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0015 OREO LANE
/ )� � ./ , .� ,. n • � . - „" . _ � ... .. � .. � - � n .. -' ... �� _ � .. t _ a _ .i � � .. ,. .. � � 4 a _ .. C .. 0 -. _ .. 6 - � { .� .. .� N 0 a' o �. C, 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TONN OF 01 Map Parcel Application #2 I lJ Health Division ` , ° f7 j Date Issued �1?/1's04, Conservation Division Application Fee5O ` Planning Dept. - Permit Fee J id s-' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address M' i 1 Ln Village MaD 2L11 -AMC led 1 (-of: UD 0 ' Owner _ IC0- ])(1 Address Telephone Permit Request daA-Q.dw-)-o Y1314 Wz Lnkd 06 tab 1fro cSOCe✓ �y S )5 MOD = 3 q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain YJ K Groundwater Overlay Project Valuation l a,JrW.- Construction Type Y'00 " KOY4 0 Sh.�l'41_7*-5 1 Lot Size Grandfathered: ❑Yes C-No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family units) Age of Existing Structure Historic House: ❑Yes &N' o On Old King's Highway: ❑Yes N No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) kJ 1A Number of Baths: Full: existing new Half: existing 4A new Number of Bedrooms: J7 existing _new Total Room Count (not including baths): existing A _new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: 2'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name Txityl a I 1 Telephone Number Address �I� ;a �,�A;1� tr MO License# Home Improvement Contractor# 1 a � Email-1�tOJj 0 co)1/I dl YbA-Sc(a./,(Lwh Worker's Compensation # � _)ag400 13QD ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO At _?D r, SIGNATURE DATE �7 2 li�- FOR OFFICIAL USE ONLY APPLICATION# a DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ("any aspect of the relationship between You and Us,whether based in contract,tort,statute or any other legal theory:(ii)this Agreement or any other agreement concern mg the subject matter hereof, (iii) any breach, default, or termination of this Aereement; and (iv)the interpretation,validity,or enforceability of this Agreement,including the determination of the scope or applicability of`this Section 5(each,a "Dispute"). Prior to commencing arbitration,a party must first send a written"Notice of Dispute''via certified mail to the other part?'. The Notice of Dispute must describe the nature and basis for the Dispute and the relief sought. It You and We are unable to resolve the Dispute within thirty (30) days, then either party may commence arbitration: The arbitration shall be administered by JAMS pursuant to its Streamlined At Rules and Procedures(available al: hitp://www.Jamsadr.com/rules-streamlined-arbitration,the"JAA15 Rides")and under the rules set forth in this Agreement. The arbitrator shall be bound by the terms of this Agreement. No matter the circumstances,the arbitrator shall not award punitive,sppecial,exemplary, indirect,or consequential damages to eliher party. If You initiate arbitration, You shall be responsible to pay'$250. All attorneys fees,travel expenses,and other costs of the arbitration shall be borne by You and Us in accordance with the JAMS Rules and applicable law. The arbitration shall be conducted at a mutually agreeable location near Your Property. Judgment on an arbitration award may be entered in any court ofcompetentjurisdiction. Nothing in this Section 5 shall preclude You or We from seeking provisional remedies in aid of arbitrtuion from a court of competent jurisdiction. NOTICE: BY INITIALING IN THE SPACE BELOW YOU ARE AGREEING TO HAVE ANY DISPUTE ARISING OUT OF THE MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES" PROVISION DECIDED BY NEUTRAL.ARBITRATION AS PROVIDED BY APPLICABLE LAW AND YOU ARE GIVING UP ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE DISPUTE LITIGATED IN A COURT OR.JURY TRIAL. BY INITIALING IN THE SPACE BELOW YOU ARE GIVING UP YOUR JUDICIAL RIGHTS TO DISCOVERY AND APPEAL. IF YOU REFUSE TO SUBMIT TO ARBITRATION AFTER AGREEING TO THIS PROVISION, YOU MAY BE COMPELLED TO ARBITRATE. YOUR AGREEMENT TO THIS ARBITRATION PROVISION IS VOLUNTARY. YOU HAVE READ AND UNDERSTAND THE FOREGOING AND AGREE'rO SUBMIT DISPUTES ARISING OUT OF THE MATTERS INCLUDED IN THE "ARBITRATION OF DISPUTES" PROVISION TO NEUTRAL ARBITRATION. C�stnmehs)tnnia s: 1/WE AGREE TO ARBITRATION AND WAIVE THE RIGHT TO A JURY TRIAL: ® ❑ 6.NOTICE TO CUSTOMERS A. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT: (i)this Agreement.(ii)the Additional Terms and Conditions,(iii)the Customer Packet,and(iv')the Work Order. These documents are expressly inwrporated into this Agreement and apply to the relationship between You and Us. B. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES UNLAWFULLY OR COMNIIT ANY BREACH OF THE PEACE TO REMOVE GOODS INSTALLED UNDER THIS AGREEMENT. C. DO NOT SIGN THIS AGREEMENT BEFORE YOU HAVE READ ALL OF ITS PAGES. You acknowledge that You have read and received a legible copy ol"this Agreement.that We have signed the Agreement,and that You have read and received a legible copy of every document t9at We have signed during the negotiation. D. DO NOT SIGN THIS AGREEMENT IF THIS AGREEMENT CONTAINS ANY BLANK SPACES. You are entitled to a completely filled in copy of this Agreement,signed by both You and Us,before any work may be started. E. YOU MAY CANCEL THIS TRANSACTION A"r ANY TIME PRIOR TO THE EATER OF: (1);MIDNIGHT OF THE THIRD (3nD)BUSINESS DAY AFTER THE TRANSACTION DATE,OR(11)THE START OF INSTALLATION OF THE SYSTEM. SEE fHE NOTICE OF CANCELL ION BELOW FOR AN EXPLANATION OF THIS RIGHT. VIVINT SOLAR DEVELOP AR,L C CUSTON9ER(S)> �1 By: By: L' Printed Name: Printed Name: I h p ' Title: , BY: r Printed Name: Transaction Date: FOR INFORMATION ABOUT CONTRACTOR REGISTRATION REQUIREMENTS, CONTACT THE MASSACHUSETTS OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION:TEN PARK PLAZA,SUITE 5170, BOSTON,MA 02116, (617)973-8700 OR 888-283-3757. r x----------------------------------------------------------------------------------- NOTICE OF CANCELLATION Transaction Date: AR No.: YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE(3) BUSINESS DAYS OF THE ABOVE DATE, OR (IF LATER) UNTIL THE START OF INSTALLATION OF THE SYSTEM. IF YOU CANCEL,ANY PROPERTI'TRADED IN,ANY PAYMF 'TC n'i`1Y YOU UNDER THE CONTRA 1,�f,AND ANY NEGOTIABLE INSTRUMENT EXECUTED 1J..1ccrcyy�iF,(a >p[4t: LJ' SS DAYS FOLLOWING RECEIPT BY THE SELLS INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CON`DI"f10N AS WHEN RECEIV"ED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE, OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE COODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVALLABLE'r0 THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY(20) DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM,TO VIVINT SOLAR DEVELOPER,LLC,AT 4931 N 300 W PROVO,UT 84604 PRIOR TO THE LATER OF; (1)MIDNIGHT OF THE THIRD(3RD) BUSINESS DAY AFTER THE TRANSACTION DATE,OR(11)THE START OF INSTALLATION OF THE SYSTEM. 1 HEREBY CANCEL.THIS TRANSACTION: r Date: Customer's Signature: r r r r ' ' t'ut•snuhr 'rtlr+n Y:i otnin,:.<ny><-r,tl.te,.+0 krlm.lrr,.+,d 11,,., v,rc rl'\r; r r r 16he 44 rce of Consumer A ffal i-s iid Business Regulation 10 Park Plaza - Suite 5170 Boston,, Massachusetts 02116 Horne Improvement Contractor Registration Re&taffliam 179W TWe-- Supqfemwt Cw.d VNINT SOLAR DIEVELOPER LLC MEN LANGILL 4931 NORT H, 300 IWEST PROVO),UT. 'W)04 TJWAW Addrea Sid reams sand mot mm's fat shy. SrA I C.- 20M-05ill XMM4 0 faa*ymifta '0 Last:Owd ROOM me Lagoa w r4suafto vat"*w is"dw am 06V Wage 9*t rWrsdea doe.,919mod room dw, Office AC4mumm Affjjws=j SwAm Zqpdalm 14W t-10 I*VL rho"-"�r ftip 9);Op*n.,00 c*d. SMEN LAWMLII mA 4W11%MTHI 3W)WE-571' Massachusetts Department of Public Safety Board of Building Regulations and.Standards License:CS-1066 1 75 BRIEN LANGELL 312 UNION STREjT 10 Hanover MA 02139 Expiration 01109/2017 Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street,Suite 190 Boston,AU 02114-201 7 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applieant Information Please Print Legibly 1VaI23e (13usiness/Orgarlizatiofr/Incdividuai)r Vivinf Solar Developer, l_l..i✓ Address:3301 Norih Thanksgiving Way,Suite 500 city/stag/zip.Lem,UT 84043 phone g:8fB4-3�7-9�f 1 Area d): n employer?Cheek the appropriate box: Type a pto$eet(rcguire 1. am a ender with 4. 1 am a general contractor,and I employees(fun wNyor part-tirne)_* have hired the sulrcontractars � . 6. Ell New Construction prop er p listed. attached.sheet.. B. Rem&'" 2..� I aril a sod or arirter- on the a slog and have no employees These sa@v contra tors Have; i g.. 0j Demolifim working for me in any capacity.. mployees and have worlkeits:' y_ 0 i addution T coo itran ..t [No workers corny_insurance P` I O. IF ecericali reI►auas or additions requir -ed_t We we a.corporation and its 3., I am a homeowner do*all.work officers have exercised them 1.1.-D P'huribaag,repaim or additions I f wovfw �" right.of exernpam per 14Ii':L �1 I I2rO Ronf'>repabs { insurance required..l.t c..1,SZ.§!l(41,:and!.we have:no. S*ttlar lntstell�rt enple s. °workers li3.,�other comp...iwurance reeluirei-j ? *Any,app£ieamthatcheeksloxAmustatsofdtantdwsectionbelowstowingt1teirwerkems"comcma" pdky'R&miat-Ti,. fbiemoawnerswhasnima ibis;a€fWhvttmd8eatingtficy are dbinga#work.and then:hi?e.oatsidtcontractors:must.su$mitamw affidavit i ingsuch. tcoaftworsn that cheektin&lox must.aCadkd w additionat skeet shvwim ft name,of the suit-conowtws;and.state,wheftroxuot t entities:have emplioyee& IF the they must.provide their wodters"cvmp..policy'number. lam an ender that is pr&v&Wg workem'conWemairon insr eeffor"fir effwh lees:. Via►ia'&e-pai azd jeb site informsm Inswarxe Corupwy Nairie�Zurich American li arance Company Policy#or Self-ens..Lic_h-WC 5OW1300 Expir ation Date,-tt1E1201!5 Job Site Address: C 4 City/State/Zip.� �11�- IgA- Attach a copy of the workers'compensation policy declaration,page(shaving the policy number and expiration date). Failure to secure coverage as requited under Section:25A of MGL c. 152 can lead to,the imposition of criminal penalties of a fine up to S1,500.04 and/or one-pear 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 f©rwarded to the Office of Investigations of the D'IAD for insurance coverage verification. I do hereby certt, r under the pains and penal ies of perjury that the informadon provided above is true and correct: �. 11/4/2014 Phone#: 801 2296459 Ofjlelal 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#: CERTIFICATE OF LIABILITY INSURANCE DA05171DDIYYYY) 1210512014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME' NI 122517TH STREET,SUITE 1300 _ Mo.Ext: IC No): DENVER,CO 80202-5534 ADDRESS: Attn:Denver.CeoRequest@marsh.com Fax:212-94BA381 INSURE S AFFORDING COVERAGE NAIC q INSURER A:Evanston Insurance Company 35378 INSURED Vivint Solar,Inc: INSURER B:Zurich American Insurance Company 16535 Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 3301 North Thanksgiving Way INSURER D: Suite 500 Lehi,UT 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002520219-01 REVISION NUMBER:2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY 14PKGWE00274 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 5,000 X $5,000 Ded.BI&PD PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY BAP509601500 11/01/2014 11/01/2015 (CEO Ma BccINEDidentSINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED id BODILY INJURY Per accent AUTOS AUTOS ( ) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A UMBRELLA LIAB X OCCUR 14EFXWE00088 11/01/2014 11/01/2015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I RETENTION$ $ C WORKERS COMPENSATION WC509601300(CA,HI,MD,NJ,NY,OR,UT) 11/01/2014 11/01/2015 X WC STATU- OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC509601400(MA) 11/01/2014 11/01/2015 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Errors&Omissions& 14PKGWE00274 11/01/2014 11/01/2015 LIMIT 1,000,000 Contractors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601-4002 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe 9 7lt- t¢la� @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD OG V o V�/�unt solar 3301 North Thanksgiving Way, Suite 500 Structural Group Lehi, UT 84043 P: (801) 234-7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wysslingC@vivintsolar.com June 11, 2015 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services Dunn Residence 15 Oreo Ln, Centerville MA S-4314521 3.9 kW System Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of 2x10 dimensional lumber at 16" on center. The attic space is unfinished and the photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. The existing roofing material consists of composite asphalt shingles. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 110 mph based on Exposure Category "B" and 18 degree roof slopes on the dwelling areas. Ground snow load is 25 PSF for Exposure "B", Zone 2 per (ASCE/SE17-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. w0wan o solar Page 2 of 2 B. Loading Criteria 10 PSF = Dead Load roofing/framing 25 PSF= Live Load (ground snow load) 5 PSF = Dead Load solar panels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures and in accordance with the 2009 International Residential Code. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual% which can be found on the Ecolibrium Solar website (ecolibrium solar.com). If during solar panel installation, the roof framing members appear unstable or deflect non- uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 1 '/F thick and mounted 41/2"off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher that 6"above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 Ibs/inch of penetration as identified in the National Design Standards (NDS) of. timber construction specifications for Spruce-Pine-Fir assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 21/2", is less than the maximum allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 21/2'with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts will be adequate with a sufficient factor of safety. 4. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every fourth roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than four (4) rafter spaces or 64" o/c, whichever is less. 5. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009 International Residential Code, current industry standards and practice, and based on information supplied to us at the time of this report. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. Ve truly yours, ��NOf MqS � E cyG Y N Scott E. Wyssli , PE c'v' MA License No. 505 0,50 '9p�, FGiSTEP� FSS/ONA- IvIovonl Solar � 3 o U N C I 0 rr 0 LLJ N a O=z �z I 10o N � a Q PV SYSTEM SIZE: ( C 3.9kWDC JUNCTION BOX ATTACHED TO J ARRAY USING ECO HARDWARE TO KEEP JUNCTION BOX OFF ROOF o I I N 0 C1© io d I 1 V © 0 N (15)Trina Solar TSM-260 PD05.08 MODULE O p N LU V � r � 7 O I z co U Q I m Q Z Lj rn W W z m ^I W Z Z 0 SHEET NAME: � a 45'OF 1"PVC CONDUIT �/ FROM JUNCTION BOX TO ELEC PANEL SHEET NUMBER: PVINTEION POINT,INVERTER,— LOCCKAB ET DISCONNECT SWITCH PV SYSTEM SITE PLAN q ANSI METER LOCATION, v— &UTILITY METER LOCATION SCALE: 3/321, W p 0 U N Al N a � N a' Cpw J Q m O=z 11���z U O C Q Q J D Roof Section 1 Roof Azimuth:265 Roof Tilt:18 TIE INTO METER# 2294174 0r� O VI l.1g 1^� o ❑ y` N of �� f0 N w N J O� N a g N O � R o a U Q Z m Q V----PV STRING#1: 2t 2 m 15 MODULES LLUMBING VENT(S) ��OMP.SHINGLE -. z W x x w w w z m w U J Q ?I Kim Io SHEET NAME: LL Z 0 SHEET NUMBER: PV SYSTEM ROOF PLAN N SCALE: 3/16"= 1'-0" CLAMP MOUNTING SEALING v PV3.0 DETAIL WASHER c Al Nam_ LOWER o SUPPORT z Z PV MODULES, TYP. MOUNT v°U U OF COMP SHINGLE ROOF, FLASHING = PARALLEL TO ROOF PLANE / 2 1/2" MINLj F- 5/16"0 x 4 112" PV ARRAY TYP. ELEVATION MINIMUM STAINLESSSTEEL LAG SCREW �— NOT TO SCALE TORQUE= 13±2 ft-Ibs O CLAMP ATTACHMENT NOT TO SCALE s 0 4O CLAMP+ v ATTACHMENT CANTELEVER L/4 OR LESS COUPLING L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE MODULE CLAMP SPACING. Q o COUPLING PERMITTED g0 a0 on CLAMP+ L) < CLAMP CLAMP � � L) a ATTACHMENT Z M — SPACING PHOTOVOLTAIC MODULE a COUPLING > > c z w ft X vir w w z m w � � U J Q z Q ? SHEET NAME: L=PORTRAITL H H H cn CLAMP SPACING Z Q ECO 2 0 COMPATIBLE SHEET L=LANDSCAPE LAN SPADE MODULE PV SYSTEM MOUNTING DETAIL NUMBER: CLAMMODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE NOT TO SCALE DC Safety Switch Notes: Rated for max operating condition of inverter NEC 690.35 compliant "opens all ungrounded conductors V C Notes: SE380OA-US-U Inverter Specs:III a�oW ALL CONDUCTORS AC 240 c�J.z AC Operating Voltage 240 V o v Z Continuous Max Output 16 A X�,E I DC Maximum 13A SHALL BE COPPER Solar Edge Optimizer Specs: 0 P300 DC Input Power 300W � DC Max Input Voltage 8-48V DC Max Input Current 12.5A Design Conditions: DC Max Output Current 15A ASHRAE 2013 Max String Rating 5250W Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: L 15 PV MODULES PER INVERTER=3900 WATTS STC Lowest Min.Mean Extreme DB 17°C 1 STRING OF 15 PV MODULES VOC Temp coefficient V/°C Shoo Solar TSM-26t(Isc) 08 0 SOLAREDGE - Short Circuit Current(Isc) 9.00A Ul SE38 DOA-US-U Open Circuit Voltage(Voc) 38.2V INVERTER System Specs: • Operating Current(Imp) 8.50A Max DC Voltage 500V Operating Voltage(Vmp) 30.6V C sOLAREDGE Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A - e a DC SAFETY Max.DC Current per String 15A STC Rating(Pmax) 260W f i o •� Nominal AC Current 16A Power Tolerance -0/+3/o J _ = EXISTING N soLAREDGE j SUPPLY-SIDE a Lz N ENTRANCE P300 OPTIM IZERS I SOLAR TAP CONDUCTORS NEC 705.12(A) M RATED: 100A 5 1 ° g � � �i w � a Zma Siemens#LNF222R > = M N 30AI240V FUSED NEMA3 SOOA U1 OR EQUIVALENT W J W M - Visi M2le'i g I U V2S-2S 2- Z Z21,01 SHEET EXISTING NAME: 240V/100A AC wit Q --------------------—-------------------------— ------------ t tG LOAD-CENTER z 7-1 Q SREC/ANSI VISIBLEMETER LOCKABLE 'KNIFE'A/C DISCONNECT 2 SHEET NUMBER: PV WIRE IN FREE AIR INTO THWN-21N 3/4"EMT MINIMUM 10 AWG CU WIRE(RATED 90 DEG C)IN 3/4"EMT 0 .0 CONDUIT.KEEP UNDER 2%VOLTAGE DROP.MINIMUM CONDUIT.L1,L2,AND NEUTRAL;8 AWG GROUND WIRE. 10 AWG CU WIRE EACH(RATED 90 DEG C).6AWG BARE KEEP UNDER 1.5%VOLTAGE DROP. COPPER EGC OR 8AWG INSULATED GEC IN CONDUIT. W � o 0 n c N w C�W J Q m �.T z �� z 7 U OU Q J F e �r s 23 MODULE(S)REMOVED THAT PRODUCED BELOW 850 SUN HOURS y or li it x �R� COMP.SHINGLE - v N w o < O m ofuJ Q ROOF SECTION U z m Q 15 MODULES > 7) 2 m Z of cn > w w z m w U m m Q m Z Z g p SHEET NAME: Z U O - -O w0 � J SHEET NUMBER: SOLAR ACCESS CONSTRAINT 41.9% CUSTOMER USAGE OFFSET a EcolibriumSolar Customer Info Name: 4314521 Email: Phone: Project Info Identifier: 37850 Street Address Line 1: 15 Oreo Ln Street Address Line 2: City: Centerville State: MA Zip: 02632 Country: United States System Info Module Manufacturer: Trina Solar Module Model: TSM 260-PD05.08 Module Quantity: 15 Array Size (DC watts): 3900.0 Mounting System Manufacturer:Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: SE3800A-US (240V) Project Design Variables Module Weight: 43.0 lbs Module Length: 65.0 in Module Width: 37.0 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load - Lateral: 2881bf EcoX Design Load - Downward: 722 Ibf EcoX Design Load - Upward: 765 Ibf EcoX Design Load - Downslope: 297 Ibf EcoX Design Load - Lateral: 233 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Plane Calculations (ASCE 7-10): Roof 1 Roof Shape: Gable Edge and Corner Dimension: 3.3 ft Roof Type: Composition Shingle Stagger Attachments: Yes Average Roof Height: 20.0 ft Include Snow Guards: No Least Horizontal Dimension: 33.0 ft Preferred Landscape Spacing: 48.0 in Roof Slope: 18.0 deg Preferred Portrait Spacing: 48.0 in Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 33.6 33.6 33.6 psf Slope Factor 0.95 0.95 0.95 Roof Snow Load 31.9 31.9 31.9 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.6 2.6 2.6 psf Snow Load 31.9 31.9 31.9 psf Downslope: Load Combination 3 10.2 10.2 10.2 psf Down: Load Combination 3 31.3 31.3 31.3 psf Down: Load Combination 5 12.0 12.0 12.0 psf Down: Load Combination 6a 31.3 31.3 31.3 psf Up: Load Combination 7 -10.2 -17.7 -27.3 psf Down Max 31.3 31.3 31.3 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 48.0 48.0 48.0 in Max Spacing Between Attachments With RafterlTruss Spacing of 16.0 in 48.0 48.-0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 16.0 16.0 16.0 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 45.5 45.5 45.5 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 15.2 15.2 15.2 in EcolibriumSolar Layout i K 1 i 9"1 i G f r I z. c.af 3 S � 1 v a Skirt a Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 0 Bonding Jumper maximum allowable overhang. EcolibriumSolar Roof Weights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 15 Weight of Modules: 645 Ibs Weight of Mounting System: 62 Ibs Total Plane Weight: 707 Ibs Total Plane Array Area: 251 ft2 Distributed Weight: 2.82 psf Number of Attachments: 31 Weight per Attachment Point: 23 Ibs EcolibriumSolar Bill Of Materials Part Name Quantity ECO-001_101 EcoX Clamp Assembly 31 ECO-001_102 EcoX Coupling Assembly 17 ECO-001_105B EcoX Landscape Skirt Kit 0 ECO-001 105A EcoX Portrait Skirt Kit 4 ECO-001_103 EcoX Composition Attachment Kit 31 ECO-001_116 EcoX Flat-Tile Flashing 0 ECO-001_117 EcoX S-Tile Flashing 0 ECO-001_118 EcoX W-Tile Flashing 0 ECO-001_363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly(optional) 1 ECO-001_106 EcoX Bonding Jumper Assembly 4 ECO-001_104 EcoX Inverter Bracket Assembly 0 ECO-001 338 EcoX Connector Bracket 0 ECO_001-359 EcoX Lower Support- Low Slope 0 i ,aco CERTIFICATE OF LIABILITY INSURANCE DATE 12/0512014 /YYYY) 2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME` 122517TH STREET,SUITE 1300 actin o Ext: FAX No]: DENVER,CO 80202-5534 E-MAIL Attn:Denver.CeaRequest@marsh.com Fax:212-948-4381 ADDRESS: INSURE S AFFORDING COVERAGE NAIC N INSURER A:Evanston Insurance Company 35378 INSURED Zurich American Insurance Company 16535 ViVlnt Solar,Inc: INSURER B Vivint Solar Developer LLC INSURER c:American Zurich Insurance Company 40142 3301 North Thanksgiving Way INSURER D: Suite 500 Lehi,UT 84043 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002520219-01 REVISION NUMBER:2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NR ADDL SUBR POLICY NUMBER MM/DDPOLICY/YYYY) (MM1DD1YYYY1 LIMITS A GENERAL LIABILITY 14PKGWE00274 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED SO,000 PREMISES Ea occurrence $ CLAIMS-MADE aj OCCUR MED EXP(Any one person) $ 5,000 X $5,000 Ded.BI&PD PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY F X PRO-MT FLOC $ B AUTOMOBILE LIABILITY BAP509601500 11/01/2014 1110112015 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per acc dent $ A UMBRELLA LIAR [XO UR 14EFXWE00088 11/01/2014 11/01/2015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB MS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WC509601300(CA,HI,MD,NJ,NY,OR,UT) 11/01/2014 11/01/2015 X WC STATU- OTH- B AND EMPLOYERS'LIABILITY YIN ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC509601400(MA) 11/01/2014 11/01/2015 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Errors&Omissions& 14PKGWE00274 11/01/2014 11101/2111 LIMIT 1,000,000 Contractors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601-4002 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe ¢ ,(� 11r. 14GLd�4G @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD w 'THE T Town.of Barnstable *Permit# ti Expires 6 monmsfrom issue date Regulatory Services Fee 3s. xeuwcrenr_F a� 16j;Q. ,��' PERMIT Richard V.Scali,Director prf0 MP'l A Building Division . $EP 25 2014 Tom Perry,CBO,Building Commissioner 200 Main Street;Hyannis,MA 02601 . • TOWN OF B ARIA S1:AB LE www.town.barnstable.ma us - Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY n �® Not VaUd without Red X-Press Imprint Map/parcel Number O(V N/ � Pro erty Address vi Residential . Value of Work$ �C7 Minimum fee of$35.00 for work under$6000.00 -.... ...-.-_ -- _^ .. . .-- --- - -- --- --- ------ - ..._... ..... .. �. Owner's Name&Address SSt c c� Itx rn.� (S OtA �✓� �uJ6e try t Contractor's Name ck l/p Telephone Number 7 7 4 —2 69— 9 3 1 I Home Improvement Contractor License#(if applicable) Email: �s t. Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: [�I am a sole proprietor. ❑. I am the Homeowner ❑ I have Workers Comp ensation nsation Insurance P Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All constructiondebris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side .Replacement Windows/doors/sliders.U-Value 3 j (maximum.35)#of windows _ IIITTT��� #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ' Property Owner must sign Property Owner Letter of Permission. A copy of the Home In1provement Contractors License&Construction Supervisors License is required. SIGNATURE:. QAWPFILES\FORMS\building permit fbrms\EXP S.doc Revised 061313 . ex,W.uaea/�Li a�� acccf2crJeC Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before.the expiration date..If found return to: ® egistration: 69875 Type: Office of Consumer Affairs and Business Regulation 0 Ex iration:r__"8_/_16/201 5z Individual 10 Park Plaza-Suite 5170 -i Bost on,MA 02116 PAVEL ZYBAILA PAVEL ZYBAILA 145 CEDAR ST WEST BARNSTABLE, MA 02668 Undersecretary on signature Massach usetts -De Board of guildin o partrnent of public Co 9 Regulaticns. Safety nstruct]on Supervisor a'Td Standards CS-104769 145 ny �. Cedar Str Wes t Barnstable _-- Commissi/o^noe9r'sseW mnnm le Er xpi ration08/01/2016 uoilewjolul guis ua:M Sdd Jo j •aua3li Slyl10 u011e3ona.1 col asne Si apoD 2ulpllne alel5MasngDmeN aglto uoljlpa luajmm essassod o ainllejUV668 SdQ , 'aasds psopuo J°Q166)1a?,.orgno 000`SE ueqRssatuoo tt or dnoa�asn Suu jo s�?urpt!ng-paloua.saJun ,r. Hie Con2inoTm h of Massathasdfs Dgwhnent of fi str `Accideuts - 0 we Of UvestkWfions- _ 6aO Way7jingtan&reel wn-w nasy-gosIdrr>< r arkers'Compensaf:iaFn Insmlance Affidavit:Bu itdex-dContra;ctorsMect riciansMumbers Applicaiat Information Please PrintLop-ibly Name(RusiuesltianJfndividnaly: 1 c�1�J Address CtStiitp_ V�' Pha= Are lrnn an,employer:'Check the appropriate bozo T - of pa oleo{remred L❑ I am a employer with 4_ I am a.ges al contractor and I tr [:]New won envloyees(full andfarpart-ime)* havelrisedthe sub cnni cfcxs. iisfe3 on the a#ached sheet 7_.❑Remodeling 2_VI am a sole proprietor or partner- A'. . skip and have no employees These sub-contractors have g- ❑Demolition -Working for me in any capadbr employees c and.have workers' 9_ ❑Building addition [96 Workers'comp_f71ini4 a CCkmp.mcnrance-1 required-] 5- We are a corporationand ifs 10-0 Electrical repairs or additions offi=s ave exercised thei r 1L❑Plumbing airs or additions I❑ 1 am a homeowner doing all wort:. h g�' . myself. [No workers'cam_ ngit 1 of (4e ptudwe &-e n I2_.O lZoofzepaus insurance required_]1 c_152, �I{4},antiwe}ray tra employeesIN,'worloers' 13_❑Other : comp-msmance required-J, "fsny ang��nf that checks box#1 nmst also fill out the section below sbnwing diets wo&ei conoensativu POULT iEEE3=2 im Hnmeawners who submit tfiis aihdavif i�r.�eg�Y ace thing aII zrvrj;and thenhii-e oniside co>ticacmrs nmst siahofQ a new s�d�t intitcstt�snrli ICnatraciurs tlnl r'fu+rY this boor east aMchnd sa additionsI sheet sham-mg the nee of tine solo and state.wliether ornut flaw emities have ' zmplayees. If the snTr cantiacfues have effipIc ees,the n�sC pxuvide tfieir warkess'camp_polite ntffitber I am an empl3F#fiat isprmdding warkens'congwmrfiun irmArancefor my emp£nyem Belau is the palic}and,}ob site fits•fvrrrctTlian ; , Insurance GompanyName: Poky: or Self-ins-Tic- ' ExpisationDate: Job Site Addiess: Cii),/State/Zip- r F Pii#ach A copy of the wGrkers''tompeusation policy deck rzition page(shrowing the policy number and ration date). Failure to secure co-ve-rage as mtj6reduuder Section 25A o€MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500 00 andlor one-year imprisanment as well as civil perms in the foffi of a STOP WORK ORDER-and a{= of up to$250-00 a,day against the violater_ Be advised that a copy of this statement maybe:forwarded to the Offim of IrtrestiPtions of f#ie DIES€or inerrancy co-verage y cation_ Ida hereby cerff hs andpana ' thatfh informationprinhWabote is has and carrsct� pi u} e r �y ! Date- S�nature: ,s q Phan g: QyEd l use only. Da ttat Ivrfte fa th&area,to be compi`eted by dli v or town offisiaL City"Town Perm itUcense# Issniag Authority(d de one): 1.Saard of$ealtft 2.Rnilding Department 3.Oityf,ovm Qerk 4.Electrical Inspector S.Plumb ng rvspector 6.Other Information and Instr ctioUs Massachusetts General Laws chapter.152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as".._every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the Iegal repre`sentatives-of a de eased employer;or the receiver or trustee of an individual,partnership,association or other le entity,employing employees. However the owner of a dwelling house having ,of more than three apartments and w o resides therein,or the occupant of the dwelling house of another who emp ys persons to do maintenance, co ctioa or repair work.on such dwelling house or on the grounds or building appurte t thereto shall not because of ch employment be deemed to bean employer." MGL chapter 152, §25C(t7 also states th "every state or.Iocal Liven ing agency shall withhold the issuance or renewal of a License or permit to operate business or to cons[ruc buildings in the commonwealth for any applicant.who has not produced acceptab _vide of complian e with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)state "Neither she commo wealth nor any of its political subdivisions shall enter into any contract for the performance of p lie work untl ae table evidence of compliance with the insurance requirements of this chapter have been presented the contracting thorny_" Applicants — Please fill out the workers'compensation affidavit com letely,b checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es) dph e number(s)along with their centificate(s)of insurance. Limited Liability Companies(LLC)or Limited lab Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' co on inetnCe_ If an LLC or LLP does have employees, a policy is required Be advised that this affidavit y be submitted to the Department of lndustrial Accidents for confirmation of insurance coverage. Also be su to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the p o license is being requested,not the Department of Industrial Accidents. Should you have any questions regardin the or if you are required to obtain a workers' compensation policy,please call the Department at the numbe listed eIow. Sell insured companies should enter their self-insurrance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legit _ The Dep\ba t has provided a space at the bottom of the affidavit for you to fill out in the event the Office of estigationscontact you regarding the applicant Please be sure to fill in the permit/licease number which will e used as a e number. In addition,an applicant that must submit multiple pemzit/license applications in any ven year,nly mit one affidavit indicating current policy information(if necessary)and under"Job Site Addre "the appliculd ite"all locations in (city or town)."A copy of the affidavit that has been officially slam d or markee city o town may be provided to the applicant as proof that a valid affidavit is oa file for future p is or lice new avit must be Ued out each year.Where a home owner or citizen is obtaining a license o permit not to any bus' ss or commercial venture (i_e,a dog license or permit to bum leaves etc_)said person I�TOT requiromplete this day-it The Office of Investigations would like to thank you in adv ce for your tion and should u have any questions, please do not hesitate to give us a call_ The Department's address,telephone and fax number: nI` Coraimawcalth f Massachusetts Department of Intl !al Accidents €ffice of�ves Vatxans - ---- 6Q� a shln,�tan Siz�et BostQza�MA 02111 Tel.4 617 127-4900 W 406 or I-8 777-MASWE Fax#6I7-727-71 Revised 4-24 07 4r OFF TOLy * =ARNSrABLE, F ... 39 " -�- �� Town of Barnstable ♦ - ATEp��a 'Regulatory Services Richard V.Scali,Director Building Division . Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.to wn.b a r n s to b le.m a.ns F Officer 508-862-4038 Fax: 508-790-6230 _ Property OwneriMust Complete and Sign This Section If Using A Builder as Owner of the subject properly hereby authorize `Y'exJ eA to act on my behalf, in all matters relative to work authorized by this building permit application for: P e,(Z) Ce kJkQX V (Address of Job) s +: a1 Signature of Owner ate �. Print Name If Property Owner is applying-for permit,please complete the Homeowners License Exemption Form on the reverse side. QAVRFILESTORNMbuilding permit forms\EXPRESS.doC Revised 061313 Town of Barnstable Regulator Services �oFt r � Richard V.Scali,Director Building Division * BARNSMBLFE Tom Perry,Building Commissioner v ass $ 16 m 200 Main Street, H Hyannis,MA 02601 Q� 39- ♦ Y �. pTFO ��a www.town.barnstablema.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village ..HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town rEO zip code The current exemption for"homeowners"was extende to includcu ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does n t posses ,provided that the owner acts as supervisor. DEF ION WNER Person(s)who owns a parcel of land on which he/she resid or inside,on which there is,or is intended to be,a one or twofamily dwelling, attached or detached structures accessory t suchr farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeo er. eowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res on *blch work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for comp ce with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understan the wn ofBarnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pr edures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 ubic feet or larger be required to comply with the State Building Code Section 127.0 Construction Control. HO OWNER'S EXEMPTIO The Code states that: "Any homeowner per ming work for which building permit is required shall be exempt from the provisions of this section (Section 1091.1-L censing of construction. upervisors);provided that if the homeowner engages a person(s)for hire to do such work,that sue Homeowner shall act as pervisor." Many homeowners who use this exemption re unaware that they are assu ing the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the h meowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would w h a licensed Supervisor. The homeowner acting as Supervisor is ro P P g ultimately responsible. To ensure that the homeowner is fully away of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that h she understands the responsibilities of a Supervisor. On the last page may care t amend and adopt such a form/certification for use in of this issue is a form currently used by several towns. You y p our community. ty Q:\WPFILFS\FORMS\buildingperrnitfon-ns\EYPRESS.doc Revised 061313 Town of Barnstable �"ETti Regulatory Services Richard V. Scali,Director yBARN'r`BL"$ Building Division 63:9.Mp.(► Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT O U `� `� FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 0 �eo CuAtr u & Location of shed(address) Village —+ ; u- nn Property owner's name Telephone number F� 0� �y 7 141 { Size of Shed Map/Parcel# C) l . Signa e Date 'Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) ' Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A' PLOT PLAN Q-forms-shedreg REV:040914 r I , LOT 9G S 80'02'40"' E 150.pp,. rr,0 z o_ O o O N 0 0 LOT 2 v o 14724 SQ. FT.± 3 cn 73.4 -n m 0 x 0 Z -4 32 0 0 o - 0 z O 0 . - 0 z 2 ---=.4 0.9' m 150.pp'o N 80'02'401) I W LOT . 3 z F9 CERTIFIED PLOT PLAN FOR GREENBRIAR DEVELOPMENT CORP. WEST HYANNISPORT, MASSACHUSETTS FTIFY THAT THE ABOVE STRUCTURE IS LOCATED ON THE GROUND AS SHOWN, THAT IT CONFORMS E TOWN'S ZONING SETBACK REGULATIONS UNLESS OTHERWISE NOTED ON THIS PLAN, THAT THE WORK WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR CERTIFIED PLOT S AND MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF SURVEYORS AND, CIVIL ENGINEERS, INC. AND THAT THIS LOT IS LOCATED IN FEMA ZONE____. ,JOB N0. 88065 SCALE: 1 "=30'. DATE 10Z.6188 DWG N0. DRAWN BY LH/CAD CHECKED BY o�a GANIEL K BENCHMAR Fl;vllz v #29279� c SURVEYING & ENGINEERING ASSOCIATES AT HERITAGE GREEN ,� ter..' ..Q./ P. 0. BOX-1409 MASHPEE, MASSACHUSETTS 02649 I508 — 477 '— 9870 Town of Barnstable FTHe ram, Regulatory Services 1% Thomas F.Geiler,Director s Building Division BARNSTABLE. v b ss. 0� Tom Perry,Building Commissioner �iOrED 39. A` 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: ctl o HOME OCCUPATION REGISTRATION r CO CP Date: , "1118 Name: 014 L G-0-4 A M GN D C S Phone 46SG) 36 G —`i Address: 15 2 C—0 L/V Village: WES T 4at A n/N,"Sit T Name of Business: A/v()>ZfA C/VA&W1q _CLc-,v'we-::) Type of Business: 14(-Y J S E C i n/-GA Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: ja&�� I4 QW,-.SL AA4,a,1. Date: OLI 1161062 Homeoc.doc Rev.5130103 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). DATE: r)14( 1 P� 1 0 Fill in please: APPLICANT'S YOUR NAME: 1P4K-49-0-i'R McaG,�'na A e,r)Es v 3# t q BUSINESS YOUR HOME ADDRESS: 1S' 0P-E 0 1-N 360-H?9 3 =,91 I f+y A v.A/ s y o4Z,iff- TELEPHONE # Home Telephone Number: bce) y6C —L'l 4)3 NAME OF NENII BUSINESS �1 N TYPE OF BUSINESS , 1S THIS A HOME OCCUPATION? ............................ N I lave ou been ;given approval from the bt�rld�ng d�v�a on? YES NO y - ADDRI*5 QI= B�USIN;ESS I F a � . MA�"IPACEL NUMSR+ When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMM NER'S OFFICE This individuWsen infor rh,,1,, pf any permit requirements that pertain to this type of business. Authorized Si a re** COMMENTS: 11�+—On, 19k 2. BOARD OF HEALTH This individual has b en i formed f the permit requirements that pertain to this type of business. Autlionzed ignature** COMMENTS: ZZ .� + u ak r 5 r2 C k a c1Z rn 15i::L�fit. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h ofr} igg requirements that pertain to this type of business. Authorized Signature** COMMENTS: CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 I926 508-790-2380•FAX: 508-790-2385 John M.Farrington,Chief g Martin O'L. MacNeely,Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer, Fire Prevention Officer May 8, 2006 Mr. Thomas Perry- Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of a suspected un-permitted basement bedroom without proper egress at: 15 Oreo Lane Centerville, MA 02632 During a recent inspection at this address, I observed a basement bedroom with a made bed, dresser, and associated furnishings. The owner admitted facts that the room was being used as a bedroom. I advised the owner that the room could not be used for sleeping quarters due to inadequate egress and requested that the door be removed and the bedroom furniture be removed or dismantled. In addition, I requested that the person occupying the room be moved to an approved location in the residence. I advised the owner that notification to your office would be made. Please call the fire prevention office with any questions you have relative to this situation at 508-790-2375. Thank you for your attention to this issue. Sincerely, Francis M. Pulsifer Fire Prevention Officer "Commitment to Our Community" '' 2vtie,ti� e Yw�-�-y,C]O �Y�- Tv r Assessor's offioe (1st floor): �y 7_/ Assessor's map and lot number �..• f Board of Health (3rd floor): — c�\ PM' ,tjp Sewage Permit number ...... .- 7" .. 5 r [ 5j.� p� ................... �P �.. r 'I�'� , Z BABIISTOBLE, i Engineering Department (3rd floor): rs-GJS h " 3 .a �y j� moo 039 House number ........................................................................Eti � aE � $i� COOS .� �o�aY aye APPLICATIONS PROCESSED 8:30:9:30 A.M. and 1:00 2:00 P.M. oAOWN REGULAT101ge TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................................... �/ /YLJ,,,,,, C't�e��!✓G[ TYPE OF CONSTRUCTION �� /05PXI�� ..... ............................................................................... TO THE INSPECTOR OF BUILDINGS:U GS: The undersigned hereby applies for a permit according to the following information: Location //0.1 .. �O /.✓ ................................................ Proposed Use /.�!.. �,i'Ll/L � / .......................................... .. .. . ...........:... -............. ................... ZoningDistrict ........................................................................Fire District ............................................................/................. Name of Owner ..... 4 � ,�4cldress ....... X /O �P i ✓/// 'r � /a e ............ .......... ................................ . Nameof Builder ................. !.� ..............................Address .....................,• / C............................................ Name of Architect .........................d�� ............................. / ..... Address .................................................................................... Number of Rooms ...........&...................................................Foundation .e......�Q.n/L<. / O%f Ex1efor ...LrC•�J� .................................................Roofing ............. fitL.�....:. ........................................ Floors .......f�i4. i .. f7.l�G�AL� / .................. .....................................Interior ... "y ................................................................. Heating ........... //. ..........�// ..................G� .. ............Plumbing / ........................................................................... Fireplace Al �'.............................................Approximate Cost ... -- �Q 00© O D p /(� ....... .f. ...... Definitive Plan Approved by Planning Board _______________________________19________ . Area 6 v s.................................. Diagram of Lot and Building with Dimensions Fee ...........`� �`� .................................. SUBJECT APPROVAL OF BOARD OF HEALTH j� O� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re a d' g the above construction. Na ... .... . .�y ................. .. ................. a Cons ion Supervisor's License .................................... !7� GREENBRIER CORP. N6 .... Permit'for .... ......Stor ...........Y......... S.in.gjq�j�amil_v...P:Wg�jjin .. .... .......... ......g.............. LocationLot...#.21 �...0.r Q Hyarmi.5.P.Q.rt................... .......................................Owner Greenbrier Corp................... Type of Construction ..Fr.aM.e........................... ............................................................................... Plot ............................. Lot ................................ October 17, 88 Permit Granted ............I...........................19 Date of Inspection .......................................19 9TJDot ebmpl'etecl .................../6 ........., C tz 73 t -r r r CHARLES S.DRANET ATTORNEY AT LAW S 760 MAIN STREET , HYANNIS,MASS.02601 r. VICKI L MITCHELL,ESQ. 775-6302 ASSOCIATE September , 6 19 88 Mr. William Covell To Greenbriar Real Estate , . 3 y Box 510 Centerville, Ma. 02632 Dear Mr. Covell: Enclosed please find photocopy of.56-23, plus Attorneys: letter of Robert J. Cotter and photocopy of application'of probate of Alonzo Beales. The parties to the purchase and sales agreement' other.�than Ventors are the heirs of Alonzo Beales. Therefore, } As record title to the Lots was never in one entity, the Ventors, though it appeared so, it is apparent to Attorney Julian, and myself that the Lots should not be considered merged by the town. . And, .in conference, the Building Inspector has agreed with both Mr. .Julian and myself. as veri- fied by Ails. Plaunte. Now that the Health Department has approved the septic system, it seems that we should be clear to pass papers. Very truly yours, Charles S. Dranet'z' CSD/r Enc. 5 A t ROBERT J. COTTER , ATTORNEY AT LAW ° 306 UNION STREET i y' r� ` 4 i P.O. BOX304 . t#`$ x, ROCKLAND. MASSACHUSETTS 02370 617.878.7111 - January 8 , }985 tr - _ -- ..-- M Y[�;' M Aiv n Richard :'S . . Dub"in , Esquire Dranet.z and Dubin 456 Be ar se ''s Way t Hyann is . Ma. 0260 1 k Re Venter..et ux to Maple ,.et .ux r.g .'� �1,> �4 's Lot 14 1 Or eo Lane , W. 'Hyann rspor t �N Dear Sir : Ki ndly be adv ised that I represent ' the .North Ab i ngton Co-Operative Bank in the: matter o.f "an appl cation for mortgage. to property sh"own :as Lot 141"' on4s % , the Assessors Map. _and located on : Oeea `Lane W 'Hyanni sport the record title of which. stands In he names of Armond 5 . Venter , Jr.. and Marjorle ;.J Venter x L. am In receipt of your letter, .of 'November 20, , "L &`r > 1984 sending me a copy of the proposed deed : When the title was examined by this office,: It was determined that this property stood in= the name of ' LweIIa . BeaIes b.y virtue of a deed dated October 31 , _� 1 1908 recorded Book 285 , Page 472 . Examination further indicated th at'' MrS .', Be ales . died on May 1.4 -, 1937 and her estate Is `,prob.ated j.in Barnstable County No. 25828 . She .d ied in„te s"t ate'Y leave Ing he-r husband ,. Wi l l i am T. Beale S., and a son, ,.'A,l0nzo R f Wit , •• BeaIe.s . According to the exam inet i on conducted by ,thl s off ice and also the . t it le reference s . s'uppl ,ied Vs," ,It" was Ind icated that the sa id Will i.am T. BeaIe`s by deed -d.'ated` ir 4 hw h Y r ll F � r ut ' £'r Y' v* ry vkl �"apeyk y �ytW x $ Richard S . Dubin, Esquire ' aY page 2 7 ti h January 8, 1985 . l ----=M a-y- 15--,--1'9 4 0--r e c-o r-:d-a d--Book----9-8 0-,-.=-P.a g.e-]8-0-_a n d.--de.e d d a t o July 2 , 1938 recorded Book 543 , Page '335' conveyed vto, the predecessor. in title of the Venters . the locus : i The examine''r {could find. no deed .from :•the `son,; A1on{zoo{ p .: R . Bea.]es to Wil:l 'iam T. Beales or• an other redecessor, t-in ; Y''F P Y �. itle _This leaves the question, of I.c' ourse , "as to��whether- zyu�j { r not Mr . .Beale.s conveyed only one ttiird ' of theii,nte'r,e.st4 Sla it he property and whe.ther .'or not the ot h hexr "two t divided itrds* u'n4` �°t4" 7 ,•f+ IP,' z ,� �t¢`r9lY�'a�..aa��'.rv ,�, interest; in' t`he. property ;'°is s'till `out stand .ing n the-Q-MN �ame of Alonzo R Beales . Ex aminatio.n shoWed,'t�hatt he dhed""o6�`'� �1u1 y 24, 1949 and his estate i s probated i'nZ Bar nstable34County � At the .present status , I am unable , therefore ;wt;oz`criify '. f he 'title I . would request that you inve sa i ga. a t`he4- at ter's set forth .in this ' }etter , •_and , if you,,: ave any suggestion 6 ter * regard: to the same , 'contact me � zir -. y♦ a3} %F�+r����',_ls .x -�t �r ricJa fi eYl` Very r u l y you 104 Robert J . Cotter RJC/fm T, - r •s �' f;. nk t S n rv4 4 , - S 4 .: • k Y - 1 4 .j. �'tt�C� . C�I�M t/NNI�.f.Y �f/iSfYVI f1M//MM _ /77//ff 'i,,x��J`�fx°-�� r�t v tru�'�' � .� .+,; '. "" • .�0� NMb/d'O S6/ 6//V _1 b'OdS//V/YlW// 1 S-711.: i A VO 1j :L j I v'�'gay,;,s'�R t t i3 i -" ... "•_ ... - . ag '.- t ' rro �• L2 � I puo�6og d/77? . 5 C 2 It •w � O Q o c \ �o lf pv dac.vy� ^�.y,�jt f1nTt, Si.YfJA 3 3 h ? i j y .27. �,��„��rab}T� Y'fic x •�' c+ ..+ ,. too / _ .. - .r d rr r Y i 3° t1 Tt' ��t6C f-dxt k y, 13L ty E T� �::trk .. .�yfM�`.t/ ��r�i_ _.a•�►l ll - 'St yl rhsav § -� .S i (�,`\ % . . N,r'v f/•YNY.//y' /_/�i� Iic /"# �k��` � � � � F t l • yyy��l / ti�•�.f� \ _ .s ,�!..s.�5,,.a+w ..a„ «sn,.x wf.. .:>.s r. _'E.�.. " Y.x.r.1. c+, u f .• �S wt} A.C.` 1 coMMONWEALTH OF MASSACHUS=S y ` ,sR TO THE HONORABLE THE JUDGE OF THE PROBATE COURT 'IN AND FOR,THE COUNTY OF BARNS T ABLE: DONJ"� P .�e... D� RESPECTFULLY represents ... Y x� in the Coun of Barnatahln. '�. of'.............Barnstable...($yannis.). fiY , a .ALONZO..R.....BFILES... .. ... that .. ........ ...................... Barnstable (West .) *anniaport) in said County► ,bar who last.dwelt m died on.the .... �4th......................... day of . .. ... ,ht „y. .t 19 1i9 4 ..... intestatepossessed of goods:and.estate ..................... ..... k. a J .... --- --- 1 a: A4 remaining to be administered, leaving a—�—widow— whose name ioc vas s w tiace•:.dacesged. and:as h 'onl he�r� at law and�next of >is kin the persons whose names, residences and relationship'to the'deceased are as°followsY4 � '. Aa3;' NAME RESIDENCE � ;.RELYATIONS>iI Per Harrie.t..M . .Bales...............lata..of...B.arnstable..:(C.enterrille.)........................'.:Widax:`(not:decea ells ...........:......................Bas3...HiYox Xassaahuaetta ':� "Aaughter ► , Mar ari r...................... a• AauB Ca..ro�,y .. ears. ... ........... ....�eat...Den , ,lS sa aka et�,a :4 3 ht�ar . G�mstanc.a.: liae.:.Xalea.............................�cut)A.TAMcm A��r�AA��} y ... .................... .. ....... .. . .. z q 3 . ... .. .......................................... ...... ., . . • .. ................................ ................................t............................................................- ......................................... ..• . .. t •• that your petitioner g:.h" been..regi?.es a... o..� �. by..tha .hsirir..aa Adrainistrat6 ........................................................................ ...... ..... - ........................ ................. ........................................ ..... .........• .. ............................................ ............................................. .............. • .... • • Wherefore your petitioner prays that he or some other:su�table:.4persons, be ypppomted ' administrat ox...........:'of the estate of said deceased, ..:... � s� y I., - ............................. ....................• ....................... ......• •...• • ................... ....... ........ ...... ............... ................... ... .• .. .. •: . k..• ........................ S �+ 1 A and certif iss under the penalties of perjury,that the statements herein c ontamed are tru6-t;-. AV the best of h is knowledge an belief. 1/ .......................... day of ......... @bx ?�!:... Dated this ....... .... 70 . .. � at Street & No. 776 ?lain Street, Hyannis, liassachusetts ...... ..• 3 . •....................................... •.. The undersigned, being all persons interested residing in the Commonwealth, who arey of'full s .µ 7.4 a a rti and legal capacity, hereby assent to the foregoing petition li y. .evt _ t F Y c•�'!' {tk rl* V, a,".. ,_ "yF"'."...'.ww"3`�','s."•'„,,,,'."".".f:,., _ n s _. .. µ. j..ls ..�. �,�l:P` to i%>-'c;_ .,�, .. _ ,; - +.. - .. tiu=' --�e -.is .•._.....::..,y-,i...,..-,.-�:,s..... �.,,�,,,,'"`W'�''�f°�".,'s��Yt^'._. ^,* ;,.s+sc�, _ ,.j,,.,..,,,o-+� TOWN OF BARNSTABLE Permit No. ..32361..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .......... �� 679• � HYANNIS,MASS.02601 Bond .. I CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot .#2, 15 Oreo Lane West Hyannisport, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 30, I9..88.......... �� �'.......................... �!� .... Building Inspector TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PLI M MIT � ti 47-i4l DATE tit;ti)�tal' i7 66. 19 PERMIT NO. f UWat L" >PPI�.JS�!!'Sf ADDRESS OL9 S 0 IN0.) (STREET) (CONTR'S LICENSEI le PERMIT TO•. 11Ui1d dGlelliTlt, STORY Sint le family dwellilig NUMBE OF RNG UNITS � x } y (TYPE OF IMPROVEMENT) NO. fPROPOSEO USE) AT (LOCATION) 10L #2 15 UreO ...arte, West hyannisport ZONING DISTR CT (N0.) (STREET) `'•°.` BETWEEN AND (CROSS STREET) -• (CROSS STREET) r`'-,;\. LOT yx;; SUBDIVISION It CK SIZE BUILDING IS TO BE IDE BY FT, LONG HEIGHT AND SHALL CONFORM IN TRUCTION 1':'; "+ TO TYPE OUP BAS NT WALLS - FOUND N (TYPE) REMARKS: _ Je-wage 88-524 BOND AREA OR 768 s f.t. 40 Wo PERMIT VOLUME �• 61.50 (CUBIC/SO UARE FEET ESTIMATED COST $ FEE ' OWNER Gree:lbrier Corp. ADDRESS P. BOA: 5 Gencerviiiu, L'LA BUILDING DEPT. BY r+I f TH:S PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR 'ERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALL RMITTED UNDER THE BUILDING CODE, MUST BE AP- ?ROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS D D LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT RELEASE THE APPLICANT FROM THE CONDITIONS-` ' OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. .IINIMUM OF THREE CALL APPROVED PLANS MUST BE RETA D ON AND THIS WHERE APPLICABLE SEPARATE NSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL PE HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND. - I FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE 0 CCUPANCY IS RE- MECHANICAL INSTALLATIONS. Z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NO OCCUPIED UNTIL MINAL INSPECTION TI 70 LATHE FINAL INSPECTION HAS BEEN MAD 3, FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VI` BLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS, ELECTRICAL INSPECTION APPROVALS ' Z Z HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT r/1yy�' OTHER 2 G�1r f� BOARD OF EALTH ae9 �,ffac®0 - t a- .-� :VORK SHALL NOT PROCEED UNTIL-THE INSPEC- P E RM I T WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE OR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN .ONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. I I LOT S 80•02,40„ E � 15p pp, O z O � N 0 o LOT 2 v 0 O 14724 SQ. FT.-4- 7 3.4 n m y 0 x z� 32 o vZ O O -+c� O o ,I z 2 *--4 0.9' m 15 p 0p,0 N 80*02,40 " I W D LOT 3 z m 15' CERTIFIED . PLOT PLAN FOR GREENBRIAR DEVELOPMENT CORP. WEST HYANNISPORT, MASSACHUSETTS I CERTIFY THAT THE ABOVE STRUCTURE IS LOCATED ON THE GROUND AS SHOWN, THAT IT CONFORMS TO THE TOWN'S ZONING SETBACK REGULATIONS UNLESS OTHERWISE NOTED ON THIS PLAN, THAT THE FIELD WORK WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR CERTIFIED PLOT PLANS AND MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS, INC. AND THAT THIS LOT IS LOCATED IN FEMA ZONE_5-___. JOB N0. 88065 SCALE: 1 "=30' DATE 10 6 88 DWG NO. DRAWN BY LH/CAD CHECKED BY o ,I n / . GANIEL BENCHMARK ifs A. N� F.1vFlIZ v #29279 SURVEYING & ENGINEERING ASSOCIATES ' "� AT HERITAGE GREEN FE P. 0. BOX 1409 MASHPEE, MASSACHUSETTS `02649 508 - 477 '- 9870 J