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Home My WebLink About0119 SEAGATE LANE o9toy8 5dar0ty June 21, 2016 Town of Barnstable ATTENTION: BUILDING DEPARTMENT 200 Main Street Hyannis, MA 02601 RE: 119 Seagate Lane, Hyannis Permit No.: B-201508648 Our Job No.: JB-0262404 NOTICE OF CANCELLATION t This letter is to certify our proposal to install Solar(PV) at the above- referenced property has been moved into a cancellation status. SolarCity Corporation and Renata Vieira will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns, please don't hesitate to contact me. Thank you for your attention to this matter. CD �l Sincerely, .r n CheryCGruenstern Cheryl Gruenstern w Permit Coordinator ' T Direct Line: (508) 640-5397 cgruenstem@solarcity.com 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarciity.com AL 05500.AR M-8937.AZ ROC 243771/ROC 245450.CA CSLB 888104 00 EC8041.CT HIC 0632778/ELC 0125305r.DC 410 514 0 0 0 0 8 0/ECC902585.DE 20M20386/T1-6032.FL EC13006226.HI CT-29770.IL 15-0052.MA HIC 166572/ EL-1136MR.MD HIC 12 8 94 8/118 05.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34EB01732700,NM EE98-379590.NV NV20121135172/C2-0078648/B2-0079719.OH EL.47707.OR CB1BO498/C562.PA HICPA017343,RI AC004714/Reg 38313,TXTECL27006.UT 8726950-5501.VA ELE2705153278.VT EM-05829.WA SOLARC•91901/SOLARC•905P7.Albany 439,Greene A-466.Nassau H240971000Q Putnam PC6041.Rockland H-11864-40-00-00.Suffolk 52057-H.Westchester WC-26088-1-113.N Y.0#2001384-0CA SCENYC:N.Y.C.Licensed Electrician.#12610.#004485.155 Water St 6th Fl..Unit 10,Brooklyn,NY 11201#2013966-0CA All loans provided by SolarCity Finance Company.LLC. CA Finance Lenders License 6054796.SolarCity Finance Company,LLC Is licensed by the Delaware State Bank Commissioner to engage in business in Delaware under license number 019422,MD Consumer Loan License 2241.NV Installment Loan License IL11023/IL11024.RI Licensed Lender#20153103L1.TX Registered Creditor 1400050963-202404,VT Lender License#6766 TOWN QF BARNSTABLE BUILDING PERMIT APPLICATION Map a� Parcel ��(� Application # Health Division j, fl i`, 'Date Issued `12 Conservation Division Application Fee Planning Dept. Fee 101. Date Definitive Plan Approved by Planning Board 000or h Historic - OKH _ Preservation/ Hyannis Project Street Address ti V4LwNL Village wnr�i S Owner r- -A / �ddress Telephone • J' (v 015 ly 69-(,000 Permit Request S (� 1 ��5 a,\ V-C)o -e / fT v uu i z 7_ b t n t) c Square feet: 1 st floor: existing proposed loor: exis ' g p d Total new Zoning District RZ Flood in round ter Overlay 4� Project Valuation AvAbOO Con r ti Type Lot Size �— ran thered: ❑ s 2No If yes, attach supporting documentation. Dwelling Type: SUaily� Tw amily M u I Family (# units) Age of Existing St � (-S . ric use: ❑Yes I§-No On Old King's Highway: ❑Yes Flo Basement Type: ❑ Crawl ❑Wa ut Other Basement Finish .ft.) Basement Unfinished Area (sq.ft) Number of Bathsting new Half: existing new Number of Bedristing _new Total Room Couuding ba : existing new First Floor Room Count Heat Type and F ❑ Oil ❑ Electric ❑ OtheAj� Central Air: ❑Yes ❑ No Fireplaces: ExistinNew Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizeALIL--- — ool: ❑ existing ❑ new siz Barn: ❑ existing ❑ new sizow— ' Attached garage: ❑ existing ❑ new siz Shed: ❑ existing ❑ new siz��/ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )2fNo If yes, site plan review# Current Use t5 ��I�E Proposed Use K APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam � CAV14;164-*'1fi-_5M 4Telephone Number Address Ad- 1 00S License # �o)Q�,+� �` �►5, l °�Q Home Improvement Contractor# Email A l ,',Vt Jf �nG � Clivr� Worker's Compensation # � )Cons- ALL C6JSTRUCTION9EBRIS RESUL FROM THIS PROJECT WI BE TAKEN.TO 6t SIGNATURE DATE r; f t a Y FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED ✓r MAP/ PARCEL NO. f ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION ^ FRAME INSULATION _ FIREPLACE ELECTRICAL: ROUGH k. FINAL PLUMBING:, R H FINAL ROUGH GAS: ROUGH FINAL.. FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN�NO. V AVOI ;Sol cUTI Y g 4 $1,n t OWNER AUTHORIZATION Job#: *'P- Q2� Z34- dam Property Address: 5C46A Y67 LIV, 14y/4/vim.:5; lv(/4• O 1^ �i I V,-tilrol,, as Owner of the subject property hereby authorize SOLARCI Y CORPORATION to act on my behalf, - in all matters relative to work authorized by this building permit application. 3 , Signature of Owner: Date: �kl r N.LL a 4 i i iC i SOLARCITY.COM a� . ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel o y Application # Health Division A D�e Issued/0/6 i.;— Conservation Division Application Fee 5-0 - v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis P,rojec`t Street Address v l Se-CA Villages 1-i 0 1 Owner Addresses Telephone "l� ;Permit Requesti Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiol<3 i00 Construction Type Lot Size 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' Highway:,❑Yes; ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other u) Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)f '� Number of Baths: Full: existing new Half: existing new ` rn Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) `Namel VI t, Telephone Number; Address l S e� � Ln License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,,SIGNATURE DATES 10 D 1.� . • FOR OFFICIAL USE ONLY APPLICATION# 4 DATE ISSUED MAP/PARCEL NO. `> ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. A u • Ile Commorrivealth of- assacllusetts Depa hneut laf rndas-f ial Acciderds 600 Washirtgtou&reet _ Baston,,? 4 02111 irrupt-:rnass grrvIdia Warkers' Cumpensation Insurance Affidavit:BtiildexsICuntrac-tursMectricians/Phrmbers APPUcant Iufwmatsan Please Print Le:�ibYy 1`'Ia�e(B;isi�sslY7rganiz3tianfinc3�,�dna4}: � )-/ / w Are you an employer? eckthe appropriate bo=: Type of project(requtred)c 1.❑ I am a employer with 4. ❑I am a general contractor and I b 6_ ❑1*Ieva construction employees(full and/or part-time)-* have hired the sub contractors 2.❑ I am a sole proprietor or partner listed oil the attached sheet. 7. ❑Remodehuag ship and have no employees. These sub-contractors have $.,❑Demolition Wonn g for me.in an capacity- employees andha[a wodiers' Y � tY g. ❑Building sdditiou. [No u-t�' comp-insurance comp-msrrance$ required-] 5- ❑ re We a a corporation and-its Mt,,ElElectrical repairs cr additions 3 I am>~a homeomn:er doing all work of icm have-exercised their 11.0 Plumbing repairs or additicros yz—,X No work='c amp- right of exemption per 11+1 GL 12_❑Roaf r epaim ir�crrcanre retMuiLad]i c.I52,§1(4}andwe have nD employees-[No workers' 13.❑Other comp.insurance required.] •tLsyapp5=tihztchedmbox,'ImastalsoUoutthesecdcm below sbmvingtheawwkezecompwnad uparrcyinfoffiauaa_ Samemnemwho submit urns afiida[ru=dkztmZ thv_y are&=g aU wcA sa4 dun hire autude contractors nmst submit a new afdamt inchmt na-=CI rCantracYg6 ff2zt rIiPrir ibis bwc rmmA attar_hed as additiaaat sheet sbonmg the'name of the sub-camtsctom and state whether at not those emities ham emp3ayees.Iftbesabtoat®ctembace emgtoye-es,t€reymnstpmtvide their nrorkea'comp.pGUU number. I arts art eneglo}`er tleat is prat�dut, �nar ets'campertsr�iart i�srirarrce for to}J eaLpl�y�ees. $eloov is fleepoUcy andiota site irt,�ermrrtiart. Insurance Company Name: Policy AIF or Self=ins_Lic.i Expin ionDate: Job Site Address City/Statdzip: Attach a copy of the workers'conapensationpolicy declaration page(sheaving the policy number and respiration date). Failure to secure coverage as required.under Section 25A of MGL c 1572 can lead to the imposition of criminal penalties of a fstfe up to,$1,50100 anWor one-yearimprisortut,as well as email penaltiesin the form of a STOOP WORK ORDERa d a fine of up to 0.00 a day against the violator. Be adsased that a copy of thds statemaent maybe forwarded to t1m Office of Imvestigafions of the DL4 for insurance coverage v-edfication. T do If erg by. cwr fy a the s gtrd abiesafFedwy.that Me in f brmadmr pr ovi&d aboty is trae and c.arrect - iffiature: Date- -Phone 9�1 Qfi7riai use tartly. Da itot avrke tut tftis area,to be cootnplreted by c*y artotrn officiat City or Town: PermitUcense if bmuing:lutharity(Cirde one): I.Boarrl.of Health 3.Bu€ffTmg Department 3.CtylTown Clerk 4.Electrical Inspector 5.PFurnbing limpector 6.Other Contact Person: Phone it: - ormation and Instructions Mzss:a j=e:t is Gn'tmal Laws chapfor 152 requires all employers to provide wo.&ens'compensation far their e aployees. pursaantto this sty,an m2pIoy=is defined as.,_.c=y person is the service of another under any contract ofhirey » axpress or implied,oral or wLitbm_" An employer is defamed as"an mdividnal,partnership,association,corpar.-don or other legal entity,or any two or more of the foregoing engaged is a Joint ente:rprise,and mcTn�the legal Fepreseofatives of a deceased employer,or the receiver or irastee of an individnal,partnership,association or other Iegal entity,employing employees. However the owner of a dw-eIIing house having not more than three apartments and who resides therein,or the occ¢pant of the - dwelling house of aaoiher who employs persons to do mainfr_nance,consf tic, on or repair work on such dwelling house or on_the grounds or building appurt tthereto shaHnotbecanse of such employmentbe deemed to be as employer." MI CTL chapter 152,§25C(6)also states tliat"every sfiate or local licens ug agency shall withhold the issuance or renewal of a license or permit to operate a business or to cousteact buildings is the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coveragerequii7ed_' AdditionaIly,MGL chapter 152, §25Co stairs'Neither the commonwealth nor airy ofits political subdivisions shall enter into any contract for the perfommance ofpublic wow until accep tab le evidence of compliancewith.fhe �insTce. reg=M=ts of this chapirr have been presented to the contracting authority." ' AppIica.nts , Please fill oil the wolcers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s) along with their certificate(s) of - Dinmance_ Limited Lia4i y Companies(LLC)or Limitrd Liability Partnerships(LLP)with no employees other than the members or partners,are not requimd to can-y workers' compensation insmauce_ If an LLC or LLP does have employees,a policy is required. B e advised that this affidavit may be submitt_-d to tine Department of Industrial Accidents for conf=_ atioa of inSrII F�ce coverage. Also he sure to sign and date the affidavit The affidavit should be•rz:t med to the city or town that the appficaiion fir the permit or license is being regnested,not the DePartrneaf of Ln dal Accidents. Should you have any questions regarding the law or if you are req¢ired to obtain a workers' compensation policy,please call the Department at the number listed beIow. Self-fiLwltd companies shouId enter t at-ir self-n,.crrran ce license number on the appropriate line. City or Town O�cials Please be sore that the affidavit is complete and prod legibly. The Department has provided a space at the bottom of thr-affidavit for you to fill out in the event the Office of Inves�figafrons has to contact you regarding the applicant Please be sure to f i l in the pennit/Iicrose mrnber which will be used as a reference number. In addition,an applicant that must submit multiple pezmitllicense applications in.any given year,need only submit one affidavit indicating cvaent policy iul ation(if necessary)and under"Job Site Ad mss"the applicant should Fate"all locations in (may or mwn)_"A copy of the-affidavit that has beea officially stamped or marked by the city or town may be provided to the P ap Hcant as proof that a valid affidavit is on file for fu nir.'pexmits or licenses_'A new affidavit must be Elcd out each year.Where a home owner or citizen is obtaining a license or pe=it not re7atE: to any business or commercial venfnse. (Le. a dog license or putt to bum leaves eta.)said person is NOT reqdmcd to complete this affidavit The Of of Invesfigaii ons would like to thank you in.advaace for your cooperation and should you have any qu-ons, please do not hesitate to give rs a cal The Departmenfs a d&�telephone and fax n=bcr CGmmM th-of Massachiz-i_-tts . I�e��m�t cif lzid�siria�Accid�nt� f c�of Invagtitktimm ; R. f)�111 Fax 9 617-727 774-9 Revised 4-24-07 �a gQgf�a Town.of Barnstable W Regulatory Services roYy� Richard V.ScaIi,Director t. Building Division t RAANfTARTY s Tom Perry,Building Commissioner 1.65¢ �� 200 Main Stream Hyannis,MA 02601 www town.barnstable.ma_us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNM UCENSE EXEIY=ON � •Picric Print DATE:, -_r Ize, 4 JOB L pCATIODI 7LP� n �j W p � , ` X t viliaG, aa , g - number V i v'� V� / (� / rol�owl� " nam ho phone# woLc phone# - CUFJ=IvLALL CY ADDRES S: city/town sty 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_ DEFIN TTON OR HOMEOVagM 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"homeownee'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 buiildingpermit (Section 109.1.1) The undersigned`.`homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regmt-dons. - The undersigned"homeowner"cm ifies that he/she understands the Town ofBamstable Building Department minimum inspection proved s ents and that he/she will comply with said procedures and requirements. Sign ofHomcowncrI 4,4proval ofBt ldingOfficial Note: Three-family dwellings co mina 35,000 cubic feet or larger willbe required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMMON 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 109JA-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 nnderstands the responsibilities of a Supervisor. On the Iasi: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:1wPFILFsToRMS1bm7dmgpermitf�sl aRFSS.doc Revised 061313 Tp,,y Town of Barnstable Regulatory Services 9XASM Richard V.Scab,Director 6596 16 Building Division Tom Perry,Building Commissioner 200 Man Street Hyannis,MA 02601 www.town:b arnstable.ma xs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A Builder as Owner of the subject property- hereby authorize to act on my behalf, in all matters relative to work authorized bythis budding permit application for. (Address of Job) ''''Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date . 'a Q:FORMS:OWNEUERtMSIONPOOLS �� SY 7� I I 00 _ F W: o� S Al - 5� 1O � O M' O \ O 0O l �✓� I 919VISMO �U �rd'v