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Home My WebLink About0014 PEPPER LANE i, � . P� �i �. i V I I i .d' a � i �� i �r f oaen P-e6n a col f>60Py �. /nab-t C-6-\ , -Commonwealth of Massachusetts Sheet Metal Permit PER n Map P. cel -PRESS PERMO t# ao Date: _ DEC 14 20r!rr= Estimated Job Cost:.$ �� 1 TOWN OF � M �(S Plans Submitted: YES NO Plans Reviewed. YES NO Business License# oZ Applicant License# Business Information: Property Owmer/:Job,Location.Information: � e � Name: . /�///�.�/ S Name: Street:�K %��SS �U Street:/c e IV c. City/Town: C-n40 4 City/Town: All Telephone: �� Telephone- Photo I:D.required/Copy of Photo.I.D.attached: YES Z NOAZ 1�8 q P Staff Initial i S=1/M4-unrestricted license Jr-2/M-2-restricted to dwellings 3-storie8 or less and commercial up to 10;000 sq. L/.2-stories or less Residential: 1-2 family, Multi-family Condo/Townhouses Other- Commercial: Office Retail Industrial Educational. j Fire lDept. Approval Institutional_ Other Square Footage: under 10,000 sq. over 10,000 sq. ft. Number of Stories: Sheet metal workto be completed: New Work: Renovation: HVAC Metal Watershed Roofing. Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: I se , I INSURANCE COVERAGE: i' .. �14'Z � ar I have a current liabilitv.Insurance policy or its equivalent which me ,ets-the requirements of M.G.L Ch.112 Yes❑: No ❑ 4 i If you have checked YS&:indicate the type of coverage.by checking the appropriate box below: i A liability Insurance policy El ;°j S ,'Other type of indemnity- ❑ Bond ❑ . OWNER'S INSURANCE WAIVER:!am.aware that the licensee does not have the insurance coverage required by Chapter 112 of the i Massachusetts General Laws,and that my.-signature on this permit application.waives this requirement: Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent i . I By checking this.box❑,I hereby certify that all of the details and information i have submitted(or entered)regarding this application are true.and accurate to the best of"my knowledge and-that all sheet metal work acid installations.performed under the permit issued for this,application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter l l2 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections I Date Comments l Final Insgeetion Date Comments i Type of License: 3y Master . q• w Me ❑ Master-Restricted e ,ItylTown ❑Joumeyperson . Signature of Licensee 'e[mit.# ❑Joumeyperson-Restricted Ucense:Nurfiber.. =ee$ Check at www,mass.driytdal nspector Signature of Permit Approval it i .. OiNIMONWEA TH.,OF'2M lSsACH,USEV S � SSUES%TH OI LOVV NG,LI f=NS� $}" MASTER'UNRE- .TRICTE r� ca n .Trlm 14, `! #J�MELISSADR �" � 1x ",lf4EST YARMOUTH,'MA 02&78~44fi �i z 428 � 10128/2097 AMIRi IVIA SA�CHEi�T rE�T�T"S - - Y w Lop N-Q Q, AN EWE t4 r ,e Cummo3nruencMi Qf Massachusdts ffep huent rrf I?r&s&iid Accident-v tce�i�' t `inass y 600 Ww, gtai+ &reet ;� YVF4°?4?Tfi[fSS.�l�dlEt �I Wurke& Campensafi€air Insurance Affidavit BuitdersfContra:ctorsMectricmnMumbers n 7 armai ern Please Print, ib�. Na=Ousigcasl ��: ! tyf 3 = /1^�✓ 3�ma CM Are you an employe - ech the appropriatr b iv= T (r d-_ I aloe . ctmfractos and I �of t�Ject� �� L❑ I am a employer with 6- ❑New n0115t„•r oa employees(fn11 andlorpnt-ima)-* havebire&tbe sorb-CDnftWEors. listed on the attached shy 7- ❑P��g 2_❑ I am a stile proprietor or partner-ship and have no employees These u3b-contactors have 8- ❑DemrAifiba vvori ing for me in any capacity employees and have,wofkers' 9_ F-I$nildmg addition PTO Workers'comp_insurance Comp_,ncnrarme I -eqmired-J 5jK We are a corporatiom and its 1G-O metrical repairs or additions I❑ I am a homemAmer doing all work hnm emercised(heir IL.O Plumbing repairs or additions. . myself [No WO,&rs'txsnnp_ right of ezempfionper IS GL 12.El Roof repairs in m= a required.]1 c-157, §1(4} and we f zve,no ernpIoyees_[Nau�ori=' 1 _0 C7lher comp insurance rexp I "lfny aogb�t tit cbeds box#1 mmst also fll o�tip settiaa heIozv shvwiag ibes�axlke6�aampensaria�gam Frd�rmiaa �nmernvners arho subnuc this affid:vif i�+�Tr �ei�ey aze riamgrrudc sad ffien rrire asice caatcaetars omit saber a near mac mpg MX-TL- ICbntmcmrs tbst rherIc ibis bas mast sttac]setl as aadihansI sheet show the name of the SoV-0omtatxs and state vrhether drnat base emtffies have ermslugePs_ Iftbe soh-caai;acfacs hate empIo,�es,theg anrst provide tbeu'wasb�ss'camp.paIicp n•�abez I am arz empL yvr that is prati&Ujrg workers'conerrsrrliun in=rrutce for rti}^ampl ayeam Beloit?is thepaRcy artd job arts irtjormQt%nn. • Insraaace CompanyN=e: Po1icY;W ar Self-ins-I i-;k Fxpiimtion Date: Job Site Add: CO/Statelztp- Ajbtzch a copy of than vmrkers'compensation poIiry declaration page(showing the galicy number And eagsati0n dx(n}. Failure to secure ca-uusage as required um:kx Section 25A of MGL c. M can 1wd to the imposition of criminal pemalties of a firm up to$L5DO.0D andlu onL--yr-arimprisomment,as wen as civil pemalHs in the foml of s STOP WORIK OIZDIRand a fine ofup to$250.00 a day against the violater_ Be advised that a copy of tbis siatemmt maybe farwarded to:the Office of Iuriesfrgstionso€the DIAf)rhismancecoverage-v cation- . .. ._ __ .. .. . . - - •- --••- _ _ ._..._ _. .. - - - -. .... . Icfd hereby c rfi rrder 7Faiit& pert f31 s ue{nrm iWanprcnndedahvveu fz=and 7 rr Ct SiFna Bate: /J Phon> #: O fIzm rd us$anTy. Da rrat tftitff in this arere,to bs cmrnpieted by city rar ta"of C&T- City or Town- pm-fudbucense# Issuing c'1_athosity(drele one): L Saard of Health 2.Buffding Department I GiVrowa Qerk 4.Electrical Easpector S.P•lumbing Tuspecter .6.Other Contact Persian.: Phan:9: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an anplayee 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 Iegal 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 aparhnents 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 as employer." MGL chapter 152, §25C(6)also stains 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:ray 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 perLormance,ofpublic work until acceptable evidence of compliaice 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-contractors)name(s),address(es)and phone number(s)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 7nsur-ance- 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 sere to sign and date the affidavit The afdavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Tndustrial 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. Sells insured companies should enter their self-insurance license number on the appropriate ae- City or Town OfEcials Please be sure that the affidavit is complete and printed legibly. The Department has proFZded a space at the bottom of the affidavit for you to EM 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 fuhre 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 regurned to complete this aihda\-it The Office of Tnvestigations would like to thank you is advance for your cooperation and should you have any qu2estions, please do not hesitate to give us a call- The Department's address,telephone and fax number: The Coama-aawean of Massachusetts Deparfiment of bidustdal AocKients Office ofkvesfjgatFans Goo wasbingtoa Siz�et Rosters,IAA G2I I I TeL A. 617-727-4M W4-06 or 1-9 MkSSAFE Revised 4-2447 Fax 0 617-` 27-�49 Print 12/14/15,7:32 AM removed while had bathroom handicap for my husband and the one in the kitchen removed cause I knew was getting new system and had dishwasher installed and new washer and dryer installed in kitchen and the baseboards were in the way. And had the baseboards removed in basement cause they were in way and had new floors installed in basement. Getting ready for new system to be installed. Gladys Hercules 14 Pepper Lane Hyannis MA 02601 774-810-9070 michaeldejesus07@yahoo.com Sent from AT&T Mail on Android i•�• �m.[ll h t Itt1 �rl:l�:orl aJ '-:i-`a 'r'o: VAS qLlOte frOrf) AAL Hi, Let me know if you have any questions,thanks. Luke A&L A&L Heating Cooling&Home Improvements I would supply and install: Gas Fired warm air Heating and Air Conditioning 1-Carrier 59TN6A060E17--14 AFUE 96.5%Variable Speed high efficiency furnace w/A/C coil installed located in the basement serving the first&basement on two zones. Zone 1- First floor Zone 2-basement 1-Carrier 24ABC63OA003 16 SEER outdoor condenser with pad,drain,and line-set included. *Insulated galvanized duct system designed to maintain 70 degree temperature in zero degree weather with 15 mph winds and to maintain 15 degrees below outside air temperature in summer. * electrical work included. *Gas piping included. *10 year warranty *old system removal included. about:blank Page 3 of 4 Print 12/14/15,7:32 AM "wifi thermostats included. Heating and Air Conditioning Cost Homeowner will receive back in rebates. All heating and air conditioning items to be installed in a neat,workmanlike manner and to be covered by the usual 1 year guarantee against defective materials. Thank you for considering A&L for all your heating and air conditioning needs. Please feel free to contact us if we can answer any questions or be of any assistance. 508-737-5751 Sincerely, Luke Cyr, A&L Heating Cooling&Home Improvements. 01.1 9A about:blank Page 4 of 4 �VE,n Town of Barnstable *Permit# Expires 6 months from ism s�k Regulatory Services Fee C.-t,T BARNSTABLE, nsass Richard V. Scali,Director i639. ♦� 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 Property Address i q Pe P Pe✓ 4 9 avl vl i 3 ko, O ab©l ❑Residential Value of Work$ 3}Odom Minimum fee of$35.00 for work under$6000.00 ` Owr%r's Name&Address H a. 4 M e_s O er vviQ►-x 4 4key-cy te-s -Contractor's Name Fred k� �Aed'cul gs Telephone Number 'Home Improvement Contractor License#(if applicable) Email: `Construction Supervisor's License#(if applicable) i❑Workman's Compensation Insurance i� Check one: ❑�I-am a sole proprietor �.9'I am the Homeowner_❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ®! Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑+Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ®,Re-side ] Replacement Windows/doors/sliders.U-Value a aaq (maximum.32)#of windows /i i #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. j 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. i� A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATUR: 4/ 4VVe Q:\WPFILES\FORMS\building permit forms\E)PRESS.doc Revised 040215 4 .�� Ile Comrfrorrivealtli of-Vassreclrusetts Deparanent of,14du.strial Accidera,s - k---_ Q,ff ice of rmw_stigadons 600 Washingion Street y Bostan,MA 02III • 1 f PVni:mas&goSv1�dlla Workers' Caffipensatinn Insurance Affidavit. BudlderJCuntracturs/EIecfticians/P lumbers Applicant IufaimatFan le Aq S LI-ercL-k e- Please Print LembIy / .(Bus�esst�pFgan :n,lfnd :i„aq}: ,Address: l �{ �epPer L4�e_ CityfStatef ip: S 1"l �L Phcae� 7�� 9/0 90 770 Are you an employer?Check the appropriate box.: Type of project(required): I.❑ I am a employer urith 4. ❑I am a general contractor and I 6. New consi=uction employees(full.a>ldtor part-time)-* b-aL*e hired the sub-contractors 2.❑ I am a sole proprietor Grp.artner- listed on.the attached sheet. 7- ❑Remodeling ship and have no employees. 'these sub-contractors have g. ❑Demolition wad dng fbr me in any capacity employees andhave workers' [No Workers' comp.insurance comp-Msurance.l q- ❑Building addition A 5. We.are a corporation and its 10.❑Electrical repairs or additions r d_ ❑ sP egss�re officers.have exercised their 3. ,I'am.a h,ameoumer doing all wow 11_❑Plumbiagrepaiss or'additions nsysel£ [No workers'camp_ right of exemption per MGL 12_ RoGfi insurance required_]i c.152, §1(4),and we have no ❑ employees-[No workers' 13.0 Other comp.insurance required-] *Any app€icant chat checks box Al mxL4 also fill outthe sectionbeiaw shuning their woskere compeasatiauporky iaformamoo- I Romeoavners who submit this afiidant ub r=mg they are doing all work and then]nice outside contractors must submit a new affidavit indicatin.-such- IC'antrsctors that check ibis box most attached au additional sheet shoufng the nmue of the sub-comtcrrcmo-a and state whether or not those entities have employees.If the sub-contactotshwe employees,theymnrstpmuide their srorkew comp.policy number. I a�tt an earploy�trr f7tat is pro>«ding iwork¢rs'courpensaticrrs iuslirarrce f or Zvi}*¢nr�I��ees Below is the policy and job site Informadom Insurance Company Name: Policy 4'or Self--ins.Lic.4. FoTirationDate: Job Site Address: CitylStaWZ� p: Attach a ropy of the workers'compeusationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.ruder Section 25A of MGL c_152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andror 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 adiised that a copy of this statement may.be forwarded to the Office of Investigations ofthe DIA.,for insurance`coverage yerification. I do hereby cerhflr,u:der thepains and penalties ofperjuiy that tit e infotmdian prmided abm a ig trite arc!correct SiEnature: Date.- Ic2 Phone 0 �7Z-?-J/ B/o go�O Official use only. Do not write in this area,to be c mpteted by city artown o f j`ieiat City or Town: PermitMkense;W Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTavrn Clerk 4.Electrical l nspector S.Plumbing Inspector 6.Other C'on#act Person: Phone#: l Information and lastructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pu sotto this statute,an.ernplvyge is defined as."_.evcry person in the service of another under any contract of hire, g express or implied,oral or written-" An ernp&yer is defined as"an.individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Jomt enterprise,and mclu ag the legal representatives of a deceased employer,or the receiver or trastee 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 - dVeHin house of another who employs persons to do mafit ante,construction or repair work on such dwelling house ereto shall of such emplayme be deemed in be an employer. or oa the grounds or building appurtenant " 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 chaptr.r 152, §25C(7)states`fileither the commonwealth nor any of it political subdivisions shall enter into any contract for the performance ofpublic wo kuntil acceptable evidence of compliance with the ineuranCe.. regtarements of this chapter have been presented to the contracting authority." Applicants Please fill out: the workers'compensation affidavit completely,by checlangR�.e boxes that apply to your situation and,if necessary,supply soh-contractors)name(s), addresses)and phone numbers)along with their certificates) of inct=ce. Limited Liability Companies(LLC)or Limited LiabrffityPartaerships(=)with no employees other than the members or partners,are not rbquir d to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage., Also be sure to sign and date-.he affidavit The affidavit should . be ret-i ned to ine city or tovrn that the application for the peunit or license is being requested not the Department of n Tstrial Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the amber listed below. Self-insured companies should enter their self-insurance;license number on the appropriate line. City or Town Ofncials . Please be scse that the affidavit is complete and printed leglly. 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 size to fill in the perrit/license number which will be used as a reference number. In addition, an applicant that must submit multiple pemlitllicense applications in any given year,need.only submit one affidavit indicating cmreat policy ial rmation(if necessary)and under"Job Site Address"the applicant should write"aH locations in (city or town)--A copy of the-affidavit that has been officially stamped or mailced by the city or town may be provided to the applicant as proof that a valid affidavit is oa file for fufrse permits or licenses. A new affidavit must be filled 0i±each year.Where a home owner or citizen is obtaining a license or p ermit not related to any business or commercial venture (Le,. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would ne,to thank you is 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. 'ht C0.n3jnanwt~attb�of Massarhus� , . ,� _ , Ilegar�nent of 11id�frial Ao�.ents . Qf Uee 4f 1btve&% tioW 600,wasbiVGII St=t Balton MA G2111 Tf,-1.4 617 727-4900 QXt 4€6 O,r 1-977-MA-SSAFF, Fax:9 617-727-774 Revised 4-24-07 .mas gav/dia i y�P oF�rqy, T • r 1' Town of Barnstable ArFD MA't� Regulatory Services Richard V.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, l-1 I Ci�--s , as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit application for: >7 �PQp P/ L4r i e !��dl�lvt� LZ 002 G0 (Address of Job) Signature of 04net Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESIFORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services �oFtr�rO Richard V.Scali,Director Building Division Mass Tom Perry;Building Commissioner s639. 200 Main Street, Hyannis,MA 02601 pTEn www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE:_ Please Print ,/ /, JOB LOCATION: J y Pe,�peo- 14ti a !�hAf S AA 0016m9l number street village "HOMEOWNER": al4&s /�Prcd(es A-0 P070 name home phone# work phone# CURRENT MAILING ADDRESS: I41 PPpp @✓ L.q h e- f�yahti�S �� oa�o f /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 minimum inspection procedure, and requirements and that he/she will comply with said procedures and requirements. Signature of Ho wner Approval ofBuilding 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\ENPRESS.doc Revised 040215 i t ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel TO+F,`N F FARMSTABLE Application # ,7U1505 t Health Division Date Issued Conservation Division Application Fee 0� Planning Dept. Permit Fee C0 Sv Date Definitive Plan Approved by Planning Board Li Historic - OKH U _ Preservation / Hyannis Project Street Address J e c»c(- Village v� Owner G t 0. M• Gu. -Ck.� Address 0 y12 ,--,f GelkiC_ Telephone 1) t j a-&d � Permit Request 5 k,5 +tom ✓Su — Q alke I iC� G l c l; d It Square feet: 1 st floor: existing — proposed 2nd floor: existing proposed� Total new Zoning District R Flood Plain Groundwater Overlay z'- Project Valuations b Construction Type 3 Lot Size Grandfathered: ❑Yes ANo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 60 Y r • Historic House: ❑Yes ;J,�4o On Old King's Highway: ❑Yes 1-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ------- Basement Unfinished Area (sq.ft) Number of Baths: Full: existing �— new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other el Central Air: ❑Yes ❑ No Fireplaces: ExistingL&New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new siz Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size/, Attached garage: ❑ existing ❑ new sizhed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes $No If yes, site plan review# Current Use e 1de()A 11 Proposed Use D APPLICANT INFORMATION - �1 (BUILDE OR HOMEOWNER) Name Git.� 4-Ao7 -4,f '� Telephone Number Address a rr 1 b v 7. G( 0 License # to ( S Home Improvement Contractor# I b1 29L Email ( n lutC C Worker's Compensation # (/"cd 1� C►S b?� ALL CON TR CTI N DEBRIS RESULTI F ,OM THIS PROJECT WILL BETAKEN TO tA.Yr► SIGNATURE DATE ' Uri F FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER D DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. DocuSign Envelope ID:A41;B2157-1 DAC-4112-6325-F8C4177D90036 SolarCity I Purchase Customer Name and Address Installation Location Date Gladys Hercules 14 Pepper Ln 10/29/2015 HYANNIS,MA 02601 14 Pepper Ln HYANNIS,MA 02601 _ ..�. ..t P .w a i{� W ry. �. .�e., .�C.r :�1 _ s. I q t. Here are the terms of your Solar Home Improvement Agreement w� ie , § A� • .. ti ,�„ m. . _•� ilk x . r System Size p System Warranty,,, i _ __•__.._._.__ �� _ �,. -S The SolarCity Promise •We provide a money-back energy performance guarantee. DS •We warrant all of our roofing work. `I •We warrant and repair the System. ................................................................................................................................................................................................................................................... Initial here �# •We fix or pay for any damage we may cause to your property. •We provide 24/7 web-enabled monitoring at no additional cost. •The pricing in this Agreement is valid for 30 days after 10/29/2015. Your SolarCity Purchase Agreement Details Contract Price,.. 4 .$38,610 i Est.first year production I 9,825 kWh ( 3055 Clearview Way,San Mateo,CA 94402 1 888.765.2489 1 solarcity.com 1260726 Solar Home Improvement Agreement,version 3.0.3,October 22,2015 Contractors License MA HIC 168572/EL-1136MR Document generated on 10/29/2015 Copyright 2008-2015 SolarCity Corporation,All rights Reserved DocuSign Envelope ID:A41B2157-1DAC-4112-B325-F8C4F7D90036 SolarCity 3055 Clearview Way,San Mateo,CA 94402 T (888) SOL-CITY F(650) 638-1029 SOLARCITY.COM SOLAR HOME IMPROVEMENT AGREEMENT-RESIDENTIAL Customer Name and Address Salesperson Installation Location Contractor License Gladys Hercules Steve Gregory 14 Pepper Ln MA HIC 168572/EL-1136MR HYANNIS,MA 02601 14 Pepper Ln Registration/License Number: HYANNIS,MA 02601 112 Great Western Rd South Dennis MA 02660 b This Solar Home Improvement Agreement(this"Agreement")is between SolarCity Corporation("SolarCity", "we"or"Contractor") and you("Customer")for the sale and installation of the solar system described below(the"Project"or the"System")at your home (the"Property"or your"Home"). We look forward to helping you produce clean,renewable solar energy•at your Home. The Parties agree as follows: KEY TERMS AND CONDITIONS 1. DESCRIPTION OF THE PROJECT AND DESCRIPTION OF THE SIGNIFICANT MATERIALS TO BE USED AND EQUIPMENT TO BE INSTALLED. Sale and installation of a 7.020 kW DC photovoltaic system consisting of PV modules,corresponding inverter(s)and a mounting system designed for installation and operation at your Home. 2. CONTRACT PRICE. The Contract Price for the Project is 38 610.00. The Contract Price is subject to any change orders agreed to in writing by both parties. 3. INSTALLATION TIMELINE. SolarCity will install the System within a reasonable amount of time after we sign this Agreement but no later than twelve(12)months from the date of this Agreement,which shall be of the essence. When SolarCity completes installation of the solar panels and the inverters(s),then substantial completion of the work to be performed under this Agreement shall have occurred: Approximate Start Date: 60-120 days from the date of this Agreement . Approximate Completion Date: "60-120 days from the date of this Agreement This performance timeline is an estimate and may be adjusted as provided in this Agreement,including delays due to late payments or unforeseen conditions. Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 f ' DocuSign Envelope ID:A41B2157-1D,AC-4112-B325-F8C4F7D90036 4. SCHEDULE OF PAYMENTS. PAYMENT TIMING AMOUNT NOTES Deposit Due at Contract Signing $0.00 Payment 1 Due When Installation $19,305.00 Begins Payment 2 Due Following Building $19,305.00 Inspection Final Payment Rebate Assignment $0.00 Total $38,610.00 (includes any applicable sales tax) (CUSTOMER'S INITIALS) r S. The pricing in this Agreement is valid for 30 days after 10/29/2015. If you don't sign this Agreement and return it to us on or prior to 30 days after 10/29/2015,SolarCity reserves the right to reject this Agreement unless you agree to our then current pricing. Solar Home Improvement Agreement,version 3.0.3,October 22,2015 g] 1260726 . . DocuSign Envelope ID:A41B2157-1DAC-4112-B325-F8C4F7D90036 6. ADDITIONAL RIGHTS TO CANCEL. IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS AGREEMENT UNDER SECTION 7 BELOW AND UNDER SECTION 1 OF THE GENERAL TERMS AND CONDITIONS,YOU MAY ALSO CANCEL THIS AGREEMENT AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON 'YOUR HOME. 7. NOTICE OF RIGHT TO CANCEL. YOU MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS AGREEMENT. SEE THE ATTACHED NOTICE OF CANCELLATION FORM ATTACHED AS EXHIBIT 1 FOR AN EXPLANATION OF THIS RIGHT. Customer's Name:Gladys Hercules U&J&_p uSigned by: - Signature: D190C1F7E048A_ Date: i n/?4/2ni s Customer's Name: Signature: Date: Solar Home Improvement Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 10/29/2015 Solar Home Improvement Agreement,version 3.0.3,October 22,2015. � 1260726 wk . i DocuSign Envelope ID:A4152157-1 DAC-4112-6325-F8C4F7D90036 You are entitled to a completely filled in copy of this Agreement, signed by both you and the Contractor, before any work may be started. GENERAL TERMS AND CONDITIONS The rebate and incentive calculations SolarCity provides to Customer are estimates. These estimates are based on certain assumptions that may not be applicable based on 1. CHANGES,PERMITS,REBATES,INCENTIVES the circumstances specific to the Project. However,actual Both parties will have the right to terminate this rebates.and incentives are variable as eligibility Agreement,without penalty or fee,if SolarCity determines requirements,funding availability,and rates may change. after the engineering site audit of your Home that it has SolarCity will use good faith reasonable efforts to help misestimated by more than ten percent(10%)any of(i)the Customer secure applicable rebates and incentives, but System size, II the S stem's total cost or III the S stem's SolarCity shall have no financial obligation to Customer S Y ( ) y ( ) y regarding actual rebate and incentive amounts received. annual productions Such termination right will expire at Customer agrees to pay the earlier of(i)one(1)week prior to your scheduled the Contract Price in full regardless System installation date and(ii)one(1)month after we of the actual amount of rebates and/or incentives inform you in writing of the revised size,cost or production received. estimate. Any changes to the System will be documented 2. SCHEDULE OF PROGRESS PAYMENTS in a written amendment to this Agreement signed by both you and SolarCity. You authorize SolarCity to make The schedule of progress payments(see Key Terms and corrections to the utility and incentive paperwork to Conditions cover sheet)must specifically describe each conform to this Agreement or any amendments to this phase of work,including the type and amount of work or Agreement we both sign. services scheduled to be supplied in each phase,along with the amount of each proposed progress payment. IT IS You acknowledge that the System equipment and AGAINST THE LAW FOR A CONTRACTOR TO COLLECT materials we will furnish and install are subject to cost PAYMENT FOR WORK NOT YET COMPLETED,OR FOR increases. We will hold the Contract Price for six(6) MATERIALS NOT YET DELIVERED. HOWEVER,A months after the date of this Agreement. After six(6) CONTRACTOR MAY REQUIRE A DOWNPAYMENT. months,if the cost of any System equipment or material Customer may,at its discretion,issue payment to rises by any unusual amount because of circumstances Contractor via joint check with any of Contractor's beyond SolarCity's control,including but not limited to subcontractors or suppliers. market price fluctuation or a site audit that reveals the need for additional materials or labor,then SolarCity shall Note about Extra Work and Change Orders. Extra Work have the right to present you with a change order for the and Change Orders become part of the contract once the System equipment with a new price.You will have the right order is prepared in writing and signed by the parties prior to accept or reject this new price and get your deposit,if to commencement of any work covered by the new any,back.If you do not accept the new price,SolarCity change order. The order must describe(i)the scope of the shall have the right to terminate this Agreement and issue extra work or change,(ii)the cost to be added or you a full refund,upon which the parties shall have no subtracted from the contract;and(iii)the effect the order further obligations to one another. will have on the schedule of progress payments or the completion date.Notwithstanding this provision,the SolarCity will obtain any necessary permits,at SolarCitys Contractor shall have the right to substitute System cost.SolarCity shall not be responsible for delays in work equipment without Customer's agreement,so long as that due to the actions of any permitting and regulatory substitution adds no extra cost to the project and does not agencies or their employees..You will pay SolarCity for any materially affect the System's performance. The taxes or assessments required by federal,state or local Contractor's failure to comply with the requirements of governments or related regulatory agencies or utilities. this paragraph does not preclude the recovery of compensation for work performed based on legal or equitable remedies designed to prevent unjust enrichment. 3. PROPERTY CONDITIONS Solar Home Improvement Agreement,version 3.0.3,October 22,2015 a 1260726 o �. . DocuSign Envelope ID:A41B2157-1DAC-4112-6325-F8C41F7D90036 You will be responsible for the structural integrity of the end of the Warranty Period(see Exhibit 2). SolarCity location where the System is installed,including structural retains all SolarCity-owned intellectual property rights on or electrical modifications necessary to prepare your any.of the equipment installed in your System including, Property for the System.You agree that SolarCity is not but not limited to,patents,copyrights and trademarks and responsible for any known or unknown Property any data generated by SolarCity's monitoring system. conditions. 8. TERMINATION AND DEFAULT 4. EXISTING CONDITIONS SolarCity may terminate this Agreement,upon seven(7) SolarCity is not responsible and bears no liability for the days written notice,for any material or non-material malfunctioning of existing electrical equipment at the breach;for any failure of Customer to agree to an Property,including but not limited to the main electrical appropriate change order,for any failure of Customer to service panel,any major electrical devices,or any other pay SolarCity any amount due,for any bankruptcy or fuses or similar devices. financial distress of Customer,or for any hindrance to SolarCity in the performance process. 5. COST OR DELAY DUE TO UNFORESEEN CONDITIONS SolarCity is not responsible for failures,delays or expenses 9 REMEDIES UPON CUSTOMER'S BREACH related to unanticipated,unusual,or unforeseen Without limiting any of SolarCity's other rights and conditions at the Property arising out of conditions beyond remedies,upon any breach by Customer,including any SolarCity's reasonable control(all of which shall be failure of Customer to pay SolarCity any amount due, considered"Force Majeure Events").Performance times SolarCity shall have the right to:(i)pursue a stop work under this Agreement will be considered extended for a order at the Property;(ii)prevent any more work from period of time equivalent to the time lost due to such being done at the Property until the breach is cured and a conditions. If SolarCity discovers unforeseen conditions bond is posted by the Customer for,any amounts payable requiring additional cost,then SolarCity shall present such under this Agreement;(iii)recover all amounts due under costs to you and get your written approval before this Agreement for services provided through the date of beginning or continuing performance. Failure to provide termination including interest(prime+2%or such amount such approval may result in SolarCity exercising its as allowed by law); (iv)remove any Project materials or termination rights pursuant to Section 8 of this equipment from the Property;and(v)any other legal Agreement. remedies including but not limited to mechanics liens or similar remedies. 6. PROPERTY ACCESS You grant to SolarCity and its employees,agents and 10., MECHANICS'LIEN RELEASES contractors the right to reasonably access all of the Upon satisfactory payment for any portion of the work Property as necessary for the purposes of(A)installing, performed,SolarCity shall,prior to any further payment, constructing,operating,.repairing, removing and replacing furnish to Customer a'full and unconditional release from the System or making any additions to the System; (B) any claim or mechanics' lien pursuant to applicable law for installing, using and maintaining electric lines and inverters that portion of the work for which payment has been and meters,necessary to interconnect the System to your made. Please see Exhibit 3 for applicable lien notices and electric system at the Property and/or to the.utility's warnings required by law. electric distribution system;or(C)taking any other action reasonably.necessary in connection with the construction, 11. SOLARCITY'S INSURANCE installation,operation,maintenance,removal or repair of the System. a. Commercial General Liability Insurance(CGL). SolarCity carries commercial general liability insurance 7. TITLE AND RISK OF LOSS with coverage amounts that meet or exceed those required by law. Title to the Project shall transfer to you when we complete installation of the Project.After delivery of the System b.. Workers'Compensation Insurance. equipment and materials to your Property,other than SolarCity carries workers'compensation insurance for damage directly resulting from SolarCity's actions,you all employees in compliance with law. bear risk of loss to the System for all causes of loss not covered by Exhibit 2 and for all losses occurring after the 12.INDEMNIFICATION Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1� 1260726 f DocuSign Envelope ID:A41 B2157-1 DAC-4112-B325-F8C4F7D90036 Both parties shall indemnify,defend and hold harmless the The System can be moved to your new home pursuant other and its employees,officers,directors,agents and to Section 5 of the Performance Guarantee and . assigns from any and all third party claims,actions,costs, Limited Warranty. expenses(including reasonable attorneys'fees and expenses),damages,liabilities, penalties,losses, 17. PRIVACY/PUBLICITY obligations,demands and liens of any kind arising out of or relating to its failure to perform its obligations under this You grant SolarCity the right to-publicly use,display,share, A and advertise the photographic images;Project details, Agreement. Neither party shall be required to indemnify the other for its own negligence,willful misconduct or price and any other non-personally identifying information fraud. of your Project.SolarCity shall not knowingly release any personally identifiable information about you or any data 13. GOVERNING LAW associating you with the Project location.You may opt-out of these publicity rights by giving us written notice and The laws of the state where your Home is located shall mailing it to:SolarCity Corporation,Attention: Publicity govern this Agreement without giving effect to conflict of Opt Out,3055 Clearview Way,San Mateo,CA 94402. laws principles. 18. ARBITRATION OF DISPUTES 1.4. ENTIRE AGREEMENT PLEASE READ THIS SECTION CAREFULLY.ARBITRATION This Agreement contains the parties'entire agreement REPLACES THE RIGHT TO GO TO COURT, INCLUDING THE regarding the Project. There are no other agreements RIGHTTO A JURY AND THE RIGHTTO PARTICIPATE IN A regarding this Agreement,either written or spoken. Any CLASS ACTION OR SIMILAR PROCEEDING. IN ARBITRATION, change to this Agreement must be in writing and signed by A DISPUTE IS RESOLVED BY AN ARBITRATOR INSTEAD OF A both parties.Only an authorized officer of SolarCity may JUDGE OR JURY. execute any change to this Agreement on behalf of SolarCity. If any portion of this Agreement is determined to The laws of the state where your Home is located shall be unenforceable or invalid,the remaining provisions shall govern this Agreement without giving effect to conflict of be enforced in accordance with their terms or shall be laws principles.We agree that any dispute,claim or, interpreted or re-written so as to make them enforceable. disagreement between us(a"Dispute")shall be resolved Provisions that should reasonably be considered to survive exclusively by arbitration. termination of this Agreement shall survive.SolarCity may The arbitration,including the selecting of the arbitrator, assign or subcontract any of its rights or obligations under will be administered by JAMS,under its Streamlined this Agreement to any successor, partner or purchaser. Arbitration Rules(the"Rules")by a single neutral arbitrator agreed on by the parties within thirty(30)days 15. WAIVER of the commencement of the arbitration. The arbitration Any delay or failure of a party to enforce any of the will be governed by the Federal Arbitration Act(Title 9 of provisions of this Agreement,including but not limited to the U.S.Code). Either party may initiate the arbitration any remedies listed in this Agreement,or to require process by filing the necessary forms with JAMS.To learn performance by the other party of any of the provisions of more about arbitration,you can call any JAMS office or this Agreement,shall not be construed to(i)be a waiver of review the materials at www.jamsadr.com.The arbitration such provisions or a party's right to enforce that provision.,- shall be held in the location that is most convenient to or(ii)affect the validity of this Agreement. your Home.If a JAMS office does not exist in the county where you live,then we will use another accredited 16. SELLING YOUR HOME arbitration provider with offices close to your Home. If you sell your Home you can: If you initiate the arbitration,you will be required to pay the first$125 of any filing fee. We will pay any filing fees (i) Transfer this Agreement. in excess of$125 and we will pay all of the arbitration fees All of your rights and obligations under this Agreement and costs. If we initiate the arbitration,we will pay all of can be assigned to the purchaser of your home the filing fees and all of the arbitration fees and costs. We pursuant to Section 9 of the Performance Guarantee will each bear all of our own attorney's fees and costs and Limited Warranty. except that you are entitled to recover your attorney's fees and costs if you prevail in the arbitration and the award (ii) Move the System to Your New Home. you receive from the arbitrator is higher than SolarCity's Solar Home Improvement Agreement,version 3.0.3,October 22,2015 �Y•� 1260726 DocuSign Envelope ID:A41B2157-1DAC-4112-B325-F8C4F7D90036 last written settlement offer. When determining whether NOTICE: BY INITIALLING IN THE SPACE BELOW YOU ARE your award is higher than SolarCity's last written AGREEING TO HAVE ANY DISPUTE ARISING OUT OF THE settlement offer your attorney's fees and costs will not be MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTE" included. PROVISION DECIDED BY NEUTRAL ARBITRATION AS Only Disputes involving you and SolarCity may be PROVIDED BY CALIFORNIA LAW AND YOU ARE GIVING UP addressed in the arbitration. Disputes must be brought in ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE DISPUTE the name of an individual person or entity and must LITIGATED IN A COURT OR JURY TRIAL. BY INITIALLING IN proceed on an individual(non-class,non-representative) THE SPACE BELOW YOU ARE GIVING UP YOUR JUDICIAL basis.The arbitrator will not award relief for or against anyone who is not a party. If either of us arbitrates a RIGHTS TO DISCOVERY AND APPEAL,UNLESS THOSE Dispute,neither of us, nor any other person, may pursue RIGHTS ARE SPECIFICALLY INCLUDED IN THE"ARBITRATION the Dispute in arbitration as a class action,class OF DISPUTE" PROVISION. IF YOU REFUSE TO SUBMITTO arbitration,private attorney general action or other ARBITRATION.AFTER AGREEING TO THIS PROVISION,YOU representative action,nor may any such Dispute be MAY BE COMPELLED TO ARBITRATE UNDER THE pursued on your or our behalf in any litigation in any court. AUTHORITY OF THE BUSINESS AND PROFESSIONS CODE OR Claims regarding any Dispute and remedies sought as part of a class action;class arbitration,private attorney general OTHER APPLICABLE LAWS. YOUR AGREEMENT TO THIS or other representative action are subject to arbitration on ARBITRATION PROVISION IS VOLUNTARY, an individual(non-class, non-representative)basis,and the. arbitrator may award relief only on an individual(non- WE HAVE READ AND UNDERSTAND THE FOREGOING AND class,non-representative)basis.This means that the AGREE TO SUBMIT DISPUTE ARISING OUT OF THE arbitration may not address disputes involving other MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES" persons with disputes similar to the Disputes between you PROVISION TO NEUTRAL ARBITRATION. and SolarCity. The arbitrator shall have the authority to award any legal CUSTOMER'S INITIALS: or equitable remedy or relief that a court could order or CONTRACTOR'S INITIALS:LR grant under this agreement.The arbitrator,however,is not authorized to change or alter the terms of this agreement 19. LIMITED WARRANTY or to make any award that would extend to any YOU UNDERSTAND THAT THE PROJECT IS WARRANTIED transaction other than yours.All statutes of limitations UNDER THE TERMS OF EXHIBIT 2,AND THAT THERE ARE that are applicable to any dispute shall apply to any NO OTHER REPRESENTATIONS OR WARRANTIES, EXPRESS arbitration between us. The Arbitrator will issue a decision OR IMPLIED,AS TO THE MERCHANTABILITY, FITNESS FOR or award in writing, briefly stating the essential findings of . ANY PURPOSE,CONDITION, DESIGN,CAPACITY, fact and conclusions of law. SUITABILITY OR PERFORMANCE OF THE PROJECT OR ITS BECAUSE YOU.AND WE HAVE AGREED TO ARBITRATE ALL INSTALLATION. UPON RECEIPT OF PAYMENT IN FULL DISPUTES,NEITHER OF US WILL HAVE THE RIGHT TO UNDER THIS AGREEMENT ALL WARRANTIES THAT ARE LITIGATE THAT DISPUTE IN COURT,OR TO HAVE A JURY PROVIDED BY MANUFACTURERS OF EQUIPMENT USED IN TRIAL ON THAT DISPUTE,OR ENGAGE IN DISCOVERY THE PROJECT WILL BE TRANSFERRED DIRECTLY TO YOU. EXCEPT AS PROVIDED FOR IN THE RULES. FURTHER,YOU YOU UNDERSTAND THAT SOLARCITY HAS NO WILL NOT HAVE THE RIGHT TO PARTICIPATE AS A RESPONSIBILITY WITH RESPECT TO SUCH WARRANTIES REPRESENTATIVE OR MEMBER OF ANY CLASS PERTAINING OTHER THAN TO TRANSFER THEM TO YOU. TO ANY DISPUTE.THE ARBITRATOR'S DECISION WILL BE 20. LIMITATION OF LIABILITY. FINAL AND.BINDING ON THE PARTIES AND MAY BE ENTERED AND ENFORCED IN ANY COURT HAVING a. No Consequential Damages. EACH PARTY'S LIABILITY JURISDICTION, EXCEPT TO THE EXTENT IT IS SUBJECTTO TO THE OTHER UNDER THIS AGREEMENT SHALL BE REVIEW IN ACCORDANCE WITH APPLICABLE LAW LIMITED TO DIRECT,ACTUAL DAMAGES ONLY. WE GOVERNING ARBITRATION AWARDS.OTHER RIGHTS THAT BOTH AGREE THAT IN NO EVENT SHALL EITHER PARTY YOU OR WE WOULD HAVE IN COURT MAY ALSO NOT BE BE LIABLE TO THE OTHER FOR CONSEQUENTIAL, AVAILABLE IN ARBITRATION. INCIDENTAL,PUNITIVE, EXEMPLARY,SPECIAL OR INDIRECT DAMAGES. Solar HomeAgreement,version 3.0.3 October 22 2015 Improvement rovement 1260726 I DocuSign Envelope ID:A41132157-1DAC-4112-B325-F9C4F7D90036 b. Actual Damages. Neither party's liability to the other ANY THIRD PERSON'S(FOR WHOM SOLARCITY IS NOT will exceed$2,000,000, including without limitation, RESPONSIBLE AS PROVIDED HEREIN)-MISUSE, NEGLECT, damages to your Home or Property during the UNAUTHORIZED ATTEMPTS TO REPAIR,OR ANY OTHER performance of the Project or resulting from the CAUSE.BEYOND THE RANGE OF THE INTENDED USE,OR BY Project. ACCIDENT,FIRE, LIGHTNING OR OTHER HAZARD. EXCEPTING THE OTHER PROVISIONS UNDER THIS 21. NOTICE REGARDING PERFORMANCE AND PAYMENT HEADING,SOLARCITY DISCLAIMS AND CUSTOMER WAIVES BONDS ALL EXPRESS OR IMPLIED WARRANTIES INCLUDING (WITHOUT LIMITATION)ANY IMPLIED WARRANTIES OF The owner or tenant in a home improvement contract has MERCHANTABILITY AND FITNESS FOR A PARTICULAR the right to require the contractor to have a performance PURPOSE.SOLARCITY SHALL NOT BE LIABLE TO CUSTOMER and payment bond. UNDER THIS WARRANTY IF AN ALLEGED DEFECT IN ANY WORK OR EQUIPMENT WAS CAUSED BY CUSTOMER'S OR 22.LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT. • Exhibit 1: Notice of Cancellation(3 Day Right to Cancel) • Exhibit 2: Performance Guarantee and Limited Warranty • Exhibit 3: State Specific Provisions • Schedule A(Purchase Order) • Schedule B(Renewable Energy Credit Agreement(if applicable) 0 Change Order Form • Solar Operation and Maintenance Guide 1 4 Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 MM 1 DocuSign Envelope ID:A41 B2157-1 DAC-4112-13325-F8C4HD90036 EXHIBIT 1 (SOLARC,ITY COPY) NOTICE OF CANCELLATION STATUTORILY-REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:The date you signed the Agreement. You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS from the above date. If you cancel,any property traded in,any payments'made by you under the contract or sale and any negotiable instrument executed by you will be returned within TEN DAYS following receipt by the seller(SolarCity Corporation) of your cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(SolarCity Corporation)at your residence,in substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may,if you wish,comply with the instructions of the seller(SolarCity Corporation) regarding the return shipment of the goods at the seller's(SolarCity Corporation's)expense and risk. If you do make the goods available to the seller(SolarCity Corporation)and the seller(SolarCity Corporation)does not pick them up within 20 days of the date of yournotice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller (SolarCity Corporation),or if you agree to return the goods to the seller(SolarCity Corporation)and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice,or any other written . notice,or send a telegram to SolarCity Corporation, Document Receiving,6611 Las Vegas Blvd.S., Unit 200,Las Vegas, NV 89119 NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the Agreement. I,Gladys Hercules,hereby cancel this transaction on [Date]. Customer's Signature: Customer's Signature: Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 I , DocuSign Envelope ID:A41B2157-1QAC-4112-13325-F8C4177D90036 EXHIBIT 1 (CUSTOMER COPY) , NOTICE OF CANCELLATION STATUTORILY-REQUIRED LANGUAGE Notice of Cancellation Date of Transaction:The date you signed the Agreement. You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS from the above date. If you cancel,any property traded in,any payments made by you under the contract or sale and any negotiable instrument executed by you will be returned within TEN DAYS following receipt by the seller(SolarCity Corporation) of your cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the seller(SolarCity Corporation)at your residence,in substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may,if you wish,comply with the instructions of the seller(SolarCityCorporation)regarding the return shipment of the goods at the seller's(SolarCity p ) g g p g ( ty Corporation's)expense and risk. If you do make the goods available to the seller(SolarCity Corporation)and the seller(SolarCity Corporation)does not pick them up within 20 days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to'make the goods available to the seller (SolarCity Corporation),or if you agree to return the goods to the seller(SolarCity Corporation)and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice,or any other written notice,or send a telegram to SolarCity Corporation, Document Receiving,6611 Las Vegas Blvd.S.,Unit 200, Las Vegas, NV 89119 NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the Agreement. I,Gladys Hercules,hereby cancel this transaction on [Date]. Customer's Signature: Customer's Signature: L1260Solar Home Improvement Agreement,version 3.0.3,October 22,2015 [oilm91 726 DocuSign Envelope ID:A41B2157-1DAC-4112-B325-F8C4F7D90036 , EXHIBIT 2 PERFORMANCE GUARANTEE AND LIMITED WARRANTY 1. INTRODUCTION This Performance Guarantee and Limited Warranty(this"Limited Warrant/')is SolarCity Corporation's("SolarCity"or"we") agreement to provide you("Customer")warranties on the System you purchased under the Agreement. The System will be professionally installed by SolarCity at the address you listed in the Agreement.We will refer to the installation location as your "Property"or your"Home." This Limited Warranty begins when we start installing the System at your Home. We look forward to helping you produce clean,renewable solar power at your.Home. 2. LIMITED WARRANTIES,PERFORMANCE.GUARANTEE (a) Limited Warranties (i) System Warranty Under normal use and service conditions the System will be free from defects in workmanship or defects in,or a breakdown of,materials or components,for the full Term; (ii) Roof Warranty All roof penetrations we make for your System will be watertight.This warranty will run the longer of(a)ten(10) years or(b)the length of any existing installation warranty or new home builder performance standard for your roof; (iii) Damage Warranty We will repair damage we cause to your Home,your belongings or your property or pay you for the damage we cause,as limited by Section 6,for the full Term(exceptdamages that result from our roof penetrations,which damages are covered for the first ten(10)years of the Term). Under each of these warranties SolarCity will repair or replace any damage,defective part,material or component or correct any defective workmanship,at no cost or expense to you(including all labor costs),when you submit a valid claim to us under this Limited Warranty. SolarCity may use new or reconditioned parts when making repairs or replacements.SolarCity may also,at no additional'cost to you,upgrade or add to any part of the System to ensure that it performs according to the guarantees set forth in this Limited Warranty. Cosmetic repairs that do not involve safety or performance shall be made at SolarCity's discretion. (b) Performance Guarantee (i)Power Production Guarantee SolarCity guarantees that during the Warranty Period the System will generate the guaranteed kilowatt-hours(kWh) ("Guaranteed kWh")in the table set forth below as follows: ' Year Total kWh Agreed Price/kWh 2 18,620 0.09852 4 37,055 0.09852 6 55,306 0.09852 8 73,375 0.09852 Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 QVIVr7 I DocuSign Envelope ID:A41,32157-1DAC-4112-B325-F8C4F7D90036 10 91,264 0.09852 12 108,974 0.09852 14 126,507 0.09852 16 143,866 0.09852 18 161,051 0.09852 20 178,065, 0.09852 22 194,909 0.09852 24 211,586 0.09852 26. 228,096 0.09852 28 244,441 0.09852 30 260,623 0.09852 A. If at the end of each successive 24 month anniversary of the first day of the month immediately following the month in which your System commences operation the cumulative Actual kWh(defined below)generated by the System is less than the Guaranteed kWh,then we will pay you directly an amount equal to the difference,if any,between the cumulative Actual kWh and the Guaranteed kWh multiplied by the Agreed Energy Price per kWh(defined below). Your cumulative Actual kWh is dependent on a shading percentage of 0.00%on your Home. If this shading percentage increases,your Guaranteed Actual kWh will be reduced proportionately. For example,if the first 24 month period commences on October 1,2013 and ends on September 30,2015,and the energy the System was supposed to generate is less than the energy the system was guaranteed to generate during such 24 month.period,we will pay you the difference in the Actual kWh and the Guaranteed kWh multiplied by the Agreed _ Energy Price per kWh. See the table below for a real world example. Example Example Actual Example Agreed Example Guaranteed kWh $/kWh Energy Price Payment to You kWh 10,000 9,500 $0.10 $50.00 B. If at the end of each successive 24 month anniversary of the first day of the month immediately following the month in which your System commences operation the Actual kWh is greater than the Guaranteed kWh during any 24 month period,this surplus will be carried over and will be used to offset any deficits that may occur in the future. "Actual kWh"means the AC electricity produced by your System in kilowatt-hours measured and recorded by SolarCity during each successive 24 month anniversary of the first day of the month immediately following the month in which your System commences operation. To measure the Actual kWh we will use the PowerGuideTM Monitoring Service or to the extent such services are not available,we will estimate the Actual kWh by reasonable means. "Agreed Energy Price per kWh"is set out in the table immediately after the first paragraph in Section 2(b)(i)above. Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 DocuSign Envelope ID:A41B2157-1DAC-4112-6325-F8C4F7D90036 (iii) PowerGuide TM Solar Monitoring During the Warranty Period,we will provide you at no additional cost our PowerGuide Solar Monitoring Service ("PowerGuide"). PowerGuide is a proprietary monitoring system designed and installed by SolarCity that captures and displays historical energy generation data over an Internet connection and consists of hardware located on site and software hosted by SolarCity. If your System is not operating within normal ranges;PowerGuide will alert us and we will remedy any material issues promptly. (c) Maintenance and Operation (i) General When the System is installed SolarCity will provide you with a copy of its Solar Operation and Maintenance Guide.This Guide provides you with System operation and maintenance instructions,answers to frequently asked questions, troubleshooting tips and service information. (ii) PowerGuide ' PowerGuide requires a high speed Internet line to operate.Therefore,during the Warranty Period,you agree to maintain the communication link between PowerGuide and the System and between PowerGuide and the Internet. You agree to maintain and make available,at your cost,a functioning indoor internet connection with a router,one DHCP enabled Ethernet port with internet access and standard AC power outlet close enough and free of interference to enable an internet-connected gateway provided by SolarCity to communicate wirelessly with the System's inverter(typically this is 80 feet,but may depend on site conditions). This communication link must be a 10/100 Mbps Ethernet connection that supports common Internet,protocols(TCP/IP and DHCP). If you do not have and maintain a working high speed Internet line then(A)we will not be able to monitor the System and provide you with the Power Production Guarantee or provide a PowerGuide upgrade;and(B)you will be required to provide SolarCity with annual production information from your inverter. (d) Making a Claim;Transferring this Warranty (i) Claims Process You can make a claim by: A. emailing us at the email address in Section 8 below; B. writing us a letter and sending it overnight mail with a well-known service;or C. sending us a fax at the number in Section 8 below. (ii) Transferable Limited Warranty SolarCity will accept and honor any valid and properly submitted Warranty claim made during the Warranty Period by any person who purchases the System from you. (e) Exclusions and Disclaimer The limited warranties and guarantee provided in this Limited Warranty do not apply to any lost power production or any repair,replacement or correction of the System that result from the following: (i) someone other than SolarCity or its approved service providers installed, removed, re-installed or repaired the System(including,but not limited to,damaging the System during such work); (ii) your failure to perform, or breach of, your obligations under this Limited Warranty, including not reporting System failure or damage,your being unavailable to provide access or assistance to us in diagnosing or repairing a problem,or your failing to maintain the System as stated in the Solar Operation and Maintenance Guide,or you modify or alter the System; Solar Home Improvement Agreement,version 3.0.3,October 22,2015 Q 1260726 ICI DocuSign Envelope ID:A41B2157-1DAC-4112-B325-F8C4177D90036 (iii) shading from foliage that is new growth or is not kept trimmed to its appearance as of the date the System was installed; (iv) any System failure or lost or diminished performance not caused by a System defect (e.g. the System is not producing power because it has been removed to make roof repairs or you have,required us to locate the inverter in a non-shaded area); (v) theft or vandalism of the System; (vi) any gross negligence or willful misconduct by you or your agents or representatives; (vii) any System damage caused by one of the following natural disasters: earthquake, flood, named windstorms/hurricanes; (viii) your failure to cooperate with SolarCity during the claims coverage evaluation process; (ix) with respect to the obligations under sections 2(b), 2(d), and 5(b) only, any lost power production or System damage that results from any Force Majeure Event(as defined below); (x) damage to your Home, belongings or property that results from our roof penetrations after the end of the Roof Warranty;and (xi) damage or loss to the System due to ball strikes. Any cash payout to you is limited to the payouts described in Section 2(b)of this Limited Warranty. SolarCity will'not make cash payments for any System damage.Rather,it will make System repairs as provided in this Limited Warranty. This Limited Warranty gives you specific rights,and you may also have other rights which vary from state to state.This Limited Warranty does not warrant any specific electrical performance of the System,other than that described above. Snow or ice may accumulate on rooftops and on solar panels during snow storms.Accumulated snow or ice may slide or fall, resulting in property damage or bodily harm.If and when conditions safely allow you to remove accumulated snow or ice,you should do so to reduce the likelihood of excess snow sliding or falling. THE LIMITED WARRANTIES DESCRIBED IN SECTIONS 2(a)ABOVE ARE THE ONLY EXPRESS WARRANTIES MADE BY SOLARCITY WITH RESPECTTO THE SYSTEM. SOLARCITY HEREBY DISCLAIMS,AND ANY BENEFICIARY OF THIS LIMITED WARRANTY HEREBY WAIVES,ANY WARRANTY WITH RESPECTTO ANY COST SAVINGS FROM USING THE SYSTEM.SOME STATES DO NOT ALLOW SUCH LIMITATIONS,SO THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU. 3. YOUR ADDITIONAL OBLIGATIONS (a) You grant to SolarCity and its employees,agents and contractors the right to reasonably access all of the Property as necessary for the purposes of compliance with this Limited Warranty. (b) If you want to make any repairs or improvements to the Property that could interfere with the System(such as repairing the roof where the System is located),you may only remove and replace the System pursuant to Section 5 of this Limited Warranty. (c) During the Warranty Period you agree.. (i) to only have the System repaired pursuant to the Limited Warranty and reasonably cooperate when repairs are being made; (ii) to keep trees, bushes and hedges trimmed so that the System receives as much sunlight as it did when SolarCity installed it; 1 ' (iii) to keep the panels clean,pursuant to this Limited Warranty and the Solar Operation and Maintenance Guide; (iv) to not modify your Home in a way that shades the System; Solar Home Improvement Agreement,version 3.0.3,October 22,2015 a 1260726 DocuSign Envelope ID:A41B2157-1DAC-4112-13325-178C4F71D90036 (v) to be responsible for any conditions at your Home that affect the installation(e.g. blocking access to the roof or removing a tree that is in the way); (vi) to not remove any markings or identification tags on the System; (vii) to permit SolarCity,after we give you reasonable notice,to inspect the System for proper operation as we reasonably determine necessary; (viii) to not do anything,permit or allow to exist any condition or circumstance that would cause the System not to operate as intended at the Property; (ix) to notify SolarCity if you think the System is damaged,appears unsafe or is stolen;and (x) that you will not make any modifications,improvements, revisions or additions to the System or take any other action that could void the Limited Warranty on the System without SolarCity's prior written consent. 4. SOLARCITY'S STANDARDS For the purpose of this Limited Warranty the standards for our performance will be(i)normal professional standards of performance within the solar photovoltaic power generation industry in the relevant market;and(ii)Prudent Electrical Practices. "Prudent Electrical Practices"means those practices,as changed from time to time,that are engaged in or approved by a significant portion of the solar power electrical generation industry operating in the United States to operate electric equipment lawfully and with reasonable safety,dependability,efficiency and economy. 5. SYSTEM REPAIR,RELOCATION (a) Repair. You agree that if(i)the System needs any repairs that are not the responsibility of SolarCity under this Limited Warranty,(ii)the system needs to be removed and reinstalled to facilitate remodeling of your Home or(iii)the system is being relocated to another home you own,you will have SolarCity,or another similarly qualified service provider,at your expense, perform such repairs,removal and reinstallation,or relocation. (b) Removal/Moving. SolarCity will remove and replace the System from your roof while roof repairs are being made for a payment of$499.You will need to provide storage space for the System during such time.Where permitted by your utility and under the Agreement,SolarCity will work with you to move the System to your new home as follows: SolarCity will conduct an audit of your existing Home and new home to determine if a move is commercially feasible. This audit will cost$499. If SolarCity determines that a move is commercially feasible,it will then move the System for an additional payment of$499. If we reinstall your System,the Roof Warranty will restart at the completion of reinstallation and run for ten(10)years from reinstallation.SolarCity's obligations under this Section 5(b)are contingent on your compliance with the terms of the Agreement. .6. FORCE MAJEURE If SolarCity is unable to perform all or some of its obligations under this Limited Warranty because of a Force Majeure Event, SolarCity will be excused from whatever performance is affected by the Force Majeure Event,provided that: (a) SolarCity,as soon as is reasonably practical,gives you notice describing the Force Majeure Event; (b) SolarCity's suspension of its obligations is of no greater scope and of no longer duration than is required by the Force Majeure Event(i.e.when a Force Majeure Event is over,we will make repairs);and (c) No SolarCity obligation that arose before the Force Majeure Event that could and should have been fully performed before such Force Majeure Event is excused as a result of such Force Majeure Event. "Force Majeure Event"means any event,condition or circumstance beyond the control of and not caused by SolarCity's fault or negligence. It shall include,without limitation,failure or interruption of the production,delivery or acceptance of power due to:an act of god;war(declared or undeclared);sabotage;riot;insurrection;civil unrest or disturbance;military or guerilla action; Solar Home Improvement Agreement,version 3.0.3,October 22,201S 12607265�Y1 i DocuSign Envelope ID:A4lB2157-1DAC-4112-B325-F8C4F7D90036 terrorism;economic sanction or embargo;civil strike,work stoppage,slow-down,or lock-out;explosion;fire;earthquake; abnormal weather condition or actions of the elements;hurricane;flood;lightning;wind;drought;the binding order of any governmental authority(provided that such order has been resisted in good faith by all reasonable legal means);the failure to act on the part of any governmental authority(provided that such action has been timely requested and diligently pursued); unavailability of power from the utility grid,equipment,supplies or products(but not to the extent that any such availability of any of the foregoing results from SolarCity's failure to have exercised reasonable diligence);power or voltage surge caused by someone other than SolarCity including a grid supply voltage outside of the standard range specified by your utility;and failure of equipment not utilized by SolarCity or under its control. 7. LIMITATIONS ON LIABILITY (a) No Consequential Damages YOU MAY ONLY RECOVER DIRECT DAMAGES INCLUDING THOSE AMOUNTS DUE PURSUANTTO SECTIONS 2(b)AND,6(C) UNDER THIS LIMITED WARRANTY,AND IN NO EVENT SHALL SOLARCITY OR ITS AGENTS OR SUBCONTRACTORS BE LIABLE TO YOU OR YOUR ASSIGNS FOR SPECIAL,INDIRECT,PUNITIVE,EXEMPLARY,INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY NATURE. SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (b) Limitation of Duration of Implied Warranties ANY IMPLIED WARRANTIES,INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE AND MERCHANTABILITY ARISING UNDER STATE LAW,SHALL IN NO EVENT EXTEND PAST THE EXPIRATION OF ANY WARRANTY PERIOD IN THIS LIMITED WARRANTY. SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. (c) Limit of Liability Notwithstanding any other provision of this Limited Warranty to the contrary,SolarCiWs total liability arising out of relating to this Limited Warranty shall in.no event: (i) For System Replacement: exceed the original cost of the System;and (ii) For damages to your Home,belongings and property: exceed two million dollars($2,000,000). 8. NOTICES All notices under this Limited Warranty shall be made in the same manner as set forth in the Agreement to the addresses listed below: TO SOLARCITY: SolarCity Corporation 3055 Clearview Way San Mateo,CA 94402 Attention: Warranty Claims Telephone: 650-638-1028 Facsimile: 650-638-1029 Email: customercare@solarcity.com TO YOU: At the billing address in the Agreement or any subsequent billing address you give us. 9. ASSIGNMENT AND TRANSFER OF THIS LIMITED WARRANTY SolarCity may assign its rights or obligations under this Limited Warranty to a third party without your consent,provided that any assignment of SolarCity's obligations under this Limited Warranty shall be to a party professionally and financially qualified to perform such obligation. This Limited Warranty protects only the person who owns the System. Your rights and obligations under Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 b aAWN DocuSign Envelope ID:A41 B2157-1 DAC-4112-B325-F8C4F7D90036 this Limited Warranty will be automatically transferred to any person who purchases the System from you.This Limited Warranty contains the parties'entire agreement regarding the limited warranty of the System. Solar Home Improvement Agreement,version 3.0.3,October 22,2015 1260726 O n DocuSign Envelope ID:A41,B2157-1DAC-4112-B325-F8C4F7D90036 . EXHIBIT 3 STATE SPECIFIC PROVISIONS MASSACHUSETTS CONTRACTOR LICENSING INFORMATION:All contractors and subcontractors must be registered by the Director of Massachusetts'Office of Consumer Affairs and Business Regulation and that any inquiries about a contractor or subcontractor relating to a registration should be directed to the Director. MASSACHUSETTS NOTICE TO BUYERS:You have warranties and rights under Massachusetts General Law Chapter 142A. SolarCity hereby makes such warranties and nothing in this Agreement waives your rights under Massachusetts General Law Chapter 142A. 1260726 DocuSign Envelope ID:A41 B2157-1 DAC-4112-l3325-F8C4F7D90036 [THIS PAGE INTENTIONALLY LEFT BLANK] 1260726 ago n u , Solarctty 4, OWNER AMORMATION Pay Add as Owner of the subject hero u riu� r'" •�'r*TI'Y CoRE'QRATIOI�I to act on my behalf, PTqWWv y a�ot1�°i�ed b this building permit application. �tt,e r�bl�ti v� _._ Date: Y i Groh �h�j 4 is'd mIj + a d , f s w sw Y C ,< v WWI a 4 s - a�" 8bemt of ftwo fto It"ttonv and Sty. ,.40nio CS-108616 JASON PATRY La 821 STEWART DRIVE Abington MA 02351 fly, *-- OMecatCouomerAthtn&9asamRcealsWo "HOME IMPROVEMENT CONTRACTOR � � % Re�atnnion: 188Ei12 typ�•77� Explmftn: 31tt1YDJ t Supptemant C SOLAR CITY CORPORATION. JASON PATRY 24 ST MARTIN STREET BID 2UNI g••�-, — rAAkBOROUGK MA 01782 Uo*merebrp s Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement-Contractor Registration 685 Registration: Re 1 72 d I, 9 Type: Supplement Card Expiration: 3/8/2017 SOLAR CITY CORPORATION CHERYL GRUENSTERN - -- Y 24 ST MARTIN STREET BLD 2UNIT .11 `` --- - - - - MARLBOROUGH, MA 01752 Update Address and return card.Mark'reason for change. scn 6, zoe�t +i Address Renewal 1 Employment r'l Lost Card 'r -' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only I " OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 Office f Consumer O c o Co s er Affairs and Business Regulation y itegistration: 168572 Type: 10 Park Plaia-Suite 5170 Expiration: M 2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION CHERYL GRUENSTERN 3055 CLEARVIEW WAY ,dlt'..c4 i1 .ti .at SAN MATEO,CA 94402 - -'-- -_-- - — --- Undersecretary Not valid without signature l - TYte Common wedth ofMassachfaetts DI Deparhnent of IndustrIal A ddents . I COtiTpt?.!~4 Street,Smite 100 Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Inwrawx Affidavit-Snilders/ContmetordEleetricionstPlumbem TO BE riILED WITH TH'E PERMITTING AUTHORiITY. Ni:M(Btwgim*vDrpnixation/tndividttaf): SolarCity Corporation Address: 3055 C(earview Way City/StatelZip: .Sari Mateo,CA 94402 Phone#: (888)765-24.89 Are yotran rmploW.Cheek the xpproprWe lox: . TYPE at'prajeet(required): qZ I am aemplovr with 12,500 employees(itdl audlbr partAime}.+ .7. ❑Flew constritction 1E]f asn a sole proprietor or parfunhip and have no employce s workirg for ate in 8. []Remodoling any tatpaciiy.(Nio workers'tromp.insure n 1R ked:l 3.[j1 mn a homeownerdoing all work mysdf.[Navvorkws'camp•insurance requtrciil r 1 Q Building Demolition I0�]Building addition 4.[][am a lronwaivaer and will behking cantraCkors to con"ail trorkon my property. I win ensote that all cmim mm oilhcr have uvrkets.'compansuiion lastraswa or are solo I LO Electrical inAlrs or additions proprietors whit no arployeas. 12.Q Plumbing repairs or additions So 1 am a&ena •conttactot end t have hired the soh-motractors hated on the suached sheet.c d These sub-canuacitm have emp>b)vo orrd have workers'coop.insurance t I3.[]Roof repairs 6.[:]We are a corporation and its officers have eumbed their bola,of exomptim per MOL c. 14.Q! Other Solar paneb 15Z§I(41 and we Clove no empslayces.[No 4wirlierS'catty.iumrance regt mill *Any AppEcant that checks box 91 must also fill out the sectiou below showing their workers's omp►ettsrxtost policy WMnadon. r I tomemvnM vrho sukoll this Aftidwir Indicating they are doing ail work and then(tire outside,contractors must sttlmtit it new nitsdavit indicating such ZCootrmaots that aback this trotmust nuochad en additimial sheet stowing the name of lite sub-contractors and State wheiber or net those entities have ernploysxs. if the tatb eoitts>aotors have anpibvees.they trust provide tftolr wthkcm`wmq policyrarntber. i net aft employe'litat is prov mg n►orkers'eompensatieft insuftrmcefor my employees. Sdow is the policy and job site laforfnaf7ota. � , Insurance Company Name:American Zurich insurance Company Policy#or Self iris.Lic.4: WC0182015-00 Expiration Date: 9/1i2016 14 Pepper Lane Hyannis,MA 02601 Job Site AddMs: Csty/statw2ip: Attach a copy ofthe workers'compensation poltey declaration page(showing the policy number toad expiration date). Failure to strrure coverage as required under MGI,c.152,§23A is a criminal violation pu nisliable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form ofa SCUP WORK ORDER and a tine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DIA Cor insurance coverage verification. I do hereby certi andler the prima amipenaities of•perjury that the btformadon provided above Is true ofrd correct. ason Patr . November 5,2015 Po 0.#Ichd use only. Do not write in this area,to be completed by city or town offs JaL City or Town: PermitlLicense# Issuing Apthority(circle one): 1.Board of Health 2.Building Department 3.City/'Town Clerk 4.gleetrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone M Acio Nc DATE(MMWDDNYM CERTIFICATE OF LIABILITY INSURANCE FDO070016 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 iNSURI;R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. It 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 Hsu of such endorsement(s). PRODUCER CONTACT _ MARSH RISK&INSURANCE SERVICES At1E: --._._:.._.__.._._....... ._..._.... ..q.:..... . . .......... ...... _....—..._ 346 CALF MR STREET,SUITE 130D PHONE IN N CALIFORNIA LICENSE N0.0437153 API*.uL SAN FRANCISCO,CA 94104 Alin:Shannon Swlt4t&743-8334 ......:...... ...........1nsuRER(s).AFpaxDlyo coveatac ..••• ,- .._._._.. Nance 9983O1-ST'ND-CAWUE-16.16 INSURER A;ZurlIh American Insurance Company 116536 c�m6� UaSURER e:NIA NIA Solarm3065 CIearview WNay INSURER C:NIA Metso.CA 94402 NIA Barr --.._._._.....__....... ,... .............. INSURER D:AntfA—Zurich Insurance Company 142 INSURER E:.. INSURER F: COVERAGE$ CERTIFICATE NUMBER: SEA-002713836-08 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 VVHICH 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. INSl� -.....rAt16LT8�U. ... ........................ .....:..... ...... ...POLICY EFF. POLICY EXP L TYPE OF INSURANCE I POLICY NUMBER ffmwmrfym I MMIDDIYMILIMITS A x 'COMMERCIAL GENERAL LIABILITY GLOM82016-00 091012015. 0910112016 Faces OCCURRENCE $ 3.000p00 �_.... � DAMAGE�O�€PAD I CLAIMS•A1ADE I J OCCUR X SIR 5250,000 ; I MEDEJ(P(Anyons.person)•.. S.. _ , 3.000 000 PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER OENERALAGGFiEOATE S 67000,000 x ppLICY JE T '. { PRODUCTS,-COMP1gPAGG S... ....---, 6,000.000 OTHER. S A AuroMoaiLELIABaJTY !BAP0162017.00 091012 s COMINIRED SINGLE LIMIT CANYAU17OJOB101016 BODILY INJURY( URY(Per perarnn) S_ .IJ ...... _.... -- x AALL O5OVVNEO X SCH�LED i k BODILY INJURY(Per accident) S NONO'ANED PROPERTY DAMAGE x HIRED AUTOS X... AUTOS I i _T.@fdrpe_nq....__ .._,......... .5... ._.:..^..... ._........._ COMPICOL DED: S $5 1090 UMBREL9LiAe OCCUR I EACMOCCURRENCE S EXCESS LIAB CLANS-MAD AGGREGATE AGGREGATE S OEO i RETENTION S D WORKERS cONiPFNSATION jWC0182014-DO(ADS) 0910112015 t=1I2016 €R. AND EMPLOYERS LIABILITY _...- -.--.-..._..._ A YIN 'WC01M1&W MA 091012015 .091D12016 ANVPaaaRlE-roR/aARnaEw�cunvE � { 1 >:-t.EACH ACCIDENT s 1,W0,000 OFfZERWN19ER EXCLUDEM -- 1r/A; WC DEDUCTIBLE$500,D00 I _ 1.0001000 (Mandatory In NU) E L.DISEASE.EA EMPLOYEE S......... I , asarbe under RId ION O OPERATIONS W. I E.L.DISEASE-POLICY LIMIT S 1,l?OQ,ODO • DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES IACORD f91,Addifiodw Remarks SahwWls,may he nttaahod If more space is required) EYklencedfinsumce. CERTIFICATE HOLDER CANCELLATION SdiffQky CorP=tbn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055CieaniewWay T14E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo.CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS- AUTHORIZED REPRESENTATNE of Marsh Risk&Insurance Services CharlesMarRwle)o 0)1980-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD Version#52.8-TBD 47, p. SolarCit y November 4, 2015 RE: CERTIFICATION LETTER Project/Job #0262193 Project Address: Hercules Residence 14 Pepper Ln g- JAS014 WIL IAM HYANNIS, MA 02601 0 TOWN v STRUCTURAL f AHJ Barnstable No.ar1554 SC Office Cape Cod Se p Design Criteria: ��, Ci/STP S�NAL son Toman -Applicable Codes= MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS Date:2 5 00:30:47-07'00' - Risk Category= II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MP1: Roof DL= 11 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 To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation,I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in-the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. 4 The PV•assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Jason W.Toman, P.E. Professional Engineer T: 480=553-8115 x58115 email: jtoman@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)6381028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROC 243771,CA CSL8 888104,CO EC 8041,CT HIC 0632778,DO HIC 71101486,DC HIS 71101488,Ht OT-29770,MA HIC 468572.MD MHIC 128948,NJ 13w06160600, OR COB 180498,PA 077343,TIC TDLR 27006.WA GCL:SOLARC'91907.O 2013 SolorCily.All rights reserved. I Version#52.8-TBD L larCity. HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever : Configuration Uplift DCR MP1 64" 24" 39" NA Staggered 62.1% Portrait Hardware-Portrait Modules'Standoff Specifications. Hardware X-X Spacing X-X Cantilever. Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 48" 19" 65" NA Staggered 77.4% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MP3 Stick Frame @ 16 in.O.C. 200 Member Analysis OK Refer to the submitted drawings for details of information collected.during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. i I 3055 Clearview Way San Mateo,CA 94402 T(650)638,1028 (888)SOL-CITY F(650)638=1029 solarcity.com AZ ROC 243771,CA CSLB 888104,CO EC 8041,CT MC 0632778,DC HIQ 71101486.DC HIS 71101488,IFII CT•29770,MA HIC'168572,MD MHIC 128048,NJ 13VH06160600, ' OR CCB 160498,PA 077343,TX TDLR 27006,WA GCL:SOLARC'91907.O 2013 SolarcAty.All rights reserved. i i STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 . Member Properties Summary MPi m Horizontal Member Spans Rafter Pro erties Overhang1.82 ft Actual W 1.50" Roof System Properties ` 'Span 1 :`, 11.52 ft, Actual l) '' 45!50""4:"'� Ty Number of Spans(w/o Overhang) 1 San 2 Nominal Yes RoofingMaterial ' ` ` '- `" Com Roof ri a San 3 , . I n'^ Re-Roof ffi Yes San 4 y A" �8.25.:i 2� * S. 7.56 in.^3 Plywood Sheathing.' 1 ,.. 4 =No San 5 Y .I ,r *1 20.80 in:A+, k Board Sheathing Solid-Sheathing Total Rake Span 14.20 ft TL Defl'n Limit 120 Vaulted Ceiling, s _' No"' u PV..1 Start ., ry 1.08 ft •< Wood Species, r .>.:,"SK! 1 Ceiling Finish 1/2"Gypsum Board PV 1 End 13.25 ft Wood Grade #2 Rafter Slope :20° PV.2 Start . Fb 875 psi, Rafter Spacing 16"O.C. PV 2'End. F„ 135 psi Top Lat Bracing' Full PV 3 Start E: .t =1400000 psi Bot Lat Bracing At Supports PV 3 End Em;,, 510000 psi Member Loading mary Roof Pitch 5 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.0 psf x 1.06 11.7 psf 11.7 psf PV DeadLoad _ ° y PV=DL a 3.0 sf x 1.06 9r%+ Roof Live Load RLL 20.0 psf x 0.98 19.5 psf Live/Snow Load „ #;';LL SL1,21 a 30.0 Osf x 0.7 z 0.7 a• p 21 0 psf 21.0 "sf,m,,w, . : ,. :, Total Load(Governing LC TL 32.7 psf 35.9 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO GO py; Ce=0.9,Ct=1.1,Is=1.0 Member Design Summary(per NDS Governing Load Comb CD CL + CL - CF Cr D+S 1 1.15 1.00 1 0.59 1 1.3 1.15 Member Anal sis Results Summary Governing Analysis, Max Demand @ Location Capacity DCR Result Bending + Stress 1201 psi 7.7 ft 1504 psi 0.80 Pass I ` t [CALCULATION OF DESIGN WIND LOADS- I Mountinq Plane Information Roofing Material Comp Roof .-. P SV stem T e SolarCity SleekMountT" Spanning Vents No Standoff, Attachment Hardware ` ` '. ti CompMount>Type C ..:;; Roof Slope 200 Rafter Spacing _ __ _____ "` 6"0_ Framing Type Direction. Y-Y Rafters Purlin Spacing ' TM ..„ -�X- . aPurlinsOnly M _ NA s n e ,f ,; Tile Reveal Tile Roofs Only NA Tile Attachment System Tile RoofsiOnty. _ �NA�-., „ StandingSeam' ra Spacing SM Seam On NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind,Design Method __ _ Partially/Fully,Enclosed.Method:. Basic Wind Speed V 110 mph Fig. 6 Exposure"Category O „ Secion Roof Style Gable Roof Fig.6-11B/C/D-14A/B ., . . h Mean Roof Height 15 ft ' T - Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 To o ra hic Factor. a . :.Krt x .. 1.00 'Section 6.5r7 _P 9 P Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor: aci 4.0 Table 6-lm Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I)22.4 psf Equation 6-15 Wind Pressure Fact. Pressure Coefficient U GC u -0.88 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC mWn °` . " ° 0.45 7 Fig.6-116/C/D-14A/Ek Desi n Wind Pressure p p=qh(GC ) Equation 6-22 Wind Pressure U -19.6 psf Wind Pressure Down 10.1 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction. Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable.Cantilever` Landscape 241?` "` °° NA,, StandoffConfiguration Landscape Staggered Trib , Max Standoff Tributary Areas ,.. �, _ �� , °. -� °. ��17 sf �-�� `��` PV Assembly Dead Load W-PV 3.0 psf NE T-actual''-�-- • e ,-310_;lbs. Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 62:1%9 4 :y X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" ....� — —.� A Max Allow_a_ble_Cantilever Portrait. , . t• < - u_- -_ . _ � N Standoff Configuration Portrait Staggered Max Standoff Tributary Area '" Trib -f 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind:Uplift at Standoff; T-actual a __ -387 Ibs , Uplift Capacity of Standoff T-allow 500 Ibs �� — DCR '— Standoff Demand Ca aci �� . � ' "� r � �� 77:4%� - 7a u c^^^�- [haveeth VERAGE: meets the requirements of MGL Ch.142. YES� NO THE APPROPRIATE BOX BELOW t _ ITY ® BOND } e insurance coverage required by,Chapter 142 of theon waives this requirement. ' CHECK ONE ONLY:. OWNER AGENT ;. d regarding this application are tru n ur a he est of my knowledge for this application will be in com wit rti rovisio the rSE D�17 �1 SIGNATURE PARTNERSHIP# LLCF--I# ` S ti TEL _77- rob i. To permit preparation of financial stat accounting principles, and ii. To maintain accountability for assets; c. Access to assets is permitted only i authorization; and d. The recorded accountability for assets intervals and appropriate action was to 7.1.11 Every contractor awarded a contract shall file as to whether the system of internal acc reasonably assures that: a. Transactions are executed in accordance b. Transactions are recorded as necessary: i. To permit preparation of financial accounting principles, and ii. To maintain accountability for assets; c. Access to assets is permitted only i authorization; and d. The recorded accountability for assets intervals and appropriate action was talo UPDATED: MAJOR DRUG BUST... Barnstable detectives seize 120 grams of Heroin in... Page 3 of 8 1 P � . I, 1A 3 .r fi N s :4t, In another story involving Barnstable narcotic detectives... ... just hours ago, at about 5pm, plainclothes Barnstable Detectives rushed a house and served a search warrant at 14 Pepper Lane in Hyannis... A drug sniffing dog was brought in and after hours of searching, investigators finally found what they were looking for in a wooded area near the house... Three were arrested and are currently in police custody... The following photos are of the 44 Pepper Lane scene... http://hyannisnews.com/breaking-major-drug-bust-barnstable-seize-100000-of-h-in-mornin... 6/19/2014 I � T r• .�!( d�q fta pi �0 iv m Y l7 `l N �W r li • • I -. � • 1 I .. • I - 11111 • • • • 1 UPDATED: MAJOR DRUG BUST... Barnstable detectives seize 120 grams of Heroin in... Page 5 of 8 FT • t Y. Standby for updates and details... 6/18/2014 Robert Bastille, y+ HyannisNews.com Like 1,761 - Follow @NewsHyannis http://hyannisnews.com/breaking-major-drug-bust-barnstable-seize-100000-of-h-in-mornin... 6/19/2014 J4 Pepper Lane#0, Hyannis, MA 02601 - HotPadsPage 1 of 3 1 � 14 Pepper Lane #0 Hyannis, MA 02601 , —1.of-_5 Ei"L , z, �EMU s Beds FQ Price Studio 972 $189,900 Est. Payment $732 See current mortgage rates last updated: 9 months, 12 days ago View Your 2014 Credit Score Instantly for$1 14 Pepper Lane #0 Hyannis, MA 02601 Mas h setts > Barnstable Town > Real Estate > Condos for Sale Condo for Sale Contact Agent This single family home is located in a very private area. It has been completely remodeled. New kitchen, updated bathrooms, hardwood floors, new carpets in bedrooms. It also has a finished walkout lower level with a bedroom, living room, bathroom and office. It would make a great .In law apartment. The first floor and basement are both being rented as a tenant share situation. First Floor paying $1425 and leased through 3/1/14 and Lower Level paying $700. leased through 6/1/14 Brokered And Advertised By: Bass http://hotpads.com/real-estate/14-Pepper-Lane-0-Hyannis-MA-02601--2y9hdgpgjtyuh 6/19/2014 14 Pepper Lane#0, Hyannis, MA 02601 - HotPads Page 2 of 3 River Properties Listing Agent: g Ronald Bourgeois g _ See Your Credit Score Now m MLS Listing ID: 21308081 ■ Year Built: 1965. Students who live in this condo at 14 Pepper Lane #0 attend the following Barnstable School District (Unified School District) public schools*: School School Level Primary West Barnstable School Elementary Primary Barnstable Horace Mann School Charter School g Middle Barnstable Horace Mann i Nile Morin School Charter School L42 re ws) Middle Barnstable Intermediate r 50$-534-$1$2 F rem+er School School Middle Barnstable High Y Marie Souza Tearn School t'0 - , 244,) High Barnstable High - 508-534--E0`'4 School k <r Property Web Site I rain r _ Walk Score°: 69 r . Contact Agent your name's Bass River Properties your email` your phone number Type This listing is priced I'm interested in 14 Pepper Lane Zip 12% less 02601 #0, Hyannis, MA 02601. Please Code than Condos for contact me with more information! Sale City 59% less Condos for = than Sale in Contact Agent Barnstable Town State 36% less MA Condos than for Sale a Primary the same as Condos for School Sale near West add to email share on add report Barnstable favorites a facebook notes listing Elementary friend http://hotpads.com/real-estate/14-Pepper-Lane-0-Hyannis-MA-02601--2y9hdgpgjtyuh 6/19/2014 I 14 Pepper Lane#0, Hyannis, MA 02601 - HotPads Page 3 of 3 Middle 59% less Condos for ' School than Sale near If you bought Vibiram Barnstable FiveFingers Footwear Horace Mann you may be entitled to cash Schroer froma Class settlement, High 59% less Condos for Prepared hv"F Media lst School than Sale near Barnstable High Unified 48% less Condos for School than Sale near District Barnstable School Advertise here. District Studio, 816 sgft, $219,900 More detailed statistics... studio, $219,900 25 27 Partridge Valley Road#2, West Home Buyers Guide Yarmouth, MA 02673 Current Mortgage Condo for Sale Rates 3.5 miles away from this building Homeowners Insurance Studio, 1408 sqft, $189,000 HotPads Insurance Studio, $189,000 Center �, Intl 232 Old Wharf Road #226, Dennis Moving and StoragePort, MA 02639 Center Condo for Sale 8.6 miles away from this building I http://hotpads.conVreal-estate/14-Pepper-Lane-0-Hyannis-MA-02601--2y9hdgpgjtyuh 6/19/2014 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O� Parcel 01 Application #0 Health Division Date Issued l Conservation Division Application Fee Planning Dept. Permit Fee 3�. Date Definitive Plan Approved by Planning Board awe'.? Historic - OKH _ Preservation/ Hyannis Project Street Address I% e? F AJ Village h ,N uS Owner Address /e 7 KPAS; oa&gr Telephone 77`7c/ 7692_�- f ` Permit Request �® ` tt"QV ,- bpi P K, , an&N Su�� C,d C-4n' �\eAqc_ 4G , a,-Je 'k C Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new r, Flood Plain Groundwater Overlay Project Valuation Construction Type Lo Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes LJONo On Old King's Highway: ❑Yes ❑ No Basement Type: ,❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:8 qxisting 9J newer size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other; /may �».,. .. n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ "= C ?_ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use `Z' _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) P - i' C ( C Name Telephone Number "1 O 3 b J Address l� �SL c _ License # ~kt_-�S Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION D RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -wM�O I SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` F MAP/PARCEL NO. t ADDRESS VILLAGE r l• OWNER DATE OF INSPECTION: i j FOUNDATION 'w FRAME ` INSULATION FIREPLACE 1 - ELECTRICAL: ROUGH FINAL w PLUMBING: ROUGH FINAL 4 3 GAS: ROUGH FINAL FINAL BUILDING ` DATE CLOSED OUT ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial,4ccidents Office of Investigations' 600 Washington Street Boston, MA 02111 w . www.m ass.gov/dia . Workers' Co e a " r mp ns �.on Insurance Affidavit: Builders/Contractors/EIectr;t.cians/Ptumbers Applicant Information PIease Print Le •bl Name(Business/Organization/lndMduaI): City/State/Zip: y S $ �\�S. p hone.# /�'-LU 6S Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. i am a general contractor and I have hired the sub-contractors 6. ❑New construction employees (full and/or part-time). . .2.0 I am a sole proprietor orpartoer- listed on the attached sheet 7.. E]Remodeling shipand have no employees These sub-contractors have 8. ,0 Demolition working for me in any capacity. employees and-have workers' - 9. Building addition [No workers'.comp,-insrrrance coin.-insurance.# � g required.j 5. We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself- [No workers' comp, right of exemption per MGL 12.0 Roof repairs msurance required_] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required) *Any applicant_that checks box#1 must also fill out the section below showing thcir workers'compensation policy information. m t Hoeowners who submit this a�davit indicafing they acre doing all work and then hire outside contractors must submit a new affidavit indicating such k-zhtcactors 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 employecs,they must pr vidb their workers'comp.policy number. X arn`an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the'imposition of erimival 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 Investi do f the DIA for insurance coverage verification I do hereb certi under t d sLandpenaltfes of perjury that the information provided above"rs true and correct . Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official .City or Town: Permit/License# Issumg Authority(circle one): 1.Board of Health I.Building Department 3.City/Town Clerk 4.Electrical Inspector S.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 fiustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptableevidence 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 vzth the insurance requirements of this chapter have been presented to the contracting authority." Applicant ? 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),addresses)and phone number(s)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. 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 permiVhcense number which will be used as a reference number. hi 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 ar permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.thaak 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 eommauweaM of Massachusetts Dcpartmant of Industrial Moidents Office of Investigatians 600 WashingtGn Ste;d Basta,MA 02111 Tc1. #617-727-4900 exG406 G'r 1-877 MASSAFE :vssed 11-22-06 Fax#617427J740 �. www.mass.gQvldia �l _ Town of Barnstable tiwP� Regulatory Sem' 'CeS 3 Thomas F. Geiler,Director MASS Eo �.� Bui.Iding Division Tom Perry,Building Commissioner 200 Ma R-Street,_Hyannis.MA 02601 vvwfv.town.b arnstable_ma_us Office: 508-862-403 8 Fax: 508-790-6230 HOh'>EO�It LICENSE EXEh2FTTON ^� / Pleate Print DATE JOB LOCATION: n strx vi age ` "HOMEOWNER!':— l/� e 3 / 6�. ' nerve i bo•+me phone# work phone# CURRENT'kiAMING ADDRESS: `/1/2 I ergs,Ae— 2 ,�-� atyhown state ap code Tlhe current exemption for"homeowners"was extended to include owner-occupied dweIIinu 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 supeTvisor_ DEF771ITION OF HOMEO W'N'ER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures.acccssory to such use and/or farm strut turts, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shaIl submit to the Building OfBcial on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed wader 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. Th tm rsigncd` ommwner"certifies that.he/sbi understands the Town of Barnstable Building Department um' ccti procedures and requirements and that he//she will comply with said promduxns and re eme o Signature f omcowna Approval of Building Offirial Dote: Three-family dwellings container 3 5,000 cubic feet or larger will be required to comply with the S#ate Building Code Section 127.0 Construction Control. HOMEOwsEws EXEh mbx The Code states that: "Airy bomeownrr pafnrming work for which a building pern-rit is requQed shall be exempt f nm the provisions of this seetion.(Seetivn 1 D9.1.1-Licensing of construction Supmzsors);provided that if the homeosyncr rngagrs a pencin(s)fir bin:to do such war- that wr h Homeowner shall act as supervisor." Many homeowners who use this motion are unaware that they arc assuming the responnibilities of a supervisor(see Appendix Q, Rults&Regulationsc�for Lanesring Cs niction Supervisors,Section 2.15) This lack of awareness often rtsults in serious problems,particularly when the homeownq hires unlicemcd persons. In this ease,our Board cannot procccd against the unlir-=rd pasm as it would with i licensed Supervisor. The hm-hmowncr acting as Supervisor is ultimately responsible_ To ensure that the homeowner is fully aware ofhis/hQrisponnllilitiec,many communities rr-quiny as part of the permit application, that the homcowntr ccatitify tbat hdsbe understands the Tmp=Ioil tics of a Supervisor. Do the lest page of this issue is a farm cun-ently used by scvc] w tons. You may care t amend and adopt such a fotm/ccitifir_aBcrn for use in your cmtrnnunity, Q:fDn7u:homw:cmpt ,. t roy Town of Barnstable ., Regulatory Services t atixxsr�sr.,� F _ ass Thomas F.Geiler,Director BrriIding Division Tom Perry,Building Commissioner 200 Main Street,Hya=i9,:MA.02601- www.town.b arnstab I e.ma.us Office: 508-862 403$ Fax: 50$-790-6230 Property Owner Must Complete and Sign This Section If Using A BuAder as Owner of the subject property hereby auffiorize to act on my behalf, M all matters relative to work a rived by this building permit application for: (Addres of Job) sign of Owner Date Print Name If Property Owner.is applying for permit please complete the Homeowners License Exemption Form on-the. reverse side. Q:FORMS:0WTiERPERM,MgIDN K ; Ic�eJ cW IAJ No closer � ti x c' �' —�-- - Q C� � G -� � -a-;, C c% --� �� Q 11 0 �.,C�� f I l C2, G a ii o Regulatory Services 'THE C3 P� Thomns F.Gefier,Director { Buildin Division . � . g 9� MASS1�$ Tom Perry,Building Commissioner 16 act a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m&ns Office: 508-862-4038 Fax: 508-790-6230 Approved: )eA ' Fee: S'e -O Permit#: 62®/3® /a�� HOME OCCUPATION REGISTRATION Date Name: Wp is Sc� 4110� Phone#: S03-2C(2-g1?14S f, Q � Address: `"I I(�� C p,p c� r i / y'` M h Village Name of Business: SCVt f)(o m ► t IN I�/� Type of Business: c/ YP �I Map/Lot•_ c / Q 3 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance provided. mug ,p d dz<aqivolumes- activity shall not be discernible from outside the dwe 'Using. there shall be no increase m noise or odor;no visual alterao the �+ q premises which would suggest anything other than a residential use;no increase in traffic above normal reside '' and no increase in air or groundwater pollution. j After registration with the Building Inspector,a customary home occupation shall be permitted as of right subjec to the co folloRing conditions: • The activity is carried.on by the permanent resident of a single family residential dwelling unit,to ed withir� that dwelling unit Such use.occu ies no more dim 400° p square feet of space. LVC ° There are no external alterations to the dwelling which are not customary in residential buildings,and there r* 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 die 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 are no commercial vel-ddes.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 erson shall be employed in the Customary Home Occupation who is not a permanent resident of the dwe ' unit. I, the undersign 1 re d agree with the above restrictions for my home occupation I am registering. : Applicant• J Date: Z 7/1' Honieoc.doc Re 01/3/08 i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40:00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME`in town (which you must do by M.G.L -it does not give you permission to operate.) You must first obtain the necessary signatures on this form at.200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st. FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificat::� that is required by law. 1i W �u DATE: Fill in please: sata3��RS' L hz u ; t APPLICANT'S YOUR NAME/S: S U r D _ BUSINESS YOUR HOME ADDRESS: I Vr 53-zg2-99�� } TELEPHONE # Home Telephone Number S UR Z`IZ"q i US' NAME OF CORPORATION: N I NAME.OF NEW BUSINESS S tw C TYPE OF BUSINESS t. I$,THIS:A HOME OCCUPATIO YES NO ADORES S OF BUSINESS 1' ! 0 MAP%PARCEL NUMBER 2- ! 1.^ .D>�D [Assessing]; When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST__GO TO 200 Main St._- (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town 1. ,BUILDING COM S$10 R'S OFFI This individu I ha a inform A�a�n r t requirements that pertain to this type of business.'? 1UST COVMLY WITH HOME OCCUPATION rt+. !..ES AND REGULATIONS. FAILURE TO u oriz Si natu ; Pl_Y MAY RESULT IN FINES. MMENT ' 1 i 2. BOARD OF HEAL H This individual ha be yfo�' ed of the permit requirements that pertain to this type of bus' ess. MUST .,OMPLY WITH ALL Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: i Dater / % '/ � 0I� TOWN OF BARNSTABLE 4ZE�-OISVMTj RCA TOXIC AND HAZARDOUSn MATERIALS ON-SITE NAME OF BUSINESS: Sc �^M0 � I" A/JVJ/ BUSINESS LOCATION: l Papprp. 1N lj AAltvi G'2Gc/ INVENTORY MAILING ADDRESS: 4 G ' I 14A c/ TOTAL AMOUNT: TELEPHONE NUMBER: u5 CONTACT PERSON: D d e( C N,lot EMERGENCY CONTACT TELEPHONE NUMBER: 50 52`I (6 MSDS ON SITE? TYPE OF BUSINESS: Ohl l i ► q INFORMATION/RECOMMENDATIONS:, Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive. ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)fBatteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers _hydrochloric acid -other acids) r ' Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes ,i tiv C� Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) ' SD Other cleaning solvents ! C Bug and tar removers 0 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appl#�is Signature Staff's Initials it f MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE _ _ 7'". . PERMIT# JOBSITE ADDRESS �� Qt'— OWNERS NAME l _ (� JO.J _ .__.._._: POWNER ADDRESS . . . _._ ..j TEL ._.. _ __ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL Q RESIDENTIAL, PRINT CLEARLY NEW: RENOVATION:Q REPLACEMENT:0 PLANS SUBMITTED: YES Q N00 FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM __ -- " .._ DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR — . KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK _.__...._. TOILET URINAL _ WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER CE policy I equivalent which meets COVERAGE:the r uirements of MGL Ch 1 ' T I have a current liabilityinsurance olic or its substantial requirements 42 YES` _NO [�' 1� IF YOU CHECKED YES,PLEASE INDICATE THE PE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY Q BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT Q SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true aqd accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in i e with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME:,_ . w _. a _- _.._ __.::LICENSE# SIGNATURE MPE] JP ._., CORPORATIONEPARTNERSHIPQ# LLCQ#0 COMPANY NAME ADDRESS / _ � _. ; __0 CITY _/ha�ftp _S._-! i_f - - - - STATE ZIP (7a2. �� -- TEL EMAIL FAX CELL ; �T YI r6 ILMpr Lax4 qouy- WI6)(- -b- qrW' �I 4--C �1dc E - R AMNESTY, CONSTRUCTION OR NO MPREHENSIVE PERMIT AND OF MAIN HOUSE AND APARTMENT AS D BE: N, RESIDENTIAL ESIDENTIAL )N, MULTI-FAMILY (3 UMTS OR MORE VIULTI-FAMILY (3 OR MORE ON BUILDING PERMIT, GIVE TO TOM ATURE. WHEN SIGNED, CALL SPECTION, REQUEST CO FEE. AFTER D CO FEE RECEIPT, ISSUE CO. OT EN 9 { 0 YOU WISH TO OPEN A BUSINESS? For,Your Information` Business certificates (cost$40.00 for A years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does riot give you permission to o e e. ou must first obtain the necessary sigrlatures on this form at 200 Main St., Hyannis. -fake they completed forITI to the Town Clerk's Office, 1 st. FI., 367 hl<rin St.., Hyannis, MA 02601 (1mvn Hall) and get the Business Certificate. that is required by law.. DATE: )_ r� /� 'Fill in please: 7a x {' :A APPLICANT'S YOUR NAME/S: 3'o�nm Loocz Jc. BUSINESS YOUR HOME ADDRESS: 14 De opec� )n (-luc,nY1I'S Me, 7711-991--0(e7-A '^ z TELEPHONE # Home Telephone Number 7 714 ' a l " O(Q 7 y NAME OF CORPORATION: NAME OF NEWBUSINESS &tj f iG+n S O ' e (6& TYPE OF BUSINESS Cry ISTHIS A HOME OCCUPATION? _ NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER (Assessing) When starting.a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C MISSIO ER'S OFFICE This indivi ual h rrfnfo f/a y p rmit requirements t at pertain to this type of business. - Aut _ ri S n re** UST COMPLY WITH HOME OCCIJPIAT Gn cOM ENT rt F_S AND REGULATIONS. FAiLUR U�'�� -�(j (J�� 2. BOARD OF HEALTH This individual ha en infor ed of e p it_r 'rements that pertain to this type of business. Aut orized i ature** COMMENTS: MI IAT ,AMPLY WIT�I A66 HA7ARDQI IS MATE2I46c 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 1HE Regalatory:Services iP Thomas F.Geiler,Director Building Division 9$ 1MASS. Tom Perry,Building Commissioner A ° 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: 3S�e Permit#: ( HOME OCCUPATION REGISTRATION Date: _ a Name: 1-)�Y\ L—noe Z Phone#: 7 7 c-) " a -O(o l Address: I t4 Pei) Re C L 0 Village: me C }0 rr —� Na of Business:_ & U J V P{- V i O Q�SS f G✓1 C1l rDC Cc,j2 e C O A Type of Business: Map/Lot: INTENT: It is the intent of this section to allow the residents of the Toi-im of Barnstable to operate home occupation Within single family dwellings,subject to the provisions of Section 4-1A of the Zoning ordinance,provided that the activity shal l 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 mdth 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 uinit,.located ISatlun 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 krill 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 die 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 are 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 die sae 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 die Customary Home Occupation who is not a permanent resident of the dwell'd-welliipw unit. I, the undersign ,1 c ve read< d agree with die above restrictions for my home occupation I am registering. Applicant: _ Date: —J6 1 Horew.doc 00108 AtAnt4O lb ftfm:-f- JZ4 tt'�.Lp•,�.� a5 Tb. ♦2n.Y.�.• f�-., 14B �' R•,�•1 ry... ti: v• f IV ��•i••f'; v n is : 'if'` ; vw",.."'r" �•�i- t r�� "' 1y.� i 4 �GIST5Y OFF DEEDS t �f �w i } col,r) �opez 77q - f �THE cl, Town of l a „ sA"szxar Regulator Mies. Thomas F. G p Buildin Tom Perry, CBO,B z 200 Main Street, www.town.bai Officer 508-862-4038 Buildiny Permit Procedure for Reside ❑ Determine map and parcel number and enter r ❑ Historic District Commission,200 Main Street, for any properties located in a Historic District: • Old Kings Highway Historic District • Hyannis Main Street Waterfront Histo • Historic Preservation (if applicable). ❑ If ZBA relief(Special Permit or Variance is requ' ❑Copy of ZBA decision ❑Documentation proving that decision was reco ZBA decision date ❑. Approvals from the following departments are re4 ❑Health Department (8:00—9:30 AM ❑Conservation Department (8:00—9:30 AM ❑Tax Collector {can be obtained from Bui ❑Treasurer {can be obtained from Building Di ❑ Permit must contain complete owner informati f , DATE: November 8,2012 TO: Building File FROM: R. Anderson RE: Illegal Basement Apt LOCUS: 14 Pepper Lane,Hyannis John M Lopez came in to obtain a signature on a dba form. He and his wife Rosiane are tenants at 14 Pepper Lane. As our file included permits to restore it to a single family home, I asked him which unit he is in. He stated he resides in the basement apartment but clarified that there is no formal kitchen. Although he does not have a stove he does have an otherwise complete food preparation area. He said he does not have access to the upstairs kitchen and they are not related to the upstairs tenants. The file contains a building permit to restore to a single family. Carlino removed the plumbing in the basement. On this date, I instructed Brenda to send a letter to the owner directing them to restore to the dwelling to a single family home or prove they have rights as a NC property. Additionally, I advised Mr. Lopez to look for a safe and legal apartment. I also inquired about the existing egress conditions. He informed me'that there are full sized windows in the basement bedroom. I signed the business certificate and told him to start looking for another place to live. I made a notation on our copy of the dba form about the apartment. Mr. Lopez indicated that he is really just trying to set up his business now so he will be ready in the spring. He asked me when he moves if he needed to fill out another dba form and pay another fee. I told him normally we would require a new form as well as a new fee but because I told him to look for another rental if he did in fact relocate before 1/1/2013 we would override this and transfer our paperwork to the new address. I suggested he ask the staff in the Clerk's office for their policy and let them know our arrangement here. L DATE: November 8,2012 TO: Building File FROM: R. Anderson RE: Illegal Basement Apt LOCUS: 14 Pepper Lane,Hyannis John M Lopez came in to obtain a signature on a dba form. He and his wife Rosiane are tenants at 14 Pepper Lane. As our file included permits to restore it to a single family home, I asked him which unit he is in. He stated he resides in the basement apartment but clarified that there is no formal kitchen. Although he does not have a stove he does have an otherwise complete food preparation area. He said he does not have access to the upstairs kitchen and they are not related to the upstairs tenants. The file contains a building permit to restore to a single family. Carlino removed the plumbing in the basement. On this date, I instructed Brenda to send a letter to the owner directing them to restore to the dwelling to a single family home or prove they have rights as a NC property. Additionally, I advised Mr. Lopez to look for a safe and legal apartment. I also inquired about the existing egress conditions. He informed me that there are full sized windows in the basement bedroom. I signed the business certificate and told him to start looking for another place to live. I made a notation on our copy of the dba form about the apartment. Mr. Lopez indicated that he is really just trying to set up his business now so he will be ready in the spring. He asked me when he moves if he needed to fill out another dba form and pay another fee. I told him normally we would require a new form as well as a new fee but because I told him to look for another rental if he did in fact relocate before 1/1/2013 we would override this and transfer our paperwork to the new address. I suggested he ask the staff in the Clerk's office for their policy and let them know our arrangement here. Nov. 14,2012 As a result of Brenda's letter to the property owner, Greg Anderson(774-836-7652) called this office to discuss his options. He also called Health to register the property as rental as instructed in a letter sent by Health once we became aware it was not registered. Mr. Anderson admitted he has a tenant in the lower level living separately from the upstairs tenant. He stated he purchased the property in its current condition. He also indicated that the upstairs tenant installed the tenant in the basement and originally was collecting rent but now the rent is paid directly to the property owner. We discussed that he had no other available options but to restore it and he asked about the zba. We discussed a use variance—which in retrospect may also not be available as the location may be too close to Rte 132. He decided to forego that option as the r 1 L L expenses involved in the application is greater than his chances of obtaining the relief but I highlighted that he has the right to seek the relief. Subsequently, we discussed how to restore the property to SF and the building permit application requirements. He is not able to maintain a bar sink or food prep area as we do not want a tenant or other person to misconstrue the allowed use and rent it out unbeknownst to the tower thus creating a liability he would be unaware of. He agreed. I asked him if there are egress windows and all appropriate smoke & CO detectors. He indicated that he works for the gas company and responds to CO calls so, yes he has all units in place and there is proper egress. I advised him to come in within the next couple of weeks and obtain an application to restore to a single family home, find out what he needs to do, (he needs a contractor to pull the permit because he doesn't live here) and then submit. We have 30 days to issue, and the state code gives him 6 months to exercise but I want him to perform the work ASAP. I advised him that I gave his tenant until 1/1/2013 to vacate but he should obtain the permit in hand and be ready to commence work right after the tenant vacates or be subject to citations. � E Town of Barnstable Regulatory Services * &UM ABM Thomas F.Geiler,Director iOrFo�rA Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 November 8,2012 Rebecca&Gregg Anderson 147 Lakeside Drive Marstons Mills,MA 02648 Re: Illegal Apartment 14 Pepper Lane,Hyannis Dear Property Owners: Our records indicate that your house at the above-referenced location is currently being used as a multi- family home with more than 1 unit,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor,conviction for which results in a criminal record and you could be fined up to $100.00 per day,per violation. You must contact this office within 14 days(December 3,2012)to either: • Apply for a building permit to restore the property to a one-family home. • Apply to the Zoning Board of Appeals for a variance,or • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction.you wish to take. Sincerely, Brenda Coyle Division Assistant Enclosure: cc:Robin Anderson Zoning Enforcement Officer gforms:zoning3 Parcel Detail Page 1 of 3 NFU �;�.. K �. j MAY5 a r- Logged In As: Thursday,November 8 2012. Parcel Detail Parcel Lookup Parcellnfo Parcel ID(294-036 Developer Lot I ._..SLOT 26 (- � Location�14 PEPPER LANE �I Pri Frontage 1100 Sec Sec Road� I� Frontage� I Village HYANNIS ( Fire District HYANNIS Town sewer exists at this address No I Road Index 1236 T Asbuilt Septic Scan: Interactive t ` 2940361 Map Owner Info Owner IANDERSON, GREGG&REBECCA J I Co-owner F __ Streetl 1147 LAKESIDE DRIVE I Street2 L city�MARSTONS MILLS I State MA Zip JO10 6 Country_ Land Info Acres 0.23 use Single Fam MDL-01 I Zoning B Nghbd 0104 TopographyCLevel I Road Unpaved Utilities Public Water,Gas,Septic ( Location Construction Info Building 1 of 1 Year i 1965 ' Roof IGable/Hi Ext _I Built struct p wall,Wood Shingle Living 972 —f Roof JAsph/F GIs/Cmp I AC INone Area Cover Type Int Bed _ _ Style i Ranch ( wall Drywall Rooms i4 Be Bedrooms " Model Residential Int Carpet ( Bath 12 Full Ip _ __ __ Floor r Rooms w Heat Total Grade Average Minus Type Hot Water l.Rooms!$Rooms �t Stories F 1 Story I Heat Gas Found-,Poured Conc. Fuel ation' Gross Area 1944 1 Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23342 11/8/2012 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments REMOV BASMT 09/22/2010 Remodel 201004638 $6,500 06/30/2012 KIT,ND,NFLR,REPLC 1ST FLR 00:00:00 KIT W/NEW COUNTER,4SQ SIDING 11/12/1998 Out Building 34683 $1,000 06/01/1999 12X15 SHED 00:00:00 Visit History Date Who Purpose 10/25/2012 00:00:00 Pamela Taylor In Office Review 11/19/2010 00:00:00 Mike Keating New Construction 08/03/2010 00:00:00 Denise Radley Change of Address 04/25/2002 00:00:00 Paul Talbot Meas/Listed-Interior Access 06/01/1999 00:00:00 Andrew Machado Meas/Est Sales History Line Sale Date Owner Book/Page Sale Price 1 11/14/2011 ANDERSON, GREGG& REBECCA J 25832/190 $20,000 2 07/27/2010 PACHECO,WAYNE J&ANDERSON, GREGG 24709/36 $1 3 07/27/2010 PACHECO, SHANE M 24709/34 $80,850 4 03/12/2010 FEDERAL NAT'L MTG ASSOC 24415/161 $349,582 5 07/26/2006 BUENO RODRIGUES,VALDECIR A, ET ALS 21217/111 $1 6 05/03/2005 BUENO RODRIGUES,VALDECIR A, ET AL 19787/262 $1 7 04/05/2005 ROSA, ILDEAU G 19689/60 $349,500 8 11/10/1988 DEFREITAS, GERALDO F&VILMA S 6515/311 $135,000 9 01/31/1985 CROWDER, DALE E JR TRS 4403/264 $65,000 10 05/03/1976 1 KARRAM,GLORIA A 2332/174 1 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $74,200 $34,300 $2,500 $65,600 $176,600 2 2011 $103,300 $15,200 $2,300 $65,600 $186 4400 3 2010 $103,200 $15,200 $2,800 $70,600 $191,800 4 2009 $125,900 $22,400 $1,300 $109,900 $259,500 5 2008 $113,300 $22,400 $1,300 $110,200 $247,200 7 2007 $112,600 $22,400 $1,300 $110,200 $246,500 8 2006 $101,200 $6,500 $1,300 $103,700 $212,700 9 2005 , $96,300 $6,400 $1,400 $96,000 $200,100 10 2004 $78,200 $6,400 $1,400 $96,000 $182,000 11 2003 $70,800 $6,400 $1,400 $30,300 $108,900 12 2002 $70,800 $6,400 $1,400 $30,300 $108,900 13 2001 $70,800 $6,400 $1,400 $30,300 $108,900 14 2000 $53,900 $6,000 $700 $23,000 $83,600 15 1999 $53,900 $6,000 $0 $23,000 $82,900 16 1998 $53,900 $6,000 $0 $23,000 $82,900 17 1997 $55,200 $0 $0 $23,300 $78,500 18 1996 $55,200 $0 $0 $23,300 $78,500 19 1995 $55,200 $0 $0 $23,300 $78,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23342 11/8/2012 Parcel Detail Page 3 of 3 20 1994 $54,600 $0 $0 $34,200 $88,800 21 1993 $54,600 $0 $0 $34,200 $88,800 22 1992 . $62,200 $0 $0 $38,000 $100,200 23 1991 $63,100 $0 $0 $54,300 $117,400 24 1990 $63,100 $0 $0 $54,300 $117,400 25 1989 $60,800 $0 $0 $54,300 $115,100 26 1988 $41,100 $0 $0 $17,500 $60,100 27 1987 $41,100 $0 $0 $17,500 $60,100 28 1 1986 1 $41,100 $0 $0 $17,5001 $60,100 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23342 11/8/2012 MLSQ. Page 1 of 3 • Property History Listing Summary Interactive MapQ Report Violation Listing #21001370 14 Pepper Ln, Hyannis, MA 02601 * Withdrawn (04/20/10) DOM/CDOM:72172 $94,900 (LP) Beds: 4* Baths: 2 (2 0) (FH) Sq Ft: 972* Lot Sz: 10018sgft* Town: Barn Yr: 1965* Remarks This property is being sold as is�-1[16s-an_illegal 2 family Fin ancin'wi11 not be available/This ro ert is best d suitable for an investor type buyer. rj ' t Pictures F . <w "a x pn,.� � � � '1�' � � dr+ d„ SFr °��G•�+ydta�. ,�x�� r 'r'�..�f` ,ky,km .a�S`�•, tW�k*��`7° �°" "' :� ^,.` zt�' fe � •k" �i �}#y �- 'tam. get - ,,, .ws �Sv'�, , t ae All ;A Agent Team Burgess/Dillon (ID:U2RZ)Primary:508-477-8677 x207 Office RE/MAX Classic(ID:CLAS1)Phone:508-477-8677, FAX:508-477-2767 Property Type Single Family Property Subtype(s) Single Family Status withdrawn(04/20!10) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 0% No Facilitator Comm 1% Listing Type Excl.Right to Sell Owner Name Rodrigues Valdecir A Bueno County Barnstable Tax ID 294-36-0-0-BARN Beds 4* Baths (FH) 2(2 0) Approx Square Feet 972* Sq Ft Source Assessors Records Lot Sq Ft(approx) 10018* Lot Acres(approx) 0.230 Lot Size Source (Assessors Records) Year Built 1965* Listing Date 02/07/10 All Office Remarks For more information call MAPASS at 888-627-2775.For showing of this property,you must come into the office to sign a disclosure.And we will give the keys.Buyer is responsible for any and all inspections at their expense.AS IS AS IS THIS will have to be a cash sale. Listing Page Commission-Other none Special List Cond. Foreclosure Showing Instructions MAPASS General Page ^ Zoning Residential Year Built Desc. Actual Total Rooms 8 Total Levels 1.0 Basement Baths 0.0 Levell Baths 0.0 I Level 2 Baths 0.0 http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail 9/27/2010 MLS_ Page 2 of 3 Level 3 Baths 0.0 Basement Yes Basement Description Finished Foundation Concrete Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Year Round Yes Separate Living Qtrs No Waterfront No Water View No Miles to Beach 2 Plus Beach Description None Beach Ownership None Street Description Public Interior Page Fireplace Yes Number of Fireplaces #1 Floors Wall to Wall Carpet Exterior Style Raised Ranch Pool No Dock No Energy Saving Feat None Exterior Features Yard Roof Description Asphalt Siding Description Shingle Mechanical Heating/CoolingOil,Hot Water Water/Sewer/Utility Town Water Hot Water/Water Heat Oil Warranty Available No Legal/Tax Annual Tax $1790 Tax Year 2009 Land Assessments $109900 Improvement Asmt $125900 Other Assessments $23700 Total Assessments $259500 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 21217 Title Reference-Page 111 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. Denotes information autofilled from tax records. I Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2010 Rapattoni Corporation.All rights reserved. http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail 9/27/2010 MLS Page 3 of 3 U.S.Patent 6,910,045 Generated:9/27/10 10:39am tt* S http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail 9/27/2010 �.�_� --.�_---'-1 / e `� �� '� X � . MLS Page 1 of 3 P Property History Listing Summary Attached Docs Interactive Map Report Violation R4 Listing#21009264 14 Pepper Ln, Hyannis, MA 02601 Active (09/28/10) DOM/CDOM:8/80 $189,900 (LP) Beds: 4 Baths: 2'(2 0) (FH) Sq Ft: 1400 Lot Sz: 0.230ac Town: Barn Yr: 1965 Remarks This home Is located in a very private area with only.one other house on the road.lt has been completely remodeled. New kitchen, updated bathrooms, hardwood �z . floors, new carpets in bedrooms. It also has a finished walkout lower level with a bedroom, livingroom, bathroom and office. It would make a great Inlaw apartment. j .aAI e, , i r b'A^.'"''" n4S 44'*, 1'`-.'• `"•4b 'S44':S #FF�*.�:fi*.. ,:�`.t�.�,°!�- �_`4k�,•y":`'��''b{S�bn4b §'��s��"`S,n 4�^b�y,wb '��:,'+�`'+,:.».'ti"� . Agent Shane Pacheco (ID:U0307)Primary:508-364-2456 Office SMP Realty Development Co.LLC(ID:SMPR)Phone:508-364-2456,FAX:508-775-3566 Property Type Single Family Property Subtype(s) Single Family Status Active(09/28/10) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Var Comm 2.5% 2.5% No Facilitator Comm 2.5% Listing Type Excl.Right to Sell Owner Name Anderson&Pacheco 4 County Barnstable Tax ID 294-36-0-0-BARN Beds 4 Baths (FH) 2(2 0) Approx Square Feet 1400 Sq Ft Source Agent Estimated Lot Sq Ft(approx) 10019 Lot Acres(approx) 0.230. Lot Size Source (Assessors Records) Year Built 1965 Listing Date 09/28/10 Directions to Property Rte. 132 to Pineneedle to 14 Pepper lane. Listing Page Commission-Other none Special List Cond. None Showing Instructions Appointment Req. General Page Zoning Residential Year Built Desc. Renovated,Under Construction, + Total Rooms 8 Total Levels 2.0 Basement Baths 1.0 Level 1 Baths 1.0 Level 2 Baths 0.0 Level 3 Baths 0.0 I Basement Yes http://ccimis.rapmis.com/scripts/mgrqispi.dll 10/6/2010 r MLS Page 2 of 3 Basement Description Finished,Full,Walk Out Foundation Block Fnd46,on Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Fenced/Enclosed,Level Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Parking Description Paved Driveway,Stone/Gravel Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Basement Waterfront No Water View No Convenient To Golf Course,House of Worship,In Town Location,Major Highway,Shopping Miles to Beach 2 Plus Water Access Ocean Beach Description Ocean Beach Ownership None Street Description Dead End Street,Unpaved Interior Page Fireplace Yes Number of Fireplaces #0 Floors Hardwood,Wall to Wall Carpet Exterior Style Ranch Pool No Dock No Energy Saving Feat Insulated.Windows, Insulated Doors Exterior Features Fenced Yard,Private Storage,Yard Roof Description Asphalt,Pitched Siding Description Barnboard,Shingle Mechanical Heating/Cooling Natural Gas,Hot Water Water/Sewer/Utility Septic,Town Water Hot Water/Water Heat Natural Gas Warranty Available No Legal/Tax Annual Tax $1884 Tax Year 2010 Land Assessments $70600 Improvement Asmt $103200 Other Assessments $18000 Total Assessments $191800 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown . Mass Use Code 101-Single Family Title Reference-Book 8630 Title Reference-Page 107 . Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Not In Flood Zone Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved http://ccimis.rapmis.com/scripts/mgrqispi.dll 10/6/2010 MLS Page 3 of 3 Copyright©2010 Rapattoni Corporation.All rights reserved. U.S.Patent 6,910,045 Generated:10/06/10 2:02pm CI .,,:a http://ccimis.rapmis.com/scripts/mgrqispi.dll 10/6/2010 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING x Cit /Town: MA. Dater Y1't�l.ss, .,. ermit# Buildin Location:; Hers Name:,,, Type of Occupancy; Commercial Educational i „ Industrial j Institutional Iw� Residential ( n New: ! Alteration:L..,.i Renovation Replacement:�, Plans Submitted: Yes No{��} FIXTURES z z o Y U a� co _ cn ¢ Q U) z Ow Q w U) < °- X. d n 0 w U wO m o U)J ti w w u W U I:r ° U ¢ O Q ° U7 fw- Iw- w ¢ ¢ U) U) ° ¢ o a d o z ° a ¢ d ¢ Imo— U SUB BSMT. BASEMENT 1 FLOOR 2 NFLOOR 3 FLOOR 4 1 H FLOOR 51HFLOOR 6 1 H FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: 1:— __ � CorporationAddress:�,m1 u CitylTownr ? „ . ate:I =A — (( Partnership Business Tel: i�SCs Fax: Firm/Company �N Name of Licensed Plumber: LA 1. 1 ),() INSURANCE COVERAGE: have a current liabilitV insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes _.,J"Noi--- If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy l Other type of indemnity i 4 Bond �2 & OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installatio performed under the permit issued for this application will be in compliance with all Pertinent provision h, S�o@ us@tts StL.UUIl � ig Code and Chapter 142 of the General Laws. UJ a !7 i...___,..„...._:............_............ _......._. 4 Bye, ::...,,:,.• �M.,.,;.,,;,: :'�.gsa .�OPR��fQi�ense: Title; ' ✓_ Plumber Sig ture of Lice sed Plumber i Master 1 � City/Town, mm.. .Mo Journeyman j' License Number: '� I...w.,..<. .. APPROVED OFFICE USE ONLY ' oi completed affidavit from the permitee/licen general contractors, carpenters, roofers, el There are two types of affidavits; o electricians, plumbers etc. The permit/lice stating either that they have employees and owner is a sole proprietor with no employees states that they have a workers' compensate along with the completed affidavit. The city file, along with the application for the permit/ more than one license/permit etc. to the s organization will satisfy the statutory require upon the renewal of a yearly-license or permi annually. From time to time a representative of come to your offices in order to review the workers' compensation laws. We ask that yo have questions in this regard, please contact. you for your continued cooperation and suppoi Sincerely, f Gregory J. White Deputy Commissioner and General Counsel P.S. Copies of these affidavits are available on-1 www.mass.gov, Message Page 1 of 1 Giangregorio, Robin From: Palkoski, Christine Sent: Friday, July 21, 2006 8:05 AM To: Giangregorio, Robin; Perry, Tom Cc: Klimm, John; Weil, Ruth Subject: FW: Overcrowding @ 14& 15 Pepper Lane Robin, This morning I recieved information about possible overcrowding at 14 & 15 Pepper Lane in Hyannis. 14 Pepper Lane has 4 bedrooms (limit 6 adults)and 15 Pepper Lane has 5 bedrooms (limit 7 adults). The woman who called is Sally Chipman (45 Pine Needs Lane) I would suggest beginning with a phone call to her to get details of what she believes is going on over there. Please try to get in touch with her by the middle of next week and let me know what she says when you speak with her. I am attaching the final version of the ordinance since it has come to my attention that it hasn't been circulated. Christine. t Town of Barnstable, MA Page 1 of 4 § 240-21 B, BA and UB Business Districts. [Amended 2-20-1997; 3-11-1999 by Order No. 99-056] A. Principal permitted uses. The following uses are permitted in the B, BA and UB Districts: M Retail and wholesale store/salesroom. Retail trade service or shop. (33) Office and bank. (4) Restaurant and other food establishment. (5) Place of business of baker, barber, blacksmith, builder, carpenter, caterer, clothes cleaner or presser, confectioner, contractor, decorator, dressmaker, dyer, electrician, florist, furrier, hairdresser, hand laundry, manicurist, mason, milliner, news dealer, optician, painter, paper hanger, photographer, plumber, printer, publisher, roofer, shoemaker, shoe repairer, shoe shiner, tailor, tinsmith, telephone exchange, telegraph office, undertaker, upholsterer, wheelwright. 6) Gasoline and oil filling stations and garages. Hotel/motel subject to the provisions of Subsection F herein, except that hotels/motels shall be prohibited in the BA District and prohibited in the Osterville UB District. 8) Any other ordinary business use of a similar nature. Multifamily dwellings (apartments) subject to the provisions of Subsection A(9)(a) through herein, except that multifamily dwellings shall be prohibited in the BA District. [Amended 7-14-2005 by Order No. 2005-100] The minimum lot area ratio shall be 5,000 square feet of lot area per each apartment unit for new multifamily structures and conversions of existing buildings. The maximum lot coverage shall be 20% of the gross upland area of the lot or combination of lots. The maximum height of a multifamily dwelling shall not exceed three stories or 35 feet, whichever is lesser. The minimum front yard setback shall be 50 feet or three times the building height, whichever is greater. (e) The minimum side and rear yard setbacks shall be not less than the height of the building. 11 http://www.ecode360.com/?custld=BA2043 9/27/2010 Town of Barnstable, MA Page 2 of 4 A perimeter green space of not less than 20 feet in width shall be provided, such space to be planted and maintained as green area and to be broken only in a front yard by a driveway. Lq)_ Off-street parking shall be provided on site at a ratio of 1.5 spaces per each apartment unit and shall be located not less than 30 feet from the base of the multifamily dwelling and be easily accessible from a driveway on the site. (h) No living units shall be constructed or used below ground level. The Zoning Board of Appeals may allow by special permit a maximum lot coverage of up to 50% of the gross area of the lot or combination of lots. Single-family residential structure(detached) ezcept that single-family residential structures shall not be permitted in the�6 District. B. Accessory uses. M Bed-and-breakfast operation within an owner-occupied single-family residential structure, subject to the provisions of§ 240-11C(6) except Subsections (b)[1] and [2]. No more than six total rooms shall be rented to not more than 12 total guests at any one time, and no special permit shall be required. For the purposes of this section, children under the age of 12 years shall not be considered in the total number of guests. Bed-and-breakfast operations shall not be permitted in the B District. C. Conditional uses. The following uses are permitted as conditional uses in the B, BA and UB Districts, provided that a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of§ 240-125C herein and the specific standards for such conditional uses as required in this section: (1) Storage yards for coal, oil,junk, lumber or any business requiring use of a railroad siding; such uses being provided for in the B District only. LZ A building or place for recreation or amusement but not to include a use which is principally the operation of coin- operated amusement devices; such uses being provided for in the B District only. Any manufacturing use; such uses being provided for in the B District only. Windmills and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use. (5)- Public or private regulation golf courses subject to the provisions of§ 240-11 C(2) herein. D. Special permit uses. (Reserved for future use.) E. Bulk regulations. http://www.ecode360.com/?custld=BA2043 9/27/2010 Town of Barnstable, MA Page 3 of 4 Minimum Yard Setbacks Maximum Minimum Minimum Minimum Maximum Lot: Lot Area Lot Lot Building Coverage Zoning (square Frontage Width Front Side Rear Height as % of Districts feet) (feet) (feet) (feet) (feet) (feet) (feet) . Lot Area B — 20 201 - — 303 BA — 20 — 20 — - 303 35 U B — 20 — [202 02 02 303 35 NOTES: One hundred feet along Routes 28 and 132. 2 Fifty feet when abutting a residentially zoned area. 3 -Or two stories, whichever is lesser. Front yard landscaped setback from the road lot line: B Business District: 10 feet, except 50 feet along Attucks-Lane Extension and Independence Drive. BA District: 10 feet. UB District: 10 feet. Existing trees and shrubs shall be retained within the road right-of-way and within the required front yard landscaped setback and supplemented' with other landscape materials, in accordance with accepted landscape practices. Where natural vegetation cannot be retained, the front yard landscaped setback shall be landscaped with a combination.of grasses, trees and shrubs commonly found on Cape Cod. A minimum of one street tree with a minimum caliper of three inches shall be provided per, 30 feet of road frontage distributed throughout the front yard setback area. No plantings shall obscure site at entrance and exit drives and road intersections. All landscaped areas shall be continuously maintained, substantially in accordance with any site plan approved pursuant to Article IX herein F. - Special hotel/motel provisions. In addition.to the provisions of Subsection E, hotels and motels shall be developed only in conformance with the following-, g . The minimum lot area ratio:shall be 2,500 square feet of lot area per each of the first 10 hotel/motel units, and an additional 250 square feet of lot area perQeach unit in excess of 10. The minimum lot frontage shall be 125,feet. &. The maximum lot coverage.,for all buildings-shall not exceed 30% of the gross land area. 4) In addition to the parking requirements of§240-54 herein, there shall be two additional.off-street parking spaces provided per each 10 hotel/motel units or fraction thereof. The minimum front yard setback shall be 30 feet. http://,www.ec.6d6360.com/?custld=BA2043 9/27/201.0 f Town of Barnstable, MA Page 4 of 4 The minimum total side yard setback shall be 30 feet; provided, however, that no allocation of such total results in a setback of less than 10 feet. The minimum rear yard setback shall be 20 feet. No other uses shall be permitted within the required yard setbacks, except driveways in a required front yard. All yard areas shall be appropriately landscaped and adequately maintained. A site plan for each development or addition shall be submitted to the Building Commissioner along with the request for a building permit. The site plan shall include, but not be limited to, all existing and proposed buildings, structures, parking, driveways, service areas and other open uses, all drainage facilities and all landscape features such as fences, walls, planting areas and walks on the site. http://www.ecode360.com/?custld=BA2043 9/27/2010 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # L 0 b �-0_35R Health Division '`'Date Issued Z Conservation Division Applic n Fee �� Planning Dept. Permit Date Definitive Plan Approved by Planning Board SEPCD. Historic - OKH _ Preservation/Hyannis B Project Street Address Iy Village NV4n/1 rS Ownerf, �6c" Address r`� to a Telephone 1 8I3 -146 RS ISS Permit Request fe rneye, K i f Jrch a+n �A Sewn�l� pet.) eel oo rs-, nQ_Q Poor;&q . GVIQu- Ki`416611 can Sr5I ` oar w;4, A.-LW Covn_ltr-'fmpS. 44 s�dm2�- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation fOa��®�no Construction Type Lot Size ° a 3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) qoo Basement Unfinished Area (sq.ft) 10 Number of Baths: Full: existing new ® Half: existing new Number of Bedrooms: existing ® new Total Room Count (not including baths): existing new 6 First Floor Room Count :5r Heat Type and Fuel: `LI' Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes 9"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 RINo If yes, site plan review_ # Current Use cS i , 4 f^ Proposed Use j�¢s '}�c APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �. �� Telephone Number Address �� Ye.s /S®�l License# CS 9gg5'f3 ce,i oa6.3a Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM/THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � �' t, FOR OFFICIAL USE ONLY APPLICATION# ;> DATE ISSUED MAP/PARCEL NO. } ADDRESS VILLAGE OWNER, DATE OF INSPECTION: ::'._FC{UNDATION i FRAME t' INSULATION . 1 : FIREPLACE 1 I;`f ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL, GAS:T + ROUGH i<-sj*�i FINAL ; r s :FINAL BUILDING=, i f DATE CLOSED OUT ,r II E, ASSOCIATION PLAN NO. S The Commonwealth of Massachusetts r Department of.Industrial Accidents w Office of Investigations 600 Washington Streef c Boston, MA 02111 sy www.mass.gov/dia Workers' Compensation Insurance Affidayit:•Builders/Contractors/Electricians(Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): -,J f7rfA.A' Address: 1`�.3 ,��9ie.3 City/State/Zip: QA-4C1"' )U. 0%3a Phone #: .�'� 3(o rl- datdS6 Are you an employer? Check the appropriate box: Type of project(required): ].❑ I am a employer with 4. ❑ I am a general contractor and I "_ploye6s (full and/bf paYt-time), * have'hired the sub-contractors_. . 6• ❑ New construction 2. I am a sole proprietor.or partner- listed on the attached sheet. 7. 2emodeling ship and have no employees These sub-c6ntractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P ty� 9. Building addition [No workers' comp. insurance comp.insurance. required.] 5. F] We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 1.3.❑ Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 jab site information Insurance Company Name: Policy# or Self-ins. Lic. #: Expiration Date: Job.Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a fine up to $3,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify trnd r the pains d penalties ofpedury that the information provided above is trite and correct. Signature: Phone#' t 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): x 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6. Other Contact Person: Phone#: fnformatzon and bstructzons 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 meore of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, Or Lb receiver or trustee of a❑ 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 dtivelling 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}vho has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chaplet 152, §25C(7) stales "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for theperfofhriance ofpublie wwork until acceptable evidence ofcompliance with the rnsurance 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 e s es and hone number(s) along with their certificates) of a e s addr s - actors n m P necessary,supply sub contr ( ) ( ), ( ) 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, e policy is required. Be advised that this affidavit may be submitted to the Department of lodustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date th•e affidavit. The affidavit should be returned to the city or town Lhat•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' ter their compensation policy,please call the Department at the number listed below,.Self-insured companies should en 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 Lo contact you regarding the applicant. Please be sure to fill in thopermiVlicense.number which will be used as a,refercnce number. Jn Addition,an applicant that must submit multiple perrnit/license applications in any given year, need only submit one of davit indicating current policy information(if necessary)abd 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 nay be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavi[must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any busines or commerci a) venture (i,e. a dog license of permit to bum leaves etc,) said person is NOT required to comp]ete this affidavit. The Office of lnvestigat�ons wou�]ik�o l�nkyob��advarj-0 ^"Prat'nn and should shave any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: t 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 Fax # 617427 7749 Revised 4-24-07 www.mass.gov/dia Town of Barnstable Regulatory Services )A.ATtSTABLE, • . v MAS& t639. Thomas F. Geiler,Director �e �rFo ► Building Division Tom Perry, Building Commissioner 200-Main Street, Hyannis, MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax:_ 508-790-6230 Property bier Must Complete and Sign.Th.is Section If Using A Builder 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 rob) *ateSignature of Pant NuTic If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. - Q:FORMS:0 WNFRPER MISSION Town of Barnstable of 1 ray o Regulatory Services slrrrzsr�srE Thomas F. Geiler,Director " Building Division PrEo�,t a Tom Perry,Building Commissioner 200 Main Street, M_Hyannis, A.02601. vs w.toFen.barnstable.ma.us Office: 508-862--403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB VOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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_ DEFTltMON OR BOMEOWNER 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 constrgcts 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 ht✓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.be/she understands the Town of Barnstable Building Department minn„trm inspection procedures and requirements and that he/sbe.will comply with said procedures and requirements. Signature of Homeowner 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 homenWner performing work for which a building pcmvt is required shall be exempt from the provisions of this scction.(scction 109.).1 -Licensing of construction Supervisors);provided that if the homcovmcr engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." `Many homeowners who use this exemption arc unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Re ;lations 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 procccd against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To cnsurc that the homwwncr is fully aware of his/her responnbilitics,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsbilitics of a Supervisor. On the last page of this issue is e form currently used by several towns. You may care t amend and adopt such a forrr/certification for use in your community. Q:forrns:homccxcmpt Massachusetts - Department of Public SafetN BOard of Building Refrulations and Standards Construction Supervisor License License: cS 92958 Restricted to: 00 SHANE PACHECO 143 HAYES RD I CENTERVILLE,_MA 02632 k x : Expiration: 10/17/2011 ('�immissiuner Tr#: 4144 92. Office of Consumer Affairs B Business RRegulation HOME IMPROVEMENT CONT Registration: „' RACTOR Expiratlo� 164440 0/6/2011 T Tr# 289575 YPe Individua� ' SHANE PACHECOi SHANE.PACHEC0" 143 HAYES RD.V'' N74-1-11 CENTERVILLE, MA�02632:� 4 Undersecretary { ---- �. License '.' or registration v before the expiration valid for individul Office of date. If found return to: 10 Park Plaza_Suite lairs Business Re Boston,MA 02116 Regulation Not OLD valid without signature—�_ i gnature M ('L45s✓1 a0w ------------ ............................ ----------------- \tj AILS Page 1 of 3 0 �V ' Lis it9 Y n Summary . Listing#20801083 14 Pepper Ln, Hyannis, MA 02601 * Active (01/30/08) DOM/CDOM:21/21 $219,900 (LP) Beds: 4 Baths: 2 (2 0) (FH) Sq Ft: 1200 Lot Sz: 10018sgft* Town: Barn Yr: 1965* Remarks ,Picture~'', This home offers 3 bedrooms 1 bath on the main floor and an in-law apartment �;F.K� � } �70 on the walk out basement. Located on a 4 } commercial zone, it has great potential and buyers should verify the possibilities with the town. Iva"— 4W ; rc+� r c �, , S�v 1 ��* ijv vy( V; ',{� r �6Ky W�•V.+ s Attached_Docs See-Map. Agent Maiza Eloy_ Pl (ID:U0606)Primary:508-398-0600 x8202 Office Today Real Estate(ID:TODY)Phone:508-398-0600, FAX:508-398-0684 Property Type Single Family Property Subtype(s) Single Family Status Active(01/30/08) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 0% No Facilitator Comm 3% Listing Type Excl.Right to Sell Owner Name On File County Barnstable Tax ID 2.9-4-36-0.0=BARN Beds 4 Baths (FH) 2(2 0) Approx Square Feet 1200 Sq Ft Source Agent Estimated Lot Sq Ft(approx) 10018* Lot Acres(approx) 0.230 Lot Size Source (Assessors Records) Year Built 1965* Publish To Internet Yes Listing Date 01/30/08 All Office Remarks Sale subject to Lender's approval for a SHORT SALE. Directions to Property Route 132 to Pineneedle Lane(across from Borders)to Pepper Lane. Listing Page Commission-Other n/a Showing Instructions Appointment Req.,Call Listing Agent General Page Zoning B Year Built Desc. Actual http://ccimis.rapmis.com/scripts/mgrgispi.dll 2/20/2008 '-TMLS Page 2 of 3 Total Rooms 7 Total Levels 1.0 Basement Baths 0.0 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Finished,Walk Out Foundation Concrete Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Cleared Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Parking Description Paved Driveway Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To In Town Location,Shopping Miles to Beach 2 Plus Water Access Ocean,Public Beach Description Ocean Beach Ownership Public Street Description Public Interior Page Fireplace Yes Number of Fireplaces #1 Floors Tile,Wall to Wall Carpet Exterior Style Raised Ranch Pool No Dock No Exterior Features Private Storage Roof Description Asphalt Siding Description Clapboard Mechanical Heating/Cooling Oil Water/Sewer/Utility Private Sewerage,Cable,Electricity,Telephone,Town Water Hot Water/Water Heat Oil Legal/Tax Annual Tax $1557 Tax Year 2007 Land Assessments $110200 Improvement Asmt $136300 Other Assessments $0 Total Assessments $246500 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 21217 Title Reference-Page 111 http://ccimis.rapmis.com/scripts/mgrqispi.dll 2/20/2008 i MLS Page 3 of 3 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Asbestos No Flood Zone Unknown *Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2008 Rapattoni Corporation.All rights reserved. http://ccimis.rapmis.com/scripts/mgrgispi.dll 2/20/2008 and its accessory buildings may be erected on any lot which on the date these by-'atc; are adopted is separately owned, or on a lot shown on a plan of lots approved by the.Board of " Survey and recorded in the Barnstable Registry of Deeds after March 3, 1953 and before the date this by-law is adopted. s 3. Front Yards—In a Residence A District no building shall be erected and no road-ide stand or accessory use shall be ux r placed within twenty (20) feet of a street line, provided that i r 5 .yip ' no building need be set back morn than the average of .the ', l setbacks of the Uuilding on the lots next thereto on either (y : , side, a vacant lot one hundred (100) feet or more in width or a lot occupied by a building set back more than twenty (20) any.' feet tieing counted as though occupied by a building set back t twenty (-0) feet. 4: No building to be erected closer than seven and one-half (71/z) feet from sidelines or rear line. r * H. RESIDENCE Al DISTRICTS 1. L';e—No building shall be erected or altered and no build ing or premises shall be used for any purpose except: (a) Detached one-family.dwelling; or a two family dwelling 5 ( t if authorized by the Board of Appeals. f (b) The taking of more than six (6) lodgers by a family resident in the dwelling. ,.,. 2. Size of Lots—No building except one story buildings of ac- cessory use, shall be erected on a lot less than seventy--five (75) f feet wido and containing less than seventy five hundred (7500) k`;; square feet; provided that one (1) one-family dwelling and its s accessory buildings ma} be erected on any lot which on the date these by-laws are adopted is separately owned or on a lot shown on a plan of lots approved by the Board of Survey and recorded in the Barnstable Registry of Deeds after March. 3, �.: 1953 and before the date this by-law is adopted. Uj Front Yards—No building shall be erected within twenty s,a (20) feet of a street line. provided that no building need be 2 `"i, set back more than the average of the setbacks of the build- � .. ings on the lots next thereto on either side, a vacant lot one 01>..., `. hundred (100) feet or more in width or a lot occupied by a 'a building set back more than twenty (20) feet Using counted as though occupied by a building set buck twenty (20) feet. ` 1. No building to be erected closer than seven and one-half } (71/z) feet from sidelines or rear line. r I. RESIDENCE A2 DISTRICTS r :>: 1. Use—Residence A2 Districts shall be subject to the same fY st requirements as Residence Al Ditricts except.that the follow- r{1 ing provisions shall be added: r:} +..,. (a) No person shall erect any new building or make an alteration tc an existing building nearer than fifteen -05) * .: feet to the side lines of.his lot. nor shall such newbuilding or alteration to an existing building be projected nearer to k• the waterfront of Craigville Beach than the average distance p� wr therefrom of the buildings of his abutters. (b) Nc. building shall be used for the purpose of taking lodgers, except that where such use of a building is existing at the time this by-law is adopted, such use may be con- tinned. J. RESIDENCE B DISTRICTS 1. Use—No building shall be erected .or altered and no build ing or premises shall be used for any` purpose except: s Y � (a) Detached one-family dwelling; or a two-family dwelling ,.F Y if authorized y the-Board of Appeals. k (_b),.�The taking-of more than 0) lodgers by a fa r sident_in_tb_e dwelling. f� 2. Size of Lots—No building except one story buildings of " r •. accessory use, shall be erected on a lot less than one hun- dred (100) feet wide and containing less ten thousand Sr (10,000) square feet, provided that one (1). one-family dwelling or one (1) two-family dwelling if authorized by a special per- mit of the Board of Appeals, and accessory buildings may be a' erected on.any lot which, at the time this by-law is adopted, t a a is separately owned or on a lot shown on a plan of lots approved by the Board of Survey and recorded in the Barn stable Registry of Deeds after March 7, 1950 and before the date this by-law is adopted. ( ( 0,1 tee; of a street line prov ulad tnat n,: building need be set back more than the average of the setbacks of the build- . t ings on the lots next thereto on either side, a vacant lot one s#, hundred (100) feet or more in width or a lot occupied by a building set back more than twenty (20) feet being counted as ,t : - though occupied by a building set back twenty (20) feet. 4. No building to be erected closer than ten (10) feet from 4, sidelines or rear line. i ' K. RESIDENCE B1 DISTRICTS 3{; 1. Use—No building shall be erected or altered and no build-ing or premises 'shall be used for any purpose except: (a) Detached one-family dwelling. q (b) The taking of more than.six (6) lodgers by a family resident in the dwelling. rid;F �2. Size of Lots—No buildings except one story buildings of s' accessary use shall be erected on a lot less than one hundred (100) feet wide and containing less than ten thousand (10,000) square feet, provided that one (1) one-family dwelling and s"A accessory building may be erected on any lot which, at the til-.e this by-law is adopted, is separately owned or on a lot shown on a plan of lots approved by the Board of Survey and recorded in the Barnstable Registry of Deeds after March 7, . Y' 1950 and before the date this by-lax•-is adopted. 3. Front Yards—No building shall be erected within twenty (20) feet of a street line, provided that no building need be set back more than the average of the setbacks of the build- ? ings on the lots next thereto on either side, a vacant lot one hundred (100) feet or-more in width or a lot occupied by a building set back more than twenty (20) feet being counted as though occupied by a building set back twenty (20) feet. 4. No building to be erected closer than ten (10) feet from i sidelines or rear ,line. i L. RESIDENCE C DISTRICTS 1. Use—No building shall be erected or altered and no build- ing or premises shall be used for any purpose except: { (a) Detached one-family dwelling. { 2. Size of Lots—No building, except one-story buildings of ac- cessory use, shall be erected on a lot less than one hundred (100) feet wide and containing less than fifteen thousand (15,000) square feet, provided that one (1) one-family dwelling ' and its accessory buildings may be erected on any lot which on the date these by-laws are adopted is separately owned, or on a lot shown on a plan of lots approved by the Board of Survey and recorded in the Barnstable Registry of Deeds after March S, 1949 and before the date this by-law is adopted. 3. -Front Yards—No building shall be erected within twenty (20) feet of a street line, provided that no building need be set back more than the average of the setbacks of the building on the lots next thereto on either side, a vacant lot one hundred (100) feet or more in width or a lot occupied by a building set back more.than twenty (20) feet, being counted as though i occupied by a building set.back twenty (20) feet. 4. No building to be erected closer than ten (10) feet from sidelines or rear, line. M. RESIDENCE C1 DISTRICTS 1. Use—No building shall be erected or altered and no build- ing or premises shall be used for any purpose, except: p (a) Detached one-famiiy dwelling, except that alterations of single family units may be permitted, to allow use as a - two-family unit by the granting of a special permk. (b) In addition to accessory uses permitted under Para- i graph E of this by-law, the following uses may be permitted, i x subject to the operator living upon the premises and to the -� limitations stated herein. A billboard, signboard or adver- tising sign shall in no case be permitted as an accessory. use, except as herein specified. The.placing of a "For Sale" 4 I ` or."For Rent" sin shall however, be g , , permitted as an ac- cessory use. A- sign pertaining -to a home occupation, as f herein specified, shall be permitted, provided such signs be not over twelve (12) square feet in area. " (1) Offices for professional use and customary home oc- cupations such as arts, crafts, service businesses, antique and gift shops, or any uses determined to.be of a similar i L I Parcel Detail Page 1 of 3 17 a Logged In As: Parcel Detail Wednesday, Februa Parcel Lookup Parcellnfo Parcel ID 294-036 _ Developer Lot LOT 26 --- ---- Location •14 PEPPER LANE Pri Frontage�100 Sec Road it Sec, Frontage village HYANNIS I Fire District YANNIS Sewer Acct , _ Road Index 1236� Interactive 14ryi Map I': - Owner Info Owner iBUENO, VALDECIR A'ET AL Co-owner Streetl 2177 SERVICE RD Street2 City W BARNSTABLE I State MA zip 02668 Country F - Land Info _ Acres;0.23 use Single Fam MDL-01 zoning B Nghbd�0104 Topography Level Road rUnpaved !T utilities.Public Water,Gas,Septic 71 Location - Construction Info Building 1 of 1 Year' 1965 ( Roof IGable/Hi ) Ex (`Wood Shin le j� Built - -- _' -__-_ � Struct -- -P ---' Walll I - ---g Effect Roof- Roof -- AC Area `- �l Cover[Asph/F GIs/Cmp I Type No r1 ne II Style,Raised Ranch Int Drywall ooms Wallry4;Bjd�= _--- - - -- - --"`-- Model Residential Int Bath° - _ 2 Full Floor' --__—___ Rooms -- Total Grade Average Heat I Hot Water �'� 8 Rooms -� --— ------ Type —- Rooms http://issgl2/intranet/Propdata/ParceiDetail.aspx?ID=23342 2/20/2008 r Parcel Detail Page 2 of 3 as Stories 1 Story - ;.I Heat Fuel l 'Oil Found ation- Typical �I 24 BMT ,--- - ----- .2.1 �` 26 Permit History Issue Date Purpose Permit# Amount Insp Date Comm 11/12/1998 Out Building 34683 $1,000 6/1/1999 12:00:00 AM Visit History Date Who Purpose 4/25/2002 12:00:00 AM Paul Talbot Meas/Listed 6/1/1999 12:00:00 AM Andrew Machado Meas/Est - Sales History Line Sale Date Owner Book/Page Sale P 1 7/26/2006 BUENO, VALDECIR A ET AL 21217/111 2 5/3/2005 RODRIGUE§BUENO, VALDECIR A& 19787/262 3 11/15/1988 DEFREITAS, GERALDO F &VILMA S 6515/311 4 1/15/1985 CROWDER, DALE E JR TRS 4403/264 5 KARRAM, GLORIA A 2332/174 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $113,300 $22,400 $1,300 $110,200 ; 3 2007 $112,600 $22,400 $1,300 $110,200 4 2006 $101,200 $6,500 $1,300 $103,700 5 2005 $96,300 $6,400 $1,400 $96,000 ; 6 2004 $78,200 $6,400 $1,400 $96,000 7 2003 $70,800 $6,400 $1,400 $30,300 8 2002 $70,800 $6,400 $1,400 $30,300 9 2001 $70,800 $6,400 $1,400 $30,300 10 2000 $53,900 $6,000 $700 $23,000 11 1999 $53,900 $6,000 $0 $23,000 12 1998 $53,900 $6,000 $0 $23,000 13 1997 $55,200 $0 $0 $23,300 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23342 2/20/2008 Parcel Detail Page 3 of 3 r 14 1996 $55,200 $0 $0 $23,300 ` 15 1995 $55,200 $0 $0 $23,300 I 16 1994 $54,600 $0 $0 $34,200 17 1993 $54,600 $0 $0 $34,200 18 1992 $62,200 $0 $0 $38,000 19 1991 $63,100 $0 $0 $54,300 20 1990 $63,100 $0 $0 $54,300 21 1989 $60,800 $0 $0 $54,300 22 1988 $41,100 $0 $0 $17,500 23 1987 $41,100 $0 $0 $17,500 24 1986 $41,100 $0 $0 $17,500 Photos http://issgl2/intranet/propdata/Parce]Detail.aspx?ID=23342 2/20/2008 0 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner 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: Estimated Cost 1 C n Address of Work: � PER t l - Owner's Name: Date of Application: ,y� 167 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E3Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 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. OR Date Owner's Name q:forms:Affidav -T-:-_ The Commonwealth of Massachusetts his Department of Industrial Accidents allies 0Ml Y9599stloffs 600 Washington Street - Boston,Mass. 02111 Workers' Compensation Insurance Affidavit , / //%IIWO'//////N//.�� SERA L� RA Lb a location- l "1 / -t- Pte L,41V �j city yhone I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one worldng in am►capacity ❑ I am an employer providing workers compensation for my employees working on this job. comoanv name: address: A dt%» phone#* insurance cn Dpiicv d ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compcnsation polices: comnanv name ■ddrets- dtr. yhtmeth ::..... insurance cm ------------- eomnanv name address' phone nsurance Co. ..... ^::u:..i'"':<'. M�:t>:":... .. .:.�uri' :`i> ..:.'aif3... �iCV� ......: •:hi•..:e?': :.2.a"�.•..•.wafy %:::• . FaOure to seems coverage as required under Section ZSA of 1IGL 152 can Ind to the imposidow of c immai penalties of a Uee up to SLSOOAO and/or we rears+lmpdsomaau as wen as civa pnuides in the form of a STOP AVORK ORDER and a Gas of SI00.00 a day again me. I u nderstand that s copy of this statematt maybe forwarded to the Otilte of Investigations of the DIA for coverage verlficadoa. I do hereby fy under the pains mud pennUet of pednry that the injormaden provided above is&w.and correct Signature Date p Phone b ofOdal the only do not write in dds area to be compieted by cey or town omdai dty or town• per duftense# l]Buiiding Deptutment �IJcenvng Board I?dteckitlaronediate response is required Oseleconews Omce CB.edW Department contact pet=on: phone#; ❑Other (eew�o 941 PIA! Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide%vrkers' compensation for thei.- employees. As quoted from the "law",an employee is defined as every person in the service of another under any cm=--z 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 sore of we foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec---i=. :*ustee of as individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who oxides therein,or the occupant of the dwelling house of ,..�.a..—0 A..,PI-1-,. .,.,�r�do maintenance , construction or repair work on such dwelling house or an the grounds o: nuts...... .A%#%s....�....;e t,....nna -- building appurtenant therm shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states_tl=every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commomvealth nor any of its political subdivisions shall enter into any contract for the Performance of public work uunil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the c�cziag authority. / ii! E Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your ituildoa and ,supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be -:submitted to the Department of lndustriai 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 'b6q;:cqaes+,.ed, not the Department of Industrial Accidents,. Should you have any question-c regarding the'law"or if rots are required to obtain a workers' compensation policy, please cad the Department,at the munber Usted 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 fin you to fill am in the event the Office of has to contact you regarding the applicant. Please be sure to fM in the perinkniccase number which will be used as a reference number. The affidavits may be remised t^ the Department by marl or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you coopermion and should you have nay questions. please-io not hesitate to give us a calL lop The Deprttmeat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Otflce of Invesduagons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 • The Town of Barnstable Department of Health Safety and Environmental Services Building Division BARNSTAMAS& 367 Main Street,Hyannis MA 02601 nss. . �ArED MA'I ti Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION / Please Print DATE: `/ �� JOB LOCATION: "/ i � &\ number ,Q street village "HOMEOWNER": E p name home phone# work phone# CURRENT MAILING ADDRESS: 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 aii such work performed under he buiidin ,pgjinit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. fJ nature of Homeowner 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. Q:FORM&EXEMPT � i' .` . . .. . . 11 �IWO . t .. /• r • 1 VAb Vt a.. / � I / 1 \ _ _'` ! / / 16 o�, ywb J r � 3 sy s z N (Vth- 1 p J � � � C � 3 ss z Parcel Detail Page 1 of 2 IN ri .flfl Y Logged In As: Parcelg I Friday, lu Parcel Lookup D Parcellnfo ........ .. ......... ___.... ...... Parcel ID 294-036 Developer LOT 26 Lot Location 14 PEPPER LANE Pri Frontage 100 Sec Road Sec Frontage Village HYANNIS Fire DistrictHYANNIS Sewer Acct Road Index;1236 Owner Info W..... _._.... ......__. _.._... __. .. .......�.. ..-__._ .. ............... __.__...._......... �..... _..._ . .._..... _........, __........ .. .....__ .__....._. Owner[RODRIGUES BUENO, VALDECIR A& Co-Owner DEFREITAS, GERALDO F _.... .,_.._... ..........._ .. Streetl 14 PEPPER LANE Street2 __..... . _.. ........... _ .. __.. city;HYANNIS State MA zip 02601 Country Land Info � . Acres 0.23 use Single Fam MID Zoning 'B Nghbd 0104 ......... .......... ... ....P ........ ............ .......... Topography Level Road iUn pave ........ ......... ........ __ ......... Utilities;Public Water,Gas,Septic Location Construction Info ..... ... ......._ . ....... ...... ........................... .......................................... ... ........ .. Building ® ' Year-—- _...._._._ Roof i____.. _ _ Ext _._._ _.._.__... ....___... Built I1965 struct'Gable!Hip wall Mood Shingle Effect Roof' AC f Area �1069 Cov0 Asph/F GIs/Cmp TYPe None _..._. _.......... ...... ,.�...ry� . .- .._. __ Be Style Raised Ranch Int D wall Rooms"4 Bedrooms ; " - wall , 3; �� 13 Int£._...... _i Bath 2 Full i Model Residential Floor Rooms= Grade Average Heat Hot Water Total=8 Rooms „ Type. Rooms Heat Found- _ _.,,.,. . .. Stories 11 Story Fuel=01I ation Typical htt ://iss Uintranet/ ro data/P arcelDetail.as x?ID=23342 7/21/2006 P q P p P Earcel Detail Page 2 of 2 Permit History �.._....... _.. . Issue Date Purpose Permit# Amount Insp Date Comm 11/12/1998 Out Building 34683 $1,000 6/1/1999 12:00:00 AM �.Visit History __. Date Who Purpose 4/25/2002 12:00:00 AM Paul Talbot Meas/Listed 6/1/1999 12:00:00 AM Andrew Machado Meas/Est Sales History ....... . Line Sale Date OwnerBook/Page Sale P 1 5/3/2005 RODRIGUES BUENO, VALDECIR A& 19787/262 2 11/15/1988 DEFREITAS, GERALDO F &VILMA S 6515/311 3 1/15/1985 CROWDER, DALE E JR TRS 4403/264 4 KARRAM, GLORIA A 2332/174 Assessment History ........ Save# Year Building Value XF Value OB Value Land Value Total Parcf 1 2006 $101,200 $6,500 $1,300 $103,700 2 2005 $96,300 $6,400 $1,400 $96,000 3 2004 $78,200 $6,400 $1,400 $96,000 4 2003 $70,800 $6,400 $1,400 $30,300 ; 5 2002 $70,800 $6,400 $1,400 $30,300 ; 6 2001 $70,800 $6,400 $1,400 $30,300 7 2000 $53,900 $6,000 $700 $23,000 8 1999 $53,900 $6,000 $0 $23,000 9 1998 $53,900 $6,000 $0 $23,000 10 1997 $55,200 $0 $0 $23,300 11 1996 $55,200 $0 $0 $23,300 12 1995 $55,200 $0 $0 $23,300 13 1994 $54,600 $0 $0 $34,200 14 1993 $54,600 $0 $0 $34,200 15 1992 $62,200 $0 $0 $38,000 16 1991 $63,100 $0 $0 $54,300 17 1990 $63,100 $0 $0 $54,300 18 1989 $60,800 $0 $0 $54,300 19 1988 $41,100 $0 $0 $17,500 20 1987 $41,100 $0 $0 $17,500 21 1986 $41,100 $0 $0 $17,500 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=23342 7/21/2006 o�tHE r Town of Barnstable Regulatory Services BARNSCABLE, Mass. Thomas F. GeHer, Director �A 1639. rFON1E.�A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 2,2006 Bueno Rodrigues 14 Pepper Lane ---- - - --—Hyannis MA 02601. Re: 14 Pepper Lane EXIT ORDER Dear Mr.Rodrigues: Under the provisions or 780 CMR,the State Building Code,section 3400.5.1,you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. Your cooperation in this matter is appreciated. Sincerely, f'��J Paul Roma Local Inspector �y�e. •�. \.;' itiF'\f�'ti"(' tar •4 ts� � f f '�T' ?•'a. J.y � "yl'�, ;yr f, qr ',•- _ - t �.t �� ,C! C y+ #3si�,:. ��'..�"'��y�`a-'.•may � ,.• , ; 1 ..�1i� r� t55i• 'a r 4a,}� x �r.�' �,�i�• j t .<R r��'��e_�-/�\v� ..�•� It -tali l ' `""r e'�{` `{'tr`.'bra �-fi 4e�•!!!,. -. ( t .•St" v. q � t�.. r � � /.l X -.�y^�1S � e r , � °• y,s tilt..; a a* 1�77 ! - - - � i 4..� x t = - ,/x ° r� uy a �• �x. ' amass► _ t,� • ) W 4r Aff�mm 3�r � of „yy �rL! s S s✓ y TOWN OF BARNSTA'BLE BUILDING PERMIT APPLICATION Map 1�`� Parcel �� «;, a Permit# C5 f Health Division' A Date Issued �� '/ �' , O Conservation.Division Fee ypc , 0o0,1QaQt, , ,, Tax Collector �� . STEM MUST IN ll } reasurer- � W iT COMPLIANCE 1 IUCLLV) ON MENTAL TITL PE 5 R MENTAL ' Dept• OWN CODE AND' DMr efi'ni-ive Plan Approved by Planning Board RE AND' Histora�6+FH Preservation/Hyannis ; Project Street Address _l 126pf,�—� )yt ,Village H"&Vl Owner L b o (. r S Address Telephone _07 If �3 f Permit Request - I - t Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain . Groundwater Overlay Construction Type ' Lot Size Grandfathered: Cl Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ ; Multi-Family(#units)- Age of Existing Structure Historic House: ❑Yes O No ..On Old King's Highway: ❑Yes ❑ No Basement Type: O Full ' O Crawl ❑WalkoutOther Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: full: existing new Half:existing new Number of Bedrooms: existirg new, Total Room Count(not including baths): existing new First Floor Room Count Heat Type and,Fuel: ❑Gas ❑Oil ❑Electric Other .Central Air: ❑Yes Cl No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size. Barn:O existing ❑new size Attached garage:❑existing ❑new'size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 ' Commercial ❑,Yes ;�No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name- Telephone Telephone Number Address License# Home Improvement Contractor# r _ u Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO en SIGNATURE DATE w ' r FOR OFFICIAL USE ONLYi < - PERMIT NO. + 3t- DATE ISSUED_ 3 "_ - ,:. le I MAP/PARCEL NO. ► , +{� .r y - ADDRESS - a"_. VILLAGE` + c OWNER t , t DATE OF INSPECTION: �` ► ' , . . . FOUNDATION FRAME INSULATION FIREPLACE - - • '« fie• •v _ k + . f ` .... ELECTRICAL: ROUGH ;r FINAL " } •' PLUMBING: ROUGH -- _ FINAL. GAS: ROUGEh �- !�- FINAL FINAL BUILDING _ tt4 0 DATE CLOSED_ OUT_ s•• r, c ' ASSOCIATION,PLAN-NO. r < coo ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A F AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. a BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS.: e1. 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, t FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. 1, 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). r 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 a 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 = & PV.1 COVER SHEET 3R NEMA 3R, RAINTIGHT '.: 'k PV2 SITE PLAN PV3 STRUCTURAL VIEWS ". A PV4 THREE LINE DIAGRAM LICENSE GENERAL NOTES •i- • y Cutsheets Attached GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION 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: ZEP SOLAR AHJ: Barnstable - REV BY DATE COMMENTS �• REV A NAME DATE COMMENTS UTILITY: NSTAR Electric Commonwealth Electric PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: J B-02 6 219 3 00 \\, ■ CONTAINED SHALL NOT BE USED FOR THE �. s BENEFIT OF ANYONE EXCEPT SOLARCITY INC.. MOUNTING SYSTEM: HERCULES, GLADYS HERCULES RESIDENCE Chen Yang `SolarCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 14 PEPPER LN 6.24 KW PV ARRAY 'O. PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: � 1MK OWNER:ORGANIZATION, EXCEPT IN CONNECTION WITH HYANNIS, MA 02601 R 24 St. Martin Drim Building 2.Unit 11 THE SALE AND USE OF THE RESPECTIVE (24) TRINA SOLAR # TSM-260PDO5.18 y�ry 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: - PAGE NAME: SHEET REV DATE T. (650)638-1028 MA(650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE SE6000A—USOOOSNR2 (774) 810-9070 COVER SHEET PV 1 11/4/2015 (BBB)—SOL-CITY(765-2469) wwwsAa.aity-c«n PITCH: 20 ARRAY PITCH:20 MPi AZIMUTH: 192 ARRAY AZIMUTH: 192 MATERIAL: Comp Shingle STORY: 1 Story STAMPED & SIGNED FOR STRUCTURAL ONLY . JAS014 W1L 1AM Z TOMAN ` STRUCTURAL v No.61554 D i ,� QJSTT 'SS'bINAL Dig y Jason Toman Date:2015.11.05 00:31:04-0700' AC © LEGEND Inv Q (E) UTILITY METER & WARNING LABEL m� INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS DC DISCONNECT & WARNING LABELS AC AC DISCONNECT & WARNING LABELS MP1 ° 0 DC JUNCTION/COMBINER BOX & LABELS' Q DISTRIBUTION PANEL & LABELS /4 Lc LOAD CENTER & WARNING LABELS Front Of House O DEDICATED PV SYSTEM METER Q STANDOFF LOCATIONS - CONDUIT RUN ON EXTERIOR cO CONDUIT RUN ON INTERIOR - (E)DRIVEWAY -0 -o GATE/FENCE `�D Q HEAT PRODUCING VENTS ARE RED r r--I INTERIOR EQUIPMENT IS DASHED L_J SITE PLAN N Scale: 1/8" = 1' E W 0 1'- 8' 16, 5 J B-0 2 6 219 3 O O PREMISE OWNER: DESCRIPTION: DESIGN: O \�, , CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: fps SolarCity CONTAINED SHALL NOT USED FOR THE HERCULES, GLADYS HERCULES RESIDENCE Chen Yang BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��_ NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 14 PEPPER LN 6.24 KW PV ARRAY r PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES HYANNIS MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (24) TRINA SOLAR # TSM-260P605.18 PACE NAME SHIFT: REv DALE Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER T: (650)638-1028 F: (650)638-1029 PER OF SOLARCITY INC. SOLAREDGE SE6000A-US000SNR2 (774) 810-9070 SITE PLAN PV 2 11/4/2015 (6BB)-SOL-CITY(765-2489) www.solarcitycom. 4` _. PV MODULE t 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER DE R WASHERS E LOCATE RAFTER, MARK HOLE S 1 ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. SEAL 'PILOT HOLE WITH (4) (2) POLYURETHANE SEALANT. 4" ZEP COMP MOUNT C —10" 11 -6 ZEP FLASHING C (3) 7 (3) INSERT FLASHING. (E) LB.W (E) COMP. SHINGLE - (1) (4) PLACE. MOUNT. SIDE VIEW OF MP1 NTs ' (E) ROOF DECKING (2) (5) INSTALL LAG BOLT WITH „ A 5/16 DIA STAINLESS (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES WITH SEALING WASHER (6) BOLT '& WASHERS. (2-1/2" EMBED, MIN) LANDSCAPE 64" 2411 STAGGERED (E) RAFTER PORTRAIT 48 19" �/2 RAFTER 2X6 @ 16° OC ROOF AZI192 PITCH 20 STORIES: 1 Scale: " = V ARRAY AZI 192 PITCH 20 C.J. 2x6 @16" OC Comp Shingle { STAMPED & SIGNED FOR STRUCTURAL ONLY JASON WIL IAM TOIN. . TRUQTURAIcn �Ja 51554 NA - y Jason Toman Date:2015.11.05 00:30:56-07'00' I' - I CON - THE INFORMATION HEREIN JOB NUMBER: J B—0 2 6 219 3 00 PREMISE OWNER: a DESCRIPTION: DESIGN: SolarCit CONTTAINEDAINED AL Chen Yang SHALL NOT BE USED FOR THE HERCULES, GLADYS HERCULES RESIDENCE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: lk - NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 14 PEPPER LN 6.24 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES H YAN N I S, MA 02601 THE SALE AND USE OF THE RESPECTIVE (24) TRINA SOLAR # TSM-260PDO5.18 SHEET. REV DATE 24 St. Martin Drive, MA01g 2 Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME Marlborough.7: 010) PERMISSION OF SOLARCITY TY INC. RIB ' 7: (650)638-1028 F: (650)638-1029 SOLAREDGE sE600oA—us000sNR2 (774) 810-9070 STRUCTURAL VIEWS PV 3 11/4/2015 (888)-SOL-CITY -248s) www.sdar�liY�, GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND N 8 GEC TO TWO N GROUND Panel Number:TM201OCCU Inv 1: DC Ungrounded GEN #168572 4k ( ) # ( ) INV 1 -(1)SOLAREDGE ��E6000A-USOOOSNR� LABEL: A -(24)TRINA SOLAR ## TSM-260PD05.18 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:44006096 Tie-In: Load Side Connection Inverter; 6000W, 240V, 97.5�a w Unifed Disco and ZB,RGM,AFCI PV Module; 26OW, 236.9W PTC, 40MM, Black Frame, H4, ZEP, 1000V ELEC 1136 MR d Overhead Service Entrance INV 2 Voc: 38,2 Vpmax: 30.6 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER ` �E 100A MAIN SERVICE PANEL E� 10OA/2P MAIN CIRCUIT BREAKER CUTLER-HAMMER Inverter 1 (E) WIRING - Disconnect 1 (E)100A 2 (E)100A/2P 4 3 SOLAREDGE DC- A 35A SE6000A-USOOOSNR2 Dc- MP 1: 1x12 iaov F--------------- ----------- EGC------ ------------� B - L2. DC+ 1[---tj _ N DG 1 - 2 _ (E) LOADS GND _ _EGG ___ DC+ + ------------------------------------ GEC �N DC- C MP 1: 1x12 I r---J - - GND __ EGC--- ------ 1 1 N I (1)Conduit Kit; 3/4'EMT I o EGGGEC _ I I GEC-r-1 TO 120/240V i T SINGLE PHASE UTILITY SERVICE 1 1 1 l 1 1 I 1 , I 1 I 1 , PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN " X VoC* = MAX VOC AT MIN TEMP POI ( )Gra qd Ra0 A 1)CUTLER-HAMMER DG222NR8 PV �4)SOLAREDGE O#P 2NA4AZS 2 Sr8 x 8, per ( Disconnect; 60A,#24OVoc, Fusible, NEMA 3R AC PowerBox ptimizer, 30OW, H4, DC to DC, ZEP DC -(2)ILSCO yy'IPC 4�0-#6 -(1)CUTLER- AMMER N DG100NB 1 A"' Solid Bare Copper Insulation Piercing Connector; Main 4/0-4. Tap 6-14 GroundTAM-tral it; 60-100A, General Duty(DG) nd ( ) DP LSC LOAD SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE -(1)CClass RHAMMER. DS16FK -(1)Ground Rod; 5/8" x 8', Copper Class R Fuse Kit AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. (2)FERRAZ SHAWMUT#TR35R PV BACKFEED OCP Fuse; 35A 25OV, Class RKs (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION N0. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE � 1 AWG 16, THWN-2, Black ((�T('' 1 AWG#8, THWN-2, Black (2)AWG 0, PV Ore, 60OV, Black Voc* =500 VDC Isc =15 ADC / ®IUI-(1)AWG#6, THWN-2,Red O I4N(1)AWG#8, THWN-2,Red O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=8.8 ADC (1)AWG#6; THWN-2, White NEUTRAL Vmp =240 VAC Imp=25 AAC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=25 AAC (1)Conduit Kit;.3/4',EMT, , , , , , , , , , , ,, , . . . . . ..-(1)AWG#6,.Solid Bare,Copper. GEC. . . .-(1)Conduit_Kit.3/4 .EMT. . . . . . . . . . . . . . . . .-(1)AWG#8,_TH.WN-2,,Green . . EGC/GEC.-(1)Conduit.Kit;.3/47.EMT. . . . . : . , , . (2)AWG#10, PV Wire, 60OV, Black Voc* =500 VDC Isc =15 ADC O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=8.8 ADC (1)Conduit Kit;.3/4*.EMT J B-0 2 6 219 3 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: CONTAINED SHALL NOT BE USED FOR THE HERCULES, GLADYS HERCULES RESIDENCE Chen Yang '��SolarCity BENEFIT OF ANYONE.EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 14 PEPPER LN 6.24 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES HYANNIS MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (24) TRINA SOLAR # TSM-260PDO5.18 SHEET: RE. DAIS Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME 1 (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER: 774 810-9070 PV 4 11 4 2015 (888)-SOL-CITY(765-2489) www.solarcitycorn F SOLAREDGE SE6000A-USOOOSNR2 � ) THREE LINE DIAGRAM / / NIARNING:PHOTOVOLTAIC POWER�SOURGE R+N I N G �• 11/Vr��FZ,1�1 III�1,G '_ ELECTRIC SHOCK HAZARD •1 ELEGTRICSHOCKHAZARD' ,1 ••1 DO NO TOUCH TERMINALTS THE DC CONDUCTORS;OF,T .•- • • TERMINALS TH1111121INE AND PHOTOV`OTAIC SYSTEMVARE • : LOAD SIDES MAY BE ENERGIZED UNGROUNDED AND PI—I®T®�I®LTI�I�i ®�i IN THE OPEN POSITION MAY BE ENERGIZED • ®ISC®NNECT •'" .•1 PHOTOVOLTAIC POINT OF MAXIMUM POWER • • I • TERCONNECTION ,_ ••_ A c WARNING ELECTRIC SHOCK POINT`CURRENT(Imp) s -- ••1 .•1 ••_ HAZARD DO�NOTTO _CH" MAXIMUM POWER-_ v .•1 *TERMINALSTERMINALS ON ., POINTVOLiTAGE(.Vmp) rr 3 it l6 BOTHTHEf�LINE AND LOADSIDE MAXIM 4M�SY,STEM V MAY BE�ENERGIZED IN T EOPEN VOCTAGE$(Voc)_ ,POSIT'ION$ QR SERVIeCE SHORT=CIRGUITj ,DETENERGIZE(BOTH SO URCE CURRENT(Isc)�s4 AN DMAIN BREAKER: , �„�;� , .PV=,POWER9SOURCE MAXIMUMIAC OPERATING CURRENT MAXIMUMrAC .•- • • OPERATIKG '5C,5AGElow V ELECTIC,SOCHAZARD H IF A GRO>RIG ULT IS INDICATED 1 NORMALLGROUNDED .•- • • .f... CONDUCTORS MAY BE � �.. •_ �, -� � • .• UNGRbUNDEDDAND ENERGIZED CAUTION � DUAL�P,OWER�SOUR`CE� ••- r. SECOND"SOURCE;ISA •.1 �, , OTOVOL•TAIC SYSTEM 1 .•- • • f ELECTRICAL SHOGKIHAZARD ADO NOTaTOUCH4TERMINALS ••1 C¢l UTI®N ' • TERMINALS�ON�BOTH LIN AND � , t + ••- LOAD'SIDES MAY BEdENERGIZED r PHOTOVUL,IAIubYSTEM qgN THE OPEN POSITION ` �CIRGUIT S BACKFED ' „- ••1 • ALWAYS PRESENT WHyEN � �� ,,�''SOLAR'fvIODULES ARE�'�f ? ,��'EXPOSED�TO SUNL�'IGHT �x M "' ,WMARN1ING '• _ INVERTE �iou I HUT �b: •• -•- • - • � CONNECTION ' 1 ' PH®T®U®LTAIC AC �• �°` ,DO�NO1Tj�RELCATE � � � " THIS"OVERCURREN :, ®ISC®NNECT •'" oEviGE - • OPERATING GURRENT�'� A= ••- _ _ MAXIMUM AC . , OPERATINGiVOLTAGE V' ' 1 �• �• • • . :� . • • San Mateo,CA 94402 • • Label .• a S y'$olarGty I Zep Next-Level PV Mounting Technology ^SO�afClty ZepSOlar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs Qp-roof . Grvmd UP Ltterloek (Kq situ th-4 zep cmWakue w ebawe ^� zcrn Grove _,.,•ri ttAdt Aacbmmt Array!a,irt ti Description FA /e� PV mounting solution for composition shingle roofs Q ceMPP"% Works with all Zap Compatible Modules Auto bonding UL-listed hardware creates structual and.electrical bond Zep System has a UL 1703 Class"A"Fire Rating when installed using V modules from any manufacturer certified as"Type 1"or"Type 2" Comp Mount Interlock Leveling Foot ®� LISTED Part No.850-1382 Part No.850-1388 Part No.850-1397 Listed to UL 2582 Sr Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 Designed for pitched roofs Ah -n' Installs in portrait and landscape orientations Zap 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 qh • Zep System 9 roundin products are UL listed to UL 2703 and ETL listed to UL 467 9 • 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 zepsolac.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.Zep 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. 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 1 of 2 02 27 15 ZS for Comp Shingle Cutsheet Rev 04.pdf Page: 2 of 2 - solar=qq9 P a Power 0=oo SolarEd timizer solarN Module Add On for North America P300/ P350 / P400 SolarEdge Power Optimizer = P300 P350 P400 Module Add-On For North America " arm:`: ) (for 60-cellW (for 72•aeII PV (for 96-cell PV d - modules) modules) modules) - P300 / P350 / P400 n ( R ed Input DC Power 300 350 400 W - Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc ........ ...... .. ......... ... ...... ... .... ..... ..... .... .. ... .... ........ -4 8 60 ..8-80.. ...Vdc kF:._ ' :: MPPT Operating Range ............ ......$...8.................... .... .................................. ....... Maximum Short Circuit Current Isc 30Adc ( 1 `, �yR,• �,r© fir`+-, - ... ................................................. Maximum DC Input Current........................................ ............................ 12.5-.. .......................... ...... .... Efficiency...... ...99.5.. .... r e. 3 .............. ' Efficient .....Wei hted 98.8 %s:� f Overvoltage Category II sa-q•:, _ "�;-` '.- 4OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) Maximum Output Current 15 Adc a ........................................................................................ Maximum Output Voltage 60 __ Vdc 1 OUTPUT DURING STANDBY(POWER.OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) f Safety Output Voltage per Power Optimizer 1 Vdc 3STANDARD COMPLIANCE EMC ............................... .....FCC PartlS Class B:lEC61000-621EC61000.63.......... Safety.................................. ... ... ... ... .......IEC621091(lass II safety)UL1741............... ... ... . RoHS .. ...... Yes.... ... )INSTALLATION SPECIFICATIONS.: - 1 1000 Vdc' � ....�+ •• � em Voltage DimensionslW zLx H). ........... .................... ........ .....141x 212 x 40.5/5.55 x834x1.59............ ............. mm/in.. - _,: ......................... nZ � '" .S ;;; Weight lincludm�cables) .. ..............950/2.1.... ... .. gr./Ib.... a" tst' �� r .... MC4/Amphenol/Tyco ......... .. .......... ,> -, ' 'r -,r: Output Wire Type/Connector Double Insulated;Amphenol.. . Output Wire Length 0:95/30........L......................1.2./.39...................... ..m/ft .............. ............... -40-+85/-40 +185 •C/•F • ( :..... +'•, w„. ........ ............................_...................... ................................... ..................................... ........... - , ) 0 - Protection Radng IP65/NEMA4 - ................................................... .. . -»'• a dY.:,.., a ;. Relative Humidity..................................... 0 100........................... .%...... .................................................... ...... ............................................ Reed stt pwor.rm.m.e.i.M.dum m.p rosx a° {(PV SYSTEM DESIGN USING A SOLAREDGE THREE.PHASE THREE PHASE r - IINVERTER SINGLE PHASE 208V 480V PV power OPLIRIIZaLIOrI 8t the IflOdU)E-)eVEt� Minimum String Length(Power Optimizers) 8 10 18 . ....................................................... Maximum String Length(Power Optimrzers) 25 25 50 Upto 25%more.energy - ............................................................................................................................................................................. R Maximum Power per String 5250 6000 12750 W - Superior efficiency(99.5%) .................g.................... .................................... ............ ............ ........... Parallel Strings of Different Lengths or Orientations Yes . Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading r •"'••...•"'••""""""""""""""""""'."""""""""""""""""""""""'""""""..... """""""""""""""""""""""""' - Flexible system design for maximum space utilization - - - fast installation with a single bolt s:..:...: _:,+a,: ,$!,_,• #,.'nax ».mow s ",r -"Next generation maintenance with module-level monitoring- ; r: f *• }' �' „q. ;Fy . Module-level voltage shutdown for installer and firefighter safety g_. • a 4 u USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us A THE 'Teinumount MODULE TSM-PD05.18 Mono Multi Solutions - DIMENSIONS Of PV"MODULE - i ELECTRICAL DATA C STC - unit:mm' I - f Peak Power Watts-P.nx(Wp) ( 245 250. 255 I �260941 '. Power Output Tolerant Pmnz(%) 0 +3 . mecnora m ! - V } 29 9 30.3 30.5 30.6 ..Maximum Power Voltage ( ) 1 - I_ ! eoz Maximum Power Current ImrP(A) 1 8 20 - 8 27. 8.37 8:50 - r 1 ..... THE 'HRE. Mount N"EP- Open Circuit Voltage-Voc IV) 1 37.8 38.0 .38.1 38.2 4 o c , _I 1 a Short Circuit Current-Isc(A) - 8.75 i 8 79 8;88 9 00 ixsrnuwc HOIE Module Efficiency rim 15 15,6 15 9 MODULE ST 0W .��_ E � V STC:Irradiance 1000 W/m',Cell Temperature 25°C,Air Mass AM1.6 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m'according to EN 60904 1. - � ELECTRICAL DATA CPt NOCT t 6® � �nIIIMdximum Power-Pmnx(;Pi 82�1 186 19,0 193 �S - 1 !Maximum Power Voltage-VmP(V) 27.6 i' 28.0 T 28.1 28.3 se a.n cxoueo uc xorE ( k Maximum Power Current-l-(A) 6.59 ! 6.656 6.74 6.84 MULTICRYSTALLINE.MODULE _ 1 - I • o - - Open Circuit Voltage(VI Voc(V) „'35.1 35.2 , 35.3 35.4 WITH TRINAMOUNT FRAME nEnine EE. s -- •. -t �"^- -` - A Short Circuit.Current(A)-.Isc(A 707 '7.10 ' 7.17 ^' 727 - - • A' �. .,. r NOCT.Irradiance at 800 /m':Ambient Temperature 20°C,Wind Speed I m/s. 24.5260W� PD05.18 .. eactvew 812 80 POWER OUTPUT RANGE MECHANICAL DATA Solar cells ..~ t.Multicrystalline 156 x 156 Trim(6 inches) Fast and simple to install through drop in mounting solution Cell orientation 60 cells(6.10) _ _ - 19 Q A. `�...�,�✓ _ .. s Weight .. 4L3 kg(47.0 Ibs)m 9 05 1 c _ 9N �'}%'� t ( u dimensions � m(64-95 x 3. x .57 inches) MAXIMUM.EFFICIENCY {{Glass 3.2 mm(0.13 inches),High Transmission;AR Coated Tempered,Glass A-A rBacksheet White �- Good aesthetics for residential applications - - 1t4Frame Black Anodized Aluminium Alloy with Trinamount Groove . Q%'� :- f 1 J-Box IP 65 or IP 67 rated ® / I I-V CURVES PV MODULE(245W) d 77I �' / �-_. Photovoltaic Technology cable 4.0 mm'10.006 inches'), ' � .I Cables 1200 Trim(47.2 inches) POWER OUTPUT GUARANTEE v.m FlreRating Typez Highly reliable due to stringent quality control ' <-bm m I • Over 30 in-house tests(UV,TIC,HF,and many more) 5.m As a leadinglobar manufacturer' a.� I TEMPERATURE RATINGS MAXIMUM RATINGS.9 06- • In-house testing goes well beyond certification requirements of next generation photovoltaic 3 sm (2°, zoow/m° t Nominal Operating Cell -, ' -C y Operational Temperature Iy40-+85"C products,webelieve'close +Temperature(NOCT) 44°c(±z°q ! _ cooperation with our partners w Maximum system 10o0V ocpEC) o.m Temperature Coefficient of Pmnx -0.41%/°C Voltage 1000V DC(UL) is critical to success. With local o.� o.m ,. zo.m aom 40m @@A@@A _ tfltfltf!} - - presence around the globe Trina 15 - - voltage(v) I i Temperature Coefficient of Voc }` 0.32%/°C .o Max Series Fuse Rating 1SAy - able to provide exceptional service s- r Certified to withstand challen in environmental remperatDreCaeffiaientafisa o.os%/°c to each customer in each market � g� g and supplement our innovative, . Conditions reliabledts with the backing ac 9 � � 2400 Pa wind load of Trina as a strong,bankable - I. WARRANTY partner. We are co mmitted • 5400 Pa snow load I r 10 year Product Workmanship Warranty to building strategic,mutually, ) beneficial collaboration with ' 25 e Yar Linear Power Warranty ; installers,developers,distributors. • . - _ ,- '( (Please refer to product warranty for details) <� and other partners as the ' backbone of our Shared success in CERTIFICATION o n drivingSmartfnergyTogether. , LINEAR PERFORMANCEVARRANTY lU Year Prod UCtWaffanty•Z$Year,Linear POW@TWafTOntyj - .cLp� cvPus Modules per LIFTE Zi .,.. Trino Solar Limited .. .. .. CONFIGURATION' _ . Modules per 40'container:728 pieces 3' www.trinasolar.com, dl00% � Additio L i hal volue fro EOMPwANr I " m ({ 9o% Trlga Solar s'ihepr w O ! _o orlon CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. toMPATT { _ S4 a - 02014 T ina Solar Limited.All rights reserved.Specifications d in this d eet are subject to Qr= �} rr� (� sty' r�Oi�I�IL' r d: rese ifica'onsinclude � stash'71ru �JOI�..tt - g o 8o% 'PY on-asola change without notice.Smart Energy Together Years20 2sSmart Energy Together Trina standard *e� Indust�y standard C - Mono Multi Solutions s THE TPin2lF1'14OU1'lt MODULE TSM-PD05.18 µ4 DIMENSIONS OF FV MODULE i ELECTRICAL DATA @ STC ,. unit:mm �........._ ..,_� _ • ..•I __ 2- . Peak Power Watts Prow wp) ,t :250 55 !' 260 � 265 , - ... a _ 941 Power Output Tolerance-PMnz(%). 0-+3 . f, .: � � Maximum Voltage VMP(VJ 30.3 30.5� t 30.6 �.30.8 . - - JUNCTION c. - .«. ,b,.' ., .. .. .. _ - O _ _ eo _ Maximum Power Current-Imrr(A) " 8.27 8.37 8.50 8.61 - ro Mou nt aMEruTE N /._ ) - o .Open Circuit Voitagee Voc IV) _'� 38.0 „38 1 -$ .V 38.2 { 38.3 - ..N - Short Circuit Curreni-Isc(A) 8.79 8.88 9.00 9.70 v Noce !. �,.^ c i_, - _ - !/� /`�, 2 ,i _ t ,Module EfFlciency qm'(%}� 15.3 4n I A 15 6 15.9 162 i ��q®®� �'r STP.,red!once 1000 W/w,Cell Temperature 25 C,Air Mass AM1.5 according to EN 60904-3. n UI E Typical efficiency reduction of 4.5%at 200 w/m2 according to EN 60904-1. t. ELECTRICAL DATA @ NOCT - - . _ .. :. xmum P Pmn}(Wp) a. J 90 t} 193 797 ximumPower Voltage V (VJ 280 281 283 28460 CELL Ma ' - MULTICRYSTALLINEMODUIE Maximum Power Curreni-IMPP(A) 6.65 6.74 6.84 6.93 60 LANDING HOl£ - .. r A ^A I Open Circuit Voltage(V)-Voc(VI 35.2 35.3„ j{ 35.4 I 35.5 PD05.18 Ii DAMN E WITH TRINAMOUNT FRAME t f Short Circuit Current(A)-Isc(A) 7.10 zv 1: zv T 7.35 NOCT:Irradiance at 800 W/m',Ambient Temperature 20 C,Wind Speed 1 m/s. zoo-a65 _ 812 ,BD eackview MECHANICAL DATA POWER OUTPUT RANGE l sdlar cells MulTicrystalline 156 x 156 mm(6 inches) w F ..F Cell orientation 60 cells(6 x 10) Fast and simple to install through drop in mounting solution ! Module dimensions :1650x 992 .40 JUJU(6495 x 39.05 x 1.57 inches) �I'lf //� AAA C(9) _ a. i Weight 19.bkg(43.121bs) Y C� - - I i Glass 3.2 Trim(0.13 inches),High Transmission,AR Coated Tempered Glass MAXIMUM EFFICIENCY t. l i t. White AA I.. .. . Frame -- �.BlackAnodizedAluminiumAlloy Backshee 1 Good aesthetics for residential applications -Box IP 65 or IF 67 rated r O / Cables Photovoltaic Technology cable 4.0mm'(0.006 inches');. 0 AI/+3% -`.�� /// I . 1200 mm(472 inches).-. a I I•V CURVES OF PV MODULE(260W) I Connector r.H4 Amphenot o POSITIVE POWER TOLERANCE to.on .. s.o0. toww o I Fire Type 7UL 1703 Type 2 for Solar City j Highly reliable due to stringent quality control Over 30 in-house tests(UV,TIC,HE and many more) As a leading global manufacturer i'° I • In-house testing goes well beyond certification requirements 1. ? G'00 sDDw m° - TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic, • PID resistant �e4�._ aLL� _.r produClS,We believe close u, a.00 f a Nominal Operating Cell 44°C(+2°C) " OperaTionaLTemperature{-40-+g5°C Temperature(NOCT) ld ` cooperation with our partners r - - - 3.00 - - -� • - • Maximum System t000V DC(IEC) ,( zoo I TempergTure Coefficient of PMAx -0.41%/°C Voltage - 1000V DC(UL) - is critical to success.'With local tt} tt€ - presence around the globe,Trina i5 - _ - 'F. '0°_ N Temperature Coefficient of Voc 1-0`32%/°C Max Series fuse Rating_ - able.to provide exceptional Service ,� - - ) 000.otb zo 30 a0 w q Temperature Coefficient of Isc 0.051/°C ~# to each au5tonter in eaah market `' Certified to withstand challenging environmental ! A and supplement our innovative, conditions �°�•m. -reliable products.with the backing 2400 Pa wind load f of Gina as a strong,bankable WARRANTY 5400 Pa snow load partner. We are committed ¢ _ 10 year Product workmanship warranty- - - to building strategic,mutually 999 CERTIFICATION beneficial collaboration with 00. i 25 yecir Linear Power Warranty - _ installers,developers,distributors. . . - - C 4L us .OSP - � (Please refer to product warranty for details) - < .l� osa and other partners as the Energy PER' a„m t . backbone of our shared success in . t drivingSmartEner yTogether. FORMANCE,WARRANTY �' ED28.EE PACKAGING CONFIGURATION .`o ._ l COMPLIANT1. k Modules per box:. .pieces - w 10 Year Product Warranty•25 Year Linear Power warranty,'. , 26 Trina Solar Limited www.trinasolaccom - _ - _ dl Ve ,. " Modules per 40'container:728 pieces 3 Ad ho f n01 Vat S Bahl rflfiQ SOfp 0 90%. f'S 1]nedf WaffO I iY tl CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT pOMPATj .. , .. o - ®2015 Trina Solar Limited.All rights reserved.Specifications included in this datasheet are subject toOFO 80% - change without notice. - - il�o��solar �� 4Pu��solarSmart Energy Together 1pSmart Energy Togethere Years -5 10 15 20 25 OMPP.. - ,L.o.�:..,..�-.,..�.., Tr❑Trmastandard 6rtJusiry standard :' '' - { P � r Single Phase Inverters for North America solar=oo sOIar � � � SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US SE760OA-US/SE10000A-US/SE1140WILIS r ^... .`. _ ` _•::'.. ' 'SE3000A-US.I SE3800A-US- "'SES000A-US SE6006A-US I SE766OA-US I SE10000A-.US_ +SE1140OA-US 3`OUTPUTF":t ,r_r° :.,.::'',.�.,:>;ar...ut.a x,,. "'":! ,s' 1u.'..��e:oa';';`1:,. w5: "`.,':;!a.:.a�,.sa.>x...m.,,.,e w,...i•.` kur .t..s^.� "'...""rs,', ...: .:`fr:�.a r 'r',c•o-.1'-:;,:r . . SO'a r E d g e Single Phase Inverters Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA - ,,,, .......................................:. 10000.(P240V 5400 @ 208V 10800 @ 208V For North r America E m Q r I n Max.AC Power Output 3300 4150 5450-(a1240V.• 6000 8350 10950.�240y 12000 VA 1 Iv 1 H 1 L'e 1 y :u, «: •� �a .....:................................ ... .. .. ...... "> � AC Output Voltage Min.-Nom:Max.i'I - - - SE3000A-US/SE380OA-US/.SE5000A-US/SE6000A-US/ 183-208-229 Vac ........ .: i � -- � AC Output Voltage Min:Nom.Max.i'I � � � •....... � �- � SE760OA-US/SE10000A-US/SE11400A-,US 211-24o-z6avac ... ... .... ..... . . AC Frequency Min:Nom:Max.l'I.--. ..---- .----.---.- 59.3-60-60.5(with HI country setting 57-60-60.5) ••• ••••••• •Ht u r. :+ u ,,••'' '. �., •. "•: � .`r'*+ � ............ .. .. ... ...48 @ 208V... ... '! Max.Continuous Output Current...... .....12,5•••.••I..•• 16•:•••.•I. 21•�a7,240V•„I,;,,,•25......I- ----3?..........42. . --,L-.-. 475 A �•, e<: ,. ,.. ' ..;r .. .,..,- `s; ,"�; _ -GFDI Threshold......... 1 ....... ........... @ 240 Utility Monitoring,Islanding Protection Country Configurable Thresholds Yes Yes .w .. 2",. .' ., :.-,..,.roa, .n ,w.a4 ..w... ds ,#ay ? o:. 5 ; to•c "n k rY.: a'I<5t^,•'I'� kxa SINPUT ad., „�.. J.w.�:i"a � sk+f �� ,. � "�,. ,s ,, .,�,»v ^„ " "'�. ,>h1 _'R�-./�o r",a s b i i(,• ; » •` r , - Maximum DC Power...... 4050 5100 6750 8100 10250 13500 15350 W - )�. � .f Gi`trR ��.� ,•4, <k, �`'.1'. ,:,. �. � • saw„ ... ...... ........ ... ..... .... ... ......... ..... ........ - ,r� Transformer-less,Ungrounded Yes 2 n=. ....................................... ..... ....... ....... ..................... .............................. .................. .. ...,.'...,�w,...,«,..":"."'.'"'+r"W'+,'.^Yi� 12 ��ht ,` ".`. ".. LL - '`•' Max.Input Voltage ...500.. ..Vdc ................. ...... ................................ ... ........'........................ ... ' tttY m a c Wad ,, ............ ....... .............. .„ ' " µ x=T Nom.DC Input Voltage 325 @ 208V/350 @ 240V' Vdc �'i � rF�N� m„ .... Izt ...16 5-@ 208V. ...33 @ 208V r x 1ze4��'• sl,p`"' t3c `.+',.. Max.Input Current 9.5 13 18 23 I 345 AAddc 15.5 . 305 240V .. -� :................................ ......... .... ... .. Max.InputShortCircuitCurrent 45 c .... - _ ` xzrt "1. .�,. • -: .., s ..se-Polarity Protection ............................................................ ......... Yes 'Rever Ground-Fault Isolation Detection---. -• •• --' .• •• ...... -- -98.3.. ..98� .98. •••98 ........... . •• ........................................... ...... ... ........... .97.5 @ 208V. ............. ... ...97 @ 208V.:. ... ....... ......... CEC Weighted Efficiency 97 5 98 97.5 97.5 @ -97.5.. 98 240V 97.5 240V ......................................:.... :..:.... ..'. ...............L...8 Q.,.......L............... .............. @.. ........ ... ...- _ Nighttime Power Consumption <25 <y... ... . �.r-�as.#. ,.. .: ,, :.rFriW:-a.� .x ...,.�.a a,rr, �r. ,.:z... ....m...�v.. ,S fir. 5. Y s. ....m.. Y E7.Y..at an# W^..;i-:a '^N •., [w,. ... .. t .,.,.. ,.,«. .,.:-. _ ..-„s.'. ," III w:v,.„.,.: �&.._f .4a-n..,. � .^^>br,a-�.::'+ 3c alms �-.„9.t. `�".0��.� L#ADDITIONAL FEATURES " w .,,� • w,.,.a pa -.ate-b,.. .,y�. $ y� ,m s .�.,: 'A ME - :,., _. _e 3„ a,• »,. a 1 >., Supported Communication Interfaces RS485 RS232,Ethernet,ZlgBee(optional) 3 .. ..... ... ...................... .................... ..... ................ ......... -. c,;' • .e- n, s x ,w' ' ' Revenue Grade Data,ANSI C12.1 Optional' Rapid Shutdown-NEC 2014 690.12 - Functionality enabled when SolarEdge rapid shutdown kit is installed(4). - - _x .�^.�.,. .... ,<r.,.. ;: �.,..,;40.,r..,Y"4 'ti ii x . m ;r r W . u'.h T •;g"':§ ti _ fi .k., i STANDARDCOMPLIANCE I -ai .717 "_s . ..,.A�i.,k ... UL1741,UL1699B,UL1998:CSA 22.2 - - c - Grid Connection Standards.:........ ...................................... ... IEEE1547 ............................. .........:.... .. .. - »... -`,,;,.`" ...«w• .a..- ,.1 .. `- 4 LY., ..Emissions.. .. ........... FCC part15 class•B - .. I r w - '.r.. "_ 'IINSTALLATIONSPECIFICATIONS ..a:,,.`� ;.1tt",s°i. ">x�`»SG?"."•I#m""'�v5a£,assTtiagfi?.' u r,.. .1:sa':...uIC" ssw�'.,,.s, ":',,rrvift �p '-»- r«.�• - a t` -,s : - AC output conduit sae/AWG range 3/4"minimum/.16 6 AWG' 3/4 mimmum/8 3 AWG - a input co uit size/#o strings/.. ....... .............. ............... ......... ...... ...3/4,,minimum/1 2 strings�.... . 4, nd f s 3/4"minimum/1-2 strings/16-6 AWG i' '� .. •AWG•range............. ............ ........ ........................................ 14 6 AWG Dimensions with Safety Switch 30.5 z 12.5 x 10.5/ in/ - - 30.5 x 12.5 x 7.2/775 x 315 x 184 ..�HxWxD)............. ............... 775 x 315 x•260 mm - - - .. °. ... ............................................................................................. ......... .... Weight with Safety Switch ........ 51:2/23.2..............................54.7/24.7. ...........88.4/40.1 lb/.kg.... - ..... ...... .. .. •- . . ..Naturaconvection Cooling Natural Convection and internal Fans(user replaceable) .. • fan(user The best choice for SolarEdge enabled systems ... .......... .. ...... ..... ...... ..... ............. ale.. .. - �. - - - .. Noise `<25 ..<.50 ...dBA . ....in.-.4...Op . -, ..--:................ ....... ........ .. ................. . .........................� Integrated arc fault protection(Type l)for NEC 201'1 690.11 compliance • ' � - '^ _ Min:Max.Operating Tempereiure •' ,replaceable --.- � • ' o "� � "' _ - Range 13 to+140/-25 to+60(40 to+60 version available(") _ F/ C _ Superior efficiency r Rating ... ......... .. ' - 4. a • .r,: Protection Rating..............:.. NEMA 3R - ................... Small,'lightweight and easy to install on provided bracket nFor other regional settings please contaa5olarEagesupport v ` -- A h gher current source may be used;the inverter will limit its input current to the values stated. Built-in module-level monitoring , c •. - - (a)Revenue grade Inverter P/N SE-A-U5000NN R2(for 7600W'nverter.5E7600A-US002N N R2). - - - - - , - s N)Ra'd shutd n kit P/N:SEI000-M- -Internet connection.through Ethernet or Wireless. x „ l -Is)-00 version P/N:SE-A-U5000NNU451for 760OW inverter.SE7600A-US002NNU4). 4� M 'Outdoor and Indoor installation .. e• .. i•. .H ..,�..;`"'s,. a.qt,) ...°' re -..B:a s .} t.}..'s a ��..,.i y ii„ -;=ls � "F>5.>!:� x .'::,r,MI m .i ..Ir1i",I t.'' n .. ,, ..,' it• ,.. F ,rw,t ," r .rt ¢. ,.y i.er ' r J.g� "'" 1 °aka .5ir4` aki '� ,.P �l8` , P: Q N°rti„,A, a��F«0",li..�3�t., N� Fixed volts a Inverter DC AC conversion onlyF .•„ .�atixn 16,sk.^ .a. ,sRs yn& "�a' nn9fa. 3rs° a";,5 i gie�." .�' - Pre-assembled Safety'Switch for faster installation: F _ Optional-.revenue grade data;'ANSI C12:1 t USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.sqlaredge.us F x