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0140 ELLIOTT ROAD
40� `kx I.A. ML A 4 MTR AMY IM � 541 Ole", M '.1 "Fu,Y A zum 3,1�Jng, 1,�- A,P" R jp Wo K MWUPA I'd Aim" k 4�WE) g-A pg g, A_ g I PIT BM ME."t n MAR sn,� �g RN V11", ;gA- p VIM No 11 Try" . , �s 4z k, .9 Wk. -q IRS MA I ga�, i I ,1 Mt'l � 'L,�g M -M-Mu, iA' 44f; #Ilfw�,,,�,� , a VRNNINS' V "IT kx, v !e'k 01, Rf ize AM, "'TW®R"', Town of Barnstable BU11Cliri„d",s"`"s "rd..kw"nr-+'�, g Poss F.s Ca So That�t ts;U�s�ble From the Street Approved'`Plans Must I;e Retained on Job and this Card Must be Kept =,, ; Posted Unt�I Final Inspection Has Been.Made r � �;� ' w a: ° r,rs Where a Certificate of Oceupancy,ls Requ,lred;such Butldmg sF`all;Not b�e Occupied until aFinal.lnspection has�been made . Per it Permit No. B-18-3150 Applicant Name: FALMOUTH SOLAR LLC Approvals Date Issued: 10/11/2018 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 04/11/2019 Foundation: Location: 140 ELLIOTT ROAD,CENTERVILLE Map/Lot: 248-057-009 Zoning District: RB - Sheathing: Owner on Record: CAMPBELL, KEVIN M.&JUDITH D TRS Contractor Name:':, ,.FALMOUTH SOLAR LLC Framing: " 1 Address: PO BOX 682 Contractor License" 186626 2 WEST HYANNISPORT, MA 02672 Est. Project Cost: $ 19,790.00 Chimney: Description: install (16)solar electric panels to existing roof.racking Permit Fee: $ 150.93 Insulation: Project Review Req: Fee Paidc $ 150.93 Date" 10/11/2018 Final Plumbing/Gas Rough Plumbing: 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. Rough Gas: All work authorized by this permit shall conform to the approved application:and the'approved construction documents&for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalkbe in compliance with the local zoning by,pwsand codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures,by the Building and Fire Officialsare provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final- 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT O� Application Number...,�7...�... . ....!.... 1.. ............. MA Permit Fee....... .....Other Fee. ......... Total Fee Paid ........... . .. . .. ..�. . ......... TOWN OF BARNSTABLE _ Permit val by....... . .....................on..... 21.. �............... BUILDING PERMIT . ...... .. ................Pam........ ... APPLICATION Section I— Owner's Information and Project Location � w C {,�vV 'Ile Project Address a�i a . VM=e � Owners Name 1<*e V vo (amp Owners Legal Address l 04 Q ' city ���r �vz l e state 61A zip Z 6 TZr s owners cell# 7 33 - 7Sq 9 . E-mail Section 2-Use of Structure Use Group ❑ Commercial Structure Rol'000 cubic feet ❑ Comm undg �5,000 cubic feet 11 Single/Two Fanoening Section 3—Type of Permit0F ❑ New Construction ElMove/Relocate ❑ Accessory Structure El Change of use ❑ Demo/(entire structure) ❑ " Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck artment ❑ Sprinkler System Addition Retaining wall Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description f ?�P.-v{"ri c. awt�I.� �X i S-ri P7 R ,1 k, T Act Tmdatech 2/9/2019 Application Number.................................................... Section 5—Detail t Cost of Proposed Constructio [ ;7 9 Square Footage of Project 7 b Z Age of Structure,,N 1 4' Dig Safe Number , # Of Bedrooms Existing �j Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics [gWning ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas "❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed ' Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated:21912019 COMMONWEALTH OF M .$$.0 IUS�TTS, BR4RT3 CfF EI: CTRICIAN$ 1 ISSUES THE FOLLOWING LICENk AS A TRICIAN � gd.,J fit!I�H EYIUTA":�:�.�C - RUSSELL L HADERI III' • °� i 6 CAPTAIN STrU J EY RCS r [ i ARST t a .S, "MA a2�4$ �26 U s 313 t31/2019 123261 • The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 M www mass.gov/dia - Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aypticant Information `` Please Print Legibly Name (Business/Organization/Individual):Falmouth Solar Pa,.) 1 S L)4-4-o h ` Address:144 Trotting Park Rd City/State/Zip:E. Falmouth, MA 02536 Phone#:5083889299 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.E]I am a sole proprietor or partnership and have no employees working for me in 8, ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.a I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions. proprietors with no employees. 12.Q Plumbing repairs or additions 5.EI am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑RODE repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[E]Other Solar 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 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. I do hereby certify n er the p ' sand enalties of perjury that the information provided above is true and correct Si afore: ( Date: /_/ 1� Phone#: —oe) 38k-gL179 0*c_e �D�, �360 �zq�l Ce-1 j Official use only. Do not write in this area,to be completed by city or town official City or Town: - Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • • •. .- _. , .. ._.. ��_S .. �A{i�4A9L'1A`A,A AIM.+{ .. .. .. COMMonweafth of MassathUsetts Division of Professional Licensura Board of Building Regulations and Standards 'Con st 444:tMrNi# ruisor CS-094476 �pifes: 10/02J20' 9 LINAS REVINSKAS 87 CAMP OPEGHEE ROAt3, '= CENTERVILLE MA 02632 ' + 4 .. Commissioner cis,_ The Commonwealth,of Massachusetts . Department of Industrial Accidents Office.pf Investigations 600 Washington.Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidaviti,Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly �� i Nam (___e (Business/Organization/Individual): l YlQ S �. n' r_ Address: g 7 Camp o e (*"ee City/State/Zip: Cer� v V c 2 .r �t' p 43zPhone#:' .7 2g Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I -* have hired the sub-contractors •6. ❑New construction•*`'. employees'(full and/or part-time).* - r 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7 b[]Remodeling ship and have no employees _These sub-contractors have g, 0 Demolition workingfor me in an capacity. employees and have workers' Y P �'• $ 9. �Building addition " [No workers' comp.insurance . omp.,insurance. required.] S. We are a corporaiion and its 10 0 Electrical repairs or additions '' officers have exercised their 11 Plumbin re airs or additions 3.❑ I am a homeowner doing all work _ ❑" � g P myself. [No workers'comp. right of exemption per NIGL` 12.0 Roof repairs insurance required]t :fi'C. 1522§1(4),and we have no - a employees. [No workers' . 13. r. ther comp.insurance•iequired.] .. *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicatingthey are doing all work and'then hire'outside contractors'thust'submita 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.. t I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C�. Gr E'q ale. Sct,�C i Va /vr Policy#or Self-ins.Lic.#: �AC S 31,S 3 S 4 9 40 2 g Expiration Date: Q3/Z Y� 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 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. I do hereby certify un a pains and pe s o rjury that the information provided above is true and correct Signature: j Date: Phon ��4'_ 22 ! — ��/61Z • Official use'only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# ` Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ' Contact Person: Phone#• &Comprehensive Energy solutions Auu g st 22 , 2018 Sold to Kevin Campbell 140 Elliott Rd Centerville, MA Solar Sales Agreement 4.96 kW PV This agreement is made effective as of August 22w, 2018 by Paul Sutton of Falmouth Solar LLC of Falmouth, Massachusetts (hereinafter referred to as the Service::Provider) and the Campbell's of Centerville, Massachusetts (hereinafter referred to as the:Owner). Does.not include cost of town permitting, although your town property tax will not increase. The parties agree as follows: . ., The Service Provider agrees:to' 1) Professionally evaluate he site for optimum system performance, structural integrity of the mounting areas, and compatibility of electrical system interconnect: 2) Install (16) Silfab 310 solar modules on the upper back dormer roof, racking.for the panels, SolarEdge DC optimizers, inverters and portal, revenue-grade meter.with 10 years of reporting, all wiring, conduit, and disconnects to comply with the National Electric.Code of 2018 :, as well as all applicable state and local building codes. 3) Complete the installation within 90 days of receivingthe 3'' payment(s) • 4) Commission and verify that the system is working'to specifications._ t. . 5) Warrant all equipment and workmanship for a period of three years from the date of completion, except,for acts of God beyond the control of the Service Provider..: The Owner agrees to: 1 . Make 1st $ g g' g y 9,.. payment of. 500 to begin en ineerm anal sis; permitting,.SREC account and. Utility.interconnection agreement paperwork. 2) Make 2"' payment of$2,700:for re-roofing:the one dormer roof:facet for solar. 3) Make 3rd payment(s) of$15500 to Service Provider (and / or Service Provider's wholesale: suppliers). 4) Make'41:and final payment of$3,790 within seven days of system commissioning. 1 't PV Solar Cost:'4960 Watts DC PV = $19,790 (Re-roofing dormer $2i700) Total Cost = . 22 490 Dispute Resolution: It is understood that any financial impact estimates,.or power output estimates, given orally; or,written from the Service Provider are not guaranteed, and the Service Provider shall be held blameless for any resulting discrepancies in any such estimations given. Claims, disputes or other matters in question betweenthe:parbes to this agreement which arise prior to or during construction shall be resolved by arbitration in accordance with =' the Construction Industry Arbitration Rules of theAmerican Arbitration Association currently in effect unless the parties mutually agree otherwise.The,demand for arbitration shall be filed in writing.with the other party to this agreement and with the American Arbitration Association:The award rendered shall:be final, and judgment may be.entered upon in accordance with applicable law.in any court having jurisdiction thereof. .: Owner resentatii ve Mr Of Mrs Campbell • . _ ,. Date. • IT - Service Pro der's signature- Paul Sutton..+ '< Date µ .a HIC #186626 :1.44 Trotting Park Rd..E. Falmouth; MA 02536 cell (508) 360-9299 ) office: (508) 388-9299 Paul 1 Sutton"Triple Certified"Renewable Energy Technologist - 3 email: paul@falmouthsolarcom I web: http:%/falmouthsolar.comJ t e of Consumer Affairs,&Business Regulation HOMEIMPROVEMENTCONTRACTOR TYPE.iL,C ��a�,�w" Re^istration Eifdiratian , ,- i.86626 12/13(2018; FALMQUTN SOLAR,tLC PAULSUTTONG 144 Trbtting Park Rd , 3 r E.Falmouth;MA 02536 U.ndersecreiary` II &Comprehensive Energy Solutions Paul`J. Sutton £restive Rnancing Y Incentives CerHFied R.E.Technologist Residential/Commercial: pauwalmouthsolar.com HIC"#183605 FalmouthSoiar.com 508-; 88-9299 Ze structural September 19,2018 ENGINEERS Current Renewables 19435 Fortunello Ave. Riverside,CA,92508 Subject:Structural Certification for Installation of Solar Panels r Job Number:18-10011 Client:Campbell Residence Address:140 Elliot Rd.,Centerville,MA 02632 Attn.:To Whom It May Concern A field observation of the condition of the existing framing system was performed by an audit team from Current Renewables. From the field observation of the property,-the existing roof structure was observed as follows: The existing roof structure consists of: • Composition Shingle over Roof Plywood is supported by 2x8 @ 16"o.c.DF#2 at ARRAY 1.The rafters are sloped at approximately 20 degree and have a maximum projected horizontal span of 16 ft 7 in between load bearing supports. Design Criteria: • Applicable Codes=780 CMR,ASCE 7-10,and NDS-15 • Ground Snow Load=30 psf;Roof Snow Load=25 psf ARRAY 1 • Roof Dead Load=6.4 psf ARRAY 1 • Basic Wind Speed=140 mph Exposure Category C As a result of the completed field observation and design checks: • ARRAY 1:is adequate to support the loading imposed by the installation of solar panels and modules.Therefore,no structural upgrades are required. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements without structural upgrade in accordance with the 780 CMR. If you have any questions on the above,do not hesitate to call. Prepared By: PZSE,Inc.-Structural Engineers Roseville,CA IVA 0FMgss PAUL K. S ZACHER can STRUCTURAL _CO No.50190 2 S/pNAL ' 1478 Stone Point Drive,Suite 190, Roseville, CA 95661 T 916.961.3960 F 916.961.3965 W www.pzse.com Experience Integrity J Empowerment GENERAL NOTES 6.ALL PV MODULES AND ASSOCIATED EQUIPMENT AND ;1p } WIRING SHALL BE PROTECTED FROM ANY PHYSICAL t. i 5. 1.ALL ELECTRICAL MATERIALS SHALL BE NEW AND LISTED BY RECOGNIZED ELECTRICAL TESTING LABORATORY DAMAGE. - r CUSTOM MADE EQUIPMENT SHALL HAVE COMPLETE TEST DATA SUBMITTED 7.LIVE PARTS OF PV SOURCE CIRCUITS AND PV OUTPUT BY THE MANUFACTURER ATTESTING TO ITS SAFETY CIRCUITS OVER 150V TO GROUND SHALL NOT BE ACCESSIBLE TO OTHER THAN QUALIFIED PERSONS WHILE +.r�'a '+ , 2.OUTDOOR EQUIPMENT SHALL BE AT LEAST NEMA 3R RATED ENERGIZED. `k j �; § i 14 ' -�`' ,y„_ 3.ALL METALLIC EQUIPMENT SHALL BE GROUNDED " 8.INVERTER IS EQUIPED W/INTEGRATED GFDI,THUS 4.ALL SPECIFIC WIRING IS BASED ON THE USE OF COPPER. PROVIDING GROUND FAULT PROTECTION 5.CONTRACTOR SHALL OBTAIN ELECTRICAL PERMITS PRIOR TO 9.ALL CONDUCTORS SHALL BE COPPER AND 90DEG RATED INSTALLATION AND SHALL COORDINATE ALL INSPECTIONS,TESTING COMMISSIONING AND ACCEPTANCE WITH THE CLIENT, 10.ALL ELECTRICAL EQUIPMENT SHALL BE LISTED BY A UTILITY CO.AND CITY INSPECTORS AS NEEDED. RECOGNIZED ELECTRICAL TESTING LABORATORY OR VICINITY MAP SATELLITE VIEW- 6.THE ELECTRICAL CONTRACTOR SHALL VERIFY THE EXACT LOCATIONS OF APPROVED BY THE DEPARTMENT. SCALE:NTS SCALE:NTS SERVICE POINTS AND SERVICE SIZES WITH THE SERVING UTILITY COMPANY 11.CONDUITS SHOULD BE PAINTED TO MATCH EXISTING AND COMPLY WITH ALL UTILITY COMPANIES REQUIREMENTS.IF THE SOLAR ROOF AND WALL COLORS BACK FED BREAKER IS OVER THE BUS SIZE 20%LIMIT,CONTRACTOR SHALL INDEX INCLUDE THE COST TO REPLACE MAIN BREAKER OR ENLARGE MAIN 12.ALL WORK SHALL BE IN ACCORD WITH THE 2016 CBC,2016 For Structural Only CAPACITY. CEC AND 2016 NEC WITH SPECIAL EMPHASIS ON ARTICLE 690 1 ROOF PLAN 7.DRAWINGS ARE DIAGRAMMATIC ONLY,ROUTING OF RACEWAYS SHALL �YZH OF*S� BE OPTION OF THE CONTRACTOR UNLESS OTHERWISE NOTED AND SHALL 13.THE OUTPUT OF A UTILITY INTERACTIVE-INVERTER SHALL 2 SINGLE LINE DIAGRAM BE COORDINATED WITH OTHER TRADES. BE PERMITTED TO BE CONNECTED TO THE SUPPLY SIDE OF PAUL K. 3 SIGNAGE ZAI HER THE SERVICE DISCONNECTING MEANS -` 8.IF THE ROOF MATERIAL OR ROOF STRUCTURE NOT ADEQUATE FOR PV 4 SITE PLAN STRUCTURAL y INSTALLATION,CALL ENGINEER PRIOR TO INSTALL.THE CONTRACTOR IS 14.A SINGLE CONDUCTOR SHALL BE PERMITTED TO BE USED .° 01S10 S ATTACHMENT LAYOUT RESPONSIBLE TO VERIFY THAT THE ROOF IS CAPABLE OF WITHSTANDING TO PERFORM THE MULTIPLE FUNCTIONS OF DC GROUNDING, O THE EXTRA WEIGHT. AC GROUNDING AND BONDING BETWEEN AC AND DC 6 INVERTER DATA SHEET ASS/ONAI��' 9.IF THE DISTANCES FOR CABLE RUNS ARE DIFFERENT THAN SHOWN,THE SYSTEMS 7 MODULE DATA SHEET CONTRACTOR SHALL NOTIFY THE ELECTRICAL ENGINEER TO VALIDATE THE 15.EQUIPMENT GROUND CONDUCTOR REQUIRED IN 6 OPTIMIZER DATA SHEET ProjectName: WIRE SIZE.FINAL DRAWINGS RACEWAYS SIZED PER NEC.WILL BE RED-LINED AND UPDATED AS APPROPRIATE. 9 RACKING DATA SHEET Campbell Residence 10.WHENEVER A DISCREPANCY IN QUALITY OF EQUIPMENT ARISES ON THE 16.NON-CURRENT CARRYING METAL PARTS OF EQUIPMENT 10 ATTACHMENT DATA SHEET Property address: DRAWING OR SPECIFICATIONS,THE CONTRACTOR SHALL BE RESPONSIBLE SHALL BE EFFECTIVELY BONDED TOGETHER.BOND BOTH 11 140 Elliott Rd FOR PROVIDING AND INSTALLING ALL MATERIAL AND SERVICES REQUIRED ENDS OF RACEWAYS BY THE STRICTEST CONDITIONS NOTED ON THE DRAWINGS OR IN THE Centerville, MA 02632 SPECIFICATIONS TO ENSURE COMPLETE COMPLIANCE AND LONGEVITY OF CONTRACTOR THE OPERABLE SYSTEM REQUIRED BY THE ARCHITECT/ENGINEERS. FALMOUTH SOLAR,LLC 11.ALL BROCHURES,OPERATION MANUALS,CATALOGS,SHOP DRAWINGS, MAIN PV SOLAR SYSTEM DETAILS NAME.,PAUL SUTTON ETC.SHALL BE HANDED OVER TO OWNER'S REPRESENTATIVE AT THE PHONE:+1(506)360.9299 COMPLETION OF WORK EMAIL: SYSTEM SIZE:DC STC:4.96 KW FALMOUTHSOLAR@GMAIL.COM PHOTOVOLTAIC NOTES: SYSTEM SIZE:AC CEC:4.43 KW 1.ROOFTOP MOUNTED PHOTOVOLTAIC PANELS AND MODULES SHALL SOLAR MODULES:(16)Silfab 310 Watt LICENSE A-HIC-186626 BE TESTED,LISTED AND IDENTIFIED UL 1703. THE INSTALLATION OF SOLAR ARRAYS AND INVERTERS:(1)SOIarEdge 5.0 KW 2.SOLAR SYSTEM SHALL NOT COVER ANY PLUMBING OR MECHANICAL PHOTOVOLTAIC POWER SYSTEMS SHALL ELECTRICAL INFORMATION: VENTS COMPLY WITH THE FOLLOWING CODES: EXISTING lr&"2vn WAR 3.MODULES AND SUPPORT STRUCTURES SHALL BE GROUNDED. MAIN SERVICE PANEL BUS SIZE:225A 2014 NEC MAIN SERVICE BREAKER SIZE:200A 4.SOLAR INVERTER MUST HAVE A MANUFACTURE INSTALLED 2012 IRC MOUNTING SYSTEM:SNAPNRACK DISCONNECTING MEANS THAT PREVENTS PARALLEL FEEDING UTILITY 2012 IFC LINES DURING POWER OUTAGE. 2011 IBC BUILDING INFORMATION: DESIGNER:DAVID DURGAR 5.REMOVAL OF AN INTERACTIVE INVERTER OR OTHER EQUIPMENT SHALL ALL OTHER ORDINANCE ADOPTED BY THE ONE STORY HOUSE DATE: 09/18/2018 NOT DISCONNECT THE BONDING CONNECTION BETWEEN THE GROUNDING LOCAL GOVERNING AGENCIES CONSTRUCTION TYPE:V-B ELECTRODE CONDUCTOR AND THE PHOTOVOLTAIC SOURCE AND/OR ' OCCUPANCY:R OUTPUT CIRCUIT GROUNDED CONDUCTORS. ROOF:COMPOSITION SHINGLE X RAFTER:2"X8"@ 16"O.C. INDEX MSP (E)Main Service Panel INV (N)Inverter ACD (N)AC Disconnect JB (N)Junction Box ❑ Microinverter/Optimizer ® Solar Module Conduit — — Setback N �O v0� W E • 270 go* 180. SCALE: 3/32' O 1 ROOF PLAN O d O l] O �a❑❑❑❑ Project Campbell Residence Property address: JB ti o ii �,0 ❑ 140 Elliott Rd MSP AC INV ❑❑❑ Centerville, MA 02632 CONTRACTOR FALMOUTH SOLAR,LLC NAME:PAUL SUTTON - PHONE.,+1(508)360-9299 EMAIL: FALMO UTHSOLAR@GMAIL.COM Solar PV Array LICENSE#:HIC-186626 16-Silfab 31 OW Modules 16-P400 Power Optimizer ..,, Pitch:20 Deg U 104—GUQit WAlla Orientation: 172 Deg For Structural Only SH OF M4 PAUL K.�9 - ZACHER DESIGNER:DAV/D DURGAR STRUCTURAL y DATE: ,0911812018 �SSIONAL X WIRE CHART ® ITEM DESCRIPTION CITY MAX AMPS X NEC MULT= BREAKER WIRE RATING X TEMP DERATE X Silfab Solar ® DESIGN AMPS SIZE(A) WIRE TYPE EGC CONDUCTOR DERATE= CONDUIT SIZE 0 1 PV MODULE SLA310M 16 DERATED WIRE Voc=40.25V,Vmp.33:05V 1 15 X 1.25=18.8 A 20 (2)#10 PV-WIRE (1)#6 BARE SOLID COPPER GEC 40 X.71 X 1=28.4>=18.8 FREE IN THE AIR Isc=9.93A,Imp=9.38A SOLAREDGE SE5000H-US(240) 2 - 15 X 1,25=18.8 A 20 (2)#10 AWG,CU-THWN-2 (1)#8 AWG,CU-THWN-2 EGC 40 X.71 X 1=28.4>=18.8 3/4"EMT 99%CEC EFFICIENCY 5000Wac 3 21 X 1.25=26.25 A 30 (3)#10 AWG,CU-THWN-2 (1)#8 AWG,CU-THWN-2 EGC 40 X.91 X 1=36.4>=26,25 3/4"EMT ® INVERTER CONTINIOUS 1 ® 21 X 1.25=26.25 A 1 30 (3)#10 AWG,CU-THWN-2 1(1)#8 AWG,CU-THWN-2 EGC 40 X.91 X 1=36.4>=26.25 3/4"EMT MAX OUTPUT CURRENT 21Aac MAX INPUT CURRENT 13.5Adc KEY NOTES:. 120%RULE CALCULATION PER NEC 705.12(D)(2)(3) 4"x4"x2"UL LISTED WATER TIGHT SOLID BARE G.E.0(FREE-AIR)MOUNTED UNDER ARRAY ® PVC JUNCTION BOX NEMA TYPE 3 - 1 • PER NEC 250.120(C):WHERE CONDUCTORS&GROUND WIRE ARE RUN MAIN BUSBAR RATING: 225 AMPS ® 30A.2P BLADE TYPE 240V EXPOSED ON FROM ARRAY TO J-BOX,CONDUCTORS&BARE GROUND WIRE MAIN SERVICE BREAKER RATING: 200 AMPS AC DISCONNECT NON-FUSABLE 1 SHALL BE CONCEALED INSTALL IN CONDUIT PER NEC ARTICLE 690.35 INVERTER GROUND FAULT PROTECTION PROVIDED PV BACKFEDING CURRENT:1 30 AMPS ® MAIN SERVICE (E)MAIN SERVICE PANEL&METER 1 ALL GROUNDS AND NEUTRALS BONDED TO EXISTING GROUNDING BUSBAR X 120% -MAIN BREAKER = MAX PV BREAKER PANEL 225A BUSBAR&200A MAIN BREAKER - CONDUCTOR W/IRREVERSIBLE CRIP CONNECTOR, 270 - 200 = 70 SOLAREDGE,P400 OPTIMIZER BACKFED BREAKERS MUST BE LOCATED @ OPPOSITE END OF BUS BAR FROM MAIN BREAKER OR MAIN LUG ON GRID SIDE.WHEN A BACKFED INPUT POWER:400 WATTS BREAKER IS THE METHOD OF UTILITY INTERCONNECTION,BREAKER SHALL AC SYSTEM SIZE CALCULATION MAX INPUT VOLTAGE:40Vdc NOT READ'LINE OR LOAD'. MPPT RANGGE:8 TO 80Vdc • PER CEC 250.65(C):CONDUCTOR SPLICES ONLY ALLOWED WITH Module PTC NO.of Average Inverter © POWER OPTIMIZER MAX INPUT CURRENT:10AAdc 16 COMPRESSION CONNECTORS OR EXOTHERMIC WELDING Rating(W) x Modules x CEC Efficiency = AC System Slze MAX OUTPUT CURRENT:15Adc ALL GROUNDS AND NEUTRALS BONDED TO EXISTING GROUNDING 279.8 x 16 x 99% = 4.43 kW AC STRING LIMITATIOS:8 TO 25,6000 CONDUCTOR W/IRREVERSIBLE CRIP CONNECTOR, WATTS STC PER STRING MAX VERIFY(E)UFER GROUND NEAR MSP.IF(E)UFER IS NOT ACCESSIBLE OR VERIFIABLE,INSTALL A NEW 5/8"0 X 8'LONG GROUNDING ROD AND BOND PERCENT NUMBER OF CURRENT SOLAR SYSTEM EQUIPMENT GROUNDING ACCORDINGLY. OF VALUES CARRYING CONDUCTORS IN EMT .80 4-6 SINGLE LINE .70 7-9 DIAGRAM .50 10-20 Project Name: Campbell Residence Property address: 140 Elliott Rd Centerville, MA 02632 CONTRACTOR FALMOUTH SOLAR,LLC NAME:PAUL SUTTON PHONE:+1(508)360-9299 ro EMAIL: FALMOUTHSOLAR@GMAIL.COM D LICENSE#:HIC-186626 I� 120/240V 1 P,3W String:(16)Modules,(16)Optimizers 30A 225A BUS fF)IrAm Fit Sm!-Al3 _ 30A -O+ -[3+ o 2. 3 � g DESIGNER:DAVID DURGAR DATE: "�09/1&2018 1 O • © • PV ARRAY MARKINGS,LABELS AND WIRING SIGNS (TO BE LOCATED ON A.Purpose:Provide emergency responders with appropriate warning and guidance with - SUB-PANEL ONLY respect to lsolating solar electric system. This can facilitate Identifying energized electrical lines that conned solar panels to the O • WHEN SUB-PANEL IS inverter,as these should not be cut when venting for smoke removal 2 ,. DEDICATED FOR PV ONLY) B.Main Service Disconnect. J BOX 1.Residential buildings-The marking main be placed within the main service ' .• • - O disconnect.The marking shall be placed 1 outside cover If the main service disconnect Is operable with the service panel dosed. (STICKER TO BE LOCATED ON 2.Commercial buildings-The marking shall be placed adjacent to the main service CONDUIT WITH DC CURRENT - • disconnect clearly visible from the location where the level is operated 3.Markings:Verbiage,Format and Type of Material. EVERY 4'HORIZONTALLY OR O • • • '• • O a.Verbiage:CAUTION:SOLAR ELECTRIC SYSTEM CONNECTED 10'VERTICALLY AND V FRONI • b.Format:White lettering on a red background.Minimum 3/8 inches letter height.All EACH SIDE OF A BEND) •• •••• • •r letters shall be capitalized.Ada]or similar font,non bold. INVERTER c.Materiel:Reflective,weather resistant material suitable for the environment(use UL- 969 as standard for weather rating).Durable adhesive materials meet this requirement. 'if applicable C.Marking Requirements on DC conduit,raceways,enclosures,cable assemblies,DC combiners and junction boxes: O 1.Markings:Verbiage,Format and Type of Material. a.Placement:Markings shall be placed every 10 feet on all Interior and exterior DC 3 condulls,raceways,enclosures,and cable assemblies, • r INTEGRATED at tums,above and for below penetrations,all DC combiners and junction boxes •-. •• • ® • b.Verbiage:CAUTION:SOLAR CIRCUIT Note:The format and type of material shall DC DISCONNECT r r • ® O adhere Inverters V•3b,c•q ire requirement. c.Inverters ere not required to have ceutlon markings 1.1varking is required on all Interior and exterior DC conduit mceways,enclosures,ceble assemblles,and junction boxes,combiner boxes and disconnects. 2.The materials used for marking shall be reflecttve,weather resistant material suitable for the environment. Minimum 318"letter height:all upper case letters Anal or similar font;Red background with white lettering. 3.Mamking shall contain the words:WARNING:PHOTOVOLTAIC POWER SOURCE. PV SUB-PANEL 4 • • 4.Marking shall be placed adjacent to the main service disconnect in a location dearly -• - •• visible from the location where the disconnect is operated r • • . :r • (STICKER LOCATED if applicable r r • INSIDE PANEL 3 SIGNAGE r NEXT TO SOLAR BREAKER) 7O 11® Only present H required by either the state and/or AHJ and/or utility company 9 10 Project Name: Cam O O pbell Residence 5 10 ' " • SUB-PANEL C A U T I O N Property address: O .• • . • ' `If applicable POWER TO THIS BUILDING IS ALSO SUPPLIED 140 Elliott Rd r - r • • (STICKER LOCATED O ® FROM THE FOLLOWING SOURCES WITH Centerville, MA 02632 DISCONNECTS LOCATED AS SHOWN: •' • INSIDE PANEL CONTRACTOR BELOW PV BREAKER) O 1O FALMOUTH SOLAR,LLC ..• , .• NAME:PAUL SUTTON • - . . JETERI�Q 1 PHONE.+1(508)360-9299 AC EMAIL: DISCONNECT SOL FALMOUTHSOLAR@GMAIL.COM (STICKER LOCATED (STICKER LOCATED If applicable ARRAY ON THE PV SUB PANEL) ON THE MAIN SERVICE PANEL) LICENSE#:HIC-186626 Permanent directory or plaque providing location of service disconnecting means and SERVICE photovoltaic system disconnecting means,If not located at the same location.(Plaques shall be UTILITY Mfdmetal or plastic,with engraved or machine printed letters,or electro-photo plating,in a contrasting color tothe plaque.Plaques shall be permanently attached to the equipmenq or in the required location using anapproved method that is suitable to withstand the environment to which it is exposed.Plaques and SOLAR INVERTER signage shall meet legibility,defacemet,exposure and adhesion requirements of Underwriters MAIN SERVICE Laboratories marking and labeling system 969(UL969). PANEL PV SYSTEM DISCONNECT FOR UTILITY OPERATION DESIGNER:DAVID DURGAR DATE: 0911812018 7 12 Plaques will have red background&white lettering. 9 10 X ivzvr INDEX MSP (E)Main Service Panel INV- (N)Inverer \ ACD (N)AC Disconnect \ JB (N)Junction Box / \ Microinverter/Optimizer / Solar Module \ / \ Conduit — Setback / w E 16 270 90° 7 -3" / / 180 SCALE. 1/16"_1'-0"� 61 / 4 / / 4SITE PLAN ProjectName: / Campbell Residence Property address: MSP INv 140 Elliott Rd / / 2 ` " ' Centerville, MA 02632 CONTRACTOR 164 4" FALMOUTH SOLAR,LLC 5 '-6" / NAME:PAUL SUTTON / PHONE:+1(508)360-9299 EMAIL: \ 6 '-4° - FALMOUTHSOLAR@GMAIL.COM LICENSE M HIC-186626 / \ / PROPERTY LINE PROPERTY LINE 1\ \ \ / DESIGNER:DAVID DURGAR \ DATE: "A0911812018 MODULE WEIGHT(Ibs) 41.9 1.SnapNrack Racking System 2.SnapNrack Flashed L Foot kit Attachment #OF MODULES 16 3.Racking loading calculations were performed for ASCE 7-10 wind speeds @ 110 mph for B TOTAL MODULE WEIGHT(Ibs) 670 and C exposure categories and ASCE 7-10 Seismic Design Category E. 4.Roof attachment hardware to be mounted to existing structure RACK WEIGHT(Ibs) 134 (2"x8"@16"O.C.Rafter)at 48"O.C.rail spans or less. OPTIMIZERS WEIGHT(Ibs) 27 5.Lag bolts are 5/16"X 3.5"stainless steel with 2.5"minimum embedment into the roof Rafter. 6.Roof sheathed with 1/2"plywood and upper surface is faced with felt paper. TOTAL SYSTEM WEIGHT(Ibs) 831 Finished roof surface is One layer of Comp.Shingle. #OF STANDOFFS 32 MAX SPAN BETWEEN STANDOFFS(in) 48 LOADING PER STANDOFF(Ibs) 25.97 For Existing ROOT& TOTAL AREA(sq.ft.) 288 Attachments Only LOADING'(PSF) 2,88 SH OFMA PAUL K. ZACHER STRUCTURAL H 0. 01 0 S/0NAIEtJC' 5 ATTACHMENT LAYOUT 2"x10"Blockin ProjectName: Campbell Residence Maximum 6" Property address: 140 Elliott Rd SOLAR MODUL ,s_o Centerville, MA 02632 II o CONTRACTOR 1 i ti FALMOUTH SOLAR,LLC NAME.,PAUL SUTTON PHONE:+1(508)360-9299 EMAIL: t t FALMOUTHSOLAR@GMAIL.COM i l LICENSE#:HIC-186626 \\DF#2 2"BY 8-@ 16 O F°�iMS9�1Q'jL�Lh� ATTACHMENT DESIGNER:DAVID DURGAR DATE: 0911812018 RAIL — — — — — — — — RAFTER X ���1�°°q SCl�BP• Single Phase Inverter SQIc]P p �. with HD-Wave Technolo9yfor North America SE3600H-US J SE380OHrUS/SE5000H-US/, Slllg�@ Ph-an �I1VP.Itp.'r SE6000H-US/SE76OOH•US/SE10000H-US/SE11400H-US With H Q 46ve Te c h f10l0 gy. O f stsaaon us smeoat us s�waox us s anaox u: t�son se x us sevaome us ru7 for'North Amenca IWl d a wrt � �11 ' ...... . 54 9O9 x lu eaOea auv m6z vSE3000H-USSE$OOH-US/SE5400MUS udo MOO zla g 00HUSE$ 600wusts 10000E-US1400H-US a Aeo m cvanms xpMx a� r r V. 'AttFuta+rt3e ta¢c Ae!n learn A'Ias..... r - r r r '✓ r vni' '• , . ._,�: v,, 0 (xiir z+o tea) Aer y mg(No nap s9.d�r,ti Sapp : x • x = � . .` � MapinNi Cq�tinuaystl W C Mry . ` "WAY c`rutrero:$uw to kru.. 1 2s la e 32 I 42' 1 915 A G4'tN Th a6kA�d 1 111 11 A ' Y-;` JAium aE 4bwar�r3-0aV �65a 59w : 2]Sa 93W 13H00 t55w iT¢Sa W �r3 INVERTER Trsirsbrmerlp:li rw.a�deB .....-.:".. Ya . � � a naainwmmR,`u qeO se � DATA SHEET n—.a--+«••�« }xx � S s NCrn rsH UCl pyt Witege JBo: 4,pp Wrt - > ,:�,� .,�,-,, M.Tu ummpuce;rNn�+xanr ss .,�. zas iTs ( :,us sO i7 sn Ai, Project Name:. ♦♦♦i. r �,-s ' tAa;!�!AR istpn,r- ,cur mu ek Alf Campbell Residence s , �, �adcyuho doaaN cmasawmsy �, �f a '��'�& •�s I ; M „ ,�{��aQS^ty 9s ]I. v9 z F4 _ � Property address: Ad Ei(,Itlenty 99 Xi �C'�Ix140 Elliott Rd Centerville, MA 02632 • : d {y�',. y s 'PayQ Shutdgwn•NEE gala G2N7 n �� bB011 Aug �yld5hunfoWnWa A�ar�a�A rt, CONTRACTOR 3 `'�• `� # + �' P •�` '5TANOARO COMPWINC 1 4 ... ,s` }Izal to;TaTtA u}Tk�4eFAPixeSarifs 'A.gcaTr�4M �' cry yr}¢,m Rayo,gyarti�aal r{aeLsav,¢>ann x to7^!�i) FALMOUTH SOLAR,LLC e ,, _;'` �, s -r $ a Eirassuns rtcranic 8� ,.,_ NAME:PAUL SUTTON a,NVAUAT1�SPECIFICATIONs s roe, „t. aacc.oin�ptuft4fFaEnitma5(a.. G111�n1 sya ,yPJyl aAwa a }}nca ayty +1(508)3 60PHONE -9299 dsiClAw aastnnav7 - 5 m+Ar u Iz.3's'viAe+] EMAIL: • � :� y -.' .>g -. :• •.,,� .e. 314 n Jm /I25YtAgefl4'6AWa y FALMOUTHSOLAR@ GMAIL.COM � 3rCYrxaJ�4 �i���i3.�tpllr+reri�}! �, 51e�#�sDi'6 i �°'n� � p; - ornn+o!a,r.+m sme[q scnsn Ms4v n) zr Tx lab Ga Yasn am-u< 4t$ xa s .a sm YTb w/mm 'E`i�cmr8' �i,w !Hei'tW 54t 33i1i h 22':. 'xs l lA l6.2 119.'. 3&a�i'!a ro LICENSE*HIC-186626 a�' M1t :� � has¢ 29; Sg tldA ..��� @r,,+,e`I '•r ��, „�+' �`�3s, rtat !E- , rva m w •�.� �„�o �b�� - � �� �, CA°7� ru w � ��,�w x w;:uw!-0a�•aa c �wt�54m"s t c •,!'�rs��. .��.:Err a''«*,•„�k'4"�._ ,' .::>. ., :�. ,n ..�..8�, srG'e�r,'.:,- +�`..,:-.- ..�Y.F�^& �4'*�,,,+�'ie l.,i,..,, S 1...,...!�! ! l., x 7xtfsked�Y'Ci�+{!Cp�df4tt�$rluragtA- Qv: rT,N CZO��:'8p0.303,T�eFe � 1axtlb�!¢tg2.. -„.. .. � ..•� ...9.:_ 3i�inwnmr MMSw'e6L,� �^$^ t �`his. 'e@r,,. ..`S, +�✓ .i .; R 1''11ti11"I"."LAM with 9 •�•� �� - �8t$F�tnar�bksl' t11# ian�!•ra'�„!�s�.y,n4�. �#E,�y�^.' �"$ ,'. �: �.y ".��lgllm�� �'"'�, t ... ... . ,3.h.x.,a a N h:,=. , ..».:: .. 1 ;.rx:�.7 w,a'•��„",.. 4F s •..�--, s �.�� :. ' r._r .:_...,. t .:, ..:.:.:a xwx.' ��-. ,.a�.,s...• 7Kdttor:'d�stOifsktaq -,,,< r`,*rr... w;;g�i,, �.'�. ,.,�.� ,,,.,� •�. �.:� ,.:X�:'**r �' �� ._�r a .. _.:✓ � � .fit�.,!. 2" _, "" ... !'�� �..�. 3 x�r , ...,. . n :•�, ,, . !t�",,, ": �,... �..�, ,, a''�Gv,...F:a "! p..;:xrrs"'�a.�,Nc':�:s.�,,.fin, :�. .,,.,,h.A°a�~.,ti n >, ^"4�.� �,,., �... `fit#+,.`�.Y,�+;. _E gal�.. '�§�.�. .z� �`y�.��, ,..,:Y:.^t4. rt�ed... yt„ r 2"•��T k,�����y4a�� °� '., �,�„5 ^t�;nl' :.¢ .. DESIGNER:DAVID DURGAR . DATE: 09/18/2018 e Tesic—dito , 1 6rc g hbtlule Paaver(3hns�7 W� 310 -„ :38 y!y ` Maxu�x�m powerwkaga rypn>ad V ! 33.U5 - ]�,� 29.7 3 v LZ♦ MaxEnum powe asrenxlbxna:l A 3 9M 04• y L`` L,i�+.+ V V1I4ndm9tva7rd'sa MoU V x 4Q25- -f 37.2 - '` Shan dmtit narcnt(t,U A Module efApency % t 19A 174 s ms�Y u NOQ V 1000 Serieriesesruse �� A y15 59kAR ioa TTolarazece. Wp xtirWa�ux Nitlev,Ceit teOeY�b�4I1!•nwprrrvra�K•NOtr CaNlhr•Ib to•tM1avwxbarotOysAi ' •a�nabWo»•rRr+�.anrax. Rm.PrauetiN -.6mrltlerstue&a/�'aftfs9a�d Gr.v4,la.5w. . ® T�ernomaturs Coeffidem pmax WK C - NOCTl±2"Q 'C ns Operafttemperaaae K u,,,-:LW+65 5 70p45 MAXIMUM POWER DENSITY no Siifab's.SLA-.— 3ti optiultramized or both Residential modules are optlm¢ed for both Residential Moodule wer�taC±-1�._, and Commercial projects where mardmum CNmenslons OlxLkR_1mN m 1f30 x49D 3g O power density is e .preferred- surface Mad hvindsntavl' ��f - Sd08 t FW impat2rezisaxe. 25 mm a[03 LTnrtt - TQ046 NORTH AMERICAN fells 60 5imorotryseslne-3or:aptaba.lss75 156-5mm a' Giass 32 mm i�aarvro®me;tempered arraegecwe maprg MODULE :QUALITYMATTERS SadNteet Mulolagepoyestermased Stifab"s fury-automated manufacturing facility Frame , .Anadisdm -;s-;s 7 DATA SHEET 8 L! r ensures precision engineering is applied at ay ss diades 3 diaBes-b5V/-71A tD67AP6a every stage.Superior reliability and perfonoance Cables ard.wmtccmrs ISee'ir tltaroon rruwi.D i„ '. , -'1200fgmo5.7 mm(4 mm?1WAq!Wa Wa ;.a ( ] 1 combine m produceane of the highest Project Name: Irtif 'Quality modules with the I—t defect rare Campbell Residence in the industry. hodWe rodtttt 3 "12vears -_ .! NORTH AMERICAN Linear :90%enir� yyeeer Property address: CUSTOMIZED SERVICE p°"er petTarmart�guatardee • 90%and oft 140 Elliott Rd _8'%entl ofS"year e Sirfab'' tw 1 %North American basedteain. - - - Centerville, MA 02632 No rw1/��{� r..rM, leverages ust-in-eme manufacturing to defer • `�"'ll 1=J v ri -, """"""�S unparalleled senrice.on-t'ene delivery and ULC DAt1 Cil0;1A 1703,Ifc 61215,LEC 61730.1EC517fi1,CEC Gsced a. CONTRACTOR gexibte pmjea:solud— UL Rue RawW1We 2 Rype 1 an rewx'sd 'il. FadoN P ._.tSD90081W8. $ Vtamin,,:Read the 11-11ation and user Msitual before ,E FALMOUTH SOLAR,LLC handling imlallirug a Joperatag mpdpts.. NAME:PAUL BUTTON (A'. T � PHONE:+1(508)360-9299 9V Ed-eny+gene.—ilamt glesfrom a EMAIL: M Ewhtttiop Labs avagable `a FALMOUTHSOLAR@GMAIL.COM F H a fardawnio dac VL 5i waw,ulfan.Wdownoads �.....� a paYeteamt?6 LICENSE#:HIC-186626 L' 1 e 9Cardairrer Count 43c. E- 1$: "e FA76u S��a1� Silfab ° [. SOfab Solar b- Ku DESIGNER:DAVID DURGAR Tel-1 9t5.255-2501•Fax+190"96-0i67 r DATE: 09/18/2018 6- i7doQsiF b�•wrow:silFaLca X Power 0 Mizer ?320 J P370,/P400 J F'405/P505' Power Optimizer g OPTtMIIFR MUDEE `P320`. Po.NMmD P400 P40i P505 F. iNPkX Min tbmpatlb b If :gl✓PPW EoaMa 7i-M R BA6 mll Iiminl flbn Ih*h lu,.; .,. ,i Foean NaawPl �,��„ :, ?ons1A; ';moeuesl .a7erEm nmmaasL; r NPUT P326 IfOV0 J NO/P405/P505" R.�i� DEvo� 930 ,m AA eas 599 w AaeORa MY]anJm lnpV Vo0.agC 48 GD ep 119 83 Vtle , p AYOC:tlowestxenrpmnw) .. M�'.•Sori'IPII^A.IM„B? 8 49 8(A R 80 ONO QMEi PA shRX C....t[... jl>y 3] 301 1a Fi1r ORwPc,;,hxa .M'.,- ......., ovesdearo rmsno'_y_.,._._----•.: al f rOUTPUT DURING OEN:RATI�N(POWFR OPTIMIEER CONNECTED TOOP[RATI GSOUREOGE INVERTER7' 9 ax k � rManin OM�pVt Yd[VE.R -•••. ••. 84:'' .:, �. .. 89.• V� - 4 $H�UDI+tpwfltM�ag.+pnAOW OWERROPTIMIZERDIS[ONNE[TEOFROMSOEAREOGEINVERTERORSOUREo0E1„VERTER0" �,. OPTIMIZER � Ya { t� nam i of �« $ DATA SHEET t , 77, 5' 7STANDARD COM%IAN[F kc- EMC FCC Pant9d 811ECb10Wfr]tE[63806U.3 s.r�ry ,,, o[slibslj v'n++eryj lPt7:i Project Name: " NALLA D SPF[P[q[D„5 Campbell Residence M bnan aro es/si vbn4 .i000 var Property address: y' C tnyalNkt rtC„ A9 Sd3xEt�Etr�l PI M ftt ac Ptm VNCrltr9 g 12a 192 S8/ 128 152 So/ 128 ]52 59r -o�., otodAu (w L r E79 ls] ]a/s ss7 13 s s.97xlaz sKsg7 19G .5 9,97a]9] /1 140 Elliott Rd ' n � a drao�) Dwraa T$MT eaa/19 ��rz7 �r� Centerville, MA 02632 Oui.- va .l[mneetm Darn r'u ke Mca Na tahFth D CONTRACTOR ( o-px�N ATeea4 arat. eRang aotPsa(�EM wlas r FALMOUTH SOLAR,LLC �"' � _ m' wwa.nc tda+s+aaeooraaww.sswmrwa.,�.:aw:. ... NAME:PAUL SUTTON 4nrannaMXR+r Pvm.a mom.sw2ae '` PHONE:+1(508)360-9299 t,. _ _ EMAIL: Av. L rL y Y�. ;, pPY 5T5TEIM OE51GN 451N6 rt FINGER PXASE t�.51NGLEPMASE TNREF PNASE 20RV TXR(E CXA$F 4MV FALMOUTHSOLAR GMAIL.COM A OLAREDGFI VENTER.,. XO-WA E '+ .�e.{ + 3, "a t'�<- . ' .... �u hMplmu 3mn8tmsXr Plzv P97o Paco R to iR � I s ct *: ..' r, "' _ 1ow2.ov.mv I Pms�Psos'. G. R' a LICENSE#:HIC-186626 PV pow#r optltoization at.the module ievet. t i ast. ) iam'G000 Nri .s s' R >; $P slSa�Vd IgpetllQ worltyath arEd e"i'nvertarf •j9. .y, ,� ,>�a..,'"�`' Mo>tmw aw sic sErEno-,us aEu4aa�...: zsp: sago r...'axr9n v,' I up f 159ir nxo'e'a srBk by ' ,- s.<L.tT. - ......;°� . . ..... Pa0@I414 goEOII(eie4t ter8ms 5ilpennrefficien[Y#39•SSGt ;.'e a�., .-� % :s mon E+nots �. . r �14111$1�.�11'.��•�� -"` t<tiDga ig tpp4s pfoiodule misdEach tossesrsrDm'malwtactu Sng totetanrx to pdrbad)ng:�+ s .. •'. ".•. '... . ... .... R;9 Rra44 bNYM ra,rrtabnnm. NNYlaw.i ake.m'NIcNpPWfJtVV?.IKlEerr& 02 siafrtdT deRtgNiargnAR r{tulnspA4othltEal4on +"e< fikz P�4 ^' `5 n ,aw. :C', '� L; TM mraawnsa,mrwna ..,ar,.me.n�w.,r.,w,m .sm Ib.a»weh:a�tr,rumra�i:' v ,,' CastynSTyOadon with a g(ngle bolt :- E ': �a. MextQmafadon rlialMrn ncewitt--Fula-I4'menitvlrng_ a'_ f4, tom(>llamwrtharrfaultprate[rion andrapld 1!Ldown NgCiepuiremeMs jwhen lnstatledas part ofthe DESIGNER:DAVID DUROAR '..r MvdWErvipval voh esMi,utdvwn forFnstSllenr;nti Hn+f{ght4P3afa DATE: 09/1S/2018 r e6 � b + �; ti a ra waw.soFaigdga'ui 'N W SncapNrack Solar Haunting Solutions Solar Mounting Solutions Series 100 Res 'dentiai Roof Mount System ' "the 5napNtack Series 160 Roof Haunt System is ang#n6ored to optimizeniateTiatuse, Y, n.a , labor rOsources and.gDsthetic appeal; 'This fnnavativD system s"ilnpiifies the procesg +� °" �` �«•• ,„� sasrua.w+ans +.-we of instaillt+9 solar modutes,Shortens anstaliat on times,and IOWErs'Installotion costs; maximizing praduetivity and,profits. .•Y � fbNEP80WYED iRIIIIpINO: ,the series.100 Roof Mount Systgrla gttasts unPt 4Pe,.!?rt a serraiiled,stainless.steep �5hei .aou nr in"hatdwaid and wptertight:fiash attachrr#ents:This system is installed wf#ta a xPngio soot.ko cutting or OtMf"g means lessrail waste:It is fully integraEod wiEh bull,-in va#re management,solutloos for all roof'types,ones ze-tits ai!features,;and can Withstand oxtrome ertvitonmental condPtians. Sorles too is Iisted toOL standard 2703 for Groundingleonding,Fire Classification and Mechanlcol Leading- UL 2703.Certification .and Gampllanw o on3urtts that SnapNratik Installers Can continuo to provide±ths best inT IF� � e�•a.rmamw RACKING efaxs 3nstallatioris inqua#Pty,safmty ariei efticiencY ""� Q �./ DATA SHEET d Appealing desigrr:with built-in aestheticsProjectName: axe« a.u.sdcrm.e,1' con.q .` "" ° '143 '-T Campbell Residence O No grounding tugs regwred for modules Property address: O AIP bonding hardware rs fully integrate;i * ' 140 Elliott Rd � . O Rail,splices bond ralis.togethert no rail, { A 0263 Centerville, M 2 E+UxH FN FntlI±, 4 _bw�WiutY )jumpers ceaulred CONTRACTOR . , fr� `•, m' KoaC EI LlaasflaaaaRf ludBt� wFtlNd Oua. 0 h0'drPiling ale@il or reaching for Other tOOPS: -�: � � '•'� ��.5*a'�,>,.. "" - .t+F.�nII � FALMOUTH SOLAR,LLC r uu led n a NAME:PAUL SUTTON ' PHONE:+1(508)360-9299 O Class A FlreRatiog for Type t and 2 modules , � EMAIL: FALMOUTHSOLAR@GMAIL.COM _ _ _ _ _ _ -Mstei47Y. �•StNi+iCti,'sbs#F:. § LICENSE#:HIC-186626 ond Systei Feat0r.0s:iflCIU.de suL randn[A scArarttaenofuAuwm •MIA ni riK'1 pn kQ#eGt nrobtucts _ )tat9rta},fitlii� Siicernrlstacic-:<batetlts*rtn.ae - k141dLAE70iIlwridb gY Friill{�nl;.pttxwcts rtlaY Va+Y M+1 65naaCW tons.. "t., c•*"' ' ... SmoalA 9Pndarnpt araav>: t+aC3u4dLdittdiavatW� t `tra„• . . ,,�...� _. itaaowara. mmsaatroa Lwe'�s- or`0+ip#nv a �w�r_�a�'""..,wxrrs,+ ,. .. :» ..., DESIGNER:DAVID DURGAR DATE: 091I&2016 �� ,tit nRMd Doalt?ti9 yL i1C7 Ceii7f , � sn'•••� � - j 11�itbWtetl LVlii! PaeLfMIYtIMeli',- ' tYina9IIn1lnt fWOrrirs' ...p _ &w'y.vaat?r+?dsaom(vi 87.7-732-2860 g wwwsnaorimckc6m: g contact snapnrack.eom Resources srwunrxxP,.cantl^ surzes-..�.Cfripn snaprrar„R,comt�tonf ator: 'where io hrte.tq.`tsttyR; - X . ! 26ks l3Y�-rxrU»duriilM:+tiaiTi7Mn 9.7tutiutia.Alts@tAts ti93rk l a ...,' • • •_- ,Yana ' ..� ?, ;: + ., ,�+c�1,u a:. .� 0 E=.9hutlLkout.t!P.xix m...._... 4a::fryL i-aot Kt.As.Omblod The SnapNrack line of solar mounting ' Flashed;L Foot Kit Assembly Flashed L Foot Kit Dimensions systems is designed to reduce total installation costs.The system features t technical innovations proven on more te � _ � j"" """�"� ATTACHMENT than 300'MW of solar projects to simplify 10 DATA SHEET installation and reduce costs. s Project Name, Flashed L Foot Simplified '„ i Campbell Residence snapNrack series toll Flashed L Foot tit is an '.•h`... , �• -" Property address: innovative solution to provide a tong tasting watertight .,, ,,.^ 140 Elliott Rd seal ever the life or the system.The Flashed t_Foot ' FiashedLFooffn45impt@Steyr. ti'i�., Centerville, MA02632 Provides.a tutiy nashed root rastener ror attachment to A) oraiea ranter In the roollusing agllot r CONTRACTOR composition root with no reowred cutting or stungles:. drllE 1'11e L Foot is engineered a ustabnit for ' FALMOUTH SOLAR,LLC g d) y :�2'j t 1 taODese to tiie.ronton top-of NAME:PAUL SUTTON composition shingle. PHONE:+1(508)360-9299 a clean aevet trts[alWtton. EMAIL: v 3)Vse a }eakei guar tasaparata the'�,` �. FALMOUTHSOLAR@GMAIL.COM rslotted bolt connection compositConshinglesattovethe;base,.{ w•..e, e000s�eAa mccoer•eea-. andansalltheliashing - s�w�r,�.svailie.dw�ro LICENSE#:HIC-186626 • 1"spacers available ror increasedadEustablltty s ea smaF waea�oa.Y.eow•� • dear or Black anodized aluminum components n)'itach the L fdot'61 tdp and proceed with r�c�i F•.nan ae,.m.sr ups d,mn:oa�i,ir;,.,m. ram tnstallatpon a{.utteval�n9 ,d to wai9ek. tame (both available with black rtashing)- xsometkmt _ txace artier wlttiyour iisbitwtm wuchase , No cutting or shingles. atanal Par a's D®gniatimnta toes Ldoo uKtltt. F'AB'N. �-At�b 1ngtBl pf�2CtIX drdER'1n tlF�F„`�,,'� a�far.3ddihor"saksavtngs v+:ter tow�..,�w�+�s..o,b�--rip Sna p.N rack DESIGNER:DA WD DURGAR solar Mounting solutions DATE: 09118/2018 Patent vending (877)732-2660 www.SnapNrackmrn t Q_ A •ToSa oysma��rm;wtXwnb�g Sycga,Nrylr'e rn mi. X Application Number........................................... Section 9 .Construction Supervisor Name L in at S P-e v n s kas Telephone Number `7 7 7 - Z? " 3 V b 2— Address F-7 CMly Dpe ckee kd,city Ceu.�vv [(e Ste' p1 (_Zip dz63 2- License Number CS- 0 l y y 76 License Type 65 L Expiration Date p 2 Contractors Email 5"e ry,Ce 6D b&1 t GCOVM o Cd tM Cell# 7 V -22(�r - y6 2 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b 0 CMR and f Barnstable.Attach a-copy'of your license. Signature Date D�'12- y // Section-10—Home Improvement Contractor Name_ Telephone Number Addresslq,,l ru adk City C. d w` State Wl!� Tip � I _Registration Number Expiration Date' 12113!le I understand my responsibilftf es under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by CMR and the Town of Barnstable.Attach a copy of your H.LC... )A? Signature l�. . Date C7/21 Section 11 Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT IGNATURE Signature Date F ,ZI AF Sob-3?9 `2-q9 o Print Name f�y f J S�-�-{�n Telephone Number S08 3 6 d - q 2 99 Ce�,t 1 E-mail permit to: -Fa 1 V C)L& So l a r �M�. _ Cow( i Section 12 —Department Sign-Offs Health Department Zoning Board(if required) EI Historic District ❑ Site Plan Review(if required) ❑ Fire Department 0 Conservation ❑ For commercial work,please take your plans directly to the,fu'e deparbnent for approval Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on.my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) ' Signature of Owner daze Print Name t j, I Last uvYIIIAL 2I9Y20l8 Application numbe�6..J.R......C�Q? Fee..................................................... .................... BAPIMASM MASS Building Inspectors Initials.... ....... . .................. 163 HOW) 9 f OMt 'A AUG Date Issued.................. .......... ................. Map/Parcel....M— TMIN 0 BARMS-1 ABLF- TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVIES/WEATHF,RIZATION PROPERTY INFORMATION f Address of Project: JqO C- 11t-0* ce4d-vV A NUMBER STREET VILLAGE Owner's Name: Phone Number &(7--733 75qq COW) Email Address: 6a M 19 11 Ca pe J Li 19) 1 "a7'�'Cell Phone Number Project cost $ 0 Check one Residential ✓ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK F-1 Siding 13 Windows (no header change) k E-1 Insulation/Weatherization ED Doors (no header change)# Commercial Doors require an inspector's review EKoof(not applying more than I layer of shingles) Construction Debris will be going to lJoUrl4e DL)!Jf? , (AL' Gul-�442.r 6001Ke KAI CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN • A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. L ' _ p f _^ �� y�'�, j j jam' C a. r ���: � � � A'� r r � �� .. r ' ' � � *h� :� __ �, �; � � . . . APPLICATION NUMBER............ ......................................... *For Tents Only* Date Tent(s)will be erected ..Rernoved on . number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events Imay require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Ke v i n CG. 6_0 Telephone Number &/1- ?3 3 - 7,5-yy Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnsta J �� �� 7 Signature 'Date �P ` ✓ APPLICANT'S SIGNATURE P,,Signature Date All permit applications are subject to a building official's approval prior to issuance. Application number DateIssued................................................................. saAM Building Inspectors Initials....................................... Ok Map/Parcel................................................................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: Phone Number Email Address: Cell Phone Number Project cost $ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance withl 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization El Doors no header change) # Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) . Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. i • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Key�rN 60-IMIQ I Address: City/State/Zip: (�tt4avvi ll e Phone#: 6/7 Are you an employer?Check the appropriate bo Type of project(required): l.❑ I am a employer with 4. a general contractor and I ❑New construction employees(full and/or part-time).* have hired the sub-contractors 6. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.t required]. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 4 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. lContractors 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. 1 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. ' Ido hereby certify under the pains an naldes ofperjury th the information provided above is true and correct."a Si afore:`� ) Date: ) �' /C7 Phone#: &I ? — 7 33 - 75-Z y Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ��J .50+1.0e) Address: INy uT4.k ✓t� ' City/State/Zip: wv 02Y36 Phone#: 5-0&- 360 ' `j'Z T 9 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ,�nployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.2 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ _ 9. ❑Building addition [No workers' comp.insurance comp.insurance. ] red.re ui 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work officers have exercised their. 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13,❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ,r" Insurance Company Name: f w , 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 certify er the pat and pe ties of perjury that the information provided above is true and correct Sign— w Date: ' Z lie, Phone#: .SdB" 011 360 Z 2—M Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License.# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions t Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance'coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." .fi 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 Companies1(LLC)for 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' A 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 pen-nits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn 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; y The Commonwealth of Massachusetts Department of Industrial Accidents `} ' Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1'-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable Building .xu�srwsue Post•This Card.So That it isrvVisible.Prom the Street Approved Plans Must be Retained on Job and t bethis Card Mus Kept MA Posted Until Final Inspection Has Been Made m ' i 39 .� TY gym. �}.' F ��a" iu�z� � t ; � � ��a � �� � Pern11t Where"a Certificate`of Occupancy is Required,such Building shall Not be Occupied untill a-Tinal Inspection has been made ' Permit No. B-18-708 Applicant Name: todd leduc Approvals Date issued: 03/09/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/09/2018 Foundation: Location: 140 ELLIOTT ROAD,CENTERVILLE Map/Lot: 248-057-009 Zoning District: RB Sheathing: Owner on Record: CAMPBELL, KEVIN M&JUDITH D TRS Contractor Name TODD LEDUC Framing: 1 Address: PO BOX 682 Contractor License: CSSL-106019 2 WEST HYANNISPORT, MA 02672 Est. Project Cost: $7,000.00 Chimney : Description: Air sealing and insulation of attic flat and common walls. ;l Permit Fee: $85.70 Insulation: Project Review Req: Fee Paid` $85.70 Date: f' 3/9/2018 Final: ° Plumbing/Gas Plumbing:Rough . � ' g g Building Official - Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six:months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and th6approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures 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 road and shall be maintained open for'public inspection for the entire duration of the work until the completion of the same. ~' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials.are provided on this permit. Service: u , Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 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: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable' Permit: 'l1713P /OV oF;tME, ,j® s A I.E Regulatory ServicesDate: 10 its loy .� Thomas F.Geiler,Directo r • lsnuv§rnsi.ePINBuilding Division MASKS. E%39. a`e� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA,02601 D E V 15Z S O N www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 , TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: ' \P,�7Lw G ��a I Phone:_ q'l L Install at: J q0 j�lla1j Ra Village: o,yVT&L,, Map/Parcel: J � �S� 001'9' Date: tove A Ne /Used B. Type: Radiant/ irculatin C. Manufacturer: L.4 y1-m &4A Lab. No. k. D. ModelNo.: 1� Ge a„�ruq- 9„ Pz�lex St17�1C Chimney A. Ne Existing (If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: C 14sr :_T4j0K B. Sub Floor Construction: i1,, l � � Installer Name: ( v,���,A,h Address: _Phone: Location of Installation: APPROVED BY: 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 Rev 122801 r 5084201637 10/21 '04 13:10 N0.474 01 _... : DATE(MMropn'Yl CC AT 0.1 G „ — �^ .AGO , THIS CERTIFICATE Is ISSUED lar.'1.10„ AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ArienoY, Tnc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR pox er! ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. loch Mai,S stmil. COMPANIES AFFORDING COVERAGE ,.._ pet,:rvi 1.le Ni,A o2f, �,-U92'1 �� COMPANY {5py1 a}k-0997 A'PMF: TRAVBL•L'HS TNSLRtANC't: CO. ...-... __.... INSURED I. COMPANY Ledry Bwnpd M3nn1 r:or!)o:'etion - B L_... S 1N�;LikhN('r CriM 1'ANY AL�SD'TAT1iD tMt'.Ia7YP•R p 0 Pox 6 1 1 - COMPANY. C _ vir::f. Darnstihlr. MA 0166tl-V71 T COMPANY (5U$) 77ya192S . COVE . LISTED 85LOW HAVE BEEN ISSUED TO THE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE ' INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO ..... �ypEpfINSUR0.NCE.....-_ POLICY NUMBER -....- ,I POLICYEFFECTIVE POLICY IEXPIRATION _..,.....,_. "MITE ...I___...... .......__... ATE LTR I ( A GENERAL LIABILITY GtNERALAGGRE..GATE 5"0000n0 V0 COMMERCIAL uENERAL.IIADILIT'Y 60U-5199w179%•TC'f-OS 0k/7F,/Dh On/15fU5 IIISCOUCTS-COMP(OPAGG S200000C FCLAIMS MADE j %I OCCUR PERSDNAh a AOV INJURY $)000n00 �UWNER'SdCONTRAC'(OR'SPROT �EACH OccuRRENC£ $Ta000. -.. FIRE DAMAGE(Any on#fire) S .TODUUO l.. MtU EXP(Any nne Person) S 50u0 M AUTOMOBILE LIABILITY COMBINED 31NGLE LIMIT $ ' ANY AtIT0 1 ALL OWNED AUTOS B D UY erperson SCHEDULED AUTOS HIR171)AUTOS 9oL)ILY INJURY (Per a.!dent) NON-UWNEO AUT057 _,..... ......_—....,.. __ PROPERTY DAMAGE is amikar LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTOCt1T0 ONLY: HER THAN AH ACCIDENT $_ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMRRE1LAFORM ! / ! i AGGREGATE $ OTTHLH THAN UMBRELLA FCAtM - $ W-STA - OTH h WORKERS COMPENSATION AND I URY UM(. EMPLOYERS'LIABILITY "R _.-. _..... wCr 5Q033i4U12i!04 nk/T /Da 08/15/on EL EACH ACCIDENT $500000 THE I'ROPRIETORt INCL FI DISEASE-POLICY LIMIT $800000 I'ART NERS/EXFCUTIVE — _. OFFICERS ARE- EXCL EL DISEASE-EA F.MPLUYEE S SDOU(JO OTHER I I I I i DESCRIPTION OF OPERATIONBiLOCATIONSNENICLES/SPECIAL ITEMS Lan3arapc gardr.niiia; Painting and Paper-hang.iny: CArprnt.ry, lrgic:rnLial. : ::::...:::..:.•.::.....:.........:::::^.::::::::: ....:.::.:.:..,...,,................ ,.,,,,....::::..:.:.......... ..........,......... ... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED-BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 'ppvn 01 Dainetable 10..... DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, Du ildin? 1.)gr;,r Pmrrst, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY 369 $nuk.h SLreet. OF ANY KIND UPON THE CO ANY, ITS AQENTS OR REPRESENTATIVE$, Hyttmii!: MA 02601 AU TM IZE REP SENTATIVE v, .:::......:..::. ..:.:..........:...........:...:..:. r Oct 21 2004 2: 43PM HP -LFiSERJETT FAX p. 2 !InstaHati • .. When installing and operating your Harman Accentra Pellet Stove, respect basic safety standards. 5�m Read these instructions carefully before you attempt to 6.251, install or operate the Accentra. Failure to do so may re- `' sult in damage to property or personal injury and may ' ' void the product warranty, r W Consult with your local building code agency and insurance representative before you begin your instal- lation to ensure compliance with local codes,including �� the need for permits and follow-up inspections. Several issues must be addressed when select- 6.251� ing a suitable location for your Accentra Pellet Stove. Fig 1 O Observing required clearances to combustible materk ais, the proximity to a safe chimney or venting system, .1,212511 and the accessibility of electrical supply must all be con- sidered. In addition, selecting a location that takes ad- l' vantage of the building's natural air flow i s also desir- able to maximize the heating effectiveness of the heater. in many cases,this is a central location within the build- 1201- ing Adequate combustion and ventilation air must be Provided. The Accentra pellet stove Is capable of being installed with a 100% outside air combustion system. - See Page 14 about venting, Fig.11 Place the stove on a noncombustible floorsurface.It the floor surface is made of a combustible material, a (Such as carpet, vinyl or wood), a noncombustible ma- This1� Iw s must be installed between the bottom of the unit end the floor. to can be a minimum of a 20 gauge 2" - 2". heetmetal plate, ceramic the with grouted joints, a UL Wed stove board, or a Harman Cast Iron floor protec i Or . The Harman Cast Iron Floor Protector is equal to � 1 � r die minimum dimensions, which are 241/ x 2t35/g' This FLOOR ID minimum efor a 2"extension on each side of the unit and a' l?RaTEcrcAt i Fig 12 xtension to the front of the ash opening(33/8"2 if mea-- w 2t38/8"* 1�ed from the base plate front edge,)The rear edge Of ( Harman Cast Iron Floor Protector siae) floor protection can be flush with the cast base plate r edge Place the stove away from combustible walls at This is the minimum size Harman test as far as shown in figures,10, 11, 12, & 13 recommends/or fhe alcove with a 60"ceiling. Note that the clearances shown are minimumfor f (fety but do not leave much room for access when - 14.75" „erEing or service is needed. N, - 14.751- . Before the first fire is lit, check and record the t 2 25": ti and low draft reading numbers on page 12. Make �sknents to the low draft at this time,'if necessary. F ig, 13 a t CAUTION . t.Check your local codes to see if protection is reuired The stove is hot while in operation. under the flue pipe, q AN qep children 2.This measurement equals 6"from inside"edge of ash , clothing and furniture away. door opening. Contact may cause skin burns. 3.5 pipe clearance to wall in a corner installatlon. s w : � f e� ' 1+ ® x� v 1 �� �� � 1, •—i R' .. � ' ru' F�e j l,. •. I � � a ' y + :., a ;. a 140 ,EL sL CIIR y E NT E RV I L L�E10/22/04 ; a . a s s � m r . w n r E ' , 4a IX TOM ^ 's Ir ,z a. M !� ri Ask s 1A r � W 1. € � � .,,.,r "� r � =i +.i. �"p.. � t,^9+ » =. r � ,• :gyp a,;.. �e, � P d t -� .;, }. � - ,., '. d-:..,. _ �_. e ,�. �..��•J �M. `-� a 'k,. "tee.. 'i TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 248 057 009 GEOBASE ID 37179 ADDRESS 140 ELLIOTT ROAD PHONE CENTERVILL,E ZIP - LOT 2R.. BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT CO R PERMIT 35937 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#30976) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY Department of Health, Safety CONTRACTORS: ARCHITECTS: ; and Environmental Services TOTAL FEES: E- INE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTA13M ( MASS. 039. FD MA'S BUILDINGG SI BY .✓ -�' i DATE ISSUED 01/19/1999 EXPIRATION DATE =� TOWN OF BARN9TAPLkrBUILDING PERMIT ,n' 2Ef ID*1248 057 009 GROBA E ID 371.79 R+GS' 46{��;ly:�,yLgry�ik.1',�T ROAM PHONE I+ ZIP w BLOCK 38A :C�'I'WISVOPMEN I R Co I PrsRM'l T 30977£ } D;EGGR1.PT1 N'� 8R / 3\13A, '11 W ATTACHED 2 CAR GAR 6 -385) PERMIT TYIr"R BUILD TITLE NEW jRgSI�RNTtAL BLDG PKI, GUA1'S'I2AGTURS SCHULZE$, WILLI AM ; < ' Department of Health,'Safety fe. ! - $ - and Environmental Services 7 A BON IJ t 1. $� 3 ti kM. dr THE rGA3M �A.�i� } iRA P:,I*6 * BAM'STABM • f .. , MASS. 039. 91, BUILDINGs:DIVISI RNA BY A DATE Iu90I34f5/15, 18 EXPI.RA` 'IG :,I)A"° t `"'�* �°�,,,� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 (� 5 2 l 2 `�T ?T 7 _�v u&a_ Lr,,Ae-°e- "-ye- Nap," G I vt ced= 111-5-1i9 3 1 ATING INSPE TION APPROVALS ENGINEERING DEPARTMENT 2 is p p BOARD OF HEALTH OTHER: SITE PLAN REVIEW AP VAL o d W RK SHALL NOT PROCEED UNTIL PER ILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STROCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. y 1 _ f j AM. 1. f i t t F, t r-A, RSA++►-��S p Parcel Permit#- T 1lQJ House# � ate Issued Board of Health(3rd oor)(8:15 9:30/1:00-*3'0) �� �S` onservation Office(4th floor)(8:30-9:30/1:00-2:00) It3 � _l PfA CDz anning Dept.(1st floor/School Admin. Qldg.) J THE ro �2�?il�3L , urVt c i Plan Approv� e by Tannin Boardj �� 13 19BARNSTABLE, 161TOWN OF BAR STABLE Building Permit pplication Project Street Address6e,,r° X? n VD<5V UT Village Owner / g `, y-��,t,�.� P Address ..Telephone 4 7 •-- _ `Permit Request r[74f It 0 lt)e_1w .First Floor _21� square feet Second Floor • � / ,�� square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size / t� r �� Grandfathered ❑Yes ❑No Dwelling Type: Single Family p/ Two Family ❑ Multi-Family(#units) Age of Existing Structure 2�.v'� Historic House ❑Yes ONo On Old King's Highway ❑Yes -JZ'No Basement Type: 14 Full ❑Crawl X Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New S No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: JW:Gas ❑Oil ❑Electric ❑Other Central Air AYes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) /f Attached(size) 2 �/ 4 '2 1, ❑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 �/L/�L C '%"? - �,l�t-� Telephone Number 7 /,/ -- 9 6 V 1Y Address , (� a�'%�' '/� j License# O G 6 3'/O 6 ,12 i !/�'i-� Home Improvement Contractor# Worker's Compensation# Z,4)C 2 — 00 Z 3 l2,9 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 5 j `1. BU- ING PERMIT D ���ILqNING REASON(S) FOR OFFICIAL USE ONLY 3 MIT NO. ' D:4TE ISSUED IYIAP/PARCEL NO, r - Nr ADDRESS + VILLAGE F (� OWNER _ DATE OF INSPECTION:' FOUNDATION FRAME d Ff INSULATION. FIREPLACE ELECTRICAL:" ROUGH FINAL F { x PLUMBING: ROUGH FINAL t ` GAS:., > ROUGH FINAL F r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i , 4 -.• 730 CMR Appeo t/ 0 Table J&Llb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Foaad Fula MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Hesting/Cooling Am'(%) U-value= R value' R value' R valud Wall Prsimew Equipment Efficiency' pie I I I I I R value° it-value, 5701 to 6500 Hating Degree Days' Q . 12% 1 0.40 1 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 _ 13, 25'` N/A N/A Normal U 15% 0.46 38 19 r= 19 10 6 Normal V 15% 0.44 38 13 25 N/A WA 83 AFUE W 15% 0.52 30 19 19 10 6 83 AFUE X 18% 032 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 1 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 ' 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: e�,� 3. SQUARE FOOTAGE OF ALL GLAZING: yJ� 4. %GLAZING AREA(#3 DIVIDED BY#2): l 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECT PPROVAL: YES: �' NO: q-forms-080303a 780 CMR Appendix J e Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requitement. For example,3 ft of decorative glass may be excluded from a building design with 300 RZ of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted•,for,11-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For,'�yentilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned-*crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. {, 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I _.,.ti.y.,.y�ys,_.�p..,•..,s-w-,b:va..-..,,w+r-r'-,-,.,,...,.-.. � -..-._�,. ,.. .. ...P.,r.t_.._.__•,...-."`av4.:'w^-^+14'�..:5'r-.IN'-+^�7�.�1't:nea'4,r•gr,,..:.,.:ry;.i'e....� -svv'-=r^, _.. �.. �1HE A o� The Town of Barnstable BARNSTABLE. 'MASS Department of Health Safety and Environmental Services � p y i63q• �e "tE019.1' Building Division 3 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location / ` 0 Permit Number 7 C Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: C-ko cA_- P .G---�—cS iL� ��/ `r'— t'`�l�r Y .�' R� �( '+�c /� /✓1 �O�f f,1 It Please call: 508-790-622,7,�}for re-inspection. Inspected bylf/�.---�_- Date m/ � r � . 3Fs �� 20,83 " F9 j'l4, LoT E*� 6'1 ± h to tit �.p+►•T ��" "� = _ 1o.4 .41 00o s,F � o c� lv r� _ .� 44 ; ` ° .. CERTIFIED PLOT PLAN LOCATION HY4MNIs MOSS . I CERTIFY THAT THE FOUNDATION SHOWN HEREON COMPLYS WITH SCALE o � � 40' DATE b S 19$ THE SIDELINE AND ;SETBACK PLAN REFERENCE REQUIREMENTS OF THE TOWN OF BARNSTABLE AND IS NOT LOCATED IN THE FLOODPLAIN. QSfpc%oe& M4P 248 Baca S�-g DATE BAXTER t MYE, INC. THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE !AT LINES. -APPLICANT ► -Tv�iTN C A Mto S� D�526N DAT1q SHEET t of Z r 5+.eslc farn►1.� cdrnow+ No `G"ba$a Grir%Acr � A E- : t mb Ck ;ly Flow = A x il0 Sp t&6»,�_��� �w`,P`� t, .Tanl[ 12' i r 4 (ScM 4-0.) CaP E-JS Sel•d f�vc �e � s US& 15oc GAL.Lc#4 -rR%4 C 3' s a7�st. Sox Lit*C.H1UG 31tsTEM DE N SZ6 A So' /1p�phcateo,n Ana Rclvirz.g 440 Gpci/S c = y b SF Arr1►catm. Arcs Veda.% "4`P-,i - Z..Pros4vns. Qe 11+e�n At•c�l 12 x 5J = !o Do�P t* 3/rr -iV1 W2shre(r �hor,c Pcrcel.f+rn R►!c Aa 5 ww"f law Glss I S.:Is - ' t2� SEGTIOrJ A- 4 �drr s s •c � � 4;0 } � G'. 'V STEPHEN "i au �€ ALLYN T.6.F %r, 3,tas8 F ''. � WiLS��e � tG 41,0 IGa4' F•1o1r P-�4476 f1 39,5 �=.G 30•0 Svbsaii pw 30, ISoe Z. LeACH P/ELO 28.Fi 30..E s tluc Ze•9 Gw�. bn�r.I,ur z�. SsMt TwWc Sr N "k- -IZ' DeyCLaP+Ep P1tftrlu I C"+"ft Ti%ai Thc SITE i SEPTIC PLAN Hcreen Cea.f►L�s Llj" 71+c Sae-I ne Aral - LOCATION = L.OT 2 kic,+- RD,x.Ce Itic bads RcerutrcwseAts Of 'Ac• -r-..&n 0 f• I SCALE= I"= 40r PATE : AP.•;1 24j 1998 Bams+"Ic Ar`A Ss c7"Leco+ad Wi1-k:r► A PLAN REFEREiJCE: SPeeral 1~1«a Naa.v-t Zont . ASSL55-ORS MAP: Z4g. PARCEL: 57'9 APPLICANT: K�u1u CAmP13e 04. -- BARTER i WE, INC. A-4caa.aow/ A&^W SwvrJ'r- XtRAC LAVM Swevey**S • CIOIL- SWG'uaCRS 011-tRVlt.LE, MASSACHVaETTS OS•sa♦s front boildw►gs ske.vlJ Ket be vsc.t ?eh Ne • QUO 07 ta cf+t61ss1, praperr4!j �incs' e 3 a 1'q o 1 � W Nj L Op. w b IA Ltj tv qr 1-4 x° yi Fr BATH# a-i i o: ---- I I BEDROOM#2 Id.zA " n I I I z�.�e � Ni � .I r =�1 I I f lt.ol I ,pL.}u I i I-io'. 7�-r�l q•�-(il �I'10 t — STUDY —BATH 01 a xwc -a I •..a s.+o _ 12R. TKFAVI @J 0 N i r 6®RO MM 16t "o I 10rQ.tlb_. — I I I I L----------------- ' -- --- I � I h,_ I A7 • - 9 s - y l �e 5/�_ m Oi p' NI a� e0 I tll Z _ tL i i t d LL � II p tt -1{I CIO m O 01 � w - - —Q-- -- — -- Q — - inUL m Q ' m s9x� 5 a i i fit t --- �-- ---� p ill I I .�0 ,...----._._. ' f m _ T �-ur a:e — • i ao7 y�` '�P R A�- 1 p �{-} I. i Ey53 Z i i' : _o— b I'. �-{. 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J I A•f j yl I ! � WI..._ 1, I 11 I Q - r..V� r.� 1 I D ARCH-TECH A550GIATE5 CAMPBELL RESIDENCE IOT.m&LK"ROAD.CWTINVUL W architectural d e s.i g.n, i n C. ° fRAMINGPIANS b50.T0UCe28IPtit4" tbf.506T11;°1900 0 o cerrtavif�rra faxsob-rr- I i 1 • ,. ! .ii I .I; i, I. Ili . 1 •.1 q I \\ •\ I , f l I I I j I , r I , I W � ; IF IWE j' i y -�if T r Ir-�jr_t h I 4-7 I I I F- 1 Rj r� F Wt g ARCH(-TECH A550CIATE5 CAMPBEII RESIDENCE • LOT".eWOT ROA setae.eu architectural e h i t e c t u r a l design,. Inc. F. D.cE„ - V EXTERIOR ELEVATIONS CeIICCrY04 rm 0202 falC 5087 S� 1 L ' I IT, I , , I ji _ I i , I � II i I i CAL._-3❑ -I--� �.d � \ i ; -(�Ip� <-,. it i ii 7 � M I.I---*, I II L � i i I I q 4 6 ARCHI-TECH A554Cl T S CAMPBELL RESIDENCE ` • LOT f2&MOT gyp.�,�,q„ a�r t-h i t.e c t u r a I d e 5 i i Q ; r6o route 2a6 unit 4 tel:9oe-77 mm E o- EXTERIOR ELEVATIONS cenCe wl--Ma amm fax 508775-1945' i i y 1 I JL} jt a{ 6 I i 777 7. 4 Z t- i D� \ +Pi } t a e CAMPBELL RESIDENCE AKCH I-TECH A550CIATE DIAI e2 EIMT ROAD•CROMVW,MA a r c h i t e c t u r a d e s i g n. in C. fi60 rgJtC 28 Untt4 tet 505-7n mw �I i FRAMING SECnONS cartervillC,ma 03M fax 50&M-945 E 3 )) e sd �,� � I ' �• I I .i i I I i 4 I i I ti _ I I i 4 I I' e! Tt pn'y iejR iF �c Y r ° t 7.7 F. --- I 1 -- vy \,I I i :II ..,,. QAkAPBELLRESIDENCE ARCHI-TECH A550CIATES 10,02.O 101 ROAD,COM41MMA arc h i t e c t u r d I d e s i g n, i n c. IW E ; ew rate W,unit a tel:505-771-3900 o DE7qIS ca mervillc�ma c2sm fax 5oa-775-1945 • _ "'�"'�` The Commonwealth of Massachusetts Department of Industrial Accidents IN ,� =:-• W. _ Olffce olloyestigadans 600 Washington Street J •,��v�,, � Boston,Mass. 02111 Workers Compensation Insu/rraancee Affidavit �����• name location � ��<'��—T'" y city -�� phone# / 171 N �j ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in env capacity am an employer providing Nvorkers' compensation for my employees working on this job. comannv name e U Z ,D of izy M is L a address a r city: c..t�C-- C• ��'� insurance co. olicv# l� " /////// // ❑ I am a sole proprietor, general contractor, or homeowner(circle one and have hired the contractors listed below who have the following workers' compensation polices: .......... company name: address: dtv nhone#r insurance ctr. com anv name: - address: city- phone#: .......... olicv# insurance co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one veers'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification !do herebv certify under the pains and penalties ojperjury that the information provided above is tru,-and correct Signature - �/'� Date 2 IfS _ � , 6�1�—�� Phone# 77 - 01 d`I Print name �'� ' � otuclal use only do not write in this area to be completed by city or town otllcial city or town• permit/ncense# (]Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's OMce Liza Department contact person: phone#; ❑other�� (ovum W95•P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants ` Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a'call. b. . The Department's address,telephone and fax number: The Commonwealth. Of Massachusetts Department of Industrial Accidents Offlee of Inllesugauens 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 DEPART,�ENf CONST Or PUB RUCTION.SUPEE;•• GiC SAFEfP Number: '.SOR IrCENSE CS 056340 = cxpires: all �� cted estti 07/31/1998 B1tthdate; Tor 00 10/19/1954 l SCXUL PO B08188 iE �- CENFERVILIE ' XA 01631 f F F F A f A F A f F A F Western Surety u F tl r ' F A F A F 9 fi r 9 LICENSE AND PERMIT BOND n F For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. F KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P•4 28 8 21 9 6 That we, WTT.T.TAM SC'HTIT.7F d f h ja scH TT. .F 'R TT.DTN , COMPANY y of the q!cggnn of Centerville , State of MaGsar-h„set-ts , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State Of R;a h 13 R o t tS; , as Surety, are held and firmly bound unto the Town of —, State of Ma s s a chu setts , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) Of l'lve Thousand DolI ay---- DOLLARS ( 5, 000 - ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed hu i lapr by the Obligee. N��t gFORE, if the Principal shall faithfully perform the duties and comply with the laws and or �. 0 all amendments), pertaining to the license or permit, then this obligation to be void, o 'set full force and effect for a period commencing on the 1 31-'41 day of may I g Q 2, and ending on the 13t:L day unless renewed by continuation certificate. hi lay b 'rminated at any time by the Surety upon sending notice in writing to the Obligee and to t r c1 1, 1 g `3 the Obligee or at such other address as the Surety deems reasonable, and at the expira- tioi��g days from the mailing of notice or as soon thereafter as permitted by applicable law, which'' ° �•a e# �� ,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this���day of a . Principal Principal Countersigned WESTERN S U E T Y C O N Y F F F By By F Resident Agent President F r F ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA 1 ss (Corporate Officer) F County of Minnehaha f On this day of��a w 1 �&R ,before me, the undersigned officer,personally F appeared —"t tephen T.PateT.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN y SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing ; F instrument for the purpose therein contained,by signing the name of the torpor ' n by himself as such officer. ; IN WITNESS WHEREOF, I have hereunto set my hand and official se y r 9 + J. RHONE y NOTARY PUBLIC vSEAL SOUTH DAKOTA s s otary Public, South Dakota r F My Commission Expires 6-12-2004 Western Surety Company , F Form 849-A—12.96 1 � '�����y�'� '�� + 1-605-336-0850 ' ` ` u G ACKNOWLEDGMENT OF PRINCIPAL F u (Individual or Partners) y STATE OF U.F SS U County of F ° P U GOn this day of ,before me personally appeared AA G F ° U i U U p ° , U G U G known to me to be the individual described in and who executed the foregoing instrument and G ° acknowledged to me that_he=executed the same. U G ° ,t My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires Notary Public G F F \ f• CF F ° P Q ~ F �y n G ° U n F ° n Z Z al 4-4 R+ y n ° w � 0 a � . r ° " " The Cunrmoi N•callll of Afassachi efts �;;� �i. :"'_:; Dc arron nt o Industrial Accidents 'I..t �y �.Ir• •� ' ; z ;. - OIIIce01/n�esl/O offs pit.'. 6Ul/ 11'asl»ttf;tun Street 4c; �` Burtntr.A1ils. UZlll Workers'Compensation Insurance Affidavit dR.ttn....�...fn w n�+:�..: Please PRINT namel F'rc IwxE�S 10c2t on* City— abnnef 1 am a homeowner performing all work myself: - 1 am a sole proprietor and have no one working in any capacityoil 1:20 am an employer providing workers' compensation for my employees worl.mg on this fob. re-.-s rC camnnny name .�. phone N' insurance co L� S ne in• �� C-.rr IT 1 am a sole proprietor,general contractor,or homeowner(arde one)and have hued the contractors listed below who have the following workers' compensation polices: coml!,.tnv name* i phone#, neHey# comnattvn address- city phone 0. ins "flow# _ Attach addittonal'sbeo ies�r•' w-�'P'°T• '�. ^ taec Failure to secure coverage as required under Section 3A of AfGL l52 can feed to the imposition of criminal penalties of a fine up to S1300A0 and/or one •ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a lice of SI00r00 a day against me. I understand that a copy of this statement may be forwarded to the OMcc of Investigations of the DIA for o overage veriBntion. I do herby cenify under t1se pains and penalties of perjury that the inforntotion pnmided above is trite and cvtrea Signattrrc Y - Phone# Print name omd2l•use only do not write in this area to be completed by city or town official Y dh or town: permit/llecose l nBniidiag Department (3Ueeming Board ; check if immediate response is required OSefeetmen's Omer C3HeollbDeportment' ` phone tY: nOtber_,__ contact person• DATE(MM/DD/Y)) Ackelt11® CERTIFICATE OF INSURANCE r 10 20 95 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR McAlpine Insurance Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. One Center Place COMPANIES AFFORDING COVERAGE 1550 Route 28 COMPANY Centerville , Ma. 02632 A Employers Insurance of Wausau INSURED COMPANY Prestige Properties , Inc . B 1645 Falmouth Road, Suite E-1 COMPANY Centerville,Ma . 02632. C COMPANY D COVERAGES 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY NUMBER DATE(MM DD/YY) POLICY LTR DATE(MM/DD/Y) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR. PERSONAL&ADV INJURY $ OWNER'S&CONT PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ 10 0 0 0 0 A 1516-00-097378 6/23/95 06/21/96 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ rj 0 0 0 0 0 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ 10 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Building contractor. _ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town Of BArnstable EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Building Inspector 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Main S t. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis ,Ma. 02601 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.* AUTHOR AD R/Ef PRRIESSEUTTATIVf_ C ACORD 25-S(3/93) ©ACORD CORPORATION 1993 OF ONES pgAegF,,,7ewt�W:c+aaa c KXTQKAAA M IEt;scx:xutcS:_+�A�ft� z - o EXPNVM=DATE co#4STA, CAUTM 3�fl21lgg� - � RESTRETKM- MT T E—9 DATE UC-No. FOR MT0N/�GA NST � NO WE � O6r3Gf1 Dq3 THEFT.PUT R1G14T'IWMB Q-i1463 7 - PRINT IN APPROE�A7E 15 uGL AS "p. 66YD BCIiK. E LICENSE, co 7 GREAT PINES pR `� SS T?Z1-26—f3e� j "AS"FEE 11A U2649 SUSMGOPEPATOW Fff L�INcLuDE PFiM waro�p�� � �.of ue*ru«�rne�.rt+ce.�.oar�aKcr c HEIGH7; p06• ran 03112/19 cwwaoM � � �►w�aisvu�.�awu�u,e - - - o ni.w�aue w+E�ew_ :70 � cn u..ewwvr .a+aawAsao�s �. ' i+ mo • • x o . o w - N w fl ' M1 F v Ir { j TOWN OF BARNSTABLE BUILDING PERMIT ' PARCEL ID 248 07 009 GEOBASE lD.. 37179 ' ADDRESS , 140 + ;LIO'T'T ROAD PHONE" Centerville le T l p LOT 2 BLOCS LOT SIZE 'DBA z b DEVELOPMENT DISTRICT CO PERMIT _ 11232 DESCRIPTION SINGLE FAffILY DWELLING 2 STORY PERMIT TYPE BUILD .._ TITLE NEW. RESIDENTIAL Bge'rpaATnent of Health, Safety CONTRACTORS: BOYD, DOUGLAS Sews ripem Ili- ��qle and Environmental.Services ARCHITECTS I y I TOTAL FEES; $1.42 a 5C ok I BOND 00 CONSTRUQTION COSTS $65 0j000.00 Qn 101 SINGLE FAM HOME. DETACHED 3.. PR I VA' PI I� . STABLE.1639. • OW74ER RIEDELL, CARL, S :TRS 6D � ADDRESS EDEN :SANE REALTY -TRUST � PO BOX. 979. HYANN I S MA BUILD,19' 'DIV O DATE :ISSUED 10/27j1995 -EXPIRATION DATE B THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE•RETAINED ON JOB AND 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT•POSTED UNTIL FINAL INSPECTIONWHERE APPLICABLE, SEPARATE 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A,CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR I (READY TO LATH). PANCY iS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS , . D s IT IS VISIBLE FROM BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 t III I 2 2 2 I I I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 . BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I �II WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPEC41QNS INDICATED ON THIS THE INSPECTOR.HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN B urFl) FtR VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-_ TION. NOTED ABOVE. TION. 508-790-6227 j I . I i i i � i � i i � i i � C rn - ao � - k v � _ _ Z Assessor's Office(1st floor) Map �`t"� Parcel L !..' v Pe m' '_ //02:5 a Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) Date Issued r ja - Board of Health(3rd floor)(8:15 e 9:30/,1:00-4:45) , / Fee _� / '�i`v�• J l� Engineering Dept.(3rd floor) House# � 141Q Q E '"' ISE Planning Dept. (1st floor/School Admin. Bldg.) J• G76 LF^ TALLE®1N CE Approved by PlanningBoard 2 19 NOVIRON 'P� ABLE. C,4-. ®WN REeUL N® TOWN OF BARNSTABLE Building Pern►it Application VCttr ddress Village Owner �YeSF=�� �rc/le�F BSc• Address '_Telephone te r - 0 0 0 3 - Permit Request a e� m s 4e a %�� �c�e It First Floor ` square feet " Second Floor -7 a 0 square feet J Estimated Project Cost $ G s Zoning District Flood Plain Water Protecti,o�n Lot Size 1. 0 " _ -"Grandfathered ? Zoning Board of Appeals Authorization Recorded r ' b Current Use rc7 w 4- h"Ol Proposed Construction Type &J u o _ -d Commercial -'`Residential ;f Dwelling Type: Single Family X Two Family """~=` Multi-Family Age of Existing Structure °^ a Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms 3 Total Room Count(not including baths) L First Floor Heat Type and Fuel '1 V4 by qas Central Air e e Fireplaces Garage: Detached Other Detached Structures: Pool Attached driY_v-c4ei Barn None Sheds Other r`�a Builder Information Name ��f5�'St �ra�e rE cs �b �v��/2s �67 Telephone Number Address ee - i License# d 0 9G 3 � ��►' 14e Ae'd -2 Home Improvement Contractor# Worker's Compensation# /s ` - 00 - 6 9 7 3 7� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION EB IS LTING FROM THIS PROJECT WILL BETAKEN TO (d„� t l SIGNATURE DATE 10. z o F>' BUILDING PERMIT NIED OR THE F LOWING REASON(S) - FOR OFFICIAL USE ONLY PERMIT NO. I Z 3 -2-DATE ISSUED ' MAP/PARCEL NO. . ADDRESS VILLAGE t OWNER f DATE OF INSPECTION: FOUNDATION ' ! FRAME INSULATION FIREPLACE ELECTRICAL: `ROUGH FPS L PLUMBING- ' Z ZROU�GH L } err �y GAS: TROUGH: FIN r - , rti FINAL BUILDING., r . -t`. ; t 1 DATE CLOSED OUT, ASSOCIATION PLAN N0 7 t ! t , Aw a � F�.r--r i L� S try{ G -3 13 S .. �.�,. C,.�. �E • T3�1- .X �'�_�T, vtLw P r � , 0 s c. vy 6AL.L4A.) -X-V r1c TAN �F --L 6zD 12',g 3 tL"u SAIL vUT jct-T...r �A GauI�&v lb z o1 b'I U ^� V S�C�I G A rill k-IC ' n u ja- �, k" P1F ry 6C 44 ALL L-i , 0.)L4- Tv fit✓ 1I LJ-30 Fr-z \A T Ha�E 7-.3o;-a'.S , _..... .. _... MA A s u X i t /.ii✓. jy 6 BOX /N✓. G.4L. Qk T, :�b ,�3 3.a c,E�riFrEo PG OT ,oG;Q,v OF No. 19334 ` 3TEf'�p4'f� vAV GIiA Y' -n,n 5..a�F. "Ll.nr.-� 17�� r yE,�EO.v G'O�ld�Y.S W/ram yHE'Si.O��..��• ,B,4X7�,2 ��,(/l'E /.ciG. A.vD,fET"I�AG/= .eEQV/PENI�NT.S d� Tiy� .2E6isr��� t�tvo.SU,e%Eyo� aTOWll OFI. A SI �- . Av27 /.S T GAS .eY/LLc a- J,�r� L ocdr�.o W�T.y/�V T�/E .C1 acpvL.Q�iti. •� _ •shy ct�.v ys,2Ea.✓.s,�o���,moo,.--� vsED ToE.sTAOGrS.y .Cor-L.rt��� 0 v 44 oro — �sTra ; Engin`ecring.Dept.(3rd floor) Map ,144 Parcel 0i-7— DO% Permit# House# tJ' Date Issued Board of Health(3rd floor)(8:15.-9:30/ 1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00,-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �.►+e Definitive Plan Approved by Planning Board c� 19 RARNSTABLL 0 67, �r If n- ✓(v/ TOWN OF BA STAB E Building Permit Application Project Street Address .b � I��sT � j �'o�n�trz►� t Village C"Cad �,.� (c, �+ n Owner K��t n �1 _UA A Address (o r9g,47L / Telephone b-i� Permit Request First Floor square feet ' Second Floor square feet Construction Type f Estimated Project.Cost $ i Zoning District Flood Plain Water Protection j Lot Size Grandfathered ❑Yes ❑No 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 NewHalf: Existing New No.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 p Yes ❑No Garage: 0 Detached lsize) Other Detached Structures_ n Pool (si7el Subdivisions 09 Aug-96 . o #: 530 Msg: No Village: Hyannis Lots#: 23 1 Processed: Yes Waivers?: No OS ?: No Owner: White,Allen&Riedell Name: Rd 1: Eden La Construction Status: Superceded Rd 2: Lots under Cov,Unbuilt: Rd 3: Rd 4: Lots under Cov,Built: Rd 5: Rd 6: Access Via: Elliott Rd Problems: Yes Comments: Lots lost grandfathering,7 lot ANR plan-approved �12/-1-3/93=Original subdivision:not:rescmded nor I o s released. Original subdivision endorsed 3/4/85 after appeal,covenant included improvements Elliott Road. -- --- App Filed: Appr Date: 7/30/84 OS Docs Filed: Secur.Amt$: Secur Type: Secur Date: Compl Date: All Rel?: No All Rel Date: Cov?: Yes Cov Rec: Cv Date: 1/10/86 - 0 �\ 1 I� ' PUBLIC WAY UNDEFINED WIDTH VARIES P NT WI DTH 15'f N51'21'17'E 304. 8' 176.20 128.38' I.P. FND ,._---� 3.60'BACK , I I .__ I 9G W .p 3 0 I a LOT 3 y ,a. 43,568 sq.ft.1.00 acres upland 1 �0 ao M ; �. I Zn - 13,749 sq.ft.wetland �• CO v r(Co � Co total - 57,317 sq.ft. 1.32 acres 1,3L Z < Z LOT 1 N�`r W l� S.# = 19.10 � '� c^ • 13 I 43,561 sq.ft. v ,1:00 acres a S.# = 16.70 AL ALgg. 1� r v'a►. AL 9g 02 M N323�'06 S8 LOT 2 23�° AL 43,595 sq.f t. 1.00 acres upland /,0 r0 3,405 sq.ft.wetland rb �0a total = 47,000 sq.ft.1.08 acres cP�.rAk S.# = 17.2.4-- . r- �t�O v. O� l,2 l .O 00 201 �N AL sro, 16 G.�G�" 'O m / S.B. FND. S .- I.P. FND Pam ,�39 l95' AL 9• E` P. FND off' s �► 1k�' Z ti0o rr� Spa 3 �o��G J I.P. FND Jrin g� J. 3 PLAN OF LAND IN h (HYANNIS) s- 22 BARNSTABLE) MASS. FOR