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0138 BETH LANE - Amnesty
/�38� ���-h ��� � -- -- - - -- ;.� .� �� Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 8/6/16 Town of Barnstable Thomas Perry CBO Building Commissioner ' 200 Main St. Hyannis,MA 02601 can RE: Building Permit#BLD-17-000322' TO: Building Inspector(s), I LA This affidavit is to certify that all work completed for 138 Beth Lane,Hyannis has been inspected by a third party Certified Building Performance Institute (BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOVIN OF RE Map. Parcel I Application"# Health Division ? � 9€`r j % j 4: 017 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �eAe i Village 1#tn n i s Owner (no.n a F g(r t rA Address Telephone Sd �3 0591 Permit Request Pry.J %,-3% c all%k I o st �,ber<l as s 'ai 1 c, 1"T i t reA (r, 01.4 e.- it A -1�0 ICM Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation f0 Construction Type 10 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's Highway: ❑Yes ❑ No Basement Type. ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full:: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals uthorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name IN!��IVA GC 4 av G c a, Telephone Number Address mM frjg�-oti 41re/-4` License # D--£ to Home Improvement Contractor# Email Worker's Compensation # WC,55 Q 0 2DO ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE \V DATE Li FOR OFFICIAL USE-ONLY APPLICATION # ` DATE ISSUED ..F i MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 5 ASSOCIATION PLAN NO. i HOME OWNER WEATHERIZATION WORK PERMIT: . PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. hereby consent to and agree that weatherization work r may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: � 3g The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: i Weather stripping; air sealing; attic&basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: i 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five'(5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature)ti \j Home Owner email: Date: Agent:(signature) If, Date: Weatherization Contractor. Adam T Inc C All Cape Energy Frontier Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Tupper Construction Cape Cod Insulation The Commonwealth of Massachusetts Department of IndustpialAccidents 4 1 Congress Street;Suite 100 Boston,MA 02114-2017 www rnassgov/dia - N orkers'Compensation Insurance Affidavit:"Builders/Contractors/Electrieians/Plumbers. TO BE FILED WITH TIRE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Indivieual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South.Yarmouth, MA 02664 Phone#:.508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1:0 I am a employer with 15 employees.(futl and/orpart-time).* 7 ❑New construction 2. am a sole proprietor or partnership an have no.employees working for me in 8. Remodeling❑I l i � any capacity.[No workers'comp.id nsurance required.] ' 3.M I am a homeowner doing all work myself.[No workers'comp:insurance required.]t 9. D Demolition 0 4:❑I am a homeowner and will be hiring contractors to conduct all work on my property. Twill 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 L[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 130Roof repairs These sub-contractors have employees and have workers'comp.insurance.- 6:n We are a corporation and its officers have exercised their right of exemption per MG1,,c: 14.[DOther IriSUTatlOri 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing wor.kegs'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Star Insurance Co. Policy#or Self:ins.Lic.#: WC085540700 Expiration.Date: 4/9!2017 Job Site Address: 138 Beth Lane City/State/Zip: Hyannis Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL-c. M,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby certify under the pains and penalties of perjury.that the information provided above is true and correct Signature: Date: 4/15/16 Phone#:508-398 0398 r Official use only. Do not write;in this area,to be completed by city or town Official City or Town; Permit/License# Issuing Authority(circle one): 1.Board of Health 24 Building Department 3.City/.Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person.:. Phone#: 41 DATE(MMIDDIYYYY) ACQRV CERTIFICATE OF LIABILITY INSURANCE 4/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the Certificate holder In.lieu of such endorsements. PRODUCER- NAME -Risk Strategies .Company Risk Strategies Company PHO E E781)986-4400 PAC No):(101)963-4420 15 Pacella Park Drive AAD�SS:randolphcld@risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE NAICS . Randolph MA 02368 INSURERA:Selective Ins. OF America INSURED INSURERS Allmerica Financial Alliance Ins Cc 10212 Cape Save, Inc INSURERC:S.tar Insurance Cc 7 D Huntington Ave INSURER D: INSURER E: .South Yarmouth MA 0266.4 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1641211375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES..LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR TYPE OF:INSURANCE POLICY NUMBER M LICY EFF POLICY EXP LTR LIMITS LT X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000 y 000 DAMAGE TO RENTED A CLAIMS-MADE Fx_1 OCCUR PREMISES Ea occurrence $ 100,000. X -91994460. 10/16/.2015 10/16/2616 MED.EXP(Any one.person) $ 1o,00.0. PERSONAL&ADV INJURY $ 1,000,000 GEN L AGGREGATE LIMIT'APPLIES PER: GENERAL AGGREGATE $ , , 2 0.00 000 POLICY I ECT �.LOC PRODUCTS-COIviP/OP.AGG $ _ 2,0.00,000. OTHER'_ _ $ AUTOMOBILE LIABILITY MBINED Ee dcoideM SINGLE $' 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ AUTOSN� X �0SCHEDULEDAWBA46196600 11/6/2015 11/612016 BODILY INJURY(Per accident) '$ NON-OYMED _ PROPERTY DAMAGE X HIRED AUTOS X AUTOS Paracadent $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS-LIAB. CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X I RETENTION$ BII. 81994480 10116/201*5 10/16/2016 $ WORKERS COMPENSATION - - oPPicers 2ncluded Por X PER - 5TH- AND EMPLOYERS.LIABILITY YIN _ STATUTE ER ANY P20PRIETOR/PARTNER7E>ECUTIVE r IA N Coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER'EXCLUDED7 LNI C (Mandatory teC08554070,0 4/9/2016 4/9/2017 E.L DISEASE-EA EMPLOYEE $ 500,000 If yes.desctibe.under . DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 i DESCRIPTIDN:OF'OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of named insured as required by•written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape 'Light Compact ACCORDANCE WITH:THEPOLICY PROVISIONS. -Barnstable County 460 West Ifain Street AunaoRlzmREPRESENTATIVE Hyannis, bbA 02601 Michael Christian/CLC '�' 00 1988-2014 ACORD CORPORATION. All rights rdserved'. ACORD 25(9014101) The ACORD name and logo are registered marks of ACORD INS025`(201401 t - Office'of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,;Masw,4' setts 02116 Home Improvement.Contractor Registration Registration: 171380 r Type: Corporation ` ' Expiration:. 3114/2018 Tr# 419291 CAPE SAVE INC. > WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH-YARMOUTH; MA 02664- /('Update Address and return card.Mark reason for change. Address E.Renewal: Employment Lost Card. SCA 1 d 2OM-05/11 ':J 1(�i tPQ77LA16•IICC/CCL��I Q��,��CCJICGCfCIGGCe�.-J License or re istration valid for individul use only ,__Office of-Consumer Affairs,Bc Business Regu►atioo g y f HOME`IMPROVEMENT CONTRACTOR before the expiration date `If,foundi return to: ��Registration t 1713g0 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration 3/14l2018 Corporation. Boston,MA 62116 CAPS SAVE INC. ' WILLIAM MCCLUSKEY >" 7-0 HUNTINGTON.AVENUE= SOUTH YARMOUTH MA`02664 Undersecretary Not valid i signature Massachusetts -Department of Public Safety �j Board of Building Regulations and Standards \..11fN11 Ui1/11%(O4 jIC�I III'JIICU41 U_` =,+asars�:ar�nr License: CSSL 162776 WII.I;IAMJMC C'iU '% DWI ,! 37 NAUSET ROAD West Yarmouth MA Expiration Commissioner 06/2812017 N OF BARNSTABLE BUILDING PERMIT APPLICATION Map a�a Parcel Application # 60 3S54 Health Division Date Issued 6-17--/s Conservation Division Application Fee Planning Dept. Permit Feel Date Definitive Plan Approved by Planning Board ,, r Historic - OKH �y _ Preservation / Hyannis 1yd Project Street Address Village 1 el_hhkS Owner N1ar ��.w.w�.- �cc-r�c� Address l 3R L3 V V n c Telephone S D O . '13'7. �9 Permit Request to.. P F_ 5 • I►h �c a z n Square feet: 1 st floor: existing proposed —2nd floor: existing proposed Total new Zoning District RC' I Flood Plain Groundwater Overlay Project Valuation $a3,ODD Construction Type 93 Lot Size Grandfathered: ❑Yes allo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 3q V rs. Historic House: ❑Yes ANo On Old King's Highway: ❑Yes OTNo 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--_ r/t- Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new siz400l: ❑ existing ❑ new size A Barn: L1 Existing JI news size_ ��� 4 Attached garage: ❑ existing ❑ new sizedS{hed: ❑ existing ❑ new size Iy1L -other: �u a _ i Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Usee_� Proposed Use 0 T&.4je APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cr-lt 9 I IS 5D w Cc ^, Telephone Number 5og-3iy• ISR S � Address I I @ 6mk fi VVe_sic_A cn eog-S .License # CS 167 C,6,3 l �kA 'bunu\0S kko- OP.(,(0� Home Improvement Contractor# 163 7a Email C W 4n C a Worker's Compensation # kJ ALL COOFRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOQ_ G(t�vrp5 . 6)T1cL -,f\ V� IMIS SIGNATURE 3 ek4a DATE 11-i d0 IS FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. A, ADDRESS VILLAGE OWNER t a. e - } DATE OF INSPECTION: FOUNDATION FRAME INSULATION „ FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL p GAS: ROUGH FINAL r i FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. YY iE r • x y OWNER AUTHORIZATION r [Z 11- Job ID' d Location 7 d3Pcr,C L /�'�r.c tsf4�I� f tf r-=- as Owner of the subject property r° hereby authorize SolarCity Cord—HIC 168572/ MA Lic 1136 MR to act on my behalf,in all matters relative to work authorized by this building permit application and signed contract. �Ahsz, 0 6 031 F \_-Siknature of er: Date: �, ��, •'�//!`! tal//: ' Office of Consumer At-fait and Business Itcg ulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 CRAIG ELLS -- 3055 CLEARVIEW WAY SAN MATEO, CA 94402 Update Address and return card.Hark reason for change. t•. a i5 ...e +. .�.J/r , Address Renewal ' ttnployment fast Card Office of Consumer Affairs&llusinesa kegrrlaaian License or registration valid for individal use only before the expiration date. If found return to: NOMEIMPROVEMEMTCQMTRACTOR P Once of Consumer Affairs and Business Rekuladion Registration: 168512 Typo: 10 Park Plaza-Suite 5170 Expiration: 3/812017 Supptement Gard Boston.NIA 02116 SOLAR CITY CORPORATION �I CRAIG ELLS it 24 ST.MARTIN STREET BLD 2UN1 •: �.<-y--� ._ /� c f , WALBOROUGH.MA 01752 Undersecrelary• No valid without signature el€.dl�l sit}.�.ril.`IftlSi Kfi y,l ti4.�:.y r.,�. i r#f �e.i t kl nfaM . LS-107663 CRAIG ELLS 206 BAKER STREM:r Keene Ntl 03431 08u9120117 n�12� (�)�12�I'ZCl�G�l1C'Ct:�yG Cv Ziness Office of ConsumerAffairs n6 Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home ImprovementContractor Registration F. _=' _ Registration: 168572 Type: Supplement Card j Expiration: 3/8/2017 ' SOLAR CITY CORPORATION 24 ST MARTIN S REET BLD 2UNIT 11 -- MARLBOROUGH, MA 01752 1 F. Update Address and return card.Mark reason for change. SCA 1 c: 20M-05ill Address i Renewal ;; ! Employment F-1 Lost Card ffice of Consumer Affairs&Business Regulation g License or registration valid for individul use only t OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ,Registration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 3/8/2017 Supplement Card Boston,MA 02116 1 . SOLAR CITY CORPORATION' CHERYL GRUENSTERN 3055 CLEARVIEW WAY` _ " - - l�✓ .� _t� , �_ � SAN MATEO,CA 94402 r-- `--"-""--- - " —"-"— Undersecretary t-Not valid'without signature L The Commonwealth ofMassachasetts Department of InduslHd Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www marmgov/dia Workere Compensation Insurance Affidavit:Bugders/ContractorshElectricfenslptmbers. TO BE RILED WITR THE PERMITTING AUMORITY. AggMal Informatiog Please Xdgt Legibly Name(Business/Organirationtindividual); Solari Cor oration Address: 3055 Clearview Wa City/State/Zip: San Mateo,CA 94402 Phone M 888-765-2489 Are van on emnlO;mr?Cheek the appraprate bin: Type of project(regWred): 1.12I am a e"loyer with 9000 arpbyco(reel and/or parwime).• Now 7. construction 2C]l am is sole proprietoror psrinaiship and have no employees working for me in 8. Remodeling any capacity.[No worilm'comp.ins-manae required.] 3.[:I l am a homeowner doing aU work myself:[NO workers'croup.insurance rcgaircd.] 9• ❑Demolition 4.[]l Elm a homeowner and YOU be h ag 10 Building addition irlab_ontrectcr:m conduct a]l;;�ors:on ow property. l::ill ensure drat all contractors tither have worker%'compensation insurance or are solc I Q]ElectricW repairs or addition proprietors with no empfoYem• L2.i]Plumbing repairs ar additions ! 50 t am a geaaml Contractor and I have hired the subcontractors listed on tilt attached shert Thcsc sub-contractors have onVoyeas and hoe workers'comp.insatthnce.l 13.QRaof repairs 613 We are a taxp=Lhm and ifs Officers have excmiscd dtair right of exemption per MGL c. 14.[@Other solar panels „ 152111(4),and we have no employees,]Nn workers'romp,insurance required] 'Any applicant shot chocks boot ul mast ake gilt out the sedum below showing their workers'compcnsation policy information. }Hosuwwwas who subutir[His affidavit Indicating tiny are doing all work and then hire oulmide contractors ante submit a new affidavit Mcating such. ►Contractors that check tans lox must attached an eddit'sonal short showing tiro name oribc subax,nttactors and stoic whatrer or not drone chillies have employees. If the nab-contactors have ampbyers,they most provide their workers'comp.policy number. I ams an esxployer that is providi»g~kers'eompensadort insurance for my employees. Below is the policy and job site fxformadem insurance Company Name: LibejU Mutual Insurance Company Policy is or gelf-itts.I.ie,;t: WA766DO66265024 Expiration mate: 9/01/2015 138 Beth Lane Hyannis,MA 02601 Job Site Address: City./state/zip: Anach a copy of the workers'compensation policy declaration page(showing the policy(number and expiration date). Failure to secure coverage as required hinder VIOL c. I5Z§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a SOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Invos6gations ofthe DIA for insutancb coverage venficatition. I do hereby terrify anddprr tho minx and oownalties of perjury that the information p.oWed above is true and correa ^' 4- - 'i -t _ Zel" Date: June 8,2015 phrme th 781-816-7489 _ .. O eclat use only. Do Brat write isr this area,to be completed by city or town ofJfciaL City or Town: Permit/License# Issuing Authority(circle one); 1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Perm: bone#: Aet>R& CERTIFICATE OF LIABILITY INSURANCE ° 4 THIS CERTIFICATE 13 MUED AS A NATTER OF INFORt9ATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,7m CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TINS CERTIFICATE OF INSURANCE DOE'S NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE14151 AUTIIOFIMD REPRESENTATIVE OR PRODUCER,AND THE CMMCATEE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pDNcy(Ies)must be endomed N SUBROGATION IS WAIVED,sublod to Um tams and conditions of the policy,catfain poticNa Gray require an andorsemenl. A stdonot on Gila eartiflcate does not con(w rlBtft to Ow ourUflw W IlDtder in Neu of such erulorsement(q P MARSH RISK It IN CE SURAN SERVICES PMONE 346 CM IFORNIA STREET,SUITE 13M CAUFORIIA LICENSE NO.0437153 SAN FRANCISCO,CA 94104 tpL4ul�R�s AFFORF7�u,GCgY6rAt NA1CO S9 I-670,GAwUE-14-15 t w:UDellyMdWFivkmmmCanM IBM INSURIIB SARI R B:Medy lnsumlloe Copmrml Ph{65FiJ 95}5100 42404 brit aly Colpma0ml INSURER C•NIA WA 3055C2at"Way INSURERD: San lift,CA 94402 OOSIIisEttB- tNStl F: COVERAGES CERTIFICATE NUMBER. WA-=402 42 REVISION NUMBERA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POIJCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS MWECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OE INSURANCE Ifirkin POLICY tarAmm CIF M IBM A (SENERALLIABILmr TB260145r>zbsD14 09101.20% 09)U1r1015 EA04OCCURRENCE s tX)A00 X COW ERCIAL GENERAL LIAORM UMAGEMES I A IEU nr e S 10DW CLANS AAADE M OCCUR MEN W Lp, aaa ersolp 10,000 PERSONAL&ADV MWRY S 1X0.000 GENERA AGGREGATE s GEMAGGREGATELEAIrTAPPLIESPER PRODUCTS-COMPIOPAGG S 2,00UM X POLICY[E PRO 0 LOC jDeduaW $ 25XD A A immomus uNnuw Zi 4 091D1014 =112M6 Llexi T. 1,000,000 x ANY AUTO mom IVaLURY(Parpasora) S ALLOT M BGHEMAID AUTOS AUTOS 80OtLYlNJURY(Perecddee% $ X HIRBpAUT08 X AUTOS NO*OVN� _ PROPERTY GE x Phy&Damage COMPIUM DHk s $14106 i$1,0m UN®RELLAUAS OCCUR EACHOCCURRBdCE 0 EIII:E48 uAg CLA;v&-uaor= AcaGREOATE a i ow ' O s s 6 WOAK£RS COMPENS MU 1W 40mzgm W015 X I WC STARE OTH- ArmENPLOYERI:UAe1Im17M LIMITS 13 ANrPRVFRlETVRIPARITIER1EXEcvrwe YIN yyC7 503q(W>1 09101/1014 09RI11�15 EL.EACH ACCIDENT s I S OFFIM MEMBER EX WDIFD7 R m (randntory IR NIT) W DEMZTKE:IDAW EL DISEASE-EA EMPLOYEE S VIA= N��ea dasaibeunear T.[Al(Y,WO RIPTION OF OPERATIONS batow I EL DISEASE-POLICY LIMB S DFSGRlMN OF OPMTIONS F LOCATIONS I VEHICLES{AtfRCb ACOR0 4s1,AAmmd Remam l.ehla M,Beam*=N ragW" LYlEenw d 4lsudm CERTIFICATE HOLDER CANCELLATION SdweRy C pmoon SMWW ANY OF THE ABOVE DESCRIBED POLICIES K GANGEILEp t]ftE 3455 Claariaw wuy THE EXPIRATION DATE THEREOF. NOTE VK L HE MJVERED IN Salt Malec,CA 94402 ACCORDANCE WITH THS POLICY PRO►/IS=S. AUTHORFLED RWREBENTATWB of eTmsr R}sk B lromme SmIces 019W2010 ACORD CORPORATION. AN rigfltS reserved. ACORD 25(2010105) The ACORD rtm Grin bgo am reelsteted maeits of ACORD Version#46.4 ®IarCit Y Ik OF June 3, 2015 N G Project/Job#0261275 c RE: CERTIFICATION LETTER 1 L Ca 1 Q - Project: Ferreira Residence 90,E EIS ��►�'�' 138 Beth Ln `rs NAL LNG Barnstable, MA 02601 06/03/2015 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes= MA Res. Code, 8th Edition,ASCE 7-05, and 2005 NDS - Risk Category= II -Wind Speed = 110 mph, Exposure Category C -Ground Snow Load = 30 psf - MPl: Roof DL= 9 psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.18757 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with any questions or concerns regarding this project. Digitally signed by Nick Gordon Date:2015.06.03°15:25:36-07'00' 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AI RC`C 243;71.CA Cf,,13 888104,CC Fi: C)41.C1 HIC 0631 T8,D,HIC 111014CS,DC HIS•71101488,111 CT 24710,IAA HIC 11,05,2.MD K1H'C 12e948,NJ 1�"Ji Nlri180Fi'q, OF ,^b 180498,f A CITA3 *X TDLR;IM16,WA GCL SCLAAC•91907 Z 2013 Sr„iirCiiy.All rpn!s r—erved I 06.03.2015 SolarCity PV System Structural Version #46.4 Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Ferreira Residence AHJ:;, Barnstable Job Number: 0261275 Building Code:'i MA Res. Code, 8th Edition Customer Name: Ferreira, Maria Based On:I IRC 2009/ IBC 2009 Address: 138 Beth Ln ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category:' II Zip Code 02601 Upgrades Req'd?I No Latitude/ Longitude: 41.665774 -70.308179 Stamp Req'd?1 Yes SC Office: Cape Cod PV Designer:i Jesus Nieto Almanza Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.18757 < 0.4g and Seismic Design Category (SDQ = B < D 1 2-MILE VICINITY MAP ODI fA O • • Cn 1 1 \ P • 138 Beth Ln, Barnstable, MA 02601 Latitude: 41.665774, Longitude: -70.308179, Exposure Category: C a LOAD ITEMIZATION -MP1 PV System Load PV Module Weight(psf) 2,5 p Hardware Assemb Wei ht 0.5 psf PV System Weight h -3.0 pd Roof Dead Load Material Load Roof Category Description MP1 . .-.�,�..�--�, Existing Roofing Material (2 Layers) _ _ psf„ _ Re-Roof _ No Underlayment i _ _ _x Roofing Paper - 0.5 psf Plywood Sheathing - _ _ _ - -" Yes _ �_-. _ 1.5 psf -- Board Sheathing _ _ _ .rt Rafter Size and Spacing - _ - 2 x 4 ! @ 24 in. O.C. 0.7 psf Vaulted Ceiling - _w No Miscellaneous Miscellaneous Items 1.3 psf Total Roof Dead Load 9 Psf(Mpi) 9.0 PsF Reduced Roof LL Non-PV Areas Value ASCE 7-05 Roof Live Load Lo 20.0 psf Table 4-1 Memb_er_TributaryArea_ _._. � _ � At < 200 sf_ - w Roof Slope 5/12 Tributary.Area.Reduction- r µ Rl� _ _ '.. _ �_ 1 � Section 4.9 Sloped Roof Reduction RZ _ 0.975 _ Section 4.9 Reduced Roof Live Load Lrs q e, Lr= Lo(C(k) - E uation 4-2 Reduced Roof Live Load Lr 19.5 Psf MPl 19.5 Psf Reduced Ground Roof Live Snow Loads Code Ground Snow Load p9 30.0 psf_ ASCE Table 7-1 Snow Load Reductions Allowed? Yes+ - Effective Roof Slope 200 Horfz. Distance from Eve to Ridge 17 9 ft _ Snow Importance Factor IS 1.0 Table 1.5-2 Fully Exposed - ' Snow Exposure_Factor - 4": rm 09 -. Table 7.2 Snow Thermal Factor 4 Structures kept Ill above freezing _ Table 7-3 Minimum Flat Roof Snow Load(w/,—, � 7' '4�4'� -" 21 0 psf 7.3.4&7.10,pf min .< Rain on-Snow Surcharge).. �. �,.._._...:,... .. .-, .t .. _ � _ � � s>� �� a ., .,. , Flat Roof Snow Load Pf .pf= 0.7(Ce)(Ct) (I) pg; pf>_ pf-min Eq: 7.3-1 21.0' sf 70% ASCE Design Sloped Roof Snow Load Over Surrounding Roo Surface Condition of Surrounding Roof CS_roof All Other Surfaces Figure 7-2 Design Roof Snow Load Over Ps-roof= (Cs-roof)Pr ASCE Eq: 7.4-1 Surrounding Roof PS roof 21.0 psf 70% ASCE Design Sloped Roof Snow toad Over PV Modules Surface Condition of PV Modules CS-PV Unobstructed Slii0ppery Surfaces Figure 7-2 1. Design Snow Load Over PV PS-Pv= (CS-PV)Pf ASCE Eq:7.4-1 Modules Ps-PV 21.0 psf 70% Simpson Strong-Tie Truss: MP1 i ProjectName: 0261275 Component SolutionsT"' Date: 6/3/2015 3:05:08 PM Page: 1 0f 1 Truss Version:5.12.1[Build 5] Span Pitch Qty OHL OHR CANT L CANT R PLYS Spacing WGT/PLY 29-2-0 5/12 1 1-" 1.6-0 0-0-0 0-0-0 1 24 in 95 lbs 3220 1-6-0 7-1-0 7-&0 7-6-0 7-1-0 1-6-0 7-1-0 14-7-0 22-1-0 29-2-0 4x6- 3 12 12 g� �15 1x4\ 1x4/ - n 2 4 d� 0 3x6- 1 35- il. 91 10 RIF 6 7 6 3x4- 3x5- 3x4- 0-0-0 0-0-0 9-11-4 9-3-7 9-11-4 9-11-4 19-2-12 29-2-0 Loading General CSI Summary Deflection L/ (loc) Allowed Load (pso Bldg Code: BC 2012/ - Tic: 0.64(1-2) Wit TL: 0.53 in - L/649 (6-7) L/180 Roof Snow(Ps): 21 psf TPI 1-2007 BC: 1 00(8-1) We 1L: 0.33 in L/999 (6-7) L/240 TCDL: 9(tals) Rep k1brinercase: Yes Web: 0.17(3.8) Hoa TL: 0.07 in 5 BCLL: 0 D.O.L.: 115% Creep Factor,Ka=1.5 BCDL: 6 Plate Offsets(1n1:XYAnpa' (1:3-14,2-3 OJ (2:0-0,3-13,43.)(3:0-0 3-13,0.) (4:04),3-13,43.)(5:3-14,2-3,0.) (6:0-0,3-8,0.) (7:0-0,1-12,0.) (8:04),341,0.) Reaction Summary 1T Tvac B�Conbo Bra Wtdth Material Rod Big Width Max React Max Gtav Uplift Max MWFRS UPhfi Max C&C Uplift Max Uplift Max Hori,Bra Width Material Rod Big Width Max React Max Grav Uplift Ma<MWFRS Uplia Max C&C Uplift Ma<Uplift Max Hod, 1 Pin(Wall) 1 3.5 in Spruce-Pine-Fir 1.94 in 1,237 bs - - - - 0 His 5 H Roll(Wall) - 1 3.5 in Spruce-Pine-Fir 1.86 in 1,185 Ibs - - - 0 Ibs Material Summary Bracing Summary q'C SPF#2 2x4 - TC Bmcir:g Sheathed or Pudins at 3-1-0,Pudin design by Others. BC SPF 42 2x4 BC Bracing Sheathed Webs SPF#2 2x4 Loads Summary I)This truss has been designed forthe effects due to 10 psfbottomchord live load plus dear)loads. 2)This truss has been designed forthe effects of a balanced design snow load(Ps=21 psf)for hips/gables in aecerdance,with ASCE7-10 except as noted,with the following user defined input:21 psf ground snow load(Pg).NOTE:All flal/sloped mof factors have been ignored and the ground snow load has been used forthe roof snow load Its=Pg),DOL= 1.15. 3)This pass has not been designed forthe effects ofunbalanced snow loads. 4)In addition to the snow loading specified on this drawing this truss has also been designed Cora moflive load(TCIL)of 0 psf 5)Minimum storaW attic loading in aceoulance with BC Table 1607.1 has been applied Load Case Dl:Std Dead Load Distributed Loads Member Location 1 Location 2 Direction Spread Slat Load Find Land Trib Width Top Chd -0-7.0 13-9-0 Down Rah 3 psf 3 psf 24 in Member Forces Summary Table indicates:Wither m,max CSI,max,axial lose,(new coirpr force ifdi0emnt from rtax axial tome) Tr 9-1 0.167 37 Ibs 2-3 0.620 -2 023 Ibs 4-5 0.592 -2,270 Ibs 1-2 0.641 -2 353�Ibs 3-0 0.599 -1 9781bs 5-10 0.164 35 lb s BC 56 0.972 2,037 Ibs 6-8 0.876 1,369 His 8-1 0.997 2,10 Ibs Webs 2-8 0.167 -519 Ibs 36 0.158 643lbs 3-8 0.170 695Ibs 4-60.149 -0631bs Notes: 1)When this pass has been chosen for quality assurance inspection,the Plate Piarrancel Method per'IPI 1-2002/43.2 shall be used.Cq=1.17. 2)Bearing treterial shown in the above;table has only been checked for resistance perpendicular to grain,and does not indicate adequacy of material for other dmigi considerations. NOTICE Acopy of this desigt shall be furnished to the etection contractor The design of this individual lass is based on design criteria and requirements supplied by theTruss Manufacturerand relies upon the o"melcy Simpson Strong-Tie Company and completeness of the information set forth by the Building Designer.A seal on this drawing indicates acceptance of professional engineering responsibility solely for the truss canponent design shown.See the corer page and the"Important Intimation&General Notes"page for additional information.Aft connector plates shall be manufactured by Simpson Strong-'lie Company,Inc in accordance with ESR-2762.All connector plates am 20 gauge,unless the specified plate sat is followed by a"48"which indicates an 18 gain plate,or"S#18",which indicates a high tension 18 gauge plate. y i w iCALCULATION OF DESIGN WIND.LOADS.- MP17� Mounting Plane Information Roofing Material _ Comp Roof _ y FV SolarCi'ty SleekMountT'" PV-.System Type __ .. __. _ _ __ .__ ._ _._. _ _ ._ ._ __. _.. _-- _ Spanning Vents-m en_ _ _ No Standoff Attacht Hardware _ �— Como Mount Tvpe Roof Slope 200 Rafter Spacing Framing Type Direction Y-Y Rafters Purlin Spacing v_ _X-X Purlins Only- .�'V -- _NA Tile Reveal Tile Roofs Only NA k. Tile Attachment System-.. _w_ - _ Tile Roofs Only NAB;_ � Standin Seam ra S acin SM Seam On NA I Wind Design Criteria Wind Design Code _ _ ASCE 7-05 Wind Design Method _ _ _ _. _. Partially/Fully Enclosed Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure Category _ _ Section 6.5.6.3 Ro _ of Style Gable Roof - _ Fig 6 11B/C/D-14A/B Mean Roof Height h - 15 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure a KZ 0.85 Table 6-3 _ Topographic Factor_ _ _KA 1.00 _ Section 6.5.7 Wind Directionality Factor M Kd 0.85 Table 6-4 .Importance Factor_ _ I _ 1.0 Table 6-1 Velocity Pressure qh qh =0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 22.4 psF Wind Pressure Ext. Pressure Coefficient U GC -0.87 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down UGC W : 0.45 Fig.6-11B/C/D-14A/B Design Wind Pressure p p= qh(GC) Equation 6-22 Wind Pressure U ° -19.5 psf Wind Pressure Down 10.0 Psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing _ _Landscape _ _ T_ 72" 39" Max Allowable.Cantilever _ _ _ Landscape __ __ 24" _ a _ NAB Standoff Confi uration Landscape Staggered Max Standoff Tributary.Area _ _ w_Trib _ _ _ ._w _ _. _ 20 sf PV Assembly Dead Load_ W-PV 3.0 psf - Net.Wind.Uplift at Standoff r T-actual _ �_� - , _ _ _ _-352_Ibs.-_ Uplift qpacity St of Standoff - _ 'T-allow aY 500 Ibs DCR andoff Demand_Caci " � X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 66" x_ --s -4 9 •. ". NAB M.ax Allowable.Cantileyer _ _._ . _, _ _ or Standoff Configuration Portrait Staggered Max Standoff Tributary,Area .TribY _ _ 22 sf PV Assembly Dead Load _ W-_PV _ _ 4 3.0 psf Net Wind,Uplift at Standoff _ __ T.-actual _. .v. ...: _ 391_lbs Uplift Capacity of Standoff T-allow Ibs Standoff Demand/Capacity DCR _ _ _ 78.2% .4.,� � s •J.. � ���`u,X�. � �w'^Sy '"ll`*r"5*„,S r r� _ r� xj, A, ;t''� .ti n Amnesty Program �, Y3 \ 1 J Hel in to ;snake affordable hous�n ossible p g gp 7-7 10 P. - J Certificate of C0MDJmC'e This certificate indicates acceptable minimum habitable regwrements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program ` Owner Maria M. Ferreira Location: 138 Beth,Lane, Hyannis, MA Unit Capacity QIM bedroom, not to exceed two People Inspector M/P No. 272158 6/5/2008 Town Of Barnstable do Building Department - 200 Main Street ASTABLE. * Hyannis MA 02601 9 MASS $ i639. , (508) 862-4038 RFD MA'i a Certificate Of Occupancy Application Number: 200800318 CO Number: 20080103 Parcel ID: 272158 CO Issue Date: 06/05108 Location: 138 BETH LANE Zoning Classification: RESIDENCE C-1 DISTRICT Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RCOO CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO MARIA FERREIRA (a -- � - o � — Q Building Department Signature Date Signed �INEJ�,_ TOWN- OF BARNSTABLE ' • ti Buf[d�ng Application Ref: 200800318 * BARNSTABLE, + Issue Date: 02/21/08 Permit 9 MASS. �prF13�A� Applicant: FERREIRA,MARIA DAMATA Permit Number: B 20080338 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/20/08 Location 138 BETH LANE Zoning District RC-1 Permit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 272158 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ .00 License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CREATE AMNESTY APARTMENT ADDING KITCHEN AND REMOVING 1rHIS CARD MUST BE KEPT POSTED UNTIL FINAL WALL UPSTAIRS IN LIVING ROOM INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FERREIRA,MARIA DAMATA BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 138 BETH LA INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT"CONV.EYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE,JURISDICTION. STREET ORALLY GRADES AS WELL AS;DEPTH AND:LOCATION.OF PUBLIC SEWERS MAY BE OBTAINED F ROM,THE DEPARTMENT OF PUBLIC`WORKS. ' THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANTTROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). E'' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 f Ua(C 2 (v 2 ' 1 1� rewE4 ONL,—ICrN/Sra ti . 3 I r��C UK 1 Heating Inspection Pi-uvais ry Engineering Dept Fire Dept 2 Board of Health rl�l r E TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _ Application# � - Health Division Conservation Division Permit# _ Tax Collector Date Issued Treasurer Application Fee 6, C6 ° Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 1& ,e e, :5 �P'"xnjeci�Street Addres�� i �� uC)f✓"� � ��� Qwner �Addressj 'J r✓T1 c-Telephone 7�-_ : ob :?Ci 0 - — S Q� _7 37 05 9 t' Permit Request J /VN C-A Square feet: l st floor:existing proposed 2nd floor:existing proposed Total new Zoning District C Flood Plain Groundwater Overlay Project Valuation QQ Construction Type Lot Size 0` Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 1191 Historic House: ❑Yes 2 No On Old King's Highway: ❑Yes ❑ 0 Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other j Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new _ 3 ;;�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 stoge: ❑Yeas, ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑nevsize I, Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: t _ y I Zoning Board of Appeals Authorization Q/Appeal# '70 07 ( Recorded ded Commercial ❑Yes liVo If yes, site plan review# w i co Current Use �A BUILDER INFORMATION 1 J� Name vi I ��fZi2G--i �� �Telephone'Nambe(fit� 19 0 0� -75 Address )-3,8 6�tj LW License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO cSIGNATURE'= S 1s .dw FOR OFFICIAL USE ONLY , i • PERMIT NO. i DATE ISSUED + s I , i MAP/PARCEL NO. t , ADDRESS + VILLAGE OWNER + DATE OF INSPECTION: FOUNDATION + FRAME INSULATION } - 1 FIREPLACE } ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL j GAS: ROUGH FINAL i FINAL BUILDING ✓® G i } DATE CLOSED OUT ' ASSOCIATION PLAN NO. t f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 . see° www.mass.gov/dia Workers' Compensation Insurance Affidavit::BuUders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly �Nwe:(Business%Organization/Individual): . (ZL �Q Address: - j-- - I J . ( SOS ) �2_4 City/State/Zip: l Phone.#: 19 C) A 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 e 6. ❑New construction . employees (full and/or part-time):* have hired the sub-contractors ?.❑ I am a'sole proprietor or partner- These sub-contractors have listed on the-attached sheet. 7. ❑Remodeling ship and have no employees 8. ❑Demolition workingfor me in an capacity. employees and have workers' y P tY� 9. ❑Building addition [No workers' comp.insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions [c3.-— I am a hortieowner doing allwork ❑ g P 7E- self [N workers comp. right of exemption per MGL 12.0 Roof repairs insuranncee feqaired:]t c. 152, §1(4),and we have no •r r =^= employees. [No workers' 13.❑ Other comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new Effidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is..the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p 'ns and pens,a of perjury that the information provided above is true and correct T _—r�Date: Phone#: . I Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced;acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Department of Industrial Acoideuts Office of Investigations 600 Washington Street Boston,MA 02111 Tel. T 617-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www mass.govldia Bk 22526 Po 79 OL70098 12-10-2007 a 02 2 21 c? REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS JLREGULATORYREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this day of(J ,2007,by and between Maria DaMata Ferreira of 138 Beth Lane, Hyannis,MA and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the "Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be re nted to P g a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN• A. The terms of this Agreement and Covenant regulate the property located at 138 Beth Lane, Hyannis MA as further described in deed recorded herewith as Barnstable County Registry isy of Deeds Book 18124& Page 166. B. The Project located at 138 Beth Lane,Hyannis,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2007-079 and any plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book &Page D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS, COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or, as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, i mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80%or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing.Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the "Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 c + r V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a parry may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated bysuch actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 18124 & Page 166 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 18124&Page 166. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case maybe,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. 3 B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, ii are not merely personal covenants of the Owner,and iii shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. )GI. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. 1 IN WITNESS WHEREOF,we hereunto set our hands and seals this day of c,4 0 e,,u 2007. OWNER BY: n \ Printed:Maria DaMata Fe eira 4 COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this day o&,hi i—2007 before me,the tuidersigned notary public,.personally appeared MCI, (k, . the Owns),-proved to me through satisfactory evidence of ident' ication,which were ,to be the person(s) whose name(s) is.signed on the preceding or attached cUcument and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public Printed: MY Commission Expires: ro....e..em.e. 0 vqal1? pds. �r 4 rt �yww=aawn-as.a TOWN OF STABLE BY: TOMN MANAGER COMMONWEALTH OF MASSACHUSETTS Countyof Barnstable,ss: On this 26 day of 2007 before me,the undersigned notary public,personally appeared 43hn C - nn +� ,the Town Manager for the Town of Barnstable,proved to me through satisfactory vidence of identification,which were / ,to be the person whose name is signed on the preceding or attached)iccumeal and acUowl+ dg•d to be that he/she signed it voluntarily for the stated purposes. i �n� l Not ublic Printed: i err 1 V G��� My Commission Expires: mmo OFFICIAL SEAL _ SHIRLEE MAY OAKLEY NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS My Comm.Expkes 3/28f2008 5 Town of Barnstable Regulatory Services � BARNSTABI.E, � Thomas F.Geiler,Director 9 MASS. 3.639. �0 Building Division rE° �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:. lS l D� M number street village `HOMEOWNER':: Q home phone#) work phone# ,p C�MArLING ADDRES&_, 13 CJ 14 t4H�cN (\j o0_6c) 1 city/iDwn 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 proced a nd requirements and that he/she will comply with said procedures and requirements. Si ture of Homeo ".._ Approval-of Building_Official----== Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fonns:homeexempt r �y�'°FSHETpy, Town of Barnstable Regulatory Services BARNSrABi'E Thomas F.Geiler,Director s639. `�� ArE639 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM S:0 WNERPERM ISSION FP1e Edlt 7Ud15 m lo iH21P €y 7 t' v ;�a,k 6 �� - # x r xr q, 'vim' U,,.�.,� 6 .': �® �4.f .a-. " is �p w S 4' f. k d •m s^ * ,i°�, ' uasde' Action 1Jept a s, eeded,kByly�pro�red By, Stahis Uap,Ctam�ierrt - —� R _. 8 VrPf Status .' AMNES APPROVAL 4310 a COHSE APPROVAL 6701 01/15/2008 FSTE APPR. ffi FIRE APPROVAL 6300 TAX APPROVAL 6300 01/15/2N8 DEAR APPR. p+ WORK APPROVAL M 01J15/ 08 DBAR APP'R 7. In * r _r s 0 `x rA r � •.. a s ak as d � rte 'Ei _TFL E P DEPARTMRN Needed by z`> AC on=type APPRO�IAL x " �nspectar TS�Cf; i "� O NNELLM Ptespc ns�bi '`d pt 654U=REALTH DEPARTMENT - _ ` nspect�ar �� ., reference rya 87.-149&012 ' k l 4 'Status ;'; APPR=4PP�i© ED n $�LCite § s- €" .:#'� R A .. .4� �`� Comment code` � g t � r Approved O1�12008' :k 16Od P,ROP¢LlI�ITED TC 3 BEDROOMSfAX # �� ` , 7.wg' ^ram�^!ram w 3 €��.�° d G .y r :J..*, '£ 77,77777771 . 'A. k x> & e ��"xxa <2.. r,n t`'.�� [t5k I-? p; ,', .. + L i a y .a.g.4 .�R,x A- �.n,..�� epdiT� E�BCtio@ ha"��en canc led b'f't usef file :Ecfit $Tools Help A # rII4 9 _ a 5 aF a ' lea e 4 ' Receipt ." a t Methi d Ghec1/FFef ,y * � i z� � u q. a zw�. " k ... �a a: •$ 4 €»,e x '<. F °'...R�'' z:v,,V,,4, �� .� •fib, q a-^ x ` 'a:. k4yPN 10 { ti 4r � -� � - - w � ,2 10 .2 r VillC 'TJ CQSIP b LI_}___ s. V o "T F--(lC Ae lA- - e l� A MAeJ� - I 1 �'A � C� B.tc 22526 Po7 w7ia1�97 12-10-2007 a 132 = 21P BARNSTABLE T 0 W V, 4N;-E yn 07 SEP -7 P 3 :57 JED MP'�• ... Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2007-079—Ferreira Decision- Chapter 40B Comprehensive Permit Applicant: Maria DaMata Ferreira Property Address: 138 Beth Lane,Hyannis,MA Assessor's Map/Parcel: Map 272,Parcel 158 Zoning: Residential C1 Zoning District Applicants: The applicant is Maria Ferreira,who resides at 138 Beth Lane,Hyannis, MA.Ms. Ferreira was granted title to the property by deed recorded in the Barnstable County Registry of Deeds on January 14, 2004 as recorded in Book 18124,Page 166. Relief Requested: The applicant has applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the Town of Barnstable,more commonly termed the"Accessory Affordable Apartment Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9- 15 of the Code—Amnesty Program to permit an accessory apartment unit within a single-family owner- occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment in the lower level of the principal residence. Locus and Background: The property at issue is a 0.35-acre lot located at 138 Beth Lane in Hyannis,MA. The lot was developed in 1981 with a single-family cape style home. The effective living area of the main residence is 1,620 square feet. The accessory apartment is a one-bedroom unit located in the lower level of the principal residence. The square footage of the rental area is approximately 800 square feet. The lot is served by public water and on-site septic, and is located within a Groundwater Protection Overlay District. The Town of Barnstable's Public Health Division reviewed the application, and on June 27, 2007 approved a total of three(3)bedrooms at the property with the existing on-site septic system, provided a five-foot opening is placed between the bedroom and living room in the main residence. Procedural Summary: A site approval letter was issued for the property by Town Manager John Klimm on July 10,2007,in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. ,T A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on July 27,2007 and August 3,2007 and notices were sent to all abutters in accordance with MGL Chapter 40B. On August 22, 2007 Hearing Officer Gail Nightingale presided over the public hearing. The applicant, Maria Ferreira was present at the hearing. Madeline Taylor of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicant to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on August 22, 2007 the Hearing Officer made the following findings of fact: 1. The applicant is Maria Ferreira who resides at 138 Beth Lane, Hyannis, MA. She is requesting a Comprehensive Permit to create a one-bedroom accessory apartment in the lower level of the principal residence. The creation of the unit to an accessory affordable unit within a single-family owner- occupied residential dwelling qualifies for the"Accessory Affordable Apartment Program." 2. Maria Ferreira was granted title to the property by deed recorded in the Barnstable Registry of Deeds on January 14,2004 as recorded in Book 18124,Page 166. 3. On July 10, 2007 a site approval letter was issued for the property by Town Manager John Klimm, in accordance with MGL Chapter 40B and 760 CMR.Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the:requirements of CMR 760,and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 800 square feet, and is attached to the principal residence. 5. The applicant is aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on-site septic and is in an identified Groundwater Protection Overlay District. The proposal has been reviewed by Thomas McKean,Health Director, and he has approved a total of three(3)bedrooms at the property with the existing on-site septic system, provided a five-foot opening is placed between the bedroom and living room in the main residence. 7. On April 19, 2007 the applicant signed an Accessory Affordable Apartment Program Agreement Affidavit that commits,upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as their principal residence. 8. The applicant understands that the affordable unit will be rented to a person or family whose income is 80%or less of the Area Median Income(AMI) of the Barnstable Metropolitan Statistical Area (MSA) and further agrees that rent(including utilities) shall not exceed 30%of the monthly household income of a household earning 80%of the median income, adjusted by household size.In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9.According to the Massachusetts Department of Housing and Community Development, as of August 22, 2007, 6.63% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units - throughout the town. 2 I Finding Summary: Based upon the findings,the Hearing Officer ruled that the applicant has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable' s Accessory Apartment Program. The proposal is also deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings,a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B to the applicant,Maria Ferreira. It is issued to allow for a one-bedroom accessory affordable apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two persons. 2. The total number of bedrooms on the property with the existing on site septic system shall not exceed three(3),provided a five-foot opening is placed between the bedroom and living room in the main residence. 3.The property owner shall occupy the principal dwelling as their principal residence. 4. This unit shall not be occupied by a family member of the owner(s). 5.All parking for the accessory apartment and the main dwelling shall be on-site and no lodging shall be allowed on-site for the duration of the permit. 6.To meet the requirements of affordability, the cost of housing(including utilities) shall not exceed 30% of 80% of the median income for a single individual for the Barnstable MSA. In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 7.All leases shall have a minimum term of one year. 8.The Growth Management Department shall serve as the monitoring agent for the accessory apartment. 9.The applicant must apply for a building permit for the accessory unit,whether the unit is new or pre-existing. Before securing an occupancy permit and certificate of compliance,the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 10. The applicant may select her own tenant provided the tenant meets the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the town of Barnstable as a qualified individual. The applicant will be required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual or family. Whenever a vacancy occurs,notice must be given to the Growth Management Department and the unit must be listed with the Town. 11. Every twelve months the applicant shall review the income eligibility of the individual occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit,the applicant shall file with the Growth Management Department of the town.of Barnstable an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicant.shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being 3 l upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 12. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred, the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 13. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive,Permit 2007-079 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241,section 11. If after fourteen(14)days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision,this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision, if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Chapter 241, section 11 of the Town of Barnstable Administrative Code,the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on August 22, 2007. Fourteen(14) days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. Gai ightingale, earing O er Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has be led in the rLffice of the Town Clerk. Signed and sealed this day of p d nder the pains and penalt,,ies of perjury. .z_ Linda Hutchenrider, Town Clerk 4 T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 6_� Parcel Application # Health Division Date Issued Conservation,Division Application Fees Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address �9 OFT/F L Ri'V F- Village I�fY 1��✓1.p yv' �" j Owner IV' X4 �.0 ' a jq Address Telephone� � �' oLz J 059 Permit Request LD ,r-r °�1'�n c S -c, r Sf n ty\ 15 I F '!- D® f o moo'e yn � t t ConSfr0C� � W a-(V t ry - c tTCre_vx- - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _Flood Plain Groundwater Overlay Project Valuation 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 g Historic House: ❑ ❑Yes U o On Old King's Highway: Yes ®° , No/ Basement Type: VFull ❑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: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑VNo Oil ❑ Electric ❑ Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes Uko Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: i C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r - ` ; Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION ri r- r; (BUILDER OR HOMEOWNER) Name PA! Telephone Number (, d -0 +�`� 7 �� 6'� O Sal 1 Address License# Home Improvement Contractor# Worker's Compensation # LALLONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ATU E DATE 0 3 c - 09 FOR OFFICIAL USE ONLY , APPLICATION# DATE ISSUED MAP/PARCEL N0. I - i , ADDRESS VILLAGE OWNER E DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING _ _ 0(!r-- - r a DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information -Please Print LeLxibly Name(Business/Organization/Individual): q IL` l-z-fL-1 Address: 1 3 '��� �� IL CWW City/State/Zip: gy wv N Phone.#: 4 91 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-tim.e).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P ty. $ 9. ❑Building addition [No workers' comp.insurance comp. insurance. 10. Electrical repairs or additions r uired.] 5. ❑ We are a corporation and its ❑ P Sam a homeowner doing all work officers have exercised their 11.❑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' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: 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$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER`and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpe alt s ofperjury that the information provided above is true and coorrrecr: Si a -e: Date: Phone#: g l(� /,3- -o Sal �. Official use only. Do not write in this area,to be completed by city or town officlat City or Town: Permit/License# Issuing.Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,.oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies-(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be-provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-72.7-49'00 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 1.1-22-06 www.mass.gov/dia Op1HE r Town of Barnstable " Regulatory Services >► BARNSTABLE; Thomas F. Geiler,Director� MASS. 9,p i639. Building Division rFD MA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION C� ^ Please Print DATE: LJ� — p�J O� JOB LOCATION: �l� t �T r-/'r11'y U Qnumber p street ` village .,HOMEOWNER": I"lr/ ► 1�� ' U[�V\�(�' C� �^:� ( 0-9```( name � home phone# work phone# CURRENT MAILING ADDRESS: ` P \A city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.IA) 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 proce s and requirements and that he/she will comply with said procedures and Vements. ature of Homeowner Approval of Building Official i 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 ofthis-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, I. 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 fonn/certification for use in your community. Q:forms:homeexempt OfIMET Town of Barnstable Regulatory Services ♦ Y 98ARNsrABLE MASS. '$ Thomas F. Geiler,Director Qj i639• �� 'Oren Mate. Building Division Tom Perry,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 as Owner of the subject property hereby authorize to act on my behalf, in all'matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. QTORMS:O WNERPERMISSION C 1 IMNG AREA �szs s�n t 3 Ln �Y INlar 13 , EDT by :. vid-Cape South Denni (15 : 49 ) Tg 2 of 3 Mid"Cape South Dennis 465 >~oute 134 South Dennis, MA 02660 (508) 398-6C71 So-ld To CASH-5 ACCOUNT Ship To GILMP.R SILK'*A MA 73 7• o �t'CT 4 QUOTE* TERMS ENTERED SLM EXPIRATION m E:. IO2! :)0002 4C29249 CASH 03/13/08 999 C4/14/08 ------------------.-------------------------------- 1 U/M Description Quantity es�.,. Price Extension ---------------------------- ----------.-------------------------- ---------------- -------- xxR* ASF OF CFrE,'Iz: ONLY, NO CRED"^ CARDS ****x* **METAL SPIRAI STAIR 1 LA 3AP42A SPIRAL STAIRCASE j 1757.340 1757.34* ** #MSSTR.63 ;MSSY:53/SPIRAL/ST GA-MIA SP ". STAYRCA.5E KIT WITH AIE7j_', STEPS 11 STEPS PL,1;S PL:'"ORpl DIAMETER: 63" ADJUSTABLE HEIGTH: 9-c" ^, ]OR" SHIPPED (FD) BALUSTERS" 3 PE1. T::7_..E:) "*WOOD SP-RAl- STAIRCASE* : k-k.*A..k* 1 EA GAME SPaPAL STAIRCASE 2153..58C 2153.53* **WOJD STEPS** #WSSTR6' -WSS PR6:3/SP l RAI.!STAI GAi4IA SPIAL STA..."RCASE KIT 'NITH l:oODZI� STEPS 11 STEPS PLUS PLATORM D_-M-'TER- 63" AD,'U"I`.CA.9LE EEIGTH: 99" TO 108" :;H_1'PED i K? ) Ri ,J.S': ERS" 3 PER TREAD March 13, 2006 15:47:03 OT:9 - * QUOTE _ /JI tl •` r J 1, N �,. ,� ,�D Pa-®ohs d .�c�! f, PC �'�, 't �L 1 1/4 0 MYLEN 5TAIR5, INC. RAIL 6 O 5 WA5 H I N GTO N ST. PEEKSKILL, NY ! 05GG To[[ ffree: 600-43 I -2 15 5 1 S 1/2:' ..fax:, 9I4-739-9744 30 R cmaii: I nfo I @m yer�stabs.corn e - wbslte: www.mylenstairs.com 26 rr :,-}- CLE R SPIRAL STAIR 1/2 1Fr MII�IIMI1n4 PISF� ..Tr. ' z _. Ct L h _lGHT = 8-:�75��-for ..._ . , ` � .- � � ---- _ _ -- - ,� � � BALUSTERS /6 HEAD CLEARANCE f, lJ N DER SCE UARE 12 , - 30 -mOOO PLATITORM LESS THAN MAXIMUM RISER 4 rr SPACING HEIGHT = 9.5° -- - 04„ 0 TREAD OVERLAP NOT INCLUDED - FOR TREAD DEPTH M tef m ,1s CUSTOM SERIES Diameter Step Space Suggested Finished Tread Tread Op Degree Tread Width De ree Tread Width 0 3r_6n �„ a 0 40" x 46" 27.00° 10:5rr a 4'-0" 20" 52" x 52" 27.00° 12Pr 41_6rr 23" 58" x 58" 27.00' 13 CEeD26" - rr �'F x 64IV 27.00° 14rr 30.00° 15.52"' 5 -6 29" 70" x 70" 24.500 14.511 30.00° 17.0 rr 6`-0" 32" 76" x 76" 8 24,50° 15" 30.00° 18.63" 6'_cu 35" 82" x 82" p 22.500 155" 30.00A 20.18" a. 7�-Drr• 3U" 3 88" x 88' 22.50° 16" 30.00° 7!_6rr 41 rr 21 .74" 94" x 94" 20.76° 16,5" 30.Q0° 23.29" 81_01, 44" 100" x 100" 18.00° 15" 30.000 24,84" 4�7" 106" x 106" 9,_Drr_ 50" 16.36° 1/.- 30.00° _ 112" x 112"' c�.Jy 15.43° - 14.5 30.00° 27.g5" Q i icy h r 30 14.60 1�4.5" 30.0 0° 29.50'� 101_0.1 56,E - 124" x 124" 13.860 14.5" 30.000 31.05" } NOTE: These are general gufdefines, to oblain free layout advice contact your Mylon Stair Consult - Other diameters available upon request (up to 0`-OT') ant o _ "Step Space" = Clear step area between face of pole and inside of handrail Step Space may vary, dependant upon handrail profiles - Finished opening sizes-may vary dependant upon wall locations and layout `-14 -4 - Alternate tread degrees can be used to,facilitate some layouts `" Myl en Stairs, 650 Washmaton Rt P_mir( ;jj my n�c c Q - •' e-none UUU-4JI-Z1551 914-739-8486 Fax: 914-739-9744, 914-739-9361 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE vertical in 48 inches horizontal(2%slope). stairways shall comply with all requirements of 5311.5.6 Handrails. Handrails shall be provided 780 CMR 5311.5 except'as specified in 780 CMR on at least one side of-each continuous run of 311.5.8.1 and 5311.5.8.2. treads or flight with three or more risers. 5311.5.8.1 Spiral Stairways. Spiral 5311.5.6.1 Height. Handrail height,measured stairways are permitted, provided the vertically from the sloped plane adjoining the minimum width shall be a inches (660 tread nosing, or finish surface of ramp slope,, nun) with each tread having a 7'/2-inches shall be not less than 34 inches(864 mm)and (190 mm)minimum tread depth at 12 inches not more than 38 inches(965 mm). from the narrower edge. All treads shall be 5311.5.6.2 Continuity. Handrails for identical,and the rise shall be no more than stairways shall be continuous for the full length 9%2 inches (241 nun). A minimum head- of the flight,from a point directly above the top room of six feet six inches(1982 mm)shall riser of the flight to a point directly above be provided. lowest riser of the flight. Handrail ends shall 5311.5.8.2 Bulkhead Enclosure Stairways. - be returned or shall terminate in newel posts or Stairways serving bulkhead enclosures,not safety terminals. Handrails adjacent to a wall part of the required building egress, shall have a space of.not less than 1�/2 inch(38 providing access from the outside grade mm)between the wall and the handrails; level to the basement shall be exempt from Exceptions: the requirements of 780 CMR 53 11.4.3 and 5311.5 where the maximum height from the 1. Handrails shall;be permitted to be basement finished floor level. to grade interrupted by a newel post at the tum: adjacent to the stairway does not exceed 2. The use of a volute, turnout,starting eight feet (2438 min), and the grade level easing or starting newel shall be allowed opening to the stairway is covered by a over the lowest tread: bulkhead enclosure with hinged doors or 5311.5.6.3 Handrail Grip Size. All required other approved means. handrails shall be of one of the following types or provide equivalent graspability.. 5311.6 Ramps. 1. Type I. Handrails with a circular cross 5311.6.1 Maximum Slope. .Ramps that are part section shall have an outside diameter of at of a means of egress and are attached to a least 1'/a inches (32 nun) and not greater dwelling unit shall have a maximum slope of one than 23/inches(70 mne).,If the handrail is unit vertical in eight units horizontal(12.5%). not circular it, shall have a perimeter 5311.6.2 Landings Required. A minimum dimension of at least four inches(102 mm) three-foot-by-three-foot (914 mm by 914 mm) and not greater than 6'/4 inches (160 mm) landing shall be provided: with a maximum cross section of dimension of 2'/a inches(57 mm), 1• At the top and bottom of ramps, 2. Type H. Handrails with a perimeter 2. Where doors open onto ramps, greater than 6'/4 inches (160 mm) shall 3• Where ramps change direction. provide a graspable finger recess area on 5311.6.3 Handrails Required. Handrails shall both sides of the profile. The finger recess be provided on at least one side of all ramps that shall begin within a distance of 3/a inch 19 are part of a means of egress and are attached to nun) measured vertically from the tallest a dwelling unit(s) where the ramp exceeds a portion of the profile and achieve a depth of slope of one unit vertical in 12 units horizontal at least 5/16 inch(8 mm)`within 7/a,inch(22 . (8.33%slope), mm)below the widest portion of the profile. Exception: For persons with disabilities, This. required depth shall continue for'at handrails shall be provided on both sides of least 3/a inch(10 mm)to a level that is not the ramp when the vertical rise between less than 13/a inches (45 mm) below the landings exceeds six inches(152 ntm). tallest portion of the profile: The minimum 5311.6.3.1 Height. Handrail height,measured L width of the handrail above the recess shall above the finished surface of the ramp slope, be 1114 inches(32 mm)to-a maximum of 23/a inches (70 mm). Edges shall have a shall be not less than 34 inches(864 mm)and minimum radius of 0.01 inches(0.25 mm). not more than 38 inches(965 nun). 5311.5.7 Illumination. All stairs shall be 5311.6.3.2 Handrail Grip Size. Handrails on provided with illumination in accordance with ramps shall comply with 780 CMR 5311.5.6.3. 780 CMR 5303.6. 5311.6.3.3 Continuity. Handrails where ` 5311.5.8 Special Stairways. Circular stairways, required on ramps shall be continuous for the spiral stairways,winders and bulkhead enclosure full length of the ramp. Handrail ends shall be returned or shall terminate in newel posts or 558 780 CMR-Seventh Edition 3/23/07 (Effective 4/l/07) SKETCH ADDENDUM File No. 2728 Ma ia-Dawata=Ferreira idress q3$=Befh-Lane_ � / nnis county Barnstable state MA zip Code02601 ® v P ) nt Citizens Mortgage Corporation ,address 1200 Hancock Street Quincy Massachusetts 02169 J 70 G E)l S co---� -77i 25.0' i5`......:%tiy::':2'S3::...: ti l .r 1 >�fsi 9 r 19, fr J�v Bath i Kitchen Ed � Master 7 Bedroom C Bath Bedroom 7 � N -4 Dining C C Gx-- Area /�.�'j voG/- Living Room C Bedroom �,/� 15.0' , U CAW • D� W/�I� 40.0' S��� I mot , Town of Barnstable BARNSrABLE : Regulatory Services 039. .•� Thomas F. Geiler,Director QED MA'S A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 9, 2008 Maria DaMata Ferreira 138 Beth Lane Hyannis,MA 02601 Re: Proposed Accessary Affordable Apartment Dear Ms. Ferreira: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant J040616a yr• _ - 9 70& TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION v .t Map 271 Parcel 159 Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application FeeOD ��• Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1.38 B E? L N Village qY tu 1 S Owner �V ffP-f ��d 2 Et' (� Address 5kr" a�O Ve Telephone (!so io o)- Permit Rest f d shaSieindn 7— 71b ;L%'71 `�/ 7� Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ' Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new I \/\ Number of Bedrooms: existing_,. new Total Room Count(not including baths):existing 16" new First Floor Room Count Heat Type and Fuel: ❑Gas 'Oil ❑ Electric ❑Other Central Air: ❑Yes 4<0 Fireplaces: Existing 0 _ New Existing wood/coal stove: ❑l�j ❑No Detached garage:0 existing ❑new size Pool:❑existing 0 new size Barn:0 exissti g ❑ne b sized Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: CD Zoning Board of Appeals2Auutt orization ❑ Appeal# Recorded'❑ Commercial ❑Yes ®'No If �es site plan review# co Y Current Use Proposed Use BUILDER INFORMATION r Q 'Nameill A ( %2 2 L Telephone Num a 1v g ----Address License 3 � 3C�N License# �A Cl/ l S l ul Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `� SIGNATUR DATE d FOR OFFICIAL USE ONLY; PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i f DATE OF INSPECTION: FOUNDATION r - FRAME ®�� - �Cp6 � . P i INSULATION • FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH (r / FINAL FINAL BUILDING D I.� l0 �® ltz- DATE CLOSED OUT ASSOCIATION PLAN NO. • �\ lILG \/Vff L//LVlL/YGKLLlL V, ll1 KL7 7KGlLKJGLLJ Department of Industrial Accidents Office.of Investigations: ' 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compens.ation.Insurance Affidavit: Builders/Contractors/Electridans/Plumbers pplicant Information Please Print Legibly fame (Business/Organization/Individual): U_ `A'P- b w '....FL�X;zJzkF P—A .ddress: 13 3 �? �- KJ, 'ity/State/Zip: �� l' S VA Phone#:_L3 0-8 C2-4 .-7 S re you an employer? Check.the-appropriate box:. Type of project(required): ] I am a Moyer with 4. [] I am a general contractor and I 6. ❑New construction employees (full and/or parr-time).* have hired the sub-con actors ] I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for mein any capacity. workers' comp. insurance. g• ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required] officers have exercised their 10.E1 .Electrical repairs or.additions I am a homeowner doing all work right of exemption per MGL 11-❑ Plumbing repairs or additions myself:[No workers' COMP..' c. 152, §1(4), and we have no. 12. Roof repairs insurance required,],t employees. [No workers' 13.❑ Other comp.insurance required.] y applicant that checks box#i must also fill out the section below showing their workers'compensation policy information: )rneowneit who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such atractors.that check this box must attacbed an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. n an employer that is providing workers'compensation insurance for my employees'Below is the policy and job site - arance.Company Name: icy.tt or Self-ins.Lie.#: Expiration Date: Site Address: City/State/Zip: ,ach a copy of the workers' compensation policy declaration page(showing the policy number and•expiration date). lure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a up to$.1,500..00 and/or one-year imprisonment; as well as,civil penalties in t>ie form of a STOPWO?tK ORDER and a fine ip to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of estigations of the DIA for insurance coverage verification. 7 her y certify under the pains and aloes of perjury that the information provided above is true and correct: r. . natare., otxk Date:. D. 41�6,1 (_5' 08 C) LJA Off clal use only. Do not write in this area,to be completed by city.or town offtcial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• OF TME"aY,�, . "Town of Barnstable Regulatory Services sszae Thomas F.Geiler,Director � amass. g 1639:�a`� Building Division D MP Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstable.ma.us )ffice: 508-862-4038 Fax: 508-790-6230 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 em"exceptions,along w;th other requirements. OJ Type of Work_,. � i1S �r��S l n 6Xrn an Estimated Cost Address of Work:. k3 C �� H L N' Owner's Name: I V l 14�1✓� I V 1 . ��rZ�2 E rt2 IQ Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law DJob Ur-der$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Signature Registration No. v R - Date Owne s Signature Q:wpfilesSomwhomeaff day Rev: 060606 I Town of Barnstable �FSNE Tp�,_ Regulatory Services sexrrsTnst.E Thomas F.Geiler,Director Mass. 9q, 1639• ..� Building Division RFD MA'1 A tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION P Please Print DATE: I /D LIC( A JOB LOCATION: I ,�4�' T number street village "HOMEOWNER": �So� �l�i o owl (Sc$)73� 0.5 ej name a (� home phone# work phone# CURRENT MAILING ADDRESS: )CT 4 L wn4 N i 5 INl '� O city/to 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 indiNridual 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 of two-familydwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one horse 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 procedures and requirements and that he/she will comply with said procedures and req ' ements. n , � c�1 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 t amend and adopt such a form/certification for use in your community: .Q:forms:homeexempt ,A5e w49/)/' 6 71� IL 11 E i I k 0 '41 r � ;� �. � �- � S� �.,�rc �; L - - -- -- - - �1 tt �# ,� r��.s' �� _ � '� -����� ! � �- 1 � � � ; � ��. y � i f � � � � � � � ;, � �< £� �� �� � � � � _ _ _ _�._ �' � 1 i Date: April 14, 2006 To: Building File From: R. Giangregorio Re: 138 Beth Lane, Hyannis Owner: Maria Damata Ferreira M&P: R272-158 Zoning: RC-1 District Overlay: GP Ms Ferreira responded to a letter sent by Linda Edson dated 4/5/06 regarding an illegal apartment. This property popped up on our radar after a site visit to another property on Beth Lane. Ms Ferreira denied she had an apartment unit and subsequently agreed to let us see the property at 8:30 AM on April 14, 2006. (Pictures on file) The assessing records reflect a sf, 3-bedroom ranch home. This is a neighborhood of similar homes and small Capes. I met Ms Ferreira at the appointed date and time with Linda Edson. Ms Ferreira brought us in through the front door into a large living room and through the kitchen into a small rear entry with interior stairs to the basement. As we entered, a man emerged from the stairway and exited out the back door. She claims no one lives in the basement but she does rent one room upstairs because she is divorced (later she said separated) from her husband who is now in Brazil and as a single mother she can not afford the mortgage alone. At the bottom of the stairs was a food preparation area complete with cabinets, a stainless steel kitchen sink, refrigerator and dining table, although no stove, microwave or toast oven was visible. A windowless bedroom was behind the kitchen wall, a long hall with three other windowless bedrooms led to an open room with an exit door and a couple of small cellar windows. On the opposite (outside) wall were two small bathrooms with showers, and a utility closet. Each bedroom had a large closet. Some rooms contained furniture and some closets contained clothes; mostly children's seasonal winter jackets and the like. The bedroom closest to the kitchen area also had pillows and blankets on the floor. Ms Ferreira stated that her children play downstairs and like to sleep here. She also indicated that her cousin comes from Brazil with her children for the summer. They sleep here. I stressed that NO ONE can sleep here as it is unsafe. She was advised that there may be a septic issue that the wall must be opened up to eliminate the bedrooms. We also discussed that she may be eligible for an Amnesty unit if she can reconfigure the space to comply with the building code and the existing septic will accommodate the use. Ms Ferreira was told she would receive a letter from Building regarding the conditions downstairs and advising her that no one can sleep there; she was also advised that an Amnesty representative would contact her to discuss that program with her. Ms Ferreira would like to keep the refrigerator and one wall cabinet downstairs for her own use as additional storage. That in itself is not a violation. JAIllegal Apartments\138 Beth Lane Ferreira.doc .��§�`Qy��`Y�''�+�k�T`a a�•`,n e4��'"�s' I��f �b �� � L:�� a �9•.c'S.'- S; ,` �1et* ,• r^y�,4l��J/�Sr��j�a't,•�1�i �•,qs• , � = i y4, •. { �r�:; .a+,�L^sr O •" tF.. y^`` RAF a � `, Fes' �'r+ THY i Atli p{� a fr _.�, { •. 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C .a �. -='",;^ �'r� -r�� it �!��'f�:-:.��. it_J ,���� `i I ,� �n. _ �� ,• ;_.,, _.�."� �,;;. i �, is=; I ,: 1 i f -a s x � r i s ,hL r � n p s i r � 1 b J 1 a: 38 y i .,t 3 Town of Barnstable - -, Regulatory Services Pao �'1-a Thomas F.Geiler,Director Building Division BARN$TABLE, 9 MA g Tom Perry,Building Commissioner s6gq. ♦0 lEp MAC a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ffice: 508-862-4038 Fax: 508-790-6230 Approved: Fee: �s Permit#: �,� HOME OCCUPATION REGISTRATION Date: n 1 Name: I" GG 12 OZ 1 R 1!\ Phone -7q o a j Address: T , , Village: Name of Business: L S ALL ?,A kT Type of Business: (f 0. -)eA III LP/1 Map/Lot:_ 627d / 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 pro,isions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in,excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read Id agre�Je bove restrictions for my home occupation I am registering. Applicari: Date: a - t Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$30.00 for 4 dears): A business certificate ONLY REGISTER you must do by M.G.L.-it does not give you permission to operate.) Business Centificates.are available at t S YOUR NAME in town [which Main Street, Hyannis, MA 02601 [Town Hall) he Town Clerk's Office, 1s`FL., 367 W DATE: t Fill in please: m � APPLICANT'S YOUR NAME: ve BUSINESS YO R HOME ADDR SS: ` `[2�� I �� TELEPHONE # Home Telephone Number Vic] [ADDRESS AME:OF NEW B75 USINESS THIS A HOME OCCUPATION9__YES aZ i C N p �c F BUSINESS P �e cw.... PE O yw ve you been given approval from the building division? 'YES. . NO S B S ESS. � c. P OF BUSINESS. /"? G� MAP/PARCEL NUMBER o? `/( When starting a new business there are several things you must do in order to be in compliance w' Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 20 P with the rules and regulations of the Town of Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business O Main St. - [corner of Yarmouth 1. BUILDING COMMISSIONER'S OFFI sin this town. This individual has n in.for of any permit requirements that pertain to this type of business. Authorize Hato COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: .. ,�. CONSUMER AFFAIRS [LICENSING AUTHORITY] This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: °FTHE ram, Town of Barnstable Regulatory Services Thomas F. Geiler, Director Eo;p. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Building Department Checklist Date: Location: Year built: Zoning district: , ceiling height(7' basement; 7'3" house) after 1973 only sleeping room (70 sq. ft.) smokes egress carbon monoxide detectors # sleeping rooms # sleeping rooms allowed septic or town sewer #kitchens ? apartment exit order car count and license plate# fire separation if needed mechanicals: make up air proper work clearances other building permit needed electrical permit needed plumbing permit needed Op1HE Toy, Town of Barnstable Regulatory Services BAMv MASS. Thomas F.Geiler,Director �A .t6;q39 ♦0 lE0 A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 April 5, 2006 Ms. Maria Ferreira 138 Beth Lane Hyannis, MA 02601 Re: Illegal Apartment—138 Beth Lane Hyannis, MA 02601 Map 272 Parcel 158 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a b--iilding permit to restore the property to a one-family home • Apply to the Amnesty Program 0 Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. incer a Edson Amnesty Program Zoning Officer Building Department gforms:zoning3 J 4 rti 1 .:•'���� f�2{���� hf:�s��¢,� �� 4�.. �?ar...s f,.'r`.,.y„� �. � t > � t` u � i �� '* -``� a. r � e tlA fr�• � 1�� { f 1 t r� /t ` F � r it y t �(ll�iij _ - !� "' �aY.' ,•: �<�\i�� � ���� I *'�"��;�;" i e� �sr.. .a '%st...-.����. ��, �' _ "d6' i��' � S+ _Y� t/�' ;�, t s yr ,ay�g ' t' �� � 'a b:t�i"` t`��'{�Y.!��,gi�,. #, a - r♦ rr i' _t;;. t�*�P*� �y�;�4`s.-�";.'r } �'*� i�?�,���� �'-r�r�"n�� •J .o �t,"�,L 'r '3 t 7 s 1t i, , ,,rji3E xcw. �:.9. 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OCCUPANCY- PERMIT No building nor structure shall be erected, and no larid, building or structure shall be used for a new, different, changed;-or:enlarged!,use-without a-;,'Building' Permit therefor first having been obtained.from the Building Inspector.-,No]building'shall`be occupied until a certificate of occupancy has been issued,by the Building Inspector." Issued to Rita Bi dble & Ruth Lorarkidress � -conowTines., Pa. Lot #31 138 Beth Lane Hydnrf s Wiring Inspector f� Inspection date "Plumbing Inspector �f� Inspection date Gas Inspector ram...-�� Inspection date 1/Engineering Department Inspection date < THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED-UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH, TOWN REQUIREMENTS. . - .. . . ................ 19... .. ;.(......Building {Inspector= :-, �," \i7 {_ 1` IN �'v. �C ® ® 1' f/�G�EBY CEL�T/�Y TNFaT T<•./E SHOWAJ ON Ti-1AS PL Fi A./ /5' L O C A9 7-E--D Oil/ T.UE gEOv tJa AS -SWO WA.1 f-1E i�EoeV A*"O 7'HgT /T 0.- 7-AI-- 'T27wa/ ofpF,Ms g� ARNE.; GJ -. #26348 ciViL 'EwCr AIC- S Is ' ,E'OUTE <oi�^'��/V!'OC/.7`F-1y i!/llU�'�J:._ , :i _ �r�T�- - .�"�•�r. L .S �'o� ° Yo 14 LoCA?7-10A.1: Z 6-�E.���l� CE,�T/FY Tf-✓�3T 7".4E SA,40, Vir 1 OA./ 7-AV AS pL JGiYV /S GOC,97-C- J OA/ 7".NE t�E?OUA./D /945 -'FA,/O WA./ <aAJZ) 774/gT /T l U o�g C0A1d=C>A 4-1 TO 7-A✓-` ZC PA.11A l ar '9= -/46!/5 OF T�,�E TC7lA/A/ OF '�'1���a STA z,�� N �C o� tARNE. 1. r`n^ H. OJALA #26348 L�iA/D St/BV6YO�S /"N�✓CC .tr I13 lS _ ,�OGJTE :4;.Q %ram AeliflOtJ7'!-i, .v/i r ►EG.._L. S ^r"cg:� _v'. �A, ssessors map and lot number � ;1�..::.....,���.� f E ��q Q -Sewage Permit number ..... �..............:............................. / ' EPTIC SY$TE `�j� NST,qL O N C ,C� � . f. -House number .../..�.��../.�!..G�.:.........................................• ...... WITH TIT rasa ENVIRONMENTAL i63 V �0 TOWN OF BARNSTABT�"' REGULATIONS. BUILDING INSPECTOR APPLICATION FOR PERMIT TO /s���`�...��`��/G= �t✓�'��/y� � � �'.r✓�/2 �yl TYPE OF CONSTRUCTION F ' .. ...............................X e�%116..........19........ G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to. the following information: Location ! / A ........... Z�K � ......6.. . ....^f$7-5................................................... ProposedUse ..../04& .7. .......�.<tI.....ZZ,.. I................................................................................................................ ZoningDistrict ..........................................................:.............Fire District .............................................................................. �r'A $fe�J/e -/ vy!/ ���y/ D eves Name of Owner ........................................................./1...O......AddresS 0. ........ .....................C�..lf........f........................ Name of Builder /.//�1.... .......�r�. !?f& ..................Address ... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ......`5.......................................................Foundation .�d...... �a1,L1sD....eo!flev TG .................................. �(� /�S�JN/�iC? Exierior ...........................:...................:....................................Roofing .............. ..................................................................... Floors .... `.� �'G"% q- ��.Z'c�/ v Interior ....'......................... Gyl.f�........... Heating 4� ".e./.:/ ..... a . F' eP..................Plumbing v� f ... .. . I '/ O Fireplace .........Al10,A/9.........................................................Approximate Cost ......` .............................................. ,a/ Definitive Plan Approved by Planning Board ________________________________19-_____-:- Area �1:. ............... Diagram of Lot and Building with Dimensions Fee Sae.��...:........... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ��:ll'• e le�155� IjLo 14r5`➢` a� 33' Pic I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .e4........... ............................. Bieble, Rita & Ruth Lerario Rio ...2297.4... Permit for ....Q KP.. QKY............ r........sing. e..f wily..dweJUXI...................... Location ...............U&.1leth.14ne ................... ..................:.............Hyamis................................ , Owner ........RiW..131Q.ble.. X. LI �JI. Xs�TJLQ. Type;of Construction " Plot .f ....................... Lot .............#3.............. . A ............... r - Permit Granted ................Pril il..2�.............19 81 Date of Inspection ...:..............•..•.•............19 ' Date. Completed . .l 9 � ` PERMIT REFUSED ...:.... 19 ........... ..... %. ......... ....... i .;" ...... ... ............................... � r` ........ S.V. .......................... ' ........................... ................... - t^ Approved f ,Y .................................. 19 ti ..........y . ....... .............................. ............... ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A .. AC ALTERNATING CURRENT UL—LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. CONIC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET—BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART. 690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5. CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT . 7. DC CONDUCTORS EITHER DO NOT ENTER _ kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC ' LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT : PV1 COVER SHEET 3R NEMA 3R, RAINTIGHT . ,s — r ,k �,�►' +E t, ,r, ff� PV2 PROPERTY PLAN $ PV3 SITE PLAN i PV4 STRUCTURAL VIEWS PV5 UPLIFT LICENSE GENERAL NOTES ' td PV6 THREE LINECULA DI GRAMS GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X *`r ,`I' Cutsheets Attached ELEC 1136 MR OF THE MA, STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING ++ * 47 MASSACHUSETTS AMENDMENTS. �I ► MODULE GROUNDING METHOD: �.--- * " �+ REV BY DATE COMMENTS AHJ: Barnstable t 1 ti REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Commonwealth Electric) , 1141111 90 S r • V &11 172&qv— RVA PREMISE OWNER: DESCRIPTION: DESGN: CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER J.B-0 2 612 7 5 00 CONTAINED SHALL NOT BE USED FOR THE FERREIRA, MARIA FERREIRA RESIDENCE Jesus Nieto Almanza •SolarC■�ty. r BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 138 BETH LN 9.36 KW PV ARRAY � PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MDDULM. BARNSTABLE, MA 02601 TMK OWNER:* THE SALE AND USE OF THE RESPECTIVE 36 Hanwha Q—Cells .PRO G4 SC 260 �I��l * 24 St Martin Drive,Building 2,Unit 11 ti ( ) / /fVN11V; SHEET: REV: DAIS Marlborough,MA 01752 SOLARGTY EQUIPMENT. WnHOUT THE WRITTEN INVERTER: PAGE NAME T. (650)638-1028 F: (650)638-1029 PERMISSION OF SOLARGTY INC. SERTER: GE sE7sooA—usoo2SNR2 5087370591 COVER SHEET PV 1 6/3/2015 (BBB)-SOL-CITY(765=2489) �.Sdarcity.com PROPERTY PLAN Scale:1" = 20'-0' z 0 20' 40' N a � J B-0 2 612 7 5 O O PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL— THE INFORMATION HEREIN 108 NUMBER: �\� �0����'� CONTAINED SHALL NOT BE USED FOR THE FERREIRA, MARIA FERREIRA RESIDENCE Jesus Nieto Almanza �,"'a BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �i, NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 138 BETH LN 9.36 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES BARNSTABLE, MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (36) Honwha Q—Cells #Q.PRO G4/SC 260 PAGE NAME: SHEET: REV. DATE; Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: 1 (65,638-1028 F.- (650)638-1029 PERMISSION OF SOLARCITY INC. SoLAREOGE -SE760OA—US002SNR2 5087370591 PROPERTY PLAN PV 2 6/3/2015 (888)—SOL—CITY(765-2489) www.solarcity.com PITCH: 20 ARRAY PITCH:20 MPi AZIMUTH: 105 ARRAY AZIMUTH: 105 MATERIAL: Comp Shingle STORY: 1 Story W Front Of House 1 D AC 0 LEGEND Inv Q (E) UTILITY METER & WARNING LABEL Inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS DC I DC DISCONNECT & WARNING LABELS D © AC DISCONNECT & WARNING LABELS DC JUNCTION/COMBINER BOX & LABELS Mp 0 DISTRIBUTION PANEL & LABELS O p HOF Lc LOAD CENTER & WARNING LABELS R oZ N G c O DEDICATED PV SYSTEM METER v ) L ca — p STANDOFF LOCATIONS \ A 9p� F IS `���Q — CONDUIT RUN ON EXTERIOR CONDUIT RUN ON INTERIOR SS NAL�� GATE/FENCE 6/03/2015 0 HEAT PRODUCING VENTS ARE RED Digitally signed by Nick Gordon r'_� Date:2015.06.03,15:25:52 1% ;1 INTERIOR.EQUIPMENT IS DASHED L_J SITE PLAN Scale: 1/8" = 1' z 01' 8' 16' n CONFIDENTIAL- THE INFORMATION HEREIN JOB N UMBER: J -B 0 2 612 7 5 00 PREMISE OWNER-. DESCRIPTION: DESIGN: \\� � � FERREIRA, MARIA FERREIRA RESIDENCE ��..5olarClty. CONTAINED SHALL NOT BE USED FOR THE Jesus Nieto Almanza 1® BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 138 BETH LN 9.36 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES BARNS TABLE, MA 02601 THE SALE AND USE OF THE RESPECTIVE 36 Hanwha Q—Cells .PRO G4 SC 260 2a St. Martin Drive,Building 2 Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ( ) / SHEET: REV. DATE Marlborough,MA 01752 PERMISSION OF SOLARCITY INC. INVERTER: PAGE NAME - PERMISSION SE760OA—US002SNR2 5087370591 SITE PLAN PV 3 s 3 2015 T: (�)ITY(7628 F: (s�w s�—iazs / / (888}—SQL—CITY(7s5-2489) www.sdarcftycom t S1 4" —6' 7'-1" 7'-6" (E) LBW SIDE VIEW OF MP1 NTS A �HOF � MP1 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES N G LANDSCAPE 72" 24" STAGGERED g PORTRAIT 48" 19" CD I L �' ROOF AZI 105 PITCH 20 1 Q — TOP CHORD 2X4 @ 24„ OC ARRAY AZI 105 PITCH 20 STORIES: 1 BOT CHORD 2A @24" OC Comp Shingle S NAL ENG` 6/03/2015 PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. (4) �EPOLYURETHANE SEAL PILOT HOLE WITH ZEP COMP MOUNT C SEALANT. - ZEP FLASHING C (3) (3) INSERT FLASHING. (E) COMP. SHINGLE (4) PLACE MOUNT. (1) (E) ROOF DECKING (2) INSTALL LAG BOLT WITH 5/16 DIA STAINLESS (5) (5) SEALING WASHER. STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) BOLT & WASHERS. (2-1/2" EMBED, MIN) (E) RAFTER 1 STANDOFF PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: �B-0261275 00 FERREIRA, MARIA FERREIRA RESIDENCE Jesus Nieto Almanza ' CONTAINED SHALL NOT E USED FOR THE . SOIareCIty. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'•. - NOR SHALL IT BE DISCLOSED IN WHOLE OR IN 138 BETH LN 9.36 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS Comp Mount Type C oRcaNlzanoN, EXCEPT IN CONNECTION WITH Moou�S BARNSTABLE, MA 02601 THE SALE AND USE OF THE RESPECTIVE (36) Hanwha Q—Cells #Q.PRO G4/SC 260 24 St Martin Drive,rough Budding 2,Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV. DATE Marlborough,MA 01752 PERMISSION OF SOLARCnY INC. INVERTER' T. (650)638-1028 F. (650)638-1029 SOLAREDGE sE7sooA—usoo2sriR2 5087370591 STRUCTURAL VIEWS PV 4 6/3/2015 (666�—Sol—CITY(765-2489) www.solarcity.com GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS I LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 — 1 SOLAREDGE ## SE760OA—US002SNR LABEL: A (36)Hanwho Q—Cells #Q.PRO G4 SC 260 LE #166 M , RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:2300956 ( ) Inverter; 760OW, 24C 97.5%q w$nifed Disco and ZB, RGM, AFCI PV Module; 260W, 236.5W/PTC, 40mm, Blk Frame, MC4, ZEP, 600V EC 113 MR Underground Service Entrance INV 2 Voc: 37.77 Vpmax: 30.46 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL E; 20OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER—HAMMER i 20OA/2P Disconnect 3 SOLAREDGE DC+ SE760OA—US002SNR2 I I DC_ LP -- MP1: 1x18 (E) LOADS A 240V ----_--- ------------ ———--——————— EGC——-- -----� ' L2 DC+ I N DG I 2 1 40A/2P ---- GND ------------------------------------- _EGCI DC+ JA - GEC —-— N D MPl: 1X18 fll I 3 B I GND __ EGC— —————————————— ————————————— G —-----———————————♦ N I t(OConduit Kit; 3/4'EMT _J o EGC/GEC I GEC TO 120/240V I I SINGLE PHASE I I UTILITY SERVICE I I y I I I I I •I ' PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP Ol (1)CUTLER—HAMMFR BR240 PV BACKFEED BREAKER A (1)CUTLER—HAMMER DG222UR8 /fj Pv (36)SOLAREDGE�300-2NA4AZS D� Breaker, 40A 2P, 2 Spaces Disconnect; 60A, 240Vac, Non-Fusible, NEMA 3R /y PowerBox Optimizer, 300W, H4, DC to DC, ZEP (2)Ground Rod; 5/8' x 8', Copper _(l)CUTLER— AMMER DG100NB Ground�Neutralt; 60-100A, General Duty(DG) nd (1)AND#6,.Solid Bare Copper —(1)Ground Rod; 5/8' x 8', Copper (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE 3 (I)AWG O #8, THWN-2, Black (2)AWG #10, PV Wire, 60OV, Black Voc =500 VDC Isc =15 ADC(1)AWG #8, THWN-2,Red O (1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=13.2 ADC (1)AWG #10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=32 AAC (1)Conduit Kit: 3/4',EMT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70)AWG #8,.THWN-2,,Green . . EGC/GEC-(1)Conduit.Kit;.3/4".EMT.. . . . . . . . . J (2)AWG #10, PV Wire,60OV, Black Voc* =500 VDC Isc =15 ADC O LPL(1)AWG #6, Solid Bare Copper EGC Vmp =350 VDC Imp=13.2 ADC (1)Conduit Kit;.3/4'.EMT . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE J B-0 2 612 7 5 0 0 ��7'lr FERREIRA, MARIA FERREIRA RESIDENCE ,Jesus Nieto Almanzo SolarCit BENEFIT OF ANYONE EXCEPT SOLARCIIY INC., MOUNTING SYSTEM: �,/; NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 138 BETH LN 9.36 KW PV ARRAY y. PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, BARNSTABLE MA 02601 ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (36) Hanwha Q—Cells #Q.PRO G4/SC 260 SHEET; REV DATE Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME T. (650)638-1028 F. (650)638-1029 PERMISSION of sol�TtaTY INC. SOLAREDGE SE760OA—US002SNR2 5087370591 THREE LINE DIAGRAM PV 6 6/3/2015 (888)-SOL-CITY(765-2489) www.solarcitycom • e o got i ■o p Label Location: Label Location: Label Location: (C)(CB) o (AC)(POI) 1 o tn1� (DC)(INV) Per Code: Per Code: _ Per Code: NEC 690.31.G.3 eol"�o o ° n a-e NEC 690.17.E e o o ° e- •e•-e NEC 690.35(F) Label Location: o :o o - o 0 0 TO BE USED WHEN O 0 O (DC) (INV) o• o 0- o o e :o e e • se INVERTER IS D O Per Code: UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: ° ° ° '° ' (POI) -o - (DC) (INV) - ° ° o Per Code: n .e Per Code: • •-° o 0 0 o NEC 690.17.4; NEC 690.54 NEC 690.53 ° :o -� a o•e ° _ -o 0 0- o- -o 0 • 11 p e- nn Label Location: ° "' ►n ° 'e 1 u (DC) (INV) Per Code: • -o e o e NEC 690.5(C) Label Location: e O (POI) -o ° e • e _ e •o o Per Code: •oo NEC 690.64.B.4 . Label Location: (DC) (CB) _ Per Code: Label Location: NEC 690.17(4) (D) (POI) • o o WE Per Code: o•o o : - o ° NEC 690.64.6.4 • Label Location: o (POI) Per Code: Label Location: ° °- NEC 690.64.B.7 O O p (AC)(POI) go o - o • (AC):AC Disconnect D O Per Code: °e -. (C): Conduit NEC 690.14.C.2 (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC):interior Run Conduit Label Location: (INV): Inverter With Integrated DC Disconnect �p (AC)(POI) (LC): Load Center Per Code: (M): Utility Meter vU' NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL— THE INFORMATION HEREIN CONTAINED SHALL NOT 8E USED FOR 3055 Clearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED San Mateo,CA 94402 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT S ORGANIZATION, Label Set O••+►` (888)-SOLLIfY p65-2489)wwwsolarcity.wm I� T:(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE S��a '� SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. i s Z Next-Level PV Mounting Technology' 'ZSolarCit Z Solar Next-Level PV Mounting Technology SolarCity I ZepSolar s Y I p Zep System Components for composition shingle roofs r -- �p - _ ,�.Up roaf N l Oround Zep Intertxk rxr,sxx eravnf� �� Zep campatibte rN Madutc Zcp Or— R —•^'�" + Root Attadmoent - Arrey Skirt 01041/ � Descri tion � �ogPPV mounting solution for composition shingle roofs Works with all Zep Compatible Modules • Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2.modules Auto bonding UL-listed hardware creates structual and electrical bond u` LISTED Comp Mount Interlock Leveling Foot Part No.850-1345 Part No.850-1388 Part No.850-1397 Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 Designed for pitched roofs <. Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 `r • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703 Engineered for spans u to 72"and cantilevers u to 24" 9 P P P • 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 i zepsolar.com zepsolar.com Listed to UL 2703 i 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 Zap 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. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 - 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 2 of 2 . —J 02 solar=oo :. solar=oo SolarEdge Power Optimizer rely Module Add-On for North America UpV P300 / P350 / P400 SolarEdge Power Optimizer P300 P390 P400 Module Add-On For North America (tor 60-cell PV (for 72-cell PV (for 96-cell PV .modules) modules). modules) P300 / P350 / P400 Paz INPUT Rated Input DC Power•' 400 W .......... ...... ...... .... .............................. 350 _ Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 - 80 Vdc .. ....... ... ....... ............ ...... .. .... ........ ...... ..... .. .. ... - - - _. MPPT Operating Range 8-48 8-60 8-80 Vdc Maximum Short Circuit Current(Isc) 10 Adc rr� ....axim....................................................................................................................................................... .... ,^anon' Maximum DC Input Curren[ 12.5 Adc r� .............ffic .......... .... ... .. ... ............... ............ ...... ...... .. Maxmum Efficiency 99:5 % Weighted Efficiency 988 ..... ........... ..%...... .................. .... ..................... ...... ................ ......... .. Overvoltage Category II • - - 'OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) Maximum Output Curren[ 15 Adc ..... um Output P .. g...... ......... ................:.... .................... .... ....... .... Maximum Ou[u[Voltage 60 Vdc ,r. .,. OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc ,•`nt �tf STANDARD COMPLIANCE - ` pJ EMC FCC Part15 Class B,IEC61000 6:2,IEC61000-6-3 Saf<ry IEC62109 1(loss II safety)UL1741 S .. .. ................................. ... .. .. ... y, RoHS .... ..... .. ......... .. Yes - - INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc ... .._.......... . .. :. .. .... .... .. -- Dimensions(W x Lx H) 141 x 212 x 40.5/S.SS x 8.34 x 1.59 mm/in - ' Weight(including cables) ...............95n/)t ..,..,....... ................. .... ... ' Input Connector MC4/Amphenol/Tyco............ ... • Output Wire Type/Connector Double Insulated Amphenol t ................. .. ....... ..... ....... ...... :. Output Wire Length 095/30 I 12/3.9 m/k 40 +85/40 185_. ,. .... ... ...... .'C/'F.,. ' Protection Rating IP65/NEMA4 Relative Humidity 0 100 ,. ................................................-..........................................................................................._............-....... ........, mwae src po.K.or me moame.moam.or,ow sxoo-,rmmao«,nw.,o.. • _ _ - - PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THR EE PHASE SINGLE PHASE INVERTER 208V 480V PV power optimization at the module-level .Minimum String Length(Power Optimzers) B 10 18 Up to 25%more energy Maximum String Length(Power Optimizers) 25 25 50 ...... ... ...... .... ..... ... .. ... ... .. .. . Superior efficiency(99.5%) `� Maximum Power per String... .. ........ ........ .. .... .. 6000 .. .......... ........... ... - 1 Parallel Strings of Different Lengths or Orientations _Yes. 11 5250 12750 W — Mitigates all types of module mismatch losses,from manufacturingtolerance to partial shading '... '' "" """""'....................... ............ • — Flexible system design for maximum space utilization — Fast installation with a single bolt Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety ' USA - GERMANY- ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA WWW.Solaredge.u5 5 �kA ,n1 • 4�.>r erD� =,gam v �,�' 1 Format 65.7in x 39.4in x 1.57in(including frame) (1670 mm x 1000 mm x 40 mm) I Weight 44.09 lb(20.0 kg) ..�,...,.rwN..a,.»•,«°,,.,,, - - _ from Cover 0.13 in(3.2 mm)thermally pre-stressed glass o-oa with anti-reflection technology '• Back Cover Composite film + r, Frame Black anodized ZEP compatible frame Cell 6 x 10 polycrystalline solar cells - - Junction box Protection class IP67,with bypass diodes Cable 4 mm2 Solar cable;(+)a47.24 in(1200 mm),W a:47.24in(1200 mm) Connector MC4 UP 68)or H4 UP68) . . �1 PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/m',25•C,AM 1.56 SPECTRUM)' POWER CLASS(+5W/-OW) [WI 255 260 - 265 Nominal Power Pp, Iwl 255 260 265 • t • + , L • , ' Short Circuit Current I,r [A) 9.07 9.15 9.23 - Open Circuit Voltage V,. [V] 37.54 37.77 38.01 Current at PNn I, [A] 8.45 -8.53 - 8.62 Voltage at P,o, V_ [V] 30.18 30.46 30.75 The new Q.PRO-G4/SC is the reliable evergreen for all applications, With Efficiency(Nominal Power) rl [%] a15.3 a15.6 a15.9 a black Zep Compatible TM frame design for improved aesthetics, opt)- PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:800 W/m2,45 i3`C.AM 1.5 G SPECTRUMY mized material usage and increased safety.The 4'b solar module genera- Nominal om nalER PoweLASSr (+sw/-owl [WI 8.3 2.0 2s5 tion from Q CELLS has been optimised across the board:improved output Shan Circuit P. EA1 17.31 17.38 17.44 field,higher operating reliability and durability, Short Circuit Current lu [A] 4.95 5.16 5.38 y g p g y ty,quicker installation and Open Circuit Voltage V0C CV] 34.95 35.16 35.38 more intelligent design. Current at PtlPP IN [A] 6.61 6.68 6.75 Voltage at Per V_ [V] 28.48 28.75 29.01 'Measurement tolerances STC;x3%(P,,,op);x 10%0I,V¢,Imp,VmPo) 'Measurement tolerances NOCT.x 5%(P_);110%(1«,Vq.I_,V-) INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY OCELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-fight •Reduction of light reflection by50%, � ,m At least 97%of nominal power during x ox -T r-- -- -------------• °tli^w�°1v Lnv aimtl^ _ first a Thereafter max.0.6%de ra- ' ' and temperature behaviour. plus long-term COrrO510n fe515tartCe allow _ m. year. g =,m t ------- iv -------- ---- dation per Year. •Certified fully resistant to level 5 salt fog to high quality 25 a At least 92%of nominal power after ., •So]-Gel roller coating processing. a 10 year:. i- At least 83%of nominal power after ENDURING HIGH PERFORMANCE W¢o __ 25 years. 3 •Long-term Yield Security due to Anti EXTENDED WARRANTIES All data within measurement tolerances, i Full warranties in accordance with the RD Technologyt,Hot-Spot Protect, •Investment security due to 12-year r warranty terms.1 the Q CELLS sales lRumNCE IWrm'1 and Traceable Quality Tra.Q"v. product warrant and 25 ear'linear organisation of your respective country. y. Y The typical change in module efficiency at an irradiance of 200 W/mz in relation z w�ninmurs....-�,,,„-�(:, � to 1000 W/m2(both at 25°C and AM 1.50 spectrum)is-2%(relative) •Long-term stability due to VDE Quality perforniartce warranty. - Tested-the strictest test program. TEMPERATURE COEFFICIENTS(AT 1000W/M2,25`C,AM 1.5G SPECTRUM) .J 'GICats Temperature Coefficient of Is, a [%/KI +0.04 Temperature Coefficient at V. IS [%/Kl - -0.30. a SAFE ELECTRONICS S TOP ewuo w rmec�m i Temperature Coefficient of P_ y [%/K] -0.47. NOCT ["FJ 113 t 5.4(45 t 3'C) •Protection against short circuits and thermally induced power losses due to 2034 Maximum system voltage v,°, m 1000(IEC)/600(UL) Safety Class IIci breathable junction box and welded Maximum series Fuse Rating [A OCI 20 File Rating C/TYPE 1 E cables. on Load(UU2 [lbs/ft21 50(2400 Pa) Permitted module temperature -40°F up to+185°F on continuous duty (-40°C up to+85°C) 0 pAntnn.. - Lead Rating(UU2 [lbs/ft21 50(2400 Pa) 2 see installation manual S quality Tasto[f RdEllf` � f 1 1 1' 1 0 t �•'��s UL 1703;VDE Quality Tested;CE-compliant;, Number of Modules per Pallet 25 IEC 61215(Ed.2);IEC 61730(Ed.1)application class A THE IDEAL SOLUTION FOR: ID,40D315B7 Number ofPallets per BYContainer 32 - GpNP4);B a Nu of Pallets per 40'Container 26 Number - 1 w, P Rooftop arrays on u.+..�... �/ (/S'A�`v �" - _ residential buildings QpO�pATjB D E C E cVUs / W Pallet Dimensions(L x W x H j 68.5 in x 44.5 in x 46.Oin - �, ! = O• (1740 x 1130 x 1170 mm) c T 2t1 . NP j Pallet Weight 1254 lb(569 kg) t j�o Ov NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of _9 APT test COnditieM:Celts at-1000V against grounded,with Conductive metal foil Covered module surface. 25'C,168h - CONPPr this product.Warranty void if non-ZEP-certified hardware is attached to groove in module frame. ,,, See data sheet on rear fair further information. t Nanwha Q CELLS USA Corp. - 8001 Irvine Center Drive,suite 1250,Irvine CA 92618,USA I TEL+l 949 748 59 96 1 EMAIL gtells vm@q-cells.com I WEB www.q-cells.us [��.�}J Engineered in Germany CG))CELLS Engineered in Germany `--S CELLS `I