILITY SERVICE 20. THE CONTRACTOR SHALL REVIEW THE ARCHITECTURAL AND MECHANICAL DRAWINGS AND COORDINATE THE ELECTRICAL PROVIDER. WORK WITH THE OTHER CONTRACTORS. SHOULD CONFLICTS, DISCREPANCIES OR DEFICIENCIES ARISE WHICH REQUIRE 2. THE PHOTOVOLTAIC SOURCE CIRCUITS AND PHOTOVOLTAIC OUTPUT CIRCUITS OF THIS PROPOSED SOLAR SYSTEM SHALL NOT CHANGES IN THE DOCUMENTS, IMMEDIATELY NOTIFY THE ENGINEER OF RECORD VIA RFI.. OBTAIN WRITTEN DIRECTION BE CONTAINED IN THE SAME RACEWAY CABLE TRAY, CABLE OUTLET BOX, JUNCTION BOX OR SIMILAR FITTING AS FEEDERS N ON NECESSARY ADJUSTMENTS BEFORE THE INSTALLATION IS MODIFIED FROM ORIGINAL DESIGN DRAWINGS.. OR BRANCH CIRCUITS OF OTHER SYSTEMS UNLESS A PARTITION OR SEPARATES THE CONDUCTORS OF THE DIFFERENT 21. THE DRAWINGS INDICATE THE GENERAL ARRANGEMENT OF NEW CIRCUITS, LOCATIONS OF OUTLETS,AND THE SYSTEMS ARE CONNECTED. Q ui INTERCONNECTION. THE CONTRACTOR MAY MODIFY THE RACEWAY ARRANGEMENT TO ACCOMMODATE FIELD CONDITIONS. 3. THE CONNECTION TO THE MODULE OR PANEL OF THIS PROPOSED SOLAR ELECTRIC SYSTEM SHALL BE SO ARRANGED THAT v, CONDUIT RUNS THAT EXTEND 40' BEYOND THOSE ESTIMATES SHOWN ON DRAWINGS SHALL BE CLARIFIED WITH SOLECT VIA REMOVAL OF A MODULE OR A PANEL FROM THE PHOTOVOLTAIC SOURCE CIRCUIT DOES NOT INTERRUPT A GROUNDED W RFI. CONDUCTOR TO ANOTHER PHOTOVOLTAIC SOURCE CIRCUIT.. Q 22. ALL ELECTRICAL WORK SHALL BE ACCURATELY RECORDED BY THE CONTRACTOR TO BE INCORPORATED IN TO A RECORD SET 4. THE INVERTER FOR THE PROPOSED SOLAR ELECTRIC SYSTEM SHALL BE IDENTIFIED FOR USE IN PHOTOVOLTAIC SYSTEMS. Z mr OF AS-BUILT DRAWINGS ISSUED UPON COMPLETION OF INSTALLATION PRIOR TO START UP. ALL EQUIPMENT SHALL BE UL APPROVED PER UL 1741. 23. PROVIDE COMPLETE,ACCURATE,AND TYPED PANELBOARD CIRCUIT DIRECTORIES AT THE COMPLETION OF WORK FOR ALL 5. THIS SYSTEM IS INTENDED TO CONNECT TO THE EXISTING FACILITY POWER SYSTEM AT ONE POINT. THIS CONNECTION SHALL PANELS IN THIS PROJECT. BE IN COMPLIANCE WITH THE NEC. O 24. LAYOUT ALL WORK IN ADVANCE,WHERE CUTTING, CHANNELING, CHASING, OR DRILLING OF FLOORS, WALL PARTITIONS, 6. ALL SOURCE CIRCUITS SHALL HAVE INDIVIDUAL SOURCE CIRCUIT PROTECTION FOR TESTING AND ISOLATION. ALL COMBINER , r ' CEILINGS OR OTHER SURFACES IS NECESSARY FOR SUPPORT OR ANCHORAGE OF RACEWAYS, OUTLETS OR ELECTRICAL BOXES SHALL HAVE DISCONNECTION MEANS AT THE INVERTER FOR ISOLATION AND TESTING (MAINTENANCE DC Lu EQUIPMENT, THIS WORK SHALL BE THE RESPONSIBILITY OF THIS CONTRACTOR.ANY DAMAGE TO BUILDING, PIPING, DISCONNECTS). U EQUIPMENT OR DEFACED FINISH, PLASTER, WOODWORK, OR METAL WORK SHALL BE REPARED BY SKILLED CRAFTSMEN 7. ALL DISCONNECTS AND COMBINERS SHALL BE SECURED FROM UNAUTHORIZED AND UNQUALIFIED PERSONNEL BY LOCK OR U. z 10 M OF TRADES INVOLVED AT NO ADDITIONAL COST TO THE OWNER. DO NO CUTTING, CHANNELING, DRILLING, WELDING LOCATION. w OF STRUCTURAL MEMBERS OF THE BUILDING WITHOUT OBTAINING APPROVAL FROM THE ENGINEER, 8. ALL EXPOSED CABLES SUCH AS MODULE LEADS SHALL BE SECURED WITH MECHANICAL OR OTHER SUNLIGHT RESISTANT ARCHITECT AND/OR OWNERVIA RFI. MEANS. O U) W N 25. PLUGS, SWITCHES,AND LIGHTS SHALL BE MARKED AND IDENTIFIED WITH E-Z MARKERS OR DYMOTAPED AND PEN-MARKED 9. MECHANICAL AND ELECTRICAL SUPPORT COMPONENTS, INCLUDING STRUT, SHALL HAVE GALVANIZED FINISH SUITABLE FOR A/ O (WITH PERMANENT MARKER) INSIDE COVER TO SHOW PANEL AND CIRCUIT BREAKER NUMBER. WIRES SHALL BE MARKED THE ENVIRONMENT BEING INSTALLED AND A 25 YEAR SERVICE LIFE OF THE ARRAY FIELD. ♦♦v^) LL WITH CIRCUIT NUMBERS USING BRADY MARKERS (OR EQUAL)AT PANEL. 10. DRAINAGE AND CONDUIT SEALING SHALL BE PROVIDED AS NECESSARY FOR ALL EXTERIOR EQUIPMENT ENCLOSURES. U) �- 26. WHERE WRING, CONDUIT, AND OTHER ELECTRICAL ITEMS PASS THROUGH INACCESSIBLE AREAS,ACCESS, WHERE REQUIRED, 11. DAMAGE TO EXISTING FINISHES SHALL BE PROPERLY RESTORED BY CONTRACTOR. W v) SHALL BE PROVIDED VIA ACCESS PANELS, WHETHER ON THE DRAWING OR NOT. SPACING AND DIMENSIONS OF PANELS SHALL W BE VERIFIED BY THE CONTRACTOR AND APPROVED BY THE ARCHITECT AND/OR ENGINEER PRIOR TO CONSTRUCTION VIA RFI.. WIRING AND WIRING METHODS: 27. MINIMUM SIZE CONDUIT SHALL BE 3/4 INCH. NO'/2" OR 2.5"CONDUIT SIZES SHALL BE USED. 1. EXPOSED PV MODULE WIRING WILL BE USE-2 OR PV WIRE, UV RESISTANT, 90 DEGREES CELSIUS,WET RATED. U) �' 28. PROVIDE INSULATED EGC WIRE(THHN/THWN) FOR ALL BRANCH CIRCUITS AND FEEDER CIRCUITS AS DIRECTED ON DESIGN 2. WIRING NOT EXPOSED TO SUNLIGHT WILL BE THWN-2,90 DEGREES CELSIUS, WET RATED. O A/ ui DRAWINGS. EXPOSED GEC CONNECTIONS, WHERE APPLICABLE, TO GROUNDING ELECTRODE SYSTEM SHALL BE BARE, 3. ALL GROUNDED CONDUCTORS ARE WHITE AND EQUIPMENT GROUNDING CONDUCTORS ARE GREEN OR BARE PER NEC. VISIBLE AND INSPECTABLE. 4. ALL D.C. FIELD WIRING SHALL BE TAGGED AT BOTH ENDS WITH PERMANENT WIRE MARKERS. 29. NOT USED. 5. LIQUID TIGHT FLEXIBLE METAL CONDUIT IS GENERALLY SUITABLE FOR INSTALLATION IN WET AND DRY LOCATIONS WHERE �- 30. PROVIDE CIRCUIT NUMBER IDENTIFICATION LABELS ON ALL CONDUCTORS, NEUTRALS AND GROUNDS IN ALL PANELBOARDS, NOT SUBJECT TO PHYSICAL DAMAGE.. SHOULD IT BE EMPLOYED, SUPPORTS WILL BE NO MORE THAN 12 INCHES FROM BOXES ONy 0) BOXES,AND OUTLETS. (JUNCTION BOX, CABINETS, OR CONDUIT FITTING)AND NO MORE THAN 54 INCHES APART PER NEC. LL O O W � 31. THE CONTRACTOR SHALL INFORM THE ENGINEER OF RECORD VIA RFI OF ALL DISCREPANCIES BETWEEN DRAWINGS OF 6. USE ONLY COPPER CONDUCTORS FOR D.C.AND AC WRING. 0. vJ co r-_ U DIFFERENT TRADES PRIOR TO INITIATION OF ANY WORK. 7. LONG STRAIGHT EXPOSED CONDUIT RUNS, 75 FEET OR MORE, SHALL HAVE EXPANSION FITTINGS AND ARRANGED WITH SLACK 32. THE CONTRACTOR IS FULLY RESPONSIBLE FOR ON-SITE SAFETY OF THE SITE WORKERS AND THE PUBLIC DURING AT TERMINATION ALLOWING FOR MOVEMENT. LONGER DISTANCES WILL BE APPROVED BY ENGINEER WHERE CONTRACTOR CONSTRUCTION. CONTRACTOR IS REQUIRED TO FOLLOW THE GUIDANCE OF NFPA 70E FOR WORKPLACE SAFETY. SUBMITS EXPANSION CALCULATIONS. 33. THE CONTRACTOR WILL FURNISH AND INSTALL ALL ANCHOR BOLTS, NUTS, WASHERS, GROUT, CONCRETE PADS,AND 8. UNDERGROUND CONDUIT SHALL BE SUITABLE FOR DIRECT BURIAL OR CONCRETE ENCASED INSTALLATION, REINFORCING CONSTRUCTION AS NEEDED 34. ALL CONTRACTORS ARE REQUIRED TO EXAMINE THE DRAWINGS AND SPECIFICATIONS CAREFULLY, TO VISIT THE SITE AND GROUNDING FULLY INFORM THEMSELVES AS TO ALL EXISTING CONDITIONS, HAZARDS AND LIMITATIONS PRIOR TO SUBMITTING THE 1. ONLY ONE CONNECTION TO DC CIRCUITS (GEC)AND ONE CONNECTION TO AC CIRCUITS WILL BE USED FOR SYSTEM PROPOSAL. FAILURE TO VISIT THE SITE AND FAMILIARIZE THEMSELVES WITH EXISTING CONDITIONS, HAZARDS AND GROUNDING (NEC 250-21) REFERENCED TO THE SAME POINT. LIMITATIONS WILL IN NO WAY RELIEVE THE CONTRACTOR FROM FURNISHING ANY MATERIALS OR PERFORMING ANY WORK 2. EGC'S AND GEC's WILL HAVE AS SHORT A DISTANCE TO GROUND AS POSSIBLE AND A MINIMUM NUMBER OF BENDS. SCALE IN ACCORDANCE WITH DRAWINGS AND SPECIFICATIONS. NO ADDITIONAL COST SHALL BE PASSED ON TO THE OWNER FOR 3. NORMALLY NON-CURRENT CARRYING METAL PARTS SHALL BE CHECKED FOR PROPER GROUNDING; NOTING THAT TERMINAL FAILURE TO COMPLY WITH THIS REQUIREMENT. LUGS BOLTED ON AN ENCLOSURE'S FINISHED SURFACE MAY BE INSULATED BECAUSE OF PAINT/FINISH. PAINT/FINISH AT AS NOTED 35. BUILDING OWNER SHALL BE RESPONSIBLE FOR VALIDATION OF ROOF WARRANTY PRIOR TO COMMENCEMENT OF SOLAR POINT OF CONTACT SHALL BE PROPERLY REMOVED, INSTALLATION AND HOSTING ANY POST INSTALLATION INSPECTIONS REQUIRED BY ROOFING MANUFACTURER. 4. MODULES SHALL BE GROUNDED WITH GEC/EGC USING THE LISTED GROUNDING POINT AND MATERIAL FIT FOR THIS PURPOSE, DATE GROUND LUGS SHALL BE RATED FOR OUTDOOR USE. 12/10/2018 ELECTRICAL NOTES: 5. LISTED UNDERGROUND FITTINGS AND BUSHINGS INSTALLED ON ALL METAL RACEWAYS AND ALL METAL ENCLOSURES TO BE 1. IN EVERY PULL BOX, TERMINAL BOX,AND AT ALL PLACES WHERE WIRES MAY NOT BE READILY IDENTIFIED BY NAMEPLATE PHYSICALLY GROUNDED OR BONDED TO EGC WITHIN. DRAWN MARKINGS ON THE EQUIPMENT TO WHICH THEY CONNECT, IDENTIFY EACH CIRCUITWITH A PLASTIC LABEL OR TAG FOR 6. GROUNDING INSTALLATION SHALL BE IN ACCORDANCE WITH THE LATEST NATIONAL ELECTRIC CODE SECTION 250 AND 690. DS NUMBER, POLARITY, OR PHASE. 7. BOND GEC CONDUCTORS, WHERE APPLICABLE, TO REBAR IN CONCRETE STRUCTURES USING A CROSBY CLAMP OR APPROVED CHECKED 2. THE LAYOUT OF CONDUIT SHOWN IN THESE PLANS IS A SCHEMATIC REPRESENTATION ONLY. CONTRACTOR SHALL FIELD FIT, EQUIVALENT NO CAD-WELD OF COLUMN ANCHOR BOLTS OR FOUNDATION REBARS SHALL BE ALLOWED. ALL WELDED ROUTE AND LOCATE THE CONDUITS TO SUIT SITE CONDITIONS BUT SHALL NOT EXCEED THE MAXIMUM CONDUCTOR LENGTHS CONNECTIONS SHALL BE MADE USING SEPARATE GROUNDING RODS AND BOLTS TO FACILITATE WELDING, GROUNDING IDENTIFIED ON THE WIRE SCHEDULE BEYOND 40' WITHOUT RFI APPROVAL, CONTRACTOR WILL COORDINATE ALL BOLTS OR RODS EXPOSED TO THE WEATHER SHALL BE GALVANIZED. CHANGES IN WIRING AND CONDUIT WITH THE ENGINEER VIA RFI. 8. GROUND RESISTANCE SHALL BE TESTED, WHERE REQUIRED, BY THE FALL OF THE POTENTIAL METHOD.THE CONTRACTOR SHEET 3. WHERE WIRE AND CABLE ROUTING IS NOT SHOWN AND DESTINATION ONLY IS INDICATED, CONTRACTOR SHALL DETERMINE SHALL BE REQUIRED TO FURNISH WRITTEN CERTIFICATION OF THE TEST. EXACT ROUTING AND LENGTHS REQUIRED.A SHOP DRAWING AND RFI OF PROPOSED INSTALLATION SHALL BE SUPPLIED TO ENGINEER OF RECORD PRIOR TO INSTALLATION. DISCONNECTING MEANS: '� CONSTRUCTION DOCS NOTES R1.01 PVGN