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1124 SANTUIT-NEWTOWN ROAD
k J Town of Barnstable BU11Clln e - Post This""ardfSo"That;it is:�/isible From the Street A , roved PlansaMust be Retained on Job and;this GardvMust be Ke t * flARN8TA8LE, ,� ss.".• Tin ,. '' :'' k ka 3 ' - •,.�,y > Posted Until Fin Inspection Has,Been Made ,y 2 ; ' ,x..y ' Wherea Certificate;of Occu anc as Re urred'.such Buldm shall Notbe Oc u ied,until a;;,Final Ins edion hassbeenw-made� Permit Permit No. B=16-93 Applicant Name: Map/Lot: 026_035 Date Issued: 02/05/2016. Current Use: 1010 y Zoning District: RF Permit Type: Solar Panel-Residential Expiration Date: 08/05/2016 Contractor Name: SOLAR RISING LLC. Location: 1124 SANTUIT-NEWTOWN ROAD,COTUIT ' Est Project Cost $36,907.00 Contractor License : 175578 i Owner on Record: HEMBERGER,STEPHEN& MCCABE, ELLEN � Perm it,Fee $238.23 Address: PO BOX 242 , Fee Paid: $.238.23 COTUIT,MA 02635- . ,,; 4 Date 2/5/2016 Description: Installation of 37 Ig 285 watt solar modules 1® 1/p J Project Review ReqtQ A r` h Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit s commenced within six months after issuance. All work authorized by this permit shall conform to the approved appl cation d�th ' ppr,6vi construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and strutturesshall bean cornpliake•withtbe 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 op nfo�p blicm p ctiori for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the=Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:= 1.Foundation or Footing1 2.Sheathing Inspection x 3.All Fireplaces must be inspected at the throat level before firest flue limn is,installed ; P P g . 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection a 5.Prior to Covering Structural Members(Frame Inspection) b.Insulation 7.Final Inspection before Occupancy _. .,,°. ,,�. .,�, ..R..�,,G Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PER I �A PLICATION a b o3 Y ulk lurq " ib -6 3 Map �� Parcel PT Application # Health Division a, Date Issued 1s/24 `� Pe- JAI 1i Conservation Division Application F� V N OF SARNSTABLe Planning Dept. Permit Fee _ Date Definitive Plan Approved by Planning Board Z 3 Historic - OKH _ Preservation/ Hyannis Project Street Address QA4(,,I!- / F-WfOWY) K© GA P, Village Owner Vic'N /`�� ��� Address i u� S-,:;►Xt4 'AA4 1 i w" Telephone 50 q a y r 5 Permit Request ns-�.���a�I6� o-� ? La 9,51GY IlAic<5 1016YRq Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ICf 16? 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) G Name ����� f�t5,i�1 �� G Telephone Number �< boo 11 Address � dot��� � License # o a u Home Improvement Contractor# 9s�/� Worker's Compensation # U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 80CA54c4l , -firc�s-For 5-6a+I(A SIGNATURE DATE s FOR OFFICIAL USE ONLY -, .APPLICATION# DATE:ISS.UED_ MAP/PARCEL NO. `ff - ADDRESS VILLAGE I OWNER t DATE OF INSPECTION: FRAME � t S INSULATION_ 'r FIREPLACE t ELECTRICAL: ROUGH FINAL - ' PLUMBING: ROUGH FINAL fy ;. GAS: ROUGH FINAL FINAL BUILDING C01. /o `� `s DATE CLOSED OUT ASSOCIATION PLAN NO. } ., T .` The Commonwealth o M6t dthicsetts � ' De ahih tit o Irtdu_t W Accidents A =1 P f -) � 1;Congress Street,Suatefi' O - Boston,MAO?114 2017 wrvw mass gov/dta l�oil.ers'Catnp¢nsatt_on[nsurance AfffidavrtBuilders/Contractors/Eiectrtctans/Pturnbers TO'BE FILED W[TFI THE PERVIITT,[NG AUTItORITY } Anolicant[tiformahon Please.Print Legibly y' £ Name(Business/Or anizationnndividual) SOlaf RIOh LLC ,.�.. ,:_��',, - , ,:.;� ,, �j;,��z-�;.,,R_ ._� ':.,�_:-` ��...,:� , .Z.,F �,; .,.�: _.,_. 7m, 1;i_, ��A,,_-,� Address 759`Falmoutii 9�oad t9nrt.8 Clty/State(ZIp °Mashpee MA Q264� Phone# 5�8 744 6284, ;` ��r:.._�:,'�_l"-�e,I�,�,,,.�::,:�:���.-`-;_�-;-,,,,_,l:-..�1.".,0.�7i,,'-.-%1,.�II,.9,�*".:..:�,Il,l`,,�_.___�:I:�._�1,—';..,�... L:.., � ,-:,�.-,.,,..�.�. -.:�!l:..��,.�;._l-1I��I:.,,,.I.-�_I.��.1f_�--�-.--.-I,:l.i,�_.Z,,�;,:d I.-;'m,, �� __ .. I — -, _ -�,,, -`�, -,--;� - - E Are you an employer"C: e' -the appropnate box Type Of;prOJ¢Ct,(Cequired) -e _ F lY 1. am a employer with employees(full and/or part ume)• 7 []New construction I am a sole propnetoi or partnership and.tjave no employees vvorkmg forme to" �, $ ❑RemodeI' ' any capacity [�Io workers comp insurance regwred] 9 ❑Demolttton 3 I am a homeowner dom all Work myself[No workers coin 'insurance rI aired] . a P, 4 I O® Building addition 4 I am a homeowner and will be h¢mg contractors to conduct all'work on my property [wd1 ensure that all contractors euher have workers compensation insurance'or are sole ]I ❑:EaeCtnCal repairs Or addttttns proprietors with no employees Plumbmg,repairs or addrttons a Q t am a genera{contractor and t have htred`the sub contraetors•listed on the attached sheet These sub contractor's have employees a 4 have workers comp msurante 13 Q Roof repairs 6.❑We are acorporaaon and its officers have`exerctsed'thetr tight of eeempi on per MGL c 14 ®other Soar 15� §l(9) and we have no employees ll+fo workers comp insurance regwred] £ •Any applicant that checks box#[must also fll out the section beloFv howing rhea workers compensation policy mforitiation t Horrieowners who submit;this a tdavtt utdicating they are-doing al[:work andwhen hire outside conrcactors must submit a"'new aftidavrt indicating such ` [Contractors that check thts:boe must attached anladditional sheet showing the name of the'sub contractors and state whether or notllose enaaes have employees,If tfieaub contractors have;employees they must provide their workers comppohcy ntiinber d aft-, employer that u provtrling workers'comperrsahon rresrrance for my erirployees Below rs the pokey andob sate inforrnat:an Insurance Company Name Traveler• Inderrtnity Company Po[tcy#or Self ins Lie # ! 8 5Bfi77�50' 5 EYpuation Date :11/02/a6 . lob Site Address Catty/State/Zlp Attach a copy of the workers'compensation policy tlectarahon page(showin the policy number and erprration[isle) Failure to sec.iire coverage as required tinder MGL c I:2 §I .. a cntntnal vtolaUon.puntshable: - a fine up to$[ 500 00 andlo.c one year tmpnsonment':as well as civil penalties to the form of a`STOP WORK QRDER and a fine'of up to_h3 0 a day against the:violator A copy of this statement may be forwarded to the Ofttce-;of Inveshgattons of the DIA for,;Ensuranee coverage yerftcatton 116 leereby ce antler the.earns aril!penalties of perlrrry that the rtrformahot proyiclert above rs true rind correct St nature ...'` . Dater. 11 02115 g Phone#. Offrcral use only Do not wrrte rn thrs area,'to be,completer!by crty or towtr offiaal City or Town PermcA cerise# Issuing Atthonty`(circle one) [ Board of Health;:2 B ililmg Departmegt 3 City/Town Cler6 Electrical Inspector S Plumk rng inspector 6 Other Contact Person _ �Fhone#i. \r WVWX 4 Office Of Consumer ZZsand Business Regulation 10 Park Plaza - Suite 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175578 Type: Supplement Card Expiration: 5/28/2016 SOLAR RISING LLC: DEAL HOMGRER9 --- --- 759 FALMOUTH RD MASHPEE, MA 0264 Update Address and return card.Mark reason for change. ,Ps-cnl 0 5UQ4.44104-0701216 Address [;'� Renewal + Employment F 1 Lost Card - J `IBM Cn��aryno.rrr:rell- r, l rx�,}tr:: rrs !?� Otl'ice of Consumer Affairs&Busia Regulation License or registration valid for individul use only ! °t )t�HOME IMPROVEMENT CONTRACT before the expiration date. If found return to: � Of ice of Consumer Affairs and Business Regulation Registration: 175578 Type. 10 Park Pin=-Suite 5170 Expiration: 5Q812018 Supplement Card Boston.MA 02116 SOLAR RISING LLC. . c NEAL HOMGREN P.O.,BOX 2623 ' MASMPEE,MA 02649 Und _��_...._.._._._...._...._.._._._......._�,._-....._r._._.___._ rsecretary Not valid without signature Massachusetts Department cf Public Safety Board of Building Ikeguiatiom and Standards License CS-068921 , NEAL F HOLMGREN ,' F 76 SPRING HILL RD EAST SAfNOMCH MA`,Ql 15 — _ co ntmissaonee` 09/18/2017 i y k 4 l:. y i t r u 3i. Life's.Good } 9 ® 0 S: x . 3 Y W an 0 .. FlV-t u. y Ti S S k t C LG280S1 C B3/LG27SS1 C B3/ LG27051 C B3 µ o- x LG26551-C-83 q y 5 6® eI l ` 3 t Mon' series are LG Electronics h%gh qua(,ty m0n0Q stall,ne, w module brands The quality is the result of our Strong commltmE 3 - in developrng a module to irriprove benefits fur cu�tomer� Features of,Moi roX' ciency and duraihty , than LG previous mode c convenieijilnt instaflation and aesthetic exterior APPROVEDPRODtkT DVE C uL US xtauasi�-:: �st+Q,tlrs rfi�arcxa9a,.s� ! - e 16 8kg�_ LIGHT AND ROBUST o CONVENIENT INSTALLATION With a weight of just 16.8 k (36.96 lb LG " LG modules are carefully designed to benefit installers 0 9 1 9 )� �r Light'Neight modules are proven to demonstrate.outstanding. by allowing quick and easy,installations throughout the durability against external pressure up to•5400 Pa. Convenient carrying,grounding,and connecting stages of modules. tnsialfafivn 100%EL TEST COMPLETED THE EXTRA 2%POWER All LG modules pass Electroluminescence inspection. To minimize losses due to mismatch,LG produces 3 groups This EL inspection detects cracks and other Mill tu c�T st of solar modules which are sorted by its current class. This enables MonoXTM to maximize the system's output by imperfections unseen by the naked eye. y Glrrrnt scrr;r: around 2%based over the theoretical calculation. r RELIABLE WARRANTIES rl; POSITIVE POWER TOLERANCE LG stands by its products with the strength of a LG provides rigorous quality testing to solar modules L!near Warranty to assure customers of the stated power outputs of all global corporation and sterling warranty policies. LG offers a 10 year product limited warranty and modules,with a positive nominal tolerance starting at 0%. Yaterancn a-25 year limited linear output warranty. About LG Electronics LG Electronics is a multinational corporation committed to expanding its capacity with solar energy business as its future growth engine.Our solar energy source research program was launched in 1985,backed by.LG Group's rich experience in semiconductors,L.CD,chemistry and electronic materials industry.We successfully released the First N'IonoXTP.A series to the market in 2010 which was sold in 32 countries in 2 yearsAn 2.013,Monoxi-m NeON won'Intersolar Award",which proved its leading innovation in the industry. •® s s e yl t MECHANICAL PROPERTIES ELECTRICAL PROPERTIES(STC*) Cells 6x10 _ _'_ _ LG280S1C-B3 LG2_7551C-B_3 L_G270S1C-B3 LG_2.65S1C-B3 Ceti vendor LG Maximum power at STC(Pmpp) 280 ^• 275 270 265 Cell type -Monocrystalline _ MPP voltage(Vmpp)`---- !- 31-9 ' ~37 l _ 31.5 31.3- Cell dimensions 1565 x 156.5 mm/6 x 6 irlt MPP current([mPp) ____._. -8.78-- _ 868 _T� 8-58 ~_"8.49__ u of busbar 3 Open circuit voltage(Voi) 38 8 38.7_ 38 5 _y 38.3 Dimensions(L x IN H) 1640 x 1000.x 35 mm _. _ _ Short circuit current(Isc) '9 33- 9.26_ _91 7^! 9.11 64.57 x 39.37 x 1.38 in Module efficiency(°l} - 171.i 16.8 �~ 16.5 16J_ Static snow load 5400 Pa 7113 psf' --_c - --- 1 - - Static wind toad 2400 Pa!50 psf Operating temperature(C) 40-+90 ^^ �- Weight 16.8±0-5 kq 136.96±1.1 lb Maximum system voltage(V) 1000(IEC)'600(UL) Connector type MC4 Connector lP 67 Maximum series fuse rating(A) ~T 15 Junction box IP 67 with 3 bypass diodes Power tolerance(%)� s0-+3 Length of cables 1000 mm 7 39.37 in src(stamardr st Candicion):Irmdianca woo Wpm',mod=de remperamura 25 T,Aft is Glass High.transmission tempered gla55� *The nameplate pn-r output is rn a.rred and detemiinm by LG Flectronks at its sole amabsatute distanior,. .. Frame Anodized aluminum ELECTRICAL PROPERTIES(NOCT-) CERTIFICATIONS AND WARRANTY LG280S1C-B3 LG275S1C-B3 LG27051C-B3 LG265StC-B3 Maximum power at STC(Pmpp) 205! ~202 a 198 V� _ 795'~ Certifications iK 61215,IEC 61730-11-2, MPP voltage Vm _ 9 ( PP)� 293 291 290 28.8 Salt Mist Corrosion Test(IEC61.701); DLG-Fokus Test"Ammonia Resistance MPP current(ImPP) 7,00 _ E92 6,84 ' 6.77� UL 1703,ISO 9001 Open circuit voltage(Voc) 36.0 35.9 35.7 35.5 Product warranty 10 years Short circuit current(Isc) 7.52 7:46 7.39 734 Output warranty of Pmax * Efficiency e�-5%:______� _._. Limited Linear Warranty fn,m 1000 Wtmz to 200 w!m') (measuremantToferance t 3%) �� ( "1)1st year 4-1%,2)After 2nd yea,03%p ^.nuai dagrula6on,3)80.2%for 25 ye- - `NOCT(Nominal Operatinq Cei{Tempera'ure}.6radiance800 Urn'.amHent temperature 20'C,,nand speed 5 m/s TEMPERATURE COEFFICIENTS DIMENSIONS(MM/IN) NOCT 45.0±2 T s s•ao x a t 1-0139.37 oram nmeat4aa) fsr:.ar atmn:,aet'.' Pmpp 0 43 fal*C b,am baaH4ea)- lwraaca m,waa maa.ma4 nmaa)` is ar Voc 0.31;%!°C -- o ' aelt.e9 Isc 0-04%rC Jaa non boa `12-t34.3 Oroaadm4 AWea(12aa) ) (,� CHARACTERISTIC CURVES a-oaoa.aat r4oamme row:(esa) ,000W t- 1000(39-3T _ U 8 800 W' Cable We lh 7 600 IN 5 400 W & o $_ 8 _ „„.,.w..,. .200 VJ ,V.............y - L - 0 0 0 5 10 "15 20 25 30 35 40 ,Vaitap(V) - �131.3'r s t z ------------------------------- L � l5C Voc i 35A.38, ( ------- a0 - - - -.._ .. - " 1010.40 ,. 1010.40 Pma-- 6or-------------------------------.--------.._..,--------- , ' 5.5f0.22 - OSl0.31 mL N m u� 40 i. ..... ............ _.-.___________- _-____._..__ r•I /\ c W mm m e i 20 f-------------------------------------- - ------ ----------- R,.6lU.Ob ' Oata3 X oata3 V O ..l Z i - 22t0.8] t i 0 -40 -25 0 25 50 .75 90 Temperature(ae) trm kle.Frame ShartskkrTaae 'The.&,ranmbehv-the center of d:em-nthg/g,-ming hat_. North America Solar Business Team Product-ypecificat:onsamsublecttochange,+nti,outnctice. © INr` LG Electronics U.S-A.Inc "LG Llfe Good"is a registrated uzdemark of LG Corp. 1000 Sylvan Ave, AI!o he t aderrtarAs are the property of their respeco...nets. T Englewood LQ Engl Wood CUM,NJ 07632 DS-A3-60-C-U5-F-EN-30629 { With LG,it's all possible. / Contact, solar 1 e-com Copyright 0 2014 LG Etemonks.AU rights reserved. � Lifes Good www.tg,oll,,irusa.com c 05(01J2013 - , Cam' Grid Tied Photovoltaic System DC Rating .10.54kW Ellen McCabe 1124 Santuit Newtown Road Site Details: All Work To be in Compliance with: Solar Rising Shall install a 10.545 kW Grid-tied 2014 National Electrical Code (NEC) Photovoltaic system comprised of(37) LG 285 21 C- 2009 International Residentail Code (IRC) B3 Modules with (37) Enphase Energy M250-60-2LL 2009 International Building Code (IBC) Micro-Inverters. The Modules will be flush mounted to the 2012 International Fire Code (IFC) Asphalt roof. MA 780 CMR 8'h Edition ASCE/ANSI 7-05 Minimum Design Loads for Buildings and other Structures. Equipment Specifications: Modules: (37) LG Solar 285N 1 C-A3 Inverters: (37):Enphase Energy M250-60-2LL Racking: Unirac Solar Mount Attachments: EcoFasten Flashing with 4"Stainless Steel Lag Bolt Roof Specifications: ' Roof Asphalt 2X6 Rafters 16" °. : n. .. Pitch: 280 Azimuth: 1500 Site Spcificatiens: Occupancy: II ' Design Wind Speed: 110 MPH n. Mean Roof Height: 22ffi d Ground Snow Load: 35 PSF t,. ..,., ,.� •air. .F Solar Rising LLC Project: Ilen (VICCabe Solar Rising Building Permit Plans O r 508-744-6284 Revision: 12/9/15 Po Box 2623 1124� Santuit Newtown Road Scale: None r r-i Mashpee, Ma 02649 rOtUlt IUTA 02635 Drawn By: Neal Holmgren e *= I 1 a V t n l;. w a ; it ; $ � :i;"'4 a id, ✓ k k,d dre r ..5 r r ho i -Quantity of attachments = 46 @ 48" O.C. Maximum UniRac Rail span 48"O.C. Maximum Allowable. Cantilever = 16" -Racking and Attachment: UniRac Solar Mount with •lag screw, Hex Head, 18-8 SS 5/16" x 4" Length -Array Installed According to the UniRac Solar Mount Code-Compliant Installation Manual. Solar Rising LLC Project: Ellen McCabe Solar Rising Building Permit Plan 508J44-6284 Revision: 12/9/15 r 1124 Santuit Newtown Road PO Box 2623 Scale: None Mashpee, Ma 02649 Cotult MA 02635 Drawn By: Neal Holmgren s SEee 5k f f a k a Gati laerrectiaq F rmad F��'1Hta "_ `"' rarer$ppt+f$ P r _ ,,� � lkex seXs to c t��n�rat nhs' raft"rror exposure-' te�rzsx�ct t}rrxYtxi' 76+ Snow Louey The A3mOmaul€t Horizonttal Span w I t��itlt�p�rstir�7atnt b�aripl�I�a7�t.l�ta�ft.�a:i�. requirc,t4 at ekh errt1 o the_rz ember. X1 2 O �Gu , rp�tuhr�s trr Etasta�`an l � �f-ria� y#x�,.. �.•r l AE3r stfracR StttnKh t€K g tp p {ter i p 'S4T fc3W:estttgtt{ l,Fepl,.: _.,..,. „...._.. %3i73i;,h• .�Jtyt�li t%CiSlf'1 V§ ......_ ",............Q .t ;' '$'I .....,,_..........,,».�_*....,...: Soiar.Rising Up Project: EHen McCabe Solar Rising Building Permit Plans 508-744-6284 Revision: 12/9/15 Sala.r 1124� Santuit Newtown 'Road PO Box 2623 Scale: None �` ` ` `� Mashpee, Ma 02649 :Cotuit.,MA 02635 Drawn By: Neal Holmgren r r GrenFaven-GFI-ProdixtGuide Cut Ntz;.U1-L !14 � 51 r - t 7 w 1 nx Y ry{ j SECTION A-A. r 4, 4q 'i i� u+�d?'3>._a,:ni."trt�ed.n SeS q�,rn ot4 r.�.tN_Ere,+rEo'FatiEn.5o4e/r�rnr�6nzec:eAsur amign,rA an eurvvc;.t.7e'itl 3.1 ,,.,.2.,. ....ins. Solar Modules to be flush mounted to existing roof structure and set above shingles 4e" Solar Rising LLC Project: Ellen McCabe Solar Rising Building Permit Plans So,"I r 508-744-6284 Revision: 12/9/15 PO Box 2623 24 Sntult NWtoWn Road Scale: None Mashpee, Ma 02649 Cot.0 It MA 02635 Drawn By: Neal Holmgren a 'Y� ...�� t .:�y�. �� Grin Tied Photovoltaic System DC Rating 10,54kW Ilen McCabe 1124 Santuit Newtown Road gitd ®Mail : All Mork To be in Compliance with: Solar Rising $ball install a 10.545 kW Grid4ed 2014 National Electrical Code (NEC) Photovoltaic system comprised of(37) LG 285 21 C- 2009.International Residentail Code (IRC) B3 Modules with (37) Enphase Energy M250-60-2L1 2009 International Building Code (IBC) Micro-Inverters. The Modules will be flush mounted to the 2012 International Fire Code (IFC) Asphalt roof. MA 780 CMR 81" Edition ASCE/ANSI 7-05 Minimum Design Loads for Buildings and other Structures. uipmerit Specifications: Modules: (37) LG SdIar285N1C=A3 Inverters: (37) Enphase Energy M250-60-2LL Joking; Unra Solar Mount Attachri76nts: EcoFaeten Flashing with 4" Stainless Steel Lag Bolts Roof SpeeaticcOoMa r Roof Asphalt 2X5 Rafters 1.5" Pltch: 28" Azimuth: 1500 - Slto Specification$: µ ,M Occupancy: ll Design 1Nmd Speed: 110:MPti Mean Roof Height: 22ft Ground Snow Load:.35 PSP I, SIr RIM �.L,C F�rojeot: EIIen NloCabe Solar Rising Building hermit Plans 508-744,6284 Revision: 12/9/15 PO Box 2623 1124� Santuit Newtown Load Scaler fiF None c MSI1pee, Ma 02649 CQtU It.MA 02635 Drawn By: Neal Holmgren u el i f r. t -Quantity of attachments 46 @ 48" O.C. -maximum UniRac Rail span 48"O.C. -Maximum Allowable Cantilever = 16" -Racking and Attachment: UniRac Solar Mount with -lag screw, Hex Head, 18-8 SS 5/16" x 4" Length -Array Installed According to the UniRac Solar Mount Code-Compliant Installation Manual.. Solar Rising LLC Project. Ellen McCabe Solar Rising Building Permit Plan . 508-744-6284 Revision: 12/9/15 f 1124 Santuit Newtown Road ' " ' ` M s B hpee, Ma 02649 Cotu It MA 02635 Drawn By: Neal Holrn ren . Y 9 ' . r.. �pcpasprtii w ur R dC` rm .,. �... p rM,-. a•E t ' 4d UeQlectf¢p t tm�f ' kY! 'q , spadug 0034 t, p....,. Wet aer6 a conrL ions, F xdrrinr Fa 6wxure A Ct 6» { ��.ww rrtrIIx��Stsnl4sert Dead Lood, Tile INIIIIIA.XhIfcurr H0rizQI raI:SpW is. f 3 im with p ill ininixi T1 butring t6tgillOro.5`s 1.11. required.a Lash ertd Of atc-,111-a be r �g�t�ssrty: ;'�Vz¢Wc ptc7G as:. ndC K . .; Zx I O , tsiR °&rceruIm of Fhsucin(pW) fQ SieF?pip o PM+' N1C^'nM' .,... Solar Rising LLC. Project: Ellen McCabe Solar Rising Building Permit Plans 508-744-6284 Revision: 12/9/15 t�1i f 1124:Santuit Newtown Road i Po Box 2623 Scale: None Mashpee; Ma 02649 Cotuit..MA 02635 Drawn By: Neal Holmgren f; kreenfas;r+n"GF i—PtcYf[E 6uirie t Cul5i?els G&I-L hf �r s k ae4 x A' Ft IL t Iq A s� 5 x w a - r SECTION A-A. m a x � '6T•8>.x„u�nms`d.n ii.rwytcu:Hier NaN_frb[N eEo.'"ave 3cvy��ut,Sm,zKtizd.nvafuy�gh:id,p,ninn✓�YS.�4fMi:i7..-_.—`•..—...� 3:1 C f Solar Modules to be flush mounted to existing roof structure and set above shingles 4" Solar Rising UC Project: Ellen McCabe Solar Rising Building Permit Plans IQ I r 508-744-6284 Revision: 12/9/15 1124 Santuit Newtown Road 1-7 PO Box 2623 Scale: None Mashpee, Ma 02649 Cotult MA 02635 Drawn By- Neal Holmgren b � 9 �� �`�rza �''��' �' y .�.... � r�.� a,«,�ti. a�'" ��,�-�. �r+r } CAI '.4. ;3..�+.. �. �.� 2� �„ .�a _x ;�.,� �. _ ��. '�:. M�,p��7. �.Mr .nr r'' r t �-, /�I///// ��MftF... .: J ..�- r. '4Fr • Tom Petersen Architects- Planners Construction Official January I3, 201'6 Building Department for project at: 1 124 Santuit Newtown Road Cotuit, MA 02635 Re: Solar Panel Installation .McCabe Residence 1124 Santuit.Newtown Road Cotu.it„M.A,02635 Dear Sirs, I've reviewed the proposed solar panchlistall.ation at this location to.evaluate the ex:isti.ng roof structure and the connection of the panels to the roof". Criteria: Applicable codes: 8'h Edition Residential Code(2009 International Residential Code with Massachusetts Amendments) 2001 Wood Frame Construction Manual Design roof load: 35 psf live load, I O'Osf dead load,45 psf total load Design wind load:. 110 mph,35 psf Exposure Cate rm 13' My findings are as follows. 1. The new solar panels will imply an.additional dead load of 3 psf. The existing Too rstructure (2x6 roof rafters @ 16°'ox., with 2<x4 bearing knee wall`arid 2x8 ridge, span to beari114. knee wall =+1- 874") is sufficient to bear this additional load. 2. The solar pastels are attached to the roof with the So.larMount-I rack system,by UN-1 RAC. 'file rack system, roof connections and connection spacing are rated for 110 mph. This project requires the larger Solar Mount1..f-15 beam (2;.5"high)and spacing of flange foot connection to roof at 48`o.c. maximum. Flange footing connections to the rail are not required to be staggered. The fla_nup foot,connections to the roof are 5/16"diameter.x 4" long lag bolts. I.therefore;certify that.this installation complies with the applicable codes and design.loads mentioned above and is acceptable.for approval. laease 1,et me know if you have any questions on this information. Thanks. Sincerely yours, RE[)ARC ��6 5 F' PFT y�> OAP eepu'��` i o iz No. 31621 z HOWELL, Tom Petemen o NJ .." Cc: Neal 1-lolm=ren, Solar tisin L,LC ''�of MAS�PG 6 C'or6int6 L-ane,-Mawetl,New Jersey 07731 Telephone 732-730-1701 Fax 73Z730-1783 - 1.>tmtfat8 F,spr{lu,P, , � .,• kx sal ,akFs � rA r y 1 yf . Ian�tfC.xsat#i�itf3 , { &`r,{ c[taifaw##.a�irtintnr##cte�i+?�ta9�+t�4a�:tt _ t c � 1:t IT. 3 1t1. � r0 , S4?2L�9�"#IS fy 3#14k�rs�ax'�3I711�Lr t£'�#ltm'kl lid 4:a"4 i"'Ixi of?w merithim f « 2x10 ........... _....,. .. .,.. .,.,�..._ rt,#e '`i:°:arli.ix00 h.2.; t a ^ �f V EO ARC P5 F. PF� S �� ,ptp l n fx No.31621 f HOWELL, ~` i _ a NJ' OF Solar Rising LLC Project: Ellen McCabe ^Solar Rising Building PermitPlans 508-744-6284 Revision 12/9/15 O ar 1124 Santuit Newtown Road _ _. PO Box 2623 Scale: None Mash pee, Ma 02649 : Cotu t MA 02635 p Drawn By: Neal Holmgren LG NeON'2 Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 Module Type 31 O W Cell Vendor LG MPP Voltage(Vmpp) 32.8 Cell Type Monocrystalline/N-type MPP Current(Impp) 9A5 Cell Dimensions 156.75 x 156.75 mm/6 inches Open Circuit Voltage(Voc) 40A 0 of Busbar 12(Multi Wire Busbar) Short Circuit Current(Isc) 9.96 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%) 18.9 64.57 x 39.37 x 1.57 inch Operating Temperature('C) -40-+90 Front Load 6000 Pa 1125 psf ¢ Maximum System Voltage(V) 1000 Rear Load 5400 Pa/113 ps€f�yE" Maximum Series Fuse Rating(A) 20 Weight 17.0 t 0.5 kg/37.48 t 1.1 Ibs Power Tolerance(%) 0-+3 Connector Type MC4,-MC4 Compatible,IP67 *SIC(Standard Test Condition):hradiance 1000 W/m',Module Temperature 25 DC.,AM 1.5 Junction Box IP67 with 3 Bypass Diodes 'The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. •'The typical change In module effidency at 200 W/m'In relatlon to 1000 WIm.is-2.09L Length of Cables 2 x 1000 mm/2 x 39.37 inch Glass High Transmission Tempered Glass Frame Anodized Aluminum Electrical Properties(NOCT*) Module Type 31 O W C®rt1flCat10flS and WarrantyMaximum Power(Pmax) 226 Certifications IEC 61215,IEC 61730-1/-2 MPP Voltage(Vmpp) 30.0 IEC 62716(Ammonia Test) MPP Current(Impp) 7.54 IEC 61701(Salt Mist Corrosion Test) Open Circuit Voltage(Voc) 37.4 ISO 9001 Short Circuit Current(Isc) 8.03 UL 1703 *NOCT(Nominal Operating Cell lemperature):Irradiance 800 W/O,ambient temperature 20"C,wind speed 1 m/s Module Fire Performance(USA) Type.2(UL 1703) Fire Rating(for CANADA) Class C(ULClORD C1703) Dimensions(mm/in) Product Warranty 12years t. Output Warranty of Pmax Linear warranty*'* *1)1 st year,,98%,2)After 2nd year.0.6%p annual degradation,3)83.6%for 25 years ' Temperature Characteristics NOCi 46 t 3°C '] d Pmpp -0.38%/°C max_ ®.W. omax ,�Cms� Fyn m.:ae*o-@. Voc -0.28%/°C Isc 0.03%rc ^-r sudmm oral Characteristic Curves 8 low h000W f u eaaw ,� a.00 -- .. 12Nw1 son 600w m�mse°.am.r 400 aamw 200Wmw�.....n....»�......,� �mN 0.00 500 1000 15.00 20,00 2500 3000 3500 90.00 9500 gg pp 120 -------------- 'un m c; w 0 - Tmperaane�tl the distance between the center of the molmting/gmundmg holes. �� North America Solar Business Team Product specifications are subject to change without notice: LG Electronics U.S.A.Inc DS-N2-60-C-G-F-EN-50427 Ufds Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 .Copyright O 2015 LG Electronics.All rights reserved. Innovation for a Better Life. Contact.lg.solar@Ige.mm 01/04/2015 �' www.lgsolarusa.com :- 0 LU Ufe's Good LG Ne®N,7�2 =M= LG's new module,LG NeONI 2,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires APPROVED PRODUCT to enhance power output and reliability.LG NeONT'2 V 60 cell. demonstrates LG's efforts to increase customer's values cc beyond efficiency.It features enhanced warranty;durability, Intertek WSUS73 euln 75 performance under real environment,and aesthetic ohotr� mM � design.suitable for roofs. aim Enhanced Performance Warranty O High Power Output INijE�I�II ro I�llll.ama_ LG NeON° 2 has an enhanced performance warranty. Compared with previous models,the LG NeONI 2 The annual degradation has fallen from-0.7%/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 LG NeONI modules. grill—ill ■■ Aesthetic Roof d ll# Outstanding Durability LG NeONI 2 has been designed with aesthetics in mind; With its newly reinforced frame design,LG has extended �fi �lllly� ------ the warrant of the LG NeONTh7 2 for an additional ®I®lllllllll� thinner wires that appear all black at a distance. ���Ia�;3a PP g_ Y The product may help increase the value of —` -`-- 2 years.Additionally,LG NeON'"'2 can endure a front a property with its modern design. load up to 6000 Pa,and a rear toad up to 5400 Pa. -Q- Better Performance on a Sunny Day '® Double-Sided Cell Structure LG NeONT"2 now performs better on sunny days thanks �I3ll aa. The rear of the cell used in LG NeONm 2 will contribute to EIII to its improved temperature coefficiency. I 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 semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono X°series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2013,LG NeONT (previously known as Mono X®NeON)won'lntersolar Award;which proved LG is the leader of innovation in the industry. S l s i n 9 Property Owner Consent Form Owner: Ellen McCabe Address: 1 124 Santuit Newtown Road Town: cotuit State: MA Zip: 02635 r j Phone: 508-428-8215 I hereby give permission to Solar Rising llc. and their representatives to pull the required permits fora solar installation on my property. Property Owner Date Solar Rising Date DEC 2 8 2015 TOWN OF BARNSTA(,F31-1 fl ILDINb FPERMIT APPLICATION /� 0 Q f Map V Z Parcel Application # Health Division Date Issued hi - Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1 124 �l/l; "1 V p �, � V Uw® e �• 1 Village loT�s:__r Owner rl-11 MC:ta Address )12,+ 1�r�elbOtb iy) kp Telephone �' 10 ~q 41 Permit Request b k A, L n5t� 1 a .� l t��n u►' 2`' X6 y hst I I veo v S i q- irlS�tt l 2 x tb t V6C n�S I n Spa t IR iLS S DC" t3 " a� Square feet: 1st floor`existing proposed 2nd�loor'ex s�t�ing + 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: 6 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 1 �l [Welephone Number Address AiVW Q: License # (D brt TaW. Y)A`_ �J �— Home Improvement Contractor,# Email C__:�aU ' n a 1 I C. _ Worker's Compensation # o/9."re, �r �- G i a. I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO M A I id WkSt DftMk�. 1680 FN `16vtr SIGNATURE '( ( \!G ��.------ DATE 2 5 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 w FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. /�■,�. DATE(MM/DdYYYY) A�& CERTIFICATE OF LIABILITY INSURANCE 12YYYY) 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 endorsemengs). PRODUCER CONTACT Anthony F. Cordeiro Insurance PrEiI= — Fax— -- (508) 677-0407 No: (508) 677-0409 171 Pleasant Street E-MAIL Fall River, MA 02721 s: hsouza@cordeiroinsurance.com ------INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Libert Mutual Insurance INSURED INSURER B: Insulate 2 Save, Inc. INSURER C: _ 410 Grove St. INSURERD: Fall River, MA 02720 INSURERE: _ 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 - ---- --- — --._....--- —- ----- -.._..-— -- — LTR TYPE OF INSURANCE ADDL SUER —— POLICY EFF POLICY EXP POLICY NUMBER M/DD/Y MMIDD/YYYY LIMITS A GENERAL LIABILITY Y Y BKS 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 2-REMiSES(Ea once $ 300 OOO CLAIMS-MADE FX OCCUR ME EXP(Anyone person) $ 5,000 PERSO NA L&ADV I NJU RY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO-- LOC $ A AUTOMOBILE LIABILITY Y Y BAA 56418741 12/10/15 12/10/16 EOMBWdert) NGLELIMff $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODILY INJURY Per accident AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Peracciderrt $ A X UMBRELLA LIAR X OCCUR Y Y USO 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/15 12/10/16 X I WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/NT. FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERMEMBER EXCLUDED? NIA -- rs(Mandatory in NH)lf E.L.DISEASE-EA EMPLOYEE $ 500,000 If yyes describe under DESI RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Rermrks Schedule,if more space is required) Proof of Insurance. r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: - Fax: E-Mail: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 a www.mass.gov/dia W41cers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicaut4nforma Jon Please Print Legibly Name (Business/Organization/Individual):_ ` h SO '-e 2 Sa,UQ Inc Address: '�� City/State/Zip:.'. IW2Y IVlA 02JZ0 Phone #7 50$- Are you an employer?Check the appropriate box: Type of project(required): 1-XI am a employer:'With 20 employees(full and/or part-time)." [2,C]l am a sole proprietor or partnership and have no employees working for me in 7. 0 New construction any capacity.[No workers'comp.insurance required.] 8. Remodeling 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.] 9• ❑Demolition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property, I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are soli 11.Q Electrical repairs or additions proprietors with'no employees. 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.$ 13.❑Roof repairs 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14. 0ther Y1SU�Gl.huYi 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 I am an employer that is providing workers'compensation insurance for Y employees.or m e to ees. Below is the policy and job site information. Insurance Company:Name: U 6er+V M*u ai �SU rah C e Policy#or Self-ins;Lic.#: X W S Expiration Date: .� Job Si te Address: �� � City/State/Zip_Co�o& 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 verification. do hereby(.er[{fy under th any�pe ties of penury that the information provided above is true.and correct Si mature: ���/C —- — Date: 12 2 1/l S Phone#: 508- 56'+ — 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): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector a' 6.Other Contact Person: Phone#: 4 P, ��/ �� �Q•r11',�i%�YZ�C1�l,�l,C�P.�ri�i�l��i �� .r�-^..�r��;.�{.1��i�''��/�11���� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston., Massachusetts 02116 Home Improvement Contractor Registration Registration: 166311 Type: DBA Expiration: 5/11/2016 Tr# 251248 INSULATE 2 SAVE ' 4, W ROLAND LANGEVIN 410 GROVE STREET FALL RIVER, MA 02720 Update Address and return card.Mark reason for change. --• f� Address : Renewal ; Employment Lost Card SCA 1 un 20M-05/11 �; — 3 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found'return to: A. OME IMPROVEMENT CONTRACTOR - egistration: 166311 Type: Office of Consumer Affairs and Business Regulation . Rx iration 5/1;1a2016.-; DBA 10 Park Plaza-Suite.5170 p Y, Boston,MA 02116 INSULATE 2 SAVE ROLAND LANGEVIN-'. " 536 EASTERN AVE. FALL RIVER,MA 02723 Undersecretary _ Not valid without signature Massachusetts Department of Public Safety a Board of Building Regulations and Standards License: CS-103861 Construction Supervisor ROLAND LANGEVIN q. 56 HIGHCREST ROAD' FALL RIVER MA 02720,' C� Expiration: Commissioner 0812412017 o oBarnstable � t :jxi�n�sraut Rscb and V.9ca[i,.Dis eiur Building Divisiou Tout Fer7rt'>d3Uding Cwrurrissioncr M 100 Main Street,Iiyauiid, ` A 02601 ()Mcc-: 508-862-4038 I'ar_ �08-'.90-623,0 Property- Owner Must i Con-ap(etc and Sign This Section j, lfi df�L�C tthesubjee.. 13�reby auchari J mm tc Rc;t Oil my btiiallf- :m al�mane ns, rC!-� vc -co vroi-k uLidioliZec' b-,uhls bt., Ainv r)emnit applll:at:;t:17 i0 l I (Address of job) Pool fcncts and alarms ,mac the rz.sp(JrLsibu.u' oi: t =rppli.ca�t. a:'rx:�ls are not to be filled or util red IxJ()rt Tcnc(° Is -and a1 fi.rial Ji3spe cuons art. pc:i-farmed and ac urj- :u. -_-- ........ Sitnatw'C of C)"",-1 Si aci�ui:r. �f t�p�la4a,iG j J Piinc Name l'innt:Manic Date i I Q:[•Q�?A1C:n1V\! }zj'�`t.>iSS!GhF{iC.;s�� - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel Gl A lication # p pp Health Division M Date Issued Conservation Division _Inc�2 2, a'� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1&2 ;� Village Owner 6L 4���/f �3Fi Address/1�aZ_Z/,T Telephone� U�� Permit Request �o Av�� X �� j � Gf-C 1—�CrSYe� 70 �C`/� Square feet: 1 st floor: existing proposed 2nd floor: existing . proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio4:� ®® 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 RON'Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other z Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove3❑Yews ❑ No '1-1 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size = Barn: ❑ existing 0 newsize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: a Zoning Board of Appeals Authorization ❑ Appeal # Recorded Ll Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 57Zr1*e1L1 Telephone Number Ja� .. 1�7�✓ Address, Up/ /1��� �� License# t- Home Improvement Contractor# Email ���Ir�i�L �/.�7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE �/ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED a MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: aJ FOUNDATION FRAME I`4 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents D,fwe of Investigations ` 600 Washington Street : Boston,MA 02111 wtww.mass govhUa Workers' Compensation Insurance Affidavit- Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): A/ e/� Address: ox City/State/Zip: 6d7u, i t Phone#: J�� `'�r Are you an employer?Check I&appropriate bow Type of project(required): 1.El 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 2.❑ I am a sole proprietor or partaer- listed on the attached sheet. .7. ❑'Remodeling ship and have no employees These sub-contactors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ding addition - [No workers'camp.insurance comp.insurance r ed_] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.P11 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 employees.[No workers' 13.0 Other comp.insurance required.] *Any-applicant that checks box#1 mast also IM out the section below showing their workers'compensation policy infnimation. t Homeowners who submit this affidavit indicating they are doing all work and then hue 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 employem 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: Policy#or Self-ins.Lic.#: - Expiration Date: Job Site Address: City/State/Zip- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL C. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby semi the p and enalties of perjury that the information provided above is trcee and correct S Date: Phone#: 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.EIectrica.I Inspector S.Plumbing Inspector 6.Other Contact Person: Phone Information and Instructions Massachusetts General Laws chapter I52 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 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 perf zmance of public work until acceptable evidence of compliance with the i micance 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-contractors)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 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 (.e. a dog license or permit to buns 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: The Commonwealth of Massachusetts Department of Industrial Accident Office of kvestigations �OQ Washington Street. Boston,MA 02111 TO.#617-727-4900 ext 406 or 1-877-MA gAFB Fax#07-727-7749. Revised 424-07. wWW Toass.gavfdia • Town of Barnstable Regulatory Services - �'THE ropy,. Richard V.Scab,Interim Director ti Building.Division RARrisr.+R*•F +' Tom Perry,Building Commissioner MACC 200 Main Street, Hyannis,MA 02601 CEO j www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION 7• Please Print _VYDATE: JOB-LOCATION. � 7 �� iUSPIr( //A/el&/O zz' V k/ v<// 0, number street village -HOMEOVV ER"-5 PiSe'�) 11644'9e26ee 645` a phoI ne# name j� home phone# work pho CURRENT MAILING ADDRESS: ✓P < Cc f!J �-.,. 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 Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling, attached or detached structures accessory to such use and/or 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 proc6 equine cuts and that he/she will comply with said procedures and requirements. Signature of Homeowner Appi-oval 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'assumimg the responsibilities'of a supervisor. (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors;Section 2,15) .This lack of awareness often results in serious problems,,particularly when the homeowner hires unlicensed persons. In this.case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is. . ultimately responsible. 'To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application;that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a farm currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. x n-ttsronrr�c�mvarctt�.,,lri;., nrrmit frnm. F.XPRF S-do of Tq Town of Barnstable o� Regulatory Services MASS Richard V.Scali,Interim Director i6gq. ♦� 'fin N,ri' 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 Mu _ Complete.and Sign T1' Section If Us' A B der as Ownet of the subject ptopetty hereby authorize to act on nay behalf, A in all taattets tdlat 7-C torwotk authorized by building permit (Address of Job) of fences and alarms are the responsibill of the applicant. Pools ar not to be filled or.utilized before fence is inst ed and all final inspections are performed and accepted. Signature of Owner Signature of Applicau Print Name Ptint Name Date C.nNS-env��'' OFPT-e, ,PrCJ�ect �,l�S �N w� s� � OPP �pp�� Town of Barnstable , , 'THE ti Regulatory Services o� * Richard V. Scali, Director * BAIMS ABLE, 9 MASS. g Conservation Division i639• �� iOTe 3 Robert W. Gatewood,Administrator. 200 Main Street, Hyannis, MA 02601 E-mail:conservation(a)town.barnstable.ma.us Office: 508-862-4093 Fax: 50&778-2412 Massachusetts Endangered Species Act Regulations Important changes to the MESA regulations took effect on July 1, 2005. Project proponents must now file project plans with the.Natural Heritage & Endangered Species Program for proposed work within Priority Habitat regardless of the presence of wetland resource areas. It appears that your project is within Priority Habitat and therefore may require filing with NHESP. For more information please visit http://www.mass.gov/eea/agencies/dfg/dfw/natural-herita e/re ul�atoKy-review/mass- endan ered-species-act-mesa/ There you will find filing requirements, filing fees, a list of exemptions and other important information. You can speak with a member of the review staff at(508) 389- 6360. t To avoid costly delays and the potential for criminal and civil penalties, please determine whether you need to file with NHESP before you begin work. ` • r You may view a hard copy of the Priority and Estimated Habitat maps in this office or . view them online at http://maps.massgis.state.ma.us/PRI EST®HAB/viewer.htm You may also submit an Information Request with NHESP fora list of species S I associated with the area. This will allow you to design the project to avoid or minimize the impact on rare species. ' Q:/WPFiles/Forms/MESA.doc revised MAY 12,2014 FH A Case No.251-5253061 Building Sketch (Page - 1) Borrower/Client Ellen McCabe Property Address 1124 Santuit Newtown Rd Ctly Cotuit County Barnstable State MA Zip Code 02635 Lender IoanDe ot.com LLC 20, Garage'' c; 20' - _.... .. uncovered � patiq? :i 10.''. ..... 14 'uO` Bath'(hali? Master.BR. Kitchens Bath. � tJ - r4 1 parch: � ... Bedroom i Fp: LNi`n g: r Bedroom Se'mi.finished: Laundry; Den, N ®:: Bsmnt:Unfi 4 ed 8smnt Unfiniihed:. 4$' vart a`rrro rz cw rc .Area Catwtations Summary Bsurarl Anal s' a Ca]�Yatt 'Dr3a77 s bmc 1d.24 5o ft : r v » . . FHWA Case No.251-5253061 Subject Photo Page Borrower/Client Ellen McCabe Property Address 1124 Santuit Newtown Rd city . Cotuit County Barnstable State MA Zip Code 02635 Lender IoanDe ot.com LLC Subject Front � 1124 Santuit Newtown Rd Sales Price S,. ,�; l•, Gross Living Area 1,624 Total Rooms 7 Total Bedrooms 3 .F Total Bathrooms 1.1 Location N;BsyRd; View N;Res; Site 20,473 sf ` Quality Q4 Age 41 - Subject Rear m r : a3, Subject Street i P operty Location. 1124i SAIYTUCT-NEWTOWN ROAD MAP ID:026/035/// #Wg Name: 1:l 1 ( L��,,? ti ►l-r` .�.�..9y,1 1, °�.st1lE t og re use:i u i u T?st'on ID 1536 Account#. 1 of 1 Sec#: Iof 1 Card 1 of 1 Print Date:OS/20/2012 lb 00 .,, !,}.I! v+,; ,e, ..1 ;i y 4 ..1 .i J:. ..i„ 1•. .,{i,r, Ay,:k,i.zS!,� d n u„ :t i p.{.' � ..l T. �,ili�, •,r ti ..,�•,t, K. Efemext Cd Ch: escriptio Elemenl Cd. Ch. escrlgllon - a tYle I anch odel l esidentisi oundadon 0 de verag tones 1 Story ath SphtAl 1 FOR: 19 xterlor Wall'i 4 ood Shingl Code escrl ilon Percents e ` tenor Wall 2 / 1010' logic Fam MDL-01 1'00 of ibecture 3 able/EIfpV of Cover 3 apb/FGis/Cmp ferior Wait 1 $ rywall .. 'yy`,�p p V tenor Wall2 / jJrlu a va yr i {�., lu j.,,1: �'0Y tenor Fir l . ;.14 arQeC�/. dj Bese Ratc '. 159 24 tenor Elr 2 f ectton.RCN .' 48,820 ' E l et Other Adj :00: / eat Fuel 3 a. '� �: OAS / place Cost 4.8,820 s .eat Type 5 of"Wste�t/ YB 972 ", / ;(l�� BMT� C Type. 1 one YB O.QO. : 0� BASF/ otal Bedreioms 2 CPu ,, ep Code. 4� V'w otal Bthrms : 1 / �.• odel Rating. to t�Xtrafixtm HalfBaths:l P%° 1 2 otg Rooms . unctional Obslnc 48 ath Style" xtemal Obslnc" tchen Style ost Trend Factor onditlon . /o Complete verall%Cond 9 rasa v8i C� ��4�� p Rio ovr. t ovr comment sac tmp Ovr. iso Imp Ovb'Commdnt ccessory Apt ost to':Cure,yr ost t0 Cure Ovr Comment -- . de: . escra tton; ub: Descr t Units; ntt Price Yr e" `Re Cnd C d•. Value „GR2 arage=,Avg 11 �'� 00 8 00 955 100700 " s. CK 24 9.50 000. 100 $00 : IPL1 Creplacelsto: �' ,30000 000 100 MT sement.Unlli; 1,344 :00 000` 1 No Photo On R®cord` Code escrt"lion .. Livi Area Gross:Area =E Area: Unit Cost Unde rec..Value AS first Floor, 1,8,.24 1; .24 1324 81 S9 148;820 MT asementArea : 0 1,3'44 ,0 0.00 0 - K oo�;Deek 0 224 0- 0.00 0 ; 7YL:;C:rncc!"iv//eate,Area I824 3392, 1624 148820 Assessing As-Built Cards Page 1 of 1 TOWN OF BARNSTABLE LOCATIONl� y /1/.ecuevton 2J VILLAGE ASSESSOR'S sA MAP 8c PARCEL NAME&PHONE NO. SEPTIC TANK CAPACITY I UtlU LEACHING FACILITY:;(type) ;�r (size) l NO.OF BEDROOMS ... OWNERc5 . h PERMIT DATE: CQMVUV=DATE--V7 SP 1 t I G Separation Distance Between the: Maxim—Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private.Water Supply Well and Leaching Facility(Ifany wells odsi on site or within 200 feet of leaching facility): F Edge of Wedand and Leaching Facility(if any wetlands exist within 300 feet of leaching facility) �""�� Feet FURNISHED BY 1% '24' 31 . 3 3 31 52 37 New Old 1 r. i h //www.town.bamstable,.ma.us/Assessin /HMdis is .as ?ma ar=026035&se =2 8/14/2012 ,ttP� g P Y P• . 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AP �1�hone//rcer`Aw7b- HOO �`r;,J g Slob Gv"`' i 2: �vo u ► Ta I .Deck Plah FoY : STeve, tkm 6e vex �^ • � i�hv�e • i Soh O " �6e-low Gr�or�� t FILE# MIP 47326 CENSUS TRACT# 131 CLIENT:DUNNING,KIRRANE,MCNICHOLS&GARNER LLP DEED BOOK 9185 PAGE 153 OWNER:MARION SPANG,EXECUTRIX ESTATE DONALD P.BOOTH PLAN BOOK 253 PAGE 3 LOT 23 APPLICANT: ELLEN S.MCCABE& STEPHEN P.HEMBERGER ASSESSORS PLAN 026 PLOT 035 MORTGAGE INSPECTION PLAN OF LAND LOCATED AT 1124 SANTUIT-NEWTON ROAD BARNSTABLE, MASSACHUSETTS SCALE: 1"= April 27, 2011 i.Og z- �= J i- A2lvt: G�K, SNz•0 p� �- Lo d z` N c2 fJA;lv /37 9AY . 1v!v CpK c_ 8 vRJv� S A Al 7 U e i-- A1Z-_ J i 0A1 P—OAD CERTIFY TO DUNNING,KIRRANE,MCNICHOLS&GARNER LLP,THE BANK OF CANTON,AND ITS TITL SUR.ANCE COMPANY,THAT THERE ARE NO VISI)3LE ENCROACHMENTS OR EASEMENTS EXCEPT A SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE, ZONING BY-LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS. y THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A �,� � <a : MAP OF COMMUNITY # 250001-0015C DATED 8/19/85 BY THE F.I.A. CERTIFY TO DUNNING,KIRRANE,MCNICHOLS&GARNER LLP,THE BANK OF CANTON,AND ITS TITLE SURANCE COMPANY,THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT A SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT TO HORIZONTAL M1a,.: ` DIMENSIONAL REQUIREMENTS. r, THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A � MAP OF COMMUNITY # 250001-0015C DATED 8/19/85 BY THE F.I.A. , ~t�`�s 0 Kenneth R. Ferreira Engineering, Inc. P.O.Box 1903 New Bedford,MA 02741-1903 7�°sQw� Sy��y1. 508-992-0020 Fax:992-3374 GENERAL NOTES:(1)The declarations made above are on the basis of my knowledge,information,and belief as the result of a mortgage plo plan tape survey inspection made to the normal standard of care ofregistered land surveyors practicing in Massachusetts. (2)Declarations are mad o the above named client only as of this date. (3)This plan was not made for recording purposes,for use in preparing deed descriptions or fo constructions. (4)Verifications of property line dimensions,building offsets,fences,or lot configuration may be accomplished only by an accurat strument survey. Proposed deck t .v �. t�,y v 4i�_ � mil. • F +f Y iu; ae x Proposed d18, eck San to it- N ewto r f Our garage ° d . l I 4 - 1 T24 Santuit-Newtown Rd Barnsta Pre ,r <# , _ 1124 Santuit-Newtown Rd, Barnsta f' ,.,q r pal -0a Commonwealth of Massachusetts �1 Title 5 Official Inspection Form } Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .. -= 1124 Newtown Road Property Address Estate of Donald Booth \ Owner Owner's Name SUS v information is required for Cotuit MA 02635 November 29, 2010 every page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) - b V1 6'1 7 Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within.100 feet. Locate ; CUrn 6✓i where public water supply enters the building. Check one of the boxes below. hand-sketch in the area below �*. 'I Elc drawing attached separately JQ c . 4-eedi " k b_,� 4 CCe 5SCA/lX 1� ., s�' q , J - 3 31 t' 52 ✓1 GCc�efl 37 U New . Old .a . A • Owner Information-Map/Block/Lot: 026/035/-Use Code: 1010 Owner Map/Block/Lot GIs,MAPS, 026/035/ HEMBERGER,STEPHEN& i Property Address Owner Name as -MCCABE,ELLEN 1124 SANTUIT-NEWTOWN of 1/1/13 PO BOX 242 ROAD COTUIT, MA. 02635 Co-Owner Name Village: Cotuit Town Sewer At Address: No GIS Zoning Value: RF • Assessed Values 2014 -Map/Block/Lot: 026/035/;-Use Code: 1010 2014 Appraised Value 2014 Assessed Value Past Comparisons Building $ 132,400 $ 132,400 Year Total Assessed 7. Value Value Extra $ 29,300 $ 29,300 2013 - $281,500 Features: 2012 - $ 280,100 Outbuildings $ 8,900 $ 8,900 2011 - $ 279,600 Land Value: $ 109,300 $ 109,300 2010 - $ 279,700 2009 - $ 350,100 $ 279,900 2008 - $ 384,100 2014 Totals 2007 - $ 339,300 • Tax Information 2014-Map/Block/Lot: 026/035/'-Use Code: 1010 Taxes Cotuit FD Tax $ 565.40 (Residential) Community Preservation $ 76.58 Act Tax Town Tax(Residential) 2,552.69 Fiscal Year 2014 TAX RATES HERE 3,194.67 • Sales History -Map/Block/Lot: 026/035/:-Use Code: 1010 r History: Owner: Sale Date Book/Page: Sale Price: HEMBERGER, STEPHEN&MCCABE, ELLEN 2011-05-16 25451/16 $242000 BOOTH, DONALD P 1994-05-10 9185/153 $1 BOOTH, DONALD P 1994-03-29 9117/236 $1 BOOTH, DONALD P&ANNE G 1977-04-01 2487/315 $0 • Photos 026/035/-Use Code: 1010 • Sketches -Map/Block/Lot: 026/035/'-Use Code: 1010 14 14 ], Q� OAS t ! s�rfM As Built Cards:ciick card#to view: Card • Constructions Details - Map/Block/Lot: 026/035/,-Use Code: 1010 Building Details Land Building value $ 132,400 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $148,820 Bathrooms 1 Full+ 1 H Lot Size 0.47 (Acres) Model Residential Total Rooms 6 Appraised $ Value 109,300 Style Ranch Heat Fuel Gas Assessed $ Value 109,300 Grade Average Heat Type Hot Water Year Built 1972 AC Type None Effective 11 Interior CarpetVinyl/Asphalt depreciation Floors Stories 1 Story Interior Drywall Walls Living Area sq/ft 1,824 Exterior Wood Shingle Walls Gross Area sq/ft 3,336 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp • Outbuildings & Extra Features-Map/Block/Lot: 026/035 7 Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement- 1344 $ 25,700 $ 25,700 Unfinished FPLI Fireplace I story 1 $ 3,600 $ 3,600 FGR2 Garage-Avg-Wd 484 $ 7,900 $ 7,900 Shingle PATI Patio-Average 168 $ 1,000 $ 1,000 • Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area FUS Second Story Living Area SPE Pool Enclosure (Unfinished) (Finished) BRN Barn GAR Garage TQS Three Quarters Story (Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRIM Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio ryr �t r Town of Barnstable *Permit �0 Expires 6 m r hs f sue dat Regulatory Services Fee * snxxsTnsc.E. 9� NAM � Richard V.Scali,Interim Director s639. RFD MA't 1� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 _ EXPRESS PERMIT APPLICATION - RESIDENTIAL.ONLY of Valid without Red X-Press Imprint Map/parcel Number-0 21e 6 0 Property Address WAY SQ'�'lTGC/•� �PN./ODVh /?aG` Cr9/t.ti�T �I'T• (�0�+�3~ Residential Value of Work$ ,s 4p Minimum feee of$35.00 for work++under.$6000.00 Owner's Name&Address 'T/eve, zvjg X .5;,hx e 7- A/ew T" ,.7 1 r m1g, gg4o . Contractor's Nameo1:1,o',4tere5 'Awe- Telephone Number3�Q p — � �,��b Home Improvement Contractor License#(if applicable) 10.5�. Email: PERMIT RESS Construction Supervisor's License#(if applicable) l :r-_ .?AC , ❑Workman's Compensation Insurance DEC 0 5 2013 Ch;ek one: L'J I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name %*-iQ�1���°✓'S Workman's Comp.Policy# 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side VReplacement Windows/doors/sliders.U-Value (maximum.35)#of windows �✓ 4�d�J_/� �hhe ` ow #of doors: mil' ❑ 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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit fo \EXPRESS.doc _ Revised 061313 r -`axe ComwoynsfeaUh of Massaehusef#s Departneixlt o,f lyuhis&ial Accidents C3, e o,f frzw�stigatia�rs ... 600 Washbigton meet wnw anass ga-ldi a Workers' Campensati!au bsurance Affidavit:B1ceders/ContractorsMectricianslPlumbers Applicant Infarmatiaim Please Print Legibly Name(Business ownimficnl£ndhidnai): ../P�( ►1S '��'�owe 11 C.ty1stateJZ p_ 10" O Phone-47 SD>r-- Are you an employer?Check the appropriate box:, I T' , of�'o' �4-. I am a contractor and 3 Ject r�i�'d}= L❑ I am a employer with ❑ tt 6_ ❑New oomstractrba loyees(Rill and/or part-timed* have the sub-contractors / 2_ I am a sole proprietor or partner- listed on the attached sheet - I.�R deli g ship and have no employees These sub-contractors have g_ ❑Demolition . w for mein an capacity employees and have workers' o�g Y � tY• 9_ ❑Building addition [No worke2S'comp.insurance comp-i nsurantcal 5. ❑ We are a corporation and its 10..❑Electrical repairs or additions 3_❑ I am a homeowner doing all worse officers harm exercised their 1I-❑Plumbing repairs or additions myself[No worlrsrs'comp_ right of exemption per MGL 12. Roof repairs insurance required_]1 c_ 152, §1(4} and we have na employees-[No workers' 13-0 Other comp-insurance regwrM.-] *Any Wlicaut that checks boa#1 must also fill out the section below showing rhea we dters'conipensation policy in€=atia:L I3nmevwners arho submit this affidavit in�catiug they are daittg all vradt amd then hire ostside coniracton mmst subm it a mar al�davit ioduating surh 1Cmtmctors that rliwl this box most attached an additional sheet shorting the nmme of fe stab-ems and state vrhetbw ornot thorn entities hzve. employees. If the snlr-conttactum bare empk yms,dtey must provide their workers'comp.policy number. .Tam an emp&�w thatisprotddtag ivorkers'cottgwmation iirsrtrarmce for my emplayees Be£ots is die pa£icy and job site informatiom Insurance Company Name: Policy 9 or Self-ins-Lic-#: ExpirationDate: Job Site Address: CityfStateaip: Attach a-copy of the workers'compeasatian policy dedaratiou page(showing the policy number and expiration date). Failure to secure covierage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in$re 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 kerb cinder tha pains andpona£fiss ofpsdtrry that the i>zforxtartionpravidsdabove is true and correct. Sienattue: A / � Bate: A / Phone#: ;,�pk- Official use only. Do not write in this area,to be completed by cio or town officiat T, City or Town: PermitUcense# Issuing Authority(tsrcle one): 1.Board of Eeaelth 2.Building Department 3.Cityff-own Clerk 4.Electrical bspector 5.Plumbing Inspector 6.Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal 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)stares"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 4 Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their ceri..ncate(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. 'I'lie affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Depart rent 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-in�nce license number on the appropriate lime. 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 permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum 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: The Commonwealth of Massachusetts Y DepartlIImt of Ind al Acci-den1S' office of lavestigada11's GOO Washington Sto t Boston,MA 02111 T(--L#617,727-4M W 406 or 1-&77 MASS.A.FE Revised 4-24-07 Fax#617-727-7749 www.mass_LD:ov/dia ` J ,tom U/se�po�nir�w�raiaea`�o�C%vGcrQ�ac�iccoe�. --- ..—.•� �� � �����d— 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: 1,05340 Type- Office of Consumer Affairs and Business Regulation Wxe. piration 7/iZL2014: Individual 10 Park Plaza-Suite 51700 Boston,MA 02116 ROBERT J.CROWELL °,+ Y Robert Crowell 7 698 Tubman Rd. Brewster,MA 02631 Ue zrsecretay Not V&dillvlthout signature gass�-husetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor l & 2 Fiunilv License: CSFA-053822 ROBERT J CROWELL '� 3 698 TUBMAN RIY Brewster MA 0201 I Expiration 5 Commissioner,, 05/23/2.015 h Robert Crowell 698 Tubman Rd. Brew.Ma. 02631 508-896-3366 April 4, 2013 Steve Hemberger/Ellen McCabe 1124 Santuit Newtown Rd. Cotuit, Ma.02635 Proposal to re-model three season room for Steve Hemberger and Ellen McCabe at 1124 Santuit Newtown Rd,Cotuit. (New windows and siding and all that that includes). Rear Wall : Job Description: J Remove existing door/window/siding Stud and plywood to exterior voids/insulate and sheetrock to interior voids Center on wall new double Andersen (wh.ite/white) 5'-0" W x 4'-1" H window with screen/hardware and white interior removable grilles. Azek exterior trim/clear colonial casing interior trim .White cedar shingles to exterior wall with Azek"apron" at bottom All sheetrock to be painted/finish (paint)to interior trim All millwork/materials/labor: .3249.00 Note: Add for electrical/disposals: open I ' Gable end wall: Job description: Remove existing windows Frame/install 2 single Andersen window units—2'-6"W x 4'-1" H (white/white) with screen/hardware and white interior removable grilles Stud/plywood exterior voids/insulate sheetrock interior voids .Azek exterior trim to both window surrounds/clear colonial casing to interior trim White cedar shingles to exterior wall with Azek."apron"at bottom All sheetrock to be painted/finish(paint)to interior trim All millwork/materials/labor: 3956.00 Note: Add for disposals: open Front wall: y Job description: Remove existing window/siding Frame at existing opening for one single or one double Andersen window unit. Specs for this unit(whether single or double)to match specs previously proposed. Stud/plywood to exterior voids/insulate/sheetrock to interior voids Azek exterior trim/clear'colonial casing interior trim White cedar shingles to exterior wall/Azek"apron" at bottom All sheetrock to be painted/finish.(paint ) to interior trim Note: Finish to interior trim for all windows proposed could be paint/stain/urethane All millwork(double.unit)/materia Is/la bor: 2991.00. � ° V unit _ a or: Should you, Ellen and Steve, understand and accept all the terms of this proposal, then let this proposal act as contract to get this work done—to start"hopefully".inside the first half of June 2013. Steve .e�- erge : Ellen McCabe: Robert Crowell: Note: Please return a signed copy of this proposal and initial one of the front wall proposals along with a check(amount to be determined) so I can order the windows. Note: A payment schedule will be forth coming. Best of luck in all your endeavors... Sincerely yours, 41-, YVt Ac A IJ 48E DUST IAssessor's office(1st Floor): IrIKA, Assesor's map and lot number f) V Q �,n�. c �a¢oar8 of Health(3rd floor): � �ewage Permit number iVVVVV/ Z BABd9TADLL i Engineering Department(3rd floor): raes House number ` °O 6}9• ®�' Definitive Plan Approved by Planning Board 19 �o MAI a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION.FOR PERMIT TO 801-1 tell r U TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 11 V AFttyrOWAJ Ad Co 7-U i/ _Xflf, Proposed Use IC /� CT RA e,- L` Zoning District- Fire District Name of Owner .00A ,* &W r11 Address Name of Builder Address Name of Architect Address Number of Rooms JFoundation- Exterior Roofing 4 Floors Interior Heating Plumbing Fireplace Approximate Cost Area S Diagram of Lot and Building with Dimensions FeetA 4 I O I t OCCUPANCY PERMITS REOUIRED'FOR NEW DWE�,LINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. LA/a me Construction Supervisor's-License �_ BOOTH, DONALD Y II .t �' No 33128 Permit For Build Garage' Accessory to Dwelling Location 1124 Newtown Road Cotuit Owner Donald booth Type of Construction Frame } SJ� Plot Lot +. y ' Permit Granted August 7, 19 8 9 ate Inspection , _. -19 #- ate ,e leted 19 r, 3 Assessor's office(1st Floor): / } �! Asses'ftor's map and lot number 0 a l9 0 3Q�01 TH E Toy Board� ` of Health(3rd floor): %Sewage Permit number. ""I • V ( Z BAa39TOBLL i Engineering Department(3rd floor): rasa House number o 39 d�®� Definitive Plan Approved by Planning Board 19 APPLICATIONS'PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF .. BARNSTABLE BUILDING • I RECTOR APPLICATION FOR PERMIT TO 8V! /e,/ +'/t 9A 6-7 TYPE OF CONSTRUCTIONS r 11 Ulu a ��, 19 O / TO THE INSPECTOR OF BUILDINGS: The undersigned thereby applies for a permit according to the following information: Location t �! Nth 14 7-6U A f �G'f �0 l V I. / Proposed Use /r✓G l �� l�,tF/ � C- Zoning District !� . Fire District d Al"/ IG // r` Name of Owner 9 GG'�('i Address Name of Builder Address F. Name of Architect Address Number of Rooms Foundation Exterior Roofi6g Floors Interior Heating Plumbing. �� n Fireplace Approximate Cost ,.Area Diagram of Lot and Building with Dimensions Fee s � t y 177 1 C _ gJ1 rN "'N�\6u � 1 y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. (/Name ' Construction Supervisor's License e _ ;- __ BOOTH, DONALD A=026-035 ' 33128 Permit For Build garager Accessor to Dwelling Location 1124 Newtown Road Cotuit Owner Donald Booth Type of Construction Frame Plot Lot Permit Granted August 7, 19 89 Date of Inspection 19 Date Completed 19 4 1