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Home My WebLink About0267 LINCOLN ROAD C 011 2- Yp or t M p o i L act Yf v; �C f ", 4+4 .' ,$+ t '^F F 'y;,�»�"`, •� .�,yi :. �. °5A'a ..":9 ""� N ws , x .',�w� ^t•..,° da= .. •a. c A, xa g l .;.41, OEM ' ' 1 1�'" �N*.#�v.�`f:�M� �' ��"tvN �"'# sr v'$R.: �n� R' a+2Y � y ..t® '"+�m`a" � mr�Y`3h•. y, 1d, +t 3' f ti� v�'En � � ''w ".1"�..:� rtre• ° i s& � `'�'.� "�9,LL a.R 19 ak - ,� F 'e,a�r.� T�z ' .. AAA, � � �`"s+ *�',.r��",'��'' "�'� �� 'b"� a ..�.�. "�* �,�':`��4� �"� '�' - ="aaut �rz'� �sPn. � °"�•„� .�'es, .�x � _,. yF.� �x i � y5, ': S WAx`�`",�v. 1..a '' ' ', .r � ``.€'� ,uv:. •w .� '%ad�'' $ts� '� ,:y p r'r >ez::. •°i• _ �' w. vls /i - er c �S PHorJE C/4LL A.M. FOR OATE IME 'P.M. M OF RE1`UPNEf ' PHONE YG3Ut OdLt ARE DE NUMBER EXTENSION PLEASE AI:L�. MESSAGE Wt'L OALL 0 �6ZIi�,E 4fVfANTS O.' :SEE YOU .< S I G N E O ff iniversal` 48003 O .m �k i y �o:l SolarCit . ,. y 'D n� Date: June 22, 2015 Z' TO: Barnstable Building Department From: SolarCity Corporation Cape Cod Warehouse ; Phone: (508) 640-5397 FAX: (866)552-9847 Note: Attached are the revised plans for our proposed solar installation located at 267-7 Lincoln-Road-in-Hyannis Since receiving the Building/Electrical permits, we have removed one (1) module from MP2. We would greatly appreciate the revised plans be added as a modification to our existing permits. New Size: 16 modules @ 4.18 kw-DC. Please contact me directly with any questions/concerns. Cheryl Gruenstern Junior Permit Coordinator SolarCity Corporation Cape Cod Warehouse (508)640.5397 ceruenstern@solarcitv.com SOLARCITY.COM AZ ROC 243771/ROC 245450/ROC277498,CA LIC9888104,CO EC8041,CT HIC 0632778/EI_C 0125305,DC#71101488/ECC902585,HI CT-29770,MA HIC 168572/MA EL-1136MR,MD MHIC 128948, NJ NJHICk13Vt-I06160600734EB01732700,OR C8180498/C562/PB1102,PA IIICPA077343,7X TECL27006,WA SCI.ARC-91901/SOLARC'905P.0 2014 SOLARCIiY CORPORATION,ALL RIGHTS RESERVED. ' Version#43.1 to � o ,SOlarCit H OF April 6,2015 �N G Project/Job# 026927 c RE: CERTIFICATION LETTER I L C0 Project: Cushing Residence 267 Lincoln Rd S NAL LNG` Hyannis,MA 02601 4/07/2015 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: 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 -Ground Snow Load = 30 psf -MP2: Roof DL= 11.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss =0.18757 < 0.4g and Seismic Design Category(SDC) = B < D 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. 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, Digitally signed,by Nick Gordon Nick Gordon, P.E. Date:2015.04.07�05:49 Professional Engineer Main: 888.765.2489 -07'00' 'email: ngordon@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com .. AZ ROG 243771,CA CSLB 888-104,CO EC 8041,Gr HIC 0632778,DC HIC 71101486,CC HIS 71101488,HI CT-29770,MANIC 168572,MD MHIC 128948,NJ 1WHO6160600, 08 CC8180498,PA 077343,TX TDLR 27006,WA GCL:SOL.ARG'91907.0 2013 Solarafy.Att rights reserved, - 04.06.2015 . PV System Structural Version#43.1 o I a r C i t Design Software PROJECT INFORMATION &TABLE OF CONTENTS _ Project Name ,, . : _ ` C_ ushing„Residence , aI AHJ: stable Job Number: 026927 Building Code: MA Res.Code, 8th Edition a ��" — ---r-Rom---t _Customer Name: Cushing;Steven d{ Based On: , _„IRC 2009%yIBC 2009 _ Address: 267 Lincoln Rd ASCE Code: ASCE 7-05 City/State: rHyannis, °-AMA _Risk Category: J m 11 Zip Code 02601 Upgrades Req'd? No Latitude/Longitude �91,6_584.23' 70313554-� � Stamp Req'd? e Yes - SC Office: Cape Cod PV Designer: Kyle Lanza Calculations: Ran°Atwell # EOR: �© a r Nick Gordon P.E. 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 = 0.18757 < 0.4g and Seismic Design Category(SDQ = B < D 1/2-MILE VICINITY MAP -ro� l 41 28 • i I" A 000 T • • " i • Ul're MassGIS. Commonwealth of, - EOEA, USDA Farm Service e • 267 Lincoln Rd, Hyannis, MA 02601 Latitude:41.658423,Longitude: -70.313554,Exposure Category:C STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP2 Member Properties Summary M02 Horizontal Member Spans Rafter Pro erties Overhana 1.16 ft Actual W 1.50" Roof System Pro erties U S an 1 ;:. s r6.83:ft � ,�Actual D" m a ° 3:50'! Number of Spans(w/o Overhang) 2 San 2 6.49 ft Nominal Yes Roofing Material eCornp Roof °'Span 3 " W g A 525 in.^2 - Re-Roof No San 4 S. 3.06 in.A3 - �,536 in 4L Plywood Sheathing. Yes San 5 Board Sheathing Solid-Sheathing Total Span 14.48 ft TL Defl'n Limit 120 Vaulted Ceiling '" No' PV 1 Start- z1:42 ft Wood Species " " �SPFm Ceiling Finish 1 2"Gypsum Board PV 1 End 13.83 ft Wood Grade #2 Rafter Sloe y 220' PV 2 Start' 875 psi' Rafter Spacing 24"O.C. PV 2 End F 135 psi Top Lat Bracing ' m *Full` :n-PV 3 Start* E r x E :®` :.1400000 si Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.5 psf x 1.08 12.4 psf 12.4 psf PV.Dead toad PV-DL. ,_.'3.0-sf} �z " �.4 x 4.08 °, �-" --4� ` ","3:2"psf Roof Live Load RLL 20.0 psf x 0.95 19.0 psf ' a " 0 `sf � 21:0 sfLive/Snow Load x07 _'! Total Load(Governing LC TL 1 33.4 psf 36.6 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2, pf=0.7(Ce)(CO(Is)p9; Ce=Ct=Is=1.0 Member Design Summa (per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 0.92 1 1.5 1 1.15 Member Anal sis Results Summary Maximum Max Demand. @ Location Capacity DCR Shear Stress 72 psi 1.2 ft. 155 psi 0.47 Bending + Stress 4° � 867 psi . ,E 1'3.9 ft. : „1.1736 si ;0.50 t . Bending - Stress -1541 psi 8.0 ft. -1599 psi 0.96 Governs Total Load Deflection 0.21 h, ,413 f}°,x '4.1,ft. t °0.74'in:` 120" I 0.29 Bending H Stress -1541 psi 8.0 ft 1 -1599 psi 0.96 Pass r ; CALCULATION OF DESIGN WIND-LOADS=MP2 Mounting Plane Information Roofing Material Comp Roof PV System•Type tTM - -- ' $'� 4 SolarCity SleekMoun Spanning Vents No Standoff Attachment Hardware Com Mount,i e C � ,.. � � > Roof Slope 220 --�-, . Rafter Spacing w .: r 24,O:C: , . Framing Type Direction Y-Y Rafters Purlin Spacing �" `f n: L?Q Purlins Only,, 1, ., .��u� ,.,, NA-' _ .� Tile Reveal Tile Roofs Only NA Tile Attachment System .,:: �, Tile'Roofs Only "a „ NAn ` Standing Seam/Trap Seam/Trap S acinq Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method ° `_ __ Partially/Fully:Enclosed Method __ _ Basic Wind Speed V 11_0 D m h Fig 6 1 Exposure Category _ # C _Section 6.5.6.3 Roof Style Gable Roof Fig_.6-11B/C/D-14A/B Mean Roof Hei ht,. h f ,,:.,w ._iwa, : 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor . _ µ100 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 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC -0.87 Fig.6-11B/C/D-14A/B Ext. Pressure-Coefficient (Down)"" 14 , 0.45m � 4 Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(GC) E uation 6-22 Wind Pressure U -19.5 Psf Wind Pressure Down 10.0 Psf ALLOWABLE STANDOFF SPACINGS p X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 72 39" Max Allowable Cantilevers .- 'Landscape _`v, w - , W,w k"-4%4 r . - 24'`- NAB. Standoff Configuration Landscape Staggered Max Standoff_Tributa Area _:- M t x _ Trit 20 sf•... ,t { PV Assembly Dead Load W-PV 3.0 psf Net d Uplift at Standoffs Q „ T-actual; Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci — DCR 70.4%"'W, X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" MazAllo_w_able'Cantileyer " gy riPortrait v Standoff Configuration w 0 2 Portrait Staggered M_ax_Stando_ff_Tributa_ry Area ° „ u Tribe PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T actual ti » £ -92 __ _ r •, 3 IT7. Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci . .'_ ' _DCR' v _IMF 3% - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o?7/ Parcel 074 Application #oX/310/ 5 Health Division Date Issued `f-17719 PF Conservation Division Application Fee //5--6 ?d_ d Planning Dept. Permit Fee �Sto• ( C) Date Definitive Plan Approved by Planning Board Historic - OKH — _ Preservation / Hyannis Project Street Address ?'.Livcolo J�' Village �.o.rN,s Owner � (*1'&s�i�,A Address-747,li.veolN 7�d Jf't�i4�IA,/ 44 Telephone . •�? - 30 .P Permit Request fA/.sTget TOtne2 ctwrale-PAuA-L s .,a) r'?eoF Oxoasna4 A_AM,1 4'.�»y�9r�� .4/T�t ,Of Bfj jpeiv .aFkS'/6 y 70 re ON e.e.AL & elGxr�Gce Swhm ail�.��✓� /7.67a�1t�S Square feet: 1st floor: existing — proposed 2nd floor: existing -- proposed _ Total new ---� Zoning District 1.7 Flood Plain '-" Groundwater Overlay Project Valuation W000.00 Construction Type _ Lot Size Grandfathered: ❑-YeWA M If yes, attach supporting documentation. Dwelling Type: Single Family)i� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes �No On Old King's Highway: ❑Yes )�$No Basement Type: ❑ Full -6 givl— ❑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:--a CIMA O'Oil ❑ Electric ❑ Other Central Air: -5-Y9VA ❑ O Fireplaces: Existing -- New — Existing wood/coal stove: "04s' Flo Detached garage: ❑ exaF# gAQ nevi size_Pool: ❑ existing new size _ Barn: ❑ existing-E1 Ste_ Attached garage: ❑ exttr*A new size _Shed: ❑ existmg4-40ieW- size _ Other::'' rva L.y 9 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 'F? Commercial ❑Yes A^o If yes, site plan review# _ Current Use Proposed Use A10 c� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Z1 - 51p .4,e Telephone Number ��•��•��d'p Address t dW /1,44;44fe rn Sly License# _e5,140A663 Iyoewt ll /4,14f 0.?,9 / Home Improvement Contractor# Email_NM,LL.E-0_ Worker's Compensation # 6AQ764,'Pf4ea XZ;o / ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d+.frniyJ�ar ��G��iI O�icCG `w A IOrwc 1 L /1i1./Q SIGNATURE DATE9'�0�.� FOR'OFFICIAL USE ONLY I APPLICATION# DATE ISSUED MAP/PARCEL NO. ; ADDRESS VILLAGE OWNER: ; DATE OF INSPECTION: FOUNDATION y FRAME >� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL •' GAS: ROUGH FINAL J FINAL BUILDING DATE CLOSED OUT '4. F ASSOCIATION PLAN NO. DocuSign Envelope ID:D61 F8452-9C20-4F1 B-9418-E1562F3804B2 -;,5olarCity Power Purchase Agreement p'a� Here are the key terms of your SolarCity Power Purchase Agreement Date: 3i8i2015 ,� 0� �i� �� - '� M � ��M■,�0 �� 2'0,years,-- �_. - ..,,q3` �? 1$y C ,f.h $ p� "9 T ... System installation ..cost Electricityzrate}pec kWh` k Agreement`term rm v a Our Promises to You sh We insure,maintain,and repair'the System(Including the inverter•)at no additional cost to you,as specified in the agreement. 'We provide 24/7 web-enabled monitoring'at no additional cost to you,as specified in the agreement: ' ' • We warranty%your roof against leaks and restore your roof at the end of the agreement,as specified in ttie agreement P • The rate you pay for el41 -ectricity,exclusive of taxes,will never increase by more than z90%peryear.s • The pricing in this PPA is valid'for-30 days after 3/3/2015: `' • We are confident that we deliver excellent value"andl,customer service:'As-a result, you larefree to cancel`anytime at no charge prior to construction on yourhomes ; , .,a . Estimated First Year Production; :' . _• qp, 1--4,932 kWh , Customer's Name & Service Address Exactly as it appears on the utility bill Customer Name and Address Customer Name Installation Location Steven Cushing 267 Lincoln Rd 267 Lincoln Rd > Hyannis, MA 02601 Hyannis, MA 02601 Options for System purchase and transfer: Options at the end of the 20 year term: • If you move,you may transfer this agreement to the purchaser of your • SolarCity will remove the System at no cost to you. Home,as specified in the agreement. . You can upgrade to a new System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. System. • You may purchase the System from SolarCity for its fair • These options apply during the 20 year term of our agreement and not market value.as specified in the agreement. beyond that term. . You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. iRi*51 Co.FAJITIAFild'c`AY,G:.tN y1r'I'F;1 I;iA"."rHOP 68a.80L.GITY aaa.755.2$ag SOLARGITY.GOM MA HIC 1685721EL-1136MR Document Generated on 3/3/2015 Q• Q 598300 {' DocuSign Envelope ID:D61 F8452-9C20-4F1 B-9418-E1562F3804B2 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement. YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Steven Cushing EXPLANATION OF THIS RIGHT. DocuS'gned by: 24.ADDITIONAL RIGHTS TO CANCEL. Signature: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL Date: _3/8/2015 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 3/3/2015. If you Customer's Name: don't sign this PPA and return it to us on or prior to 30 days after 3/3/2015, SolarCity reserves the right to reject this PPA unless you Signature: agree to our then current pricing. Date: S o l a r C i ty. Power Purchase Agreement SOLARCITY APPROVED , Signature: LYNDON RIVE, CEO (PPA) Power Purchase Agreement Date: 3/3/2015 Solar Power Purchase Agreement version 8.3.3 598300 37 777 awe,, NET r Qax r.. 101 m � o n a r rv, CN CD w� gWIT WN sm a �.r r.. too, 11 oil m ,K 4 r N . m / � �Sy EPA 10 -up MOAT W a-�+ tit Now- UN "L7 C T y ra # CD t .- I ti -�e -e0WWWWUAea" Office of Consumer AffaA and Business Regulation , 10 Park Plaza w Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 CRAIG ELLS 3055 CLEARVIEW WAY -- - SAN MATEO, CA 94402 Update Address and return card.hark reason for change. I I Address f—1 Renewal Ij Employment Lost Card office or Consumer Affairs&Business Regulation License or registration valid for individul use only b".".�_714OMEbefore the expiration date. If found return to; IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration: 168572 TYPe .10 Park Plaza-Suite,.5170 Expiration: 3/812017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CRAIG ELLS 24 ST MARTIN STREET BLD 2UNI ��-- IT4AALBOROUGH,MA 01752 Undersecretary Not vali without signature 'tliiiza,lrh��ofts. DenartritInt TDt Boara of Bi iluiticcf Requimloits it'a $1.1nit lo$ t •re.irra.lh.,rt 4D$itar•ra,c r+d r1 CS-107663 CRAIG ELLS 206 BAKER STREET Keene NIFI 03431 f �� irr!iiti > i}t!t t 08/29/2017 a Clot f.lGtl,�l 1��,Is _ Office of Consumer Affairs nd Business Reguhation 10 Park Plaza - Suite 5170 S� Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION r Expiration: 3/8/2017 NILA MILLER -- — --- 3055 CLEARVIEW WAY - ----- SAN MATEO, CA 94402 -"= -- Update Address and return card.Mark reason for change. SCA t G 20M-050I r Address ❑ Renewal ❑ Employment Lost Card =--Ofice of Consumer Affairs&Business Regulation 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 4,4 WERegistration: 168672 , Type: 10 Park Plaza-Suite 5170 Expiration: 3/8/2017 Supplement"ard Boston,MA 02116 SOLAR CITY CORPORATION },-t NILA MILLER 24 ST MARTIN STREET.BLD 2UNI WI-BOROUGH,MA 01752 Undersecretary Not valid without signature t e t I The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia l orkers'Compensation Insurance Affidavit:-Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Ap�h'cant Information Please Print Letdbly Name (Business/Organization/Individual): SolarCity Corporation Address: 3055 Clearview Way City/State/Zip: San Mateo, CA 94402 Phone M 888-765-2489 Are von an employer?Check the appropriate box: Type of project(required): I.®I am a employer with 9000 employees(full and/or part-time).° 7. ❑]dew construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.C]1 am abomeuwner doing all work myself.[No workers'comp.insurance required.]t 9• ❑Demolition 4,[:]]am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure ithat all contractors either have workers'compensation insurance or are sole 1 1.❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑1 am a general contractor and I have.hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13.[]Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[X Other solar panels 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit iuditdiing they am doing all work and then hire outside contractors must submit a new affidavit indicating such. rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I au:an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Company Policy#or Self-his.Lic,#: WA766DO66265024 Expiration Date: 9/01/2015 lob Site Address: 267 Lincoln Road c`it;,/States/ip: Barnstable, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,.§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a .day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. do hereby certify under tha,mains and penalties of perjury that the information provided above is true and correct Si nature: Date: 4/9/2015 Phone#: 781-816-7489 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town* Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector_5.Plumbing inspector 6. Other Contact Person: Phone#: ® DATE(MMfWIYYYY) ACORV CERTIFICATE OF LIABILITY INSURANCE 08I29014 #61� 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 NAME:C MARSH RISK&INSURANCE SERVICES 345 CALIFORNIA STREET,SUITE 1300 PHONE ext_ Fp C No): CALIFORNIA LICENSE NO.0437153 ADDRESS:SAN FRANCISCO,CA 94104 INSUR S AFFORDING COVERAGE NAICtI 998301-STND-GAWUE-14-15 INSURER A:Liberty Mutual Fire Insurance Company 16586 INSURED Ph(650)963-5100 INSURER B:Liberty Insurance Corporation 42404 SolarCity Corporation INSURER C:NIA N/A 3055 Clearview Wa San Mateo,CA 94402 INSURER D 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MPM0fUC EFF FOLIC EXP LIMITS LTR A GENERAL LIA131UTY TB2-Fa1-066265-014 09/01/2014 09/01/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY -DARME TO RENTED PREMISES Ea ocwnenos $ 1�'� CLAIMS-MADE a OCCUR MED EXP(Any 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 r X PRO-JECT LOC Deductible $ 25,000 A AUTOMOBILE LIABILITY AS2 661066265-044 09/0112014 09/01/2015 COMBINED SINGLE LIMIT 1,000,000 dent F�acci X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS X AUTOS Paracddent X Phys.Damage COMP/COLL DED: $ $1,000/$1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WA7-06D-M265-024 0910112014 0910112015 X WC STATU- I OTH- AND EMPLOYERS"UABILITY B ANY PROPRIETORlPARTNER/EXECUTIVE YIN WC7$61-W62654M(WI) 09/01/2014 09/01/2015 E.L.EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBER EXCLUDED? NIA WC DEDUCTIBLE:$350,000' 1,000,000 (Mandatory in NH) E.L DISEASE-EA EMPLOYE $ byes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space is nxpdrod) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolarCity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3065 Gearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Math,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE of Marsh Risk,&Insurance Services CharlesMannolejo 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I Version#43.1 �0v,solarCIt ,�%k OF a April 6, 2015 �oa� N �'yG Project/Job# 026927 0 RE: CERTIFICATION LETTER I L Project: Cushing Residence 9�� F /S 267 Lincoln Rd 3s NAL Hyannis, MA 02601 04/07/2015 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: 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 -Ground Snow Load = 30 psf - MP2: Roof DL= 11.5 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss= 0.18757 < 0.4g and Seismic Design Category(SDC) = B < D 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. 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, Digitally signed by Nick Gordon Nick Gordon, P.E. Date:2015.04.07 10.05:49 Professional Engineer y� Main: 888.765.2489 07'00' . email: ngordon@solarcity.com 3055 Clearview Way •San Mateo,CA 94402 T(650)638-1028,(888)SOL-CITY F(650)638-1029 solarcity.com AZ R00 248771.GA CUS 888IK CO EC 8041,Cr NIC 0832778.DE M!C 71101486.DO 1119 71}0't4H8,NI CT 29770.MA 111C 10857Z rAD MNIC 12894a,NJ 13V1400-16,M00, 0R.CCB 180408,FA 077343,'r,<TOLR 27000,:WA GOL S01.ARC'0.1907.C 2013 SdarCity.Afl Oghta resolved.: P 04.06.2015 Version #43.1 ��S®IarC�t PV System Structural , X Doi y Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project.Name: fi Cushing.Residence L L-fl AHJ -_°---- _Barnstable t Job Number: 026927 Building Code: MA Res.Code, 8th Edition Customer_Name: ~ Cushing ySteve=,, Based On: -I_R_C_ 2009_/IBC 2009' Address: 267 Lincoln Rd p_ ASCE Code: ASCE 7-05 City/State: a _ Hyanrns,e f_MA ? Risk Category: Y. II zip Code 02601 Upgrades Req'd? No Latitude/ Lon gitude: �� 41;658423 s m70.313554° -Stamp Req'd? Yes SC Office: Cape Cod PV Designer: Kyle Lanza Calculations: 7, x. Ran Atwell � -'- r, EOR: .Nick Gordon P.E.` 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 = 0.18757 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY MAP • • 28 of _A, LL A. • �r w 267 Lincoln Rd, Hyannis, MA 02601 Latitude: 41.658423, Longitude: -70.313554, Exposure Category:C f STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 1.16 ft Actual W 1.50" Roof System Properties S.an 1 • 6.83 ft° ''Actual D rx '_µ.3.50" Number of Spans(w/o Overhang) 2 San 2 6.49 ft Nominal Yes Roofin Material "' Con Roof San 3 fr A= `5 25 in.,/,2, Re-Roof No San 4 3.06 in.A3 Plywood Sheathin -_ Ye *S p an'S '' v n - L 5:36�in�^47-7 Board Sheathing Solid-Sheathing Total Span 14.48 ft TL Deffn Limit 120 Vaulted Ceiling '-Wood.Speces SPF== Ceiling Finish 1 2"Gypsum Board PV 1 End 13.83 ft Wood Grade #2 Rafter.Sloe " . . -" z r a-- 22° a - PV 2 Start -$ 4" "d F ti '6#8 �`� �� 75 psi Rafter Spacing 24"O.C. PV 2 End F. 135 psi To Lat Bracin ' 1; , E- sFullz.1400000 psi 1, Bot Lat Bracing At Supports PV 3 End Emi„ 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Ad'ust Non-PV Areas PV Areas Roof Dead Load DL 11.5 psf x 1.08 12.4 psf 12.4 psf PV Dead Load ` PV-DL - g3.0 sf 4__wz 1.08' r °'` 4 g3.2 sf 4' Roof Live Load RLL 20.0 psf x 0.95 19.0 psf Live/Snow Load f LL SL1�2 :m 30.0` sC, z 0.7• a x 0.°7 v _ =21.0': sf 1- :21.0 Total Load(Governing LC TL 33.4 Psf 36.6 Psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(Ct)(Is)p9; Ce=Ct=Is=1.0 Member Desi n Summa (Der NDS Governing Load Comb CD CL + CL - CIF Cr D + S 1.15 1.00 1 0.92 1 1.5 1.15 Member Anal sis Results Summary Maximum Max Demand @ Location Capacity DCR Shear Stress 72 psi 1.2 ft. 155 psi 0.47 Bendin + Stress ' : , " . � 867; si., 3:9'ft. m1736 si:G 0 s 0.5 Bending H Stress -1541 psi 8.0 ft. -1599 psi 0.96 Governs Total Load Deflection '7'n L �0.74in: 120a A - 0.29 '�" �; � "lBending Stress 1 -1541 psi 8.0 ft -1599 psi 0.96 Pass CALCULATION_OF_DESIGN WIND_LOADS-MP2_ Mounting Plane Information Roofing Material Comp Roof PV System sType ' ' M �. � ><m ,d F, a _- SolarCity S eekM_ountT _x Spanning Vents No Standoff: Attachment'Hardware �7 >s, - a < „ • _ '"ti Com Mount!We C Roof Slope 220 RafterSpacing � = _ ,x 24 Framing Type Direction Y-Y Rafters Purlin_S acre �. p�9 ; .: _ z y,�-X-X`Purlms Only. Tile Reveal Tile Roofs Only NA Tile Attachment-System, 7-r 4 �rr: Tile,Rods Only, k.k -- - —.� N StandingSeam ra S acin SM Seam Onl NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind D res gn ,Partially/Fully Enclosed Method ` Basic Wind Speed V 110 mph Fig. 6-1 Exposureu tegory., .. ri f � C� Section_6.5_,6.3. Roof Style Gable Roof Fig_.6-11B/C/D-14A/B Mean -Re—icifif 7, h a,�,77_ 15,ft Section6.2 ` Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor:` x - 4 - Krt m x 1 00 _ Section 6.5.7, Wind Directionality Factor Kd 0.85 Table 6-4 Im rtae o a .. a I , _ :: . _: _..»... 1:0 x Table 6.4 o nc Fact ry ° Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC -0.87 Fig.6-11B/C/D-14A/B Ext..Pressure'Coefficient Down -# GC ' `' .. _ 0:45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22. Wind Pressure U -19.5 Psf Wind Pressure Down 10.0 Psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 72 39 11 MaxAllowable Cantilever �: ` �Landscape� a - DNA Standoff Configuration Landscape Staggered Max Standoff Tributary Area PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff°_ _ _ 4 TsactuaP! 352 ` - bs`I Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci `•" 3 DCR".: . ° = X-Direction Y-Direction Max Allowable Standoff Spacing_ Portrait 48" 66" Max"Allowable Cantilever= 0° -- --— __- _ A Portrait• 2 d NA Standoff Configuration Portrait Staggered Max Standoff Tributa L__Area—.. � �_ Trib _ a� , .� °, °.� , ; �� -22sf l PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift of Standoff s T-actual - "t,392 Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff afid/Cabaciti DCR =° - k t xi 78.3% u ° Town of Barnstable *Permit# Expires 6 months rom'sue date Regulatory Services Fee • SAPOWA13MMASS s 9$ `0� Richard V.Scali,Director QED MA'I A Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number t l� Property Address_ lO t L i/I C Q! �. R�Residential Value of Work$ kFOO 0 a U U Minimum fee of$35.00 for work under$6000.00 v Owner's Name&Address �v` j Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: 16 ❑ I am a sole proprietor , - Tam-the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF13AFINST'A13LE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)PeRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to •au n�G sl et- ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. `Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Hgme Improvement Contractors License&Construction Supervisors License is equir � oA, 4 SIGNATURE: Q:\WPFILES\FORMS\building permit forms_ RESS.doc Revised 061313 ,a Hie Commonttt h qf-Massacbuseft Department of fidmstrual Accidents Office of Inve'sagalions 600 Washington meet Boston,MA 0211I wnw.mass g vldia Workers' CompensatiunInsuranc 4 fidavit:Builders/Contractors/FAectricianslPlumbers Appilicant Infarmation Please Print LeLihIy j gTl]t:�ta�inr ni�afipnduffividnal): SI-e-up-0 CU S I I G_ Cityl5tat zip: kv&zl c o U Phone 47 JF d Are you an employer. Check the appropriate box: Type,of o-t ct r Hire _ 4. I am s contractor and I � P¢' I �� - I-❑ I am a employer with ❑ $ 6- ❑New construction employees{full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-corrtractors have g- ❑Demolition wod=g for me in any capacity employees and have workers' 9- ❑Building addition WO Workers.comp_insurance comp-insu ancx--1 required_] 5..❑ We area corporation and its 10-El Dbectrical repairs or additions 3.TI am a homemm r ding all wod-, officers hum exercised their I L.❑Plumbing repairs or additions myself [No workers'comp- right.ofeiemption per MCL 12_.Pitaoftepaim insurancerequired,]1 c.152,§1{4},and we have no employees_[No workers' 13-M Other comp-insurance required-] *Any appEctuf that checks box 91 n=also fill out the suction below showing ihea wodcen'compensation poHry iufi3rmafeon- I Homeowners who submit this sfddxvh iudksfmg they are doing all wca k and then hue outride coatracturs mast sobmit a new affidsc t inri r�tin snrb ZC-ontmciurs thst check this box mast attached an additional sheet shouurg the nsme of the sus-e oxs xnd sYete whether arnot those eutities have mplayees- Ifthe mt-contmctars hare employees,they must prn ade their workers'comp.policy number. lam an empioyex iliat is prm idt g it�orke-rs'conWituw&n irLvuraace for trey enTLaym Belotr is the policy and job site iitj'ormatian. - Insurance Company Name: Policy 4 or Self-ins-Lie.# - _-_---...._ Expiration hate: Cityi''Stah'1Zip: Attache a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c- 152 can lead to the imposition oftrimirral penalties of a fine up to$1,500.Oa and/or one-yearitnprisonment,as well as civil penalties in the form of a STOP WORK ORDER-and a fine of up.to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Irsvestigatiofls Tnx of DIA liar aance coverage veeffication_ I do hereby certify tka 'n and penalties ofpedury thatihe innf ormation prat idRd abase is hue and correct Phone#" 4"1J o j tl,V al use only. Do not irrite in this area,to bs completed by di�v or town of)Sc iaL City or Town: PermitUcense# Fssning Authority(circle one): 1.Board of Health 2.Building Department I Citylrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the-commonwealth for rilay applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contacting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone numbers)along with their certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees, a policy is required_' Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit 11e affidavit sbould be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an.applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should wiite"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city'!or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Ilse to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: n1� CommonwWffi of Massachusetts Depaitme.nt of Industrial Accidents (?ice of Investigatfaus 600 washingtaa Street Bastou,MA 02111 Tel.#617-727-4 0 4Q6 r 1-$ IAA E ?� cxt • ��AF Revised 4-24-07 Fax# 617-727-7749 www.inass-gov/dia r Town of Barnstable i Regulatory Services Richard V.Scali,Director Building Division EA NSr"LF. " Tom Perry,Building Commissioner MASS. v� 1639. ,m� 200 Main Street, Hyannis,MA 02601 Argo a www.town.barnstable.ma.us Off-ice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION l Please Print / le JOB-LOCATION:•+l L i✓1 C OL Va'i v1(5 number street I village "HOMEOWNER'°: 2 J 1 ey�'�1 CV5L�•,ca V '7 — �l J V name j home phone# work phone# C URRENT,MAII,ING_ADDRESS:=�� wr)Ms ctbovc city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The un rsigned"home wner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proce sand egents and that he/she will comply with said procedures and requirements. ,WA r of Homeown Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 s f t� t aniuvsrwsre. MASS. Town of Barnstable prED MP'�A Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us z Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using/A Builder ,x I, f 1 r as Owner of the subject property 'f hereby authorize f to act on my behalf, in all matters relative to work authorized by this building permit application for: N (Address of Job) F Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE f ` OWNER 0 r. DATE OF INSPECTION: FOUNDATION FRAME INSULATION w I FIREPLACE i { ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r 3 - DATE CLOSED OUT ASSOCIATION PLAN NO: t i . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel pplication # Health Division Date Issued ,O 1 Conservation Division Application Fee Planning Dept. Permit Fee X 3 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 67 C Dbo k Village Ap)iiA n t r n Owner `5-1�2ci�v� �J5 Address ;4 7 LA c®�n Telephone - o Permit Request LeAftlf'kl ! #V_9 rTGh n s- ln t'A VJa. ern 44L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatiorP U v 0. 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sl.o_ orting decum tation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) , Age of Existing Structure Historic House: ❑Yes ❑ No On Old King sHigh way:-C]Yes' ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other r' Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. - rev Number of Baths: Full: existing new Half: existing newr . 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 (it'll v5 (Ae Telephone Number �OF 'S�'04?3d Address Lunco -16 License # nh w Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l .;. The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G Address: p L t n Gd In R J a City/State/Zip: ► Phone#: s� 0 -,SQGI" ��'j 3 Q Are you an employer. Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp,insurance comp.insurance$ required.]«� 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3:Ly'I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions m self. o workers comp. right per 11 y � ' ht of exemption MG P 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: e Expiration Date: Job Site Address:_ L 14 (_4`�� City/State/Zip:�t2v1V11- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi n er th ai gandpenalties ofperjury that the information provided above is true and correct. Signature: ( ,Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than-three apartments and who resides therein,or the occupant of the. dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston,MA.02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable Regulatory Services oFtt roty,Y� Richard V.Scali, Director Building Division * sAarrsTABIA * Tom Perry,Building Commissioner MASS. 9qj 16g9. ,� 200 Main Street, Hyannis,MA 02601 Argo► www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r /, Please Print DATE: jf( t t,�/ J JOB LOCATION: 2 -/ r It, G' number ` street O Q village "HOMEOWNER": e,)eA uS Yl i/t f, SO "S Q tl — 2Y3 O name // home phone /# work phone# CURRENT MAILING ADDRESS: (0 L I A r d', Ul,d 4- IAnn ,s MA, 0,26 o f sty/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minim pecti procedures and requirements and that he/she will comply with said procedures and require s. / Sign re of Ho-meovyr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. �F THE A * =ARNSTABLE, # "9. 1639• Town of Barnstable ♦0 ATfD MA'S� Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHLESTORWbuilding permit forms\smokecarbondetectors.doc Revised 050412 1� Lo +n•° "S' fjp#p(�` � � `ems 00 3� vl` 5 3 Page 1 of 1 l _a r 1 rK :1 r r I a 3 d�"'9i� m i F � w e%fix 3}" # .:♦ ';� ss� , u- F � F a 4 �*1 +,'�• � S�°:f=9 dk` 'rta'� ?* '. s,x w` `3,e� �3'F ' : JS x n 47-7,, i �. ,;7 14 +� N-7 x _i 7— http://www.town.bamstable.ma.us/propertyimages/00/00/08/50jpg 5/27/2014 . 267 Lincoln . �_ , Hyannis 8/14 co I n Rd , Hyannis 5/i8il .4- " e 6 a 0 a e � � � to 267-,Lincoln Rd , Hyannis 5/28/14 F a �h {mom' 267, Lincoln Rd , Hyannis , r g � . 5/28/14 G 0 wr ��K f Y Mi 3 1 C c--�(� �n �1ME Teti Town of Barnstable °^ Regulatory Services B"x'''s''MAM. ' Richard V. Scali,Interim Director 9`l'A1E1639.�61 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 21, 2014 Steven Cushing Joann Cushing 267 Lincoln Road Hyannis, MA 02601 , Dear Mr:and Mrs. Cushing, This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by June 11, 2014 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation, per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /blc Parcel Detail Page 1 of 3 w �� I� v/4 e�v?4 1 R, Logged In As: Parcel Detail Wednesday, May 21 2014 Parcel Lookup Parcel Info Parcel ID 271-076 �� Developer LOTS 83&84 � Lot Location 1267 LINCOLN ROAD i I Pri Frontage j120 -' __--_--_._.__...__._. _ _I ( ( Sec Road Sec Frontage3 village JHYANNIS _ I Fire District[HYANNIS Town sewer exists at this address[No I Road Index r0895 �Z Asbuilt Septic Scan: Interactive 271076_1 Map Owner Info Owner,C SU HING, STEVEN D&JOANN I Co-Owner�� streets I26 LI7 NCOLN RD �_I Street2 City HYANNIS State zip,02601 Country J Land Info Acres 10.38 use Single Fam MDL-01 I� Zoning FRB Nghbd 10104 Topography Level I Road Paved Utilities lPublic Water,Gas,Septic Location ~� I Construction Info Building 1 of 1 Year Roof mm— --_ Ext Built 1960 Struct I Gable/Hip Wall Wood Shingle «= Living 1388 -) Roof Asph/F GIs/Cmp I AC None m Area Cover Type Int* — .__. Bed style _I Wall Drywall Rooms iL3 Bedrooms Ranch Model Residential I Int Carpet Bath i2 Full " °. Floor Rooms i 'tor _"�" ... Grade FA Minus I Heat Hot Air Total 5 RoomsI Type Rooms= o: StoHeat ries�1 Story �) Fuel Gas Foation!Poured Conc Gross 2936 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20458 5/21/2014 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 2/19/1999 Repair Work 136577 1$25,000 FIRE DAMAGE - Visit History Date Who Purpose 2/23/2004 12:00:00 AM Paul Talbot Meas/Est 5/14/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 11/2/1999 12:00:00 AM John Greene Cycl Insp Comp 9/15/1989 12:00:00 AM ML Meas/Listed-Interior Access " Sales History Line Sale Date Owner Book/Page Sale Price 1 10/30/2003 CUSHING, STEVEN D&JOANN 17865/288 $215,000 2 3/9/1999 MILLER, HARRY B JR TR 12113/345 $21,000 3 4/15/1992 PHILLIPS, BERNICE R 7970/230 $58,000 4 4/15/1992 FINANCIAL ENTERPRISES CORP 7970/225 $1 5 112/30/1965 1 ENOS, DAVID L 1322/752 1 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2014 $92,900 $27,700 $2,500 $69,100 $192,200 2 2013 $92,900 $27,700 $2,500 $69,100 $192,200 3 2012 $92,900 $27,400 $2,000 $69,100 $191,400 4 2011 $118,700 $3,100 $0 $69,100 $190,900 5 2010 $118,600 $3,100 $0 $106,400 $228,100 6 2009 $114,100 $2,500 $0 $143,200 $259,800 7 2008 $132,900 $2,500 $0 $149,200 $284,600 9 2007 $132,000 $2,500 $0 $149,200 $283,700 10 2006 $120,100 $2,500 $0 $151,800 $274,400 11 2005 $110,600 $2,400 $0 $117,000 $230,000 12 2004 $89,600 $2,400 $0 $117,000 $209,000 13 2003 $81,900 $2,400 $0 $42,100 $126,400 14 2002 $81,900 $2,400 $0 $42,100 $126,400 15 2001 $81,900 $2,400 $0 $42,100 $126,400 16 2000 $61,200 $2,200 $0 $27,700 $91,100 17 1999 $61,200 $2,200 $0 $27,700 $91,100 18 1998 $61,200 $2,200 $0 $27,700 $91,100 19 1997 $55,300 $0 $0 $27,700 $83,000 20 1996 $55,300 $0 $0 $27,700 $83,000 21 1995 $55,300 $0 $0 $27,700 $83,000 22 1994 $52,300 $0 $0 $31,100 $83,400 23 1993 $52,300 $0 $0 $31,100 $83,400 24 1992 $59,500 $0 $0 $34,600 $94,100 25 1991 $75,300 $0 $0 $48,400 $123,700 26 1990 $75,300 $0 $0 $48,400 $123,700 27 1989 $75,300 $0 $0 $48,400 $123,700 28 1988 $49,500 $0 $0 $21,700 $71,200 29 1987 $49,500 $0 $0 $21,700 $71,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20458 5/21/2014 Parcel Detail Page 3 of 3 II 30 I 1986 I $49,5001 $01 $01 $21,7001 $71,200II Photos y .� V a y 2 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20458 5/21/2014 TOWN OF_£ B*i ] D I LOCATION: t.; c VILLAGE• ��f/kNi111S I LOT # : PERMIT # : �� - 7 7 J INSTALLER' S NAME• 1 INSTALLER' S PHONE # : 1 2-c So LEACHING FACILITY: (type) 6A(, Cibfmig (size) NO. OF BEDROOMS : S BUILDER OR OWNER: HrY)22 0) 1L110 PERMIT DATE: J7, `j JI q COMPLIANCE DATE: DRAW DIAGRAM ON BACK Q o- L �-� CE -LA- MEN 10 K MAIN All I M /�• i, 1 � � I '� U � ter.-..._ •....� 11 iL.. r � MINN", - 1 1 f � S / �, � � 1 , � it /. ► � � i r • i� t � �� • / ice: `..1...� lmwmm r i 0 OX C%uQkjV� Gb.r G —C doh • r r� 2 J C3J� i\ Jp- �JGMo ✓ °vim �� l� L� a"�•� �.� .�• �Nai� a•r I 1 1 I Property Location: 267 LINCOLN ROAD MAP ID: 271/076/// Vision ID: 20458 Other ID: Bldg#: 1 Card 1 of 1 Print Date:06/20/2001 .. ''C(IRRENT®OWNER,, : T OPO UwILIES S?7RT/ROAD ,sLOCATION -. N/_NR :'. < ILLER,HARRY B JR TR Description Code Appraised Value Assessed Value INCOLN ROAD TRUST RESLAND 1010 42,100 42,100 O BOX 946 ESIDNTL 1010 84,300 84,300 801 ORESTDALE,MA 02644 _. ,_ r J _ Barnstable 2001,MA PAT_A c , 23, Additional Owners: ccount# 180280 Plan Ref. 58/99 Tax Dist. 400 Land Ct# er.Prop. #SR Life Estate VISION DL 1 83,84 Notes: DL2 GIS ID: I Total 126,4001 126,400 v VOL/P�9GE..,SALEDA E lu>}-v/c SA1;E�PBICE YC r:. PREVIOUS BK�� . �'_. _� FINANCIAL ENTERPRISES ENTERER SES CORE 970/230 04/15/1992 U I 58,000 L 000 1010 Assessed Value 2000 1010 3,400 999 1010 Yr. Code Assessed Value Yr. Code Assessed Value 27,700 998 1010 279700 63,400 998 1010 63,400 NOS,DAVID L 1322/752 Q 0 Total:1 91100 Total: 91,1001 Total: 91100 QTfIER ASSE This signature acknowledges a visit by a Data Collector or Assessor Year T e/Descri tion I Amount Code Description Number Amount Comm.Int � ' �� A"�P�Ir9ISED,f�ALUESUMMA�Z�Y.� ,•��,� Appraised Bldg.Value(Card) 81,900 Appraised XF(B)Value(Bldg) 2,400 Appraised OB(L)V (Bldg) Total .: z p pra e d Value(Bldg) 42,100 ", . 17 _. Special Land Value s. . �..,.�.. XXL-BLA Total Appraised Card Value 126,400 Total Appraised Parcel Value 126,400 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value 126,400 _. _ c ORD . .,. 3� . YIS ./.fHAN Hl•> O... BUILDING,PERMI RE T G S $ Permit ID Issue Date Tvpe Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result 36577 2/19/1999 RW Repair Work 25,000 100 FIRE DAMAGE 11/2/1999 JG 03 Data Mailer 9/15/1989 ML y .,r ._._ , B# Use Code Description one D ronta e Depth n Units Uni t Price L Factor S.I. C.Factor Nbad. Ad. Notes=AdYS ecial Pricing Ad. Unit Price Land Value 1 1010 Single Fam RB 4 0.38 AC 182,000.00 1.00 5 1.00 50AC 0.60 PCL(.38,U10)Notes:10 1BLD 110,842.20 42,100 Total Card Land Units 0.38 AC Parcel Total Land Area: 0.38 AC Total Land Valu4j 42,100 Property Location: 267 LINCOLN ROAD MAP ID: 271/076/// Vision ID:20458 Other ID: Bldg#: 1 Card 1 of. 1 Print Date: 06/20/2001 .SLKE„To, �k, Element Cd. JCh. Description Commercial Data Elements Sty Ie/Type 01 Ranch Element Cd. Ch. Description Model 01 Residential Heat&AC WDK GradeAverage Grade Frame Type Baths/Plumbing Stories 1 1 Story 8 ccupancy 00 eiling/Wall 20 ooms/Prtns 48 Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 03 able/Hip Roof Cover 03 sph/FGIs/Cmp �.. CDNDO/hQBlEHOMA . . Interior Wall 1 05 Drywall Element � ode Description Factor 2 Interior Floor 1 14 Carpet Complex 2 Floor Adj 2 Unit Location eating Fuel 3 Gas BAS Heating Type 4 Hot Air umber of Units 36 BMT C Type 1 None umber of Levels /o Ownership Bedrooms 3 J Bedrooms 34 Bathrooms Bathrooms ,xCOST/t11AR$E2ArlAT1ON ...: 10 1 Full Unadj.Base Rate 0.00 Total Rooms Rooms Size Adj.Factor 1.07699 Grade(Q)Index .93 10 ath Type bad Adjustment 60.10 Kitchen Style Adj.Base Rate 101,088 14 Bldg.Value New 1960 Year Built A)1981 ff.Year Built 19 rml Physcl Dep uncnl Obslnc con Obslnc Sped.Cond.Code Code 1) wrintinn pecl Cond% 1 3 g 1010 Single Fam 100 Overall%Cond. 1,900 eprec.Bldg Valued OX,0144TRUILIP1NG& YARD TRNIS(.G�/ ��'B�"ILDING Code Description LIB I Units Unit Price Yr. Dp Rt %Cnd Apr. Value FPLI Fireplace 1Sty B 1 3,000.00 1981 1 100 2,4 00 a. ..: ?. .;'BUIIDIN,G S•UB AREA SUMMf1RYSECTI®N , u m 5, Code Description Livin Area Gross Area Ef ff Area Unit Cost Unde rec. Value BAS First Floor 1,388 1,388 1,388 60.10 83,419 BMT Basement Area 0 1,388 278 12.04 16,708 WDK Wood Deck 0 160 16 6.01 962 A r Ttl. Gross Liv/Lease Area 1388 2,936, 1,682,Blde Val: 101,088, { . ��_ — —'-� i I 1 4 � � f Z' IM-' - — - - _ A . a i++ 1 i f I i J� � (`_ �_ ® � Fee �50 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mgogal *pgtem Congtruction i9ermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. �,6'7 1 N CtiLtJ 'pD Owner's Name,Address and Tel.No. SU�,Sb 13 1 Assessor'sMap/Parcel «1AIVIr5 ��r��' 27 1 PN'az EI— 0-76 �vlL t3TD.4 L /k Installer's Name,Address,and Tel.No. ,a 2-!S(-6 Designer's Name,Address and Tel.No. kTPrn t vs (4va4--y- ��t E-S 140 u.&-X. 'SOX 70z MI}7"-rolls A41as Type of Building: / Dwelling No.of Bedrooms Lot Size. b, '?,06 sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers ( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow SSA _gallons. Plan Date Z1, /71 jq Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. 3 X Sao CA-t C Miii/3V;A-_5 Description of Soil Nature of Repairs or Alterations(Answer when applicable) `� ��Q V�, wt,, v 1,1 r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with th6 provisions of Title 5 of the Envi onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i e by this Board of ealt . Signed Date Application Approved by z Date Application Disapproved for the following reaso Permit No. IC -� A Date Issued --------- ---------------.-------------- ----_..,— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CNEIFYt at t On-site S a i pos S,.ystem Constructed( ) Repaired ( )Upgraded ( ) Aban ned( )by - at - ^) eKn-constructed in accordance with the provisions of Title 5 and the for Disposal System o st ctlon Permit No. - dated `4 Installer Designer I The issuance of this penmil sh 11 onstrued as a guarantee that the t -will ft}nctionlesigM Date Inspector . . . �� o. ----------------------- N --------- —i Fee�� MRVP # Assessors office (1st Floor) Assessors Map and Parcel # Building Department (4th Floor) Zoning INSPECTION FEE $50.00 RE-INSPECTION FEE $15.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name t 4-L__ r+Affiliation (Circle One) Owner Real Estate Agent Te Your Address L, Telephone Number (Day) r` (, ,� (Night) Address of Property Where Tpection is quested Unit/Apt.# � :f �� 7i Name of Owner U �ji ` ) Address c2 6 7 /1 Mailing Address (if different] Telephone Number (Day) (Night) '7 Will there be any children under the age of six (6) who will be occupying the rental unit? (circle one) Yes o Was the dwelling constructed prior to 1979? Yes 7No ------------------------------------------------------------ FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at was inspected on by Health Inspector for the Town of Barnstable and was found to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental Voucher Program, a separate lead paint inspection must be conducted. Inspector's Signature Date .1 •s s l■. •�.; �`- t, i ' } ,, } ,,�': �. 1 (�,�� Ol -1T_- [ fir~ I �o �N I �, W � 'Q I � I II it ,� i J I � i ! �� 11I,NII "i� li 3C.: --___�_ j I _ -,� -- Y � ,._ . 'a .. ,,.;�' of� I, ��,� �o, L C�� w aw 10 IN I� O m Ln I� J it I � :�Io �N ow. �"• • -t �••U Nlq� , r �r e l_r 1 o INN i O CD I -Ci O a I v i .; , 1 ; � �: � . � -- -,_ _1V1 0_1.2 1_3 0 6 5 c POL/aROJD03-�— Building Department Complaint/Inquiry Report � z Date: Rec'd by: Assessor's Complaint Nalne��/l/JG Location Address: M/P nr ` riginator Name: ` Street: �rr"i�1 / e/1 Ct it 7 Village. State: zip Telephone:D/E omplaint GrJ� l Description: Inquiry 0 Description: For Office Use Only Inspector's Insp ector Action/Comments Date: Follow up Action Additional Info. Attached Cop)•Disaibudon. Mute-Depa=ent File Yellow-Inspector Pink-Inspector(Return to Office Manager) � 1 � � � �. � _ � � q o � � � �� ,. �_ ., �, �. _ � � -� �- , � � ___� Harry B. Miller P.O. Bog 946 Forestdale,Ma. 02644 508-477-2752 Lessee: Stephen and Joanne Cushing FOURTEEN DAY NOTICE TO QUIT Date: June 14, 2001 To: 267 Lincoln Rd Hyannis,Ma. 02601 Room: 2 Name of Occupants: Faith Paul and Wallace Dyers- Dear Faith and Wallace; You are hereby notified to quit and deliver up your room in fourteen days from receipt of this notice, the premises being held by you as a tenant.Namely room 2. You have been repeatedly late with your rent and we cannot tolerate this behavior,we have our own obligations. I'm sorry but we will not give you any more chances,you will have to vacate. Since ely Yours Ha B. Miller / Lessee: Stephen Cushing Received: e A.M. FOR y y DATE TIME_ �I IM �U ' PHONED OF PHONE ��^ l �/ Y011RGALL, AREA CODE NUMBER EXTENSION '- ALL" ME SAGE '� / / I WILL CALU L l gGA(N CAME T.O. . �'<� SEE•YOU WANTS TO : `rF SEE YOU ' SIGNED JniverSar 48003 r, I -t m c ,y (� � _ r � ' `' � d (� � `' i �' `----'J \ I a 3 i i i i t 1 t, f . 1 1 , t 1 1 a i • 1 r_ 1 I � , t / / r r -70 .mi - 1 NEW .tom.. . ..AI-_ I�• •n i M. MIN —u - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2ppiication for Migogai *pgtem Construction Vermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Z6, L 1 M CbL�j F-b Owner's Name,Address and Tel.No. SU Y,$-b�/ y!3 Assessor's Map/Parcel Yj4/V v r S t42f_y IX I LC.�� 2 � -7 PA -� :O"76 x �t?� rnrr��r�Ac n� Installer's Name,Address,and Tel.No. a Z�� Designer's Name,Address and Tel.No. -5ov 702- nA&"-Loa., 14ius Type of Building: / Dwelling {No. of Bedrooms 1 Lot Size l�� 0 sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow J�9d gallons per day. Calculated daily flow S� gallons. Plan Date Number of sheets Revision Date N Title Size of Septic Tank !SOb 6A{, Type of S.A.S. 3 X $00 Gst-L Ci1-R-m/34;X5 Description of Soil Nature of Repairs or Alterations(Answer when applicable) `CallkeX 01e Date last inspected: -11,6_11-111f('-Z�' Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with th6 provisions of Title 5 of the Envi onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i e by this Board o ealt . Signed Date Application Approved by_/WMMDate Application Disapproved for the following reaso Permit No. Date Issued -----— r.-.r-i.--.- -...---.r.r.-L-ram.- - ---- -.------ THE COMMONWEALTH OF MASSACHUSETTS. BARNSTABLE, MASSACHUSETTS Certificate of Compliance d THIS IS TO CE , t t t On-site S a U pos System Constructed( )Repaired ( ) Upgraded ( ) Aban✓ ned( )by at ' e�constructed in accordance with the provisions of Title 5 and the for Disposal System o st ctton Permit No. dated Installer Designer The issuance of this penru sh 11 onstrued as a guarantee that thetril -will function s esig / (D Date Inspector . ,6 - - Fe THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migoga[ *p.5tem Con,5truction Permit Permission is hereby g nted to Construct{ Re air( TpgM4 A don( ) � i System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Cos cti mu s a completed within three years of the date of 1 t. Date: 7/6? Approved by /•� - tk; TA6LC TOWN OF J--o LOCATION: VILLAGE• LhAN N 16 p -- I LOT # : PERMIT INSTALLER' S NAME• iM INSTALLER' S PHONE # : 1 spa LEACHING FACILITY: (type) SVi�, 6AI, L'1 AID 1B (size) CNO. OF BEDROOMS : BUILDER OR OWNER: AiLrl- 1ylILt,o— PERMIT DATE COMPLIANCE DATE: , II I DRAW DIAGRAM ON BACK P� t� o-zH K i � � � ¢� �� f� � -� - _ - - j � . £' � \{ � � � � C � �� _ -- �M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0-7 Permit# �- 3 /Health Division.�S�a Gri`G4 4�� 3u0. 3o Date Issued /Conservati -Division Cii,l `'�` Fee t Colle �reasur —1 1 a UST , Panning Dept. - INSTALLED IN COMPL "o Da a mi ive'Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AND Hi TOWN REGULATIONS pp Project Street Address °Z 6� t'.1►JGb)N I�c� • + Village Va N N V° Owner' 04Cry, 1 4 r ' Address Telephone 50077 Permit Request CIC 41. Square feet: 1 st floor:gip propose n f proposed Total'new Estimated Project Co bL Zoning District Flood Plain Groundwater Overlay r1 ° r Construction Type rra nk. Lot Size &15 4Nf' 161LA. Grandfathered: j Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Jl Two Family ❑• Multi-Family(#units) 4 Age.of Existing Structure yD Historic House: ❑Yes ')6 No On Old King's Highway: ❑Yes No Basement Type: 4 Full ❑Cra�/wl ❑Walkout ❑Other Basement Finished Area(sq.ft.) AS Basement Unfinished Area(sq.ft) Number of Baths: 'Full: existing new Half: existing new Alumber of Bedrooms: existing_ new Total Room Count(not including baths):existing 7 new First Floor Room Count ` Heat Type and Fuel: V(Gas ❑Oil ❑Electric ❑ ther Gentral Air: ❑Yes )O 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# 1 1 Current Use f Em I IV Proposed Use /71 BUILDER INFORMATION Name o Telephone Number I Address License# Home Improvement Contractor.# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 . SIGNATURE DATE 7 l i eFOR OFFICIAL USE ONLY i PERMIT NO. DATE ISSUED- - t iii t MAP/PARCE NO. ., a :T t -q�/,-,,�t •. , { .` ,,.y 1 •� sf. .. . — e ADDRESS k r VILLAGE. OWNER � � t ;. : � � � • � � + " 's. •+ .. • • `s DATE OF INSPECTION. 1 FOUNDATION ^< FRAME , INSULATION _ h' - {ter• . ' � ' •r,. '* ' • r• r, � FIREPLACE . . •,• /{ = ,. _> _ � � - - '^ F ' ELECTRICAL: ROUGH ;. FINAL' low PLUMBING: ROUGH' €{ F ; - • FINAL GAS: ROUGH FINAL -r ' r • FINAL BUILDING rt r DATE CLOSED-OUT ASSOCIATION PLAN NO. °0 The Town of Barnstable :, aasrrgrwsrE. � . 9 �m� Department of Health Safety and Environmental Services Eo ram'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'C&nmissioner Permit no. Date. AFFIDAVIT HOME IMPROVEMENT 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: Estimat d Cost Address of Work: Owner's Name: p Date of Application: 2 - 9 —22 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under S 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 IMPROVEMENT 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. Date Contractor Name Registration No. C ate 0 is Name q:forms:Affidav --_- - - The Commonwealth of Massachusetts Department of Industrial Accidents -' Office ofiaivestigauans 600 Washington Street Boston,Mass. 02111 Workers'omye nsation Insurance Affidavit � �iran � ocnrntzrl�rt.��/��//�%%%%�%��%%/�.//�%�" �✓��t11'� `��/��%��/��/��%��%%��%�� ✓nnaame: l ✓location: (, L c� hone# Ef I am a hofficowner performing all work mvself. ❑ I am a sole promictor and have no one workin in any ca acity /%/�%��::z::i % ❑ I am an employer providing workers compensation for my employees working on this "ob. com nnv names / a r �� . U address: 0 city: phone#- `7 9Z insurance co. olicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: companv name . .. :...:.. .. .. address: city phone#r insurnnce co. oliiv comnanv name- .. address: cits- ... phone . ..... insurance co, Rag# Failure to secure coverage as required under Section 15A of MGL 151 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or one year'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do hereby eerrijy yn the pains and penalties of r'ury that the information provided above is truup and correct Signature ' Date _ Print name Phone# Ccheck do not write in this area to be completed by city or town official permit/Dcense# 7:� Din ediate mponse is required : phone#; (remea*95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coazr of hire, express or implied, oral or written. An employer is defined as an individual. partnership, association corporation or other, p p, rp 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 receive. c: 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 renews: 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. VON Applicants - - - Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Im1Bsugaffnns 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ,�'�� T Parcel G �6 Permit# S? `7 Health Division • Date Is Conservation Division a Tax Collector - ' Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis- Project Street Address g`� ( {✓ Co'K/ (C. - Village W, t Owner t Qf Address r n , Telephone �7 ` h op Permit Request i �. � Square feet: 1st floor: e ' ng proposed 2nd floor:,existing proposed Total new Estimated Projec Zoning District Flood Plain Groundwater Overlay, Construction Type ' Nf .. Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Ago.of Existing Structure Historic House: ❑Yes ❑No On 0ld 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°(noi 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 U\ Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size if 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 BUILDER INFORMATION Name y Telephone Number Address License# _ 0W-0- � Home Improvement Contractor# 01;L y�/ Worker's Compensation# co 0 M1 C 6(k5)14165z% ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' SIGNATURE DATE FOR OFFICIAL USE ONLY `, + PERMIT NO. — DATE ISSUED _ MAP/PARCEL NO. r• ADDRESS VILLAGE OWNER DATE OF INSPECTION: — 1 G FOUNDATION ,_ a � . ` - [ � ` _ •�, •� ,M _• .: FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL — {. GAS: ROUGH FINAL FINAL BUILDING , f 1� � — �� c—X� �� • �: � . , DATE CLOSED OUT t f ASSOCIATIOK,PLAN NO. J TOWN OF BARNS TABLE " BUILDING PERMIT PARCEL ID 271 076 CI+.OBAS:E Its 18028 ADDRESS 267 LINCOLN ROAD HYANNIS ZIP LOT. 83 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PE&4IT . 3621.3 . DESCRIPTION DEMO INTERIOR/FIRE DAMAGE--NO STRUCTURAL WORK PERMIT TYPE BMISC TITLE MISCELANEOUS .PERMIT " CONTRACTORS:r Department of Health, Safety ROPERTY OWNER f ARCHITECTS: . and Environmental Services TOTAL FEESa $2 -0.0 tHE 1blr,_ POND $..00 "�• 75&. DISC. NOT-CODED ELSEW ERE 1 I?RIVATE P. I!nRrrSTABLX *' BULL-UING IVISION LA. /1 C DXCIS ISSUED 02,/02✓1.999 EI PIRW- O DATE THIS PERMIT,CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR`ANY PART,THEREOF,/EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDERjTHE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR � ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF'PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WO ,THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION—OF ANY;APPLICALE SUBDIVISION:RESTRICTIONS. e ;. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED SEPARATE P.I +r I '7-? .1.i:.- • ` I .FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST,BE RETAINED ON JOB AND j w 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECT-ION WHERE APPLICABLE, 1 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALU'NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL'INSPECTION HAS BEEN MADE. ANICAL.INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY:�:=" ,ar'� 4-I ' POST THIS CARD SO IT IS VISIBLE FROM, STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 ; 2 2. F � 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT :r 2 BOARD OF HEALTH . F OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON; INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. !- � r v _ Z �--� . �� e b R � s i 4 jo Oi I )� f i }r-�--,----- r----- - is 6 ka 1 t 42� SINCYVhVA �� r»mcN i-I L.�Z - SLR w a` • QQ � •� • LA C ' � Y rn v L ] [R27y 076 . ] LOC] 0267 LINCOLN A CTY] 07 TDS] 400 lqY KEY] 180280 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 PHILLIPS, BERNICE R MAP] AREA] 50AC JV] MTG] 2010 267 LINCOLN RD SPl] SP21 SP31 UT11 UT21 . 38 SQ FT] 1388 HYANNIS MA 02601 AYB] 1960 EYB] 1970 OBS] CONST] 0000 LAND 27700 IMP 55300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 83000 REA CLASSIFIED #LAND 1 27, 700 ASD LND 27700 ASD IMP 55300 ASD OTH #BLDG (S) -CARD-1 1 55, 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 267 LINCOLN RD TAX EXEMPT #DL LOTS 83 & 84 RESIDENT' L 83000 83000 83000 #RR 0895 0120 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 04/92 PRICE] 58000 ORB] 7970/230 AFD] I L LAST ACTIVITY] 01/12/93 PCR] Y t. 4 R271 076 . P P R A I S A L D A To KEY 180280 PHILLIPS, BERNICE R LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 27, 700 55, 300 1 A-COST 83 , 000 B-MKT 71, 200 BY 00/ BY ML 9/89 C-INCOME PCA=1011 PCS=00 SIZE= 1388 JUST-VAL 83 , 000 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 50AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 50AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 277001 102000 LAND-MEAN -730-. 830001 75048 IMPROVED-MEAN -260 250-. ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100°61 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 [?] R271 076 . • P E R M I T [PMT] ACT [R] CARD [000] KEY 180280 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT �46 UPC 68021 No. S�A, %.AST1h63.NN STATE ,ROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHDRCEL KEY NO. 0267, LINCOLN. ROAD 07 RB 400 07HY 07/09/95 1011 :00 50AC R271 : 076. 180280 ByLAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT AOJ'D UNIT P H I L L I P S R B E R N I C E R M A P- L-11Date . Sae Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description CD FF-De m/Acres E #LAND 11 27 i 7 0 0 CARDS IN ACCOUNT — L 10.18LDG.SIT 1 X' .38 =100 182 39999.99 72799.99 .38 27700 #BLDG M-CARD-1 1 55.3D0 01 OF 01 #PL 267 LINCOLN'RD 1530 0 0 A , BATHS 1 _0 U X` C= 100 3500.00 3500.00 1_00 3.500 8 #DL LOTS 83 & 84 4ARKET 71200 N I.REPLACE U X C= 100 3100.00 3100.00 1.00 3100 B #RR 0895 0120 INCOME SE A D PPRAISED VALUE D � � 83.000 ARCEL SUMMARY A U AND 27700 T S LDGS 55300 A T -IMPS M OTAL 83000 F E 4 CNST E N - DEED REFERENC Typo DATE R�r� R I O R YEAR VALUE A T I Book Page Insl. MO.. Yr. Sales Pll_ AND 27700 T S 7970/230, 14/92 L 58000 3LDGS 55300 U 7970/225: Ib4/92 L 1 OTAL 83000 g 1322/752; b0/00 E BU XL-BLA ILDING PERMIT S` � Amou LAND LAND-ADJ _ INCOME SE SP-8LDS FEATURES SLD-ADDS UNITS Number Date Type nt 27700 1 6600 Units A I 1 Class Cons,. Total Base Rate Atlj.Rate r B 'I . e Ag D a Normpr.. Obsv. CND L— %R.G Repl Cos,New ACI Repl Value Stories Haigh Rooms Rms Bathe a Fix. Partywall Fat. Units Contl. 0 70 24 .74. 90 64 86410 .55300 1.0 5 3 1.0 4.0 000 100 100 57.50 57.50 60 scnption Rate S are FaeI Rep,.Cost MKT.INDEX: 1�00' IMP.BY/DATE: ML 9/89 SCALE: 1100.77 ELEMENTS CODE CONSTRUCTION DETAIL S �. 100 57_50 �u388 79810 GP:011 ----------- ------48-----------------* TYLE 03 ANCH 0.0 T ! ESIGN-ADJMT- tT0 ------------------O.T ! ! XTE?F:WAl S-- TT DAIS-S KING C!�---D.6 U ! ! EAT-rAC-TYPE- U4 3 IL----------------0._9 ! ! NTE-W GFINTSH- J4 RYWACL-----------D.O T ! ! NTEY:CAYUT- 77 VYW_7N_09f4AL-----0.0 U ! 26 NTETi:QUA_TY- U2 AWE"_'AS--EXTE32: D=U R ! BASE ! COD-W-STR7fCT- W D-JOISTfaEA-K---D.CT A .36 ! E C0D-W-COVER-- 7U AWFE7------------DX L E Twat A,— Au._ Base_ 1.388 ! ! OOF--TYPF---- JT A`H1 E=AYRH-S_W---D:_9 T BUILDING DIMENSIONS ! ! L ELTRI CW ITT VFIFA GE D.Q AS W34, S10 W14 N36 E48 S26 OUNVATIDW- - _JT DUWED-ZU19C-----99:- A --------------- . I ! I ' ----NEIGKtTORR Uv 5TKC-HYKNflIT------- L ! 10 LAND TOTAL MARKET ! ! PARCEL 27700 83000 *----14----* AREA 102000 657 VARIANCE -73 +12532 STANDARD - 25 r :^t`a :4y,"`°'B �*3:''""":•,"°`.` nk. ��.ft � D �, ..:,�.+•s -: 5�•+ .�w:g r ,Ftw�S ��.� .J',`` 3'^ �+3 - yl:' �-'kr Sab ! a k .+. a,„t7la':N i.44w.. ,.,.r..a.....�ariiod.s...,.�u..?4.£Ya��•m�Q3`P.�.:.-�r�'!`�+tr�. y ,R ,, 'YwYl3 c. .vz .. .9 a. ,� Jw+' ': • *r+k,+l, uif.T�nn. ..x4'i:.q+w+'.ra.M.,:.z�krok^,.YC?e s � rf* ! s 'Z,p r '}, .S�a':..�� 'F' :y. '�a,T w�9 Fxc ..'.a.«.� +f,n,,..v•>. - $V�Pe ty�d �7;+< 7f TFrti �5 . x 4,RESIDENTIAL PROPERT«YF F , ,;,7, 3,4 .},. r a.i�.,`£) �:' :z .,,,.Q v ,h..v kvf�3ro, -i`. T:...+r<•h."'�. ..«+t.., r..•, :irt.� �' i,3M4P NO. L'`OT NO:'' ;h$,i ark �� S lit `FIRE DISTRICT` STREET fax F- a i +Y,'. SUMMARY' 3 Li'doln',Rd. �g x , s *� ,{,Hyannis �.�I. ''a t .,z�+# ir ie 4 I �..- ::s? - k . Fax .. • r .. > �7`` LAND' 0 O - ta. 2: 1 x f0.- -.r •a i x3�: s, - ; i�r r -;,Y z x,+c,..'.ax a t'BLDGSt - w OWNER- h w 1wTOTAI'` s1 RECORD..OF TRANSFER stc 1 y DATE' ac I REMARK . _ irn BLDGS - T"`,+ _ }. �..w..d�TOTAL,a. a' -�t• '+,,'+,.xa-tsd David. L 12 0 65 1322 752 ;. LAND,' y« ; "SLOGS. TOTAL- 4 LAND r r ;.BLDGS.' 3 »iTOTAL [•,..i ; +'� "BLAND, BLDGS TOTAL LAND',, y BLDGS err 't,...4 TOTAL- •+ Yc +� LAND: Y 'BLDGS: "•. 'ah: �yT TOTAL } «d a. .`'3 `...:• - . .. t: r r : .F Yia.S e. � .^ -,;a.. .._ LAND `INTERIOR INSPECTED: }�gp , l 4,ecr,_` y_ BLDGS: DATE 3 -7/ TOTAL ACREAGE COMPUTATIONS c .' 1 � ..LAND wBLDGS r �•w LAND TYPE j$ OF ACRES PRICE TOTAL DEPR- j a VALUE Y ,TOTAL• HOUSE_LOT �' 3 O O C� ", ,I a § k LAND Y I'CLEA RONT s i;t it 3 3. 1 ! I a .-SLOGS. ' � a _ .4.,ro a;� F ffY ,'r` ..�. yu;••;'A N.,.,� �..: ¢d^ EAR x ,:! q w rrx �«4t5�s. w' '.tweae 'TOTAL.+ WOODS';&'SPROUT FRONT 4 r ' .a PP ..f i4 • LAND v z REAR '`� '- +. I �rl +J.Ja '� a _��.tFec,�, w' €. x, ,.g!« r .,� c x a a•hm �BLDGS .w L .;•r .....,. _ - ,. .. - _ - m::,?I r}G"'iu:S G•"yfit.."r i+;: ..,•Lm k ,Olv y .p w . g7I7. % iw n A. ¢ Z,,. E WASTE FRONT is :.. - r .. ., y .v:i.`.•? g``is1�4�'te#1"h } fsKk A TOTAL}; kkg .ca"s =t x r J: * , y s�+ "REAR:'' �v,k .V ata Y.? n it ,f °! ..'t• ;.:d r,f•Y,cd 'Y 'FYr ti.") 1 y2-;-» _:y3•. LAND e i t. >'•r.�°r''r "�,' '$$ '�a .N ' w i3�4 �- 7" t '� t>3g.. =� y��.:R{9I c'3:r k} ..i,p '.'M Jtl. r. .,<..:. ' 5 "IL «'i 4 Atp•=, ?ci N8!'il`.t"a w k::e4i;r.a,,.. y r_ ?" •: .tiw '.a t :. �,....ta.:: a•.� .i,,,,, .:r; 0I .BLDGS.. i- ,TOTALS ct nr;@- }at.,t: xesr, .F «:'•° s>i& t'yt'3... 4wr m� .yi,.{:wxtJ:✓ ,,,I:w�±::. S: et,.Y,r�. ^'w,az ..x..sgiw'�:. w. 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F T"s..,84 ) 3. :v".. ! - a,t -`-r "+'�! s 2• ,.. w r: ."s?r - ,;�3 '� s �z s Ei>.,:,:.:5 es.. r,..s•..::. _'ar, .-. :.�.., za ,. • -ttl,... .x, es• w• >_s;:.., ..- 't,' ,'k�-,. �,�-, -,.,•h,_ .. a,J�.-.... ,....,,. �!:a•,. , .. .s -. •:.•, ,.... -. :..t•t c t n .3'%' � r- vvl .a.:r'� ?• ',s�".--'�''�' -°'^a'3j:; ��:-:she--�i;...�`'a.,sY'.~r�.'w�'e?a„�'". *.: _o>rn�.Is, '�,:.;.. -.,:...�+:. ,;.�. r-L r'-� -'= nn•rx. •.XM+� -'r:,: ,r s"h�:'�sg: :tea TOTAL W-1 .. ,,3�r�DSi s ,».�':-.._,. __y.,� .,a+, y�;a"� w�. �:a .,,.- ....: ,. .,.,•., a, ,: >-4tY- .. - .i. ..., ;.. ..d .,..a,!-:,,., .t.,.4!•�-,. 's�. .1 ,,.., � s. ,t a t .nr >,.... �`'Y�K..-s ... ..,. r -..�,,a,. &s4,��.fr a, : ,�,. . ... s. _..� ,Yam., -.,,.,.a.=.� _.. ..,. .«,. .- .. ... ... � ..:•7,id I.� k...», u�t. f.� `.;'� , •,,e .,a_.. x-r-r.. ".:....t». .1•,.�r .... ,. :,. :a Pa. ♦ Y '9 •>+.,t:{: t m � r; r"' e. ,,,_c.;rK�tw wr."��# .,-u.: ..�, - . .v ,s,:.,M. P+}"..'Y'.. .. � ,c� ,...,.,: � �.... ...:..,. f?C-S'^. t �. ., ,. Ar... 5 -.:.• S 5- 7A' :f' -tl �'€ t , � � . �__�� - -- �- / \ ` \ � . � � � � \ g | � . � � .� � � � � � \ � . � \ � � � \, . � � � | � � | � � � . � � . ! . «_�- . . \ . . : \� \ � � �� . ƒ\: \ . �=§ � /} \\� � � ��: � � � � oF�"E thy. - ti The Town of Barnstable • &UWSTnei.E, • Department of Health Safety and Environmental Services 'OlEnra Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 17,2000 Bernice Phillips 267 Lincoln Road Hyannis,MA 02601 Re: 267 Lincoln Road(Man 271 Parcel 076) Dear Property Owner: A review of our records,including the permitting history of 267 Lincoln Road as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single- family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single-family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the.layout to accommodate the conversion..You . must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Ve truly yours, Gloria M.Urenas ZONING ENFORCEMENT OFFICER GMU/sc q-forms-g980218a //,2 53 � ►�,, The Town of Barnstable Department of Health, Safety and Environmental Services BAPYWAB1.& MAW Building' Division 659. 16 367 Main Street,Hyannis MA 02601 MIS Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date Name: Address: 2 G ��°��" � Village:-, Type of Business:!^ � �' °G``t " — �� Map/Lot:,,P / — O INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home 4 f h Zoning ordinance occupation within single family dwellings,subject to the provisions of Section 4 1. o the Zo g , provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase-in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. + Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings; and there is no outside evidence of such use. + No traffic will be generated in excess of normal residential volumes. + The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: � 9G� (s Date: — S� V r-vWIL yr marzraisruin WE Department of Health Safety and Environmental Services Building Division t3AsrrSTMU . ' 367 Main Street,Hyannis MA 02601 MAM �bssa• .� i Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION -T q Please Print DATE:y -A JOB LOCATION: aC(0-1 L 1h1 C+O�toQ CX 1 14y G P N 1S number street village "HOMEOWNER 1-�Ctr r:j le,r 5jg'4-7-7 -a-7 5A S.-I*%4-- name 2 ' home phone# work phone# CURRENT MAILING ADDRESS: 90. ■WX 94 4 b le Ab4l+ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimu inspection procedures qnd requirements and that he/she will comply with said procedures and re ents. �l Signature of 711cowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. I QTORMSEXIIMPT •J b _ 7 ® i' (� rn -� L mLD - _ K5 Ea E- : FEB-19-99 FRI 15 :58 P. 02 The. Town of Barnstable � � a .Department Of Health Safety and EuvirOumebtat Services Building JDiva1®0 367 Mtf a Street,Hyaarais MA 0201 Office: 503•862-4039 Ralph Crosson. Fax: S08.700-62330 Bullding'Commissioner Permit no. AFFMAVIT ROME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERROT APPLICATION MOL c. 1d2A requiros that the"wonstruedon,aitem6aza,rmovadon,repair.modernization,conversion, improvement,rernoval,desolation,or construction of an aMdon to ady pre-existing owner-occupied building contalAing at lust one but not moire then form ctwelllttg udits or to strnct uft which Ue adjacent to ouch residence or building be done by registered coniram s,with certain exetptions,along with other requirements. Type of Worse: -nLC ':�`CG�,��O�'�!/L ��'�a stintiated Address of Work: f �� /. VC6/A/ �� J �! C �t✓e✓>�f .� Owner's ldarne: Ct/' e.fG�ra" Date ofAppiication; l hereby certify that: Registration is not required for the following m aoa(s): J C]Work excluded by law � - E310b&dcr V 400 ® ldmg root owner-oompied. caner Pulliltg owu permit Notice is hereby giurem that: OWNERS PULLING THEIR OWN VEWT OR HEALING WrM '$NMGISVERE13 CONTRACTORS POT.APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBrMATION, PROGRAM OR GUARA1V'1'Y FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PMURY r~� l hereby ap i or a permit ae the agent of the Owner. 2 M2 61 Daft Conrrartor Name RegiWWfon No. Q jCil FEB-19-99 FRI 15 :59 P. 03 The Town of Barnstable Dapartment of Health Safety and Environ.ilrtental Services Building Division 367 Maim street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 308-790-6230 Building Commissioner HOMEOWNER iLICZNSE EXlEMFTION f� Tease Print DAU; G �—'" L 7 JOB LOCAT1014:_ .2.1-7 d v numb /j�� street village "HOMEOWNER": 4c7. '5'0 " "] 7 "d aS�.s7'1� -- Ram home phone d work phone N CURRENT MAILING ADDRESS: 6 of cityhown state _ :tp coax no current exemption for"1101020=3'r was extended to include of six chits or less and to Allow horneowners to engage an individual for hire who does not possess a license,provided that the owneacts 2upgry4ZE, DIEFINI't'ION OF HOMEOWNER Person(s)who owns a parcel of land on which he/sihc resides or intends to reside,on which there is,or Is Intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period$hall not be consider`d a homeowner, Such 4'h0M0QWAtf'eltell Submit to the Building Official On a form Weeptable to the Building Official,that he/shcjhzj be (Section log.1,1) The undersigned"hmeowner"assumes responsibility for compliance with the State Building Code and other applicablee codes,bylaws,rules and regulations, The undersigned"homeowner"certifies that he/she understands thb Town of Bamstable Building Department minimum inspection procedures and requirements&Ad that heishe will comply with said procedures and requ eats, , Signature of r Approval erBundlng otliclai Note: Three4knily dwellings containing,35,000 cubic feet or larger will be required to comply with the Stato Building Code Section 127,0 Construction Control, HOMEOWNER'S F4XEMt'nQN The Code staes that: "Any homeowner performing worts far which a building permit is required shall be exembt from the previsions of this section(Section 109;1,1•Licensing of canstM01011 Supervisors):provided that if she hotneowtttsr e»geges a person(s)for him W do such work,,sites such Hors mwisee shall act as supervisor," Manz homt:ommen wbo uae this exemption ors unaw&m that they we assuming the responsibtllties of a supervisor(sae Appendix Q, Folks st6 Repladom for Ucming Canst cation Supervisors,Section 2t.15) This Pack of awareness Rsibi results in userioussupervisor or(seeproblems, nanicularly whrut the homegwtter biros unlicensed parsons, In this case,our Board cannot proceed against the unlicensed personas it would with a licensed 5upervisot, The homeowner acting as supemser is ultint*ly nsponsiatt. To aswre that tht homeowner is tbiiy$were of hiAer nspDrtslbllitics,r"any com mtmitias require,as port of the permit eppllonttorti, that Me nomeawnercenity thal hdshe understands the respom1billties of a Supervisgr. On tbo last page of arse issue is a form cre urntly used by several towns. You may care to arrtettd and adopt such a fvms/eertificatioe far U4e in your community, Q:v0a1d1.tloe►vr FEB-1,9-99 FRI 16 :00 P. 04 ,.. ,. Tftm C�pgtsrsa»st,�rsltJr of lblus.sacdrrss�t?.s � t�. !�� :FlspatKrtt�att e,f�tt�acs�icrl�l c�arl�r�ts �" a O'd/IC��tdt8d�llCA� :s 600 Wasitingron Street Boston,Mass. 02111 Workers' Cotes mation Ineaaraoc.e Afridvit KW- 11 /HJ /}vy�Sy� i%. ✓Jyi[(dr % r /� a�i z y�MMJ y,..., Ice fioln_ I am a hdwowner perfoaf=g adl work inystif. ® 1 am a 401a nictor=, d h Ve no ont 1yorlduz 8tt Uv Capacity I tun an ern-plover prov'ding workers' compensation for my cmpfoyecs working on+this job. IF M addre9s: . . city: NIVI. , nhatse#: __-_G ° X7 S)- yn/�sat any c srs, �-R"3 Map"/,��`//��yC�tf. ��I O n0 n9isv tt �� 7 ✓ '!�� . a j�.,!��fv kl/ fiWC: , '�� J!W/JWf6C.000CG� ��/�'fa�%Y.+�"�': t '� : !G i J /�� ` JNM'�Y;.:✓l+i:.7 (� I am a sole proprietor,geseral contractor, or homeowner(circle one)and have Hired the contmaors :fisted below who havd the folloebing workers'compensatitari polial. eotttasana 1i4.� �,,,.� Wale g City. phone Al. insuta,t.�tcxhe co. r�F�/�/ .c� �.� :itxi}E'.O,�:b7/'ri.WN14/t'��.+�� s .'�'� �wil .d'•� el�w"l•3�iv� r�otn nenw roatne: Ci ty"UranCe co. ... Mg Politics so selves covet•ags as regaksd tsndlt section Is.�of MGL 133 eor.Jerd te,tl�e imyaslflan eR ttitntha9 penaldes o!a one up to S 1.500.00►atd(or one yeas'impeisoi%ment as wiell a diva penalties in the forms a!s STOP';.VGAX ORDKR and a one of 2100.00 a day atwut ins, i tutderetand i6t o copy of this statetnerlt my be forwarded to ow Office or the Dies rot coverage vad4cstlo=y I Jo hoteby Certify tndev the paiYo and penoW 01pedury 1hatt the information provided above is true-assd eoprei t sigaatttte / 6� ate Prim name rrv $�a v �t l fir' Phone Y! '•�-`Jo�, .� otticlal uss only do not write in tics seta to be completed by city or towns*mew city or town: -- p eserdtR)teose kLica p[py�-�Svladin`Doysrbnart �ruesL(l�tptnedfalm n V"Pq eJa de rsq d rsd C384aes.enOUd ' ❑�rto r Office contact parson• o,a {�I�4eltlt F3lpttlnt phmn Olrser�„ ytsNieo v,93 D111i i FEB-19-99 FRI 15 :00 P. 05 POLICY NUMBER c8 (99) H16629S NC0 COMPANY Nd; �— PRObUCER COOECOOE 1SeU£0 EY 14540 _ 8k-2902D _ COMMERCIAL UNION INSURANCE COMPANY INSURED IS_CORPORATEON REX NUMBER. A 493VVV PREVIO:lSt�l�= NUMBER- C II(993 k165295 1 THE INSURED AND MAILING ADDRESS PRODUCER FEDERAL I.D. 04,3272716 033E CENTER STREET O1.OE GAPE COD INSURANCEA3ENCY, INC. MANAGEMENT, INC.o AGEbox ENT ass MAIN STRWIT DENNISPORT, MA 02439 HYAIrNTS, PIA 02601•3405 Other workplaces not shown above; -- 2, �Tho policy period Is from 01/22/96 to 07/29/99 ~�at 1261 A,M, at the insured's mailing address. 3.A. Workers Compensation Insurance. Part One of Y�ja policy app`ies to the Worker&Compensation Law of the states listed here! MASS. _ Employers liability Insuurance: Part Two of the policy applies to work In each state listed in item 3.A. The lit its Of oar 4 liability under part Two are; Bodily Injury by Accident $ 100,000 each accident Bodily injury by Disease $ 100103 0 each employBe Bodily injury by Disease $ SO4e600 policy limit —� � ~X. Other States Insurance: Part Three of the policy applies to the states, if any, listed here, — 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is sub;ect to verification and change by audit. j Prem1u n®,r?t Rata par EstimaW Pemlum CODE T441 rzoni od Rimcneritlan =10091 C:ASbIi iCl.ti6N9 I NUMSEN ANNUAL 2 YIAR RemJnelitle` ANNUAL a YEAk SEE ATTACHED SCtiEt)llIES� s Total EsCailed Standard Primlum Premium Vsewnt(it APPLAV-0 ca,slot)t -HASSACHUSETrs _ 200 'r tKO—Ick.'D BEL0W,IN,£RIM ADJUSTMENTS Or PREMIUM SHALL 5: DE9CStT 9REM;'tJ.ht TOTAL ESTINA,Ed PREVILJN 9 1 J 0'ti o BEM)- QUARTERLY ❑MOPITHLY f a 1,3�i3.04 Niniinc n Praml'Jrn 268,00 MASSACHUSETTS ANNUALLY ENDORSEMENTS(FORM NUMBER) 0126920S44, 0141W147, WC800414, WC200301, WC203142, VC206303A, 14000401, �caoo6D>E SLHEOULES 001 3 iSSUEDATE ATTACHED TO J'Olf6Y Jf �9b/a9i98 J LVLI 812;'00 COUNTERSIGNEO BY: �_- _ _ _ 1AUTHORi2E0 REPRESENTATNE) A. , gA, *A AGENT COPY/ - Peel 1 028021(05,97) rj a < i My P N eye U i o e � N � t I Cd7 Z a Q � 1 N a V :.>:;.>::.::;:.::.;:.i:.::.>:.;:.::.:::.::.::.i;:.::.;i:.:::.::.::.::.::::.i:.::.i:.i::.:.::.:.;:.::.::.;:.;:.::.::.::;.i:.;:.::.i�.:::i:.i:.i:.::;:.::.::.:<.::.is;.;:.::.;i:.:::.i:.i:.::.i:.i..•<.i:.:: .................................... f" Immoommms ON z Mill iRwiiifit i:... itlir '> cum to EM=mniiiito go 1 MMO ON v o ::� •v winME OWN x v •v v v •i:Ck:>s:�::'::::' .... ............. «%�i:•i:•i::::::•::• Rim <r Oz < V ' iiis Im ilm •. >C :?i--i 6- 0 1 l.� - / • TOWN OF BARNSTABL.E REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) �{�a ( �` (�, _ t DIVISION /DHPt NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL 1S ETC- sew d o PAGE 1 SUBMITTED BY d A BARNSTABLE �. HOUSING AUTHARITY LEASED HOUSING DEPARTMENT TELEPHONE(508)771-7292 146 SOUTH STREET•HYANNIS MA 02601 ZONING VERIFICATION TO: Barnstable Building Inspector FROM: Leila R. Bruce, PHM, Leased Housing Coordinator RE: Uerifying legal rental unit Date: — Z - y� • - .� - � DRAFT 71 Address: �� o' • 71�G—�' �� Village: Unit type: Bedroom size: i; The owner of the aboue listed property is entering into a contract with us for the rental of the property as listed aboue. Please uerify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does .not, please list reason here: �� Thank you for go ssistance in this matter. &U '�? ,61 Signature Print name ( - 1 `f - � �" Date MRVP Section 8 I UPC 68021 No. �ISA.- RASTO.C.S. SIN �':c a._ 'r .,�aa,.z.._ror i.=�3r�, .�;:,. �•.s�a.. :✓F a�,.:..,.r�,. .-:....,�. ..:r�ua.� ....-.:...:3.,., _ ..:.� =- — --` "''"�'^.sti.�S� UPC 68021 • No.SFI SA stiASTtroQS. OYR ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING - 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE `. GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN _ (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY �= NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT, THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING P01 POINT OF INTERCONNECTION HARDWARE. 7 PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER - VICINITY MAP INDEX. Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT JPV2 V1 . COVER SHEET y' $ PROPERTY PLAN V3 SITE PLAN PV4 STRUCTURAL VIEWS LICENSE GENERAL NOTES PV6 THREE CALCULATIONS INE IAGR°AM Cutsheets Attached _ GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION " X ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. o MODULE GROUNDING METHOD: ZEP SOLAR REV BY DATE COMMENTS AHJ: Barnstable REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Commonwealth Electric) CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN- CONTAINED SHALL NOT BE USED FOR THE J B-0 2 6 9 2 7 . O 0 �."_. . GUSHING, STEVEN GUSHING RESIDENCE Kyle Lanza �SolarCity BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: aS NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C -267 LINCOLN RD . 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS I„ ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES HYANNIS, MA 02601 TMK OWNER: THE SALE AND USE OF THE RESPECTIVE (16) Hanwha Q—Cells #Q.PRO G4/SC 260 �1 * 24 St Martin Orin Building z,unit n SOLARCITY EQUIPMENT, WITHOUT THE WRITTENry• PAGE NAME: SHEET: REV: DATE Marlborough.MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: L• (650)`638-1028 F: (650)638—J029 - SOLAREDGE SE380OA—USOOOSNR2 5085099930 COVER SHEET PV 1 0 6/16/2015 (888)-SOL-CITY(765-2489) www.solaroity.ow ot PROPERTY PLAN N Scale:1" = 20'-0' E 0 20' 40' � S PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: J B-02 6 9 2 7 00 ``�l�SOIarC't CONTAINED SHALL NOT 8E USED FOR THE GUSHING, STEVEN GUSHING RESIDENCE. Kyle Lanza ��r BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 267 LINCOLN RD 4.16 KW PV ARRAY � y. PART TO OTHERS OUTSIDE THE RECIPIENTS MoouLE H YAN N I S M A 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH a 24 SL Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (16) Hanwha Q—Cells #Q.PRO G4/SC 260 PAGE NAME SHEET; REV DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE.WRITTEN INVERTER: T: (650)630-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE38OOA—USOOOSIVR2 5085099930 PROPERTY PLAN PV 2 0 6/16/2015 (888)-SOL-CITY(765-2489) www.solarcity.com y PITCH: 22 ARRAY PITCH:22 MP2 AZIMUTH: 116 ARRAY AZIMUTH: 116 MATERIAL: Comp Shingle STORY: I Story �yAN OF q NG co { Ss+ NAL:�N�' 6/16/2015 Digitally signed by Nick Front Of House Gordon LEGEND Date:2015.06.16 16:34:47 B 07'00' Q (E) UTILITY METER & WARNING LABEL N INVERTER W/ INTEGRATED DC DISCO Inv & WARNING LABELS is .d © DC DISCONNECT .& WARNING LABELS - AC f T- fA. .- ©Ac AC DISCONNECT & WARNING LABELS D (Y) 0 DC JUNCTION/C.OMBINER BOX & LABELS Q DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS s O DEDICATED PV SYSTEM METER Inv Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR GATE/FENCE Q HEAT PRODUCING VENTS ARE RED INTERIOR EQUIPMENT IS DASHED SITE PLAN N Scale: 1/8" = 1' 0 11 8, 16' El w6m ca CONFIDENTIAL— THE INFORMATION HEREIN [INVERTER: ER: J B-0 2 6 9 2 7 00 PREMISE OWNER' DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE CUSHING, STEVEN CUSHING RESIDENCE Kyle Lanza 501arGty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., SYSR]A: ��NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS Mount Type C 267 ,LINCOLN `RD 4.16 KW PV ARRAY " ORGANIZATION, EXCEPT IN CONNECTION WITH H YA N N I S MA 02601 _ 24 St.-Martin Drive.Butlding.2,'Unit I" THE SALE AND USE OF THE RESPECTIVE Hanwha Q—Cells #Q.PRO G4/SC 260 SHEET: REV:, DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN a PAGE NAME T: (850)638-1028 F: (650)638-1029 PERMISSION OF SOLARCTY INC. REDGE sE3sooA-us000sNR2 5085099930 r SITE PLAN PV 3 0 6/16/2015 (888)—SOL—CiTY(765-2�) ,ww.sola�ai�yaan S1 - '-10>, 9-610 1'— (E) LBW SIDE VIEW OF MP NTs B OF MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTESN LANDSCAPE 72" 24" STAGGEREDo= N G PORTRAIT 4811 20,,. ROOF AZI 116 PITCH 22 ca TOP CHORD 2X4 @ 24„ OC ARRAY AZI 116 PITCH 22 `STORIES: '1 90 F IVIL BOT CHORD 2X4 @24 OC Comp Shingle S NAL EN 6/16/2015 PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) C(2)FSEAL PILOT HOLE WITH ZEP COMP MOUNT C ____ POLYURETHANE SEALANT. sr ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (E) ROOF DECKING (2) u T(5) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT & WASHERS. (2-1/2" EMBED, MIN) J (E) RAFTER STANDOFF PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN ��NUMBER: J B-0 2 6 9 2 7 0 0 `\�,�SolarCity. CONTAINED SHALL NOT BE USED FOR THE GUSHING,. STEVEN GUSHING RESIDENCE Kyle Lanza " BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 267 LINCOLN RD 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MooulF s H YAN N I S M A D2601 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 SL Martin Drive, Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (16) Hanwha Q—Cells #Q.PRO G4/SC 260 PAGE NAME SHEE7 REV. DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN VSOLAREDGE L• (650)638-1028 F: (650)638-1029 PERMISSION of SOLARCITY INC. SE380OA—USOOOSNR2 5085099930 STRUCTURAL VIEWS PV 4 0 6/16/2015 (6B8)-SOL-CITY(765-2489) www.solarcttycom UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 9 2 7 00 PREMISE OMER DESCRIPTION: DESIGN: \� CONTAINED SHALL NOT BE USED FOR THE CUSHING, STEVEN CUSHING RESIDENCE Kyle Lanza N _ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., M0UN11NC SYSTEM: 'w'sol arc it . -� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 267 .LINCOLN RD 4.16 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MoouLEs H YAN N IS M A 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH a 24 St Martin,Orive,Building 2,.Unit.11 THE SALE AND'USE OF THE RESPECTIVE (16) Hanwha Q—Cells #Q.PRO G4/SC 260 SHEET REk DATE: Marltwrouve, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN - r PAGE NAME T..(650)638-1028 F: (650)638-1629 PERMISSION OF SOLARCITY INC. INVERTER: 5085099930 PV 5 Q 6 16 2015 888 SOLAREDGE SE3800A-USOOOSNR2 UPLIFT CALCULATIONS ( )—sOL—CITY(765-2489)-wwMsalarcitycom r GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE ## SE380OA-USOOOSNR2 LABEL: A -(16)Hanwha Q-Cells #Q.PRO G4/SC 260 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:44008419 Tie-In: Supply Side Connection Inverter; 38QOW, 24OV, 97.57d, w/Unifed Disco and ZB,RGM,AFCI PV Module; 260W, 236.5W PTC, 40mm, Blk Frame, MC4, ZEP, 600V ELEC 1136 MR Underground Service Entrance INV 2 Voc: 37.77, Vpmax: 30.46 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER F10OA/2P 4 Disconnect 3 SOLAREDGE B 20A SE380OA-USOOOSNR2 - n Ll zgov SolarCity B L2 N 2 A 1 - (E) LOADS GND _-___________-__ EGG DC+ DC+ -------------------- GEC ---TN DC- DC. MP2: 1x16 r-- '-- --------------------- ♦- - EGC _J GND EGC ------- ---,---- - - --------------- ---tJ rl _ c -l 1 I I I I I I GEC TO 120/240V SINGLE PHASE UTILITY SERVICE I i I i I i I i _ PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP OI (2)Ground Rod; 5/8* x 8% Copper B 0)CUTLER-HAMMER #DG222NRB /t, A (1)SdarSR p 4 STRING JUNCTION BOX D� -(2)ILSCO#IPC 4/0-#6 Disconnect- 60A, 24OVoc Fusible, NEMA 3R A 2x2 STRMGS, UNFUSED, GROUNDED Insulation Piercing Connector, Main 4/0-4, Tap 6-14 -(1)CUTLERT AkIMER #DG1GONS Ground/Neutral Kit,• 60-100A, General Duty(OG) PV (16)SOLAREDGE�300-2NA4AZS S SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE -(2)FERRAZ SHAMUT#R632 PowerBox ptimizer, 300W, H4, DC to DC, ZEP Fuse Reducer 30A Fuse for 60A Clip, 250V AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. -0)CUTLER-HAMMtO #DS16FK nd (1)AWG#6, Solid Bare Copper Class R Fuse Kit -(2)FERRAZ SHAWMUT#TR20R PV BACKFEED OCP -(1)Ground Rod; 5/8' x 8'. Copper Fuse; 20A, 25OV, Class RK5 (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 1 AWG#6, THWN-2, Black (1)AWG #10, THWN-2, Black (1)AWG#10, THWN-2, Black Voc* =500 VDC.Isc =15 ADC �''�(2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O (1)AWG 16, THWN-2, Red O L'L(1)AWG#10, THWN-2, Red O (1)AWG#10, THWN-2, Red Vmp =350 VDC Imp=11.73 ADC O Igo(1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=11.73 ADC (1)AWG#6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC (1)AWG #10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC (1)AWG#10, THWN-2,.Green EGC. .. -(1)Condwt_Kit..3/4. .EMT .. . . . .. . . . . . . ... . . . . . . . . . . . . . .. . . .. . . .. . . .. . . . . .. . . . . . . . . .. .. . . _ _ . . -(1)AWG#6,.Solid Bare.Copper. GEC . -(1)Conduit.Kit;.3/47.EMT. .. . . . . . . . .. . . . . .7.0 AN #8,.THWN72,_Green. . . EGC/GEC-(1)Conduit.Kit;.3/47_EMT J B-0 2 6 9 2 7 0 0 PREMISE OWNER DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER \`� CONTAINED SHALL NOT BE USED FOR THE GUSHING, STEVEN GUSHING RESIDENCE Kyle Lanza BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:NOR �SolarCit NOR SHALL IT BE DISCLOSED IN WHOLE OR IN, Comp Mount Type C 267 LINCOLN RD 4.16 KW PV ARRAY y. PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: H YA N N I S M A 026 01 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (16) Hanwha Q-Cells #Q.PRO G4/SC 260 SHEEL REV: DATE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME L (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARgTY INC. INVERTER: SOLAREDGE # SE380OA-USOOOSNR2 5085099930 THREE LINE DIAGRAM PV 6 a 6/16/2015 (888)-SOL-CITY(765-2489) www.Warcitycom Label Location: Label Location: Label Location: (C)(CB) 11V� (AC)(POI) o :#' (DC) (INV) Per Code: Per Code: ;< '� � Per Code: NEC 690.31.G.3 ° - ° •- NEC 690.17.E ° ° °o 0 0 - • � o „ s o-.�o �' NEC 690.35(F) ��- Label Location: - o :o . o 0 0 TO BE USED WHEN DC INV o•o - -o• o ° • INVERTER IS ® ® ' r Per Code: - '� � UNGROUNDED NEC 690.14.C.2 Label Location: " Label Location: .� .v° ° ° o °' - •(POI) (DC)(INV) r z Per Code: Per Code: •-. °e e o 1'' ., NEC 690.17.4; NEC 690.54 NEC 690.53 • ' } • 0 :O O _ Label Location: . • ° _ Per Code: ° NEC 690.5(C) Label Location: t POI + l ; „ Per Code: -0 • a. w- a< o ° • NEC 690.64.6.4 h — '?--" i' Label Location: (DC)(CB) "$ • •-• Per Code: := - Label Location: a '�:_•e s o -�i� 6. NEC 690.17(4) (D)(POI) • o .o o _; , Per Code: NEC 690.64.B.4 - ��,.,.� � _�^ „;�• �.h.'�. ��r,�,� � , �� Label Location: .,, . (POI) rurY Per Code: Label Location: �0O . • NEC 690.64.B.7 (AC).(POI) .e o • r4 (AC):AC Disconnect (C): Conduit Per Code: ° ° • ; w Combiner Box NEC 690,14.C.2 .� (CB): < __ .. . (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect (AC)(POI) < (LC): Load Center Per Code: (M): Utility Meter NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED MALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �I 3055 Mateo, CAw way _ ��- �.�• San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, Label Set " T:(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE �/f (888)-SOL-CITY(765-2489)www.solarcity.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. SolarClt 0 ; SolarCity I ®pSolar Next-Level PV Mounting Technology ',�SolarCity I ®pSolar Next-Level PV Mounting Technology Components Zep System . for composition shingle roofs - -Ground Ze'-p (RcySee srmvnl - - - i " - -- .: 2ep,ComPe1@le PV Module a � s" a ""�,,,.,.� ZN groove ••' ._� `a.,.. _ „. - w.aysWrt ., i Description " j PV mounting solution for composition shingle roofs O poomPat`0 Works with all Zep Compatible Modules Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules • Auto bonding UL-listed hardware creates structual and electrical bond UL LISTED -Comp Mount Interlock Leveling Foot Part No.850-1345 Part No.850-1388 Part No.850 1397 .,Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 Designed for pitched roofs Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards " Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703 ® # • Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com Listed to UL 2703 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for - - This document does not create any express warranty by Zep Solar or about its products or services.Zap Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely - responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. - responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 - -_ - 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 2'of 2 Solar�• bSolarEdge Power Optimizer solar=oo Module Add On for North America P300 / P350 / P400 SolarEdge Power Optimizer P300 P3SO P400 Module Add-On For North Americaell {. for 60•ceR Pv (for 72teII PV (for 9&cen Pv modules) modules) modules) P300 / P350 / P400 i _ . . Rated Input D..Power•1 300 350 . 400 ... . .W,ll®I"x Absolute Maximum Input Voltage(Vocat lowest temperature) 48 60 80 ...... .......... ............... ,t MPPT Operating Range ...... ..... 8 48 .... .. .$..fio... ..8 80.... .Vdc .. Maximum Short Circuit Current(Isc).... ......... ..... 10 Adc Maximum DC Input Current ....... ....... ............... 12.5 ............ ...... ...Adc ... .... .. tTMw1 - Maximum Efficiency... .. - ........... .. 99.5 .. .......... % ... ...... 98.8Weighted Efficiency ...... .. .... %.............. .... ... .... ..... ... Overvoltage Category II `�, ,d .• - - - �,.,�r �e rOUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER)'y°` ...I Maximum Output Current 15 Adc . y Maximum Output Voltage ....... .......................... ..... .... ......... ..60. _..... .. ... ..Vdc r ` � 'OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR.INVERTER OFF) I -- t _ • s -t" Safety Output Voltage per Power Optimizer1 Vdc )STANDARD COMPLIANCE 6 ,s " W .k,' EMC - FCC Part15 Class B IEC63000-6 2,IEC61000.6 3 Safety ........ .. ..... .... .... ........... IEC62109 1.(class II safety),UL1741. ......... ....... - ..RoHS........ ... .... .... ... ... ..... ..... ... . Yes..... IINSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc _ r' fie, ` x• ;wl Dimensions(W x L x H) 141 x 212x 40.5/5.55 x834x159,. mm/in l a Weight(mduding cables). ._ .. .. ............ .... .950/2 3. .. ... ......... .. .. ... .. ... .. Amp en ........................... .......... Output Wire Type/Connector Double Insulated_;Amphenol ..Output Wire Length .... .. 095/.3:U... I 1.2/3.9m/.f[... a; ..... ......... .... .. ..... Operating Temperature Range ... .. ... 40-+85/.40 +185 ........... .... `C/ ..Protecfion.Rating ... .. ... .. ... .. .. ....... . ...IP65/NEMA4....... ... ........... .. ..Relative Hu m dray w sx ao rroieeeoa aowea 0-100 .. .....% , .... ... ............... .... .. .. ... ...... eared mmoeorea .� PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE' THREE PHASE _ INVERTER �-+ ` SINGLE PHASE I 208V .. 480V - PV(IOWEr OPLIrI'11Z8LIOn at the mOfJ1U(E-(EVE( ` - Minimum String l....... Power Opti ......) 8 10 18 _ ...i .... ........ .. ........... .. .. ....... ... ... ... ... .... Up to 25%more energy - u Maximum Strang Length(Power Optimizers) 25 - 25 50 Maximum Power per String 5250 6000 12750 W —.Superior efficiency(99.5%) .................g...................g.t.hs .r+On n......................... ..................._...._.............................................. ` Parallel S[rin.of Different Len hs..Orientations .Yes — Mitigates all types of module mismatch losses,from.manufacturing tolerance to partial shading "" - - Flexible system design for maximum space utilization - - Fast installation with a single bolt Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety w d � USA - GERMANV - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.SOIaredge.uS - ( , "` t 'i F, 4t 8 a - '��, .q y 2 sera �1�m .. .tsa+e�m1�•w _ ;t •r. .. - _ - L - Single Phase Inverters for North America 511 - solar - S O I m ® ® m © O SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-USCr / SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US I SE380OA-U5 SE5000A-US. SE6000A-USj SE7600A-USI SE10000A-US: SE1140OA-US i OUTPUT z'•,.,, .,' SolarEdge Single Phase Inverters Nominal AC Power Output 3000 3800 5000 M 6000 7600 990 @ 208V 11400 VA ........................... .. ............ .............. .10000@240V ... . .... .. ......... x 5400 @ 208V 10800 @ 208V =� ' Max.AC Power Output - 3300 4150 6000 8350 12000 - VA For North America ............. ............... .545o @z40 .... .... ................ :1D95�....4Dy.. ....... &- AC Output Voltage Min:Nom:Max.* _ SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ ACO tog 2t9Va _....,--,-, . . ...... .... � AC Output Voltage Min.Nom.Max.* �. � � �. � SE760OA-US/SE10000A-US/SE1140OA-US ill too 264Vac .. �/. „� . _,I{n AC Frequency Min.Nom.Max.* 59.3 60 60.5(with HI country setting57 -60-60.5) •.-Hz ........P... ......,. .. .... .. .. ,:..... .... ..... ... ,. �ro• 48 @ 208V• .. .. °•s .Max.Continuous Output Current 12 5 - 16 25 32 47.5 A .... ......... .....: .......... .... .. ..21 @-24. ..... .... ..... 4t @ 24. ... OV OV 3., ...... ... .. ........ ......... - --zr' Utility Monitoring,Islanding. . ...... ......... ........ ... .. - . . _+a , _ * - * a t „, '•, "'# ,, Protection,Country Configurable Yes .. _. - verte�'��, Thresholds j - �. s«WA,h'- E3"!C:. Recommended Max.DC Power** -. r, ( ) 3750 4750- 6250 7500 9500 12400 14250 W w ,o WaRantY�s sTc ... ... .. .... .... Transformeraess,Ungrounded ......... . .... .. .. .... Yes .... ..A...... - - - Zw »:,:,:,...,, - .axlnputVoltage.................... .. ..... 500 ................ .. . ... Vdc... .....Clnput oltage .. .... .... 325 @ 208V/350 @ 240V.. .. - _ .......... Vdc.... V .. ... -. ........... �• - " - Max Input Current*** 9.5 13 18 23. 33 @ 208V 34.5 - Adc P .. .I.... ......::.I 155@_240V. .............. .. ..,.I.p30S@.240V..I....... ....... ... - .., ............................ ..... _ .. . 2.. Max.Input Short Circuit Current 30 - 45 Adc . .' ..................:.L...- ...... r - ,n - '•_ �+, *, ..Reverse-Polarity Protection Yes' ... .... .. .. ... ...... ......... - - ' ....................................... ........ ............ ..... ... ..... ...... ^- ,,••,_ ,=. Ground-Fault Isolation Detection .. .• •600k.Sensitivity-.. ..• •.. .... .-.. ••, ............_......... . ....... .. .. .... .. .:... ..... .. .... .. .. Maximum Inverter Efficiency.. ....... 9..7 .... 98.3 98.3 . .. ..98. .. 98 98....xim.....v......... ienc ..... .. ..... . .......... ..... ...... ... .. -._.. .,,�r._..-,..,..,.. .. ,.-::+• :'.""- ._. ,:m ;.... , ».,.rC aM ,� .. .. . .97.5@208V. .. ..-97@•208V.. +• r , _ .q ,:, " + 4 •"' CEC Weighted Efficiency 97.5 .98 97.5 97.5 97.5 ......... I ( 98..240V I 97.5 @.... :. h� $', -n.....—,._ t3 .f" ,cr''••:'�. ..�.:,a_-�.•'-. Nighttime Power Consumption .. .. .. .. ...•<2.5 <4• 'W' �ADDITIONAL'F EAT URES Z daa a,o ms�.R�te`. cap`"`$� ..» ,.�`";i',.`_k*t.� +f?i �: ,:.°,=h, .r� :a':t�.. _„•_ .�!...5�„`,.a�aie � ' s Supported Communication Interfaces RS485,RS232,Ethernet,ZigB.ee(optional) - - : "_* r/ t T ;:=P , -Fw` ,'• ; a Data,ANSI C12.1. .Optional - -. Revenue Grad to : - ..'. .- ;>•",+,:'"' »,., - des. ."�t>h, •'",7":, , Tn STANDARD COMPLIANCE_aw s .r t a r f.. ,iv' a. ,y>. ' >. Safety ..... ..... ......... ........UL1741 UL16998,'UL1998,CSA 22.2...... . . . f Grid Connection Standards- --• •• IEEE1547 - •••••• •• ... ..... .... .............. ............ ....... ........ ....... ..... .. _ - .,- ;,': .` ": —,M:c^.. .. :.` :�^, • ••Emissions FCC part15 class B. - ., LINSTALLATION SPECIFICATIONS AC output conduit size/AWG ra ..... .... ... . .. .................. ......... ........... . ..._. .......:.... . :.. DC input conduit size./#of strings/. - - range 3/4"minimum/1-2 strings/24 6 AWG _ - 3/4"minimum/1-2 strings,/14 6 AWG- , Dimensions with AC/DC Safety 30 5 x 12.5 x 7/ 30.5 x 12.5�x 7.5/ in/ ,r.� , ..,,r, +a• 30.5x12.5x10.5/775x315x260 - Switch(H "p) _ ..-...775x315x172 775x315x191 .- --... .•• -a- Weigh_ .. .. --. t with AC DCSafetySwi4ch : 51.2 54.7/24 7 88.4/401- Ib/k ................................................. .......... 2 ........... .................... .......... ..... .. : g. . - �.. ` - _ - - - :.° _ Coolin - ...Natural Convection-.. -•• .. ....--.... Fans.(userreplaceable)-..-.,:..-.. - ....,...g.. .. :........ ................ ...:: .. . . . - . . ._ .. Noise...... - <25 ........ ................. .....<.50.,........... ...... dBA.. . The best choice for SolarEdge enabled systems Operating .pera Temperature /' . .. .. .. .... : . g y Min.-Max.Operating Temperature - - ,- -13 to+140/-25 to+60(CAN version****-40 to+60) "F/'C - �.'Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance Range................................. ...................... ................ ....._. ...................... ... .... .. - .. Protection Rating ...NEMA 3R -Superior efficiency(98%) .... � �`For other regional settings please contact SolarEdge support Small,lightweight and easy to installon provided bracket. - _ "Limited to 125%for locations where the yearly average high temperature 1s above 77-F/25-C and to 135%for locations where it is below77-F/25-C. _ For detailed information,refer to .� Built-in module-level monitoring .. A higher current source may be used,the inverter will limit its input current to the values stated. - _ CAN F/Ns are eligible for the Ontario FIT and microFff(microFlT exc.SE11400A-US-CAN). Internet Connection through Ethernet or Wireless *' Outdoor and indoorinstallationW..., E, F=' Fixed voltage inverter,DC/AC conversion only . . Pre-assembled AC/DC Safety Switch for faster installation Optional=revenue grade data,ANSI C12.1= V. `a sunaEc USA-GERMANY-ITALY-FRANCE-JAPAN—CHINA-AUSTRALIA-THENETHERLANDS-ISRAEL WWW.SOIaredge.US t �� HIM MECHANICAL SPECIFICATION t - Format 65.7 in x 39.4in x 1.57 in(including frame) (1670 mm x 1000 mm x 40 min) -.. - Weight__ 44.09 Ib_(20.0 kg) - ..- _-_.. - Front Cover 0.13 in(3.2 mm)thermally pre-stressed-glass - • wdh anL•reflection technology ., ,•, , , Back Cover Composite film Frame Black anodized 7EP compatible frame 6 x 10 polycrystalline solar cells - _,,.,,..�-'"� ;�..•�-^^ Junction box Protection class IP67,with bypass diodes I-J •�•= w.�,�--�" t Cable r 4 In Solar cable;(+)a47.24 in(1200 min),(-)a47_24m(1200 - ff-- Connector MC4 UP 68)or H4(IP68) �_ ^- N.- - m�I - - •` - - � � �� iIELECTRICAL CHARACTERISTICS _ - - PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1 O°°W/m',25'C,AM 1.5G SPECTRUM)' I POWER CLASS(+5W/-OW) [WI 255 260 265 rNomeal Power P�° fin 255 260 265 I • , • / , t o. Short Circuit Current Is, [A] 9.07 9.15 9.23 Open haitVoltage Vor IV] 37.54 37.77 - 38.01 Current at P_ I_ [A] 8.45 8.53 8.62 1 The new Q:PRO-�G4/SC is the reliable evergreen for all applications,with - - - T L Efficiency(Nominal Power) V �] J z°53 c~ -z156- N 2°59 a black Zep Compatibleil" frame design for improved aesthetics, Optl^ PERFORMANCE AT NORMAL OPERATING CELLTEMPERATURE(HOOT:800 W/mx,45 s3C AM 1.SGtlSPECTRUM)' k `M mlzed material usage and increased safe The 4 solar module genera- N_:a ewer(+5W/0w1--_ P_ LL w� - " _.~ is 192 •^J t; ry. g _._ � .. 1h � l 60 265 tlon from Q':CELLS has been optimised across the board: improved output -�-�-- t1 2.0 19557 P P P Short Circuit Current - I,W_ [A] _ 7.31 7.38 7.44 I yield,higher operating reliability and durability, quicker installation and- . Open Circuit voltage V. [V] 34.95 35.16 35.38 more intelligent design. Current at Pv, _ I_ - [A] - 6.61 _ - 6.68 6.75 I 1 Voltage at P_ ^V IV] 28.48 28.75 29.01 'Measurement tolerances STC:s3%(P,,);s 10%0.,Vim,h°.V„w) 'Measurement tolerances NOCT.s 5%(Prow):s 10%(I,°,v-,I_V-) INNOVATIVE AU-WEATHER TECHNOLOGY PROFIT-INCREASING.GLASS TECHNOLOGY 0 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LAW IRRADIANCE Is Maximum yields.with excellent low-ligh_t •Reduction of light reflection by 50%, 140 na,u At least 97%of nominal power during X .d em first year.Thereafter max.0.6%degra- ,m and temperature behaviour. plus long-term corrosion resistance'due _ s _ _ ., o ---------- elation per year. : At least 92%of nominal power after - - - •.Certified fully resistant o level 5 Selt fogy to h(gh quality 4 a as 10 years. s Sol-Get roller coating processing: W=m - At least R3%of nominal power after m r 'ENDURING HIGH_PERFORMANCE ,: 25 years. • _ r •Long-term✓Yield Security due to'Anti E%TENDED wABRANTIEs All data within measurement tolerances. °m ao m + Full warranties in accordance with the coo gy. . . P PID Technology',Hots Of PfOteCti 4 IOVestment-SeCUrlty due to 12-yeaf _ organisation f yof theour r CELLS co es IRMpaxeE[w/m -. _ • _ product - _- rnganisation of your respective country. 1 _. and Traceable Quality Tra,Q`M. product Warranty and 25-year�linear " ; o wires The t0 ical change in module efficiency at an irradiance of 200 W/m'in relation )p Long-term statJility due to VDE Quality performance warranty2 + """""'"'"" "' ""°" m to w/m (both at 25 C and AM spectrum)s-2 7(relative). - ° 1 5Gs ec :� 2 Tested=the strictest test Program. ;TEMPERATURE COEFFICIENTS(AT 1°°OW/M'25 C,AM 1.50 SPECTRUM) _ __ ._ Ca10EltS ' Temperature Coefficient of IK a [%/Kl +0.04 ^Temperature Coefficient of V. p._[%/Kl -0.30, c SAFE ELECTRONICS TOP tIRMD.PV" v�urm Temperature Coefficient of P_ Y [%/Kl -0.41 NOCT - - [°F7 113 x 5.4(45+3'C), N •Protection against short circuits and 1 1 DESIGN thermally induced power 1o55es'due.to. 2018 Maximum system Voltage V,,, IV] _ 1000 UEC)/600(UU safety Cross u breathable junction box and welded Maximum Series Fuse Rating - [A DCi- _ _^ 20 -Fire Rating _ C/TYPE 1 t Max Load WIY fibs/ft'] 50(2400 Pa) Permitted module temperature -40°F up to+185°F _ CablPS - an eentinuous dllry - (-40°C up to+85°C) O Pfinfnn Load Wog(ULY _ fib3/ft9 _ 50(2400 Pa) 'see installation manual Quality Tested QCELLS QUALIFICATIONS AND •, INFORMATION rulum4hlotahowe- t UL 1703;VDE Quality Tested;CE<omplianp Numbs W Modules per Pallet - 25 IEC 61215(Ed.2);IEC 61730(Ed.1)application class A --- THE IDEAL SOLUTION FOR: 7o;40031 87. - `eMr Numbs ar Pallets per sr Omrtamer 3z ___". J a ._.,. _ - C ry e� Number of Pallets per 4W Container _ 26 ) _ Roof top arrays on t)MP4t [ DVE (. SA° /r PalletDimensions(LxWxH) - �68.5inx44.5inx46,0in i resideMia[bu(Iding;, VG inn ` _ (1740 x 1125 x 1170 min) Pallet Weigh Y 1254 lb(569 kg) .r, t _ t FgOv NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of APT test conditions:Cells at•1000V against grounded,witMsinductive foetal foil Coveted module surface; COMVA� this product.Warranty vmd if non.ZEP-certified hardware is attached to groove in module frame. _ „. 25`C,168h - - r see data sheet on rear for further Information. 8001Hanw m D e Center ter Corp. 8001 Irvine Center Drive,suite 1250,Irvine CA 92618,USA I TEl+1 949 748 59 961 EMAIL gtells-cells -cells.com I WEB www.q-cells.us �� Engineered,in Germany f00US. Engineered in Germany �=-��CELLS t i. ABBREVIATIONS ELECTRICAL NOTES . JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING F DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE. ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF' THE _ GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR-ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC ` ''LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT VOLTAGE AT MAX V cp VOLTAGE AT OPENPOWER CIRCUIT VICINITY MAP INDEX W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET. 2 PV2 PROPERTY PLAN PV3 SITE PLAN i' PV4 STRUCTURAL VIEWS LICENSE GENERAL NOTES PV5 UPLIFT CALCULATIONS ,K = PV6 THREE LINE DIAGRAM GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION ?" Cutsheets Attached ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. • MODULE GROUNDING METHOD: * '� AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Commonwealth Electric) - CONFIDENTIAL — THE INFORMATION HEREIN [INVERTER: NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: JB-026927 00 CUSHING, STEVEN CUSHING RESIDENCE Kyle Lanza CONTAINED SHALL NOT BE USED FOR THE ;SOIarClty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NTING SYSTEM: 4.42 K W P V ARRAY NOR SHALL IT BE DISCLOSED IN WHOLE OR INmp Mount Type C 26.7 LINCOLN RD PART TO OTHERS OUTSIDE THE RECIPIENTS TMK OWNER: ORGANIZATION, EXCEPT IN CONNECTION WITH ULES: H YAN N I S, MA 02601 * 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE 7) Hanwha Q—Cells #Q.PRO G4/SC 260 ��rr11 * SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME:PERMISSION OF SOLARCITY INC. LAREDGE SE380OA—USOOOSNR2 5085099930 T. (O50) 838-105— F: (85 w 638-1029 COVER SHEET PV 1 4/6/2015 (888)—SOL—CITY(765-2489) wrrrrsolarcitycam PROPERTY PLAN N Scale:1" = 20'-0' 0 20' 40' � C PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL — THE INFORMATION HEREIN [INVERTER: 7ER B-0 2 6 9 2 7 0 0 K e Lanza -$\`t? CONTAINED SHALL NOT BE USED FOR THE GUSHING, STEVEN GUSHING RESIDENCE %••�SolarCity BENEFIT OF ANYONE EXCEPT SOLARCITY INC., ►,\ NOR SHALL IT BE DISCLOSED IN WHOLE OR INnt Type C 267 LINCOLN RD 4.42 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS HYA N NI S M A 0 2601 ORGANIZATION, EXCEPT IN CONNECTION WITH r 24 St. Martin Drive, Bulding 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE ha Q—Cells #Q.PRO G4/SC 260 SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. L5085099930 PROPERTY PLAN / /GE SE3800A—USOOOSNR2 PV 4 6 2015 (888)-SOL-CITY(765-2489) www.solarcity.com �yVA OF Na PITCH: 22 ARRAY PITCH:22 MP2 AZIMUTH: 116 ARRAY AZIMUTH: 116 I ` y MATERIAL: Comp Shingle STORY: 1 Story 1 NAL 4/07/2015 Digitally signed by Nick Gordon Date:2015.04.07.1-0:05:38 07'00' r Front Of House LEGEND B a (E) UTILITY METER & WARNING LABEL 1714 r Inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS Lis � I • id r © DC DISCONNECT & WARNING LABELS AC f f t FEE © AC DISCONNECT & WARNING LABELS I ' D ' O 0 DC JUNCTION/COMBINER BOX & LABELS I � � L QD DISTRIBUTION PANEL & LABELS LG LOAD CENTER & WARNING LABELS } O DEDICATED PV SYSTEM METER Inv Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR GATE/FENCE Q HEAT PRODUCING VENTS ARE RED l� 'I INTERIOR EQUIPMENT IS DASHED L—"J SITE PLAN N Scale: 1/8" = 1' 0 1' 8' 16' WIN PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: JB-026927 OO GUSHING, STEVEN GUSHING RESIDENCE Kyle Lanza CONTAINED SHALL NOT E USED FOR THE �:;;SOlarClty BENEFIT OF ANYONE EXCEPT SOLARgTY INC., MOUNTING SYSTEM: NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 267 LINCOLN RD 4.42 KW PV ARRAY PART TO OTHERS OUTSIDE THE CONNECTION WT p H YA N N I S, M A 0 2 6 01 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: THE SALE AND USE OF THE RESPECTIVE (17) Hanwha Q-Cells #Q.PRO G4/SC 260 771SHEEL REV.- Dare Marlborough, MA 24 St. Martin Drive, Build Unit 11 Building ing 2, SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME PERMISSION OF SOLARgTY INC. SOLAREDGE SE380OA—USOOOSNR2 5085099930 T: (sso) 83e-1O5— F: (65 w 638-1029 SITE PLAN PV 3 4/6/2015 (aBe>—soL—CITY(yes-2aas) wwwsolarcitycom S1 „ '-10„ ,_6„ 1'— (E) LBW g SIDE VIEW OF M P2 NTS .00 N MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES "{ - LANDSCAPE 72" 24" STAGGERED L y . 1 PORTRAIT 48" 20" TOP CHORD 2X4 @ 24" OC ROOF AZI 116 PITCH 22 STORIES: 1 SS NAB E�G� ARRAY AZI 116 PITCH 22 4/07/2015 BOT CHORD 2X4 @24" OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) 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) V G(5) INSTALL LAG BOLT WITH 5/16" DIA STAINLESS (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES J(6) NSTALL LEVELING FOOT WITH WITH SEALING WASHER BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER #_5TANDOFF J B-0 2 6 9 2 7 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: • CONTAINED SHALL NOT BE USED FOR THE CUSHING, STEVEN CUSHING RESIDENCE Kyle Lanza �_ r SO�a�C�t�/ BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: wo,' NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 267 LINCOLN RD 4.42 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: H YAN N I S M A 026 01 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive, Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (17) Hanwha Q—Cell$ #Q.PRO G4/SC 260 SHEET: REV: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER: SE380OA—USOOOSNR2 5085099930 STRUCTURAL VIEWS PV 4 4/6/2015 (866)-SOL-CITY(765-2489) www.solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE # SE380OA-USOOOSNR2 LABEL: A -'(17)Hanwha Q-Cells #Q.PRO G4/SC 260 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:44008419 Tie-In: Supply Side Connection Inverter; 380OW, 240V, 97.5%; w/Unifed Disco and ZB,RGM,AFCI PV Module; 260W 236.5W PTC, 40mm, Bilk Frame, MC4, ZEP, 600V ELEC 1136 MR Underground Service Entrance INV 2 ' Voc: 37.77 Vpmax: 30.46 INV 3 ;ti Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER (E) WIRING CUTLER-HAMMER Inverter 1 Disconnect 100A/2P 4 3 SOLAREDGE B 20A fj SE380OA-USOOOSNR2 A F L1 IE SolarCity B L2 N 2 A 1 (E) LOADS GND -------- --------------------- EGC_/ --- DC, DC+ - - - - -------- � GEC Ai� Dc- Dc- MP2: 1x17 r---� D __ EGC ------ -- -- EGC --------- ---------- ---�-- --------------- - ---F� N I if o EGC/GEC + Z �5 -l - 1« - GEC TO 120/240V I I 1 SINGLE PHASE I I UTILITY SERVICE I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI (2)Ground Rod; 5/8' x 8', Copper 6 (1)CUTLER-HAMMER #DG222NRB A (1)SalarCitYY��!!4 STRING JUNCTION BOX -(2)ILSCO IPC 4/0-#6 Disconnect 60A 240Vac Fusible, NEMA 3R AC 2x2 STRMGS, UNFUSED, GROUNDED DC Insulation Pi4cing Connector, Main 4/0-4, Tap 6-14 -(1)CUTLER-HAMMER' DG10ONB S Ground/Neutral It• 60-100A, General Duty(DG) PV (17)SOLAREDGE 300-2NA4AZS SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE -(2)FERRAZ SHAMUT#k632 PowerBox Optimizer, 30OW, H4, DC to DC, ZEP AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Fuse Reducer 30A Fuse for 60A Clip, 250V -(1)CUTLER-HAMMtR #DS16FK n d (1)AWG #6, Solid Bare Copper Class R Fuse Kit -(2)FFusA Z20AA Z OT #CITR20RK5 PV BACKFEED OCP -(1)Ground Rod; 5/8' x 8% Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE ®� 1 AWG #6, THWN-2, Black 1 AWG #10, THWN-2, Black 1 AWG #10, THWN-2, Black Voc* =500 VDC Isc =15 ADC (2)AWG #10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC lu F(,)AWG #6, THWN-2, Red O rt (1)AWG #10, THWN-2, Red O (I)AWG #10, THWN-2, Red Vmp =350 VDC Imp=12.46 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=12.46 ADC IL�-LL( )AWG#6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC (1)AWG #10, THNM-2, White NEUTRAL Vmp =240 VAC Imp=16 AAC (1)AWG #10 THWN-2,.Green. . EGC. . . . (1)Conduit.Kit;.3/4' EMT . . . . . . . .-(1)AWG #6,.Solid Bare.Copper_ GEC. , . .-(1)Conduit.Kit;.3/4".EMT. . . . . . . . (1)AWG #8,.1HWN-2,.Green EGC/GEC:-(1)Conduit.Kit;.3/4".EMT. . . _ . . CONFIDENTIAL - THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE JB-026927 00 CUSHING, S.TEVEN CUSHING RESIDENCE Kyle Lanza �a`!a BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ,,`�Ol�r�l�� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 267 LINCOLN RD 4.42 KW PV ARRAY '.' PART TO OTHERS OUTSIDE THE REGPIENT°S p ORGANIZATION, EXCEPT IN CONNEC11ON WITH MODULES: H YA N N I S, MA 02601 24 St. Martin Drive. Building 2, Unit 11 THE SALE AND USE OF THE RESPECTIVE (17) Hanwha Q-Cells #Q.PRO G4/SC 260 SHEET: REV: DALE: Marlborough,Drive, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN WVERTER: PAGE NAME PERMISSION OF SOLARgTY INC. SOLAREDGE sE3sooA-us000sNR2 5085099930 THREE LINE DIAGRAM PV 6 4/6/2015 T. (680)638-105- F: (65w 638-10y.om (888)-SOL-CITY(765-2489) wwwsolarcit