The URL can be used to link to this page

Home My WebLink About0142 STRAWBERRY HILL ROAD l 9,2 - f tt�i +{.! i , y�}i ]f/r ja,(Qj a ) MINU w V 1 ,�Yf MR 1 Vi[, d' } •f� L I � I e�'I I14KAIN r��5'O }{ •r Rel ?� *Y_ I�` Y :fig I, r1..rl rW11 4.� ;, I. ' f r n, } f y , 1. ". u p . I r s=. 1 0, '..;. M1 ' y y ,u i. i. a t 1.n• `+ '1 z. u n a I'�1' ,n'u� , ,rr if . R* 4 C G I 1. r i,, ° .� J o tii r,. 'F. ,F,s i. A 1 ,'n q WX 1 ! r 1� �! I 11� ��. r �1 - � Wry A -A u•i5 �� '� I,A 'W,I I 'T W I. .+t� ,u a N V 6 .. gg .. 1 1. !+ .k W a - , I I. s a T' V • .C° Ir 6+ i •14 ,1'u1. I1. fi �*'/,..�r H I 11 ,` e d '4 v 1 F - •. ,f 1 ,lr1.. a n, " n'.r o,,, ,,'^ d . p o v ,,, R! fm ,kI e F,, n �! d p n, ^,pr 1 � r 'rn Er %.' .+ r a. 3. -rt' i, L R !1R '- ,p I '+ +f '1p'1+ +� F vi�. R 3r 6 a R L ;` N p r•.a e rail .I o w' 11 "� \7 'T al.� J i•� ,r. V w:p�n a yH °rt .r.1, A1,. V,T !r p. ,t a f4 !p n e R' r ' Al:o r,{y n asp% u 'l'a"' . ; ° y' G ry 1. L ,, p u o !a I .. i, 4r °1' r1%� I�,, t '} + A .® 9'{' 't 'e�,f, .I .. i `d I �' ./t o ! t` i r 1-4 d r .ra S r• 1 J " .yr %" �y ti 46` 9 aµ6,. 4, i• t ♦ 1,° ^.Y yr, ''k f 1, ,,�, ✓ °•1 i, II tr M l' „ , /% ,4,,, % ` ✓ .y uM p d at ! } i 37 qi', ,put M a ,1 $ , 1. ! .Its l at a i,^�ra P" ..r . ir, `I. ,R -.,%1 nl .s' 1 a :%rr .el.�# q,al%,, ,i fy -L I,y{,. .M p; '� a a;,,,77. 1 ,�,, x 11 ' lP,, �� i . .. 1, Sj r, i;.,*. ;, 4:N 1=+;_ %11 iPpQF re61 n r m '9 Cr r, i rr, n'f. 4 , ,r Nkrti 1 l 44 'i t 41 r .i ''k 4,r, 3 V eP h iN i it �',�° air 'rt Y w r P 11r ! 'N t 1 + }+ +lQ ' p .V ,r !k 9q, St;'y+i" i! 6 'a •rt k "1@ 3, t ,r3 - , so 1, 1 J � r ' +'. + y # "1 I. rc.. 14 + !" a'' 1 't ,+ 1 it 4 irk 1 �1J r: ..+, t, i All A ' i r,' �,i ,1� 1 f. Ic 'f'., rl ➢ rrs�'. v k {i Ji +�}^ �17, 1. I( `i• i,�r r;,. r 'y, ;e t r.,Ii ', r - -,1, .�,.g ' s !F a, S 8 °u. 4r ,.4 i.v iii 1 ° '4 y! p h ., n . a °wv x :s, .M 4. :��I + I ? 9r1', n a -n a i -N °"' p " I :� M,' ,.+n ..�a ,�� " 1. 21. 11 - :{. + iM1. 1A Y r 1 x k % _ J'!' t A. �'st'',9 Al r 1 p. 1 ^c.`' +f '+ y� t l.' 1. _�b`� 'k. fit- ''� ,,:rl. ( i Ake ry '� _ e t .& ,.� .�y. :�i �± �+ ��°. p a �.o �� .4,.:r P i •° .I r r' +. •wh a1. y ,+ I'llI "� d a, `fin �' J, +,r. b. , r'Jt�r 4o a t h .' 2 �' 1 at ,.q r 1. yr. r+ �a- 'Prk .i 1 a =; a i 11 a. € t t.. of. a �r "i ^1+1'',4 '¢" �f 1. is ii rf �' a + _:. 1 .i'i; II pail e, il; �, r% `.t v {1 ,,1 ,r1 'fp .l 01 , I!E r it '+`rYr a 'i. :y 1.n"� t ,� i�.+ a .,r, r'.� ,� t -il .a [� dt �, !lily 1 11+ Is- ' 'i .�`•a" d l l' YY _ t 1 r 9 11.�. P 1 a F� $ 4 p� 1 h ! I e 1� ,,qp1 r.{e ,a .4,i ,ps - '� %, R !4,r fl a ra i,I n 4, p r t �4' R ,l. " �.J}' s�,I l.; .bra _ M q,� :1 .r "V F fk.:.. ?,,A, +% j n � ,. I'. 11 i o 1,ara.:. .,i d '� k b., -:X .11 e w!, r i4 J : �.� rj t M %1 c,'1+, n. 'ir �+ �, �,._ 1, . P, % r�41 t r, sr uo �� , I'i ', .. i, k d tl e9V d I �:I ,I' li V 01 �° ,! �1r a }, � lk. 1l,a r M . 4Y r.i� . 41 �I^ d '' .,II ,r. } yr r .':}r ti,! k ili ! i �., f I.'" * a1�t ..4 1r i�. " C 1 } e r, a 6 :,i .=,a { g`"" b` SV'r � B t ^w $ ✓'Iz �P ",r r r 1 »1 a h ,C n !{If .!V ;J ..�y .% 1, w. 1. '.,J,l, .� a a. .�� (((M{ I.: r6 I. i' I ,lh V ,: I�' 1• `r t ;�!' b .4 r n I ia+1 �,R ! �vr r n .M p i Ia "d �1 ! 11 A }N p, �. t ;:I npv js'.'r fi ,N ,1 'f. ';r ,'_,' a at I�" •r,yp e'. ,1. qa,� b ,�� P, , '' 1t 1 Ile, V, Al • ° b %r y A, I ° 4 tl, {y ,b.r,.l iL,. ..i . �� '°fie .f I i S " Ir ! .e f' 1 0 R !' 811 1G' , N d,! k° i pr +x 'f {Y•N rp V ��Ypl it ,''��.� as p "ta, lbYl� rdy, fti,l phi 1 4 O,r#�r .ak 11 !r ", a 41 a r' i� "� rr ,.i,a .1 s 'b A as TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Z Parcel `HC licat on' p �? pp Health Division Date Issued �f of y Conservation Division Application Fee Lv Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Gee ryi4.L E 0267Z Owner CAR_0(_Yn) HEBE2 T Address 5"08' W 6/Al iwSPW?7' Telephone (SOP) 778--0SCR Permit Request _ Z y 77w-c SOc.se F,,_ec7-tic. 011siak-s ON ROW 04 FxISMI iAA m4aae) � BE �iVT£Q,CeNruCCTB� �Ut7"i•� t10ME ELeGT'erCAL. Sy/S7'e.�.i_ Square feet: 1st floor: existing proposed 2nd floor: existing proposed '- Total new Zoning District Ala Flood Plain Groundwater Overlay _ .Project Valuation .53��o Construction Type .s 4,ft &Nett Lot Size O. X41.46 Grandfathered: ❑)tS�/No If yes, attach supporting documentation. Dwelling Type: Single Family X1 Two Family ❑ Multi-Family (# units) Age of Existing Structure .78 A' Historic House: d-YWOLMo On Old Kin ', Highway., a-YWtmo Basement Type: ❑ Full -10%M ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq t) Number of Baths: Full: existing new Half: existing new =3 Number of Bedrooms: existing -new r� Total Room Count (not including baths): existing new First Floor Room Counf> Heat Type and Fuel: CAW -M Oil ❑ Electric ❑Other Central Air: ❑Yes - 46&9-Fireplaces: Existing --mow' Existing wood/coal stove.-U01 -Zr No Detached garage: ❑ ex ❑ new size_Pool: ❑ ex W464LMew size _ Barn: ❑ e4W O'new size_ Attached garage: ❑ ex4W@l -5 new size _Shed: 1M MkiktI new size _ Other: "- Zoning Board of Appeals Authorization ❑ Appeal # "`— Recorded ❑ Commercial ❑Yes �4 No If yes, site plan review# Current Use _J .oeZ Proposed Use 410 �z A G APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 56 c_ra-2 C rrvL CoO. C EAa(. tLe-S Telephone Number (121) ?Ito -7 Address /&o Oo,eoo2,a rr RA2g D2. zt�2;zo License # C S /�G�-rd2nKE. 4.4 D23,0 Home Improvement Contractor# l(.RS72 Email Nwtlt,&ek 56L -0_'atT&.Conk, Worker's Compensation #aJR766Ul�L�uSd ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ca �...,ssaLtr SIGNATURE C /'" DATE OgA A?_0"C-/ r FOR OFFICIAL USE ONLY ► APPLICATION# t DATE,ISSUED f _ MAP./PARCEL NO. • ADDRESS 4 f VILLAGE OWNER DATE OF INSPECTION: _ ` FOUNDATION FRAME INSULATION b FIREPLACE ? ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL t FINAL BUILDING, V /7 DA_ TEE CLOSED OUT AS60CIATION PLAN NO. fiy , T'he Commonwealth of Massachusetts Department.of Industrial Accidents Office.of Investigations d I Congress Street, Suite 100 Boston,MA 02114-2017 www.massgov/din' _ Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please`Print Legibly R SolarCity Corporation Name (Business/Organization/Individual): , _ t Address:3055 Clearview Way City/State/Zip:San Mateo, CA 94402 Phone#:886-765-2489 ` Are you an employer?Check the appropriate box: Type of project(required):, . - 1.0 I am a employer with 7000 4. ❑ I am a general contractor and I have hired the sub-contractors employees (full and/or part-time).* 6: ❑New construction listed on the attached sheet 7. ❑Remodeling 2.❑ 1 am a sole proprietor or partner- ► ship and have no employees These sub-contractors have g; Q Demolition workingfor me in an aci employees and have workers' - , YP ty. 9. ❑Building addition [No workers' comp_insurance comp.insurance. g, required.] 5. E We'are a corporation and its 10.❑Electrical repairs or,additions 3.El I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs,or additions myself. [No workers' comp. right of exemption per IyIGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no Solar Panels employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire,outside contractors must submit anew affidavit indicating such:.to :Contractor;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, _ y: 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:Liberty Mutual Insurance Company - t Policy#:or Self-ins. Lic. #:WA7-66D-066265-024 Expiration bite.09/01/2015 Job Site Address: _ 142 Strawberry Hill Road City/State/Zip: Barnstable, MA 02632 _ Attach it copy of the worker`s' 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 imp'prisonment,as,well as civil penalties in the.form of 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 cert under the,pains and penalties,of perjury that the information provided above is true and correct. .. -. i t i 4 ' S1tti'nature.� G"^ -/ ,< �� 1-c9/ Date: 09/05/201 ;:Phone#:: 7818167489 ^' r Official 4se only. Do not write in this area,to be completed by city or town official �Cityzor Town• `` f' ' Permit/License# 5 lssuing Authority(circle one); r 1 Board of Health 2 Buildmgbepartment 3 Crty/Tovvn Clerk 4.Electrical.Inspector 5.Plnmliing Inspectors' 6 Other* u ' Contact Person' ° Phone# ` Y DATE(MWDDNYYY) AC40 CERTIFICATE OF LIABILITY INSURANCE 08129/2014 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 RISK&INSURANCE SERVICES NAME- 345 CALIFORNIA STREET,SURE 1300 PHONE FAX No CALIFORNIA LICENSE NO.0437153 ADMAN ga SAN FRANCISCO,CA 94104 INSURER(S)AFFORDING COVERAGE NAIC# 996301-STND-GAWUE 14-15 INSURER A:Lb84 Mutual File Insurance Company 16566 INSURED INSURER e:LibertyInsalrartoe Corporation 42404 Ph(650)963 5100 N/A N/A SobrCdy Corporation INSURER C: 3055 CleaMew Way INSURER O: San Mateo,CA 94402 INSURER E• , INSURER F• , COVERAGES CERTIFICATE NUMBER: SEA-002440269.02 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED., NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M M LIMITS A GENERAL LIABILITY TB2-061-066265-014 09MI12014 09/01f2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurrence $DAMAGE TO RENTED 1�'� CLAIMS-MADE a OCCUR MED EXP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY X PRO-JECTLOC Deductible $ 25'� A AUTOMOBILE LIABILITY AS2-061-066265-044 09/01/2014 09(01/2015 . EoMB[NED SINGLE LIMIT 1,000.000 X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULE BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPE DAMAGE $ X RTY HIRED AUTOS X AUTOS Per accident X Phys.Damage COMP/COLL DED: $ $1,000/$1,000 UMBRELLA e Like OCCUR EACH OCCURRENCE $ EXCESS LWB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WA7-66D-066265-024 09/01I2014 09/01/2015 X WC siATT7 oTH- AND EMPLOYERS'LIABILITY1 ER B ANY PROPRIETORIPARTNERJEXECUTNE YIN N WC7 661 066265-034(WI) 09/01/2014 ()9/01/2015 EL EACH ACCIDENT $ 1'000'000 B OFFICERIMEMBER EXCLUDED? NIA WC DEDUCTIBLE:$350,000 1,000,000 (Mandatory in NH) EL DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION Solarcdy Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Clearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. AUM40RMED REPRESENTATIVE of Marsh Risk&Insurance Services Charles Marrnotejo ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I f `_ / Office of Consumer Affair and Business Regulation } 1'0 Park Plaza. - Suite 51.70 Boston,Massachusetts 02116 Home Improvement_Contractor Registration Registration: 108572 Type: Supplement Card; t _ Expiration: 3/8/9015 SOLARCITY CORPORATION f CRAIG ELLS 24 ST. MARTIN STREET BLD 2 UNIT•11 ' - MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. sca i 0 z9M 0slr s Q.Address, :Renewal. (� Employment L] Lost Card OftCeOf��r i*T;iiiiirt+lYiisr'�rlf�i��'•/(ii`]tii°lillart�t:� •_ Consumer Affairs&Business R ulation � License or registration valid foe. individul use only a, SOME IMPROVEMENT CONTRACTOR ! before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572: - Typi 10 Park Plaza-Suite 517q, • 3M/2015 Su lement ard' ' Expiration pp % Boston,MA 02116. SOLARCITY CORPORATION CRAIG ELLS 24 ST MARTIN STREET BLD 2UNI &AhLBOROUGH,.MA Oi752 [Jndersecretary Not v lid without signature T t "dassachusetts -Oepanmen#of Pu0be S'0617 guard of 130ding Regutat+ons and 5bij1 rt#'s (101I.-IrI10i'lid Sulier%lior •.iwtcense. CS407663 CRAIG.ELLS' a.�*.s;-• •'�.� f, 206 BAKER STREETI Keene'NH 03431' Crag+rt�ssatiltttr', e 0812912017 1 &/7-w" Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement'Contractor Registration r -+ Registration: 168572 F � = Type: Supplement Card SOLAR CITY CORPORATION - Eiratiori: 3/8/2015 a,r, WAYNE EUBANK = F' 24 ST. MARTIN STREET BLD.2 UNIT ti11 -� -� MARLBOROUGH, MA 01752 �' • �-= Update Address and return card.Mark reason for change, sCA i €0 2OM=0s11 1 CI Address E] Renewal Employment Lost Card ifice of Consumer Affairs&Business Regulation License or registration valid for individul use only - *ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 168572. Type: 10 Park Plaza-Suite 5170 ExPirahon: 3/8/2015 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION WAYNE EU N ST _- 24 ST MARTIN STREET BLD 2UNt I�IIAF LBOROUGH,MA 01752. Undersecretary r4JA valid without signature F f , y t VirsolarCity. OWNER AUTHORIZATION Job ID: O. 3 -Y Location: .S c�,5 .tf Zip konirllo� h I C61JOLVAI klie6OLT as Owner of the subject property hereby authorize SolarCity Corp—HIC 168572/ NIA Lic 1136 MR to act on my behalf, in all matters relative to work authorized by.this building permit application and signed contract. 6 Ff OS C-0/T Signature of ner: Date: 1 a c �, ;fetr.r: tiif<; 2ir,�i;jt r v,r1.•,titF:,?+ ;{f:. a t (rx -xr'T,-Ctl 7 i,r E0.1-50-0'3I'w SOLARC'ITV.C6M y .lit Fr rdw 7Z,uilba%•)r a1T=44"rif 13:"••w1•*4.1,N zr:t..F'.S5 C�C�ei 1=RiTr{,.}2 =.a Eq[7Y `-i yf.Ya,9lXARC—}iit}-p, r a; , , SOlarCi ty. Power Purchase Agreement Amendment _ , kF f w w u.. i't.::„.,, .. a, ...,. a.a.., ....a >..:. c3iS .ka' —y^tr�. *ew>—y y r TM'..^ 3, Congratulations!, Your system design is complete and you are on your way to clean,more affordable energy.We estimate that your System's first year annual production will be 2,790 kWh and we estimate that your average first year monthly payments will be$38.96.Over the next 20 years we estimate that your System will produce 53,220 kWh.We also confirm that your electricity rate will be$0.1676 per kWh,fixed for the next 20 years(i.e.electricity rate $0.1676 and tax rate$0.0000). Your Details Exactly as it appears on your utility pill Customer Name Address Customer Name Seivice Address Carolyn Hebert 142 Strawberry Hill Rd 142 Strawberry Hill Rd Barnstable,MA 02632- Barnstable,MA 02632 As soon as you acknowledge the above design and production details by signing below,we will schedule your installation.If you have any questions or concerns please contact your Sales Representative. ; C �tomer's Name�Carol HHebert SolarCity SOLARCITY APPROVED Signature Date Signature: • UNDOrr RIVE.CEO Customer's Name Pa h`eit (PPA)Power Purcttase AgreeMent 14 Date: 8/612014 ' Signature Date 3055 CLEARVIE_W WAY SAPf MATED, CA.94402 888:SOL.CiFY l 888:765.2489I SOLARCiTY.Com , MA HIC 16857211AA,LIC.MR-1136 Version#37.9 �p� SolarCit 3055 Clearview Way,San Mateo, CA 94402 �� . (888)-SOL-CITY(765-2489) l www.solarcity.com t WHITE, �? August 6, 2014 3 STRUCTURAL I-FiL Cn Project/Job# 026314 No 47319 RE: CERTIFICATION LETTERNA , � Project: Hebert Residence 142 Strawberry Hill Rd Barnstable, MA 02632 To Whom It May Concern, " A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review,was based on site observations and the design criteria listed below: k Design Criteria: -Applicable Codes = MA Res.Code, 8th Edition,ASCE 7-05,and 2005 NDS - - Risk Category = II -Wind Speed = 110 mph, Exposure Category C L -Ground Snow Load = 30 psf - MP3: Roof DL = 13.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4 and Seismic Design Category SDC = B < D 9 9 9 rY( ) On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable-roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. 21 , t I certify that the structural roof framing and the new attachments that directly,support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code,8th Edition. Please contact me with any questions or concerns regarding this project. - Sincerely, Andrew White, P.E. ,x , Structural Engineer Digitally signed by Andrew Main: .888.765.2489,x2377 White w - email: awhite@solarcity.com Date:2014.08.06 10:02:37-04'00' 3055 Clearview Way 'San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROC 243711,CA 081.6 888104,00 EC$041,CT HIC_0632778,DC 110 71101486,DC HIS 711,01488,.HC CT•29770,MA HIC 168572,MD MHIC 128948,W.13VH061603W, - t OR CCB'180498,PA 077343,TX TOLR 27000,WA GCL;SOLARC'91907.0 2013$VaiOty..AII dphla reserved,: 08.06.2014 1� 1p� ■ TM Version #37.9 ®�,�SolarClt SleekM�ount PV System Structural Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: , _ -_ Hebert Residence ram° AHJ: L� arnsta_ble';� Job!Number: 026314 Building Code: MA Res. Code, 8th Edition Customer Name: _I _2 __ . y . Baied Address: 142 Strawberry Hill Rd ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category__ II Zip Code 02632 Upgrades Req'd? No Latitude j Longitude: 41.642777 -70.3238237 -Stamp Req'd? Yes ` SC Office: South Shore PV Designer: Orson Homer Calculations: T ° BFadYa for � Y EOR: k ', y_ Andrew White P.E. . r Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss= 0.19069 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY- MAP 41 A e 1�1Lake . ;- .[Cra-9\1 Elizabeth DQ991 a 921�-Md%-s'�IS, Commonwealth of Vassachusetts-EOEK, USDA-Farm Service Agency 142 Strawberry Hill Rd, Barnstable, MA 02632 Latitude:41.642777,Longitude: -70.323823,Exposure Category:C r �1 LOAD ITEMIZATION - MP3 PV System Load PV Module Weight(psf) 2.5 psf Hardware Assembl Wei ht s v '` sf PV System Weight s 3.0 psf Roof Dead Load . Material Load Roof Category Description MP3 RoofingjyPe, C _ . Comp Roof.°,. ( 1;Layers=)3 2:5 sf a �_� ---p Re-Roof to 1 Layer of Comp? No Underlayment n, Roofing Paper Plywood Sheathing_ Yes 1.5.psf Board Sheathing None Rafter Size and Spacing 2 x 10 @ 16 in. O.C. 2.9 psf V_au ee4_C5i Eg --, .4 -Yes _, 4.7 psf ` Miscellaneous Miscellaneous Items 1.4 psf Total Roof Dead Load 13.5 psf MP3 13.5 Psf Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load Lo 20.0 psf Table 4-1 Member_Tributary Area Ate < 200 sf Roof Slope 6/12 Tributary Area Reduction " Rl1 . t, 1 Section 4.9' Sloped Roof Reduction R2 0.925 Section 4.9 Redaced Roof Live Load ', rF �', WU Lr '°` '' ` Lr=sLa(Ri) (R2) E uaEion 4'2 - Reduced Roof Live Load -Lr 18.5 psf MP3 18.5 Psf Reduced Ground/Roof Live/Snow Loads Code Ground Snow Load py 30.0 psf ASCE Table 7-1 : ¢SowLoad 7euctions�Allowd? k '^ 'WI Effective Roof Slope 250 Horiz`-Distance fromEve to Ridge=: '' `¢0 11.5 ft ;< I Snow Importance Factor Is 1.0 Table 1.5-2 .. - Partially Ex po ed .. p - ��,g A SnowEx osure Factor Ca .,.r ',. .i 1.0 ' . ` Table 7-2 All structures except as indicated otherwise Snow Thermal Factor Ct 1.0 Table 7-3 Minimum F15f Roof Snow Load (w/ pf min .�21 0 psf, -7.3.4,&7.10 � � � Flat Roof Snow Load 4 Pf pf= 0.7(Ce)(Ct) (I) pg; pf>_ pf-min Eq: 7.3-1 21-0 sf 70% ASCE Design Sloped Roof Snow Load Over Surrounding Roof Surface Condition of Surrounding All Other Surfaces Roof Cs-roof 1.0 Figure 7-2 Design Roof Snow Load Over Ps-roof= (Cs-roof)Pf ASCE Eq: 7.4-1 Surroundin Roof Ps-roof 21.0 Psf 70% 1 ASCE Design Sloped Roof Snow Load Over PV Modules Surface Condition of PV Modules Cs_P� Unobstructed Slippery Surfaces Figure 7-2 Design Snow Load Over PV Ps_ „= (Cs_ „)Pf ASCE Eq: 7.4-1 Modules PS-PV 21.0 Psf 70% COMPANY PROJECT WoodWorks® SORWARF FOR W000"SIGN Aug. 6, 2014 06:18 - MP3.wwb. Design Check Calculation Sheet WoodWorks Sizer 10.1 Loads: Load Type Distribution Pat- Location [ft] Magnitude Unit tern Start End Start End DL Dead Full Area No 13 .50 (16.0) * psf PV LOAD Dead Partial Area No 3 .42 9.17 3 .00 (16.0) *. psf SNOW LOAD Snow Full Area I Yes 21.00 (16.0) * psf *Tributary Width (in) Maximum Reactions (lbs), Bearing Capacities (lbs) and Bearing Lengths (in) 12'-2.9" 0' 0'-7" 10'-4" Unfactored: Dead 121 118 Snow 153 144 Factored: Total 274 262 Bearing: F'theta 492 492 Capacity Joist 2858 2582 Supports 2789 - Anal/Des Joist 0.10 0.10 Support 0.10 - Load comb #2 #4 Length 3 .50 .3 .50 Min req'd 0.50* 0.50* Cb 1.11 1.00 Cb min 1.75 1.00 Cb support 1.25 - Fcp sup 4251 - *Minimum bearing length setting used: 1/2"for end supports Bearing for wall supports is perpendicular-to-grain,bearing on top plate. No stud design included. MP3 Lumber-soft, S-P-F, No.1/No.2, 2x10 (1-1/2"x9-1/4") Supports: 1 -Lumber Stud Wall, S-P-F Stud; 2 - Hanger; Roof joist spaced at 16.0" c/c; Total length: 12'-2.9"; Pitch: 6/12; Lateral support: top= full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); ❑ WOOdWOrks® SIZer , SOFTWARE FOR WOOD DESIGN MP3.wwb WoodWorks®Sizer 10.1 Page 2 Analysis vs. Allowable Stress (psi) and Deflection (in) using NDS 2012 Criterion Analysis Value Design Value Analysis/Design Shear fv = 21 Fv! = 155 fv/Fv' = 0.13 Bending(+) fb = 342 Fb' = 1273 fb/Fb' = 0.27 Bending(-) fb = 5 Fb' = 654 fb/Fb' = '0.01 Live Defl'n 0.05 = <L/999 0.55 = L/240 0:09 Total Defl'n 0.09 = <L/999 0.73 = L/180. 0.13 Additional Data: FACTORS: F/E(psi)CD CM Ct ` CL CF' Cfu Cr . _ Cfrt Ci Cn LC# Fv' 135 1.15 1.00 1.00 - - 1.00 1.00 1.00 2 Fb'+ 875 1.15 1.00 1.00 1.000 1.100 1.00 1.i5 1.00 1.,00 - 2 Fb- 875 1.15 . 1.00 1.00 0.514 1.100 1.00, 1.15 1.00 1.00 2 Fcp' 425 - 1.00 1.00 - - - 1.00 1.00 - - . E' 1.4 million 1.00 1.00 - - - - 1.00 1.00 - 4 . Emin' 0.51 million 1.00 1.00 - - - - 1.00 1.00 - 4 CRITICAL LOAD COMBINATIONS: Shear LC #2 = D+S, V = 223, V design = 192 lbs Bending(+) : LC #2 = D+S, M = 610 lbs-ft Bending(-) : LC #2 = D+S, M = 8 lbs-ft Deflection: LC #4 = (live) LC #4 = (total) D=dead L=construction S=snow W=wind I=impact Lr=roof constr. Lc=concentrated All LC's are listed in the Analysis output f Load Patterns: s=S/2, X=L+S or L+Lr, =no pattern load in this span Load combinations: ASCE 7-10 / IBC 2012 , CALCULATIONS: Deflection: EI = 139e06 lb-in2 "Live" deflection Deflection from all non-dead loads (live, wind, snow...) Total Deflection 1.00 (Dead Load Deflection) + Live Load Deflection. Bearing: Allowable. bearing at an angle F'theta calculated for each support as per NDS 3 .10.3 Design Notes: 1. WoodWorks analysis and design are in accordance with the ICC International Building Code (IBC 2012), the National Design Specification (NDS 2012), and NDS Design Supplement. 2. Please verify that the default deflection limits are appropriate for your application. 3. Continuous or Cantilevered Beams: NDS Clause 4.2.5.5 requires that normal grading provisions be extended to the middle 2/3 of 2 span beams and to the full length of cantilevers and other spans. 4. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1 5. SLOPED BEAMS: level) bearing is required for all sloped beams. 6. The critical deflection value has been'determined using maximum back-span deflection. Cantilever deflections do not govern design. Z-ALCUUTIO N-OF DESIGN WIND_LOADS�MP3 Mounting Plane Information Roofing Material Comp Roof PV6Sy_ster Type- :, - �_' Solarcity sleekMountT"' $'€' 41%, Spanning Vents No Standoff Attachment Hardware),. 3 6OMD Mount T e C 3- Roof Slope 250 " Rafter Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin,Spacing -X-X:Purlins Only o- -fNA Tile Reveal Tile Roofs Onlyy NA Tile Attachment S stem`W-•- g Tile Roofs Onlr DNA +45f i IStanding Seam Spacing SM Seam Only NA Wind Desi n Criteria Wind Design Code ASCE 7-05 WindWind Design Method_ s ,Parti---ully'Enclosed_Method Basic Wind Speed V 110 mph Fig 6-1 Exposure CateQory .: - a C ,,,, �- _�� ;�- �� , x-� , f .., z�.� , ,.- � Section 6 5:6:-3' Roof Style Gable Roof Fig.6-116/C/D-14A/B Mean Roof Hei ht b -41 25 ft w Section 6.2 a Wind Pressure Calculation.Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic factor Krt- m 1.00 A., A". Section 6.5:7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 24.9 psf Wind Pressure Ext. Pressure Coefficient U GC -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down a.. GC _ .n 0:45 = u; Fig.6711B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure U -21.8 psf Wind Pressure Down Pfdawni 11.3 psf ALLOWABLE STANDOFF SPACINGS ' X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilevers Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17.sf Ru ,• — - PV Assembly Dead Load W-PV 3 psf Net Wind_Uplift at Standoff ,T_actual -347 Ibs Uplift Capacity of Standoff .T-allow 500 Ibs Standoff Demand Ca aci DCR X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 64" Max Allowable-Cantilever._ -Portrait` _ 71 '.V 4191, ._ OINA - Standoff Configuration Portrait Staggered Ma k Standoff Tributary.Area PV Assembly Dead Load W-PV 3 psf Net WindUplift at Standoff T-actual_ -434 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 86.70/6 II ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. WHERE ALL TERMINALS OF THE DISCONNECTING AC ALTERNATING CURRENT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, BLDG BUILDING A SIGN WILL BE PROVIDED WARNING OF THE CONC CONCRETE HAZARDS PER ART. 690.17. DC DIRECT CURRENT 2. EACH UNGROUNDED CONDUCTOR OF THE EGC EQUIPMENT GROUNDING CONDUCTOR MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY (E) EXISTING PHASE AND SYSTEM PER ART. 210.5. EMT ELECTRICAL METALLIC TUBING 3. A NATIONALLY—RECOGNIZED TESTING FSB Fire Set—Back- LABORATORY SHALL LIST ALL EQUIPMENT IN GALV GALVANIZED COMPLIANCE WITH ART. 110.3. GEC GROUNDING ELECTRODE CONDUCTOR 4. CIRCUITS OVER 250V TO GROUND SHALL GND GROUND COMPLY WITH ART. 250.97, 250.92(B) HDG HOT DIPPED GALVANIZED 5. DC CONDUCTORS EITHER DO NOT ENTER I CURRENT BUILDING OR ARE RUN IN METALLIC RACEWAYS OR Imp CURRENT AT MAX POWER ENCLOSURES TO THE FIRST ACCESSIBLE DC I Isc SHORT CIRCUIT CURRENT DISCONNECTING MEANS PER ART. 690.31(E). kVA KILOVOLT AMPERE 6. ALL WIRES SHALL.BE PROVIDED WITH STRAIN kW KILOWATT RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY • ' LBW LOAD BEARING WALL UL LISTING. L MIN MINIMUM - 7. MODU LE FRAMES(IN SHALL BE GROUNDED AT THE - UL—LISTED LOCATION PROVIDED BY THE NE UT NEUTRAL NEW MANUFACTURER USING UL LISTED GROUNDING - ' NTS NOT TO SCALE HARDWARE. OC ON CENTER 8. MODULE FRAMES, RAIL, AND POSTS SHALL BE PL PROPERTY LINE BO NDED WITH EQUIPMENT GROUND CONDUCTORS AND - _ POI POINT OF INTERCONNECTION T GROUNDED AT THE MAIN ELECTRIC PANEL. PV PHOTOVOLTAIC 9. THE DC GROUNDING ELECTRODE CONDUCTOR . . , SCH SCHEDULE -a SHALL BE SIZED ACCORDING TO ART. 250.166 B O , SS STAINLESS STEEL 690.47. STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Vac VOLTAGE AT OPEN CIRCUIT W WATT • PV1 COVER SHEET 3R NEMA 3R, RAINTIGHT PV2 PROPERTY PLAN PV3 SITE PLAN PV4 STRUCTURAL VIEWS PV5 UPLIFT CALCULATIONS LICENSE GENERAL NOTES PV6 Cut THREE LINE DIAGRAM "� Cut THREE Attached 1. THIS SYSTEM IS GRID—INTERTIED VIA A GEN #168572 a ELEC 1136 72 UL—LISTED POWER—CONDITIONING INVERdfR. 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. • • 3. SOLAR MOUNTING FRAMES ARE TO BE GROUNDED. 4. ALL WORK TO BE DONE TO THE 8TH EDITION MODULE GROUNDING METHOD: • OF THE MA STATE BUILDING CODE. REV BY DATE COMMENTS 5. ALL ELECTRICAL WORK SHALL COMPLY WITH AHJ: Barnstable THE 2014 NATIONAL.ELECTRIC CODE INCLUDING RFvn rnn,e DATEnmeurs co MASSACHUSETTS AMENDMENTS. , UTILITY: NSTAR Electric (Commonwealth Electric): _ PREMISE OWNR 06CR�➢Qk DESIGN CONFlDENTIAL-THE INFORMATION HEREIN JOB NUMBER J B-026 314 00 Orson Homer �W SolarCity. ca+TaNm SHALL NOT BE usm FOR THE HEBERT, CAROLYN HEBERT RESIDENCE - �••.a BENERT OF ANYONE EXCEPT SOEAaCITY INS•, MOUNTING SY M: - - -142 STRAWBERRY HILL RD - 2..04 KW PV ARRAY NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount T e C - PART TO OTHERS OUTSIDE THE RECIPIENT'S BARNSTABLE, MA 02632 z4 sL M'"Drill B n• z ""' ORGANIZATION,EXCEPT IN CONNECTION PATH MODULES. _. SHEET. REY: DATE: Mm@arwgR MA 0175Y TIO SALE AND USE OF THE RESPECTIVE 8 CANADIAN SOLAR #CS6P-255PX PAGE NAME T:(Gw)""-IOze F.(650)638-1029 dty. SOIARCITY EQUIPMENT,YATHOUT THE WRITTEN IN,S„� _ .5087780568 COVER SHEET PV 8/5/2014 (ee9rSOL-CITY(7fi5-I18B) ....�a�alr. PERMISSON OF SO ARCITY INC. SOLAREDGE SE3000A—US—ZB—U - _ . p_ PROPERTY PLAN N Soled"=20'-0' �E W 0 20' 40' oEsa6PTwN DEsa: PREMISE OWNER: - _ _ . COIN I SHALL NOT BE USED R THE aae+utmm: iJB-02631 4 OO Orson Homer j.Ss rCity.CONTAINED STALL NOT BE USED FOR THE HEBERT, CAROLYN HEBERT RESIDENCE �.., BENEFIT ac ANYONE EXCEPT SOLARCITY INC.. MOIJI a sn'°k 142 STRAWBERRY HILL RD 2.04 KW PV ARRAY NOR STALL IT DE DISCLOSED IN WHOLE OR IN CompMount Type C - - PART To OTHERS OUTSDE THE RECIPIENT'S — BARNSTABLE, MA.02632 ' ORGANIZATION.EXCEPT IN CONNECTION N1TN MODIRES: _ ,, 24 St Mein DAvq BuA��g 2,Unit II tNE SALE AND USE OF ONE PEcnvE (8) CANADIAN SOLAR CS6P-255PX SKEET. REV.. DATE Mw bawgh,MA 0752 SOLARCITY ND USE O WITHOUT THE WRITTEN PAGE NAIL T-(650)67fl—f028 is(650)08-1029 PERMISSION OF SOLARCTTY INC. SOLAREDGE SE300OA—US—ZB—U 5087780568 - PROPERTY PLAN - PV 2 8/5/2014 (666)-Sa-aTY(765-2+e9) .... aer.�n PITCH:25 ARRAY PITCH:25 MPl AZJMUTH:280 ARRAY AZIMUTH:280 MATERIAL:Comp Shingle STORY:1 Story ate- TKOF!lASS PITCH:25 ARRAY PITCH:25 MP2 AZIMUTH:100 ARRAY AZIMUTH:100 4 ANDREnw£n. ry��\, MATERIALComp Shingle STORY:1 Story VIAI sTrurruanr � PITCH:25 ARRAY PITCH:25 NO.n7313 MP3 AZIMUTH:190 ARRAY AZIMUTH:190 MATERIAL:Comp Shingle STORY:1 Story NAL STAMPED &SIGNED FOR STRUCTURAL ONLY s Digitally signed by Andrew White Front Df House Date:2014.08.0610:01:24-04'00' LEGEND • 3 11 • Q (E) UTILITY METER & WARNING LABEL ~ 21i9 INVERTER W/INTEGRATED DC DISCO & WARNING LABELS © DC DISCONNECT&WARNING LABELS AC DISCONNECT& WARNING LABELS E O DC JUNCTION/COMBINER BOX &LABELS --- - - Q DISTRIBUTION PANEL& LABELS 'Inv 1 P ' Q LOAD CENTER & WARNING LABELS A O © O DEDICATED PV SYSTEM METER 0 STANDOFF LOCATIONS r CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR P GATE/FENCE O HEAT PRODUCING VENTS ARE RED » '= INTERIOR EQUIPMENT IS DASHED . ` L_J SITE PLAN N1m ` Scale:1/8"=V 0 1' 8' 16' 5 J B-0 2 6 314 00 "�O""BE DESCRIPTION: DESIGK' }� CONTAIN L-THE INFORMATION HEREIN ,pB NUMBER: .,,SO�afC�ty. cw+TaNm sHau.NOT BE usm FOR THE _ HEREBY, CAROLYN HEREBY RESIDENCE Orson Homer `J BENMT D ANYONE EXCEPT SOIARCITY INC., YDUNIING MIM ��'•'� NOR SHAOF IT BE INSaosm IN MOLE OR IN CompMount Type C 142 STRAWBERRY HILL RD . 2.04 KW PV ARRAY PART To OTHERS OUTSIDE IHE RECIPIENrs MXUa BARNSTABLE, MA 02632 ORGANIZAIION,EXCEPT IN CONNECTION WTH 24 St.Minn 0,1,^Building z Unit 11 THE SALE AND USE Or THE RESPECTIVE 8 CANADIAN SOLAR CS6P-255PX M.Ib—gh.MA 01752 SOLARCITY EQUIPMENT,MITIHOUT THE WRITTN. # - - - PAGE NAME , SKEET REV: DATE L(690)635-1028 R(650)638-1029 PEnwssoN or SOIARCItt INC. a�� "' 5087780568 PV 3 8/5/2014 (8SB)-sa.-CITY(765-2+89) —.°aadEr.— SOLAREDGE SE3000A-US-ZB-U SITE PLAN ;(E) a �tti OF rlgSS9 C1 . Z' AN OR D- WIIITE v S IRur,"t N !RAL y o.473 19 C• S NAL -9" LBW FOR STRUCTURAL STMRUCTURAL ONLY A SIDE VIEW OF MP3 NTs MP3 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES LANDSCAPE 64" 247. _ STAGGERED PORTRAIT 48" - 20" - RAFTER 2X10 @ 16°OC ROOF AZI. 190 PITCH 25 STORIES: 1 ARRAY AZI 190 PITCH 25 u. None @24"OC r Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER , & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (U LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) (2) SEAL PILOT HOLE WITH - POLYURETHANE SEALANT. ZEP COMP MOUNT C ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (1) (4) PLACE MOUNT. (E) ROOF DECKING U (2) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES (6) INSTALL LEVELING FOOT WITH WITH SEALING WASHER BOLT& WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER i STANDOFF _ S1 Scale:1 1/2„=1 PREMISE OWNER: r DESCRIPTION: gym: - CONRDENTIAL—THE INFORMATION HEREIN im NUMBER J B-026 314 00 Orson Homer �\`t''SolarCity. caITANm SHALL NOT BE usm FOR THE HEBERT, CAROLYN HEBERT RESIDENCE „a BENERT OF ANYONE EXCEPT SOIARCITY UIC., MOUNRNG SYSTEM: - NOR SHALL IT BE DISCLOSED IN NHOLE OR IN CompMount Type C 142 STRAWBERRY HILL RD _ 2.04 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S BARNSTABLE, MA 02632 - 24 St.MwUn Ddm Buld"9 z.Unit II ORGANIZATION,EXCEPT IN CONNECTION NTH wo`UEY - Mart—gh.MA 01752 THE SALE AND USE OF THE RESPECTIVE (8) CANADIAN SOLAR #CS6P-255PX P,�NAME SHEET "8M °A�'- T:(W)e38-102e F.(ssl)I3e-1I29 SOIAROTY EOOPMENI,IMTHOUT TIME XRITIFN POERIFR PV 4 8/5/2014 (sewsm-an(7e5-2+8e) ....�Ity— PERMISSION OF SOLARCITY INC. SOLAREDGE SE3000A—US—ZB—u 5087780568 - STRUCTURAL .VIEWS UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. ca+ElDEanu-THE INFORMATION HERE N JOB—eLTt J B-0 2 6 314 PROM OVa DEWHON oEDCIE � CONTAINED SHALL NOT BE USED FOR THE _, HEBERT, CAROLYN' HEBERT RESIDENCE Orson Homer `:,,So�arCity. BENERT GF ANYONE EXCEPT SOLARCITY INC., ya1NTING SYSTFIt - K d NOB SHALL IT BE OIsnOSEO IN"HOLE OR IN Com Mount 7 e C -142 STRAWBERRY HILL RD 104 KW PV ARRAY PART TO Gras QUT90E THE REaPENNrs P a+caw2aDON,EXCEPT IN cOUNEC-— yODULE.e BARNSTABLE, MA 02632 24 St.y�H Grim 8.8d.9 z UI It 11 THE SALE AND USE OF THE RESPECTIVE (8) CANADIAN SOLAR #CS6P-255PX SHEET. � DATE M�0,MA 01752 SOLARCITY EQUIPMENT,WITHOUT THE WFUTiEN WYRiEIt - PAGE NAME: - T:(650)636-1029 F:(650)638-1029 PERMISSION OF SOLAWTY INC. - SOLAREDGE sEs000A-us-ze-u 5087780568 UPLIFT CALCULATIONS PV 5 8/5/2014 (BM)-SOL-CITY(765-2489) ....d-4— GRO ND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE 72 BOND(N)#8'GEC-TO 1WO(N)GROUND- Panel Number. Inv 1: DC Ungrounded �ENWV I—(I)IS qq — 8 CANADIAN SOLAR p CS6P-255PX LE �136 M ODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number..1609403 ' 9In�xE'�30QOWE 2)4OVA 97557-wNn fed Disco and ZB,AFCI ( ) PV Module; 255W;234.3W PLC,Black Frame,MC4,ZEP Enabled ELEC 1136 MR 'Underground Service Entrance 2 Voc: 37.4 Vpmax: 30.2 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER ((E)).200A MAIN SERVICE PANEL (E)20OA/2P MAIN CIRCUIT BREAKER SO ARD Inverter 1 _ (E)WIRING CUTLER-HAMMER METER 3 SOtAREDGE 200A/2P Disconnect SE3GOOA-US-ZB-U (E)LOADS 0. 11, B C I t1 O SolarCity 2OA/2PGN0 - cNo• --- ---- ----- -LC9c - I oG161da9(:)or a oa rrv3 -- '____ __ EGC__.____________ E&ZEC _ I I 1 I GEC 1 - a TO 120/240V I I SINGLE PHASE I I - UTO7Y SERNCE I I . r - PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN - - _ Voc' = MAX VOC AT MIN TEMP - (1)SdarCit 4 STRING JUNCTION BOX DC OTT (1)SOUA�D HppM220 PV BACNF®BREAKER B -(1)CUT ER-HAYk1EN/DG221URB A 2x2 SiR01GS,UNFUSEO,GROUNDED l Breaker,�A/2P,2 Spaces Oisaxaect 30A 210Vac,Nan-Fueblq NEMA 3R AC (B) RE p3pp_glA4A25 -(2)Ground Rod;5/8 x 8.copper -(I)anm kNAk1MER&ocD3one - PV aD Grand/� trot t JOA Generd Duty(DG) Po�erBo. funks.300W,H4,DC to DC,2EP - Solid Bare a - �, '•- ;. C solarGuad Monitoring system `" _, n (1)Awc/6, Copp ` 1)Ground Rod;5/8".V.Copper _ - - (N)ARRAY GROUND PER 690.47(0).NOTE: PER EXCEPTION NO.2, ADDITIONAL - ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCAnON OF(E)ELECTRODE 3 (I)AWG p10.THWN-2,Black I�'� I AWG 110,TIWN-2,Black Voc' =500 VDC 6c=15 ADC L�2 AWG p0,PV WIRE,Black Voc' =500 VDC Isc=15 ADC OIf(I)AWG/10.THWN-2,Red O bF(1)AWG i10,THWN-2,Red Vmp =350 VDC Imp-5.75 ADC O bF(1)AWG/6,Solid Bae Copper EGC Vmp =350 VDC Imp=5.75 ADC �ZZ(I)AWG 110.THWN-2,White NEUTRAL Vmp =240 VAC Imp=12.5 AAC ,,,,_ttk...(1)AWG/10,THWN-2,Green .EGC,,,-(1)Conduit,l ik,3/VENT.._.__,,,, LLLL�� '. .......-(1)AWG Ia..TH_WN-?,.47pm,,EGG/GEC-(I)Conceit_Kit.7/4�E T.......... CONFIDENTIAL-THE INFORMATION HEREIN JOB NUMBER: JB-026314 00 PRE111SI:OWNEk - Orson Homer. - �\I„C O'��'�� CONTAINED SHALL NOT BE USED FOR THE HEBERT, CAROLYN HEBERT RESIDENCE _ �•„�J BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOINTWG SYSTM - NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 142 STRAWBERRY HILL RD - 2.04 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS - BARNSTABLE, M A 02632 - 24 SL Matin Drive.Eld,in4 a wit N ORGANIZATION,EXCEPT N CONNECTION NTH Y000lFS - - -THE SALE SOLARCITYAND USE OF THE RESPECTIVE (8) CANADIAN SOLAR CS6P-255PX P,�NAIL SKET., REV." DATE: T.(650)638-1028 F A(650)638-1ov PERMI55iooN Oor SO AaQINC.T THE WRITTEN °'',O'er - 5087780568 soLAREDCE sE3000A-us-ze-u THREE LINE DIAGRAM PV 6 8/5/2014 (6BBrmL-D,Y(765-2469) —.d.dty._ t SolarCity SleekMount*"" Comp SolarClty SleekMountT"" Comp The SolarCity SleekMount hardware solution •Utilizes Zep Solar hardware and UL 1703listed i`� v `°;r'. 'y` Installation Instructions is optimized to achieve superior strength and Zep Compatible—modules. V aesthetics while minimizing roof disruption and Drill Pilot Hole of Proper Diameter for •Interlock and grounding devices In system_UL - c labor.The elimination of visible rail ends and - -. �� 34 =s Fastener Size Per NDS Section 1.1.3.2 listed to UL 2703 mounting clamps,combined with the addition Q Seal pilot hole with roofing sealant of array trim and a lower profile all contribute •Interlock and Ground Zep ER listed to UL 1703 a3{ - i - _ to a more visually appealing system.SleekMount as"Grounding and Bonding System' _ - i. ® Insert Comp Mount flashing under upper. utilizes Zep Compatible*"modules with `•Ground Zep UL and E L listed to UL 467 as f "• •-3•-•.•Iasi, layer of shingle - I strengthened frames that attach directly to grounding device - - ® Place Comp Mount centered Zep Solar standoffs,effectively eliminating the• ��' t`k "�4v to e k 3zrk upon flashing need for rail and reducing the number of •Painted galvanized waterproof flashing standoffs required.In addition,composition F' *�.� '4 "' Install lag pursuant to NDS Section 11.1.3 - q p Anodized components for corrosion resistance - .;--�rr „ya,,;, j '�?, .,y., _ shingles are not required to be cut for this � - � � r � rrf s with sealing washer.system,allowingfor minimal roof disturbance. •Applicable for vent spanning functions Yc y Secure Leveling Foot to the Comp Mount using machine Screw Place module ® Components ®' -®5/16"Machine Screw Tr, - 19 Leveling Foot _ ®Lag Screw Comp Mount '� a ® ®Comp Mount.Flashing •r ' rr•SOlarCity January 2013 "M. ® U� LISTED ri'SolarCity January 2013 r. Aonalit CS6P-235/240/245/250/255PX lie Black-framed N F FT•P° ��" Canadiansolar Electrical Data Tem erature Characteristics STC �ytsr "✓•• l2:"� yF_CS.F-235P CSBP-25bi,CS6p:245F C66P-250P, CSBP.-255P P - - NominelMaxlmu P P a 235W 240W 2d5W 250W 255W p a -043%lG O it it er.,in Voltage Vmp 29.6V 29.9V ]O.OV 30.1V ]0.2V Temperature Coemclent Vocx .0.34%/C -' - opllmum0 crating Cu r1l Im 7.9DA 8.03A B.tia 8.30a 8.d]A lac 0.065%rc .O en Clrcult Voltaga(V. 36.W 37.0V 37.1V 71.2V 37.4V Normal Operating Cell Temperature 45s2'C Snort Circuit Current(11c) 0.46A 8.59A 9.74Bl A 8.8]A 9.DDa ^ ack-fram- • Module EmciencY 14.61% 14.92% 15.23% 15.Sd% 15.05% Operating Temveratarp <mc-.esc Performance at Low Irradiance ♦ 1 i Mexlmum System Voltage 100( EC/eOaV UL Industry leading performance at low Irradiation Maximum Series Fuse Raling 15A environment,•95.5%module efficiency Irom en gpplicellon Clessiflcellon Cl...A krsdlahce O/t000w/m'10 200W/m' Power Tolerance p_.5yy (AM 1.5,25 C) Next Generation Solar Module —Und.,Standar,T c dl .(s ct I d :.+o w1 .ve w AMs•na..a ..........sc Engineering Drawings r- _ NewEdge,the next generation module designed for multiple NOCT <3 '-'�' >.C58P-2]SP C66P 240P CS6P-245p C68P-25UP C99p-255P% types of mounting systems,offers customers the added Nominal Maximum Power Pmax I7oW 174W 176W 181W 185W _ value of minimal system costs,aesthetic seamless o tlmum0 eranng volts e(Vmp) 27.2V 27.3V 27lV 27.0V 2LSV appearance,auto groundingand theft resistance. - o nmum o erann current pm) 6.27A 6.36A BABA 6.60A 871A • _ open circuit Voltage(Va.) 33.9V 3d.0v ]Ltv 31.zv 7. The black-framed CS6P-PX is a robust 60 cell solar module Start Clrcult Current(lac) B.a6A 8.96A 1.OfiA 7.19A 1.29A incorporating the groundbreaking Zap compatible frame. c eanaind norm,+oo.rsun9 Can Tamp•raur••1^eal.•ea=raoo wlm,.p•cwmAN+s,•m^i°^11•'na°"t'r°xpc. _ .w.a 1 m1. The specially designed frame allows for rail-free fast Mechanical Data - - •. installation with the industry's most reliable grounding Call Type poly.crystalllne 156 x 1561nm,2Or 3 Ou—rs _ system.The module uses high efficiency poly-crystalline _ Cen Avang...rt 60 is 10) ?s • silicon cells laminated with a white back sheet and framed Dini"Mons Key Features 1838 x982 x40mm(Bd.5x38.7a 1.5)In) ,1 .hd with black anodized aluminum.The black-framed CS6P-PX 20.Rg(4531bs) • Quick end easy to install-dramatically Is the perfect choice for customers who are looking fora high Welg W.1g hl Coaer 3.2mm Tempered tiles reduces installation time quality aesthetic module with lowest system cost Ren< Frame Material Anoeizee aluminium ahoy J-BOX IP65,3 diodes _ Lower system costs can cut rooftop. ✓ •Best Quality a cable - 4mm'D 21112AWGIUI.).1000mm Installation costs in half • - Mcd or Mc4 comparable .. _ 235 quality control points in module production Cable re Aesthetic seam less appearance-low profile EL screening to eliminate product defects Slanders P...g,n9( d.a.per P.11-0 24pca with auto leveling and alignment Current binning to improve system performance Moame Pieces percomamer(4o n.container) 672pc4(40•HO) • Accredited Salt mist resistant - - • Built-in hyper-bonded grounding system - if it's I VCurves(CS6P-255PX) - -_. w.. Best Warranty Insurance mounted,It's grounded Theft resistant hardware 25 years worldwide coverage saalon a-q • 100%warranty term coverage - • Ultra-low parts count- 3 parts for the mounting Providing third party bankruptcy rights and grounding system Non-cancellable - Immediate coverage • Industry ratedo adding insurance warranty insurance by Insured by 3 world top insurance companies - � - AM Best rated leading insurance companies in the _ world Comprehensive Certificates - —s= • Industry leading plus only power tolerance:0- 5W IEC 61215,IEC 61730, • IEC61701 ED2,UL1703, • Backward compatibility with all standard rooftop and CEC Listed,CE and MCS • ground mounting systems - - IS09001:2008:Quality Management System p una.no nwd.a ntN, h••t•,e.a i ..h..9.w6h.ulPa.rn.uc• . ISO/fS16949:2009:The automotive quality management system - About Canadian Solar _ Backed By Our New 10/25 Linear Power Warranty_ 1SO14001:2004:Standards for Environmental a as Plus our added 25 year insurance coverage - • management system Canadian Solar Ina.Is one of the World's largest solar Canadian Solar w s /Doodad In Canada In 2001 and companies. As a leading vertically l nteg rated auccessiully listed on NASDAQ Exchange(symbol:CSIQ)In leiz Atltle QC080000 HSPM:The Certification for manufacturer of ingots,wafers,cells,soI.rm`duIes and November 2006. Canadian Solar has module manufacturing power Capacity I of 7.7GW. tl Value From w Hazardous Substances Regulations. solar systems,Canadian Solar delivers solar ca I Of 2.05GW and cell manufacturing Capacity ty " OHS AS 18D01:20071n[ernalional standards for `o•+ products of uncompromising world la woo m worldwide o, - customers. Canadian Solai s w Id class team 1 occupational health and safety - prores6lonala works closely with oar pastomera to _ o% s 10 a xo a • REACH Compliance provide them with solutions for all their solar needs. •10 year product warranty on materials and workmanship '.✓'<<•3.1C E I'n G�s7s}-�'�w[®+' - •25 year linear power output warranty - - - - www.canadianiolar.com- - ' • solar- . . _ 9Optimizer $olar��'j' Module d a Power rca _ Module Add-On for North America - P300/P350/P400 SolarEdge Power Optimizer Module Add On For North America k P300 P350 woo ( n Ibr n-„uw Ibr9s,:n Ibr go-aw t madm,alw modalel " maaaka P300/ P350/ P400 • NPtlT 'OC PoweW - t' d00 35o auD. PTI umes P F BP uag u W - j .. o - :aY 6 'S# f. i*t,x • -t .. tlmum DC p C .. Ma 125 . - iiii E k b p % ....................... .. ... ........................... ,. •]' R t - •�5 OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) . .. " mou<pu<.evrrem ..._. ._.. u AA ou".vattae, EG vas... ,�:Pe. '' • OUTPUT DU RING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) , DM PLIA Paw,Opb I Vdc STANDARD COOMRO ANCE. a aF y'. a- A,.r•— - EMC.11 ...`FCC Pa 15 Chu 8.EC61000.62 EC6 0066-3 ........ r, YIIIF� Szfery........-.............I........................................ ........... IECbu04].)chss._caretrl;uuT<I............................... R HS u INSTALLATION SPECIHCATIONS..':n .. Maa mum Allowed System VohaBe,.. 100D W ,,, ' - I, t,s5 Dlmem,on lW eLe NI 341821]ea05/SS 834 159 r -" ., Vh eM lmdudry cables(..... .... ... 950/21 .. .. .. MG/ pn I/ .. ✓ - O tput ,TTpe/Connector Oauble n ! pn of - u - p' i :. Output Wre le F[h o.95/90 I .� «= OP HnB Temp R 8e ,_ -C/-F P65/NENA. ... ... .. 4_ Relrtve Hamldlry .:................... . 0 100 % - "• PV SYSTEMDESIGN USING A SOIAREDGE THREE PHASE THREE PNASE'?.r T' W_ cvup�� . T' .ef�Cy.. •.dE! 04 N"13-1 I,w[n Po RTESvbg nMl OpHmuersl) NGIss NA Zss SOV _ NVE SI SE u Wa rylm9i5%tion at the m ._ 1 i a PowerDa SWM ........ 5250 6000 lz)50 m 25x F,. § Xh k �c "+c—^k • 'F ; a`k��' tY��'1'.• � "�ar .Panikli[nNsof OlDeren[lenBNs or OnennHons. ....... .... ..... +S-. MlHgates Il,rypes I d I tdl I f fa Ing WI t P rd I h tl g _ yljt �� _ I:, "✓S e+- ,.,=.t Y a•c ;s�� -w�.+~t - I��7 ��•ai+`]ten.. e � NUSA - GEeMANT TALY Y FRANCE JAPAN- CHINA- ISRAEL -AUSTRALIA WWW.SOIdfQdgQ.US -14 _ i,; N- • t solar r, _ _ Single Phase Inverters for North America solar=e e SE3000A-US/SE3800A-US/SESO40'OA- /SE6000A-US/ � � SE7600A-US/SE10000A-US/SE11400A-US SE30MA US SE3800A US SESMA-US SE6000A-US SE7600A-US SE100001t-US SE114GOA-US OUTPUT Nominal AC 0.p[ -3000 3800 5000 6W0 760D 10000 240V 11600 VA SolarEdge Single Phase Inverters "' .. .. .... ...,..... .5400 @ 208V .. ....10800 @ 2DgV Max.AC Power Output !13 4150. 6000 835..............................12000 �?..... SAS0,,200V.......... 10950 @240V For NorthAmerica -ACO�ty,tV11"geMI:NomM..' .: • '„ 183-208,229 Vac.................................................................................................................................................... SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ AC Output Voltage Min:Nom:Max.' SE7600A US/SE10000A-US/SE11400A US iii.zoo 39Wq................. .. . .. ......... .... .............................._._......................._........................ ACF y NMIn.Nom-Max.' ,,.. 5I9.3 6D fi05I 111h HI iPuntry settlng 57.60-I605) ... .... Cob s Output Curtent 12.5 16 21(d 240V 15 32 " 240V.I .. ..... .... ... .. ... ...... ....... .. A GFDI ........ 1. ... ........ .. ... ..... 1 k .� �Y`P Y : Utility Montoring,Is landing - f Pro[ecdan.CbunW Configurable Yes YR• � stJl7r YS >e# 4 t._ Th h Id - .: .� ...3 nr 'k INPUT R tl d M DC P 3]50 4]50 6250 ]500 9500 12400 14250 w W , C,q,c W1Td1mP k T TCsf a U g ded.... ... .... .....................................Y .... ...... ..... .. ... .. Vtic I- "•A T F x e 1t, &•? Max.input Voltage 500 .... .... .... ......... ..... .... .. .. ..... ... ... 325 @ 208V/350 @ 240V.... .... ... Vdc.... •Maµ Y '`t 0 �' Nom.DC Input Voltage .... .. t 4, rt'T"" '1". "'y-[•�'— l�Ai�., b ..... ... I6.5 @ 208V 33 @ 208V M. Input Cu t ' 9.5 13 115.5 @ 240V I....18.. 23 I 34.5... Atic .({b,� `._'1.- q ....-.� - yw Max In➢ut 5h rtG It Currerrt . .. .... 30.. .... .... ....... 45 ................ bri f'1p .,{c, ' • ] ^ e, Re PoIa NP Non Yes .... .. .... ... Ad '*1 pT `i ✓v I!r Grou d-F ult l I tl.......... ,„ 600kA Sensltivily f . I ...98 9.8. Ma mum lm Efl n 959] 915 ] W% CEC Weighted Efi cy � N'g 23 4 m % ZI B (pb._I,L - * r'3'iADDITIONAL FEATURES ` R5485 RS232 Eth t g.. .. .... ... ... • s Supported CommunlcaHon Int rfa ,.,. ,„ ,....^� Yyp u R G d D to ANSI C321 OPtl I - - ; STAND ARD COMPLIANCE- 1 - Safety ULll41 UL1699B UL1998 CSA 222 ... t�,,. '• f 4 �^v--- :t T Grid Conneman Standards ._., ,.IE37 .................. .. • 3 fJ � t .: ... .. .... ... ..... ,. FCC P rt15 das,B - 4 INSTALLATION SPECIFICATIONS �` - AC autpN condui[slte/AWG g 3{4 I /24fi AWG 3/4 i /8-3 AWG DCinputconduitsue/p ofrtn gs/ 3/4 m/12 tdnp/266AWG 3/4 i im /125V.p 14�AWG AXIS range..... ,r R �,;, .� +r Dmensions with AC/DC Safety. 305 12.5a]/ 30.5x125 ].5/ x10S/775 fnnm 3i 775 x315x 172 775x315x 191 x 5 • twN .... ..... ... ...... .12588.4 .......31 ..... Ib/kg _ -; C u&^9....A4oC . .... ?Na[unl[Anvecbon ... .F. ) 50p1 eable)x260... .dBA ery j ^.l..lt' Nhlse ..... ...... .. .. ... ... .... .. 7he;best choice for,5olarEdge enabled systems _. _ Mn.Mm.0pe d,gTempeat�re ,3tp.14D/-2ste.6DIGN e�4n••••4otP 6D1 F/'C sl.z L '_y:iNl'� "+•Y�'N '��v`K"tj�t'�i- § `YFht4'�'a"r�4ZbE .. .... .... .. .... ... .. ... ,,�.2 y�,l lnteg Ye ascL fault,p_ttecDon(Type 1)for NEC 2011 690.11•comPllance - -t; 8............................................... ..... ............ ...... a _ ^. Pro[eNon Rating ............. .... ................................. .. ..NEMA 3R.. .. .... ........................... ' —Superior effiGenry(98%) ?� d• `. 1 .. • °^K•'a10Avb m^na�.n °" c .- + - .. .em ,< ,m... ,. wti m gym...w.•n.e...,rrns'c..amusx l.,�.�em..x.�nne.u.,rrns' Smallylj£Igh>w�ghtand easy to Install o provlded'bracket •r. r yt€ f a.m.e mmm�»bn�h.e a y� {a i P"/ate e4 �r8udtm modulelevel mon toting -.f -- „�'•d. ,_qr viw.2.00n.r..m.uwr.r+r.m'xwmlmw.rn.a sstt'ee..ut'c`"L�n InterneY:ctinnecDonahrD_ugh Ethe6riet or Wlrelesg.- + gF _ 3a�,•e 2 spa. - ;r ,r..... _ :" �-r•», ..'uF �--.'+3 - r .._ :. .z...a,g .s:; '� '-' y "' '.3:._J`+"",t ,e �� •Y-�a a�-� a �.Ivr.,t==a 4'tt� U��+gy�•�9 ,�4. -'� �` �1 N �- _� ty ;G'...•.. • - ..-' �+'r "r'•�';— Fixed voltage inverter tDC/AC conversion only 1 � i - x '� a �='i 'I � .�., Pre-assembled AC/DC Safety Switch for faster)stallation 3 } „� k --'F F ;� y t -Optlonala,revenue grade data ANSIC121 .� # t=}. ', 3 fit' smsoE� • USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL WWW:SOlaredge.US q IT i 1,09320 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel' Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee v �� Date Definitive Plan Approved by Planning Board ft Historic - OKH Preservation/Hyannis Project Street Address 142 Strawberryill Road/ Village rt Owner Paul E Herbert Address PO Box 508, W. Hvannisport, MA 02672 Telephone 774-487-8145 Permit Request air sealing, attic insulation, install 6 Soffit vents Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ` ' Tot8qkhewzz- Zoning District Flood Plain Groundwater Overlay u Project Valuation 1620 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dgoumeation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use_ Proposed Use , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1141 Elmwood Avenue, Cranston, RI 0291OLicense# 100459 -1-299-79 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -- - DATE Erik Nerstheimer for RISE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r J _ The Comm nw"ealth of Massachusetts,, Department of Industrial Accidents - Office wf Investigations 600 Washington,street Bosion,Mass. 02I1I www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Conti•actors/Electricians%Plurnber-s Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thiel ch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 'Ph6ne#:.(401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: t Type of project(required): L N I am an employer with 4. ❑ I am a general contractor and I 6. 0 New construction' employees(full and/or part time).* have hired the sub-contractors "❑Remodeling -2. 0 I am a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sub-contractors have 8: ❑Demolition "$ working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'comp.insurance comp.insurance.$ z. , required] 5.0 We are a'corporation and its 10. 0 Electrical repairs or additions 3. 0 I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL ,r 11. O Plumbing repairs or additions insurance required] t c. 152, § 1(4),and we have no 12. 0 Roof repairs, employees:7[no'workers' 13. 1 Other 'Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who'submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. $Contactors that check this box must attach 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.policl 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:: The Preston Agency`'' Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1J 1.111 .. r Job Site Address: ity/State/Zip: l�' _, 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 152 can l 1.ead 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 $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the, DU for coverage verification. I do herby certi and 'the ins enalties ofperjury that the informationprovided above is true and.correct. Si nature: / Date: C,D. . Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1-800-422-5 6 x l '13 Of use only Do not write in this area to be completed Py city or town official City or Town: .- Permit/license#: Issuing Authority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: ACQf DD CERTIFICATE OF LIABILITY MURANCE O. PIQ -7 DATE(MMroo,yyY) THIEL-1 09/13/10 pRooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency Zn'C. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 81*0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI. 02.818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE {" NAIL - " INSURED INSURER A: Zuiich-American 'Ins Co. Thielsch g Eng ineerin Inc INSURERB. 1 --- �._ can Cuarant.a 6 Llabll'ity Thielsch 6alty Inc. INSURER North American Capacity Hi Tech Rialty Inc, '_ Cranston Frances Avenue INSURER Hartford Insurance Company. Cranston RZ, 0291.0 , INSURER E ' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED r0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI IYHS'FANDING ANY REOUIREMENT,TERM OR CONOITIONOF ANY CONTRACTOR OTHER DOCUMENT-INITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR ,WAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT'TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-AGGREGATE LIMITS SHOWN'MAY HAVE BEEN REDUCED BY PAID CLAIMS. Ir75R�ODl - . LTR INSR TYPE OF INSURANCE POLICY NUMBER - DATE(MWOD(YY) DATE( M) LIMITS _ GENERAL LIABILITY EACH OCCURRENCE 1 1,000 000 A i X COMMERCIAL GENERAL LIABILITY 3730962-00 0,4/01/16 .ovol/ii RREmIISEs-'m'once) s300,000- CLAIMS MADE- OCCUR MED EXP(Any,one person) S 10,000 PERSONAL&ADV IN.;URY .. S 1 r 000-;000 GENERAL AGGREGATE - 5 2,000 000 GEN'L AGGREGATE]PRO APPLIES PER: POLICY ICY X PRODUCTS-COMP/OP AGG $2,00 0,0 0 0 JECaT LOC . _ AUTOMOBILE LIABILITY - - .-� - ' - Emp Ben - - 1,000,000 -� A X ANY AUTO 37309*63-00 04/01/10 O1/O1/11, C(E a accidaacoidDSwGiEUM1Tent) s2,00.0,Ooo ALL OWNED AUTOS - - BODILY INJURY SCHEDULED AUTOS .(Per pe(son) - HIRED AUTOS WON-OED AUTOS. eODla c�dunlR�' WN a• ., A . PROPERTY..DAMAGE. H ?Per accidenl) - GARAGE LIABILITY AUTO ONLY;-EA ACCIDENT g . ANY AUTO - OTHER TRAIN EA ACC I i, AUTO.OMLY: - AGG S •- "' . _ . EXCESS/UMBRELLA LIABILITY - - - EACH OCCURRENCE $ 10,000,000 B X OCCUR ElCLAIMSMAUE LIMB 9263637-00 : 04/01/10 0T/01/11' AGGREGATE $ 10,000,000 DEDUCTIBLE 3 X RETENTION $1D,000 W'ORRERS COMPENSATION AND EIAPLOYERS'LL48ILITY X TORY I_UdITS FP. r A ANYPROF'RIETOR/PARTNER/EXECUTIVE'- 373096_1-00 - 04/01/10 OS./01/11. El.EACH.ACCIDENT. $ 1,000,000 OFFI CERIMEMBER EXCLUDED'? — Ir yes.describe under • - - _ E.L.DISEASE-EA EMPLOYEE $1,i000,000 ` F SPECIAL PROVISIONS below, - - E1.DISEASE-POLICY LNIT :) 1,000,000 I' OTHER - - - ClProfessioaZal Liab DVL000026.800 o4/01/10 04/.01/11 Prof Liab 2,000,000 D � Leased/Rented Eqp 02UUINTD5678 04/01/10 04/01/11 Equipment, 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS- y CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI8ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 .DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON.THE INSURER.ITS AGENTS OR_ - - REPRESENTATIVES. - AUTHORIZED REPRESE V F:« ACORD 25(2001/08) " t�ACORD CORPORATION 1989, p��o T 1�>,'J �"`;; �r,.'�;wr.t.'?le�.��,-j1F;.�•fig.' d. �(��.��t.l �i�F��i��; f�'f,+�,tl� '!yj �trl�ylr i�Si '� i ��15{>,i t T�IIEY.I '1 1 �r.... PAGE 2 9'�® 1 Er"��T �;x'��+��j�URED151N11ME� aTl4ie'1`��,*`L�n Ytnee�;t�n J�n�.�n 9t F�l�ll't��` l OP ID 271ii I ,I rs.,y DATE,04/12/10 '.— 1 i�_r.._tJl t3tyF11t,t�i,.� lrtlf t...l....`y_.._..:. I '. w5 ! nt t�?•�;�..A(i l3..i: .�.�.iN1:l.s:�.. £•�it�r l�ih ...x.�..ri al�....-.N A180 for RISE Engineering, a division of ThielBch Engineering,. Inc. Gaskell Associates., a division of Thielsch Engineering,, Inc. BAL Laboratory) .a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch Engineer ing, Inc: ALCO Engineering, a division of Thielsch Enginee-ring, ,,Inc. Water Management Services, a division of Thielsch Engineering, `Inc. ` n 91te_ O ic�eo "tons�ume�riai and usiness egu anon ; 10.Park Plaza - Suite 5170 Boston, Wssachusetts 02116 Home Improveontractor Registration Registration: 120979 r Type: Supplement Card m Expiration_: 3/25/2012 " THIELSCH ENGINEERING ERIK NERSTHEIMER. � . 1341 ELMWOOD AVE. CRANSTON, R1,02910 w - Update Address and return card.Mark reason for change. ;E] Address .❑ Renewal 0 Employment Lost Card pPS-CA1 Co 50M-04/04-G101216 Office of Consu earAffairsu iness R g�tio License or registration valid for individul use only , OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrati*n 79 Type: 10 Park'Plaza-Suite 5170 r ExpiraQ12 Supplement Card Boston;MA 02116 THIELSCH EN& ERIK NERSTHE 1341 ELMWOOD _ -',d;! \� CRANSTON', RI Undersecretary Not valid.without signature --- - —--- ---- - -- - -- -- ------ --- - rage 1 0I 1 •Tlie Official Website of the Executive Office of Public Safety,and Security,. (EOpS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor =- License# 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, R1;,02857 Expiration Date 3/28/2012 Status Current _ No complaints found for this Licensee. Back To Search a� �/�ie.-Vi o2nina�oz;uecr,� o�✓YLo46cu;vu�G�r�d < � , Board of Biiildino Regulations Ind Standards " t Lkense or registration varr8-for individ ll use.onl)' HOME IMP before the ROVEMENT CONTRACTOR �. 1 .r expiration date. If found return to: Registrati9M: 120979 Board of.Bnilding.Regulations and Standards Ezpirat•ion 325/2010 One Ashburton Place Rm 1301 TYPe'T:Siippiemerii Card c?st�ji 1-la. OZ108 ' L S C H E N G I s:. K NERSTHEIMER= , '`_- \ �.._.. 0 ELMWOOD AVE ANSTON, R.I 02910 •� .. .: �� --- — . -. .. , Admtnistt uor Not valid without sign "'re rL pdb'.stat e e m'a.0 sd ps licdetails.as p.t��tSearchT,N= •.4T �nnnso • 1 t 1 "•s .FJUU a�n Lk n�{ii�,�Y.i• � 3Ir��'+7i'Nf�9�'z k7+ ®. -�Ri '��'�.y�'-a"�+IMF �" �' ;�`s�`4;&5�•��"`� � -;7 WE "'IAN F NAT-24531' '1 r x , RISE ENGINEERING Federal ID#0s-0405629 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R1.02910 ' (401)784-3700 FAX(401)784-3710 CONTRACT Page 1 I - - THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER - - PHONE - DATE Client 9 Paul E Hebert (774)487-8145 , 109320 SERVICE STREET - - BILLING STREET- 142 Strawberry-hill Road _ P O Box 508 j SERVICE CITY,STATE,ZIP - BILLING CITY,STATE,ZIP ti 1. CC�� 1 r - West Hyannisport,NIA 02672 W Hyannis port,NIA 02672 Gf � ';' �;1 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 10 man hours. $660.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class l Cellulose added to 780 square feet of open attic space. $858,00 RISE Engineering will provide labor and materials to install(6 4"` X 16"rectangular aluminum ioffit vents to increase ventilation in attic ~ areas: ; $102.00 RISE Engineering will apply all applicable;eligible incentives to this contract. :Y-ou will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. -$1,380.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Forty S 00/100 Dollars $240.00 ' UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER DAYS.SEorivERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. . j DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLA PACES H IZED 8 NA E- ENGINE NG CUSTOMER ACCEPTANCE ,,gyp/ /( - L^, /v OTE:.THI N7RACT.MAY BE WITHDRAWN BY U8 IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE - - • ACCEPTANCE OF CONTRA�TY..IEV PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK- DAYS, AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE 142 Strawberry Hill Rd., Cent 2/8/08 lIrw��. 142 Strawberry Hill Rd., Cent 2/8/08 f h 142 Strawberry Hill Rd., Cent 2/8/08 7, _ PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/06/08 TIME: 10:57 ------------------TOTALS----------_------ PERMIT $ PAID 25.00 AMT TENDERED: \25.00 AMT APPLIED: d 25.00 CHANGE: .00 APPLICATION NUMBER: 200800670 PAYMENT METH: CHECK PAYMENT REF: 2382 W Town of BarnstablePermit: �25 Pee-) - Regulatory Services ate:_, oFtHe t°h, Thomas F.Geiler,Director ` ti ' ees.6D Building Division BARNSTABLE, � Tom Perry, Building Commissioner MASS.- 059. 1 FEB "6 0 Main Street, Hyannis,MA 02601 � plFo �a www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038Cj1 �i3 '----- TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Ra 77V- y(`7-S/qSOwner: Zr, ®I- 04,rofyj fit. gee t Phone:�}t�Svp-7?ADS 6 S' Install at: /V R grf-d,44 eery .'p 269 v, Village: W Map/Parcel: Date: D a.- ® y 0 8 Stov A. Ne /Used B. Type: Radiant/ Circulating C. Manufacturer: J 6i g l .1= C Q Lab. No. MAR D. Model No.: Chi e A. New Existing (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? Al 0 D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: 9 r-nNe�= B. Sub Floor Constructi n: Installer, . �e�. Name: "� N2 w'c l �r c.��e Address: 3AO wv`�l� . . Phone: �o�- b'�'- 'l l v�- - 66.3 Location of Installation: TA Y d. �T'r-A .6erry l/ 2 � .1�y a�Nrs y �7`-� 714 H.I.0 Registration W I dL 0 8S Construction Supervisor# SR Y7 OR check- Homeowner Installing, no license required APPLICANTS SIGNATURE APPROVED BY: - Please make checks payable to the Town bf Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove . Rev 103107 Boas` 4IfBfM Wof�onsa�ne �r'c�l`s� CERTIFIED CHIMNEY SWEEP _ Construction Supervisor License 2166 Commercial Drive,Plainfield,IN 'CERTIFIED CHIMNEY License: CS 58557 #2722 Exp.0612008 "SWEEP.A Birthdate _-2/27/1963 Expiration 2/27/2009 Tt# 10449 ' x = ,k Keith Cliff RLRestriction 1- i Sandwich Chimney Sweep Sandwich, MA KEITH A CLIFF Certification Chair:John Pilger PO BOX 90 �� •�_ i1 r r"^ r SANDWICH,MA 0256'�`=`��=-" Commissioner I I'III'II'II I"II III'II'I I"I ✓Xe �onvyraarccaea�l� a��.1/ ssac�icasel�d Cam\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR , Registration: 120859 Expiration: 3/12/2008 Type Private Corporation SANDWICH CHIMNEY.SWEEP,9NC. KEITH CLIFF 28 EMERALD WAY � ,� FORESTDALE,MA 02644 Administrator Town of Barnstable Permit: fee) Regulatory Services ate: ; °FTHE Tp� Thomas F. Geiler,Director C Jj E};E f;, Building Division BAMSTABLE, r Tom Perry, Building Commissioner � MASS' rA 02601 p s679• �0 C FEBFED —6M r,2,Q.0 Main Street, Hyannis, u UU www.town.barnstable.ma.us Office: 508-862-403801; 1ta �� ---,.. Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: 2,�/ E: �'�✓-r� � �-��.(�� Phone:W.5vP;:/ P Install at: n, S!%�w��':�� !/ /Zog✓J Village: t,J.�tly'}�n�r'S lam Map/Parcel: Date: e d,- o V_ © 8 Stove A. Ne J /Used -- B. Type: Radiant/ Circulating C. Manufacturer: ,je,{-y F 3 i " , Lab. No. �r1�'�-(� (�� lgSg D. Model No.: Chi e_ A. Newt Existing (if existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? Al 0 +' D. Pre-fab Type and Manufacturer -me Rcs s I E. Masonry: Lined/Unlined Hearth A. Materials: Xy br`y,-,v4 t/IL/t7/8 -/P /• Y�/ B. Sub Floor Constructi n: Installer, � /0� �� Name: N��;,`r t c,-)ee Address: -421/ 11,14CC4 . 1` 4 47 4S 3 Phone: .� - -Location of Installation: 2A Ld 1-1 y Rsvtiii"s y 7—o a s d- ��/� �t✓r��er H.I.0 Registration #Ia D 6s 1 Construction Supervisor# �'�S� OR check Homeowner Installing, no license required APPLICANTS SIGNATURE APPROVED BY: Please make checks payable to*the Town bf Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 USA/Canada Wulf 3 Clearances Stove Clearances Unprotected Surfaces Protected Surfaces - - Top vent/vertical per NFPA.211 or CAN/CSA-B365-M Side Rear Corner Side Rear Corner (`P� Rear heatshield With 24 25" 18" 10" 14" 10" Single wall pipe 61omm 635mm 46omm 255mm 355mm 255mm �{ Rear heatshield with. 18 10 14 6 6 6 Double wall pipe or shields 46omm 255mm 355mm 150mm 150mm, 150mni Stove Clearances Unprotected Surfaces Protected Surfaces Rear Vent/Horizontal per NFPA 211 or CAN/CSA-6365-M Side Rear Corner Side Rear Corner Rear heatshield with 24" 25" 20 10 25" 18 Single wall pipe 61omm 635mm 510mm 255mm '635mm 46omm Rear heatshield with 18" 14" 17 6" 6" 6" Double wall pipe or shields 46omm 355mm 430mm 150mm 150mm . 150mm Connector Unprotected Surface Protected Surface Clearances per NFPA 211 or CANKSA-6365-M Singlewall pipe-vertical installations 18"(46omm) 6"(15omm) Double wall pipe-vertical installations pipe mfgr.listing pipe mfgr.listing j Single wall pipe-horizontal installations 18"(46omm) g" (23omm)` Double wall pipe-horizontal installations pipe mfgr.listing pipe mfgr.listing _ Very important: Topvent/vertical- assumes the connector pipe is exiting off A the top of the stove and traveling vertically.If top vented to any horizontal runs —the stove's position is dictated by the connector pipe clearances. I D n j Rear vent/horizontal- assumes the connector, pipe is existing out the rear of the stove and is traveling E==] horizontally to the chimney. If rear vented to vertical run—the stove position is dictated by the connector pipe j clearances. Dimensions in Inches,represent U.S.requirements. A:Top to Mantel 34" 86o mrrt Dimensions in Millimeters represent Canadian B:ToptoTopTrim 20 510mm requirements. C:Side to Side trim 13" 330 mm i D:Side to Side Wall 24" 610 mm j Wall protection is discussed in further detail on page 10 of this manual. is 1 � z Ll�,QOetiti� � 4 , k 1. � CA . 4 BUILDER INFORMATION Name Telephone Number Address / 9 License# Home Improvement Contractor# G Ll Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . SIGNATURE DATE a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION apA Parcel ,. Permit# ' �/ i �., ' 10F BA` HSTABLE ealth Division 1 1 11-1167, Date Issued 2 J U 3 Conservation Division �f f/�C9 ' Application F 150-7 Tax Collector l017_Q� Permit Fee I Treasurer Q - 7 r( ; -" SEPTIC SYSTEM MUST B T� INST,ALUD IN COMPLIANC' Planning Dept. ,rl A-- VlllTae TITLE 5 E 1'�EIONMENTAL CODE d a a Date Definitive Plan Approved by Planning Board /V/a- TO.V%l REGU f-10'N3 Historic-OKH Preservation/Hyannis Project Street Address '7�1pGy /?ol�,o G .v 7—rA V/ Village A' � . Owner 1Pf9v/ CdR O///� Address /Y2 h�"Il Telephone ��'O� 77F- 06G R Permit Request /?r_ laCr 1C&uNaiv0eYV 011bDa12 61-"0011 V7— C Gov Oec, cressa �x7- 'burd-w,411 ty fg ovT /� __ Age-e 0,,� ,gym �_ Z, rt a- - d e s Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 4 Zoning District 8 Flood Plain NO Groundwater Overlay Project Valuation '� �, 004.®0'yyaConstruction Type co/yce?C�� Lot Size 10 E 3`aq 16o Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes JU No J �9' �o Basement Type: W5 uhrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) d 2U 5 Basement Unfinished Area(sq.ft) /2 OS _ Number of Baths: Full: existing new 0 Half:existing d new Number of Bedrooms: existing 3 new 0 Total Room Count(not including baths): existing S' new © First Floor Room Count Heat Type and Fuel: M/Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: 0 Yes O No Detached garage:0 existing 0 new, size 0 Pool: 0 existing ❑new size U Barn:0 existing 0 new size 0 Attached garage:0 existing ❑new size Shed:0 existing O new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded 0 Commercial ❑Yes 0 No If yes,site plan review# Current Use Proposed Use /?r-Sib e C r BUILDER INFORMATION Name IYL XA,N6 1►cA t/2 V Telephone Number S�_5%10-93 ga SOF 3- —7 3�0 Address P/0 Oft f(-fl e 69. ',. Ci9l. License#' 0)o06_G j. Home Improvement Contractor# /19,l00 Worker's Compensation# C/J X5171Fgt Q13X( 23 7N qS1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO2wem 17 a SIGNATURE DATE oc , /7 3 r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , MAP/PARCEL NO. ` r - ADDRESS VILLAGE t OWNER t DATE OF INSPECTIONN:: _ FOUNDATION 1 1^ Q C ~ r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ` FINAL + PLUMBING: ROUGH FINAL +: GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - ' The Commonwealth of Massachusetts Department of Industrial Accidents office afffirestf a f00s _ 600 Washington Street -= r Boston,Mass. 02111 Workers' Com ensation Insurance davit sans^ PRY location qo D19(l%SC-1i/e 0,0, F6711Vo&YA4 /Ja W o 5-3 K city shone# .7 U F ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one works in ca achy //%/% US %%%/%%%%//G//%%//%%///%//%%%%%///%%%O/ %%/%//%%//%%%%%%%/////G%%%�%/%%///%//%/%%%�/ am an em 1 rounding workers' compensation for my employees working on this job.. .•:,••••.:•,,.•.•• ��...,,,iii 2� ::h•::::.v.�3;ni:': :l��tit t;$: •',?.•.�'�:;: i,'},:il.�''''.>$:.yv:>�.;{•:•.':.:•:'•}$:'}:;:;.!;+y'2':?>v ;:?�`2:?::•::4 2::X;?:,��:$'::;:$�ti{`}:}Y$:8:,;.r:Q$::j'{.h:•.:':i'':::F:;}}i}t:�i�'��'}?:Si::$$$:):;{}::':i;Y Y::: ..: •��OIIr Y C •:!W;4:!?•}}}}:{!;:{:•}::J:4±:;:b}}}}::::.v:v:..:.. ..:.v:.v::{.vi'b:{...::::::.:... v.v::::}:J:i-;v.;.t:$$' ........... .......r..............:..................;:... .........v...y..................... ...... y rev:......:..}•w:i::::.:r•{,., ... ..... .. ... r..................:..........;..:...w::.::..:..:.n.::•.v:....:v::::.v.::::.:{4y,{.}}}}};Gv.}:•:::::..•••..:r}:}?;.v}::{.}:±:},.:r:n:•::n:•.v.r:v:n:nw:::..:v.•.v.xy.!22}:{;:i•.y:?.:};.,}'•i}...-�, ......:•..n.................................. ....v...............r.................................................. ........... ....::.:v::::::::........,:w..... $:w:•;:....................vnv........•. v.nvh:.k}h••rig:•}:iv"•:4}:::::n; yvb}i ti:.}v•.. ±:$jv.$$$'r${{:2�-'�Y}i.,+••:4:•}'•i}:{.:'•:ti .r+r}:"•}:•:4:•-::.: •v:n•.:..... ...n..v.•.:.:x.v.v::••n:v::::n•..r...................•w:::::;.....:•v.:...,..................n.v::...t:........ .... .:. ......•... '>i.•i}�:•}:^}:{:::$¢,r:::v:.::tivv:r.w:i.?2:y:n•v.,w::r:::.v.v:::::tibti:•):{t-::.v::.?:ti$•}:±):.v:n•:.v:::::::::.:v.:v..... ...r,}..... : ......... ..:.................... ..........:..-.....................:v:n:}r±:vY:4:h•:i±'...:.v.. .2:..v..n.... :....v.•.$}::.}:•}':•}:4}::::•}:•xv:{:}}:•)):,i}:.v�i'v'•i{:$$Q}i$4�w2{:.:.....:. t...n•;•::::nw::.w::::..v:::::::....:.. .....v.....v:.v::::w:•:r.•:•.v.:v.............:..::::::.v: .v ....{b.`.v:.v:::n::�..:.........:.;:vv..{w::±::^ ...........n.v::::w:......}:h ..t..::::.r:::::•;•,•,•-... .........n.:v:re...........4• .. .....,......n.........., ....:.......v................:.nw:::•:::rev:::::rev:::n•.4{{+:•}:;4}}:::•:-:•:,•-:n.,;n...v...........•4•::.v:::.•`.•:rev:±±::.::.•:.}.::...ti:::*i}:{}:::;{{•;{{?.}:?:h: '. � s':;:>:is�:}:j$$:v:�:^::$$;:i$?{22^:i:;$$is22C�}i:;j{{i:{:':;}:ti;}:}}'4±Y;;4::{4:•i:?i•)±:;}:4:{??{{:4'.r:?;i:`4:;:.:•.v.:.v:.v�t�:rev:•::•. ......:......:..:.:::.v::•..: .....•:.:.;.. :..:. ........:..: i'•.'`:+i ��i`'� 'r"i`>?`'• ��f?i33: 3s�: <>i :?%:� <r�'2i'%�i�%:"i;%'::}::i�'��h`�•''i�<��i i•i�i`.}'•i?�:f:'i��?`Si�i�?�?�i�c:%i�>i� '- --- - --' v$:>:�:•$$'+::;:::;:::r{$$i$j;i;'{ti:$$$$$$}$:v$i:'''i:$::$:}:i:2;?:F$$$$:•$$i$}:•�':$:•$ti�r•$.;:$$$•,$:•,:^}±:4:•}XL?•:y'•}:•�}}}:?•:-:$•: {- ::::::::::.::::..:..................... :::::::..:..::::•:::::::::::.. ... v.••:.?+•}}: .::. •:i:•.}v:'•.::.r:••$:•}'4}�•Y?4:}':::{::.}V.!!:.}$:;,:�::.r:.•.}V.}}}'.v:.i::{ir:.i}'.:j•.ti;i:::•.i.$:•}}':¢:}}::••:::: .:...;.........,..... ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followin workers compensation olices: ::.::.:::::. X. �m .....:..ry:.:rev:••:v.v•v.}�:::nvn::vv:•.::.:..:.......::.r:�w:::.:v:.v::•:.�r,:�:.::.::'±::i:•.::............;....;........v::..............,. ....................................... ..................................,:n.......r.,............. ...:..............• .........4$ Yh}...........:......}}$i±�i�iS::j,w{.):?4)}:v:n•.rev}:nxY{;.\,•bh},.G,`,:`in:L}t.-4•........ 4;{+.•±i:x::•......• ....... .....{.n........... r....... v::::::::::.v:::.v:.v.v.,v:::;:•..n...•••,..v{;N:::n•n•.v:,....;.•.v::r..............••}y{••:2::{: ....:.:.... r................................. ..:...::w::::rev::;:re•. ..... m::.:: vv::::re•n•.v: .v.. .... ..........:........... n.....• .n.................• /• ........v.........n..... .............r..........:....re................•,.....n. .... ...... n-}}:{•'r'-.�i}:m}: h'.•}{.4"-$'!•}::ti;:::.: .............. ................ ........................... ........n........:.......::::.v:;•}:::•:v$hvr.:w;;; n..r....`v.•:::.•}'b:?•v.•::^::rvv.^:;•:.{:r+•.vv:......+:0.•:.y.•:'>•:ti?:^):4}$::5:>{2. :.....n..... n....:........... ..:...........n...:.•:v;;...,-• ..... .:::nt,v:::w:�::::iv::::::::•.n.................,,v:}:;±}:w-v.:v::::•.. .... r..:n :.:... .........::n.......v:vnv:::::::•.......:r.............:.......... .,....:......... .r.,.i r....r..... .. .......:2. ........... ...,..............:.}}}}:{{•.4:tiv:4}}±):4:4:•}v}•'?•::•.vv......rev.t:wn........r..}::.::v::rev:::::::nvn•.:v:{i,:.,:,•::::::?.±::....;r.;.::{q4};{.}}:^:{??:?.}. ..]}??,j:M:xw+-F,P,JIt;tr•,:2::':::ii!iii{+.v:ti$)::::::::::'v:::::::::.::};:•., .... ::..:::•.�::.::±:••:...... ....... .......... ................. ................. ................:rev::::::::.. n...v....re.v. ,„+, ,v.... p}v.:..• � .'w$:$:} ..................... r .................... ...v...................,..... .... .....•:x::::::::.v:rev•::x:n•.............. {..... n!•.}:vr.v.vv::.!w.$'r,::Y2}•'�':t t�:rv::.}'� ?{�.,' ...re.• ............ .............,. ...r.....t................ ... .........,................r:r....•r.,........ ........... ,,.t...r..re!•:r•:::::...,. {..,, ��rt;<;:.C;:;`:f'r��: ': ......... ..........r.......... ... ..........{r..........,................:....r................... ..... ..........t.•.. re...,,........:....:na rrre.v... + ................. ...r...n.....,...... ... .....................................:::. .t.::::•:::.v::::::........ ::........ .:... ,•.:n•.t•.. .:.tin•:rr:::,:.::r.}}:•::r);w::•:::......;}}}$};:: r .............................re........:....:............,...............:...:.............:.......................:...::::.:.::.}}}:.:4: hone.#...........:.h,{..::.:r.......::�::i....::?.:.:::..:.:.. $ x•. :i$}i}}•?}'r:'-::$$2} ,`••}::tiC?:: v'ri:2:{i.`:ti::::•:•:22;$$$iL:�:rr,{i:::::::, ..} r..{..:. n 4...:ti22�:•:<'{i:'';::::2:ii$:2}h$:i�$i:•$:vh r v i:•`.}v$�:2}2i`:ti;:�ji::::�:;:;}}:::$$:v$'i$:•:•:2�$$}:4:}•.;i4� .n{b::.:....:. .....::.,•.v.v:.v:::;vn•n:v:rw..'t:Pi:ti;•.r�{{:$S;:}�::{•}::.v'•:::i:••.v:}: ::.:-.wvv. ....n:::rr}:••.ii�':..titi;v•::`...,n. ... vv}vvv:..•. ....n.. ............r. ...... ................................v,.:•::::•• :... ..:.:...........;...:.. ... S.... b.±:::::v:v:.4::•.w::refire•}}. yy... .........:........... .......:.... .......... .,........................ .:,.....v.n,....v.......2. ....:.••:n:::::n•:;}. ,4•:}.t::•::re:•:�{:�'.;v:+$:'v tr,{v,}•n:•:ti`$:2:i:: .r... .............:..:}•:.:... .,..r.........:v:v:.v v..........................:.v::.,-w..:... :. t......v.....::n............., {,•<,:y:r.'rYi•: .�4h-r:}:.v::: 4..r....r...r........... :....n..v.x. .x.....n...•.r..v..:....n..............n......• .v:.. .... .....::v. ...... vvw:::re..,..yv:f..}. ...i.. •...h......i:............ .. .4................ 'r?:`-4}i v:::-:n:b:.{.... , w:::.v;..... ..........:.:.: ....... n�it'rarr ....... ........ .,... ...r ..:.r. .;•:v::.n..,. 2.n:::::::: r.v;}:.v{4:4}:'4'•}:+4:f"v$}�?{`ti4}:•f2\%i$•}:4q:4}'•}:�5:• ................. .......:.......re..,........i.....n.i,..........................m::::::.w.v:::::::::f.•n......:....w::••. :.. tl::::... v......... r {•;vf.4.::.... ............n..• .............r.....r.. ...................... ........................... ... .v..:...v:::±:•:iii:•..:.. .::-•.......r•v:::•::.........n?4 vY•i::r... r:.i{v.v.vv}•y;•}•%{v:•:r:•.:•:r vnv.is}'.}•}.v'.;•... .,................:...v:.............:. .....re:•,•:•::::..:..................r......:,•::::..... •:..,., i..v.2....t...r.4. ..........: .....::v........ ............... ......::............v...n:.. ...:•:::::::.v:•;.,{... ......?•:.::{.:x.v:::::::}:+w•.w:::+}'.}:•)::.....:vvb:f•:$::••.•f.•}:::.•.,v..:..:.•.r...:.:.±:{• .. n........... ................... .............. ............vx?v::......::::::±•::::nv:.v:::..-: :n:b;:v.:v:.w::;::r:^..v::+.•r:}:::••:$.:v:.......n.v•.i:2•n•.vv•.:n4v•.x rew.v.... i;.... .. •,:.:::.r.•:.v:x.•:......:..u...,,v...r...........................t....... ,....................n:::t:::.......•.:...;...v.v::.v.•••w.:N:•••y..,... n.n.:.:...:::::::::::::::::::: .:v:::x::.v::nv::::.v:•}:ti:-i):•}:!is i}:v:r::............ - r..v:::.: .......::w:.v:::•.{{{•}'v}':}tv4,f::}±:i$<::?'{$•}::::;:rev•::•v:nv:::::::..:::::•::.v.}^'}:{:4:22:i}x±i:':2 is :c anvasru .... .............:::.�.v::.�n•.�::::..v:.,•::..:•:.}:.>}:•}:-•.�:::•!:z±:$::$$::$x;$.i:;•{{•±$}:{{•}:4r:•±••:{{::;h>.x>•}:.>:.}:?;•}:.�i.}}:•};}w:•;!:,.;:..{.:::r•.,?..}:n•.:,•::.}:$.i>d$>z<::>: ............:..................::.............:.n ............ :.re.:rer.. :.... :.-....,...............:,...: { ..... ,............::::. ........ 1r0 4 { 4 i\xi•,v,•}:4}ixi{{i4}:•}}}.:..:......v..::2.$${}i$tin::.:{:::{Y.:::�2:iriti 4•'}}:+ti:':`p4;:}'��l:}Si'�i:::: •ni••r •4iv:rr.n' :..........................nit.., � ........ •:{•i2:•rre+.•:•:}.v:.t::.T}:•}}':::.::}•.:::: .revw:;{•: .)}}±v:.•}•v:::vv}:i4}':::::::�4:}- .. vnv::r.} '•r.v:::v.:} ................:::::::n•::.v::......n•:;:::{..; i::n...f:v..• :v.v:•.::n ....... )%...vv±w:?•!:•.:�•.b'`!:2:. `2i•::ii'�:$�: .................... ................re• ...........:.......n........n.:......• .:.re..t..:.........,,, vv....re... 4..v..::r:.vh.n........:n:::tbti?}}}}:$:ti!:iY:. .. .........rr..,.b:t.t..,..:.......::................t....,..................:.......,..,.............:......::•:•:•:.':.::'• 0�� :#:.::::::::::::::-:.:2y::v:.}:;r,$;;:?�.,:;:.:{::.�:::{:::}:.}•?<.:............,:..,.:.:,:,,.:..:.:....}.:::.� Fwhwe to secure coverage as required under Section 35A of MGL 152 can lead to the imposition of erimirnal penalties of a Sue uP to SI,rstmd aad/or one years,imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against rue: I understand that a copy of thls statement may be forwarded to the Oice of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury the the information provided above is trte and correct Signature Date Print name PW .SYlva?Sm Phone# ��-��CS- q 3 7 7 official use only do not write in this area to be completed by city or town official city or town: — permit/license# ❑Building Department ❑Licensing Board (3 check if immediate response is required ❑Selectmen's Office _ OHealth Department contact person. phone#; ❑Other Uenud 9195 PJA) z . 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,neitherthe 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. j: Applicants T, Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and `j supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe or confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents f 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'to the Department by marl or FAX unless other arrangements have been made. ike to thank you in advance for you cooperation and should you have any questions. The Office of Investigations would l please do not hesitate to give us a call. The DeparGmeat's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of ImiesUgadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 u t °F114ET° Town of Barnstable Regulatory Services BARNSTA13M " Thomas F.Geller,Director 9 MASS. Eo.59.�ate` Building Division Tom Perry,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date C1,2-q In-3 AFFIDAVIT HOME]M[PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. , / Type of Work: �O()Ivjq �16� y 1VO& 110USG Estimated Cost Address of Work: P/q, Ad /?D w� /�y/9NlNrS/�e�fW) Owner's Name: Ile,6ca Date of Application: --- 3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit # Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. . SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: l r .Date Contractor Name Registration No. Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x.$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch 3 �� i s x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool= -• $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 by (plus above if applicable) Permit Fee projcost , _ Tsacx►tRA�� , Tsble d3.1.1b(eaatlaued) rated trig Fooll Fuel, prrserip&c paekigd far dire sud Txo-F:saily Resldential Ealldlsp S MINIMilM Sesting/Cooling hYAX MUM Wal! Floor Easerne 1 Slab G1aun8 cw $quigramt EtBcieac Chung � `Yell CeII g Arcs 0A) 11-value R-value R.vaiue R-values R-valuaI R-valuer pig° 3101 to 6500 Flesting Degrce Dams 1yo 6 0.40 38 19 �g 10 6 Normal IZY. 0.52 30 6 15 AFUE 3E 13 19 10 Normal 13 Z�IA 036 31 t~VA 6 Norma! U 15% 0.44 3E 19 19 NIA N/A 15 AFUE IS'/. 0.44 3E 13 25 6 15 AFUE v 19 19 is Normal �,r 15'!. 032 30 t3 Z1 NIA NIA X 1gy, a3Z 3E N/A NamsaI Y l g y. 0.42 3 E 19 7S NIA 19 to 6 90 AFUE l E'/. 0.42 3 E 13 19 10 6 90 AFVE AA 12% 030 30 19 1. ADDRESS OF PROPERTY: SQUARE FOOTAGE OF ALL EXTERIOR WALLS: GE OF ALL GLAZING: FOOTAGE . g, SQUARE FO . 4. 'lo GLAZING AREA(#3 DIVIDED BY#2): g, SELECT PACKAGE(Q--AA-.see•chait above); _ 62 SQlOF G ENERGY REQUIREMENTS NOTE IN : OTHER MORE VOLVED METHOD 5 INFORMA ARE AVAILABLE. ASK US FOR THI ` HLIILDING INSPTION- ECTOR APPROVAL: N0: YES: µ • q-loans-f980303a ' 780 CMR Appendix I Footnotes to Table J�.2.Ib: assemblies ('including sliding-glass doors, skylights, and • j lazin area is the ratio of the area of the glazing , opaque doors to the gross wall G g excluding ) at enclose conditioned space,but basement windows if located in walls that a total glazing area may be excluded from the U-Value requirement. a.of the g S area, expressed as a percentage. Up to I/ Far example=3 ft'of decorative glass may be excluded from a building design with 300 fl of glazing area. tested and documented by the manufacturer in accordance with ' glazing U-values must be Z After January 1, 1999, g g the National Fenestration Rating Council (NFRC) test procedure, or taken from. Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. 3 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,� ulatio n Ceiling R values represen-30 insulation may be t sled for R-38 um of cavity insulation and R-38 insulation may be substitu insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 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 A 14 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-frarne construction. S 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 conditioned meet the same R-value requirement as above-grade walls. Windows and sliding glass 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 el.6tric resistance heating use compliance ooaPlproecui3me, or 5. If You at, the equipmentr to install more with the lowest equipment or more than one pier of g equipment,' ce of heating . ie g , than one pthe selected package. must meet or exceed the efficiency required by . P a 9Fefficiency 'For Heating Degree Day requirements of the closest city or town seo•Table J5.2. 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 11.5.3b•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 rxtent(i.e.,may have a U opaque doorUalue great.value to o than 0.35), ermine compliance of the door, a be ex eluded from this requirement Otte door nay c)If a ceiling,wall,floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with eat insulation levels, the component complies if the area-weighted average R-�tube area-weightedgr r dhan ore qua U- to r components coin ly Glazing or door p P e re uirement for that component- uoars . the R-val ,Q • 'value of all windows or doors is less than or equal to the U-value requirement(0.35 for d i ' °FINE r, Town of Barnstable Regulatory Services BARNSTABM Thomas F.Geiler,Director 9�plED 3;9. 16 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, r I E. 1f' C*Rol ytJ M. Aler-T- , as Owner of the subject property hereby authorize 64,ey Sy4 t/e sT.- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) o ZI//0 .3 r Signature of Owner Date Print Name I fl.C/1D11.T O.l1R7ATCDT)irDrATCCT/lAT °FtME►a,, Town of Barnstable Regulatory Services vBARNSTABM MASS. g Thomas F.Geiler,Director qjA i63y. �� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I Construction SupervisorL'License # Q D 4/� 7 ,hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# , issued to (property address) on , 200_. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's.License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) �J LICENSE HOLDER ATE i q/forms/newcontrb rev:080102 T �S. � �'lee:�anvrrearecueall� ��faao�i �` Board of Building Regulations and Standards ! HOME IIVP OVEMENTCONTRACTOR , Registe,*A5n 1ap4499 FacPtcaf�nti1u 12004 p� E'tW�Ste Corporation ART DOLGOFF Bpp;�� D��7Qi1p, i n ini'Do) i i' F a r J Arthur Do�goff 19 McCormick Dr. W. Barnstable,MA 0266.§ Adrounistrator Via. ;'sib X Boq .ur�rbe'ROONS�Tj�UCTI�O oor N'SUPERaVI DNS tee 4276 SOI2 C J a 9RT HUR L ,p®a � a 3 Tr no: 20. 6 1 � 3 . Mq 4- L G is t t` �R The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit-General Businesses name: address: City state: Zip: phone# work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an em Toyer with em loyees(full&part time). ❑Other I am an employer providin workers' compensation for my employees working on this job. coID an name. - - address. city phone insurance.co: oli'c. # ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: coIllUanV name: address:. city. phone#. insurance co. olic` # MEN / / / OMNI, corn by naive: address city::. .: Phone#c insurance to., 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$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of s STOP WORK ORDER and a fine of$100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce i under the pains and enalthes o perjury that the information provided above is true and correct Signature Date f �q��/ C;, Print name 4 u In 2— '�� Phone# official use only do not write in this area to be completed by city or town official citypermit/license#or town: p []Building Department - ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office F ❑Health Department contact person: phone#; ❑Other + (mvised Sept 2003) v ""�.", 'a4s•R_ �'-x'. ,� ,: .: �::::�,.�-''gym'. - 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 exP ' lied, or-al 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 P Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, 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 perrnit/license number which will be used as a reference number. The affidavits may be returned to 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents gfffce of inl►esdgavens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 I THE�°�� The Town of Barnstable BARNSTABM Department of Health Safety and Environmental Services MASS O Building Division �f0 Mph 367 Main Street,Hyannis,MA 02601 )ffice: 508-862-4038 ?ax: 508-790-6230 PLAN REVIEW Owner: 1A 2v- ri Map/Parcel: 2- 4 Project Address: "I '-4rc,u3. H Builder: V IV e �e 1� The following items were noted on reviewing: P 1 c_ A o-� 2.A. Reviewed by: 1 \T RG�IIQ G Date: 2 (0 0 3 Dec-03.03 03:06P Osterville Water Dpt 508 428 3508 P-02 Centerville-Osterville-Marstons Mills Water Department P.O.BOX 369-1138 MAIN STRFFT OSTERVILLE.MASSACHUSETTS 02655 urr•ICL OI WATER LJOAKU UI'WArvk COMMISSIONERS A �DEPT. WAI'I:R SUWlKIN"I'IiNDEN'r T 'ILL.No.N18.42N-M1P41 - FAX No.iMA29 iSUA November 12,2003 Town of Barnstable Building Dept. 367 Main Street Hyannis,MA 02601 Re:Account#776 Paul Hebert 142 Strawberry Hill Road Centerville,MA Gentlemen: On-ruesday, Novemher 12, 2003 we disconnected the water wi-vice at the' curb stop at the property mentioned above. It is Our understanding that this house is having a new luundation installed and a new water service will he installed at a later(late. 11":you have any questions,please call our office at 508-428-6691. Very truly yours, l lerbert Mc Sorle Y Assistant Superintendent 11-4-03 07:59 From-NSTAR VOICE OPERATIONS 6174243939 T-446 P.02/02 F-670 'O N�� one NSTAR way:Weswooa.Massachusetts 02090.9230 EL ECTRIC GA S November 18, 2003 Dear Mr. Paul Hebert This letter will serve as confirmation that the electric service at 142 Strawberry-Hill Rd., Centerville, MA 02632 was removed from the electric utility poles on November 15, 2003. Based on this information,there is no electric power to this building and you may proceed with the demolition. If you have any questions,please contact me at (781)441-3651. Sincerely yours, 34cguefi'neA. 911elIo ff n CusromerServtce Clerk, 1/l� f XQ t' 'F �� '�' NOV=18-2003 TUE 05:28 PM KEYSPAN ENERGY DELIVERY FAX N0, 17818904898 P. 01 • KeySpan Energy Delivery 201 Rivermnor Street West Roxbury,Massachusetts 02132 Tel 617 723-5512 November 18, 2003 To whom it may concern: Re: 142 Strawberry Hill Rd., Centerville, MA This letter is to confirm that we have removed the gas meter and cut and capped our line at the Gate Box 11/17/2003. If you should have any questions, I can be contacted directly at 508-760-7502, Sincerely, ,u Jolhanne Uuellettc " Field Coordinator Cape Division R � 1 y w \ O f x. rg.A .. 44 ` LAX is a® THIS iot1 z "i"c; - ' x r j_—.FCC _I.. 10N PLAN. IS -FOR - BANK 'O'SE ONLY TOWN: W. HYANNISRORT REEZHS 'RY OWNER:. PAt7 _ OE EO REF: 3754/022 BUYER: 'DATE: 2/3. 87 . PLAN •REF:�2U/13 ��,a,� SCALE: t �.= -Fwere y eerti y t iat t e ui in8 - kk OF Ai/qS shown. on , t.his plan is •� ocgted on �``� s9cy YAt Kaa :SUF ZVEY the around as shown and -its P4ULA. CON UL__rA-N`r position does conform to -the v MERITHEW 70 RASPBERRY .LANE. zoning law 'setback requi.retneni of - No.32098 y MAR8TO.NS MILLS BARN8TABLE • A 9�FESS►DAP :MASS. 0264.8, and does - not l.le within the special,` ypQ ' flood hazard area as shown on SURF l.. " tk h. u. d-. . flood. map dated - his plan not made from' an instrument Paul A. Merithew, RPLS survey, not to be used for fences etc ■■■!■ ■■■■■! !! ■ ■ ■!'!■!!■■■■ ■■■ ! ■■■■■■■■■■■■!■■■ ■■■ ■■!!■■ ■!■ ®! ! _ !■!! !!!! --- -- !!■■ ■ ■ MEE !■■ ■ ■■■■ ■ ! ,. _ Ali !■■ � ■■!!! ■■■■ ■■■■!!i ■ No !! 0 ■ ■■■!■! ■ !■■■■■ ■■ !! ■ ■!!!■! ■!!!i■■!■ ! ■■■■ !! ■ ■■■N■■■!!i !!!!■! ■■ !■■ ■■■■■■■■■■ !!■! !■ ! ■■■■■■■■■!■! ■■■■ ■® ■ ■■■■■■■!!■!!! !!!!! No !■! ■■!■!!■!!■!!! ■■■!■■ No No ■ ®■ - ,,�, MEM ■■!! ■■ !■ !!■! ■■ ■■■ ■■■■■■■■■■ - !■ i !!■■■■■■■! ■ ■■ on NEE ME■ No EMS ! ■■■■■ MON !!ii ■ ■■■!!! ■ ■ ■■■■■■ ■■■■ _ ■ OEM![■■■NNE ■ ■ _- ■■ - !!■!!!!MEN! ■! ■ !■ !■!!!■■!■■ !■ ! ■■■■■■■■ ■!■■ f t ti 711 f i t . The ,Town of �arnstable��`�� -�� Department of Health, Safety and Environmental Services l Building Division 367 Main Strect,Hyannis MA 02601 Office: 509-790-6227 Ralph MCzossea Fax 308 790-6230 Building Commissioner Home Occupation Registration Name: '�i9u 1 �. �e�✓c��T- Phone#: o8 77,6—®S"6 9 Address:/ yes 5 rK4 w b rA re y Valage (.,CA.)I� yr 1 J e,.��}oa6 3a Type of Business: 1'W'1z n)C,' -ry Co"A I N M*,,= t/7— A/' aZ UMEVT. R is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,snblea to the provisions of section 4.1.4 of the To®ag ordinance,provided that the activity shall not be discamble fiom outside the dwelling: there shall be no inn=in noise or odor;no visual alteration to.the premises which would suggest anything other thin a residential use;no iw==e in traffic above normal asideatial volt�es;and nro iaatase in air err gtonmdwater poiirraon. .. After registration with the Budding Inspector,,a customary home oocarpadan shall be pamitzed as of right subject to the following conditions: . The activity is cmtied an by the pe manem resident of a single family residential,dwelling umt,located sM that dwe lriingunk Such use oompies no more than 400 square feet of space. Teere are:no enerml alterations to the dweTingwbich are not custmozy in residential buildings,and there is no outside evidenoe of sutler use. No traffic will be Smerated in excess of normal residential volumes. 7be use does not involve the production of offensive:noose,vfradon,smoke,dust or other particular matter.odors,electrical disturbance,heat,glaze,huzzlidity or other objectionable effects. 'There is no.storage or use of toxic or hazardous matwiA%or flammahle or explosive materials,in excess of normal household gttantiflies. Any need for parting gausated by such use shall be met an the same lot coning the Customary Home Ooatpation,and not within the regt]ked hunt yu& There is no exterior storage or display of materials or m'L There is no eo®mercml vehicles related to the CM matt'Home Occupation,other than one van or one pick.W truck not to eceeed one ton capaci%and am warier not to exceed M feet in length and not to aoceed 4 liras,parked on the same lot oontainiagthe Qutomary Home 0ocup2n= No sign shall be displayed'indicating the CutstomarY Home Occupation. If the Customary Home Oaupaucm n listed or advertised as a business,the meet address shall not be mclutded. No person shall be employed in the cunoma y Home Occupation who is not a permanent resident of the dwell'tnguaiL 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registerm&. Appyiant C" Date: j&&a e7�'Ao a v Ho=c=Aw i Town of Barnstable *Permit# -5 yP p� Expires 6 months from issue date : .AMSrABI.E. : Regulatory. Services Fee �J °OQ 9 Mom1639'. Thomas F.Geiler,Director Building Division --tt" ee Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Lo Map/parcel Number �2- Property Address / L/ o �t t�a�ivn.ua P residential Value of Work Owner's Name&Address C�,u.K f Ge� Contractor's Name Telephone Number `�?1_ o7 e'6 Home Improvement Contractor License#(if applicable) 6 a 2 Construction Supervisor's License#(if applicable) "EWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# �v G V 6 6 a I s-d a Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 ,- a raw b e� 0 THOMAS E. KELLEY LOT 1 BOUND FOUND AIM 247/125-1 1 ` LOT 2 247/125-2 -RO P �''•HOUSE:_� 1421 Gj 2 -0' =.CONSTRUCTION=?�^s•.-- ; _ -- SHED j�cS + j _ THOMAS E. KELLE - - EXISTING HOUSE BOUND FOUND UNDERCOINC REMODELING WITH NEW LOT I �'^ FOUNDATION AIM 2471162 ",� BARNSTABLE 10,228 �• S.F. O COUNTY BOUND jam' 0.23 ACRE p �, FOUND 7�• p � LOT 2 AIM 2471211 LOT 3 AIM 2471212 NO TES.- • THE SHED APPEARS TO BE OVER THE LOT LINE • PLAN REFERENCE.- 261-13 BY THOMAS E. KELLEY R P.L S. FLOOD ZONE N/A FO UNDA TION CERTIFICATION RES ZONE• ' TD N?1! BARNSTABLE SCALE 1"=30' PL REF 281-13 ELEV N/A SETBACKS.• 1 CERTIFY THAT THE DWELLING ►►jj,''A''�, YANKEE SURVEY CONSULTANTS EXISTS ON THE GROUND AS ♦► Pis"��S.r u S'4� Ep P. 0. BOX 265 SHO WN. �� P �- • UNIT 1, 40B INDUSTRY ROAD STEPHE �, ► 'ppYLE ; MARSTONS MILLS, MASS. 02648 TEL: 428—0055 F= Q • FAX 420—5553 -- — ------ -=D � ♦.� JOB STEPH N DO YLE, R.P.L.S. DATE.• MA Y 4, 2004 NUMBER 53658FND SD T._ � 7 12/A— �Ir �11�, P l 'l_. M* Arm" Ar i Y 1j f M^ x s � o_ r - Vo wberry Hill d . , Cent ,111 , 3 - 'tot, r , ye't _ P Ij i t n k " rc 4 % M � � a 4 N ti a h � 1 .t i a 5 • , .:. .. „ ,, � +� ° - -'�. dig•- ^�-x„ w' - - _`�' '� '.a"✓ '%rt r. g - Y' f I i� 4Y7 t f u { ° VWL e.e - ep ° -} Okl�VMAL � ; w • • moo. rx - - * ,ate'• .. -`"'� "'* .sue ,: '� �, ems' �... ,.�.� ar`-"� s ��, � �• �`�� ,` � � f�� f t. Y .r r ..' .= M, VT .5 " c. 1 t- a me - f F � • t i '4a�m�� "'�J� � � � 's�.W� � �� Y' �■ ",�'i�l �" � ��R � g "fil�.��,p � �e �i .,Ww ',��nX. k 1ytF of N� ` 1 y Tyr v w <. ifo a u •. , �n ryp� , -71 IAI Jp sr 7-1 2k e b w a 1 . r II I _ , , ti - Y - a • .: � III d , w. �Y. F • a a� a s 04. 2 wbe rr v Am J*w wp i1x, �tSt ente. ri ,mot w t * II _ rs 11 M far n�zflv s' W^ _ '4 ............ ANN 44 v _ : � d Y 7 jet h yi '7 • $r i i ` I > ' sue. Us. z `a,.+.• .r- _ „1}� ?: E, ��#. sr ,,.,SS�•. O I' r � t l ` fir° 17 hips 9 A k • a PJ eNi M s � r b b .� ✓k ., �.. t ; ,P a Fill a , 7-7 • � _ F n 4 n k t ,} F. t Y v N ^ � � _ '`. a ki .fie,:.. �rtn.e :4 }� H f. Y..: dYi-•,IIGe.6i:T� �,'?' S}y 3zK!-,$ !0 G „�_- .i af$es. ^+hP,S - - r- K� w R. ..: "€,, # a ¢ nos '«•n. m .�� ;0 r , , s x yk 4 Nov-12-03 04:27P Osterville Water opt 508 428 3508- P.02 Centerville-Ost.ervilie-Nfaretons bills Water Department RO. HOX 369- 1138 MAIN STREET OSTERVII LF', NIASSACHUSETTS 02655 � a os> r � � ia1TIU 0I' � r IloARO7.)I'WM'IxcY1NIMIS.SIONFRS � WATER � W'AT}.R`UPYRINTENI11.NT DEPT. F.L.Nn.508-4'ti-6(i91 . November 1-, `003 Town eat'Barnstable Building Dcpt, 367 Maul Strect I lymtnis, MA 02601 Re: Account 4776 Paul Hebert l42 Strawberry Nil i. entc:wil'e, MA Genticme',n: On Tuc dziy, November 12, 2003 we disconnected the water service at the curb stop at the property mentioned above. It is our understanding that this house is having a new timidation installed and a new water service will be installed at a later date. If you have any questions, please: call our office at 508-428-6691. Very truly yours.. Herbert Me Sorley Assistant Superintendent H I-NICE 11w tL +F `i[ ] [R247 162 . ] LOC]'0142 STRAWBERRY HILL RO CTY] 09 TDS] 300 CO KEY] 153041 ----MAILING ADDRESS------- PCA11011 PCS100 YR100 PARENT] 0 HEBERT, PAUL E & CAROLYN M MAP] AREA] 55BC JV] MTG] 9212 142 STTRAWBERRY HILL RD SP1] SP21 SP31 UT11 UT21 . 24 SQ FT] 1163 CENTERVILLE MA 02632 AYB11936 EYB11975 OBS] CONST] 0000 LAND 21700 IMP 47600 OTHER 600 ----LEGAL DESCRIPTION---- TRUE MKT 69900 REA CLASSIFIED #LAND 1 21, 700 ASD LND 21700 ASD IMP 47600 ASD OTH 600 #BLDG (S) -CARD-1 1 47, 600 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 600 TAX EXEMPT #HN 0142 RESIDENT'L 69900 69900 69900 #SN STRAWBERRY HL RD W HYPT OPEN SPACE #DL LOT 1 COMMERCIAL #RR 1546 0070 INDUSTRIAL EXEMPTIONS SALE105/83 PRICE] 45000 ORB13754/022 AFD] V LAST ACTIVITY] 08/09/85 PCR] Y iR247 162 . A P P R A I S A L D A T A KEY 153041 HEBERT, PAUL E & CAROLYN M LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 21, 700 600 47, 600 1 A-COST 69, 900 B-MKT 62, 100 BY 00/ BY ML 10/91 C-INCOME PCA=1011 PCS=00 SIZE= 1163 JUST-VAL 69, 900 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 55BC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 55BC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 217001 LAND-MEAN +Oo 699001 73020 IMPROVED-MEAN -3506 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] TOWN OF BARNSTABLE_BUILDING PERMIT APPLICATION Map 7 Parcel r" Permit# 5 5 ,Health Division Cy Bip J� �Lf Date Issued 6/Z5 0q Conservation Division Application Fee .�b Tax Collector 00 n aC - � . �'`� Treasurer jj Permit Fee 2.3S �l , s / SEPTIC SYSTEM MUST BE Planning Dept. "i tiSlUN INSTALLED IN COMPLIANCE- WITH TITLE 5 Date Definitive Plan Approved by Planning Board EN\11RONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address L Village Owner Address Telephone - Permit Request r i isr o® � Square feet: 1st floor: existing d®3 proposed 2nd floor: existing proposed Total new Zoning District /� Flood Plain A,-t�7 Groundwater Overlay Project Valuation A&Q 9::;�G Construction Type A1.41Lot Size�T3 A 'l Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family >r Two Family ❑ Multi-Family(#units) Age of Existing Structure ,Ad AeV Historic House: ❑Yes N No On Old King's Highway: ❑Yes N$Ko Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new el Half: existing new Number of Bedrooms: existing :1, new —Q— Total Room Count(not including baths): existing t new First Floor Room Count Heat Type and Fuel: aUas ❑Oil ❑ Electric ❑Other Central Air: )'Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 4Commercial ❑Yes /VNo if yes,site plan review# y Current Use Proposed Use BUILDER INFORMATION Name Telephone Number 73 6.2 // 7_2 Address License# 00 y� '7G Home Improvement Contractor# /O" Worker's Compensation# /�°�/ 7✓GG 003 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G G FOR OFFICIAL USE ONLY , PERMIT NO. ' DATE ISSUED VMAP/PARCEL NO. ADDRESS VILLAGE / OWNER DATE OF INSPECTION: ' j f , FOUNDATION ` f FRAME INSULATION •r FIREPLACE • ELECTRICAL: ROUGH FINAL- PLUMBING: ROUGH, FINAL, ' tmTw GAS: ROUGHS ' 0 FINAL , FINAL BUILDINGIZ - rr �n t- (Z � ? DATE CLOSED OUTLu n c y ► i '' if r fJ ASSOCIATION PLAN NOP mz � � � � � •` ' I - RESIDENTIAL]BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE �� 2AZ square feet x$64/sq.foot— 7 1 w x.0031= �306'4 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney. x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee proicost Town of Barnstable Regulatory Se7rvzdes ' Thomas F.Geller,Director �� 6�9• k,� Building bivisxon lD MPS , Tom Ferry,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 , ' Fax; 508-790-6230 office: 508.862-4038 permit z<o• Data AFk�AVIT COME SB-R MNT TO ERM[T AYPLICATZON MGL c.142A reTiires that the"reconsconstruction onsto ctioneof an addition oon.any pre-existing o�"Pr o,cc pied lar�, •improvement,removal,demolition,or aonstru b��g containing at Least one but not more than four dwelling units or to structures yrhich are adjacent to such residence or building b e done by xeglstered contractoxs,with certain exceptions,along with other requirements, ` Estimated Cost L O o O . Type of Wank: -�t/�-` • _ Address of Work Owner's Date of Application: ' I hereby certify that: p,r,otration is not zeq*ea for the following reason(s): ["Fork excluded by law , ❑rab Under$1,000 , []Building not owner-occupied ]Owner pulling nm permit , Notice is hereby given that: • pg,S PULLING TSEIR OWN PERMIT OR DEALINGOMENT WORK DO N ' CONTB ACTORS FOR ATPLICA, 0Gp A OR ACCESS TO THE AMITFUMON PR SRAM OR GUAR ANTX E[TND UNDER MGL c.142A. SIGNED UNDERPENALTMS OF PFR Y Ibereby apply for apermit as the agept of the owner; r � ReNo. C tr ctor Name gistration Date OR Owner's Name The Commonwealth of Massachusetts -- Department of Industrial Accidents ' �96�9 el�rsd®ed0�s 600 Washington Street Boston,Mass. 02111 Workers' com ensation.•Insurance Affidavit-General Businesses �yP �''Y.C'•. .:�!"�.'''. g .:-!,W):4.., "�W.. Y eti.la:Ul / name: address city M � ��►�� '� state: /�d zip:®,2CG phone# —T work site location full address : ¢ O I am a sole proprietor and have no one Business e: E]Retail 0 Restaurant/Bar/Eating Establishment working in any capacity. ❑ Office[] Sales(including Real Estate,Autos etc.) ❑I am an em to er with employees(full& art time. ❑ Other %/ M////%////m/////�%///%111MI/%%%% I am an employer providing workers' compensation for my employees working on this job.. ciimpanV'risme: sddre'ss :a L'. 11C. #' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name: " address: C1tV' p lion Q ye insurance co, . . ..:•_.;...... .:..: :.:�= - c A Voui en n ease: `F 1 U city :phone# *: , , , ...... - ., e..,' r• O(ic msuratic_co Tff 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$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that-a_ copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un er thepains andpenalties ofperjury that the information provided above is true and co rect Signature Date G G' Print name v `' Phone# official use only do not write in this area to be completed by city or town official ity or town: permit/license,# ❑Building Department []Licensing Board ¢ L-0 check if immediate response is required ❑Selectmen's Office ❑Health Department _ ntact person: phone#; []Other--- ( - vised Sep[2003) , Information and Instructions Massachusetts General Laws chapter 152 section 25.requires all employers to provide workers' compensation for their. employees. As quoted from the i`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 ajoint enterprise, and including the legal representatives of a deceased,employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs.persons to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment.be deemed to bean employer, MGL chapter 152 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 an contract for the performance of public work until commonwealth nor.any.of its political subdivisions shall enter into y p p 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.:Please supply company name, 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 permit/license number which will be used as a reference number. The.affidavits maybe,returned to the Department by,mail or FAX unless other'arrangements have been made. The Office of Investigations would hike to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call The Department's address, telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents enin of Westleafiens 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406 F / 1 . .-- Mf' nnuL•�l5mm�n�9 � No'- ..,.p....�.«-..:w........ ....+..._....__..__. ........SC4 � f,,�Y; � fie"C�ant7�am�euea,�i o�a,��GaaaaClzuaed.. Board of Building Regulations and Standards !,iI HOME IMPROVEMENT CONTRACTOR Regi;5# ion 1A4499 Exprat.on14/2004 TAt P'v;6te Corporation I..Ili l �.'•.i 1 ".� 9 ART )OLGOFF Btblt� G/.F�E,,IvI; Agur Dolgoff i 19 McCormick Dr. W.Barnstable,MA 02668 Administrator 7L . �B�OARD��F36�UI' �N K2, iLice,'ns$ CaNSTRUCT,aN^S.UP,E�RpUI�OR l N 6 1 b si Tr.no: 127 ARTH,UiR L DOLG { W°B'AR,STaABLE, _MR q m n11,01 r N f 1 NEW SMOKE PETECTOR REQUIREMENTS LFI.v y ARE NOW LAW. E!•-=,4 THE ADDITION OFA NEW BEDROOM WILL TRIGGER AN a UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE i 7 . PERMIT AT THE FIRE DEPARTMENT a NI. SMOKE DETECTORS O.K. -- ei 4 Z <.5-9. cr — i�,. • - Peeµ L k 2 i I IaT�* xw. .. I �. �l '-FNS£D R1�G g V_- - B. N E BUILDING DEPT. 1 - ""9riE:Ptah. ' .'HOGSE MOVc 71:X-SEME4T'f z�N _ .. �'i �Iy AKRO ASSOCIATES ARCHITE' i h --- b , � I �m c I r ,I 14 ��III b ........` II 5 I : I z�, f II i --T 4 1L -- t I 1 1 t r 15 I .bN �u I • e i I - J,7, .�arrvrnanurea c o�,i`'�a4ear�uaeQd t BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 030060 Birthdate: 11/20/1951 j Expires: 11/20/2003 Tr.no: 13104 -� Restricted: 00 I GARY W SYLVESTER r i 140 DAVISVILLE RD ( �+ E FALMOUTH, MA 02536 Administrator vi � , � .. ; 6?tlilltOOtludRG(IL � m�e✓: BGird of Building Regulations acd J HOME IMPROVEMENT CO OR . ,F Registratl0n t2100 Expirakn:+02%22/2003. Tyke PRIVATECORPORA;ION `.(eARY.SYLVESTER S BUILD MOV j Y SYLVESTER - is DIp►�/tSVILLE RD ° `RLMOUTH,,MA 02536 Pa Adm�es.raC4J��* ' - �dNOTES:' _.. a4 1 ° 1 . DIMENSIONS RELATE TO ACTUAL BUILDINGPwf " AND SHC)ULU BE CONFtRMED IN PLACE. 2: NEW BEAMS ARE DirslGNf[�'T O REPLACE '� � ' �' x EXISTING BEAMS. CONNECTIONS OF z # EXISTING JOISTS TO NEW BEAMS SHALL BE + BY MEANS (Q.F JOIST HANGERS OR, IF ► � ',� " - : r - .. . FRAMED OVER BEAMS, JOISTS SHALL BE PROVIDED WITH SOLID BLOCKING. I I 3. PROVIDE NEW PRESSURE TREATED SILL PLATE ! ` p OF APPROPRIATE DjMENSION TO RECEIVE _ d I r HOUSE. REPLACE EATING SILL PLATE _ .•- -:.._..__-__ _"w..____.__ _.__.._. ,, } WHERE ROTTEN, AND SHIM AS REQUIRED r i I ► TO SIT ON NEW PLATE. ANCHOR NEW SILL ! . WITH STRAPS. PROVIDE SILL SEALER. 4. ONCE IN PLACE, REPAIR JOISTS AS REQUIRED - '_UW GlwVhIA. �-`F,3 CUTTING OR IF NO IF DAMAGED 8Y N + t F CONTINUOUS. 5. PROVIDE JOIST HANGERS AT ALL w 1 Ir�t f w LOCATIONS FOR JOISTS AND BEAMS WHICH d ARE FLUSH FRAMED,. INCLUDING AT SILLS. ` � '.� -x,.� � �•,,��; � ( i it ' , : • w � f 4 Y! i i ^*�. - ,��.'`�� •,x: tit l It ! } 1101, • , r r , i a . S V_-115T- In$ 'irt 2- _ _ r _w� Ir Fri vNl-,L . 1.� To Iu.,Q , c i d W ;_.4.___..._..»__.,.... _..-.•--,--. 35 >. x to 11 1 SCALE: llcl` t t� APPROVED BY Q tt DRAWW 8Y DATE is AKRt ASSOCIATES ARCHIT =ITS L].r310 Satrt�stable load, Hyannis,, MA 02601 5i ltr ; R r::.. Alm L.. id