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0095 MARINER CIRCLE
�s l� /�a��r✓�r� C�r�/� r ll 1 I i Town of Barnstable Building z rnBLE Post This Ca"rd So That sVisible From`the Street Approved Plans IVfust beRetained on Jobandah�s Card Must be Kept . , Posted UntihF nal Ins eetion HasxBeen p permit Where aCertificate of Occupancy;is Required,such,Buildmg shall Not be Occupied until a Final Inspection has been made tr e �. Permit No. B-19-4091 Applicant Name: W. Ray Colwell Approvals Date Issued: 12/09/2019 Current Use: Structure Permit Type: Building Insulation-Residential Expiration Date: 06/09/2020 Foundation: Location: 95 MARINER CIRCLE,COTUIT Map/Lot: 023-048 Zoning District: RF Sheathing Owner on Record: HOLMES,CHRISTOPHER&ELLEN Contractor@Name` 5C Energy Framing: 1 Address: 95 MARINER CIRCLE Contractor License194390 2 COTUIT, MA 02635 Est-Project Cost: $4,993.00 Chimney: Description: Insulation;See Contract Permit Fe`e: $85.00 Insulation: Project Review Req: I ` Fee Paid:,l $85.00 £ Date: 12/9/2019 Final: Plumbing/Gas i Rough Plumbing: � a °%Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents.for which-this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st uctures shall 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 roadand shall be maintained open for,public inspection for the entire duration of the work until the completion of the same. >' 3 ' - --- -�" ' � � Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are-provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work: Service: 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 Building plans are to be available on site Final: �a All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 00, Parcel C Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee /0? y� Date Definitive Plan Approved by Planning Board Historic - OKH N y _ Preservation / Hyannis K) nn e �Yh PtZ l_ SENT' Project Street Address Village CO\-L Address N&r 1 r1 r_r- CEACK-e Telephone �3�o O 1 �� �—� . -•( 1 o;---)-6 5� Permit Request vas q So�•.� �o�c> l SAA V. L—) l l L �` r 5 G. c. PL 03 �n c.1S Square feet: 1 st floor: existing ` proposed 2nd floor: existing proposed ---Total new Zoning District RF Flood Plain Groundwater Overlay Project Valuation] I COO Construction Type 1< '3 Lot Size Grandfathered: ❑Yes 2lo If yes, attach supporting documentation. Dwelling Type: Single Family ,,211�_ Two Family ❑ Multi-Family (# units) Age of Existing Structure C S• Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑.Crawl 0 Walkout ❑ Other A/t_ 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 newer / First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other'V/l Central Air: ❑Yes ❑ No Fireplaces: Existing A&New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new spool: ❑ existing ❑ new size Barn: 0 existing q1jiew size_ Attached garage: ❑ existing ❑ new sizkhed: ❑ existing ❑ new size Other: `: a CM Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial s [ ,No If-yes, site plan review# UJ Current Use ee lcl(e - Proposed Use U \,i,� M APPLICANT INFORMATION a (BUILD OR HOMEOWNER) Name 4,t 'r bY�� �'"A Telephone Number Address na � 16'e--\ License# CS `7 K :1 fc ��t r 5, ��Cs(o Home Improvement Contractor# Email 6 �cnti- Worker's Compensation # "(�i�o�b�s ALL CO RUCTION DEBRIS RESULTIN THIS PROJECT WILL BETAKEN TO G A_tgp44�t SIGNATURE DATE 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 DATE CLOSED OUT ASSOCIATION PLAN NO. Masaftfu "s 0ia.1'mam of wub+ic lifoy lb+l�t at Iluvq keq��utsr+a�t1«,'��It�1ltS1 gnat CS-108615 JAMQN.PATRY 821 STEWART DRAVB + Abington MA 02351 dp ORioe dCammer Atkin A Boston Regulation HOME OAPROVEMENT CONTRACTOR � 14001 t%iOns 108572 Yypery�ry ExpImfta: MIM00 Supplement C SOLAR CITY CORPORATION JASON PATRY 24 ST MARTIN STREET BL0 2UNI FIAksOROUGH,MA01762 Uoderreerrlasyr ! The!Commohtvealth Of ll;lrassachusefts Depar wwd of f Industr1a1AccWents I Congress Street,Suite 100 Boston,MA 02114 2017 IFwww.mas&gov/dire' Workers'Compensation lnsursaw Affldavit:Builders/Contractors/Electriciaras/i'tumbers. TO BE I71I,ED WITH THE PERMITTING Ai1T€01117Y. ApnlieantInformatioa Please.Print Leem Natrte(BiwincWUrgun!nrwnftndividual):. SolarCity Corporation Address: 3055 Clearview Way City/State/Zip: Sari Mateo,CA 94402 Phone#: (888)765-2489 Are you sn employer?Check the appropriate box: Type of project(required): 1.0 1 am a empto}vr with 15,QOD employees(rw I andlor psratinicy, .7. [:):New construction 2.[]l mu a sole proprietor or partnership mid bane no catmeye s wort:ire for me in . 8. Remodeling my capacky.[No waiko'comp.insurance reunited.] 3.[J1 pin ahomeowner doing all wank mpsedr.lNu orkeas'comp,litsuttuteesegoircd.]t �. ❑Demolition 4.❑t am a honreowmer and will be hirorg contractors to condo all work on my property. 1 will 10❑Building addition ensure that all mnttactors oift have wurt;w.'cWntionsalion insuranceer aw sole 11.0 Electrical tegairs or additions proprietors with era employees- " - I2.Q Plumbing repairs or additions So 1 am a gedetai.cmimctor mrd 1 have hired the sine muncion Hurd on the attached sheet. These sub-contractors haveemptoyees wid have workers'comp.insrrrsace: I3.QRoof repairs G.Q We are a corporation and its atTre m have exercised their right of excarptiwi per MGL c.. 14.DOtlter solar panels 13Z§1(4).and we have noemployces.[No wodcon'corms.insurance regained] #Azy applicant dim checks box 41 roost also rill out die sactmi below shoving their workers'compensation policy informs#ion. i iosneowne+rs',rrito submit this ttltldavit inditarting titey are doing all work and them hire waside.contractors mim sitbmit a I-X%V affidavit iadreating such. :Con"don drat check this tax rain attached an additional sheet showing the name of Ilia sub-eommolors and state whether or rant those entifie;r have employees, If the so-mnimclots have anplovccs,thoy most provide their wdrfrea;s'emng policy aunrbm J ODI an employe'that is providmg workers' 8dotw is the pe/icy and job site lafarrrration. Insurance Company Name:American Zurich Insurance Company Policy*or Self-ins.Lic.#: WCOI82015-00 Expiration Date: 911/2016 Job Site Addms: 95 Mariner Circle Cm,/State/Z&Otuit,MA 02635 Attach a copy of the workers'compensation poly deebration page(showing the poft number and expiration slate). Failure to secure coverage as required under MOL c.152,§25A is a criminal violation punisbable by a fine up to$1,500.00 at War 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 o(the DIA for insurance coverage verification. I do hereby cent/ u►ua,er the pains and penalties of padury lira the Infonnardon provided above is true rued carredw Signal ason Pa -Date.; March 14 2016 P_}i aide Wicial use only. Do not write in this urea,ro be completed try city or town offlelaL e " City or Town: PcrlaiiiLicense# Issuing Apthority(elmle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector I Plumbing Inspector 6.tither Contact Person. Pboue#: • I DATEIMMICDIYYYN) CERTIFICATE OF LIABILITY INSURANCE W1712015 THIS CERTIFICATE IS ISSUED AS A !NATTER 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 poi(ey(les)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 holler in lieu of such endorsemerWs). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES -----..._._—._......... ._..._... .rpp.... ... . . .......... ____....T..._ 346 CALFORNUi STREi T,SUITE 1300 IArc No Extk.,....:._.. . . ...._.............. .. ............ ..1i! 6.IiQk. CALIFORNIA LICENSE N0.0437153 E-MAIL SANFRANCISCO,CA 94104 ADPREsa.......... .._....._...._...__..-_...__. Alin:Shennon Scott 415-743-M34 IN9URER(5).AFFORDeIOCOVERAOE- ,._._...,- NAIC# 99M01-STND-GMVUE-15-16 _ INSURER A_Zurich American Insurance Company I16535 Solar ratty Corporation INsurme B . --- 3065 Clearview Way INSURER C:NIA NIA San Malso,CA 94442. ------ _ _-_......__........ ................... INSURER D:American Zurich Insurance Company •40142 904URER E_.. _._......_._. INSURER F COVERAGES CERTIFICATE NUMBER: SEA-00271393&08 REVISION NUMBER:4 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 MIMS. TANK60HfR _ ..__ POLICYEFF POLIGYEXV LTR I TYPE OF INSURANCE LIMITS Y NUMBER LIMITS A X 'COMMERCIAL GENERAL LIABILITY GLOD182016-00 09Ai112015 IMMIRD116 EACH OCCURRENCE $ 3.000.000 F ' .. .:.... .... I 1 MEDEXP( oneP.etsor!�.... 5..... ........ ...__ CLAIMS40DE OCCUR pl_ ETO ELATE enye . s _ 3,000,000 F X tSIR:$250,000 Any 5.� PERSONAL&ADV INJURY $ 31000,000 _. krAElfL AGGREGATE LIMIT APPLIES PER G£NERAL AGGREGATE $ 8.000,000 POLICY APE° 'LOG - .. . .._._ PRODUCTS-COMPAOP AGG t S OTHER. I A AUTOMOBILE LIABILITY X I I 09112015 C•MBINEDSING LE MIT 5,00,0mIcQgw)--_, $ 0ANYAUTO109101120116 SOMY INJURY(Per person) s ALL x_. VI AUTOS OW X HIRED BODILY INJURY(Per attident) S X RED AUTOS X.. AUTOSAAMED I f PROPERTY DAMAGE S............................... ` er.apc�erlll... _ ............. ..... ._._..�.... ._....._.._ COldPICOLL DED: 5 $5,000 UMBRELLA UM OCCUR f I £ACNOCCURRENCE $...._......_... .. EXCESS LIAB . CLAttdS MADE AGGREGATE __._........- 5.--.--..............._.. DED i RETENTIONS S D WORMERS COMPENSATION 1WC0182014-00(A0S) O N12015 (09101/2016 X I PER OTH• AND EMPLOYER$LIABILITY 8TATUTE_ ._..iR.. —_...- --.-...__._. A YIN IArC01�015 QO MA 091 015 109,,10112016 ANY PROPRIETORMARTNERIEXECIRIVE { I . E.L.EACHACCIDENT S 1,000.000 OFfiCERIMEMB£R EXCLUDEDP —--. ..._....._ ............. (Mandalmy In NK) WC DEDUCTIBLE:$500,000 E L.DISEASE_EA EMPLOYEE S 1.000.00 RM7res,-dasrnbe tmdm �OESCRIPTn)NO OPERATIONShefaw E.L.DISEASE-POLIGYLHNrf $ 1 MESCRIPnON OF OPERATIONS i LOCATIONS I VBIICLES(ACORD fai,AddiBonal Remarks Sehed4le,maybe al4khod It mesa space Is regwmdl Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SolmCdy Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055ClearviewWay THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS- AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Charles Mamrolejo .1�.---- 01986-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD , h .30 ty. OWNER AUTHORIZATION Job ID: '_ z 6-2,77 5-- G Location: Z l�A ( Ia n yK Co .l►Af��, as Owner of the subject property J p p Y hereby authorize SolarCity Corp—HIC 168572 / NU Lie 1136 MR to act on my behalf, in all matters relative to,work authorized by this building permit application and, signed contract Sign at wner: Date: f r _ s 24 St Martin Drive,Building 2 Unit 11 Marlborough,MA 01752 T(888)SOL-CITY F(508) 460-0318 SOL ARC ITY.COM A2 ROC 24377 T,CA CSLO 888104,CO EC 8041,CT HIC 0632778,DC HIC 71101486,DC HIS 71101488,HI CT-29770; MA HIC 168572.MD MHIC 128948.NJ 13YH06160500,NY WC-24624-H11,OR CCO 180498,PA 077343.TX TDLR 27006,19A SOLARC'91901 l x 6'� �11 � �� ��� � � � . 0`""T TOWN OF BARNSTABLE --------_--- , •; Permit No. ----------------- 1 »n.0 Building Inspector wa • Cash --------------- -- �O RAI OCCUPANCY PERMIT Bond ----—__-------— "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address va—m--)'it-lh Wiring Inspector r !r r �.� Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. J/ r .....................................................1 19......_ ..................................................................._......................_..__.__ Building Inspector SL 5�a4 2c�4� r1i • o tn o � 39 0 th p � 0 A x � o PLAN SHOWING FOUNDATION LOCATION C DT U1 T� MASSACHUSE T T S OWNED BY: ct1 t7. SCALE : 4o* DATE NORMAN GROSSMAN------REGISTERED LAND SURVEYOR i I I4EREBY, CERTIFY THAT THIS FOUNDATION IS LOCATED �( r ON IWE LOT AS SHOWN AND CONFORMS TO THE TOWN OF BARNSTABLE ZONING REGULATIONS REGARDING �r .� �`��'� ' L SETBACKS FROM STREET LINES ANO LOT LINES . ' . r��a.,4pti. t r+ . rl '.•�'; ,s '•; r �--.. .m�-�- ._._ c�i �.e�1 , fig; ,fir .r. KORMAN GROSSMAN k.L.S. DATE _ .,W i.. }�_, xM° .3 .,.�•. «2j, r t a .r• �.., ,''. d{4° E '_a E.t'ftt` .- ,h+Y, r, { .7. Fki4t k t ���.. +�A'ssesbor s, map and lot number ._.� ..............�. SEPTIC SYSTEMUST , cF TNe rot Sew,oge Permit number... IN CO P �Q� TITLC- 5 . 1NITI� •- S Ba$asTSBLE, . House numberNAM 9 ! hr— .........................................................:......... ENVIRONMENTAL �� �. .. . .. s.� 9,o i639 0� TOWNI$ s waNOAr TOWN OF BARNSTABLE �J i+ BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................... . ... ........ ....... TYPE OF CONSTRUCTION ........A&......... ...... .................................... TO THE INSPECTOR OF BUILDINGS: * The undersigned hereby applies for a permit according to the following informs ' n: Location ..... ''"t .... ........................... 1-Z Proposed Use ....... ..... .............................. .................................. .. ............................I......................... . ... . .. .. ..... .. ..... ..... Zoning District .......... . ...................................... ........... ......Fire District ........ .. Name of Owner .. . ... ... `•• .../•..........Address ....... `. ........ .................................................. Nameof Builder .. . . . ...............................Address .................................................................................... Nameof Architect .............................................:....................Address .................................................................................... Number of Rooms ..................................................................Foundation ..;��tN(.... ........ Exierior 1/t/............. .... ...........................Roofing ,�fa�Gy�✓ 4�. / .. .. ........................ Floors ..�140..... ..........................................Interior HeatingTl'. .. lao..................................Plumbing ......... „( ..........................................4.................. Fireplace ................< ...............................................................Approximate Cost .. / ......................................... Definitive Plan Approved by Planning Board ______ _________/__� - -------1 9 P---. Area .....A?.....�..�........ Diagram of tot and Building with Dimension Fee ��. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTHUN� lgld aL ► r LlIfi I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r arding the labove construction. Name . '.. ... ... .......................... ...... . r CEDAR ACRES REALTY TRUST l� 23083 One Story ' ',No .` — Parmh for ------------. kp~ ~' —. —. � \ . ` S '' gle Family Dwelling --...�--,�----~—`-------------.. . � . . Location �ot �42 95 Mariner Circle --------------------.' - . Cotoit --------------.~----------- Cedar Acres �ealtv �C�uot� ' C�wme, -------------.'.-��-----. � I7 ' Type of Construction —za�uy_________.. _--....---------------------- plot ............................ Lot ........................... . ~ ~ . � ^ \ .May 7 , 81 ' . Permit Granted ------.-------lg ' . . - Date of Inspection ------------l9 .. '^ Date � Completed .................... - ' c . _ zi PERMIT REFUSED ' . ^ .. - -- . ^ ' . . . -- ' ` —... ^ ' ` lQ ^ ` . -------'—^—^--~—~'^-~^— ' ------------^'—'^^^'—'^—' L z-,- . 1.3,ll i-o Assessor's map and lot,number 1 �:..;`...........:............ ..':.i' THE Qypi Tpl` Sewqge Patmit number Z BA"STADLE. House number .....................`r.r................................................ 9 MU& Gp i 6 3 9, `e0� a NO TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO a - ,t;�..�.......... ............. .. ................................................... TYPE OF CONSTRUCTION ................ .......................: 1'C;1?t .........%, :': ;' ................................................ ................................................ . . TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies ,?for a permit according to the following information: Location ~rL .....././,,, Y!i1(,P..`....{.: �; ......... �I ? f .. ProposedUse ::...................................................................... j 1 �'�G�t-'I ZoningDistrict �'J ......Fire District Name of Owner ...!.y c•-: .....,G..........a 1J;✓r' .. ....................Address .......... . .... ,!......... :!. ........................ G ..... Nameof Builder ...,...,..,.,..... ..........I................................Address ..........................................._.� �.��....................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......................�1........................................Foundation .. /l.l �1d?� ry �!. °� �, . �! Exterior . .K ,/ �.f. ,C. ...............................Roofing _/./; �/� s r�'' !- .................................. Floors ` 4..`.! l�./ /� Interior �l•�'r�f��i ��f� Heating .. �.%. .. � y......!:af ...................................Plumbing ......V /: ............................................................_ :. .... ... .... ........... Fireplace .............../....... ....................................................Approximate Cost .....: -� [Jc1 ZJ........................................... Definitive Plan Approved by Planning Board _______4/4- �3---19- . Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH l� J / I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding thelabove ' construction. /' Name f �.. ..... .... ,.. ,.;.. �r l_ CEDAR ACRES REALTY T - ST ^ . ' 230-1�2 One Story No ............ Permit for .................................... __. le.. ............. ' ~ . Location Lot Circle �Cotoit ----'--------'--^----------- Owner .. � C�clar�o�«�o— . BeaI�y— .]C��zot /. ' Type of [onst,ucion —I'r..�m�---------.. r --------------------------. � Plot ............................ Lot ................................ / May 7, 81 Permit Granted -------------]g ' Date of Inspection ------------lg � Dote Completed ...................................... � � PERMIT REFUSED .-----.---------------.. 19 � .. ' v�^ � ....................... . '---^---'---'~—^'`---'---'—'---'' _~_____._,,._____,,_,,___.____. \. � Approved ................................................ lg . . . ' -------'-----''—~'—^'---^^—^^--'' ` ----_------....--.----......--..— � |- -- �------ �-"�l v �� ������ f Town of Barnstable _ er ��FTNE Tp�� Regulatory Services a r c� Thomas F.Geiler,Director ` b^0 �e: 2s'-1,o t) BARNSTABLE,`* Building Division MASS. v� 039. ,0�' Peter F.DiMatteo Building Commissioner AIFD �p 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: f1S O�l� ��✓°`� Phon e�/ 5 b U 1 Install at: � /��� l.��C�f E' Village: Co Map/Parcel: <3 Date: Stov New Use T. ype: Radiant Circu ating C. Manufacturer: �,(�0( Lab. No. Ga'f D. Model No.: Chimney A. New/ xisting (If existing,please note date of last cleaning)__ B. Flue Size C. Are other appliances attached to Flue? NO D. Pre-fab Type and Manufacturer E. Masonry: (LinePnlined Hearth A. Materials:'L@iK B. Sub Floor Construction: C Install r� Name: .1'1 Address? �� 03 Phone: Location of Installation: l'&q Pia 02- APPROVED BY: r4f Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed,-and approved by the Building Inspector Q:forms:stove Rev122801 ,.Engineering Dept.(3rd floor) Map O -2 3 Parcel 64 Permit House# ��5 '� Date IssuedVK 25 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) C�n '6L11 Ar Fee Y �-3 Conservation Office(4th floor)(8:30-9:30/1:00 2:00) Planning Dept.(1st floor/School Admin. Bldg.) �TME Tp,- W-IN ! Ck cY Definitive Plan Appr d by Planning Board 19 �; , 1,� BARNSTABLE, } MASS. s639. rF0 MA'S TOWN OF BARNSTABLE r Building Permit Application Project Stre , ress �S� ti/Ib'1 e,- r - Village ,. [ OGZ L " TM� Owner C k r i'S v,N L � �� h'lt5 Address .��/-I c Telephone . Permit Request S ��,�✓( r L. ,,.� First Floor h c I L square feet Second Floor !c-P square feet Construction Type C.Y ao - Estimated Project Cost $ 3 O p O Zoning District tS, Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New Half: Existing New No.of Bedrooms: Existing 07- New IC�MO�.Q, 6Lr, B P-NA)., .h 1' Total Room Count(not including baths): Existing 'y New �_First Floor Room Count 4 Heat Type and Fuel: ❑Gas QOil ❑Electric ❑Other Central Air ❑Yes Q�No Fireplaces: Existing I New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Lc-f-ok"Ck C L'e 1-=/ Telephone Number rVO-S 78 S— Address Pih.CCYi*-�' t4c1d-. , License# Q Home Improvement Contractor# 1//,2 gs— Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 12 - .7 BUILDING PE MIT DENIED FOR THE F WING REASON(S) -` FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP/PARCEL NO. ADDRESS s VILLAGEr OWNER - ' fix. • �{ F 5 ,_ ' ' -"'Y } i' ' r♦ w DATE OF INSPECTION:. FOUNDATION E r _ t it _t [- t 4 ; •. � € _ . � � � a , FRAME ` t =a INSULATION (Z'/Y r yp t T FIREPLACE 4 ELECTRICAL: ' ROUGH FINAL PLUMBING: ROUGH FINAL~` ¢ + GAS: ROUGH FINAL ^• , , ;, h. t FINAL•#BUILDING E s *' DATE CLOSED OUT :J i I - ASSOCIATION PLAN NO. i 1 , � o s `QFtME Tp�,.. The Town of Barnstable BARE. Department of Health Safety and Environmental Services MASS. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection k Location` ph A a by A-2_ r (,z c(e Permit Number Owner Builder One notce to remain on jobsite, one notice on file in Building Department. The following items need correcting: n A-I k) P `7-0 'T Al S ,4-r P d C C P S f o'-z- -1-n 6" S7-0,e- 74 QP, -'gzrP74 Please call: 508-790-6227.' fo re-inspection. Inspected by ,� Date Z/(o�g The Town of Barnstable r :. e� Departmentof Health Safety and.Environmental Services Building Division 367 Main Street,*minis MA 02601 Ralph Crosser. Office: 508-790-6227 BuiIding Come'`= Fax: 508490-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition,t ane construction � nt more than four an n to dwelling units oring to owner occupied building containing at leas but n structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. c 'Type of Work: n q nc S-E e a (ST Est.Cost Address of Worlt• .r/n 0r � �' f ��'/ Owner's Name 1r,%S -7-?, ' T^ Date of Permit Application: =I- �� I hereby certify that: Registration is not required for the following renson(s): Work excluded by law Job under SI,000. —Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR � � A �RRDO� D 4 ED ACCESS TO TM ARBITRATION PROGRAM GiAANFUNUNDER MGL� 12A ' SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Contractor ame Registration No. Date w T11cr Cu11r111f111n-cultlI of Massuchusctn D11rt111C111 of 1nduvrial Acci1 enn P ON=Of A WCSL(gativtrs _=jiA ; 600 !t ilslibigru»1 Street Bi»7all..' ass 0111 %%for3:ers' Compcns2tion Insurance Affidavit APlic nt/i�nfnrmniinri " / please PRINT'ERV Lac nr Cn. J U k o nfttrnC 1 am a homeowner performing all work myself. [ I am a sole proprietor and have no one Nvorkin_ in any rpacity i am an enipiover providing workus' compensation for my empiovees working on this job. entttn•tni• nnmr- uictrrcc- cir nftnne d- incttr^nrr rn nnllrP>Y .m a role proprietor. -encral contractor. or homeowner tclrcle vlre; and have hired the contrc:ors listed beio« +hc .h: oilowing workers' compensation police.: . r �, I-1mr- ZC"I Y �� ct• FC" f t'Veit, nhnne a• ins•• nrr rn rnr.•^-�i �rtrnr• Sri:!rr..• Fit% -- nftnnc • incur-•-trc rn. nniiet• _ Avzz:-addltlon2i sheet lCneCt�]2ItiN.��. "••�..-_.. �Y�.'_:• .•..�. .�..-•..rr. •r_.._.. -..Z�...��...+—r`•-_'._�"` ..�. .. F::tturc so secure covericc ns requtrcu unucr_eetton:SA of 111GL 152 Can lead to the imposition of cnatinai penaiues of a line up to 51S00.U0 211WL unc•c..rs' imprisonment a. %%ell as cicii pertaitics in the form of a STOP%I*ORK ORDER and a fine ufS100.00 a day against me. I understand th_t c copy .if this aatcatcat mat be furwnrdcu to the Oflice of Investigations of the DIA for coverage verification. /uo:t ercrr crj ifr witi r the pul.lzs ana.Penailics of pctjun7 that the information prorrded above is true and eerrect. Dace c Y•— Phone offici i u e niv do not write in this area to be completed by city or tmvn oRciai - t t citr „r tnx"n permit/license 0 r'lluildin_Department � [licensing Huard — :::ccs ii immctiiatc respunse is required Q Selectmen's 0MCC r.. C.11e2ith Department phone x- -0111cr Information and Instructions Massac!tusctIti Gene.^.i! Laws chapter 152 section 95 requires all employers to provide workers conlpetl-SZ:i::,t e:mnlm ces. As quoted loom the "iati+'".all C'lllflforce is defined as every person in the service at :uu�thcr,undcr :;: contract of hire. =%press or implied. oral or-wrinen. A.n empiarer is defined as an individual. partnership. association. corporation or Other legal entity'. or am two cr the furcucinu cnunuud in a joint enterprise. and including the le=f representatives of a dccease:l employer. or a,c re^c tn i+cr or tstce of an individual , partnership. associatiari'or other legal entity. employing employees. Hoti+'e•. o•.+'ner of a dwcllin__ hrntse having not more than three apartments and who resides therein. or the occupant ot::he d,.+c!line !tousc of::nother++ha employs persons to do maintenance,construction or repair work on such dwc!Ii,:_ or on the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an er... V Gi_ :barter !5: sc:aion =5 also states that every state or local licensing agency shall withhuld the issue lice o. • _,+•::1 ofa license or permit to operate a business or to construct buildings in the c:ommolil e tlt far::r. ic::nt who Itns not produced acceptable evidence of compliance tiHtli the insurance coverub rcquirr:i.•Aa::..ionall+•. neither tite commonwealth nor any of its political subdivisions shall enter into any contract for die per: of public work- until acceptable evidence of compliance with the insurance requirements of this ,�resc:acti to the coritractitic authority'. _ _-- Appiiccnts f!;:�,se ,il in :he workers' competlsation affidavit compJe:ely, by checking the boa that applies to your situation suco:� inc _omcanv names. address and phone numbers as all affidavits may be submitted to the Department of 'r:Z::s,ma! .Accidc::ts for confirmation of insurance cavem_e. Also be sure to si;a and date the affidavit. 71ie silouid be -cturned :o the gin or town that the application for the permit or license is being requested. r ale Je,:ar tnie:a of I,ldustr iai ,4ccidents. Should you liave.anv questions re_ardinc the "law"or if you are co,npe:aa:ion polic}•. please coil the Department at the number listed below. Cry )r Tu xns at die bon-"- �e _-urc :hat :lie affid2vit is complete and printed legibly. The Department has provided a space the - aa+it ;or you to fill out in the event the Office of Investigations has to contact you regarding the apPiic='. be _ : to till in the permit/license-number which will be used as a reference number. The affidavits maybe :t:u�;•: ':ie D:oartnie::t bN• mail or FAX unless other atran_e:neats have been made. i!'.e �ftic� �f In+ esti_�tions you in advance for you cooperation and should you have any quest would like to thank please do not hesitate :o give us a call. i��e Jecar,,nent's address. teieYiione and fax number: The Commomveaith Of Massachusetts Department of Industrial ?accidents Office"f lnuestgations 600 Washin-ton Street Boston,Ma. 02111 fax T: (61;� "Z; ; 9 iiiune =. 61-) "- -'900 406. 40° or _ _ ..... ....-. . ' �f� r�ammzonuiea� ���aaaac�ucaeCCa DEPARTMENT OF PUBLIC SAFETY !' CONSTRUCTION SUPERVISOR LICENSE Nuaher ;� J Expire€: Restricted To: 00 DAVID A CLEARY 411 PINECRBST BEACH DR E FALMOUTH, MA 02536 ROME IMPROVEMENT CONTRACTOR Registration 100014 Type -, DBA Expiration 06/08/98 REMODELING PL'JS A. Goldstein Landing/ P.O. Box I - _aoMi"isTOR Mashpee MA 02649 G I ' i t I 4 I ! a I - - I -- I_ _------- -...- f-- I _� I !--�— I� #.. .! � _ I I S�XrSrlr.i6 'F�o a^'► � I_ �I I I • ' i � I I I J Al- G (�c arm: 1 __. _ i I � .: A-.�/�/ It ._ I L. SNEETNO Plusnl OF -NM� ���4 GLLOUNIFD ev ... ... ... .._ :... _ } :._-... . �....-_._ ,.�.-.. , 100 HOM Me Bend Way MWhpee.MA 02649 ogre a 1 �- (006)759.700J aecN¢0 er are ry'01 3 - -. -6- .Ir - "- T Aj LI _.. �- CUCuu7II C DDa —No OF- 100HOesheeBeMWey Mehe.MA02369 (SB)73&7W7 i-- —�E t Ii -- ' a[ciceo ev _ MTE �mns�m.,�ruaneonm�i�,rmmO...o..ma�n ua..a.m+wa.mm® f I r i I I �u sk t ' z -- I _. —� -- I �-- —t— I - '�— rI --I -• — - I � Sl�h c..L-_} V}I lyyt� .,�y I .I I - I 1 71 - -- - -- y i r � � I 1 11 .. . f , -- — : i : 4 ' I . RmI/U�--7 �4UnlIES. PIO;J& f . . sr Mssnpas (soe)7567077 ceecKeo BY 1 wre T ;p TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Dz3 Parcel 0+11a Permit 4 ; HEalfh Division ldlfilo 44 Date Issued, Conservation Divisionl I®loc4L Application Fee tTax Collector - ( D Q� Permit Fee Treasurer e�_4- 8MC SYSTEM MUST BE Planning Dept. NWA=IN COMPVANCE Date Definitive Plan Approved by Planning Board VM TITLE 5 ENIARONMENTAL CODE AND Historic-OKH Preservation/Hyannis M M REGULATIONS Project Street Address ;95 M A R I N E2 C 19 C LE Village COT U 1T Owner ELAN + CNRt 5 HOLMES Address 95nnAe%MF_R C1QCLf_ Telephone (509) 428-R.01 Permit Request (- sT t,,:i tiC �' P lam- Qo-yt Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuaiil 19,5o o Construction Type Lot Size .20,000 Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) y Age of Existing Structure q 9 Z Historic House: ❑Yes El No On Old King's Highway: ❑Yes ❑No Basement Type: XFull Cl Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing 2 new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing Jr new First Floor Room Co t Heat Type and Fuel: Id Gas ❑Oil ❑Electric ❑Other_ CD �CN. " Central Air: ❑Yes ❑ No - Fireplaces: Existing New Existing wood/co �ove: C6es ]No Z Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exi in ❑4w s Q) Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: `•o P w r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _ Commercial ❑Yes ❑No If yes, site.plan review#:.- Current Use Proposed Use BUILDER INFORMATION Name TqE 9wt mv%s k5A PocL 'SPA 49POP Telephone Number .7$0 0 Address 4'35 bU,4Q yo r T awy License# (EAST FgLMoon( . MA O Z,5 - w Home Improvement Contractor# 1301e�(o Worker's Compensation# 9 3o 8 Z Z' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO r:AL.m o u n-{ S Toi2E PVM PSTeva- SIGNATUREs�M,nia--� DATE e C - 1 FOR OFFICIAL USE ONLY _ t t_ PERMIT-NO. DATE ISSUED MAP/PARCEL NO. I f ' ADDRESS _ VILLAGE OWNER j �i i DATE OF INSPECTION: FOUNDATION Ja►I9 ®W FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH 11-W FINAL ' GAS: ROUGH FINAL • ' FINAL BUILDING _M IX DATE CLOSED OUT ASSOCIATION PLAN NO. C i I t Town of Barnstable o� Regulatory Seryides S snxr�sr�sr.�$ Thomas F.Geiler,Director p s639, h� Building Divislon. Tom Perry,Building Commissioner 200 Main Street, Hyannis,NIA 02601 • pax: 508-790-6230 Office: 5Q8.862-4038 ' ' permit no• Date ' AP'k'PDAVTT HOME nyROVEMENT CONTRACTOR LAW SU2pLEMENT TO PERMIT APPLICATION 42A requires that the"reconstruction,alterations,renovation,repair,modernization,converskr� MGL c.1 re-existing owner-occupied ;rnprovement,removal,demolition,or construction of an addition to any p at one but not more than four dwelling units or to structures which are adt scent to bung containing th other e uch residence or building be done by registered contractors,with certain exceptions,along wi requirements, S o 0 ®0 L Estimated Cost Type of Work: 4 U.x ,p ddress of Work: 915 MA�00 F� Ovrner's Name: �O ' • • hcation: Date of APP J hereby certify that: gegistratioa is not required for the following reason(s)' []Work excluded by law ' ❑16b Vnder$1,000 , []Building not ovner-occupied []Owner pulling own permit Notice is hereby given that: ORDMALING WITH UNREGISTERED Oy,�tERS PULLING THEIR OWN HERMIT CTORS FOR AppLICABEE HOME IlYIP GUARANTXwk D TINDER NIGL c.142A, CON'I'�• ITRA.TION PRO G OR � ACCESS TO THE AM SXGNED UNDERPENALT ES OF PERJURY I he=eby app1Y foi a pert as the a ent of the ovr�er: r3o C OIL tractoz Name RegistradonNo. Date OR .nc 'Corntnanweulth of gassachusetts • ; r _ Department of Industrial".Accidents' ' 60 Washington Street - . Boston;Mlas..� ZX or�sers'.Com ensation,bsur=ce A.ffidavlt-General Businesises . W . , � . / `"�i.tf ,�'RaI'+•' ,•r„+tfiN`Y"- 01� 't t;_' f'DNA: '., IS PA VJ address: �•3'� ,r s, ` 2s .pZS . h a# S �78� 'T Fq 1.vv�ouT eta' CoT v �� q o Z to 3 ,5 4 ',N l.. {B ai�/�atirigstabli5inent ' f�11 adiiraes : ge ' []Restauran etc• work sib pC°o proprietor and have no one u �s ??e ❑❑O face Sales Cmr_uding Real E,sta e,Autos ' ❑ I R' ' vrorking m an j�capacity'• . ., ❑piper to er with: etn to'ees Full&' sit time an /%%�M 111/%%/%%///�'%�///%%%%//%/%%/%/// on this job.. I� %/y//�%///%�///�/// /% f/ ensation for my aRloYees wor]�ng �/i//y//// an,, 910yer pro Z vtorkers" F.,4m .7.� ;3.:t• ~. ;'L.i.,;• •' +• ,, Cvgpt...7"I, LI P1st�• 4 !�:}r{t' . 'ts'•r� �':J.' t lei. r 'y�.`,yp7i�','y tY SI.•• ••'••+-•• M• �• •, S. 7•'ir.•i,S':.Syr{•.J,'•�r,'f f:;isi3=•r}SIt N( ' .7 •.�'•r. •M, `�W{'1t{/` /�11,R :{• 'i' 1'• st'. 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O�1G'I�F':' w f II/ • t + f 1• •'' "a'�°e�;ce.cG! •� tt' ho have the fallowsngi�torkers . emadent contractors listed b elow w , ��•��/J,�an a hired fete indep X ro rietor aud'hav ,r' • �1; 1 i ..l am a sole p P .L . 41 �i t •y •:ti:t*,�: ;,y�,,• f ,, nsation polices; �' s,t5�.•. �} yt�,NY.t '1., }'14i:.:4:•.¢. '1 .compe Z. .;:wt �;,-i�w:.�,;•..5;,•1.:..r•. ,. t• r• • •rj. .•�, .: 1 h'•4 r ;Y.'• }�':. . . ,'• � 1 j {+.y.+.t�•ry:• •r•.:•,r, 1 r ' .. ••, R ^i'".\��''•4'1}.,..t: '. .+f. '',' 'y Alt.- i.tylt�..': y,.;t1��• ' 'f • 1 {'Li l' P . .r.. ryr• !4' •..'1 . :L'•• •i"� L 1 v : . ,. iy,•, i+l'+9.�'' '. ':..:ry• i ' r'�' ''I]SAl�t, •t t ,:;it�iifr K1ti,„:.t,... .'., y. :!; .{,,:Cr•.•d. •. CbIII T{II yY 1 t' .t+fi: �• • S _. y 1 �+,°...t. 'f::�ri• +'J'r: t . yet:• 1 iiL,r'SS .t �4 r•.1 t • rl:.t• yj•1''A{.. •'�. + `1' t.r: r'. ...'J. 5 ati :4} l'. •it:l�'�i.r.fl 'I�;t+:�5•^Sal. 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's�`} .i,�'t• w..a• '' '�OIfE.tt.., ' 'i+t,•'t••:tiy'+.0 ya:tAt:�..�'}S,Y,i i?'i;�•I,:R tk•t•i •(,' L,' •. 1 1 ', . .• ' •A.Z• 'r IW,L/i• ',�•! •1'TI 1 tt' ;1•Y•, 11 y•�,,• ' :+..•yl• .• ! 'S:• .'/ Ns.i'4t1. ,� �hu.,ti!': �p• .o',�•°•' i!;',r:.I �1 may,. .y' h—'S:' S:sf• ;}'{:4:,:+.a:i Cl' :_. y...'' +' 1• tr y.r.:.r•r. , •Cry'}}hL t' .s; �. 1,P.•'aL t. .5.rt L {.St;M1r 1f`A.i at{t',ti J• t �� . ,•£.',j'.<�4.,F�;•'+r'�•;`••��t �„J}t:�' •Y�•i. ,y't`•:�::��!.=Ji aft.•.. j.1•},yi�+du.�.4• ��ZC.•:ff'i` '••S.°"'r'' 1 / . °"�•''" ah t,,,:,.�y'•;;t::a,• r: ai enaYtW of a fine tiDJ to$1,500.00 and/or fnsursucab+'e`"'' ositivn of crimin p Failure to secure coverage as regi>ired ender Section 75A of MGL 152 i an lead to the imp a ainst mt. Y nnderatand that} enaltle s the fo-i m of a STOP WORX O1ER and a fine;of$100.00 e'day g t offs y ' rl+onment as Well chdlp . ears Imp be foritazded to the Office°f Investigations of the DTA for t overage verification. copy of this statement may , , f under the pal and psnaltfes bf'p erf ury that the inf arm anon provided above is Prue and cn�ec X do hereby cart f Dats di azure Sig 57 78 hone# .dint name fit/( ti ,w rise only da not write in thin area to be i ompleted by city or fawn aifit i� ❑$uildiag Department ofIi permftllicense# []Licensing$oard city ortowV, ❑Selectmen's Office []HealthDepartmen� r []choekif irnmmdiate response is requu•ed. phone:#; contact person: (fevhed Sept pA03) -f41�x� ---�' o information and Imtnictions. : • ' ever x,aws clia 1tez`152 secfioia 2 q employers to pxovi$ workers' compensation forth - r ' G al p .5 re wires all *• Massachusetts e f`law",, employee is.defined as every person m the service of another under any contract �FI03'e�; As quoted'fromth _ • of hire, express°of iiaaphe oral or written. I er is der.ed.as an individual,�-a ership, association,corporation or other regal entity, or any two or rngre of An emp , the forego>ng�aged'n''a'�°znt en�ferprise,;and including the legal.zepresentatives of a deceased,employer,or the-receiver or • partnership association or other legal entity, employing employees:'However-the owner of a tnistee of an individual,p . p� dwelling house hay.. g,z�ot'more.than three apartments,and•who resides therein, or the:occupantA . the;dwelhng house bf k' s ersoiis to ad nuiaten?nce,constrgction or repair work on such dwelling hou*e or on the grounds or p , °ti'e wlio,emp•�' thereto shall not because pf such;employment.be deemed lobe an oy • • . enant empl er,.1 1. .. te1.152 section 25 also'states fhat'every s'tate'or I6cal licensing•ageney shall+,Ithhold the issuance or renewal' ', MGL chap y pp• 1 of a license or pe1'�?f to operate a business or to construct buildings in the.c0ilirmanweaIth for an a llcant who has not pxaduced acceptable evf dance of coinplzantie with the enter,into a Insurance eontraccoveragfor the performance of pyiiblzc we requ�r ok unt,�q,' of its olitical subdivisions sh y cozrmoonwealth noz.any• • P acceptable evidence of compliance vrith the insurance rbquirexnents of this chaptex have bebn presented:to the contracting autbonty: . f aga Applicants Please $sewn ys''eompensa�t affFdavit completely,by checking the box that applies to your sitdation.. Please su ly company name,address andphone numbers along with a certificate of insurance as all affidavits maybe submitted ant of 1'ndustrial Accidents•for confumation of insurance coverage, Also'be sure to sign and date the to the Departrn affidavit• The that the application for the permit or license is being affidavit should be returned to the city or town to not the pepartme it of 7ndustriak Accidents. Should you have any questions regarding the'"Iaw"or if you are requir B..Wgrkers'•compensationpQlicy,please call theDeparttnent at the nip*er nt;a.belovv. , required to vtain , . , , • . 1, PIN City or TOwns . _ , • ' P lcasebe sure that the affidavit is complete andprinted legibly. The Department has provided a space at fhdbottom.of the affi dvit fo'You to fill ont in'the event the Office of Investigations has to contact you regarding the'a p licaxt PJ.ease e pmm it/Iicense number v�rhjch wok be used as a referbnce number. The.affidayts maybe xeturned tq, be;sureto , in ' emezitshavebeenmade . ` ae=entby, or p,A.X,unless othez'arrang •' .. e O$'ice of Investigations would like to thank you.in advance for you cooperation and should you have any questions, � 've us a•call.••• •• . . •. .. • . tat e to f esi in oth please do n , , �tm The pep ent's address,telephone and:fax number: • ' The Commonwealth Of Massachusetts Department.of Industrial Accidents . silica of ua�esllena ' 600 Washington Street Boston,MR. 02111 fax M. (617)7Z7-7749 r °FZHE Toy, Town of Barnstable Regulatory Services BAPXnAst E Thomas F.Geiler,Director 1039. a� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder i lTa (/►/I�/J , as Owner of the subject property I, hereby authorize �� gw��"�*^� Q�� SQA� � � to act on my behalf, in all matters relative to work authorized by this building permit application for. !L (Address of Job) Zb0 Date Signature of Owner C� lam- Print Name QTORMS:O WNERPERMISSION mom J . Board of Building Regula 'ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 130666 Type: DBA Expiration: 416l2006 The Swim Pool Spa Sale & Ser, MaketGrp: . Steven Senna P-.O. Box 3612 E. Falmouth, MA 02536 Update Address and return card.Mark reason for chang Address Renewal Employment ❑ Lost Card �1:e�am�►raricueal!/ a�✓�aaaac/u�ae!!a Board of Building Regutadons and Standards License or registration valid for indWWul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. Nfound return to: vi Registration- 130666 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Ezp'nationc:`4/6/y0� Boston,Ma.02108 Type: DBA The Swim Pool Spa,Sale g Ser,MaketGrp Steven Senne 435 W aquoft Uvry E.Falmouth,MA 02536 Administrator Not valid without signature ,.. ti • l 2 S-�4 • Sit 1:tR t�:.�iY1�, _ — — — 2• f1�I YMA i SOLID X 36 $, 12'F $3 ( G S'vcKA pOR Ty�EJ O .. SEIF-CcoS,N�. .d %w4LArimS 39 • 11y 30' p n • �vo PLAN SHOWING 711 � - �c � FOUNDA TI O N LOCATION , I T 3 4 �' C OT UI-T, NIASSACHUSE T T'S ' -�. ©MEl) BY- " =aFr ? SCALE : a= 40` oArft I . : NOJ7AIAN GROSSMAN: REGISTERED LANt! Sl1f�VEYOR . e I HEREgY CERTIFY THAT THIS FOUNDATION IS LOWED ON INC LOT AS SHOWN AND •CONFORMS TO. THE TOWN qqqo OF SARNSTABLE ZONING REIiUL.AT1ONtS REGARDING. t,. �AGnS FROM STREET LINES AND .LOT LINE : �' S�f tAi;S PR^s A/tIR1Rf 1# -C84 0"AtAN A L.S. DATE U U U U -U U U March 00 • RADIUSD 18 x • • FI 'THERMOPLASTIC SIDE STEP T (rght5de 5hoHn) 2'R KNER W/8'.SIDE STEP 2 R g 8 8 8 2 rz 2 R _DESCRIPTION 2'IZ B'Plain panel B'Skimmer Panel 3 �—i . " B' Return Panel e, 8 8 6' Plain Panel `u� PANEI 8' THERMOPLASTIC 3' Plain Panel 18' 36'-83/4" s Ev 2' Radius Panel A-Frame Nut& Bolt Pack 6 6 '4 T d e - -Rest 3 3� 2R 2'R 2'R 2'R 8 8 8 8 - 7--A-FRAME BRACE I—' 18, 36 he ground water table is a minimum of 4'6' r the height of backfill to exceed the height of 40' 40' :ill by mom than IF% _ L l rum S'deep. - 8,.If IN' to 1' SAFETY NOTE PM uomcon igarauonsam nrbed earth. for illuslnuive purposes only. The configuration shown con- �� All dimenslons are finished dimensions. the shallow forms with current N.S.P.1 sag. P'MIMMUM Bested minimum standards for - PREPARED 13OTTOM i' pools approved for use with rsuuti vc par• manufactured diving equip- by id 4' 4' 6' 14' ( 12' by carious ment.If diving equipment is arts.ty of the imialled,follow the equipment id local build- - manufacturers installation. T l use and safety Instructions.. " - sR.rl/titttRttlr. . . BI PW�.E1D MBN.K STM ADM 2 14 UL i 730 �e°cn"`,►�'°°'s°° ° J. _..�.._ rr �eaoess M ilI CORNER M SERIES 800 a 850{g0°copm SERES 900 a 950 Or CORNET r 1 NAM we a s NMI CF TV • o � tas• ML twrr s . arw. fie `. ` ft aetac tarers� MM 000 d 1080 Q CORNER -SERKS 700 A 750 EL GARNER�] SERIES 700 STAIR CORNER �lJ . "VOL ' +, �� � saar�,�se�r. °ua�ttNr r�o sm+r Narr�tM � a tie�irsTao°r°uw�n°or�i r.ea i-ws . .p. Tri�t'Ju. DIAL LMJI 6 Arm IIOROIfTAL .y• oo 04Mt�. y •itAAN08 I �� N ��LLTNBha • PJO TO BMW" 114 „ ►.M a*50 600 B 1000�-STrAI CA o eaaas ea.n ose � a I 7"Y'OMIt - lNt�yIk�t�`�Tp�p�tp ao ra. vet I run liter+ ro°ODre tYC�t, oo+rotortr ra FEWO "pM'O�WtlaIM .�I o�."t�Rf'°" v1R'' a ov aw�FM i �oA. >! • �ns rw�retervte, _• �Mrt vai � �• wt fr.4 i'�!e�io•� xnu.+ar •+nett °`ur,s tti+w"' .,,; • ;• I etcne irrr trttor za,,eWrrtt Boa s ear. °• °y e' AN son m oa."Mft a.nta twx Notzar noxtnt�rot s Mogant wmwwa : ■etr d a'�''txnov �ttttetwr etutrm TYPICAL WALL SECTION Tl Pr.4L snFFENER s • T t ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. • BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. 1 CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING P01 POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV1, SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV5 THREE LINE DIAGRAM Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS * * * * * UTILITY: NSTAR Electric (Boston Edison) * * PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 2 7 7 5 00 CONTAINED SHALL NOT BE USED FOR THE CHRISTOPHER L HOLMES Christopher L Holmes RESIDENCE Cesar Giron �;,`COIarCI}" BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ••".,7 l.�/ NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 95 MARINER CIR 5.865 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE ' COTUIT MA 02635 ORGANIZATION, EXCEPT IN CONNECTION MATH > THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PD05.18 24 St. Martin Drive, Building 2, unit 1i SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME: SHEET: REV: DATE: Marlborough, MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: T: (650)638-1028 F: (650) 638-1029 SOLAREDGE SE5000A—USOOOSNR2 COVER SHEET PV 1 3/11/2016 (e6a>-sa-clTY(765-2489) www.;d m orcity.co PITCH: 15 ARRAY PITCH:15 F M MPl AZIMUTH: 145 ARRAY AZIMUTH: 145 MATERIAL: Comp Shingle STORY: 2 Stories z� PITCH: 34 ARRAY PITCH:34 z RIUKI K N MP2 AZIMUTH: 145 ARRAY AZIMUTH: 145 0 ST UCTURAL MATERIAL: Comp Shingle STORY: 1 Story 1 NO,51953 �FGlSTEa�O ��ONA1- STAMPED & SIGNED FOR STRUCTURAL ONLY Front Of House Digitally signed by Humphrey Kariuki Date: 2016.03.11 20:09:26 -05'00' LEGEND OQ (E) UTILITY METER & WARNING LABEL . INVERTER W/ INTEGRATED DC DISCO AC i Inv & WARNING LABELS ' D ' _ I © DC DISCONNECT & WARNING LABELS O ---� Inv I © AC DISCONNECT & WARNING LABELS -JI f ° 919 MP2b O DC JUNCTION/COMBINER BOX & LABELS °� DISTRIBUTION PANEL & LABELS MP1 Lc LOAD CENTER & WARNING LABELS ODEDICATED PV SYSTEM METER A B 0 STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR -- CONDUIT RUN ON INTERIOR GATE/FENCE O HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED SITE PLAN N Scale: 1/8" = V 01' 8 16' s F Ed MEMO, CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J B-0 2 6 2 7 7 O O PREMISE OWNER: DESCRIPTION: DESIGN CONTAINED SHALL NOT BE USED FOR THE NNk CHRISTOPHER L HOLMES - Christopher L Holmes RESIDENCE Cesar Giron �.�?� • BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: n + ,SolarCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 95 MARINER CIR 5.865 KW PV ARRAY ��." PART IZ OTHERS C PT IN THE RECIPIENTS MODULES COTUIT MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH , ' THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PDO5.18 24 St. Martin Drive,Building 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE Marlborough,MA 01752 PERMISSION of SOLARCITY INC. INVERTER.- PAGE SE5000A—USOOOSNR2 PV 2 3 11 2016 T: (650)638-1028 F: (650)638-1029 SITE PLAN / / (BBB)—SOL—CITY(765-2489) wmealaraitix S1 11 S1 or :9" .F r. n (E) -LBW n 10' 7" A SIDE. i _ y F M P 1 NTS 1 a F VIEWO SIDE VIEW OF MP2 NTS - <. RR , . a MP1 X-SPACING X-CANTILEVER Y-SPACING 'Y-CANTILEVER NOTES MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE - : 64 2411STAGGERED v R LANDSCAPE 64 24 STAGGERED F W PORTRAIT , 48 1811 PORTRAIT, 4 811 19 x _ , r, x. t _ ` , `, . .� 11 ROOF AZI,.145 PITCH ;15'�• ROOF AZI 145' PITCH 34 , r a"' ,. 8 @ RAFTER'-— , 2x 16 OC s 11 STORIES: ARRAY AZI 14S PITCH 15 . . RAFTER .2x6 @ 16 OC 1 ARRAY AZI 145 PITCH 34 ;� STORIES. 2 a: z C comp s C 7 2x6 @16 OC CompShingle OC ' , r, , - , r PV MODULE .5 16 .BOLT WITH INSTALLATION OROER / _ FENDER WASHERS; = 02 MAK. RK HOLE, , s L LOCATE RAFTER, LE, ,- RIuK . s O CTURAL 1�J1 «' LEVELING FOOT _ _ a (1) LOCATION AND DRILL PILOT _ _ sT u ZEP LEVEL y1933 t _ HOLE. r10. 6 , m ZEP ARRAY,SKIRT. F fiFtl . q n -v; 3 SEAL PILOT HOLE WITH Y GlST1r� M k 4 (2) -,. s�owAL q, ZEP COMP MOUNT C_ . . O POLYURETHANE SEALANT: x " v 3 INSERT FLASHING. •ZEP FLASHING C.. e (3) O '' STAMPED & StdNED, 1 , . (E) COMP. SHINGLE (4) PLACE MOUNT. FQR.STRUCTURAL.ONLY , F DECKING U (2) u - E R00 DWITH- (5) O INSTALL LAG BOLT .� t 5/16" DIA STAINLESS (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES C(6) NSTALL LEVELING FOOTRWITH - WITH SEALING WASHER BOLT & WASHERS. (2-1/2" EMBED, MIN) , (E) RAFTER ., - 1 STANDOFF J B-0 2 6 2 7 7 5 O O PREMISE OWNER: DESCRIPTION: DESIGN: ` . CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: ', •• `� - I �� - CONTAINED SHALL NOT BE USED FOR THE CHRISTOPHER L' HOLMES Christopher L•Holmes'.,RESIDENCE Cesar Giron �,`SO ar �t BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 95 MARINER CI'R 5'.865 KW.PV-ARRAY y., PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES COTUIT MA 02635 , ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2 Unit 11 THE SALE AND USE of THE RESPECTIVE (23) TRINA SOLAR # TSM-255PD05.18 _ _ SHEET., REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME '' PERMISSION OF SOLARCITY INC. 3 11 2016 888 INVERTER: T: (650)638-1028 F. (65D)638-1029 ,y SOLAREDGE SE5000A—USOOOSNR2 a . , STRUCTURAL -VIEWS PV 3 / / ( �soL-qTY(76s-24ss) wwwsolarcity.cortl' r UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR E 0 STRUCTURAL CALCULATIONS. CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE �/B—O262775 00 Christopher L Holmes RESIDENCE Cesar Gran CHRISTOPHER L HOLMES S��a�C�t BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: P /���3 NOR MALL IT BE DISCLOSED IN WHOLE OR IN Corn Mount Type C 95 MARINER CIR 5.865 KW PV ARRAY ►r y PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: COTUIT MA 02635 ORGANIZATION, EXCEPT IN CONNECTION WITH r THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PDO5.18 24 St. Martin Drive, Building 2, Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE,WRITTEN INVERTER: PAGE NAME SHEET: REV DATE T: (650)638—Marlborough,MAF. (61752 638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE SE5000A—USOOOSNR2 UPLIFT CALCULATIONS PV 4 3/11/2016 (BBB)-SOL-CITY(7e5-2489) .WW.salaraityaam GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N).#8 GEC TO TWO (N) GROUND Panel Number:NoMatch Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE #SE5000A-USOOOSNR? 25 LABEL: A -(23)TRINA SOLAR TSM-255PDO5.18 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43 940 368 Tie-In: Supply Side Connection Inverter; 50 OW, 240V, 97.5% w Unifed Disco and ZB,RGM,AFCI PV Module; 5W, 232.2W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 38.1 Vpmax: 30.5 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL E� 10OA/2P MAIN CIRCUIT BREAKER I Inverter 1 (E) WIRING CUTLER-HAMMER � I Disconnect CUTLER-HAMMER 1 10OA/2P 4 Disconnect 3 SOLAREDGE oc+ - SE5000A-US00OSNR2 DC- MP1: 1x15 A B u _70 I------ -- ------------ ------ -------------------- 1 PDG I2 - 1(E) LOADS GND ------=---_-- --- oc---- GND ------ :lNDG _ C MP2° 1XS GND .__ EGC--- --.--- ------ ------------ G ------- --e----- 1 : .. .. t Tt� N . (1)Conduit Kit; 3/4' EMT iEGC/GEC.- - GEC T TO 120/240V SINGLE PHASE. UTILITY SERVICE PHOTO VOLTAIC SYSTEM EQUIPPED,WITH RAPID SHUTDOWN ` Voc* = MAX VOC AT MIN TEMP POI2)Gro d Roo A (1)CUTLER-HAMMER DG222NRB. V (23)SOL.AREDGE 1�300-2NA4AZS ( 5ro/, x 8� per Disconnect; 60A, 24OVac, Fusible, NEMA 3R. AC P v PowerBox 0•timizer, 30OW, H4, DC to DC, ZEP DC (2)ILSCO IPC 470- 6 6 1 CUTLER-HAMMER DG221UR8 nd (,1)AWG Solid Bare Co er Insula ion Piercing Connector; Main 4/0-4, Tap 6-14 ( ) i 6, pp Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R S SUPPLY SIDE CONNECTION: DISCONNECTING MEANS SHALL BE SUITABLE -(1)CUTLER- AMMER DG030N8 -(1)Ground Rod; 5/8" x 8', Copper AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Ground Neutral it; 30A, General Duty(DG) . x (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2,`ADDITIONAL - - - ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE (1)AWG$6,-1HWN-2, Black 1 AWG$10, THWN-2, Black (2)AWG #10, PV Wire, 60OV, Block Voc* =500 VDC Isc =15 ADC ® (1)AWG#6, THWN=2, Red O 1)AWG 0, THWN-2, Red - - - ' O (1)AWG Solid Bare Co ei EGC Vm =350 VDC Im 10.79 ADC (I)AWG#6, THWN-2, White NEUTRAL VMP =240 VAC IMP=21 AAC (1)AWG#10, THWN-2, White NEUTRAL Vmp 240 VAC Imp=21 AAC , , , , (1 Conduit Kit;.3/4'.EMTpP, . . . . . P.._ . . . . . . . . , P . , . 1 7. (1)AWG G,_Solid Bare,Copper. GEC. , . .-(1)Conduft,Kit;.3/4',EMT. . . . . . :. : . . . . . .-(1)AN#8,.TRWN_2,_Green . . EGC/GEC, ,(I)Condui Kit.t 3/4, ,EMT• , , . , . . . . . (2)AWG #10, PV Wire, 600V, Black Voc* =500 VDC Isc . . ADC T (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=5.75 ADC OF 1 Conduit Kit; 3 4 EMT . . . . . . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J B-0 2 6 2 7 7 5 0 O PRL1usE OWNER: DESCRIP110N: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER `Njl�SolarCit CONTAINED SHALL NOT BE USED FOR THE CHRISTOPHER L HOLMES Christopher, L Holmes RESIDENCE Cesar Giron BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ���� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 95 MARINER CIR 5.865 KW PV ARRAY i PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES COTUIT MA 02$35 ORGANIZATION, EXCEPT IN CONNECTION WITH , THE SALE AND USE OF THE RESPECTIVE (23) TRINA SOLAR # TSM-255PDO5.18 24 St. Martin Drive,Building 2,unit tt PAGE NAME SHEET: REV: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: T. (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE5000A-USOOOSNR2 THREE LINE DIAGRAM. PV 5 3/11/20I(M)-SOL-CITY(765-2489) www.solarcity.corn Label Location: WARNING:PHOTOVOLTAIC POWER SOURCE LabelLabel ' ' WARNING WARNING Code:Per Code: Per Code: Per NEC ELECTRIC SHOCK HAZARD ELECTRIC SHOCK HAZARD 690.31.G.3 •DO NOT TOUCH TERMINALS 1 •THE DC CONDUCTORS OF THIS 1 Label Location: TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE • BE USED WHEN PHOTOVOLTAIC DC LOAD SIDES MAY BE ENERGIZED UNGROUNDED ANDINVERTERIS IN THE OPEN POSITION MAY BE ENERGIZED DISCONNECT ••" UNGROUNDED NEC .•1 LabelLabel • • PHOTOVOLTAIC POINT OF • MAXIMUM POWER IN Per TERCONNECTION •_ POINT CURRENT(Imp)_A Per WARNING: ELECTRIC SHOCK • Code: HAZARD. DO NOT TOUCH 1 690.54 MAXIMUM POWER- V TERMINALS.TERMINALS ON POINT VOLTAGE(Vmp) NEC 690.53 BOTH THE LINE AND LOAD SIDE MAXIMUNI SYSTEMSV MAY BE ENERGIZED IN THE OPEN VOLTAGE(Voc) POSITION. FOR SERVICE SHORT-CIRCUIT A DE-ENERGIZE BOTH SOURCE CURRENT(Isc) AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC Label • • OPERATING VOLTAGE V WARNING ' Per ..- NEC ELECTRIC SHOCK HAZARD IF A GROUND FAULT IS INDICATED 690.5(C) NORMALLY GROUNDEDLabel L• • UNGROUNDDEDOAND ENERGIZED CAUTION DUAL POWER SOURCEPer Code: SECOND SOURCE IS NEC 690.64.B.4 PHOTOVOLTAIC SYSTEM Label • • WARNING Code: Label Per _ ELECTRICAL SHOCK HAZARD Location: DO NOT TOUCH TERMINALSNEC 690.17(4) CAUTION ' • TERMINALS ON BOTH LINE ANDPer Code: LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM IN THE OPEN POSITION CIRCUIT IS BACKFEDNEC 690.64.13.4 DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • WARNING '• Code:Per INVERTER OUTPUT Label • • CONNECTION NEC ''1 PHOTOVOLTAIC AC • DO NOT RELOCATEDisconnect DISCONNECTPer Code: THISODEVCERRENT Conduit NEC .•1 Combiner :• DistributionPanel Interior(DC): DC Disconnect' Label Location: (IC): • • -. -. MAXIMUM AC A •• (LC): Load Center OPERATING CURRENT Per Code AAAXIMUM AC • OPERATING VOLTAGE V • 1 54 '• Point of - • - • :� • i • � i „ ^SOIafClty ®pSDlar Next-Level PV Mounting Technology r ” SOIafClty ®pSolar Next-Level PV Mounting Technology Components . Zep System for composition shingle roofs to � r T b Up-roof P of - L eveh ing Foot . - Ground Zep Interlock (Key Ndc yhmo) - i - Levei6rg coot '�--" � Part No.850-1172 -. - _- r ETL listed to UL 467 • 2. ... .Zep Compatible Pll Module - �- Zep Groove Root Attachment Arroysbr: •, - Comp Mount.. Part No.850-1382 Listed to UL 2582 ✓'"r _ Mounting Block Listed to UL 2703 ' ti �F Description -S PV mounting solution for composition shingle roofs ', ,• _ � -. _ Co *•7 FA — , Works with all Zep Compatible Modules - ` • Auto bonding UL-listed hardware creates structural and electrical bond t. • Zep System has at UL 1703 Class"A"Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2" Interlock Ground Zep V2 DC Wire Clip U� LISTED Specifications j Part No.850 1388 Part No.850-1511 Part No.8501448 - Listed to UL 2703 Listed to UL 467 and UL 2703 Listed to UL 1565 • Designed for pitched roofs • Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1763 • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and UL 467 • Zep System bonding products are UL listed to UL 2703 • Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices • Attachment method UL listed to UL 2582 for Wind Driven Rain Array Skirt,Grip, End Caps. Part Nos.850-0113,850-1421, . 850-1460,850-1467 zepsolar.com zepsolaccom Listed to UL 1565 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for - This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zap Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of ZepSolar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. Document#800-1890-001 Rev A Date last exported: November 13,2015 2:23 PM Document#800-1890-001 Rev A Date last exported: November 13,20152:23 PM ti e solar=a@ solar=@e SolarEdge Power Optimizer. Module Add-On for North America P300 / P350 / P400 SolarEdge Power Optimizer P300 P350. P400 Module Add-On For North America (fur 60-cell PV (fur 72-cell PV (for 96-cell PV _ f modules) modules) modules) P300 / P350 / P400 • IINPUT Rated Input DC Power l' 300 350 400 W ....................................................................................................................................... ............. Absolute Maximum Input Voltage(Voc a[lowest temperature) 48 60 80 Vdc ..........................g................................................................................................................................... ............. MPPT Operatin Ran a 8-48 8-60 8-80 Vdc .............................................................................................................................................................. ............. • Maximum Short Circuit Current(tsc) 10 Adc Maximum DC Input Current 12.5 Adc ........................Y...................................................................................................................................... ............. Maximum Efficient ' Weighted Efficiency ................................................................................................................................................................ ............. - Overvoltage Category - II _ )OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) _f _ Maximum Output Current .n Adc ............................................................................... ....................................... ............. _ Maximum Output Voltage 60 Vdc r'r • )OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 - Vdc {STANDARD.COMPLIANCE _ - .. i t r�.cRY� EMC FCC Part15 Class B,IEC63000 6 2 IEC63000 6 3 Safety IEC62309-1(class II safety),UL1741 .. .... .... ........ ........................... ... .. ...................... .......... RoHS Yes -r- (INSTALLATION SPECIFICATIONS y m�•-=•.' s. i '' ` Maximum Allowed System Voltage 3000 .Vdc Dimensions(W xLx H) 141x212z40.5/S.SSz8.34x1.59 min/in Weight(mcludm cables) ...... ........ .... .......... ...... g ....................................950/21 gr/Ib ............ Input Connector MC4/Amphenol/Tyco -` '` - Output Wire Type/Connector Double Insulated;Amphenol.. .. .. ................ .. .... ..... ...................... - - Output Wire Length ........ . 12/39m%8 Operating Temperature Range 40 +85/-40-+185 "C/"F ` 'Protection Rating IP65/NEMA4 ' • Relative Humidity 0-100 ' .................................................................11......................................................................... % src nhc mmom.Mod. f�pow.,o pro+s%ao.c.1oicm.«:nowca. PV SYSTEM DESIGN USING A SOLAREDGE - ` SINGLE PHA Si THREE PHASE THREE PHASE �� •>. . INVERTER ' -208V 480V• PV power optimization at the module-level Minimum String Length(Power optimizers) 8 10 18 .................:............................................................................... Up to 25%more energy - Maximum String Length(Power Optimizers) 25 25 50 ....................................................................................................................:............................................... — Superior efficiency(99.5%) - Maximum Power per String 5250 6000 12750 W ............................................................................................................................................................................. Parallel Strings of Different Lengths or Orientations � Yes — Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - '•--•..................... •• •• ••-• - • — Flexible system design for maximum space utilization - - Fast installation with a single bolt - - - Next generation maintenance with module-level monitoring Module-level voltage shutdown for installer and firefighter safety . USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us p J • THE tRinamount MODULE TSM-PD05.18 Mono Multi Solutions DIMENSIONS OF PV MODULE ELECTRICAL DATA @ STC _ - . 'Peak Power Watts-Pmnx(WP) 4 260unit:mm _ 255 .941 Power Output Tolerance-Pmnx(%) 0-+3 - • Maximum Power Voltage-VmP,(VI 29.9_ r. 30.3 30.5 1 30.6 THE rinam U nt NR,oNO Maximum Power Current-ImPP(A) 8.20 8.27 8.37 8.50 ""^'rPr^r - :-o •Open Circuit Voltage-Voc(V) 37.8 � 38.0� � 38.1 38.2 ^ .rz t L i urrent-s 8 75 79 8 88 9 00 NSTFLLING HOLE : C fault C C B ule Efficienc ( 1 A) -: y�m(�j--•-- ...,.L �15.0---•.I�.-„-.15.3 -,L 15.6 15.9 .... s __. MODULETypical _ 0 �. . _ STC:Irradiance 1000 W/m2,Cell Temperature 250C.Air Mass AM1.5 according to EN 60904-3. - ¢ !{- efficiency reduction of 4.5%a1200 w/m'according to EN 60904-1. - ELECTRICAL DATA @ NOCT ' _. l^_ . . r-Pm 182 6 't 19 0 CELL - r i Maximum Powe nx(Wp) �. .{ .. 18 �. i 190..,. _..._3_ } um r Vo - 27.6 2 2 1~Maxim Power Itage VMo(V) 8 0 It 28.1 28 3 Maximum Power Current-ImeP(A) 6.59. I' 6.65 J 6.74 - I .6.84 MULTICRYSTALLINE MODULE °°°3GRO°"°iN°H°Lr ; 7 A A Open Circuit Voltage V Voc V 35.1 35.2 35.3. 35.4 - - rzonaNHOLP 9 ( )- ( ) . WITH TRINAMOUNT FRAME ( J short Circuit Current(A)-Isc(A) t zo7 7.10 7.17 ( 7.v - - NOCT:.Irradiance at 800 w/m2.Ambient Temperature 20°C,wind Speed I m/s. - - 245-26OW �- PD05.18 B,2 8D - Back View POWER OUTPUT RANGE i MECHANICAL DATA - • �-�--� - - Solar cells - Mvlticrystalline-156 x 156 mm(b inches) - 1 Fast and simple to install through drop in mounting solution ; ( Cell orientation 60 cells(6.10) d` 115.970 4 . Module dimensions t 1650 x 992 x 40 mm(64.95.39 OS x 1.57 inches) Weight 21.3 kg(47.0lbs) _- MAXIMUM.EFFICIENCY _ iii Glass 3.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass 111 4 A-A Backsheet White Good,aesthetics for residential applications. Frame Anodized Aum Alloy with o n Groove A C(e _ _ tBlackA d' d 1 inium Trinam u iGoo e _ J-Box IP 65 or IP 67 rated - _ I-V CURVES OF PV MODULE(245W) • 0 1r�3� - Cables Photovoltaic Technology cable 4.0 mm2(0.006 inches'), POWER OUTPUT GUARANTEE o.^ k a l2oomm(47.zinahes) f 9.10 I Fire Rating Type 2 it tl.7.m 800W/m' - Highly reliable due to stringent quality control <_bm m i •'Over 30 in-house tests(UV,TC,HF,and many more) sm AS a leading global manufacturer In-house testing goes well beyond certification requirements 1 a.W-4 TEMPERATURE RATINGS y MAXIMUM RATINGS of next generation photovoltaic 30° 200w/rn. Nominal OperatingCell-y.. Operational Temperature. -40-+85°C products,we believe CIOSe _ _ - t ( 2m c ' Temperature(NOCT) '4-C'(±2°CI _ Maximum System 1000v DC IEC cooperation with our partners y ( ) o.m (. Temperature Coefficient of P- -0.41%./°C Voltage 1000V DC(UL) is critical to success. With local o.W to.- 20.00 3om 4o.W M 1 presence around the globe,Trina i5 - • vdiage(vj Temperature Coefficient of Voc -0.32%/°C Max Series Fuse Rating. - able to provide exceptional service t' to each customer in each market Certified to withstand challenging environmental Temperature Coefficient of isc o.os�/°c and supplement our innovative, conditions reliable products with the backing /// . 2400 Pa wind load f!( c of Trina as a strong,bankable - 1 WARRANTY - 9 _ partner. We are Committed 5400 Pa snow load t 110 year p � � f _ 10! year Product Workmanship Warranty - • to building strategic,mutually f it beneficial collaboration with 4 ,25 year Linear Power warranty installers,developers,distributors (Pleaserererrapratlaawarranryrortlemo:l a and other partners as the R backbone of our shared success in '- CERTIFICATION driving Smart Energy Together. i LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION i' _� a' ( 10 Year Product Warranty•25 Year Linear Power Warranty eUs= asP�s Mules perbox:26 pieces i wi Trina Solar Limited I g www.trinasolar.com. ) I a ® Modules per 40'container:728 pieces .r m100➢ t AtldlHonvl . y Value fir a. coMELL-T - 14 c 9o% rh Trinv Solvr's linear r warrant CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. p00 r - ° Y - 6 2014 Trina Solar Limited.All rights reserved.Specifications included in this dotasheet are subject to - ( Trinasolar 80� __ Trinasolar change without notice. g .n _ Smart Energy Together Years s o s zo ss Smart Energy Together °oMPn�e Trina standard indosrry standard - pL_ .....-� - ,. _I�.�._--��,w._.__- so I a r=eeSingle Phase Inverters for North America s o I a r • • SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE10000A-US/SE1140OA-US SE3000A-US ..SE380OA-US I SE5000A-US I SE6000A-US SE7600A-US I SE10000A-US I SE1140OA-US - 'OUTPUT SolarEdge Single Phase Inverters 9980@208V . Nominal AC Power Output 3000 3800 5000 6000 7600 11400 VA - ........................................... ................ ...... ?0000 240V Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA For North America ...... ............. 5450. ?4oy.................. :................10950.E?40�. ................... ........................................... ........ . AC Output Voltage Min:Nom.-Max 1�) ✓ SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ 183-208-229 Vac ....... .................... ................ ................................................ .................................. ............................. $E7600A-US/SE10000A-US/SE114OOA-US ACOutpu....*age..Min.-Nom:Max.i.. 211-240-264 Vac . ............. ........................... ... ............ .................. . .. .. .... AC Frequency Mi :M n.-Nomax.i11 59.3-60-60.5(with HI country setting 57;60:60:5) Hz Max Continuous Output Current . .. ..12.5 I- .- 16. ....24 @ 208V I. •25 •. . I-. 3?-.. ..I 42 @.240V...I.......47 5- .. A ,. 21,E 240V.. GFDI Threshold 1 A Utility.Monitoring,Islanding Protection,Country Configurable Thresholds Yes - Yes INPUT A",'Maximum DC Power(STC) 4050 5100 6750 8300 10250 13500 15350 W 25 ica Transformer less,Ungrounded ... .. ...... . ... ... ......... ......... .... .....Yes.... .. ......... ......... ..... .... ........ ......... L� ........................................... ......................................................... .... ................................. .................. .... ... t°m - is -� Max Input Voltage so Vdc atY m:; ........................... ..................................................................................................................................... Nom:DC Input Voltage 325 @ 208V/350 @ 240V - Vdc �a,,a Max.In ut Current(") 9.5 13 16 5 @ 208V 18 23 33 @ 208V .34.5 Adc.. ....P - .......... Max.Input Short Circuit Current - - 45 Adc - ...even.........Y..................:.... ........................................................................................................:............................ Reverse-Polarit Protection Yes Ground-Fault Isolation Detection - 600kty ' ........................................... ................ ............... u Sensitivi............................::.... .................:........... Maximum Inverter Efficiency 97.7 98.2 98.3 98 3 98 98 98 % ............. 97.5 @ 208V 97 @ 208V - - ...-----� CEC Weighted Efficiency 97.5 98 97.5 - 97.5 97.5 % .......... 98-@.240V .................975 @.240V.. ............................. .. ...... ....... ........ . ....... .:. ... .................... NightLune Power Consumption <2.5 <4 W - - -"` ADDITIONAL FEATURES +- Supported Communication Interfaces R5485,RS232,Ethernet,2i Bee(optional) y. ........................................ ..... ..................................... ................ - -. Revenue Grade Data,ANSI C121 Optionallll - .................. ..................................................... ........................................................... Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed(4) .�. ._ I STANDARD COMPLIANCE ) �� Safety UL1741,UL1699B,UL1998,CSA 22.2 f t ........................................... .............................................. ........................:..................................a.......................... 1 Grid Connection Standards IEEE1547 .. ......... ....... ... Emissions FCC part15 class B INSTALLATION SPECIFICATIONS AC output conduit size/AWG range 3/4 minimum/16-6 AWG 3/4"minimum/8-3 AWG - ........................... .................... ................ .............................................. .............. DC input conduit size/p of strings/ 3/4"minimum/1-2 strings/ 3/4'minimum/1-2 strings/16-6 AWG ' :. ......Pg?............................. ...................................................................... 14-6 AWG ......................30.5 12..x10....................... Dimensions with Safety Switch - 30.5 x 12.5 x 10.5/ in/ ........................... .... .......................30.5 x 12.5 x 7.2/775 x 315 x 184 775 x 315 x 260 mm Weight with Safety Switch 51.2/23 2 54.7/24.7 88.4 40 1 ...Natural......................................... .. -�.... convection - Cooling Natural Convection and internal Fans(user replaceable) fan(user . The best choice for SolarEdge enabled systems ................................... ................................................................... .feplaceable).. Noise <25 - - <50 dBA .... ................................................................. .. ... ...................................................... Integrated arc fault protection(Type l)for NEC 2011690.11compliance -�Min:Ntax.operatingTemperaLu�e -13to+1ao/-2sto+6o(-4oto+6overslonavailablei'I) ............ Protection Rating - NEMA 3R Small,lightweight and easy to install on provided bracket ........................................... ..................................................................................................................................... For other regional settings please contact SolarEdge support. m A higher curre source may be used;the inverter will limit its input current to the values stated. �. Built-in module-level monitoring - - lal Revenue gradnte inverter P/N:SEX A-USOOONNR21for760OW Invetar.5E7600A-U5002NNR21. Rapid shutdown kit P/N:SE1000-RSD-S1. Internet connection through Ethernet or Wireless Isl OO version P/N:SE%auA-U5000NNU4(for 76MW inverterSE7600A-US002NNU4). Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional-revenue grade data,ANSI C12.1r sunsl=Ec RoHS USA GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THENETHERLANDS-ISRAEL www.solaredge.us C)Sma,Edge Technologies,Inc.All rights reserved.SOLAREDGE.the SolarEdge logo.OPTIMIZED BYSOLAREDGE are trademarks or registered trademarks of SolarEdge are trademarks of their reepertrve-ners.Date: 4Technologies.14. 4 1