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0238 CRAIGVILLE BEACH ROAD - Amnesty
a t Q A (dill s oflime Town of Barnstable Building Dep ment Bee 6monthsfromissuedate Brian Florenc &� 16� �� Building Commissione> fC' ° sJ5 0 200 Main Street,Hyannis,MA 02601 ' - w%vw.toNvn.bamstable.ma.uAfA r 3 '401.. Office: 508-862-4038 ro01AJ 1?©,� Fax: 508-790-6230 dG �j EXPRESS PERMIT APPLICATION - RESID LY_ Map/parcel Number Not Valid without Red X-Press Imprint / - { V Property Address 23 \RU WC , (N Rymnl� Residential Value of Work$ �� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (` Ul W 23'\ V3 C"5i Contractor's Name Nn� vt1 y tu,4, Telephone Number t;2 -26o 2 ` Z Home Improvement Contractor License#(if applicable) o Email: RS O CC1R,yA4&00'1 CV41 Construction Supervisor's License#(if applicable) Z600 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ lain the Homeowner P;I have Worker's Compensation Insurance Insurance Company Name � ip� s Workman's Comp.Policy# FZwc-gS"6 8� Copy of Insurance Compliance Certificate must accompany each permit. Permit Req est(check box) Si - Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 'Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is ' ed. SIGNATURE: C:\Usets\decollik\AppData\Local\Mierosoft\W indm"\WetCaehe\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.dw 09/26/17 Tlne Conimomvealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 mmni:mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Conti-actors/Electricians/Plumbers Applicant Information Please Print Legiblv Name(Bosinesrsforganizationdadividual): 1Q{� l� C'. Coo Address: • b R aL , ,, � c� Z 2 City/Stat r/Zip: /-nV,4� U 77 Phone#: �`V60 Are you an employer"Check the appropriate box: Type of project(required): L.j] I am a employer with 4- ❑ I am a general contractor and I 6. ❑New construction employees(full and/o 11 s have hired the sub-contractors r art-time). 2.❑ 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 me in any capacity- employees and have workers 9. Building addition [No workers'comp.insurance comp.insurance., 10. Electrical r or additions required-] 5. ❑ We are a corporation and its ❑ repairs 3.❑ I am a homeowner doing all work officers have exercised their 11-❑Plumbing repairs or additions myself[No workers'comp. right of exemption per NIGL 12_ Roof repairs insurance required.]1 c. 152,§1(4),and we have no ❑ employees.[No workers' 13.0 Other, comp.insurance required.] •Any appticstrt that checks boa#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this af3idava indicating they are doing all worn and then hire outside contractors must sabmu a new affidavit indicating such. rCoutractors that check this boa must attached an additional sheet showing the name of the sub-contractors and state whether or not those eauties have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number- I ant an employer that is prodding workers'compensation insurance for my employees. Below is the polity and job site information. Insurance Company Dame: �2WC2SS'G9(, Policy#or Self-ins.Lic.#: Expiration Date: (Z 1 Job Site Address: �� C V Citylstate/zip: Attach a copy of the workers'compensation policy declaration page(showing the policy numbe 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 ur d {l ins and penalties of pedur that the information prouided n e i true and correct i ed Si mature: Da Phone#: Official use only: Do not write in this area,to be completed by city or town offl l City or Town: PermitUcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AC oR& CERTIFICATE OF LIABILITY INSURANCE FDA01/02/2O18YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements. PRODUCER CONTACT NAME: Anne Sanzo HUB INTERNATIONAL NEW ENGLAND LLC PHONE 508 945-7863 A/C No): E-MAIL ADDRESS: anne.sanzo@hubintemabonal.com 265 ORLEANS RD INSURERS AFFORDING COVERAGE NAIC# NORTH CHATHAM MA 02650 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURER B ROOFING &SIDING OF CAPE COD LLC INSURERC: INSURER D: 68 WINSLOW GRAY ROAD INSURER E: WEST YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 226618 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. INS R LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DD/YYYY MM/DDNPOLICY EFF POLICY YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTE17- CLAIMS-MADE OCCUR PREMISES a occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ POLICY JECPRO ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB iCLAIMS-MADE N/A AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION X I STATUTE ERH- AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOWPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDED? NIA WA WA R2WC855686 12/20/2017 12/20/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensationfinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Roofing & Siding of Cape Cod LLC ACCORDANCE WITH THE POLICY PROVISIONS. 68 Winslow Gray Road AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 -DJ' I Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ` Massachusetts Department of Public Safety Board of Building Regulations and Standards '4 License: CS-102600 Construction Supervisor ryw DZMITRY LABKOVICH 68 WINSLOW GRAY R[?M WEST YARMOUTH Mq,02673 �If 7 lti/' /fr t Expiration: Commissioner 03/27/2019 r%��n l(antrsza92t�eBCcl�11 Of TY'(c[J:k7(YT[�SP�r3 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Reaistratib. Expiration Office of Consumer Affairs and Business Regulation 170787 12/18/2019 10 Park Plaza-Suite 5170 ROOFING AND 51DING OF „COD,LLC. Boston,MA 02116 a DZMITRY LABKOVICH Z - 68 W INSLOW GRAY RD rC W.YARMOUTH,MA o2s73 . Not valid witho signature Undersecretary l e ei :� ` RQ01, and Sides of Cape Cad,LLC 4 4 BBB. 68 Winslow Gray Rd West Yarmouth, MA 02673 508-360-2749 e-mail. rsocc@vahoo.com roofingandsid ingofcapecod.co m HIC REG #170787; LIC # 102600 NantE MITCHEY BROWN Job Address: Address:238 B CRAIGVILLE Town: BEACH Job Phone:843-25240000 City: HYANNIS Other Phone: State: MA E-mail: MBB2009@GMAIL.COM ZIP: Estimator:SCOTT DICKSON 05/04/2018 We hereby submit specifications and estimates to furnish and install new roofing as follows: 1. Strip existing roofing and remove debris. Calculated (2 layer in front and 1 layer in back). Anymore layers of roofing needed to be stripped will be additional. 2. All gutters will be cleaned out,grounds cleaned up and nails extracted with magnets.We utilize magnets so as to minimize your exposure to personal injure and/or property damage from nails left behind at the job site. 3. After removal of roof,wood deck will be inspected for splitting,rot or other deterioration.Owner will be advised of need for wood replacement prior to commencement of wood replacement work. 4. Along all eaves of house. Ice & Water Shield waterproofing underlayment(36 " wide) will be directly adhered to the wood deck. Waterproofing underlayment is installed to eaves to protect against interior leakage and subsequent damage from wind-driven rain,ice and snow darns,and freeze back conditions. 5. Install waterproofing underlayment in full width(36 wide)to all valleys and 12"to all rake edges. Install waterproofing underlayment at all vent pipe collars and any other projections and skylights.Underlayment adds additional protection against leakage at critical terminations.Over remainder of house synthetic roofing paper will be installed and nailed to the wood deck. 6. Install new white drip edge to all perimeter cave edges. Drip edge is installed to protect from leakage and rot and to provide a neat and clean perimeter profile. 7. All existing vent pipes will receive new aluminum vent pipe flashings with neoprene gasket collars,or copper if doing red cedar roof. B. At all eave edges or roof, shingle starter strip will be cut an installed with sealing strip at lower edge of roof in accordance with manufacturer's specifications. This provides a watertight and wind-resistant termination for your roof. 9. Storm nailing: Because we live in a severe storm region,additional (storm) nailing,is strongly recommended by Roofing and Siding of Cape Cod, LLC, the manufacturers and the National Roofing Contractors Association. Secure new roof with 50% more nailing, upgrade minimum standard(4)four nails per shingle to(6)six nails per shingle, 1 '/ "long.Nails will be galvanized with a rust-inhibitive coating.If red cedar roof,then using stainless steel fasteners. 10.Shingle installation: Supply and install roofing shingles according to the manufacturer's specifications,according to the below selected material and warranty.All work to be performed by insured professionals. 11.Install waterproofing underlayment surrounding chimney.Underlayment will extend up vertical portion of chimney a minimum of(2) two inches. Caulk all lead flashings together around chimney with Dymonic caulk.This is not a guarantee but a maintenance procedure.We cannot guarantee chimney from leakage with roof job only. See chimney proposal if applicable. We cannot guarantee existing skylights or venting units unless we replace them with new ones. 12.At peak of roof,an approximate(3)three-inch-wide continuous gap will be cut out of deck.Air Vent, Inc. Shinglevent II solid vinyl ridge vent with external baffle will be fastened over the opening in the deck.Shingle caps will be cut,installed and fastened over the vinyl ridge vent into the decking with 2 'h inch coated roof nails. Shinglevent II comes with a 30-year material warranty from Air Vent, Inc. Shinglevent II vinyl ridge vent provides you home with the necessary exhaust ventilation to prolong the life of the shingles and the wood sheathing to ensure a properly balanced ventilation system if used in conjunction with eave intake ventilation, and provide cooler attic temperatures in the summer and less moisture-laden damaging air in the winter. I , Ijacceptable, initial here We look forward to working with you;please call if you have any questions. Sincerely, ROOFING AND SIDING OF CAPE COD,LLC ROOFING AND SIDING OF CAPE COD,LLC will provide cleanup on a continuing basis and all debris will be removed from site. All products installed by ROOFING AND SIDING OF CAPE COD, LLC will be to manufacturer specifications.All work will be performed by insured professionals. All material is guaranteed to be as specified and the above work to be performed in accordance with the drawings and/or specifications submitted for above work and completed in a substantial workmanlike manner.There will be no refund for special-order windows, doors or any other non-stocked materials after three days from approved proposal. All warranties will be null and void if account is not current and paid in full. Owner to move all personal objects, furniture,etc., from work areas. All items against walls should be considered for removal during any exterior siding jobs, additions, etc. to guard against damage. In the case of any roofing and ridge venting, dust and debris should be expected and any items in the attic should be removed.ROOFING AND SIDING OF CAPE COD,LLC is not responsible for any damages if said items remain in place. Curtains, drapes and window and door treatments may need proper reinstallation or replacement by customer due to sizing on any window or door replacements and is not included in jobs contracted with ROOFING AND SIDING OF CAPE COD,LLC Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work.Workmen's Compensation and Public Liability Insurance on above work to be taken out by ROOFING AND SIDING OF CAPE COD, LLC. Owners who secure their own construction-related permits or deal with unregistered contractors will be excluded from access to the guaranty fund. a&6_X This Contract not valid unless signed by Corporate Officer: Acceptance of Estimate The above s specifications are required to meet the National Roofing Contractors Association(NRCA) roof standards, as well as to meet manufacturer's specifications for warranty requirements. Touch-up painting may be required and is not included in this proposal Roofing and Siding of Cape Cod, LLC warranty: products and workmanship (100% Labor and Materials)for 10(ten)Years after installations. Roofing and Siding of Cape Cod,LLC will obtain necessary permits required by the Town. CertainTeed warrants that its shingles will be free from manufacturing defects. Below are highlights of the warranty for LandmarkTM. See CertainTeed's Asphalt Shingle Products Limited Warranty document for specific warranty details regarding this product. • Lifetime,limited transferable warranty • 10-year SureStartTM warranty(100%replacement and labor costs due to manufacturing defects) • 10-year StreakFighterTm warranty against streaking and discoloration caused by airborne algae • 15-year, 130mph wind-resistance warranty PRICE INCLUDES SHED GOOD:Landmark, with Life-Time Warranty Labor and Materials: $3875.00 If acceptable, initial here Color , 2 vro BETTER: Landmark-PRO, with Life-Time Warranty Labor and Materials: $4375.00 If acceptable, initial here Color BEST: Landmark-PREMIUM, with Life-Time Warranty Labor and Materials: $4875.00 Price includes discount of 250.00 Ifacceptable, initial here Color I The above prices, specifications and conditions are satisfactory and are hereby accepted. ROOFING AND SIDING OF CAPE COD, LLC is authorized to do the work as specified. Payment will be made as such: 1/3 Deposit I/3 Beginning of work 1/3 upon completion Date: Signatures: Note:No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. You, the buyer may cancel this transaction at any time prior to midnight of the third business day after the day of this transaction. xlftns _ Town of Barnstable *Permit# $ Expires 6 months jrom Issue dnt • 4 Ito, Regulatory Services Fee 10 65 $i/ MNS IABLV Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner IIAA nn^ 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICAUUN _ RES DENTIAL ONLY in��� Not Valid without Red X-Press Imprint Map/parcel Number ?? IlAa— ,, �, I � U ' Property Address -2 cc-a't v't �' " / r� a0 ['Residential Value of Work ` o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name N&A) FrO O nt �}G6'!l� Telephone Number Home Improvement Contractor License##(if applicable) Construction Supervisor's License#(if applicable) 24 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ JAM the Homeowner M1111 have Worker's Compensation 1 surance Insurance Company Name Workman's Comp.Policy# w t/— o2 D Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ff Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors replacement Windows/doors/sliders.U-Value ©• (maximum.35)#of in o s ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ` *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is fired. SIGNATURE: C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 MA Reg#146589 Contrail# CT Reg#0605216 filr(�, federal ID#20-2625129 RI Reg 426463 sill t4'htlpiayerMnUSgf{rttons J L !r] COMOrale Headquarters.26 Cedar SI,Woburn.MA.(P)emD342-2211(Fry 781433.9W wwwa,evrpro jw n THIS CONTRACT MADE THE Z day of /{ A.,01 20 I-L—between (H (ht-O Fels) -- (eUVeet FAQW) -of. 73 1 C°r,tq�ti�( Qoot�AYj t-y on,a r�ro�1 (Address) (caryJ (Sratel (ZrpJ the"Owner"and NEWPRO Operating,LLC,"NEWPRG'. X-lfallJforptrpil teryuse only N2NPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary lolnstall the following described wart the premises located at v Q The jab address]so condominium. (JabAddress/ a° 4it1f�+L Grids:Ll YE NO U CONTOUR USDL ,.- E6R0 tj DIAMOND Window color CITY I Window color QTY oasrmP:tcoc_V EkTOP USOTTOM -- - Int ! InE $croons:(Exta.rcolorFullSewnStandard) FULL .Ex L t FJd: Vantlatehes: Yes IaNc Ca In color: C4P.:�sv Awe/eAlefi PVC W smooth Nomar U No Cap Ind-A f . _ 'r'. X0 {( i"<„ t(tir� .w 4; MUMColl -In: Out Double Hung Q Active: Left Center fight Cestmnor underatvtis Flat NElVPR00 liteSllder HDWR: SN BB SUE Wtf den=Ldnurypalr.dngorStaking. 3 Lite Slider {ea.a way <- r E.. - ._•i0'•�.t^/.•.• pe:tchen renorh�or raptaeing lmedo, 3 Lite Snider tm its.val Color Out atapsorftin*N-_INPRO®tsnot mspo- CaSament(Hinged Right) Fihkqtass sta6i noble for oardimons or dreumstances bey- CaSement(Winged Lefl) NDWR: SN a AGB AB ORB Ord its wnWIndWinpmndereationresu• Twin Casement _� tt�'6 "�";.ti dng fiomoeaelp ptNoxtstlry7 caalidans Stationery Casement Color In: O . Bore aey Trlple Casement It%.m 1r4y '" 3 CASH Tdple Casement {1A vs vai Collor In: C [Nance Wd to Instalar at comptolran Picture Window HMM. SN BB A AS Sash Only LoftHt R&II-m a FINANCE Hopper { Batdt compIfta form Heil el f titetlamon Awning Color In: Out Garden Window 96ralass steal BayWindawiRoo{lsct4U tHDW �N BB AGB AB ORBBowWmdow(Roerrsaml)Other out; Other OESCR/BErYORX BPROMOTIONSAPPUM y eAn r + / G Est SbrtDale. • Est Comp.Dols Z3 20./ _ Customer understands this is an"esilmated date" i Owner has read and agrees to the terms and conditions on the front and the reverse of this Agreement. Owner specifically agrees to the(1)Total Cash Price;(2)work being performed;and(3)work not being performed. Owner understands that this Agreement and any attachments contain all of the promises made by NEWPRO. Owner has bean orally advised of his right to cancel this transaction at any time prior to midnight of the third business day afterthe date of this transaction and Ownar was provided with two(2)copies of a cancellation form explalning.thls right, DO NOT SIGN THIS CONTRACT IF TNEIRE ARE ANY13LANK SPACES. (Rhode Island Sales Only): Notice to buyer. (1)Do not sign this Agreement If any of the spaces Intended for the agreed terms to the extent of then available htformatlon are left blank. (2)You are entitled to a copy of this Agreement at.the time you sign it. (3)You may at any time pay off the full unpaid balance due under this Agreement, and In so doing you-maybe entitled to recelve-e partial rebate of the finance and Insurance charges. (a)The teller has no right to unlawfully enter your promises or commit any breach of the peace to repossess goods purchased under this Agreement. (5)You may cancel this Agreement if it has not been signed at the mein office or branch office of the seller,provided you notify the seller at his or her main offics.or branch office shown In the Agreement by ` registered or certified mall,which shell be posted not later than mldnfght of the third calendar day after the day on which the buyer signs the Agreement,excluding.Sunday and any holiday on which regular mail deliveries are not made. See the,accompanying notice of cancellation form for an explanation of buyses rights. (Rhode Island Sales Only): Owner acknowledges receipt of required Contractors Registration and Ucensing Board consumer education materials. (Owner's Initials) EIN# Signed_ Product 9pac1-tsyFrfirfe'ojAsme)/} Owner office o Consumer Affairs d Business Regulation - 1.4 Pax1Plaza- Suite.5170 Home lm rove ntractor Registration '�stration Reglatratlan: 146589 Type: supplement Card NEWPRO OPERATING, LLC. " +' Explratfan: 5/5/2017 THOMAS FOXON M 26 CEDAR ST. WOBURN, MA 01801 y� Update Address and return card.Mark reason for change. scar anN�ostrr ❑ Address ❑ Rene"[ [j Employment Lost Gard C�o�rivnaaarrvsca�o��i�aoca�ua� Price ofCoasumerAffairs&Business Regulation Ucense or registration vatid foriadividal use only (dE IMPROVE M.T CONTRACTOR before the expiration date. If found retur`i1 to: glstratlo r `_ office of Consumer Affairs and Business Regulation - TYps� 10 Park Plaza-suite 5170 EXPI at Y Supplemerd Card Boston,MA 02116 NEWPRO OPERAT a ' THOMAS FOXON 26 CEDAR ST. WOBURN,MA 01801 Undersecretary Not valid without signature -o w-0 Massachusetts Department-of Public Safety Board of Building Regulations and Standards License: CS-029090 v Construction Supervisor r THOMAS PAUL FOXON , 230 WALNUT ST READING MA 01867 ` Expiration: Commissioner 11119/2017 i ! it l .�� ® - DATE(MMIDDIYYYY) A`C)R® CERTIFICATE OF LIABILITY INSURANCE 1/11/2016 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CT Mel1SSa Pflug PRODUCER NAME: PHONE 508 366-6161- FAX (508)366-5202 Mackintire Insurance Agency Inc C No Ext: ( (A/C No: 11 West Main Street E-MAL melissap@mackintire.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Westborough MA 01581-1931 INSURER A Netherlands 24171 INSURED INSURERB:Liber Mutual/Peerless 24198 Newpro Operating LLC INSURERCAcadia Insurance Co. 26 Cedar St. INSURERD: INSURER E: Woburn MA 01801 INSURER F: COVERAGES CERTIFICATE NUMBER: Master 15-16 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. INSR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MWDDNYYY MMIDDIYYYY x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TORE TED $ 100,000 A CLAIMS-MADE ❑X OCCUR PREMISES Ea occurrence CBP8589577 12/31/2015 12/31/2016 MED EXP(Any one person) $ 5,000 PERSONAL 8 A.DV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PEQ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident) ._ BODILY INJURY(Per person) $ A ANY AUTO ALL OWNED �( SCHEDULED BA 8584174 12/31/2015 12/31/2016 BODILY INJURY(Per accident) $ AUTOS PROPERTY DAMAGE X HIRED SAUTOS X NON-OWNED Per accident $ Uninsured motorist BI split limit $ 250,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,020 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 CU 8582578 12/31/2015 12/31/2016 $ WORKERS COMPENSATION PER O X STATH- TUTE ERR AND EMPLOYERS'LIABILITY Y 1 N ANY PROPRIETOR/PARTNERIE(ECUTIVE E.L.EACH ACCICENT $ 500,000 OFFICER/MEMBER EXCLUDED? El N 1 A C (Mandatory In NH) WC-2 0-20-0 03506-02 '5/1/2015 5/1/2016 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under E.L.DISEASE-POLICY LIMIT 1$ 500,0001 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD.ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE T Moynagh/TRACEY ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 r7014111) i The Commonwealth of Massachusetts Department of IndustrialAccidents ' ,&e of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information /� Please Print Lettibly Name(Business/Organization/Individual): Nr-, �l'" P-- t�n o P�,r et 4 nzy L^' Lr L G Address: O9 t,:;, l.�Ec - StTGPi City/State/Zi : 0favP N �- Oi8v Phone#: 3�(g Are you an employer?Check the appropriate box: Type of project(required): 1.� I am a employer with 4. ❑ 1 an a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling j ship and have no employees These sub-contractors have g, ❑Demolition wozldng for mein any capacitY• employees and have workers' 9. ❑Building addition [No workers' comp,insurance comp.insurance.# reed] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am 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 i -insurance required]t c. 152,§1(4),and we have no I employees. [No workers' 13.M Other (diP i comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy'uArroation, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavi:indicating such_ tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractor;have employees,they must provide their workers'comp.policy number. I I urn an employer thatis providing workers'compensation insurance for my employees. Below is the policy and job site infor madomj" �, /b Insurance Company Name: C (Ct� C Ir—,eLA)Chi o� Policy#or Self-ins.Lic.#: C, 0 0 — D 0 3 �6 Expiration Date: Job Site Address: l/` J CU City/State/Zip: Attach a copy of the workers'compensailibA 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' ,place coverage verification. �1,do hereby ce the p en es of perjury that the informationprovidedab a is true andcorrect Date: i Phone#: I i Official use only. Do not write in this area,to be completed by city or town of,f 1dal. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee * BARNSTABLE, Richard V.Scali,Director �'OrFv ttlP`1 s Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address ❑Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(_f applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Tenporary Internet Files\Content.OUtlook\2PIOIDHR\EXPRESS.doe Revised 040215 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f r7 Parcel 1 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address f+ �' c. Village w-\tj Owner �t4.V- Address S,� Telephone a 13 Permit Request LA-Aktr�7C 4- 7 CC14111z -a 77 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed `x„ Total',*new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting document- ion. Dwelling Type: Single Family Q' 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 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Cell (508) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12 SIGNATURE DATE Id�l Ji r f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ? DATE OF INSPECTION: k FOUNDATION ' FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL A s FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. R � T Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis.INLa 02601 www.towu.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sium This Scction If Using AABui�lder Kera Brown as C)wmer of the subject prope(1:y hcreby audiori7e C. Ly on mubebalf, m all matters relative to work authorize- -this building pern-rit application for: 236 A Craipille Beach Road, MA 02601 (.Address of job) ""Pool fences and alarms are the resporisibblity of the applicant. Pools are not to be filled or utilized before fence is installed and all fina-I /�r L inspections are performed and.accepted. /�P�QQ. /�Q.fie O.fA✓ti Kera Mane Brom(Sep 1.2015) Signature of Owner Si.,.Matwe of Applicant Print Name Print Name Date Q:FORMS:ONV;JERPFRtt trSSIONP(X)7 ti Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J Mc AR ; PO BOX 52 W DENIMS MA 8267 Expiration Commissioner 04/10/2016 2� Office of Consumer Affalrs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 021-16 Home Improvement 06ntractor Registration Registration: 169393 Type: Individual Expiratio /2017 Tr# 264961 MICHAEL MCCARTHY >aw/ MICHAEL MCCARTHY P.O. BOX 52 ffand WEST DENNIS, MA 02670Update ard.Mark reason for change. �M osiii -! Address Renewal j Employment1 Lost Card l �'\ The Commonwealth ofMassaclrusetts Department of InflustrialAcchlents I Congress Street,Sitite 100 Boston,MA 021I4-2017 www.mass govAlia ` -workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Phimbers. TO 13E FILL-D.1AM-1 THE PERMITTING AUTHORITY. Applicant Information lease Print Le ibl a yCo bLVUCIL� Nam Mikee(BusinesslOrganization/individual): c P0 B X_�-7 Address: West Dennis, MA 02670 e - City/State/Zip: (• -5$Ite�13#: HIC-169393 Are yoy an employer?Check Theapropriate box: Lr�7/1 Type of project(required): 1. am a employer with employees(full and/or part-time).* 7. El New construction 2.0 1 am a sole proprietor or partnership and have no employees working for me in 8. (�Remodeling any capacity.[No workers'comp.insurance required.] 3. 1 am a homeowner doing all work 9. ❑Demolition ❑ g myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my prop". 1 will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.[�Plumbing repairs or additions 5.❑I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.igsurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.90ther 152,§1(4),and we have no employees.[No workers'comp.-insurance required.) *Any applicant that checks box#I 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 hn 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 member. I am an employer flint is providing workers'compensation insurance for my employees. Below is lire policy and Job site Information. Insurance Company Name: / i4,I -i-n , Policy#or Self-ins.Lie.#: y�/Ln ]`�-b�i J C (; �a l�( Y Expiration Date: /- )/N Job Site Address:_ �� City/State/Zip: Attach a copy of the workers'compensation policy dlYhiration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine lip 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 tin ll al s an allies r' ry that the-information provider)above is trite and correct. Si nature: Date: ar�• �'� Phone#: Official u7Dpritee in this area,to be completed by city or town official. City or T Permit/License# Issuing A ):1.Board og Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: J WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMArMPAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 800 876:2765 NCCI NO 26158 POLICY NO. VWC-100-6017656-20146 PRIOR NO. VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P O Box 52 FEIN:**-***3862 West Dennis,MA 02670 Legal Entity Type: Corporation Other workplaces riot shown above: See Location 2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000..each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual . Of Annual Remuneration Remuneration Premium INTRA 0712979 INTER SEE CLASS CODE SCHEDLI E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 1 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 This policy,including all endorsements,is hereby countersigned by 12/15/2014 Authorized Signature Date Service Office: Bryden&Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 / Burlington MA 01803 So Dennis, MA 02660 / WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with its narmissinn. \ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # o?D/,5 4J 43 T Health Division Date Issued 5'1 t- 'S tor' Conservation Division Application Fee 50.00 Planning Dept. Permit Fee �(p� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ZS?S C a«V U s te- Tta- h {A Village Iq u/k&_MT_�s Owner �Q.YT, 0,06 fh t4,-W A l l3Nw✓I Address Telephone Permit Request Sc�la 17A�1; ® W ouv' +Cc� -ry nool s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation %2;QDQ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes V No On Old King's Highway: ❑Yes WNo Basement Type: 4Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ OF S rtfg�' Commercial ❑Yes ❑ No If yes, site plan review# .==A Current Use Proposed Use W �,t cars APPLICANT INFORMATION tj - -(BUILDER OR HOMEOWNER) _ •� Name t)e Telephone Number 7 2 �y Address � � � �t/?�1 /�G/� ,S� License# 61�V:755 �l�✓�'/�1�1 49)q 4�71-13 Home Improvement Contractor# Email G��Trte�i'�1Vjn k7.e Worker's Compensation # O(JW�ZI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,,nn SIGNATURE DATE `7 /57 III � 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. o •' ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION ti FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 9 FINAL BUILDING of, i o C,_`t DATE CLOSED OUT j ASSOCIATION PLAN NO. „� , CERTIFICATE OF LIABILITY INSURANCE 4/15/2015 YI 'HIS 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and condltlone 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 endorsemen e , PRODUCER CONTACT Xaren Bernier Southeastern Inauranoe Agency, Inc, P "E (508)997-606177M.Nei.caoelssoaTai 439 State Rd. 'MAIL kbernier@moutheasternins.core P.O. Bon: 79398 INBUR 8 AFPOROINGCOVERAGE NAIC0 North Dartmouth MA 02747 INSURER A:Arbella. Protection Insurance 41360 INSURED INBUMR B:Tzaveler8 AR—WC Luke Niemiec, DBA: Acushnet Alternative INaRERC: 127 S Main Street INSURER0: IN Aoushnet MA 02743 COVERAGES CERTIFICATE NUMBER CL1412900315 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. I POLICY EFF POLICY EXP TYP@ OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES ogglMnoo $ 300,000 A CLAIMS-MADE [X OCCUR BBOOD43466 2/19/2014 2/18/2013 MED EXP(Any ors erson $ 51000 PERSONAL 6ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMPIOP AGO $ excluded rXI POLICY 7 PRO- LOCI S AUTOMOBILE LIABILITY COMBINED SINGLE A ANY AUTO BODILY INJURY(Per pereon) S 500,000 ALL OWNED. X SCHEDULED 1020005202 /24/2014 /24/2015 BODILY INJURY Per aocident) 8 AUTOS AUTOS ( Boo 000 x HIRED AUTOS M q�p W"EO PR P=E DAMAGE 500,000 Medloai paymeryla $ 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE g 6XCE86 LIAR CLANS-MADE AGGREGATE $ DED RETENTION 13 WORKERS COMPENSATION WC STATU- H- AND EMPLOYERS'LIABILITY Y I N XLIM ANY PROPRIETORIPARTNERIEXECUTIVf E.L.EACH ACCIDENT S 100,000 OFFICERIMEMBEREXCLUDED? ® NIA (MendatoryInNH) 6HUB8DDIO69714 0/1/2014 0/1/2015 E.L.DISEASE-EA EMPLOYE $ 100 000 If describe under DESCRIPTION OF OPERATION pelvw EL.DISEASE.POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VBHICLEB (Attach ACORD 101,Additional Rvinarks Schedule,IF more apace le required) CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Barnstable, MA 02601 AUTHORIZEDR2PRESeNTAYIVE Karen Bernier/K'A8J ACORD 28(2010106) 01988-2010 ACORD CORPORATION. All rights reserved. INS025(2010051.01 The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations a I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Legibly Acushnet Alternative Heating Name(Business/Organization/Individual): Address: 127 South Main St City/State/Zip:Aeushnet Ma 02743 Phone#:774-202-6666 Are you an employer?Check the appropriate box:. Type of project(required):. 1;® I am a employer with 4..® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ®New construction 2.® I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling,. ship and have no employees These sub-contractors have 8, ®Demolition working for me in any capacity. employees and have workers' comp.insurance.: 9. ®Building addition [No workers comp.insurance p• required.] 5. ® We are a corporation and its 10.®Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their I LC]Plumbing repairs or additions myself. [No workers' comp. right of exemption per.MGL 12.❑Roof re airs insurance required.]t c. 152,§1(4),and we have no Solar employees. [No workers' 13.X 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Insurance Policy#or Self-ins.Lic.#:6HUB8D81069714 Expiration Date:10/1/15 Job Site Address: Z2;ks, t!►5 V i I rJ-a- Il /'�—64 City/State/Zip: d� /S S 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 u der the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: rJ Phone#: 77 - 02-666E . 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#: • SABLE.MAW • Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, kl'rAl�G(�u�✓l , as Owner of the subject property hereby authorize ��Sti�vl,�. 4-4ty-y44-t u( 1" eal �` o act on my behalf, in all matters relative to work authorized by this building permit application for: 8� C ra-(C,if C,I(t P (A�ddresq of Job) Signature of Own ate 0 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\FORMS\building permit forms02RESS.doc Revised 061313 Regulatory Services oxT Richard V.Scali,Director Building Division sAar�srAmi. ' Tom Perry,Building Commissioner MAss. i639.��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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 procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 solar o o a SolarEdge Single Phase Inverters . For North America SE3000A-US/ SE380OA-US/ SE5000A-US/ SE6000A-US/ 4 SE7600A-US/ SE10000A-US/ SE11400A-US 01 12.E � t The best choice for SolarEdge enabled systems _ a Integrated arc fault protection(Type 1)fo.NEC 2011690.11 compliance Superior efficiency(98%) Small,lightweight and easy to install on povided bracket Built-in module-level monitoring = Internet connection through Ethernet or Wireless ' Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional-.revenue grade-data,ANSI C12.1-- - -- - USA-GERMANY ITALY-FRANCE-JAPAN-CHNA-AUSTRALIA-THENETHERLANDS-ISRAEL www.SOlaredge.us Single Phase Inverters for North America so la SE3000A US/SE3800A US/SE5000A US/SE6000A USrK 0 W" SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US SE380OA-US SESOOOA-US SE6000A-US SE760OA-US SE10000A-US SE1140OA-US - OUTPUT Nominal AC Power Output 3000 3800 " 5000 6000 7600 9980 @ 208V: 11400 VA ........................................... ................ ............... ................. ..... 10000 @24oV. ...... Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA. :.:.:Max! 1o9so @24ov. ................. Output Min ............. ................ . ....... . ........... AC Voltage :N om: .ltl ✓ � 183-208-229 Vac AC Output Voltage Min.-Nom:Max.ltl 211-240-264 Vac " ✓ ✓ ✓ ✓ ✓ ✓ ........................................... ................ ............... ........... ."..... ................ ................ ...............,.. .,................ .....,.:.... AC Frequency Min:.Nom.Max 'I 59.3 60 60.5(with HI country settin857:60:60:5) Hz 24 @ 208V 48 @ 208V Max Continuous Output Current 12.5 16 25 32 47 5 A .... .240V.. ...... ......... ......... ... ...4. @ 240V GFDI Threshold 1 A' . ........................................... ........................................................................................... ........ ......... ........ Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT Maximum DC Power(STC) 4050 5100 6750 8300 10250 13500 15350 W - - :. ................. ................ ................ .................. ........ .......... ........... Transformer-less,Ungrounded Yes Max.Input Voltage 500 Vdc . ..............P.......g ........ ....................... .................,...............................,....... Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc. ....................... ......... ................ 16.5 @ 208V 33 @ 208V Max.Input Cu........ ...... ......9.5......I.:....13......I..15:5.@.240V.I.......18.......I.......23.......I..30;5 @ 240V. I.......34 5....... . Adc Max.Input Short Circuit Current 45 Adc ........................................... .......................................................................................................................... ........... Reverse-Polarity Protection " Yes .................................. ........ : ............................... ................................Y................,.....................,............. .. ........ Ground-Fault Isolation Detection 600ko Sensitivity ........................................... ................ ............... .._............... ................ ................ .........:........ .... .... Maximum Inverter Efficiency 97 7 98 2 98.3 98.3 98 98 98 % ................................ 5 @ 208V CEC Weighted Efficiency 97.5 98 91. 97.5 97.5 97 @ 208V 97.5. °� ....................... .. . ... ...... ... 98.@.240V 97 5 @.240V Nighttime Power Consum lion <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) ..............................:.....:...... :...................................... ...........................1...........................................-............. ........... Revenue Grade Data,AN51 C12.1 Optional ........................................... ......................................... ................................................................................ ........... Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installedlal STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998,CSA 22.2 ....Jcl ......................:.......,.... :..,...................................................................................................................... ........... Grid Connection Standards IEEE1547 Emissions FCC part15 class B INSTALLATION SPECIFICATIONS AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/:8-3 AWG . ... . ....."..... DC input conduit size/#of strings/ 3/4 minimum"/1-2 s.trings/ 3/4"minimum/1 2 strings/16-6 AWG AWG,ran�?......... ......... ..:..... .. : 14 6 AWG.... Dimensions with Safety Switch 30.5 x 12.5 x 10.5/ in/ 30.Sx12.5x7.2/775x315x184 HxWxD 775 x 315 x 260 mm Weight with Safety Switch............. ..........51.2�23.2..........I. ...............54.�./.24:7... ................ ............88:4/40.1............ .I.b 1.kg.. Natural convection Cooling Natural Convection and internal Fans(user fan(user : ..................... .replaceable). ........... ................... ......... ........... Noise <25 <50 dBA ................................ .................................. ...... Min.-Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version available(s)) 'F/'C Range Protection Rating NEMA 3R ........................................... .......................................................................................................................... ........... pl For other regional settings please contact SolarEdge support. - - - - l:l A higher current source may be used;the inverter will limit its input current to the values stated. - P)Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 760OW inverter.SE7600A-US002NN112). .I0I Rapid shutdown kit P/N:SE1000-RSD-Sl. _ - - M-40 version P/N,:SExxxxA-USOOONNU4(for 760OW 1nverter.SE7600A-US002NNU4). sunsaec � o 0 Sunmodule;--/Plus . SW 280 MONO REALVALUE 3�p.tuv�o� �� TUV Power controlled: -...•----�"' Tovneem°ne = Lowest measuring tolerance in industry --�""—' �O.00000Zp1"'1 " Every component is tested to meet 3 times IEC requirements F U Designed to withstand heavy41 accumulations of snow and ice OHIO OSunmodule Plus: Positive performance tolerance J 25-year linear performance warranty and 10-year product warranty J Glass with anti-reflective coating J World lass quality Q „,, C„„, a • ,„�,n y 'Seftfa.ma IEC SIM �• Fully-automated production lines and seamless monitoring of the process and mate- e •��I.��«� �a.,,���.o � rial ensure the quality that the company sets as its benchmark for its sites worldwide. a "°..��.u� SolarWorld Plus-Sorting E CHO Plus-Sorting guarantees highest system efficiency.SolarWorld only delivers modules LwCf� Cus that have greater than or equal to the nameplate rated power: UL 1703 25-year linear performance guarantee and extensionof product warranty to 10years SolarWorld guarantees a maximum performance digression of 0.7%p.a.in the course of 25 years,a significant added value compared to the two-phase warranties com- mon in the industry.In addition;SolarWorld is offering a product warranty,which has been extended.to 10years' 'in accordance with the applicable SolarWorld Limited Warrantyat purchase. www.solarworld.com/warranty. MADE IN USAOF US Bolarworld.com AND IMPO rED PAM Sunmodule;--/Plu s SW 280 MONO REALVALUE PERFORMANCE UNDER STANDARD TEST CONDITIONS(STC)' PERFORMANCE AT 800 W/m;NOCT,AM 1.5 Maximum power Pm„ 280 Wp Maximum power Pm„ 209.2 Wp Open circuit voltage V. 39.5 V Open circuit voltage Von 36.1 V Maximum power point voltage Vmoo 31.2 V Maximum power point voltage Vm. . 28.5 V. Short circuit current u 9.71 A Short circuit current h 7.85A Maximum power point current Imap 9.07 A Maximum power point current ImPP 7.33 A Module efficiency - qm - 16.70% Minor reduction inefficiency under partial load conditions at 25`C:at 206 W/rn=,100% - (+/-2%)ofthe STC efficiency(1000 W/m�)is achieved. - 'STC:1000 W/m�,257C,AM 1.5 1)Measuring tolerance(P,,,)traceable to TUV Rheinland: 2%(TUV Power Controlled). COMPONENT MATERIALS THERMAL CHARACTERISTICS Cells per module 60 cell type Mono crystalline NOCT 46°C Cell dimensions 6.14 in x 6.14 in(156 mm x 156 mm) Tc 1x 0.04%/'C Front . . .Tempered glass(EN 12150) TC v c -0.30°%/°C- Frame Clear.anodized aluminum TCPmPP 0.41 VC . Operating temperature 40°C to 85°C weight. 39,5 Ibs(17.9 kg). SYSTEM INTEGRATION PARAMETERS 1000 W/m= Maximum system voltage SC 11/NEC 1000 V Maximum reverse current 16 A 800 W/m= Number of bypass diodes 3 z _ _ - Design Loads" Two rail system_ 113 psf downward 600 W/m 64 psf upward 400 W/m= -— Design Loads' Three rail system 170 p i f downward upward '8 Design Loads' Edge mounting 30 psf downward 200 W/m= 30 psf upward 900 W/m=. . Please refer to the Sunmodule installation instructions forth e details associated with — these load cases. Module voltage[v] V. ADDITIONAL DATA. Powersorting' -0 Wp/+5 Wp j—x4 37,44(951) J-Box IP65: Module leads PV wire per.UL4703 with H4 connectors Module type(UL 1703) 11.33(288) Glass Low iron tempered with ARC 0.6 15.3 " 39.37(1000) VERSION 2.5 FRAME version Compatible with both"fop-Down 2.5frame �, and"Bottom"mounting methods 6594(1675) bottom. I N -.4rGrounding Locations._. mounting. 4 corners oftheframe holes 4locations along the length ofthe - module in the extended.flanget �_ x4 4.20(107)t 1:22(31) I 39.41(1001)--+1 All units provided are imperial.SI units provided in parentheses. SolarWorld AG reserves the right to make specification changes without notice. SW=01-6006US 08-2014. S:M- Starling Madison LOfquist, Ine. Consult/ng. Structural and forensic Engineers 5224 South 39' Street, Phoenix, Arizona 85040 tel: (602) 438-2500 fax: (602)438-2505 wwW.smleng.corvi Roof Tech,Inc. December 18,2014 92 Hamilton.Drive, Suite A Novato, CA 94949 page 1 of 8 Attn:Mr. Takashi Chiyoda, General Manager Subject: Roof Tech RT-[E].Mount Air-Structural .Analysis SML rob No.:.471-13. : . Dear Mr. Chiyoda: We have analyzed the Roof Tech RT-[E]Mount Air rail-less photovoltaic(PV)panel roof mount system and determined that;for the configurations and criteria described below,it is in compliance with the applicable sections of the following Reference Documents: Codes: ASCE/SEI 7-10 Min. Design Loads for Buildings&Other Structures International Building Code 2012 Edition International Residential Building Code 2012.Edition: Other: AC428,Acceptance Criteria for Modular Framing Systems Used to Support PV Modules,dated Effective November 2012 by ICC-ES Aluminum Design Manual,2010 Edition i The Roof Tech RT-[E] Mount Air rail-less photovoltaic (PV) panel roof mount system is comprised of a 6000 series aluminum [E] Mount Air. base, panel spacer, middle clamp, end. clamp, and optional shim(s), and SS304 bonding plate(s). A stainless steel SS304.8.0 inm bolt, nut, and star conical washer fasten the mounting system together, and the system is attached to the roof wood substrate with SS304 5.0 mm x 60 mm wood screws. Three wood substrates were tested with the fasteners also passing through two. layers: of composite asphalt roof shingles. The first tested wood substrate consisted of 7/16 thick sheathing over a 2x4 .SPF #2 rafter (2x truss top chord OK by inspection), the second tested wood substrate consisted of 7/16"thick OSB only, and the third tested wood substrate consisted .of 15/32"thick plywood only.. See Exhibit `A' —attached. Two wood screws are required,at the. rafter installations and four wood screws are required at the OSB and plywood only installations. . Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers. Roof Tech,Inc. December 1.8,2014 Mr. Takashi Chiyoda Roof Tech RT-[E] Mount Air ASCE 740 SML Job No.: 471-13 page 2 of 8 The testing data.provided by Western Technologies report (job) no.: 2163XD260, event no's; G260-4 revised May 30,.2014, G240-5 dated June 13, 2014, and G240-6 dated May 30, 2014, shows that the critical failure occurs in one of three ways; pullout of the wood screws from the OSB/Plywood only wood substrate, the shear failure of the OSB/Plywood only wood substrate, or the shear failure of the aluminum [E]Mount Air base at the base flange. Maximum allowable values for these failure conditions were derived.using a safety factor of 2.0 on.the ultimate.loads provided by the testing. RT-[El.Mount Air PV Panel in Landscape Orientation: The maximum allowable uplift and shear force for 7/16" thick sheathing over a 2x4 SPF #2 rafter is 818 lb and.579 lb respectively. The maximum allowable uplift, down force:and shear force for 7/16" thick OSB .only is 208 lb,. 258 lb, and 209 lb respectively. The maximum allowable uplift,down force and shear force for 15/32"thick.plywood only is 306.1b, 556 lb,and 267 lb respectively. RT-[E]Mount Air PV Panel in Portrait Orientation: The maximum allowable uplift and shear force for 7/16" thick sheathing over a 2x4 SPF #2 rafter is 710 lb and 212 lb respectively. The maximum allowable uplift, down force and shear force for 7/16" thick OSB only is 261 lb, 258 lb, and 157 lb respectively. The maximum allowable uplift,down force and shear force.for 15/32"thick plywood only is 414 lb, 556 lb,and 196 lb respectively. .. The attached tables below show the maximum allowable combined loading criteria of wind speed,roof slope, and snow loads which produce reaction loads below the allowable loads listed above. The effect of seismic loads (for all design categories A-F) have been determined to be.. less than the effect due to wind loads in all load conditions and combinations. The assumed topography is flat with a It = 1.0. Therefore, the maximum allowable spans for common load. cases due to dead,.wind and snow loads are the controlling load cases. Table 0. Roof Angle to Roof Slope Conversion Roof Angle(Degrees) Roof Slope(in/in) . 0.0 0:12 4.8. 1:12 9.5 2:12 14.0 _ 3:12 18.4 4:12 22.6 5:12 26.6 6:12 33.7 8:12 Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers Roof Tech,Iris. December 18,.2014 Mr. Takashi Chiyoda Roof Tech RT-[E] Mount Air. ASCE 7 1.0 SML Job No.:471-13 page 3 of 8. Table 1. OSB.:Only Landscape Exposure B Exposure C Exposure D Maximum Wind Roof Ground Wind Roof Ground Wind Roof Ground Design Speed Speed Speed Slope Snow(psf) Slope Snow(psf) Slope Snow(psf) Criteria (mph) (mph) (mph) . . 170 2:12-6:12 15 150 2:12-6:12 15 130 2:12-6:12 15. 160 r, ,'U 12-8.:12, - 10 1716 0.1.12=12.12 15. ' z %120 O`12 12:12 �15 _. _ Zone 1 160 0 12 6 12 15 120 5 12-6 12 20 120 0:12 12 12 15 15 4 Mounts 150 Ot1212:12 r g 115. 5,12s12 12 20 113 512,6 1,2..E ..20 ' 130 5:12-12:12 20 -110 6:12-12:12 25 NA NA NA - 130 612.1212 :25 z NA IVA. 5NA 6' t NX, � NA NA. 115 8:12-12:12 30 NA NA NA NA NA NA 180 . 012 12:12 F 170 .2112=6 12 3'0 tV 160 t2 12.6.12.i 170 5:12-6:12 40 160 0:12-12:12 30 150 0:12-12:12 30 Zone 1 �160� F $A2=12]2 _F 40 � 160 4,12=612 �: 35 350 ,5:-]2 512; ,A.35 S; 6 Mounts 150 6:12 12:12 45 150 0 12-12 12 35 140 0:12 12:12 35 1q0` ° 812 12:{12 ;5A .140 512.-12 -30; 121,2:12 NA NA NA 13G 6:12-12:12 45 120 6:12-12:12 45 NA '' NA ' NA 115� `812='12 12 '50 . NM-�4. 'NAB "Ni4 140 8:12-12:12 15 120 8:12-12:12 15 110 8:12-12:12 15 13'Of $t12121>2 25:�. 115 $'1242.12 2As2ja MNA NA. F NA Zone 2 120 0:12-12:12 15 110 8:12-12:12 .25 NA NA NA . 4 Mounts 12d - 5 12 1212€ :20 NA NA"� � NA NiQ1 � � NAP DNA' 120 6:12-12:12 25 NA NA NA NA NA NA =115 812.12 12 AC-f Z P i(VA NAB i w. NA; r NA ...NP' 170 8:12-12:12 35 150 8:12-10:12 35 130 8:1242:12 40 :16GV' 8:12�72:12 40 k�. 140, 8.12.1212 4Q� 120 $:1Z,1212 .45_ Zone 2 150 2:12 12 12 35 130 8 12 12 12 45 115 0 12 12 12 35. g� Sfl 512 1212 '_4Q ; 120 d12'1212 ��J35� 195 12 12 12 46 6 Mounts 150 6:12-12:12 45 120 5:12-12:12 40 115 6:12-12:12 45 140 `; 0:12 12:12 3b 120 6;12=12.12 � 45 ` ` NAB "'"NAB p 7 .140 8:12-12:12 50 115 8:12-12:12 50 NA NA . . NA. : . }140 812,12i12 �i 15 8,12=12:12 15110 8,12 12,52 15 Zone 3 12ph 130 8:1212.12 25 110 812-1212 25 NA NA NA 4 Mounts - 1 115 8 12,12:12 =30 . , NA , NAB DNA .ems £< NA NA INNA 170 8:12-12:12 '35 150 8;12-10:12 35 130 8:12-12:12 40 1.6 _ 812t121 F4,0� 41"44b'1 8;12=12 12 4,fl�: 120s ; 8:12 12.12 45 , - 150 8:12-12:12 45 130 8:12-12:12 45 NA NA -.NA Zone:3: t ,,140,F- 812,12:12 "FSQ�� �,- 115�' 8 12=12`12� fi'5, NA , U NA° 'INA , 6.Mounts 120 2:12-12:12 35 NA NA NA NA. NA NA i a 120 512 12 12� 44:t) NA NX NA _ t DNA£ .��NA�� 'NAY 120 6c1242:12 45 NA NA NA NA NA NA �115 0d2 1212 3s' NA �#N4' M NAB ��IUA, :NA' NA ) Starling Madison Lofquist,:Inc. Consulting Structural:and Forensic Engineers i Roof Tech,Inc. December 18,2014 Mr. Takashi Chiyoda Roof Tech RT-[E] Mount Air ASCE 7-10 SML Job No.: 471-13 page 4 of 8 Table 2. OSB Only Portrait Exposure B Exposure C Exposure D Maximum Wind Roof Ground Wind Roof Ground Wind Roof Ground Design Speed Speed Speed Slope Snow(psf) Slope Snow(psf) Slope Snow(psf) Criteria (mph) (mph) (mph) 180 2:12-6:12 10 150 0:12-6:12 10 140 2:12=6:12 10 170 10 h14Qz _ 012.12;12 °10 � -_ 130 O'12°1012 10; Zone 1 160 0:12-12:12 10 140 0:12-6:12 15 120 0:12-12:12 . 10 4 Mounts 160 012-6:12 15 130. 012 12c1:2 15?- 120 012 4:12 15� 150 0:12-12:12 15 NA NA NA 115 0:12-12:12 15 115 $,1242:12 25 Ak . NA NAB "_ NA 180 0:12-12:12 25 180 0:12-6:12 25 170 2:12-6:12 25 180' `1701 _ 0 12 .12 12 ,20 p 160?1 170 0:12-12:12 30 170 5:12-6:12 30 160 5:12-6:12 30 1.4,0 8 12.-12:12 40 1603 Q::12-12:12 35a° 150`. 0,12`12 12( . .20 Zone 1 NA NA NA 160 0:12-6:12 30 150 0:12-6:12 30 6 Mounts NA" M.A- NA: 1,50 0 12 11*12 :30r:. . 140' 0;12>12:12 ( _ '45 NA NA NA 150 5:12-6:12:. 35 130 0:12-12:12 30 NA NA , NA 140 . 4:12.6:12 a 35 7" 130 412=612` 35' NA NA NA 130 4:12-12:12 35 120 4:12-12:12 35 NA ,MA IVA 120 $,,12 12:1k2;' 40 �s ,a 115i . $J �12.12 .j401 _ Zone 2 150 8 12 12:12 10 130 8:12 12:12 10 120 8:1242.12 10 - 4 Mounts - �130 0:1 - 1,12 15 120 . 8 12 12:12 15 NA NA ..# NA 115 8:12-12:12 25 110 0:12-12:12 15 NA NA NA 180- 8112'-12-12 25 - 160= 8:12-1212 25 140' 8121212 _ 25. 170 8:12-12:12 30 150 8:12-12:12 30 130 8:12-12:12 30 Zone 2 160 , Q,12 :10 30 130 0;12 12A2 , 30r.�., 12`0t 0,12 _:3:0= 6 Mounts 160 4:12-12:12 35 130 4:12-12:12 35 120 4:12-12:12 35 130 - 8.12.1212 g 45. _ 120v 812.1ZA2 - ,�'40 � ; 115 8::12=1212 40' NA NA NA 110 8:12-12:12 45 NA NA NA 150. 8:12-1z12 -10 130 8:.12-1212 1QI 120- 8 1212,12 . 10" Zone 3 130 8:12-12:12 15 120 8:12-12:12_ 15 NA NA NA 4 Mounts _ 115. 812=12:1.2 25 NA' °NA. .NA,' NA OVA' ( NA:. 180 8:12-12:12 25 160 8:12-12:12 .25 140 8:12-12:12 25 170 8 12.1212 30' 150 812 121.230 �, ,13:0 8:.12-: 2,12 30� 160 8:12-12:12 35 130 8:12-12:12 35 120 &12-12:12 35 Zone 3 140 $.12-12.12 40 12U . 812 12'12 40& R T15 812=12 12 401 6 Mounts 130 2:12-12:12 30 110 2:12-12:12 30 NA NA NA 130. : .. 4,1212;12 . 35 11U_ 4i12 12i=12 , 35 ,. NA NAB _ NA_ 130 8:12-12:121 45 1 110 18:12-12:121 45 NA I NA NA 120. Q 12 1212 3U N NA NAi NA, NA. [`' NA Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers _d_ Roof Tech,Inc. December 18,2014 Mr.Takashi Chiyoda Roof Tech RT-[E] Mount Air ASCE 7 10: SML Job No.: 471-13 page 5 of 8 Table 3. Plywood Only Landscape Exposure 8 Exposure C Exposure D Maximum. Wind Roof Ground Wind Roof Ground Wind Roof Ground Design Speed Speed Speed Slope Snow(psf) Slope. Snow(psf) Slope Snow(psf) Criteria (mph) (m(mph) (mph). 180 0:12-12:12 45 170 2:12-.6:12 45 160 2.127-4:12 . 45 18.0. 6.12-'12:12 50' 160.._ 0:12 12 12 45;<< `150 ;` 0:12-8'12' 45 Zone 1 1.70 8:12-12:12 55 150 .6:12-12:12 50 140 0:12-12:12 45 4 Mounts 750 8 12.1'2:;72 Q'. 1,40 8;1'2 12:12 55 ,1 612-12.12'; 50� NA NA NA 120 8:12-12:12 60 130 8:12-12:12 55 NA -"NA NA NA '14 NA 115 8,12=12=12, 60? 180 0:12-12:12 70 180 0:12-12:12 70 180 012-12:12 70 Zone 1 =1' 0 5.12-12:12 75i 180'' Sz12 12.12 75 1$0 5:12=12 12 7S=_ 6 Mounts 180 612-12:12 80 180 6:1212:12 80 170 6:12-12:12 80 _180 812 F12:12 9Q` 180' 8:;'12 12:12 85t, 16,Oc ::= 8. 24212 ; 45 NA NA NA 160 8:12-12:12 90 150 8:12-12:12 90 170 & -2=12:12 55 140= 8,12 12:12 55.� ` _1307. Zone 2 150 2:12-4:12 45 120 0:12-12:12 45 115 2:12-12:12 45 4 Mounts 150 8.12-12:12 60,. 120. 612.12:12 ,O 115. `F 6 i2?12 12 50 m 140 0:12-12:12 45 120 8:12-12:12 60 115 8:12-12;12 60 140 5.12-12:12 50: NA` NAB NAB 110 0"'I f212,' 4Sy $ 180 2:12-12:12 70. 180 . 8:12-12:12 85 160 8:12-12:12 85 180 5'.121212 -75: 160 8-1r2.12:12',. 90e . , 150t,,R 8 12-12.12 r. .90 . Zone 2 180 6:12-12:12 80 150 0:1242:12 70 140 2:12-12:12 70. 6 Mounts, 180 8 12=12:12 9Q 150 5;12 1712 75 _ 140'= 512-12:12 75,' . 170 0:1242:12 70 150 6:12-12:12 80 140 6:12-12:12 80. NA a NA NA3.._ a NABa• NA NAv,.. i 130 012?1212 a, 7Ot� 170 8:12-12:12 55 140 8:12-12:12 55 130 8:12-12:12 55 ISO 8.12-12:12 60 120 812 12A2 '60' _ 1151 : &1242.12 60+ Zone 3 4 Mounts 120 2:12 12:12 45 NA NA NA NA NA NA 120 6:12112:12 ` S0 NAB; NA¢ a NA , NA 4 NA�-- 115 0:12-12:12 45 NA NA NA NA NA NA 180 8:12.12 12 90 460, 8:1212 12 85 160; 8,' 2- 140 0:1212:12 70 160 8:121212 90 150 8121212 90 Zone 3 6 Mounts 140 5:12`12:-12, 75'" 120 0:12.12:12 70 '`, ' 110 0.12-12.12 70, 140 6:1212:12 80 120 5:12-12:12, 75 110 5:12-12:12 75 NA .NA NA. 120 6:12 12,12. 8;, 1 - 6.12=12 12 ,•r__ "80F Starling Madison Lofquist,Inc. Consulting Structural:and Forensic Engineers Roof Tech,Inc. December 18,2014 Mr.Takashi Chiyoda Roof Tech RT-[E]Mount Air ASCE 7-10 SML Job No.:471-13 page 6 of 8 Table 4. Plywood Only Portrait Exposure B Exposure C Exposure D Maximum Wind Wind Roof Ground Wind Roof Ground Roof Ground Design Speed Speed Speed Criteria (mph) Slope Snow.(psf) (mph) Slope Snow(psf) (mph) Slope Snow(psf) . 180 0:12-12:12 40 180 0:12-12:12 30 170 0:12-6:12, 35 160 8:12-12 12 45 5 , 180 012 6 12 35 1:60 012-12.12' 30. Zone.1 NA NA NA 170 0:12-12:12 35 160 0:12-6:12 40 4 Mounts NA NA NA ; ' 170. . �0:12 6:12 4U 150, 0:12=12.12 q� 5 NA NA NA 150 0:12-12:12 40 140 .0:12-12:12 40 NA NA' NA 140 8:1212.12 45, 120 8,124212 45 180 0:12-12:12 60 180 .0:12-12:12 60 180 0:12-12:12 60 Zone 1 18Q ° E 6,.12 12"12.` - 65 '180' j 6:12,1212 k.' 65 ' y170, 6A,.12:12 ,65 0 6 Mounts 180 8:12-12:12 70 170 8:12-12:12 70 160 8:12-12:12 70 NA NA NA 160 812 12:�12 75 �; ,1;4.0 8,12=1212 75 180 8:12-12:12 40 160 8:12-12:12 35 150 8:12-12:12 35 Zone 2 160 0 12-1212. 40' 150 81`2-12:12: , 40 _ 140 8 1.2-12 12 =,__. 40 4 Mounts 160 8:12-12:12 45 140 2:12-12:12 40 130 2:12-4:12 40 NA NA ;_. NA 14p 8a2-12:1'2,:. 45, r. i ,120 012-12':12 40 NA NA NA 130 6:12-12:12 40 1.20 8t12-12:12 45 180_ 0.124212 ' 60,, 186 812-12:12 65. .. 180 8.12-11f12:_ 60 180 6:12-12:12 65 170 2:12-12:12 60 170 8:12-12:12 65 Zone 2 180 812 1212 '_ 7.5 170 A 6.12 1212 `,_ 65,, . t. ',160 812-.12.12 70 6 Mounts NA NA NA 170 8:12-12:12 70 150 0:12-12:12 60 NA NA .. NA r 160 012-11:12 60 150 612-1212 .65 NA NA NA 160 8:12-12:12 75 140 8;12-12:12 75 180. 812=1212 40 160 8:12 1212 3 35. 1fi.0 . ` gal-12'12 _'' 35 `." Zone 3 160 8:12-12:12 45 150 8:12-12:12 40 140 8:12-12:12 40 4 Mounts `130: ._ 0.12-12• -40 , .140 A:12 1212 = 45 120 _ } $.12 12 a _ 45 NA NA NA 110 0:12-12:12 40 NA NA NA 180' 8,12�12c12 75 180 8<12-12:12' 65180 812-12:12 60 160 0:12-12:12 60 170 8:1242:12 70 170 8:12712:12 65 Zone 3 160. 6.12.12<12,= 65 '. 1,60 8:12 12'1 `„ 75 r- % . 160,. = $.12=12:12 ,,70 ` n 6 Mounts NA NA NA 140. 2:12-4::12 . 60 140 8:12-12:12 75 NA NA. . _ NA 130 b..12.42:12 .__ 60 120 0�12=12:12 # -60 NA NA NA 130 6:12-12:12 65 120 6:12-1212 65 Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers f Roof Tech,Inc.. December 18,2014 Mr.Takashi Chiyoda Roof Tech RT-[E]Mount Air ASCE 7-10 SML job No.: 471-13 page 7 of 8 Table 5. Rafter Landscape Exposure B Exposure C Exposure D Maximum Wind Wind Wind Design Speed Roof Ground Speed Roof Ground Speed Roof. Ground Slope Snow(psf) Slope Snow(psf) Slope Snow(psf) Criteria (mph) (mph) (mph) Zone 1 190 0:1242:12 90 180 0:12-12:12 90 180 0:12-12.12 90 4 Mounts NA NA. wNA x ' NA, NA NAt: NA . (-`' NAr y,NA, Zone 2 180 0:12-12:12 90 180 0:12-12:12 90 180 0:12-12:12 90 4 Mounts NA NA NA` NA NA , __ .NA, NA NAB NA Zone 3 180 0:12-12:12 90 180 8:12-12:12 90 180 8:1212:12 90 4 Mounts :NA NA NA, 160 0:1242.12 7 90 150 212 1212 .#_ 150 NA NA NA NA NA NA 140 0:12-12:12 90 Zone 3 180 U:12;12:12 90; 180 0,:1242:12 " 90 490 012 1212 A 90 6 Mounts NA NA NA NA NA NA NA NA NA Table 6. Rafter Portrait Exposure B Exposure C Exposure.D. Maximum Wind Roof Ground Wind Roof Ground Wind -Roof Ground Design Speed Speed Speed (mph) Criteria (mph) Slope Snow(psf) Slope Snow(psf) (mph) Slope Snow(psf) 180 0:12 1.2;12 _ . 80r 180 0.124: 2 80 180' U 12 121'2 _80'. Zone 1 180 0:12-5:12 85 180 0:12-5:12 85 180 0:12-5:12, 85 4 Mounts. . -180 8:124'2 12 185.1: '180. 8:12;12�12 �, �85 , ; _ 180 8'121212 '85 180 0:12-4:12 90 180 0:12-4:12 90 180 0:12-4:12 90 Zone 1 180 Q:1242:12 :W ;180, 0:12=12.12 90; 180' 012,1.212 "90° 6 Mounts NA -NA NA NA NA NA NA NA NA 180 012-12 12 "'8 . 180 0:12-"1212; 80 �180 8'12-22112 ;il .851 Zone 2 18.0 0.:12-5:12 85 180 0:12-5:12 85 170 0:12-12:12 80 4 Mounts .180 8.11,12:12 . 85.- 180 812-1212 85, 170 r012 5:12 85`. 180 . 0:12-4:12 90 180 0:12-4:12 90 170 0:12-4:12 90 Zone 2 180 0:12'12:12 90 180r 0:12-12:12 :90;_ 180) 032-1212 6 Mounts NA NA NA NA NA NA NA NA NA 1$0, 2:12,12t12' ., ;$0�". 180 812 1212i. 85 . 180s _ 812.1212 8;5r 180 2:12-5:12 85 150 2:12-12:12 80 140 2:1271212 80 :180 &1'2'1�2:12 r 85 150`; 2.12�5.12 85 140 2'12 5:1 .' ''85 Zone 3 180 2:12-4:12 90 150 2:12-4:12 90 140 2:12-4:12 90 4 Mounts 0` 1'30P 0`12,1212, ¶ 80 17 0:12-12:12 __ 0' 140 012-12:12;: 80` 170 0:12-5:12 85 .140 0:12-5:12 85 130 0:12-5:12 85 170, Q 12 4:1.2 90 . ;1.4Q; 0:12=412`; 9.0: ` 130' U.12 412_ 40 180 0:12-12:12 90 180 8:12-12:12 90 180 8:12-12:12 90 Zone 3 . . 6 Mounts NA NA, NA`-- ,NA NA L i4 - NA 171- 212 12'_12 ;90 NA NA NA NA NA I NA 160 0:12-12M 90 Starling_Madison Lofquist,Inc. Consulting Structural and Forensic Engineers j -7- Roof Tech,Inc. December 18,2014 Mr.Takashi Chiyoda Roof Tech RT-[E] Mount Air. ASCE 7-10: SW Job No.: 471-13 page 8 of 8 Table Notes—Tabulated values are based on the followinp-criteria: 1. Building mean roof height=30 ft maximum 2. Risk Category=II 3. Solar panel maximum area=18.88 square feet(68 in.x 40 in.) 4. Solar panel dead load=approximately 3.0 psf 5. ASCE 7-10 6. OSB shall be 24/16 APA rated sheathing minimum(7/16"thick) 7. Plywood shall be 32/16 APA rated sheathing minimum(15/32"thick) 8. . . Sheathing shall be free of defects including,but not limited to water damage and delamination. 9. Roof rafters or trusses spaced at 24"on center maximum 10. PV panel must comply with OL 1703 Through a maximum of 2 layers of composite asphalt roof shingles or maximum 20 gage metal decking provided the metal is predrilled as wood screws are not designed to penetrate the metal decking. Not valid on concrete roof tile. Our analysis assumes that the connections and associated hardware are installed in a workmanlike manner in accordance with the RT-[E] Mount Air Installation Manual and generally accepted standards of construction practice. It is the responsibility of the contractor to verify that the strength of the roof framing meets the minimum properties used in the tests and: can safely support the maximum imposed loads stated within this document. Starling Madison Lofquist, Inc. and Roof Tech assume no liability beyond what is specifically shown in this letter. Additional information is available at the Roof Tech web site,httpJ/www.roof-tech.us/. Please feel free to contact me at your convenience if you have any questions. Respectfully yours, 1L-IGiol q ES J. �y4 WARNER m CIVIL No.494.32 A90.oF�41ST6Q`����`�•Q i SSIONAL Tres.J.Warner,P.E. Jesse Light,P.E. Design Division Manager Senior Structural Engineer Starling Madison Lofquis.t,Inc. Consulting Structural and Forensic Engineers . "�••� ��1�; � � ��b � - � 'fir` 4�� Kv }Ut^. �1' -��'�•}x: k'�� l `'�yy• � �', p§y-�. ty -a.b' ty�� + � � `�' 4�.# '�+•+�.y� F d 'fix• A"� @ �'ro�14,�'z 15 a��:` d � � t �•,��, rat �xta } . . ,•- 4: " a VIA; #, +g 'g `}RF YIM- ^ �. a 1 s �fe`�`r'�`iaj�rr�rn�dri�ctr/l/r �l C-�/l�.crlsuc�rc.�t(,i Office of Consumer s g m r Affair & Business Regulation, License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date "If found return to: egistration: 161656 Type: Office of Consumer Affairs and Business Regulation xpirat#on. 11/12/2016 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 ACUSHNET ALTERNATIVE'HEATING LUKE NIEMIEC 127 MAIN ST. ACUSHNET, MA 02743 Undersecretary Not valid without signature Massachusetts -pepartmnf of Public 5a Board of Building Regulatforts"and Staclards Construction Super'isf`, License: CS-099755 T ,y`'I #kZ�CfLUKE J NIEMIE �. ram' 127 SO MAIN ST. I, Acushnet MA 02743 • Expiration �3 Comm sston ee 12/49/2015 v �� �' Q _SolarCity 4:r December 14, 2015 Town of Barnstable ATTENTION: BULDING DEPARTMENT 200 Main Street Hyannis, MA 02601 RE: 238 Craigville Beach Road Permit No.: 201500478 Our Job No.: JB-026756 NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar,(PV)at the above-referenced property has been moved into a cancellation status. SolarCity Corporation and Mitchell Brown will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns, please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, CheryCGruenstern Cheryl Gruenstem Permit Coordinator SolarCity Corporation cgruenstem@solarcity.com Telephone: (508)640-5397 Jg -csa6�s6 �� TOWN OF BARNSTABLE ti Building 201500478 BARNSTABLE, Issue Date: 02/02/15 Permit 9 MASS. �Ar16.59.�A�� Applicant: SOLARCITY CORPORATION Permit Number: B 20150192 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/02/15 Location 238 CRAIGVILLE BEACH ROAlloning District RB Permit Type: RES SOLAR PANELS Map Parcel 267120 Permit Fee$ 61.20 Contractor SOLARCITY CORPORATION Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 12,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSTALL SOLAR ELECTRIC PANELS ON ROOF 4.845KW AND THIS CARD MUST BE KEPT POSTED UNTIL FINAL 19 PANELS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BROWNELL,LINDA L BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 744 INSPECTION HAS BEEN MADE. MATTAPOISETT,MA 02739-0744 Application Entered by: PF Building Permit Issued By: THIS.PERMITCONVEYS NO RIGHT TO OCCUPY ANY.STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY'OR PERMANENTLY. ENCROACHMENTS ON PUB -:PROPERTY;NO SPECIFICALLY PERMITTED UNDERTHE BUILDING CODE,.MUST BE APPRCVED BY THE .,- JURISDICTION.-STREET OR'ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENTOF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE.THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - - - MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 47 Parcel 6FPp # Health Division Date Issued Conservation Division Application Fee - Planning Dept. Permit Fee Z45) Date Definitive Plan Approved by Planning Board Historic - OKH /70 _ Preservation / Hyannis C Project Street Address a3 S i&r• �/i �4' C Q Village 11clalbois Owner /?71)k;4e11 15/ WI7 Address 23$ Cl-a Ile AA-_a44 4W, Telephone FV3-A� -y400 Permit Request /leLS I*r O Chi? V &_ e/roh Z S Square feet: 1st floor: existing —'proposed — 2nd floor: existing proposed"'' Total newer Zoning District /p8 Flood Plain Groundwater Overlay Project Valuation �!' Construction Type/4S*// Lot Size Grandfathered: ❑Y9sn OU f-No If yes, attach supporting docum ation. Dwelling Type: Single Family U' Two Family, ❑ Multi-Family(# units) Age of Existing Structure �'� /S. Historic House: ❑Yes 5'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: ❑Eas/?AL1 Oil- ❑ Electric ❑Other Central Air: ❑Yes .J>-No 4AFirephtes: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing Aa nevv--size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing /1�nely size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use H5(denjal Proposed Use 40 Ghatel APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name enrlsal-qr' q Go/' _ Telephone Number �8"1-�/6 7M Address 1&0 (or Vntk /WL-C' Or aW-e/0 License # CS 107(6.3 PC/llb pg, IY7,q Home Improvement Contractor# 1619T?dl Email PC'�f/� SalCl/Cl�i •(.4✓�'1 Worker's Compensation #GyCc?-6,6d' 46-'O� ALL/CON/STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A ai SIGNATURE DATE [ALI o O/S- FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAR/PARCEL N0. ADDRESS VILLAGE. OWNER- DATE OF INSPECTION: f" FOUNDATION FRAME `- INSULATION = FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL., - GAS: ROUGH FINAL FINAL BUILDING DATE-CLOSED OUT r ASSOEIATION.PLAN NO. s . "t ' 4txThe Commonwealth of Massachusetts i Department of Industrial Accidents O,,Q`ice of investigations I Congress Street,Suite 1.00 Boston,ALL 02114-2017 5� www.massgov/dia 4 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly' Name(Business/Organi7"on/Individual): SolarCity Corporation Address:3055 Clearview Way City/State/Zip:San Mateo, CA 94402 Phone#:888-765-2489 i Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 7000 4. E I am a general contractor and I 6 .New construction y employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑-Remodeling t ship and have.no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp• insurance.t required.] 5. We area corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions 1 myself. [No workers' right of exemption per MGL 12.[J Roof repairs comp. insurance required.]t c. 152,§1(4),and we have no ® Solar Panels 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 submitthis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that cheek 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 I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site # information. Insurance Company Name:Liberty Mutual Insurance Company WA7-66D-066265-024 09/01/2015 Policy#or Self-ins.Lic. #: Expiration Date: r fi Job Site Address: 1;? lV!/l A�M Ica—ca City/State/Zip:, "Gt/1/1 is I�Q ro 7aZ Attach a copy of the workers' compensation policy.declaration page,(showing the policy number and expiration date). e 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 copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties ofperjury that the information provided above is true and correct: Sisrlatute �"'-- ,y�i�a,u.cL�� Date /�o2//aQ1 phone#: 7818167489 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#: I � ' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNWY) 08/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CER71FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES NAME: 345 CALIFORNIA STREET,SUITE 1300 r-0 o EftFA7(No 1 CALIFORNIA LICENSE NO.0437153 A�Lam: SAN FRANCISCO,CA 94104 INSURER(S)AFFORDING COVERAGE NAIC_X 998301-STND-GAWUE-14-15 Liberty Mutual Fire Insurance I INSURER A:: Company _ 16586-- -—. INSURED INSURER S:liberty lnsurdnoe Corporation 42404 Ph(650)963-5100 SolarCity Corporation INSURER C:N/A N/A 3055 Clearview Way San Mateo,CA 94402 INSURER D: INSURER E INSURER F 1 COVERAGES CERTIFICATE NUMBER: SEA-002440269-02 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N0TIMTHSTANDING ANY REOUIREMENT,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. ! INR YM LTR TYPE OF INSURANCE ADUL VJVD POLICY NUMBER MM/DD EFF POLICY EXP LIMITS A GENERAL LIABILITY TB2-661-066265014 09/01/2014 09/01/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY I 100,000 PREMISES aaamenoe $ CLAIMS-MADE a OCCUR 10,000 MED EXP(Arty one person) $ _ _ PERSONAL&ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2.000,000 1 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,OR000 X POLICY X JECTPRO- LOC Deductible $ 25,000 A AUTOMOBILE LIABILITY AS2 661066265-044 09/01I2014 09)01/2015 OMBINEEQ SINGLE LIMIT 1,000.000 X $------ ..... ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per ardent) $ X HIRED AUTOS N NON-OWNED PROPERTY DAMAGE $ AUTOS Per aa9dent X Phys.Damage COMP/COU DED $ $1,000 1$1,000 UMBRELLA WAB OCCUR EACH OCCURRENCE j EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED 1 1 RETENTION$ $ B WORKERS COMPENSATION IWA7.66D466265-024 09/01014 0910112015 X WC STATrU- oTH- AND EMPLOYERS'UABILITYFR B ANY PROPRIETORIPARTNERIEXECUrIVE YIN iWC7-661-066265-034(WI) 09/01/2014 09/01/2015 EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA B (Mandatory In NH) 1'WC DEDUCTIBLE:$350,OOtY EL DISEASE-EA EMPLOYE $ 1,000,000 'Dyyes Ri;aIOe under 1,000,000 DESCRIPTION OF OPERATIONS below I - t EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Sdredule,U more space is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SolalCity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Clearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED, IN San Mateo,CA 94402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i of Marsh Risk&Insurance Services Charles Mannolejo f 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010I05) The ACORD name and logo are registered marks of ACORD l DocuSign Envelope ID:37C71314-A79C-409E-9E85-6131FC23B359 ;; Power solarCit •� o er Purchase Agreement Here are the key terms of your SolarCity Power Purchase Agreement Date: 1/3/2015 0 l5m670 20years- System installation cost Electricity rate per kWh ° Agreement term Our Promises to You • We insure, maintain,and repair the System(including the inverter)at no additional cost to you,as specified in the agreement. • We provide 24/7 web-enabled monitoring at no additional cost to you,as specified in the agreement. • We warranty your roof.against leaks and restore your roof at the end of the agreement,as specified in the agreement. 6 • The rate you pay for electricity,exclusive of taxes,will remain fixed for the term of the agreement. • The pricing in this PPA is valid for 30 days after 1/3/2015. s We are confident that we deliver excellent value and customer service.As a result, you are free to cancel anytime at a no charge prior to construction on your home. Estimated First Year Production 5,519 kWh a Amount due at contract signing: k F $O Estimated prepayment due when installation begins: $0.00 Estimated prepayment due following . building inspection: Customer's Name & Service Address Exactly as it appears on the utility bill Customer Name and Address Customer Name Installation Location Kera Brown Mitchell Brown 238 Craigville Beach Rd 238 Craigville Beach Rd Barnstable, MA 02601 Barnstable, MA 02601 Options for System purchase and transfer: Options at the end of the 20 year term: • If you move,you may transfer this agreement to the purchaser of your • SolarCity will remove the System at no cost to you. Home,as specified in the agreement. • You can upgrade to a new System with the latest solar • At certain times,as specified in the agreement,you may purchase the technology under a new contract. System. • You may purchase the System from SolarCity for its fair • These options apply during the 20 year term of our agreement and not market value as specified in the agreement. beyond that term. • You may renew this agreement for up to ten(10)years in two(2)five(5)year increments. 3055 CLEAHVIEW WAY, SAN MATEO, CA 94402 888.SOL.CITY 1888.765.2489 I SOLARCITY.COM MA HIC 168572/EL-1136MR Document Generated on 1/3/2015 0 �' 485640 - 0 DocuSign Envelope ID:37C71314-A79C-409E-9E85-6131 FC23B359 22. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in their YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO entirety and I acknowledge that I have received a complete copy of this MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE Power Purchase Agreement. YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Kera Brown EXPLANATION OF THIS RIGHT. °ociS1gned°y: 23.ADDITIONAL RIGHTS TO CANCEL. Signature: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 22,YOU MAY ALSO CANCEL Date: 1/3/2015 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 24. Pricing The pricing in this PPA is valid for 30 days after 1/3/2015. If you Customer's Name: Mitchell Brown oo�s�gr�a by: don't sign this PPA and return it to us on or prior to 30 days after Do Si� 1/3/2015,SolarCity reserves the right to reject this PPA unless you Signature: ►�^ IT��� agree to our then current pricing. Date: L 1/3/2015 ;!;SolarCity. Power Purchase Agreement SOLARCITY APPROVED Signature: .,' LYNDON RIVE, CEO (PPA) Power Purchase Agreement ;'1',SY19FC�i - Date: 11312015 r • Solar Power Purchase Agreement version 8.2.0 485640 �'gY•�-C ❑� rr ;!'lrr.�.irirri.ir�//,� t Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/8/2015 CRAIG ELLS --- -- -- - 24 ST. MARTIN STREET BLD 2 UNIT 11 ---- ----- -- --- -- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. scA r a ailrres^t Address Renewal (—I Employment [I Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation j Registration: 168572 Type 10 Park Plaza-Suite 5170 r g' Expiration: 3/8/2015 Supplement :ard Boston,MA 02116 SOLARCITY CORPORATION CRAIG ELLS q 24 ST MARTIN STREET BLD 2UNI s� INA�2LBOROUGH,MA 01752 Undersecretary Not v lid without signature t0Massachusetts - Depariment of Pt,olrc Safer; — Board of 8udding Regulations and Standirrts t rtilltI lit tlt+H 'tlitt4.1't iVtl icense CS407663 1 CRAIG ELLIS 206 BAKER STREET Keene NH 6431 , i I r I 08129/2017 tt-%IZE' iG�ryyLrl�`�Qt�12�1�P��?2• � ,�--�G��,1�G1'•C1?il,G�1C' ,�J Office of Consumer Affairs � a rs and Business Regulation ` 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLARCITY CORPORATION Expiration: 3/8/2015 NILE MILLER _- 24 ST. MARTIN STREET BLD 2 UNIT 11 = -- MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. sCA 1 0 20M-0511I E] Address ❑ Renewal �1, Employment i Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 2egistration: 168572 Type. 10 park Plaza-Suite 5170 y Expiration: 3/8/2015 Supplement a:•ard Boston,MA 02116' SOLARCITY CORPORATION NILE MILLER 24 ST MARTIN STREET BLD 2UNI I i1AALBOROUGH,MA 01752 Undersecretary Not valid without signature s : . 1 Version#42.2 �'AsolarCit y -AAAA&A— January 20,2015 - JASON WILI(AM TOMAN Project/Job#026756 STRUCTURAL c RE: CERTIFICATION LETTER ,Q N0:51554 Project: Brown Residence S1ai� L �� 0 238A Craigville Beach Rd Digital Toman W Hyannisport,MA 02672 Date:2015.01.20 08:23:56-07'00' 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 -MP1: Roof DL= 11 psf, Roof LL/SL= 21.3 psf(Non-PV Areas), Roof LL/SL= 11.7 psf(PV Areas) -MP2: Roof DL= 10.5 psf, Roof LL/SL= 23.1 psf(Non-PV Areas), Roof LL/SL= 15.6 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss =0.18348 < 0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in.the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with any questions or concerns regarding this project. Sincerely, Jason W.Toman, P.E. Professional Engineer Main: 888.765.2489 email: jtoman@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com AZ ROC 243771.CA CSLB BB8t04.00 EC 8D41.CT HIC 0032778,DC HIC 71101436,.DC 191S 71101488.HI 01'-2g770.1v1A HIC 1P,3572.MD M"C 12B848,NJ 13Vf 100160it00. OR COB 1804n8.PA 077343.TS TDI.R 27006,wA GCL:SOLARC'01007.0 2013 Solnr��cy All rights wowed r 01.20.2015 SolarCityPV System Structural Version #42.2 Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Brown Residence AHJ: Barnstable Job Number: 026756 Building Code: MA Res. Code, 8th Edition Customer Name: Brown, Mitchell Based On: IRC 2009/ IBC 2009 Address: 238A Craigville Beach Rd ASCE Code: ASCE 7-05 City/State: W Hyannisport, MA Risk Category: II Zip Code 02672 Upgrades Req'd? No Latitude/ Longitude: 41.640095 -70.312875 Stamp Req'd? Yes SC Office: South Shore PV Designer: Drew Flerchinger Calculations: Jason William Toman P.E. EOR: Jason W.Toman P.E. Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0,18348 < 0.4g and Seismic Design Category(SDQ = B < D 1 2-MILE VICINITY MAP 41 co or HYANNIS I . O . D'1�1 99& eoMassGIS, Commonwealth of Maq�3achusett,$ FOEA, USDA-Farm-Service Agency 0 238A Craigville Beach Rd, W Hyannisport, MA 02672 Latitude: 41.640095, Longitude: -70.312875, Exposure Category: C STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP1 Member Properties Summary MPl Horizontal Member Spans Rafter Pro erties Overhang 0.74 ft Actual W 1.50" Roof System Properties ""Span 1 ",1 12.18 ft Actual D °5:50" If Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof �.S an 3 A 8.25 in.A2,--- Re-Roof No San 4 S. 7.56 in.A3 Plywood Sheathing No San 5 I 20.80 in.A4 Board Sheathing Solid-Sheathing Total Span 12.92 ft TL Def'n Limit 120 Vaulted Ceiling No PV 1 Start 1.92 ft Wood Species' SPF 7: Ceiling Finish 1 2"Gypsum Board PV 1 End 11.33 ft Wood Grade #2 Rafter Sloe 400 PV 2 Start Fb 875 psi, Rafter Spacing 16"O.C. PV 2 End F. 135 Dsi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emi„ 510000 psi Member Loading Su ma Roof Pitch 10 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 11.0 Psf x 1.31 14.4 psf 14.4 psf PV Dead Load PV-DL 3.0 psf x 1.31 .3.9 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load LL SL1,2 30.0 psf x 0.71 1 x 0.39 21.3 psf 11.7 psf Total Load(Governing LC I TL _ 35.7 Psf 30.0 Psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 772] 2. pf= 0.7(Q(Ct)(Is)py; Ce=Ct=Is=1.0; Member Design Summa (per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 0.46 1.3 1 1.15 Member Anal sis Results Summary Maximum Max Demand @Location Capacity DCR Shear Stress 41 psi 0.7 ft. 155 psi 0.26 Bending + Stress 1171 psi�:»° _ 6.9 ft: 150+l5si 41 0.78 Governs Bendin - Stress -35 psi 0.7 ft. -698 psi 0.05 Total Load Deflection 1.15 in. I U166 6.8 ft. 1.59 in. 120 0.72 STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER.CHECK - MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Pro erties Overhang 0.74 ft Actual W 3.00" Roof System Properties San 1 7.88 ft Actual D 3.00" Number of Spans(w/o Overhang) 1 San 2 Nominal No Roofing'Material"" Com Roof ' S`an 3 , _ .j', ;r ;, ,A 9.00 in ^2 Re-Roof No San 4 S. 4.50 in.^3 Plywood Sheathing No San 5 I 6.75 in.^4 Board Sheathing Solid-Sheathing Total Span 8.62 ft TL Defit Limit 120 Vaulted Ceilinge No PVTStart ''" 2.33 ft°=` Wood Species': ".SP.F Ceiling Finish 1 2"Gypsum Beard PV 1 End 7.83 ft Wood Grade #2 Rafter Sloe 300 PV 2 Start Fb 875 psi Rafter Spacing 24"O.C. PV 2 End F 135 psi Top Lat Bracin F` Full °'" PV 3 Start ;. "'P E ' 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loadinq mary Roof Pitch 7 12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL '10.5 psf x 1.15 12.1 psf 12.1 p7f PV Dead Load PV-DL = 3.0 psf x 1.15 3.5 psf Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live`/Snow Load, -+`" �`#LL SL1,2 30:0 sf €z 0.77 1 z 0.52 _'�23.1 sf 15:6' sf Total Load(Governing LC TL 1 35.2 psf 31.2 osf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf= 0.7(Ce)(Ct)(Is)p9; Ce=Ct=Is=1.0; Member Design Summary (per NDS Governing Load Comb CD CL + CL - CF Cr D+ S 1.15 1.00 1 0.99 1 1.5 1.15 Member Anal sis Results Summary , Maximum Max Demand @ Location Capacity DCR Shear Stress 45 psi 0.7 ft. 155 psi 0.29 Bending + Stress 1275 psi 4.7 ft. 1736 psi 0.73 .Bendinq - Stress -69 psi 0.7 ft. -1717 psi 0.04 Total Load Deflection"', 0.75 in. 145" '4 7,'ft.' >Y 70.91 in: .= 120 ,:r-0.83 Governs - l CALCULATION OF DESIGN WIND LOADS�MP _ Mounting Plane Information Roofing Material Comp Roof PV System Type__ _ _ _._ _.. ... _ _. __._SolarCity_SleekMountT'" _ Spanning Vents No Standoff Attachment Hardware _ Com Mount T e C Roof Slope _ 400 Rafter Spacing _ - A ^16 O C. Framing Type Direction Y-Y Rafters Purlin Spacing. _._ _ X-X Purlins Only ., _ _ __ _ _ NA-'. Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only^ '" NA Standin Seam ra Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind,Design.Method µ._._ . _m.® — ; Partially/FUIIyuE I sed Method ,.-4. '� - Basic Wind S eed — V 110 mph Fig. 6-1 Exposure Category __ _ .-v _ .� _ C _ Section 6.5.6.3 Roof 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 KZ 0.85 Table 6-3 To o ra hic Factor_ K 1:00 P 9 P _.. Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Im ortance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(KZ)(Kzt)(Kd)(VA 2)(I) Equation 6-15 22.4 psf Wind Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure U -21.3 psf Wind Pressure Down 19.6 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever dscape ... ,: 24' ,x N_A _ _Lan -_ - Standoff Configuration Landscape Staggered Max Standoff-Tributary Area. Trib_ 17 sf PV Assembly Dead Load W-PV 3 psf Net Wind,Uplift at Standoff :�T_actual z �345'Ibs Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand/Capacity DCR. 69.0% _ X-Direction Y-Direction Max Allowable Standoff Spacing_- Portrait _ 48" 65" _ Max_Allowable,Cantilever__ _ Portrait _ _ __19" N A Standoff Confi uration Portrait Staggered Max Standoff Tributary.Area__' Trib ram__ = _ _ F 22 sf *Vt'. x ' L<a_ , PV Assembly Dead Load W-PV _ �3 psf Net Wind Uplift at Standoff __ T-actual 430-I4s Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci _ DCR 86.1% CALCULATION OF DESIGN WIND LOADS—MP2 Mounting Plane Information i Roofing Material Comp Roof - PV5ystemType x '_ Y SolarCity`SleekMountT" r Spanning Vents _ _ _ No Standoff Attachment Hardware W Comp Mount T e C Roof Slope 300 m Rafter Spacing ..°° *- 24"O.C. ;. 77 v, Framing Type Direction Y-Y Rafters Purlin,Spacing _ _,X-X Purlins Only_ _._ �NAO1Y__ Tile Reveal Tile Roofs Only _ NA Tile Attachment Syste m LL Tile Roofs Only n Standin Seam ra aci S n_ SM Seam Only NA " Wind Design Criteria Wind Design Code ASCE 7-05 _ Wind Design Method;;�,,F, L �$ �� : ,_Partially/Fully Enclosed Method Basic Wind Speed V 110 mph Fig. 6-1 Exposure_Category, __ _ _w— _ _ _ _ Section 6.5.6.3_. Roof Style f M Gable Roo Fig.6-11B/C/D-14A/B Fe—an R �oof—Height _ .'tea h s. 4 Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor _ Krt _ 1.00 __ _ _ Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Im ortance Factor *: I ,.' k-f ,, .a 0, Table 6-1 y 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 -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(GC) Equation 6-22 Wind Pressure Up Nun) -21.3 psf Wind Pressure Down 19.6 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 72" 39" Max Allowable Cantileve_r. _Landscape -� '- Y 24" NA Standoff Confi uration Landscape Staggered Max Standoff Tributary.Area� _ �Trib 20 sf PV Assembly Dead Load W-PV 3 psf Net Wind,llplift at_Standoff. 385 Ibs T - Uplift Capacity of Standoff T-allow 500 Ibs Standoff Demand Ca aci DCR 76.9% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" _ n 65" Max Allowable Cantilever ..• ,_ -_Portrait_ 19" __ NAB, Standoff Confi uration Portrait Staggered Max_StandoffTributary_Area_ _ Trib �_ `y 22:sfy PV Assembly Dead Load W-PV 3 psf Net Wind Uplift at_Standoff T;actual .#_z Uplift Capacity of Standoff _ T-allow 500 Ibs _ Standoff D mand/Capacity DCR '- r 85.3% �"� Y Amnesty Program 1 ate xr' Helpingto make affordable housing possible. g ®w ® a tab _ s l A Certificate of Com Hance ; '� '# �" �Ri,a This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. Owner Mitchell and Kera Brown Location 238 Craigville Beach Road; Hyannis Unit Capacity One - edroo not to exceed Two people Inspector ., M/P No. 267/120 6/1 /20: 14 r" Town of Barnstable o� Building Department - 200 Main Street t BAIMSTMLE, * Hyannis, MA 02601 9 MASS. Eo9. a. (508) 862-4038 Certificate of Occupancy Application Number: 201307286 CO Number: 20140061 Parcel ID: 267120 CO Issue Date: 06/16/14 Location: 238 CRAIGVILLE BEACH ROAD Zoning Classification: RESIDENCE B DISTRICT Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: G � � Building Department Signature �� Date Signed �tHE TOWN OF BARNSTABLE BuildIng 201307286 • EARNSTASLE, Issue Date: 10/22/13 Permit 9 MASS. 1639• a Applicant: BROWNELL,LINDA L Permit Number: B 20132592 RFD MA'1 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/21/14 Location 238 CRAIGVILLE BEACH ROA Eoning District RB Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 267120 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num OWNER Est Construction Cost$ 100 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND AMNESTY APARTMENT 1 BEDROOM NO CONSTRUCTION THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BROWNELL,LINDA L BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 744 INSPECTION HAS BEEN MADE. MATTAPOISETT,MA 02739-0744 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILYDR PERMANENTLY. ENCROAC S ON PUBLIC PROPERTY;NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION STREET OR ALLEY GRADES AS WELL AS DEPTH"AND LOCA ON OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES"NOTAELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION, RESTRICTIONS., MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.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). ► ® , � MAS I in HER 0,ffi' g-wl RZONIEW BUILDING IN/SPE/CTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ��Q l 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire D pt rig 2 Board of Health 10/13/2013 Brenda Coyle RE: 238 Craigville Beach Road, Hyannis Homeowners were in to pick up Building Permit(Amnesty no Construction). Mitchell stated he would be in on Tuesday 10/15 or Wednesday 10/16/2013 the latest with the Building Permit Application and floor plans of the whole house and apartment. Mitchell and Kera Brown also stated they already have a tenant living in the apartment. They wanted to know if we correspond with the other department, because they,thought they were all set. Told them health needed to see the whole house plans for bedroom count. I had to inform them that the 1 step in the process was the initial site visit with Tom Perry and that didn't mean that was the building inspection final. Had to explain the steps that are written in the Amnesty pamphlet that need to be taken and they would need a Certificate of Occupancy and the last was the Certificate of Compliance. (Aka Sunshine Card). ► They did not know they needed floor plans of the whole house with smokes marked in red. They were pretty upset when they left with this information that is required. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel rev Application Health Division Date Issued/0-2Z-1 Q� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Ova 011%�,5 r n A en z iou T� Village cn 5-�c•61 Owner bAaC,,k pv I + Address Z3(� C,�rcdgv t lle cg ct.d Telephone �J °� - Z at 3 r Permit Request No Edo S�4 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) � S Historic House: ❑Yes ❑ No On Old Kin 's Hihw a '❑ ❑ No Age of Existing Structure g� g Ye Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other C-3 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq _ 0- Number of Baths: Full: existing new Half: existing ne4 s Number of Bedrooms: existing new ra Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 14 Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes )d 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:14 existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER . 0 ) Name &Yow./\ Telephone Number ������157-Z?.7 � 46b(� Address 23 \ Lr 14f_ -A License # l u s r ma O 2,U01 Home Improvement Contractor# Workers Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . 1'_?�/Z, SIGNATURE DATE C%Z_rJ l ,F FOR OFFICIAL USE ONLY = APPLICATION# : DATE ISSUED fs _MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: Is FOUNDATION '. •_ 5s FRAME INSULATION'S ' i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS-' s - ROUGH 2,501` ti FINAL ` - .FINAL BUILDING`t.1 } ,RDATE CLOSED OUT ' t ASSOCIATION-PLAN NO. r-. s A . Pk 27646 PS 123 -45?6O5 08-26-2413 a 03 = 24v BARNS AB E TOYIN Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2012-069 Brown Chapter 408 Comprehensive Permit Summary: Granted with Conditions Date: May 8, 2013 Applicants: Mitchell B. and Kera M. Brown Property Address: 238 Craigville Beach Road Hyannis, MA Assessor's Map/Parcel: Map 267, Parcel 120 Zoning: RB Zoning District Zone of Contribution: WP Wellhead Protection District Recording Information: Deed Reference: Book 27140 Page.194 Date Application Filed May 1, 2013 Date Hearing Opened May 8, 2013 Date of Decision(Closed): May 8, 2013 Property Ownership: The applicants are Mitchell B. and 'Kera M. Brown,the owner and occupants of 238 Craigville Beach Road Hyannis as evidenced by a deed recorded in the Barnstable County Registry of Deeds on February 19, 2013 in Book 27140, Page 194. A copy of which has been submitted for the record. Relief Requested: Mr. and Mrs. Brown have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly termed the"Accessory Affordable Apartment.Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) Principal permitted uses in a RB Zoning District to permit an accessory apartment unit within the detached garage situated to the rear and right of the primary structure. The issuance of this Comprehensive Permit would allow for a separate;approximately 680 square feet, one-bedroom ' accessory affordable apartment. P 1 f Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Pemut No.2012-069-Brown Locus: The subject property is a 0.28-acre lot located at 238 Craigville Beach Road Hyannis, MA. The lot was developed in 1930,with a Cape Cod style home.The living area of the dwelling is approximately 1,680 square feet. Site Conditions The lot is served by public water and private on site septic. The Town of Barnstable's Health Director Thomas McKean reviewed the application, and on March 29, 2013 had no objections to a total of five (5) bedrooms for the entire property. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on April 9, 2013 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on May 1, 2013. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on April 12, 2013 and April 19, 2013, and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened on May 8, 2013 at 6:00 p.m. by the Hearing Officer Laura F. Shufelt. The applicant Kera M. Brown was present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. Shufelt read the proposed conditions to the applicant. Kera M. Brown consented to the conditions. Mrs. Brown gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The May 8, 2013 public comment period was closed by the hearing officer at 6:30 p.m. On May 8, 2013 the hearing officer granted comprehensive permit No. 2012-069 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals 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. Findings of Fact: At the hearing on May 8, 2013 the Hearing Officer made the following findings of fact: 1. The applicants are Mitchell B. and Kera M. Brown who are the owner-occupants of the property located at 238 Craigville Beach Road Hyannis, MA. 2. Mitchell B. and Kera M. Brown were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on February 19, 2013 in Book 27140 Page 194. 3. On April 9, 2013, a site approval letter was issued for the property by Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 680 square feet in living area and is located within the detached garage. 2 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012-069-Brown 5. The applicants have been informed that the AAAP unit shall meet all applicable health and 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. The proposal has been reviewed by Thomas McKean, Health Director, and on March 29, 2013 he stated no objections to a total of five(5) bedrooms at the property. 7. On February 20, 2013 Mitchell B. and Kera M. Brown signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall 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 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 January 3, 2013 6.62% 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. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicant Mitchell B. and Kera M. Brown have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal was 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. Conditions: Hearing Officer Laura Shufelt ruled to grant Comprehensive Permit No. 2012-069 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the"Accessory Affordable Apartment Program" to the applicant, Mitchell B. and Kera M. Brown who is the owner and occupants of the property located at 2.38 Craigville Beach Road Hyannis, MA. As seen on map 267 as parcel 120. This Comprehensive Permit allows for a one bedroom accessory apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property shall not exceed five (5). 3. The accessory unit shall NOT at any time be occupied by a family member of the owners. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 5. On February 29, 2013, the applicant was sent written copy of the inspection findings, submitted for record,that the unit must meet all applicable health and building codes to be 3 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012-069-Brown 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. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements,the rent charged (including utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA(adjusted for family 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. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS).The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit. 10.The applicants shall apply for a building permit for the accessory unit,whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11.The applicants may select his own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. kn the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit,the applicant may select the tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13. Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this Comprehensive Permit,the applicants shall file with the AAAP Coordinator, as Monitoring Agent, an annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 4 r ^: r Town of Barnstable,Zoning Board of Appeals Ovvisitm and Nmicc.C:nmpre:hcnsire Permit No.2012-00—Br-VIT 15. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16.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 recorded at the Barnstable County Registry of Deeds 17.Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide, within 60 days of the date of transfer,the name and current contact information for the new owner of the subject property. 18.This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve(12) months of its issuance or it shall expire. Ordered: Comprehensive Permit number 2012-069 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. 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 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. Laura F. Shufelt, Hearing Officer Date Signed I Ann Quirk,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 been filed in the office of the Town Clerk. Signed and sealed thisQ0 ay of11 under the pains and penalties of peoury.,,}it �!" 4 E 1 Ann Quirk, Town dlerk o. � r 5 BAMSTAK REGISTRY CF DEEDS. i i , — �7646 P0128 049606 �6—'?013 a 03 : 24P .i REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 13t*"'day of AWH u s,,2013,by and between Mitchell B Brown&Kera M Brown of 238 Craigville Beach Road 14yannis,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 rented to 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: t I. PROJECT SCOPE AND DESIGN: A. The terns of this Agreement and Covenant regulate the property located at 238 Craigville Beach Road Hyannis, MA as further described in deed recorded herewith as [Barnstable Land Court Registry document&certificate of title] / [Barnstable County Registry of Deeds Book&Page]. B. The Project located at Z 3$J C t'a 1 U 1 I I G BCGCh M. C V will consist of one accessory apartment unit which will be rented to an eligibTe 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.2012-069 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 2,'2 1p LJ (Q &Page I ?-�—17 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. H. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW: 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 ildetropoRtan 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,rile 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, t i mortgage note or other instrument to which the Owner is a or by which it or the Owner is bound,will not gag , Pay 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. i 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(ncluding 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(AW 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 i 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 party may from time to time designate by written notice. VII. HOLD HARMLESS: F 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 by such 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 27140 &Page 194 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 27140&Page 194. DC 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 may be,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. 3 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. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns @ 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(1)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 mayperfect such a lien 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 anyportion 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. XII. MORTGAGEE GONSENT: 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. IN WITNESS WHEREOF,we hereunto set our hands and seals this e day of 2013. OWNER BY: 001 Printed: Kwa M•6 vw,,,j n COMMONWEALTH OF MASSACHUSETTS County of Barnstable ss: On this 11'-day0 f 013 before me,the undersigned notary public,personallyappeared k G V'C, M. ,the Owner's),proved to me through satisfactory evidence of identification,which were Crnlilna My, L v 32484 ,to be the person(s)whose name(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary blic Printed My Commission Expires: a a C1 la CINDY L. DASKOWSKI 4 Notary Public COMMONWEALTHOFMASSACHUSETTS My Commission Expires February 29.2010 f XII. 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. IN WITNESS WHEREOF,we hereunto set our hands and seals this day of gu�usl 2013. OWNER BY. 01 f� 7&Y—/ 4. 4" ,— Primp& COMMONWEALTH OF MASSAC HUSETTS County of Barnstable ss: On this 'day of -} 2013 before me,the undersigned notary public,personally appeared e ,the Owner(s),proved to me through satisfactory evidence of identification,which w re O JI C&M ►l+c, b v t ve r 6 )o l o2q 33b ,to be the person(s)whose names)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. V! /� *611blic Printed: C i id U L D,b k o wSk r My Commission Expires: 116 5 f TOWN OF BARNSTABLE BY: TOWNMAN5GER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this/y f day of WH 5 t_ 2013 before me,the undersigned notary public,personally appeared 1�,a WA s77K )v.</- ,the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were t^—,to be the person whose name is signed on the preceding or attached document an acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public Printed: � e W.c e rtu `He- My Commission Expires: ®Notary Publac" Joyce A.Persuitte CvP MW48M of Massachusea t�ronE�esan�.te,. i b MMTA�.E REGISTRY OF:DEEDS I FronI owoo js fd to 2" Grrc r Ooo/ K,hlex 3�y. 775 S�-w�casc �, trdki Na►� ,�,l�� KE DETECTORS REVIEWED CARBON MONOXIDE ALARMS 10�-2J- 3 M INSTALLED PER BARNSTABLE B DING DEPT. DATE FIRE DEPARTMENT DATE BOTH,SIGNATURESARE REQUIRED FOR PERMITING '3Smnb+t _ l�5 4'SOI7 I�o�c�l f-Y 0K7. AV o of It OV ,,', rront t-oWo,r-eAf c -Sy y��—> ti v � v a1'7,Gil g,�ioon� 3 e��oo Ire `l A, �Q e� 3 y.' Q�� I _ 1�. � ! �a�.°_f_ �no� U�vJI�1 3 f,� �L�L ,�t� -��`I'aF 'P�\ IJQ�Mrppnn ,./.,SZ Ir1�L � �� ��� L�VIN� �bo� �, N a l f r3o►t� L�+'�►' � �J�$Ri� 2 �� v „�,tZ '� r 10/1&13 Map r Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer11 Custom Map Abutters Ma p Size E3 ❑ Zoom OutU L n n L n n n a In AI O '�'" �'�' n (il N It ® & '=]PG Map. 267 Parcel: 120 Full Property 28715 Location: 238 CRAIGVILLE BEACH ROAD Info 422 Owner: BROWNELL,LINDA L 257070 257182 A 29 A. oil 2070870D2 Location Information #14 Map A Parcel 267120 Location 238 CRAIGVILLE BEACH ROAD Acreage 0.28 acres �p Current Owner i Mailing Address BROWNELL,LINDA L f 287�9 ysd %BROWN,MITCHELL B&KERA M Att 238 CRAIGVILLE BEACH ROAD �- 287120 E HYANNIS,MA 02601 8238 2aZ11g Appraised Value(FY 2013) 8244 267072 Extra Features $23,900 �z58 Out Buildings $70,400 Land $134,000 Buildings $111,000 Total Appraised $339,300 gE/LGHRp Assessed Value(FY 2013) GRAIGYII LE Extra Features $23,900 Out Buildings $70,400 60 Feet 31 Land $134,000 Buildings $111,000 Total Assessed $339,300 Set Scale 1"=60 Aerial Photos jyj MAP DISCLAIMER Construction Detail Copyright 2005-2010 Town of Barnstable,MA All dghtsieserved.Send questions or comments to GIS BarnstableMA v1.2.4748[Production) maps.bvmftwnsWe.us/arcim/aMeoaWffap.aspx?propKty ffap.aspx?property D=267120&mapparbacIF267120 1/1 ��►,E,, Town of Barnstable Regulatory Services IAMSTABM g Y �b039. .•� Richard V. Scali Interim Director � Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 8, 2013 Mitchell and Kera Brown 238 Craigville Beach Road Hyannis, MA 02601 Re: Amnesty Apartment Dear Mr. and Mrs. Brown: We have received the recorded 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, Brenda Coyle Division Assistant amnbp f - 10/13/2013 Brenda Coyle Homeowners were in to pick.u Building Permit (Amnesty no Construction). Mitchell P P g ( Y ) stated he would be in on Tuesday 10/15 or Wednesday 10/16/2013 the latest with the Building Permit Application and floor plans of the whole house and apartment. Mitchell and Kera Brown also stated they already have a tenant living in the apartment. They wanted to know if we correspond with the other department, because they thought they were all set. Told them health needed to see the whole house plans for bedroom count. �eP I had to inform them that the L set in the process was the initial site visit with Tom Perry and that didn't mean that was the building inspection final. Had to explain the steps that are written in the Amnesty pamphlet that need to be taken and they would need a Certificate of Occupancy and the last was the Certificate of Compliance. (aka Sunshine Card). They did not know they needed floor plans of the whole house with smokes marked in red. They were pretty upset when they left with this information that is required. Page 1 of 1 Anderson, Robin From: Mitchell Brown [mbb2009@gmaii.com] Sent: Wednesday, May 22, 2013 1:51 PM To: Anderson, Robin Subject: Re: Amnesty Program Hi Robin, The tenant is still there we are going to do a month to month lease with her until the amnesty program application is completed. Debby at the town building in charge of the amnesty program said she thinks that our tenant will qualify for it, so she said we didn't need to boot her just yet. My wife went to the hearing and they said we were approved with conditions so Debby said it takes a couple more months to go through other people in the town. On May 22, 2013 1:28 PM, "Anderson, Robin" <Robin.Andersonktown.barnstable.ma.us>wrote: Hi Mitchell, 'I 1 am following up on the purchase of your property at 238 Craigville Beach Rd. I understand that you have made application for the Amnesty program as we had agreed early this year. Now that you have passed papers, I wanted to know about the occupant of the apartment that you inherited with the purchase. If I remember correctly, that tenant was due to be out on 4/30/13. Did she in fact leave? Where are you in the Amnesty hearing process? Please advise in order that I know what I need to do next (if anything) or let me know if you have any questions. Good luck to you and your family with your new home. I�din i i I i f Robin C .Anderson Zoning Enforcement Officer T'own of Barnsta6Ce 200 Main Street Hyannis, NA 026o1 508-862-4027 i 5/22/2013 i Message Page 1 of 1 Anderson, Robin To: mbb2009@gmail.com Subject: Amnesty Program Hi Mitchell, I am following up on the purchase of your property at 238 Craigville Beach Rd. I understand that you have made application for the Amnesty program as we had agreed early this year. Now that you have passed papers, I wanted to know about the occupant of the apartment that you inherited with the purchase. If I remember correctly, that tenant was due to be out on 4/30/13. Did she in fact leave? Where are you in the Amnesty hearing process? Please advise in order that I know what I need to do next(if anything)or let me know if you have any questions. Good luck to you and your family with your new home. &6in Robin C. Anderson Zoning Enforcement Officer To1vn of Barnstable 200 Main Street Hyannis, NA 026oi 5o8-862-4027 5/22/2013 I The Town of Barnstable WE > y, Growth Management Department ti 367 Main Street,'Hyannis,MA 02601 Office:508-862-4678 Fax 508-.862-4782 +. EAMSPABIX �. t►Mnss. �D MA't i Transmittal Memorandum Date: May 14,2013 To: Zoning Board of Appeals Members: Laura F. Shufelt,Hearing Officer,William H.Newton, Craig G.`Larson,Alex M.Rodolakis,.Brian Florence, George T. Zevitas; _l 2 From: Cindy L.Dabkow i,Program Coordinator; Reference: Transmittal of Accessory Affordable Apartment Program Comprehensive permit decisions rendered May 8,2013 On behalf of the Hearing Officer,I am transmitting to you copies of the comprehensive permit decision rendered on May.8,2013,pursuant to the Town's Accessory Affordable Housing Program and MGL Chapter 40B. This transmittal is being made.in accordance with Section 241-47.5.E of the Administrative Code of the Town for your review. In accordance with that section,these decisions will become effective 14 days from May.22,2013,unless a member discovers that the decision is.erroneous as a matter of law and the Board determines that the permit should be reversed. Any concerns or comments you may have should be directed to.my attention directly at 508-862-4743.. Attachments: Appeal No.2012-069 Brown Chapter 40B Comprehensive Permit Mitchell B.and Kera M.Brown have applied to the Zoning Board of Appeals for a Comprehensive Permit pursuant to MGL Chapter 40B and in accordance with Section 9-15 of the Code.of the Town of Barnstable,the"Accessory Affordable Apartment Program." The applicants are seeking to utilize-a one bedroom apartment located within the detached garage located to the left,rear side of the home as an Accessory Affordable Apartment. The property is addressed`239 Craigville Beach Road.Hyannis,MA and is shown on Assessor's Map 267,as Parcel,120. It is in RB-Zoning District. Appeal No.2012-068 Johnson Chapter 40B Comprehensive Permit Peter and Jane Johnson have applied to the Zoning Board of Appeals fora Comprehensive Permit pursuant to MGL Chapter.40B and in accordance with Section 9-15 of the Code of the Town of Barnstable,the"Accessory Affordable Apartment Program."The applicants are seeking to utilize a studio.apartment located within the attached garage Jocated to the left,side of the home as an Accessory Affordable Apartment. The property is addressed 7 Penelope-Lane Cotuit,MA and is shown on Assessor's Map.039,.as Parcel 044. It is in RF-Zoning District. Comprehensive Permit No.2010-29 DeMello issued January 12,2011 to Adiles DeMelio for 50 Pine Grove Avenue Hyannis,.MA 02601. The property is shown on Assessor's Map 290 as.parcel 078-001; It is in RB Zoning District. Comprehensive Permit No.2012-018 Thomas issued January 30,2013to Howard A.and Nancy.J.Thomas for 248 Pine Street Centerville,MA 02632. The property is shown on Assessor's Map 228 as parcel 040. It is in RD-I Zoning District Copy: Elizabeth.Jenkins Principal Planner Carol Puckett,Administrative Asst i t Town of Barnstable Zoning Board of Appeals. Comprehensive Permit Decision and.Notice Comprehensive Permit No,2012-069 Brown Chapter 40B Comprehensive Permit Summary: Granted with Conditions': Date: May 8, 20 U Applicants: Mitchell B. and Kera,M. Brown Property Address: 238 Craigville Beach Road Hyannis, MA Assessor's Map/Parcel: Map 267, Parcel 120 Zoning: RB Zoning District Zone of Contribution: WP Wellhead Protection District Recording Information: Deed Reference: Book 27140 Page 194 0 Date Application Filed May 1, 2013 Date Hearing Opened May:8, 2013 Date of Decision (Closed): May 8, 2013 Property Ownership: The applicants are Mitchell B. and Kera M. Brown,!the owner and occupants of 238 Crai`gville Beach Road Hyannis as evidenced by a deed recorded in the Barnstable County Registry of`Deeds on February 19, 2013 in Book 10890, Page 147. A copy of which has been submitted for the record. Relief Requested Mr. and Mrs. Brown have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-1.5;of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable.Apartment Program" The permit is sought to allow for an affordable apartment accessory to,a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons-as required under Chapter 40B. The,zoning relief necessary for this Comprehensive'Permit to be issued is that of a variance to Section 240-11 (A) Principal permitted uses in a RB Zoning District to permit an accessory apartment unit within the detached garage situated to the rear and right-of the primary structure. The issuance of this Comprehensive Permit would allow for a separate,.<approximately-680 square feet, one bedroom accessory affordable apartment. r E v " Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive PennitNo.2012-069-Brown Locus: The subject property is a 0.28-acre lot located at 238 Craigville Beach Road Hyannis,MA. The lot was developed in 19.30, with a Cape Cod style home.The living area of the dwelling is approximately 1,680 square feet. Site Conditions The lot is served by public water and private on site septic. The Town of Barnstable's Health Director Thomas McKean reviewed the application, and on March 29, 2013 had no objections to a total of five (5) bedrooms for the entire property. f ?' Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on April 9,201.3 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town;Clerk's Office on May 1, 2013. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the. Barnstable Patriot on April 12, 2013 and April 19, 2013,r and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened on May 8, 2013 at;6:00 p.m. by the Hearing Officer Laura:F. Shufelt. The applicant Kera M. Brown was present at the hearing'; Cindy L. Dabkowski, Accessory Affordable. Apartment Program Coordinator was also present. Laura F. Shufelt read the proposed conditions to the applicant. Kera M. Brown consented to the conditions. Mrs. Brown gave testimony as recorded in the hearing minutes filed with the Town Clerk t The Hearing Officer opened the hearing.to public;comm`ent. No one commented. The May 8, 2013 public comment period was closed by the hearing officer at 6:30 p.m. On May 8, 2013 the hearing officer granted comprehensive permit No. 2012-069 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals 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'liled in the office of the Town Clerk. Findings of Fact: At the hearing on May 8, 2013 the Hearing Officermade.the following findings of fact: 1. The applicants are Mitchell B. and Kera M.!Brown who are the owner-occupants of the property located at 238`Craigville Beach Road Hyannis, MA. 2. Mitchell B. and Kera M. Brown were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on February 19, 2013 in Book 27140 Page 194. 3. On April 9, 2013, a site approval letter was issued for the property by Town Manager Thomas K. Lynch, in accordance with MGL Chapter.406 and 760 CMR.56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 680 square feet in living area and is located within the detached.garage. 2 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012-069-Brown e 5. The applicants have been informed that the.AAAP unit shall meet all applicable health and 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. The proposal has been reviewed by Thomas McKean, Health Director,.and on March 29, 2013 he stated no objections to a total of five(5).bedrooms at the property. 7. On February 20, 2013 Mitchell B. and Kera M. Brown signed an Accessory Affordable Apartment Program affidavit that commits, uponthe receipt of`a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants,`in a form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as-,an affordable rental unit. 8. The applicants are aware that the affordable unit-shall be rented to a person.or family whose income is 8.0% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and agrees that rent (including utilities) shall not exceed 30 of the monthly household income of a household earn ing 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 January 3, 2013 6.62% 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. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal'.of these units throughout.Barnstable. Summary: The Hearing Officer ruled that the applicant Mitchell B. and Kera M..B`rown have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal was 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. Conditions: Hearing Officer Laura Shufelt ruled to grant Comprehensive Permit No. 2012-069 with conditions in accordance with MGL Chapter 40B and Article 11 of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program" to the applicant, Mitchell B. and Kera M. Brown who is the owner and occupants of the property located at 238 Craigville Beach Road Hyannis, MA. ,As seen on map 207 as parcel 120. This Comprehensive Permit allows for a one bedroom accessory apartment uniVin accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people., 2. The total number of bedrooms on the property shall not exceed five (5). 3. The accessory unit shall NOT at any time be occupied by a family member of the owners. 4. All leases shall have a minimum term of one year and have provisions.that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 5. On February 29, 2013, the applicant was sent written copy of the inspection findings, submitted for record, that the unit must meet all applicable health and building codes to be E 3 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Pennit No.2012-069-Brown occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable buildingand fire codes. 6. All parking for the accessory apartment and,the principal dwelling shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for theduration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including utilities)shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA (adjusted`for family 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. f 9. AAAP Coordinator shall be the monitoring agentfor,the accessory apartment. Annual monitoring shall include verification of tenajncy, affordability,and compliance with Housing; Quality Standards (HQS). The cost for HQSmonitoring shall be covered by the homeowner.. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be.the same as the Health.Department fee for the rental registration. program. Currently that fee is $90.00 per unit. 10. The applicants shall apply for building permit for the accessory unit, whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building . Commissioner shall determine that the unit'conf6rms to the approved plans as submitted with the building permit application and meets state building and fire codes.The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11. The applicants may select his own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall'be,reviewed and approved by the Growth Management Department. The applicants shall work with the AAAP Coordinator to provide.necessary information and documentation of tenant income eligibility. 12. The unit shall be rented on an open and fair basis to an income eligible individual'. Whenever a vacancy occurs, notice shall be given to the Growth ManagementDepartment:and the applicant shall request potential tenants front the administrator of.the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to'Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select,the tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator' Approves the tenant selection process. ' 13. Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator.. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of.issuance of this Comprehensive Permit, the applicants shall file with the AAAP Coordinator, as Monitoring Agent, an;annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 4 Town of Barnstable,Zoning Board of Appeals Decision and Notice,C.ompmhensNc Permit No.2012-069 Brown 15. Upon any report from the.Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appealspr its Hearing Officer may:hold a hearing to show cause as to why this permit should not be revoked. 16. 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 recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein.shall notify the AAAP Coordinator and provide, within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property.. 18. This Comprehensive Permit shall be exercised all conditions met, and the unit occupied within twelve (12) months of its issuance orsit shall expire. Ordered: Comprehensive Permit number 2012-069 has beentgranted with conditions. A written copy of this decision was forwarded to.the Zoning Board of Appeals as required;by the.Code Chapter 241, section 11 of the Town of Barnstable_Administrative code. If after fourteen (14) days from that transmittal the members of the Zoning Board off Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be 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 ofthe 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. Laura F. Shufelt, Hearing Officer Date Signed Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the:Zoning Board of Appealsfiled this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of'perjury. Linda Hutchenride'r, Town Clerk 4 e { t 5. Bk 27646 Psi 123 ;49605 08-26-2013 & 03= 24a M STABL �ptEbMA�M�� 2 P3 455 Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2012-069 Brown Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: May 8, 2013 Applicants: Mitchell B. and Kera M. Brown Property Address: 238 Craigville Beach Road Hyannis, MA Assessor's Map/Parcel: Map 267, Parcel 120 Zoning: RB Zoning District Zone of Contribution: WP Wellhead Protection District Recording Information: Deed Reference: Book 27140 Page.194 Date Application Filed May 1, 2013 Date Hearing Opened May 8, 2013 Date of Decision (Closed): May 8, 2013 Property Ownership: The applicants are Mitchell B. and Kera M. Brown, the owner and occupants of 238 Craigville Beach Road Hyannis as evidenced by a deed recorded in the Barnstable County Registry of Deeds on February 19, 2013 in Book 27140, Page 194. A copy of which has been submitted for the record. Relief Requested: Mr. and Mrs. Brown have applied fora Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment,Program". The permit is sought to.allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) Principal permitted uses in a RB Zoning District to permit an accessory apartment unit within the detached garage situated to the rear and right of the primary structure. The issuance of this Comprehensive Permit would allow for a separate;approximately 680 square feet, one-bedroom' accessory affordable apartment. �7 } Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012-069-Brown Locus: The subject property is a 0.28-acre lot located at 238 Craigville Beach Road Hyannis, MA. The lot was developed in 1930, with a Cape.Cod style home. The living area of the dwelling is approximately 1,680 square feet. Site Conditions The lot is served by public water and private on site septic. The Town of Barnstable's Health Director Thomas McKean reviewed the application, and on March 29, 2013 had no objections to a total of five (5) bedrooms for the entire property. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on April,9, 2013, in accordance with MGL Chapter 40B and.760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the,requirements of CMR 760 56.00. An application for Comprehensive Permit was filed at the Town Clerk's Office on May 1, 2013. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on April 12, 2013 and April 19, 2013, and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened on May 8, 2013 at6:00 p.m. by the Hearing Officer Laura F. Shufelt. The applicant Kera M. Brown was present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. Sfufelt read the.proposed conditions to the applicant. Kera M. Brown consented to the conditions,Mrs. Brown gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The May 8, 2013 public comment period was closed by the hearing officer at 6:30 p.m. On May 8, 2013 the hearing officer granted comprehensive permit No. 2012-069 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 24.1, 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. Findings of Fact: At the hearing on May 8, 2013 the Hearing Officer made the following findings of fact: 1. The applicants are Mitchell B. and Kera M. Brown who are the owner-occupants of the property located at 238 Craigville Beach Road Hyannis, MA. 2. Mitchell B. and Kera M. Brown were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on February 19, 2013 in Book 27140 Page 194. 3. On April 9, 2013, a site approval Fetter was issued for the property by Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 680 square feet in living area and is located within the detached garage. 2 4 J Town of Barnstable,Zoning Board of Appeals Decision and Notice,comprehensive Pennit No.2012-069-Brown 5. The applicants have been informed that the AAAP unit shall meet all applicable health and 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. The proposal has been reviewed by Thomas McKean, Health Director, and on March 29, 2013 he stated no objections to a total of five (5) bedrooms at the property. 7. On February 20,2013 Mitchell B. and Kera M. Brown signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall 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 agrees that rent(including utilities) shall not exceed 3'0% 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 January 3,2013 6.62% 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. 10; The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicant Mitchell B. and Kera M. Brown have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal was 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. Conditions: Hearing Officer Laura Shufelt ruled to grant Comprehensive Permit No. 2012-069 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program" to the applicant, Mitchell B. and Kera M. Brown who is the owner and occupants of the property located at 238 Craigville Beach Road Hyannis, MA. As seen on map 267 as.parcel 120. This Comprehensive Permit allows for a one bedroom accessory apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property shall not exceed five (5). 3. The accessory unit shall NOT at any time be occupied by a family member of the owners. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 5. On February 29, 2013, the applicant was sent written copy of the inspection findings, submitted for record, that the unit must meet all applicable health and building codes to be 3 i Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012.069-Brown 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. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street.parking for all structures and uses on this property is expressly prohibited' 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including.utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA (adjusted for family 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. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit. 10. The applicants shall apply for a building permit for the accessory unit, whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health 'Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11.The applicants may select his own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List, to the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13. Should the accessory affordable apartment becornevacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator.. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelvemonths the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this Comprehensive Permit, the applicants shall file with the AAAP Coordinator,as Monitoring Agent, an annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the. AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 4 i Town of Barnstable,Zoning Board of Appeals Paeisimi mid Nmicc.Cumprelacncivc Perini!No.2012.069—Rrmvai 15. Upon any report from the Monitoring Agent that the terms and conditions of this:permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16. 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 recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator.and provide, within 60 days of the date of transfer,the name and current contact information for the new owner of.the subject property. 18. This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve(12) months of its issuance or it shall expire. Ordered: Comprehensive Permit number 2012-069 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. 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 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. V J 3 Laura F. Shufelt, Hearing Officer Date Signed I Ann Quirk, 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 been filed in the office of the Town Clerk. Signed and sealed this __Aay of_ under the pains_and penalties of perjury.,,+°+ Ann Quirk, Town -lerk ` s 5 BARNSTABLE REGISTRY OF'DEEDS.. f .. � r 6 4-6 Pa 128 ��r9606 e i - 6— >1313 Q 03 2 '24ga REGULATORY AGREEMENT ' AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREE ENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this � day of AtkP U C, 2013,by and between Mitchell B Brown&Kera M Brown of 238 Craigville Beach Road t1yannis,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 rented to 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 238 Craigville Beach Road Hyannis, MA as further described in deed recorded herewith as [Barnstable Land Court Registry document&certificate of title] / [Barnstable County Registry of Deeds Book&Page]. B. The Project located at 2 35S C it a I r4y i l 1 G $eGGh M. C V will consist of one accessory apartment unit which will be rented to an eligib e low or moderate income individual or family(the"Designated Affordable Unit"orthe"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No.2012-069 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 (g L� (p &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 peanut. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER.HEREBY REPRESENTS,COVENANT'S AND WARRANTS AS FOLLOW- 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 Mecropoiitan 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 perpetuityto 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, �\ f i mortgage note,or other instnument.to which the Owner is a parry or bywhch 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 Uriit. 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 J V. GOVERNING OF AGREEMENT: This Agreement shall be governed bythe 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 party 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 by such 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 Cyr. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 27140 &Page 194 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 27140&Page 194. 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 termsentered 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 CountyRegistry of the Land Court as the case may be,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. 3 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: 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,(iii) are not merelypersonal covenants of the Owner,and(1)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 terns 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 Coup 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. IN WITNESS WHEREOF,we hereunto set our hands and seals this)3-day of 2013. OWNER BY: 001 stun Printed: Ktra M> COMMONWEALTH OF MASSACHUSETTS County of Barnstable ss: On this yof 013 before me,the undersigned notarypublic,personally appeared k G K C, ,the Owner(s),proved to me through satisfactory evidence of identification,which were Li to I 31g8 4 9,to be the person(s)whose name(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary blic Printed: My Commission Expires: I la CINDY L. DASKOWSKI 4 Notary Public COMMONWEALTH OF MASSACHUSETTS> My Commission Expires February 29. 2016 XII. 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. IN WITNESS WHEREOF,we hereunto set our hands and seals this f day of. fiu, _2013. OWNER BY: Slgnat= !t Printed. 9C COMMONWEALTH OF MASSACIiUSETTS County of Barnstabl�ss: On this 3 day of n c�!tt�4 2013 before me,the undersigned notary public;personally appeared C S r �t13 i'U w ,the Owner(s),proved to me through satisfactory evidence of identification,which w re$1 CG rp J s,,;c, b y i ve y L i I o I O a q-3 3d ,to be the person(s)whose names) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. n V NotaiOPqblic Printed: (;.1-6ad L D� .owSk.l My Commission Expires: I s I TOWN OF BARNSTABLE BY: TOWN MAN ER COMMONWEALTH OF MASSA=ETTS County of Barnstable,ss: On this%y day of Al 9 U 5`r 2013 before me,the undersigned notary public;personally appeared 41 Wu 4 k, )w,,.,;t2,the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification;which were a v ,1 , 1Jti /c, r,>w ,to be the person whose,name is signed on the preceding or attached document and acknowle g d to be that he/she signed it voluntarily for the stated purposes. o Notary Public Printed: ,r-!V y rsu �, My Commission Expires: { � e WNbtery Public" Joyce A.Persuitte COnmonwsaM of Massachusetts Epy Giss�ri F.x�res m reb.ie„�fns 6 MST4 REGISTRY OF.DES I Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Tuesday, February 12, 2013 3:18 PM To: Deputy Chief Dean Melanson (dmelanson@hyannisfire.org); Dabkowski, Cindy; John Cosmo (jcosmo@hyannisfire.org) Cc: Perry, Tom Subject: 238 Craigville Beach Rd FYI: This property was inspected by the Building Commissioner and a determination of status was requested for the garage apartment. Since the records are inconsistent at best and in the absence of permits identifying a creation date, the BC could not render this property status to be a legal pre-existing non conforming unit. As a result, the perspective buyer has decided to pursue the Affordable Accessory Unit program allowing him to retain the rental unit which clearly was created before the year 2000. The buyer has informed us that this will be his primary domicile and he would therefore qualify for the program. As the BC recently inspected the property at the request of the perspective buyer and the seller's agent, it is not necessary to perform a re-inspection in order to continue with the Amnesty process. A copy of the written application has been secured but a copy of the P&S agreement as well as confirmation of the Amnesty hearing date are necessary in order to justify the determination for and release of the smoke certificate. The BC is requiring the smoke and CO detectors in the garage to be upgraded (hard wired combo units) as a condition for approval. He indicated that this improvement may occur after the conveyance but must be completed and inspected before the unit is occupied again May 2013. For the record, we have been informed that the garage unit is currently occupied and under lease until 4/30/13. The primary dwelling is vacant and currently has a permit to perform repair work resulting from frozen and burst pipes. No other work has been permitted. Robin C Anderson Zoning Enforcement Officer Town of 23arnsta6Ce 200 whin Street Hyannis, MA 026oi 5o8-862-4027 2/12/2013 I �16sA fp� TOWN OF BARNSTABLE Zoning Board of Appeals Accessory Affordable Apartment Program - Site Approval Application The undersigned hereby applies in accordance with the General Ordinance of the Town of Barnstable Chapter III, Article LXV, Pre-existing & Unpermitted Dwellings, for the issuance of a site approval letter. Once the site approval letter is received, the applicant shall within three months submit it and this form to the Town Clerks Office. Together, they will constitute an application for a Comprehensive Permit pursuant to MGL Chapter 40B, Sections 20-23 and 760 CMR 30.00 &31.00. Applicant Name: Mitchell Brown Applicant Address: 238 Craigville Beach Rd, Hyannis, MA 02601 Phone: 843-252-4000 Assessor's Map/Parcel Number: 267, 120 Zoning District: Groundwater Overlay District: Number of Years Owned: As of February 19, 2013 Program Referral Source: Real Estate Agent - Existing Level of Development - # of Buildings: 2 Total Gross Living Area:. 830 sq foot Short Description: The applicant is seeking to convert an existing unpermitted one-bedroom apartment in the convert 2 car garage. Applicant Eligibility for the Program (as per Chapter III,Article LXV:-Comprehension Permits for Pre-existing-& Unpermitted Dwellings) "Threshold Criteria" = check and explain below [x ] Real property containing a dwelling unit or dwelling units for which there does not exist a validly issued variance, special permit or building permit, does not qualify as a lawful,' non-conforming use or structure, for any or all the units, and,which was in existence on a lot of record within the Town as of January 1, 2000. [) Real property containing a dwelling unit or dwelling units that was in existence as of January 1, 2000 and which has been cited by the Building-Department as being in violation of the zoning ordinance. [ ] New Accessory Unit in Single Family Owner Occupied Dwellings [ ] Multi-Family—This is a multi-family dwelling where there exists a total of dwellings, but are currently unpermitted. ;" hikfollowing information is attached: • [ ] Attachment A-Copy of Assessor's Record • [ ] Attachment B-Copy of Recorded Deed • [ ] Attachment C-Property Location Map with 300 foot abutter ring • [ ] Attachment D- Existing Conditions-.Property Survey(Plot Plan) • [ ] Attachment E-Copy of Floor Plan • [ ] Attachment F-Copy of Deed Restriction(to be implemented) • [ ] Attachment G-Housing Amnesty Program Agreement Affidavit Signature: ate: For Department Use Only: Conditional inspection of the premises on February 20, 2013 [ ] See attached requirements for conformance with the State Building Code. Health Agent reviewed,the on-site septic on [ ] The unit was found to be in conformance with the State Sanitary Code. [ ] See attached requirements for conformance with the State Sanitary Code. l �ot£� ..cryiJ,,h6aA- TIIV ®G' �7oz affyouE#lE&2 nq nEEcli„ 508.428.8700•fax 508.428.8524 �Mra www.lujeanprinting.com 4507 Route 28•Cotuit, MA 02635 r� 6KA-, 4- P- -11.e6 Duo�4ao o� Il-ion-Aj 6MA,-- C,�ti�hcvrt� l ��ovfi- -t— O VOE£5. co L -CNY ejj,�-.fffy I- PAT Q I U� ` ..t7St 17OZ QLL UOUIE ilIdnt&23 nEEI II 508.428.8700•fax 508.4428.8524 www.l 'ean rinting om 4507 Route 28•Cotuit, MA 02635 � �s Io c i MASSACHUSI TTS PROPERTY'INSURANCE UNDERWRITING ASSOCIATIO Two Center Plaza Boston,Massachusetts 02108-1904 t �. 161 1723-3800 Ma Onlv(800)392.8108,FAX(800)851.8424 101101200 { Form of Notice of Casualty Loss to Building s Under Mass Gen.Laws Ch.139;Sec-3B i - f j BARNSTABLE BUILDING COMMISSI)NER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 F } Re: Insured: LIN DA BROWNELL Property Address: 23 A CRAIGVILLE BEACH RD,WEST HYANNISPORT,MA 026 . Policy Number: ' 0 31204 Type Loss: Fir (including Fire caused by Lightning 't Date of Loss: 10 8l2007 I \� Claim Number 2 5610 i l 1l V Claim has been made inv6lving loss, amage or destruction of the above captioned propert,which may 1i ner exceed$1000.00 or cause Massachu 3etts General Laws Chapter 143 section 6 to be applicable. If a notice under Massachusetts General aws Cha ter 139 Section 3B_is appropriate,please direct it to tf attention of the writer and'include a rE ference to the captioned insured,location,policy number;date of s (pew; and claim or file number. 'sAo MPIUA Claims.Division cy C) w 4 i I i CMA00021 s r i p#p - j.. p } i Attachments Yearly 20 10-11 Calendar.tif 2 DATE: January 2,2013 TO: Building File FROM: R. Anderson RE: Building Permit Application LOCUS: 238 Craigville Beach Road, Hyannis M&P R267-120 A permit request was submitted to this office on 12/31/2012. The property is flagged due to a zoning issue. With more than one structure on the property and what has been determined to be insufficient information in the folder in order to render a decision,the BC requested that additional evidence be submitted for consideration. This request was made in writing about two years ago; no information was forthcoming as a result. On this date, a contractor is seeking a permit for the primary dwelling only. As the work proposed is simply to repair recent water damage and insulation in the legal primary dwelling unit, the BC has approved the issuance of the building permit. The property record shall remain flagged until such time that a definitive determination has been rendered. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Application ,> Parcd Map _ Date Issued Health Division Applic n atio Fe Conservation Division Permit Fee j Planning Dept �, Board . . B 0 a Date Definitive Plan Approved by:Planning J Historic - OKH _Preservation/ Hyannis Project Street Address GI'a I ✓� � , Village Address `� Se Owner j � � B 4p1�39. Telephone 14 411 Permit Request W r _proposed =otal new _proposed 2nd floor: existing pro p Square feet: 1 st floor: existing pro p Flood Plain Groundwater Overlay Zoning District _- 1' Project Valuation . y .D Construction Type__- > +. Grandfathered: Lot Size ❑Yes ❑ No If yes, attach supporting documentation. n Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Dwelling yp ❑Yes 'd No Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other i Basement Unfinished Area (sq.ft) Basement Finished Area(sq.ft.) ` Half: existing new_--- -� Number of Baths: Full: existing_______-- new i ----- _ existing _new newer-First Floor Room Count i Y . I ❑ Other_— s I ove:Existing vocSd/coalt3 ❑ No ig New I I Barrir.�® existing� ❑ n�w size_ I: ❑ existing Linew size — O o00 `'' Other: - 000 0 d: ❑ existing ❑ new size _ ' CDoC11) o 00LO (.f) &w o o N�LO seal # Recorded❑ .; I Qk�O I � w z� Dc i c ;1 review #at owe 'icocyZ , N� I �W Z�� Proposed Use F- LLZHCn .---0 I WH HOg� 3HpZ WW j H 9&L¢ ' HZZ W 000� f-g I � Z W W Q¢� Qaa 'LICANT INFORMATION -ILDER OR HOMEOWNER) I ,-og-ISM—6839 K.� y rry Telephone Number Name r�,n ��ar - .- , License # 7 ") Address � .6� Home Improvement Contractor# (,Pw ,,►,r�/v��, 6)- d 6 - Worker's Compensation # rh ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN T f I . (,Iwo -•A DATE SIGNATURE �/ •r c r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application , v Health Division Date Issued A L3 Conservation Division Application F 6 Planning Dept. Permit Fee J Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address lit ca Vi , Village Owner W AddressR6 7 f - ;Se Im Telephone SDg" 320` ?"Al 073' Permit Request W r of 7J wd �l ff YJ L�C�c 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 Historic House: ❑Yes A No On Old King's Highway: ❑Yes )d 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 bathe): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ventral Air: ❑Yes ❑ No Fireplaces: Existing New Existing \i o,d/coal sto e: Q;Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ BarrjAO existing ❑ size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Off he Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# ka , a Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4A.Ib6 nPCs Telephone Number Address ��/Vy r License # 71 SO l'Cew Home Improvement Contractor# y�D78 Worker's Compensation # Y4-gy V 4 1-41-2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO latc�wa �l�+' Okwtd I SIGNATURE Ac Iy DATE 3//�� 'y FOR OFFICIAL USE ONLY - - r APPLICATION# s DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE i . OWNER t - DATE OF INSPECTION: FOUNDATION FRAME T INSULATION FIREPLACE Yr ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH ` FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r r Department oflndustrial Accidents. Office of Investikations _ 600 Washington Street . Boston;MA OZXIIZ. Ulf. ivww.mass.govjWa Workers' Compensafion_insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inforiiiation Please Print Lem bly Name(Businessiorganizadon/fndividuan: Address: S� City/State/Zip:. Gn r'vi U Phone#.: /�9 6 Are you an employer? Check.the appropriate`box: :Type of project(required):, 1. I am a e to er with` 4. Q I.am a general contractor.and I mP. Y _ 6. 0 New construction employees (full and/or part =)_* have hired the sub-contractors 2:❑ I am a sole proprietor or partner-_ listed-on the-attached sheet: 7. f Remodeling . ship and have no employees These sub-contractors have •8. Demolition workingforme in an ca a employees and have workers' . Y P �Y• 9. .D Buildink addition [No workers' Comp,msurance Comp.insurance.$ re ed_ 5. �] We are a corporation and its 10.❑Electdcal repairs or additions _- ] officers have exercised their 11. Plumb' repairs or additions 3.0.I am a homeowner doingall work' ❑ P myself. [No workers' conT: right of exemption per MGL 11D Roof repairs msunance required.].t c. 152, §1(4),and we have no employees. [No workers' 13.E] Other comp.insurance recpiired_] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submmt 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-contactors have employees,they must provide their workers'comp,poliq number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: �CIh M Policy#or Self-ins,Lic.M. 7fp'O y� �G-I 402 Expiration Date: ^� ' Job Site Address: ` !.l City/State/Zip: ►�'"�',`n declaration page'(showing the policy umber and expiration date). Attach a copy of the vPorkers compensation policy P b ( g p y xp ) Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of coal 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-and penalties ofperjury that the infarmation provided above is true and correct Signatare "�,�,t%► �����ib�^2SL . : •Date • �����/�.3 ... - . Phone#- JrUb 7 � Official use only. Do not write in this area, to be completed by,e-t .or town official City or Town: Tecmit/Liceuse# 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#- or ti® aid �stuiR - Massachusetts General Laws chapter 152 requires:an employers to provide workers' compeilsation.for.thea employees ee is defined as"...everypersonin:the service,of another under any contract. , pursuant to.this statute,an-employ -. - express or implied,oral or wntten" atri associatton;corporation or other legal entity,or any two or more An employer is defined as an individual,p ersh7P, of the fore oin a ed in a joint enterprise,and including the legal representativ'.s of a dece1.ased employer,or.the.. _ ..-. g g Wig_ J ._ _._ . .. artne association or other legal entity,Crap Dying emp ogees. owever .e receiver or trustee-at an individnal,p rsinP, owner of a dwelling horse 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.gounds or budding appurtenant thereto shall not because of such Crop or deemed to be an employer." MGL chapter 152,tl§25C(6)a]so 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 coninnonwealth for any applicant velio has not produced acceptable evidence of Compliance with the insurance coverage required chapter 25 states"Neither the commonwealth nor any of its political subdivisions shall MGL cha , § C(7) a it n Additionally, .,e Y, P :mpl �iththe in -an enter into any contract for-the performance of public work 'acceptalile evidence of co. .ce g requirements of this chapter have been presented•to the contracting authority. Applicants. Please fill out the workers''compensation,affidavit completely,by checking the boxes that apply to your situation and,if��* necessary,supply sub-contractors)name(s),address(es) and phone numbers) along with their'certificate(s) of Co antes L or Limited Liability Partnerships,(LLP)with no employees other than the" insurance. Limited Liability mP (L members or partners,are not required to carry workers'compensation insurance. If an LLG or LLP'does have employees,a policy is required: Be advised thatihis affidavit maybe 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 requ ' ired 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 tfiat the affidavit is complete-and printed legibly. The D epartment 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 app. cant ense applications in any given year,need only submit one affidavit indicating current that must submit multiple permit/Iic policy information(if n ece licant should write"all locations in ssary)and under"Job Site Address"the app (city or. town)_"A copy of the affidavit that has been officially stamped or marked by the city'or tomm maybe 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 redato o any business d commercial venture (i e. a dog license or permit to biim leaves-etc.)said person is NOT.required to complete this affidavit The Office of investigations would Him to thank you in advance for you cooperation and should you have any gaestions) please do not hesitate to give us a.call The Department's address,3telephone•and fax number, Dq=tmimt a n A eezd mts Omer, a-f N4d sapt-�¢m ; ig> m s• 1 -Boston,MA 0 111 - _ '�e;J.# 1 � e Q6 i 1-r I�IASSAFF Fax#;6L '27-1 4� IZevLsed l 1-22-06 I - ------------- ----- DATE(MWDD/YYYY) Ac Q' CERTIFICATE OF LIABILITY INSURANCE 08/06/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS TH 3 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. INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions IMPORTANT:if the certificate holder is an ADDITIONAL n this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). of the policy,certain Policies may require an endorsement. A statement o CONTACT LPRODUCER NAME: PHONE FAX n I�Park e s I.I,C (A/C.No,Exl): (877 12 34-4420 (ac,No): (877)234-4421 EMAIL ordr ate 81ADDRESS: l, 1-16 33 PRODUCER CUSTOMER ID# NAIC/ (7 81)2 61—2 0 0 0 INSURER(S)AFFORDING COVERAGE INSURER A: Continental Indemnity Co. aeasa INSURED INSURER B: E.A. Bareness & CO., �C• INSURERC: dba E.A. Bareness & Co., mc. 54 Angus WaY INSURER D: Centerville, MA 02632-1802 INSURERE: CTL -1273 656869 INSURER F: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: R THE LICY POLICIES OF NSURAN HAVE N ISSUED TO THE NSURED NA ED ABOVE F THIS IS TO CERTIFY THAT THEPERIOD INDICATED. NOTWITHSTANDING ANYIREQU REQUIREMENT,TERM OR CONDITION OFANY CONTTRACTIOR OT ER DOCUM NT WIOH RESPECT TO WHICH THIS CERTIFICATE AND CONDITIONS OF SUCH POLICIES.ES INSURANCE IM TSASHOWN MAY DHAVE BEEN ED BY THE PREDUCED BY PAID CLAIMS.OLICIES DESCRIBED IN IS SUBJECT TO ALL THE TERMS, POLICY EFF POLICY EXP INSR ADDL SUER POLICY NUMBER MM/DD MM/D LIMITS LTR TYPE OF INSURANCE INSR WVO EACH OCCURRENCE $ GENERAL LIABILITY DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY ❑ ❑ PREMISES(Ea occurrence) MED EXP An one Mon $ CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ GENERAL -AGGREGATE $ PRODUCTS-COMP/OPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY PROJECT LOC - COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea acc de`_ nt_) $ ANY AUTO 0 iBODILY INJURY Per erwn $ ALL OWNED AUTOS i BODILY INJURY Peraadent $ SCHEDULED AUTOS I PROPERTY DAMAGE $ ' I I (Per accident HIRED AUTOS $ NON-OWNED AUTOS I $ EACH OCCURRENCE $ UMBRELLA LIAB OCCUR I AGGREGATE Is EXCESS LIAB CLAIMS-MADE ❑ $ . DEDUCTIBLE I $ RETENTION $ WC STATU- OTH- T RY I IT R WORKERSCOMPENSA'n $ 500 000 AND EMPLOYERS'LU1BILfTY y ❑ E.L.EACH ACCIDENT ANY PROPRIETORIPARTNE_ N/A 6-842396-01-02 /02/2012 /02/20].3 EXECUTIVEOFFICER/MEMBER E.L.DISEASE-EA EMPLOYEE $ 500,000 EXCLUDED? (Mandatory in NH) E.L.DISEASE•POLICY LIMIT $ 500 000 if yes,describe under SPECIAL PROVISIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule if more space is required) CANCELLATION CERTIFICATE,HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E.A. Bar� & Co•, ��' EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 54 Angus W (�P811e� j(lm 02632-1802 AUTHORIZED REPRESENTATIVE 1783118 Atta: pxO7 pt 2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009I0M) The ACORD name and logo are registered marks of ACORD 17 — —1 - — 2012-12-26 1057 Ib 5087589371» 17328475322 P 1/1 Linda L. Brownell P.O.Box 744 Mattapoisett,MA 02739-0744 December 26,2012 Eric Barsness E.A.Barsness&Co., Inc. 54 Angus Way Centerville,MA 02632 RE: 238A Craigville Beach Road Hyannis, MA To Whom It May Concern: This is to notify you that I authorize E.A.Barsness&Co., Inc.to pull the Permit and Qbtain inspections as required for replacement of damaged insulation,wallboard,and electrical fixtures. I can be reached at 508.328.8294 with any questions. Respectfully submitted, Linda L.Brownell,Home Owner -74 s�pt r��t, a� ��i�+431C}IUti13tC� tttiCilt i)f}77777 7.LfCh,: `' BttzLrt}t>f'Bttttclur.fi}{C:oltstrMfto 5 tntlt�antttrd, ,.taervisor l�cetse License CS :,79883 ':; ERICA B4RSNESS 54 AN6USINAY CENTERUILLE MA 02632 - f mm�iiv�,icnar Exniratlon..;812712013 Tr":-20116 J Ma Office `of Consumer Affairs a la u sines 10 Park Plaz R aegtlatiori Surte�5170 Boston, Massachusetts 02 16 Horne Iniprovem, Cow a ctor Registration v ' . Registration 141078: a' { Type. Pnvate.`Corporation CO , /20t4 Tr# 22003ABR at 6EA xpi ERIC BARSNESS 54 ANGUS WAY 63 02EMARVILCENTE 2 £' 'Update Address and return°cara Tylark.reason For change DPE- I •ar aoM�uoa-ciotz�s [ .Address Renewal Emplo ment -1 Lost Card y Lpp�a_mm +e¢ r,�, �1�ICt OOb5ilmerrs ScBnsine Iteguladob License or .._. .. .. registration�and far.indivtdut use only ra - HOME IMPROUEMENTCONTRACTOR beforethe expiration date tffouod returnto L,Registration ;,141078. TYPe Officr:of Conatiner �'Expiration 116/Z014 Private:Corporation " 10 t?a �pla Affairs and Busmessltegulafion uite 5170 E ' ARS C4_lf�C� Bosfon' NES$ ,MA 02116,` ERIC;BARSNESS 54 ANGUS WAY �—w- ,ate CENTERVILLE;'MA U2&32 `U.ndersecretary: �\ ot;valid without signature � `��ovr [Gt✓1 .� �_ � .•� �. � r tit._ � � 1 \ , 5 key I,r<x k ► " bed,-an-I ► 06 k d . 44 . 33 Cruiy✓title_ lezwk h y 6 n h Ls Floor ►� I � i tIr ,1�7 '• 4 � � �t"1 e �{ki � z� � �• + k 5J, .- , "°' •''` ';?r,y Ss -. "ae+` g.�1 :wry w;2f-- OF s _ 3„ Syr. ,�•�w t�t a �� C'`,;� � � ,� j-11 twrw 4r{�a[-+ .s �{ u , s t F< 'E 1 1 1 I � ' � 1 I / ' • , • , � ' ' � I 1 i .Parcel Detail Page 1 of 4 017 fo i ri n� r ata sTA x. Logged In As: I I Parcel De lC� Monday, December 242012 Parcel Lookup Parcel Info Parcel 267 120 _-- - - - "-�� Developer I D Lot ---- ....... ---- .. ........... . .--_._ . PrI Location 238 CRAIGVILLE BEACH ROAD#A 107 ( Frontage( Sec --------— -- - __) Sec( _� Road Frontage Fire HYANNIS Village HYANNIS -I District Town sewer exists at this Road - — -- ---- _ i0369 address No Index' Interactive Map - a, Owner Info _ ......... .... .... I Co- Owner BROWNELL, LINDA L Owner' Streetl�PO BOX 744 ( Street2 —� CI MATTAPOISETT p J ty; State' Zip,!' CoCountr Land Info Acres ,0.28 J Use single Fam MDL-01 Zoning'RB Nghbd jolos Topography Level Road;Paved Utilities Public Water,Gas,Septic Location Construction Info Building 1 of 1 Year----193o ROOFIGable/Hip Ext wood Shingle Built' Struct Wall Living _- . Roofj-- AC -- 1680 Asph/F GIs/Cmp None Area` Cover Type _. Intl Bed Style' I Cape Cod Wall Plastered I Rooms'3 Bedrooms ......... . .............. Int Bath Modell Residential Floor Carpet Rooms 2 Full Heat Total http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19263 12/24/2012 I ,Parcel Detail Page 2 of 4 __.. Grade Average Minus I Type iHotAir I ROOmS6 Rooms I Heat _.___ Found- > ' Stories i 1 1/2 Stories I Fuel iGas I ation Poured Conc. :a Gross s'< r04T Area Permit History Issue purpose Permit Amount Insp Comments Date # Date 11/16/2009 New Roof 200905593 $41500 STRP OLD Visit History Date Who Purpose 10/30/2008 12:00:00 Tony In Office Review AM Podlesney 10/25/2007 12:00:00 Pamela Taylor Change of Address AM 7/28/2003 12:00:00 AM Paul Talbot Meas/Est 12/4/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 10/15/1991 12:00:00 Meas/Listed-Interior AM ML Access w Sales History Line Sale Owner Book/Page Sale Date Price 1 I BROWNELL, LINDA L 3363/148 1 $0 W Assessment History Save Building Land Total # Year Value XF Value OB Value Value Parcel Value 1 2012 $113,400 $23,700 $59,800 $128,900 $325,800 2 2011 $1441200 $3,300 $55,000 $128,900 $331 ,400 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19263 12/24/2012 Parcel Detail Page 3 of 4 3 2010 $143,900 $3,300 $56,100 $130,900 $334,200 4 2009 $1427200 $27400 $467100 $153,600 $3447300 5 2008 $2287500 $47800 $0 $1641400 $3971700 7 2007 $266,600 $47800 $0 $1647400 $4351800 8 2006 $231 ,700 $4,800 $0 $145,000 $381 ,500 9 2005 $2041800 $47600 $0 $1317200 $3407600 10 2004 $1661700 $47600 $0 $1317200 $3021500 11 2003 $1441400 $47600 $0 $437 000 $1921 000 12 2002 $1487800 $41700 $0 $431000 $196,500 13 2001 $1487800 $5,000 $0 $431000 $1961800 14 2000 $1257300 $57000 $0 $281900 $159,200 15 1999 $1221700 $51000 $0 $297000 $1567700 16 1998 $1227700 $5,000 $0 $291000 $156,700 17 1997 $1267600 $0 $0 $221400 $149,000 18 1996 $1267600 $0 $0 $221400 $149,000 19 1995 $1267600 $0 $0 $227400 $1491000 20 1994 $1267800 $0 $0 $281900 $1557700 21 1993 $1267800 $0 $0 $281900 $155,700 22 1992 $131 ,500 $0 $0 $321100 $1631600 23 1991 $1337800 $0 $0 $571700 $191 ,500 24 1990 $133,800 $0 $0 $571 700 $191 ,500 25 1989 $1337 800 $0 $0 $57,700 $191 ,500 26 1988 $95,100 $0 $0 $21 ,600 $116,700 27 1987 $951100 $0 $0 $217600 $1161 700 28 1986 $951100 $0 $0 $217600 $1161700 � Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19263 12/24/2012 �u� O � � � � ► TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE Il: MINIMUM STANDARDS FOR HUMAN HABITATION Date 8 Time: In Out Owner �_ IN_nA U(zo t�'r� Tenant / y I D P"I Address 112- co Address_239 � � W t(,Lt 04 Compliance Remarks or Regulation# Yes NO Recommendations 2.Kitchen Facilities ` ` '..g !O 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities G� O 6. Heating Facilities 7. Lighting and Electrical Facilities 8. VenI Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal ZOl d 33 . 17.Temporary Housing 18. Driveway Width � 'S t 2-0 l q q �I N FTL 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) V Person(s) Interviewed_ C —,—��( Inspector If Public Building such as Store or Hotel/Motel specify here . d� �e, S 1-o tv -S L13- b6 2 06 Vol) 01/06/2013 08:31 #0881 P. 001/006 MattapoimV,MA 02739-0744 Tel.50$-32SV94 lanuaty 12,2010 Arch Cor4Mction P.O.box 914 gyWni.,MA 02601 Dar Aron: RE: 238A/B Cmigvi&Beach Rand HymmispM MA F=kW please ird two,notarized lvmm drat stare 238B was rented in the 19ws and was always a mtw- Good tuck with the Town fish and let me know how you wade out. Va'y ouy y4ws, t�( I;ndajL Bivwnell LLBft Fnc6osoree 9Aa ttEsctersu «rcm+�-- q mr�s se-a aoz 01/06/2013 08:31 #0981 P. 003/008 ubVolf l. rlo ?` ' f! - Ed bd�!t petson hllot!ee51e�tb�0:;+d1C p�Cft�iil�'�f _ MMLCWW L..;-;,&ai:thoF*=dhsft Sled ZZS9Lt8Z£11 to 44EW M $ £�/19Z-a-zw ' ,�' � ,., _ ., _�, _ _ ,:iu - - ,� I t `�> ?1-,. g w� ��� I 1I -_.. - �i 1!l �' i i �.� � - �� :4 ._ �.. �� k I _ I �i' -. �. .-.\ _ LL..� L 0 vc !6 VI 5 fR A4(-!M 0)41) a N � (,Vo'r Zo fCA W A) -M 5C'Al C W m co N 4 a r I iRCASC � cn fl n n M1 j 3 O CD OD 'O O O Ul t O m O NyAlInIS (ORT N OOT DtoLAN co m f r I/IV 6— N 1 Ir C OWL CA P, G-0 PZA64L A ' �S a� S INK _ �s 0 cn co c� O R a .p ^I o 0 m N i 01/06/2013 08:31 #0981 P. 002/008 Paul F.Shm 13 Eualid Aveaue Maftmpoisett,MA 02739 Datr To Whom It May QMOO : This is to wetify you that I netted a house at 238A CraaVft bcwh Rid,West HyMMLTM Mas&ft+om the year's 1965 than*1967 and tht$tsl A wPafl tie VmVlgwtmead house on 1ho same pmpeiy(238B)1 a test as well dw**9 ti Respectfully subanit 4 Paul F.shm TmdN tury State .Ses1, Ste. &WT.4" Metary Public =_ Ca amwea lth of Met my COMMiSAM Wro lal+vQry 17, 2414 9(Zd ZZ£51�+8ZE/3 etiL£6851805 wa 9Z ZF310Z Real Estate Professionals - Weichert Realtors Page 1 of 2 W��C1 �' i CALL 1-800-USA-SOLD(1-800-872-7653) Realtor... Mon-Fri&Sun 9am-9pm EST, Saturday 9am-6pm EST Home for Sale in Hyannis, MA 238 Craipille Beach Rd Hyannis, MA 1 i Property Type: Single Family � Sale Type: For Sale =r Style: Cape Cod Price: $339,900 Status: Active Bedrooms: 5 .. -.- Baths: 3 Full Baths, 1 Half Bath - , Sgft: 1680 .. .: .; _, Lot Size: 0.280 Acre(s) Year Built: 1930 Area: Hyannis, MA-The Cape and the Islands Neighborhood: West Hyannis Port Z County: Barnstable Taxes: $3,555 MLS/Web ID: 21205863 Description � ------------�--•. ------_ West Hyannis Port Compound! Sidewalk travel to Craigville Beach. Spacious 4 bedroom,2.5 bath home PLUS detached garage with 1 bedroom guest quarters.All rooms in main house are generous with lots of daylight! Huge kitchen with separate dining area plus laundry room. Front-to-back living room has a fireplace and a wall of builtins. Full basement has 1 large heated room with 2nd fireplace. Detached 2-car garage has been converted to 1 bedroom, 1 bath living quarters. One car stall remains. Oversized deck on main house overlooks private fenced yard. Location! Location! Great property for the$!Town has noted this is not a 2 family property, but willing to consider atty. review of past history, or amnesty program. Current use is single family and guest quarters. Exterior Features Community Amenities Exterior Fence • Beach Ric_hts • Deck • Back Yard • Outdoor Lighting Foundation • Concrete Garage Lot Description Road Frontage • 1 Car • Clear Lot • Paved • Detached • Level/Flat • Paved Roof http://www.weichert.com/search/realestate/PrintListing.aspx?p=42813001 10/10/2012 Real Estate Professionals - Weichert Realtors Page 2 of 2 • Asphalt Shingles Siding Interior Features • Pitched/Sloped Shingle Exterior Appliances • Electric Dryer • Range • Refrigerator • Washer Basement Fireplace Flooring • Full 2 Fireplaces • Vinyl Flooring • Inside Entrance • Wall-to-Wall Carpet • Other Heating System Sewer • Forced Air Septic System • Gas • Hot Water Heater: Gas Utilities • Zoned • Cable • Electric • Gas Water Source • City Water t Excluded Feature Neighborhood&Schools School District: Barnstable Listed By�� Broker: Seaport Village RE,Ostewille Information deemed reliable but not guaranteed. II data relating to real estate for sale on this page comes from the Broker Sharing L15t1>7gs Reciprocity(BR)of the Cape Cod&Islands Multiple Listing Service,Inc. Online Cetailed information about real estate listings held by brokerage firms other Online than Weichert Realtors include the name of the listing broker company. Neither the listing company nor Weichert Realtors shall be responsible for any typographical errors, misinformation,misprints and shall be held totally harmless.The Broker providing this data believes it to be correct, but advises interested parties to confirm any item before relying on it in a purchase decision. ©2012 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved. The information being provided is for consumers'personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. Data is updated as of 10/10/2012.All properties are subject to prior sale,changes,or withdrawal. http://www.weichert.com/search/realestate/PrintListing.aspx?p=42813001 10/10/2012 v - - BUIL09NIG DEPARTMENT BA STABLE, MASS® FE 0 BNu FxWn= ,. � _r'_ . . . . .:... . . . . unaw fit! soft* has pamdmdm ip JO Rot wo �n4lj VA - ' fjo h be givm On oondftim t t'aU [be d0i14 k*e*=Aw rha8 eWom fm Aveq respect to the aorrespoa�dfag appHOSUOD 031 Me fa the o -at tboluvoom me suluft9m. to 00 os , ,boot to the mmutsm, tm LO LWNe, and to all and VOW only if migmed KA rnmpootor. Of M numo oN — WUMO AND PS LO j ago& Whiag. Water Tat Final Approval Final . 19 Inspector 19 � q�p ♦ g n� _} r MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 10/10/2007 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.313 BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 Re: Insured: LINDA BROWNELL Property Address: 238A CRAIGVILLE BEACH RD,WEST HYANNISPORT,MA 02647 Policy Number: 0931204 Type Loss: Fire(including Fire caused by Lightning Date of Loss: 10/08/2007 Claim Number: 245610 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 OISIA10 318' Of � 5 A4 �'j -e_. C �s ,�� Co S ; iances7 d and placed behind a finished wall i family apartment, the owner of the property e Building Commissioner providing any and fiance with this section including, but not ig or addition to accommodate the the names and family relationship.among a cry use restriction document. E`" , ` f the family apartment, a certificate of`~ Commissioner. No certificate of ommissioner has made a final inspection elling for compliance and a copy of the current recorded at the Barnstable Division. apartment affidavit, reciting the names and sting that the property is the year-round amily member(s), shall be signed and t � R —�q RESIDENTIAL. POOPER'1 Y 'NO. LOT NO. FIRE DISTRICT SUMMARY. ' STREET' Craigville .Road Elvanninort LAND . 267- 120 H BLDGS. OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. -9/4/69._., 11448-1 30�-•' g TOTAL LAND , ruZ+lj'vuas& eta.�sm,::e,•e ++.y+..•.�.w,.., '. .. (y�'^�,.�,90 BLDGS. TOTAL LAND 7 BLDGS. cm Brownell Linda• L'. 9-21-81 TOTAL 3363 148 LAND /Al z m BLDGS. TOTAL LAN D . Ol BLDGS. — TOTAL . LAND • O BLDGS. TOTAL INTERIOR INSPECTED: �- BLDGS.' �./{ISl�EC' TEU CJW-4,,.iy' 01 DATE:. .� 7/ LAN DL ACREAGE; COMPUTATIONS BLDGS. ' rn LAND TYPE �# OF ACRES PRICE TOTAL DEPR. ' VALUE TOTAL IQUSE LOT LAND SLEARED FRONT BLDGS. REAR TOTAL HOODS&SPROUT FRONT LAND REAR - .D) 'BLDGS. HASTE FRONT TOTAL REAR LAND BLDGS. i TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL j FRONT DEPTH STREET.PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN`SEWER LAND ' ROUGH' TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOWj-DIPDT R . CAND SWAMPY RD. BLDGS. TOTAL TOWN OF BARNSTABLE. MASS, or BARNSTABLE TOW- 1. 2 P) ; 4 17 IvIsi1- y s M. ISO.', LQT NO. FIRE DISTRICT STREET 238 Orasgvill� Rd. SUMMARY 267 Hyannis Port LAND H 73 }: PO OWNER BLDGS. TOTAL RECORD OF TRANSFER pp LAND'. DATE _ BK PG I.R.S. REMARKS:Lots 4 & 3B (8-1 C-99) BLDGS. d-' Area rw.<. '$ TOTAL V p�Cv— '+R.. .44ti.�699 ,— 0� I v 2 LAND - Ee' I`i""°R�C° ��L7•x'b.""`" .:.M, e , r ,..• YJR •28 flC BLDGS. D u TOTAL op LAND i G BLDGS. Brownell , Linda L. 9-21-81 3363 148 ($55,00 .;� 5O TOTAL �— — LAND I BLDGS. TOTAL LAND BLDGS. TOTAL LAND .. .�.� BLDGS. TOTAL i • rLAN')N-rERiOR INSPE•'_CTED:DA7EACREAGE COMPUTATIONSOLAND TYPE # OF ACRES PRICE TOTAL DEPR. .VALUE Fiscal 82 b Plan 8-�1 C-99 ' LOUSE LOT LAND :LEARED FRONT J� ..'� r r - d�i' e3lO O �.'� Q � BLDGS. .REAR TOTAL � VOODS&SPROUT FRONT LAND ! REAR • _ - � BLDGS. � VASTE FRONT. TOTAL ! REAR LAND I BLDGS. TOTAL I' LAND j BLDGS. I LOT COMPUTATIONS LAND FACTORS TOTAL j FRONT. DEPTH STREET PRICE DEPTH 96 FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER . LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. . LAND SWAMPY NO RD.' BLDGS. I TOTAL I TOWN OF BARNSTABLE, MASS, UNITED APPRAISAL.CO.,.EAST HARTFORD.CONN. TOWN OF BARNSTABLE 2012 DIC 2 All 11 .217 OJNDATION B'vMT: & ATTIC PLUMBING PRICING LAND COST hnc:•.Walls Pin.Bgmt.Ares Bath Room Base .� T 6L.DG.COST onc. Elk.Wolfs Bdmt.'Rea Room St.Shower Bath /` Bsmt. onc.Slab Bamt.Garage PURCH.QATE St.Shower Ext. Walla' . PURCH.PRICE. rick Walls Attic Ff.&Stairs Toilet Room Roof RENT tone Wells Fin.Attie ^,/ Two Fixt.Bath ' left IN T FloorsERIOR FINISH' Lavatory Extra amt. . F . . ! '1' 2 3 'Sink , i 'r/e- 'A Plaster Water Clo.Extra Attic ' EXTERIOR WALLS Knotty Plne Water Only' ouble Siding Plywood• No Plumbing Bsmt.Fin. .Ingle Siding Plasterboard Int.Fin.. .Shingles TILING _ ioc.Elk. G F P Beth Ff. qHt.UnIt L "rJ ace Drk.On Int.Layout Bath.Fl.&Wain*.•Veneer Int.Cond. . BathFI.&Walls om. Brk:On HEATING Toliet:Rm.Ff. Ad Com.Brk. Hot Ale Toilet Rm.H.&Wains. , Steam Toilet Rm.Ff.&Walls Tiling a I/ lanket Ins. Hot Water St.Shower ' oof In: Air Cond. Tub_Area Total .Floor Furn.G c ROOFING COMPUTATIONS sph.Shingle Pipeless Furn. S.F. i food Shingle No Heat ' S.F. .. sbe.Shingle Oil Burner. - S.F. Into Coal Stoker S.F. lie Gas ROOF TYPE Electric . S.F' OUTBUILDINGS able Flat S.F. 1. 2 9 4 5 1 8 r7 8 9 10 1 1 2 1 3 1 4 1 6 6 7 8 E 1 10 I'MEASURE[ In - Mansard FIREPLACES S.F. Pfor Found. Floor lembrel Fireplace Stack Well Found. O•H.Door FLOORS Fireplace i1vLISTEDSgle.Sdg. Roll Roofing -onc. LIGHTING arth Dble.Sdg. Shingle Roof No Elect. D TE Shfngle Walla ins Plumbing lardwood ROOMS Cement Blk. Electric '1 sph.Tile Bsmt. Is[ TOTAL Brick PRICED / 7 Int. Flniah Ingle 2nd 3rd FACTOR REPLACEMENT - OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND, REPL, VAL.- Phy Dep. PHYS• VALUE Funct.Dap. ACTUAL VAL- �w C . Ca/✓ /$d �- c— /930 ;G� "G b''O! J'G�SO 4 5 8 ti - TOTAL TOWN OF BARNSTABLE 7017 ow C ?� ��� �! 27 i FOUNDATION SSMT. & ATTIC PLUMBING PRICING LAND cosT onc.Walla Fin.Bsmt.Area Bath Room /' Base / 70 ?d scDG.COST •onc. Blk.Walls Bsmt. Rec.Room St,Shower Beth %J Bsmt. ' PURCH. DA7E )no.Slab Bsmt.Garage St. Shower Ext. Wells PURCH. 'RICE. rick Wells Attic FL.&Stairs Toilet Room Roof RENT tone Walls Fin.Attic w Two Fixt.Bath Floors ` ers INTERIOR FINISH Lavatory Extra $mt. F 2 3 Sink Attic :I1't>• i yx +/ Plaster Water Clo. Extra 9+ EXTERIOR WALLS Knotty Pine Water Only t �yD ���'•^r ouble Siding Plywood No Plumbing Bamt.Fin. ngi/a Siding Ylestarboard ✓ Int.Fln, . �_Shinglea . . TILING. -:-.-� me.Blk, G F P Beth Fl. Heat -. �� .1 ice Brk.On, Int.Layout Beth Fl.&Welns. Auto'Ht.Unity Venear Int.Co id. Bath Fl. &Walls Fireplace I im.-Brk.On HEATING Toilet Rm.Fl. Plumbing flid'Com. Brit. Hot'Alr Toilet Rm.Fl.&Walns. Tiling _ Stearn Tollet Rm.Fl.'&Wells _ lanket In Hot Water C p'� St. Shower ri iof Ins. Air Cond. Tub Area Total _��— Floor.Furn. ROOFING COMPUTATIONS — aph.Shingle Pipeless Furn.' 1- S.F. P Food Shingle No Heat 7 �// S.F. 341 tbs.Shingle Oil Burner S.F. - late Coal Stoker S.F. Is Gas S.F. ' OUTBUILDINGS ROOF TYPE- Electric able Flat S.F 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 B 9 1Q MEASURi Ip Mansard FIREPACES. S.F. Pler Found. L Floor ambrel Fireplace Stack -Wall Found. 0.H.Door LISTEC FLO R Fireplace Sills.Sdg. Roll Roofing onc: LIGHTING Dble.$dg. Shingla Root' DATE arch No Elect. Shingle Walla Plumbing Ine Cement Blk. Elestri C ardwood ROOMS PRIGEC aph.Tile Bsmt.' 1st ? TOTAL c S Brick Int.Flplsh ' Ingle 2nd a2'� f3 Srd FACTOR OCCUPANCYS C ON SIZE AREA CLASS. AGE REMOO. COND. REPL. VAL. Phy.Dep, PHYS;-VALUE Funct.Dep. ACTUAL VAL. CON TRyyiiJ TI - R A . ,W I_G. `•' -, 4 09'' - .y/r � .�. 9' Si a 2�0 �Q�• �J /9'6 .5� /9 6 5- ' 3 4 1 •. TOTAL TOVIN OF BARNSTAB E Zt E2 _L -� DIN y' ��� mot , Town of Barnstable H �0 *Permit# Regulatory Services �ee 6mont frnmissaert * BAaNSTMLE, 9cb 16j9.. � Thomas F. Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1-t� Property Address P2 ReACA Rd • \S ❑Residential Value of Work��(g�,' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 6A /I 6A &04 ell Contractor's Name _ Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) XPRES ❑Workman's Compensation Insurance Check one: ❑�am a sole proprietor JUL 3 �012 Lr l am the Homeowner ❑ I have Worker's Compensation Insurance TOW OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [Re-side #of doors El Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows _ ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is quired.-e114' n SIGNATURE: QAWPFILES\FORMSIbuilding permit forms02RESS.doc Revised 053012 i The Commonwealth ofMassackwetts D►epartrneut ofladusftial Accidents Offwe o,f In stigations 600 Wwhington,Stmet Boston,MA 02111 nm v.ma=govfdia Workers' Compensation Insurance Affidavit BlaldersiContrachw--JElect6c ans/Phumbers Applicant Information Please Print Legibly A�idre s:=, 3 V 1 t ( ® 0/ Ctylt$telZ Phone Are you an employer?Check the appropriate boa: T of project r 4. I am a contractor and I Type P ] (required): 1.❑ I ama employer with ❑ 6. [:]New construction employees(fun and/or part-time).* have hired the sub-contractors 2..❑ I au a sale proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees. These sub-coat actors have g_ ❑Demolition working foe me in any capacity- employees and have workers' 9. ❑Budding addition [No workers'coup.insurance comp.i suranrr 5. ❑ We are a corporation and its. 10.❑Electrical repairs or additions 13' I am homeowner doing All:work officers have exercised their 11.❑P umbing.repairs or.atidititms nryself [No workers'camp- fight of ieseruptioti per MGL 12.[:1 Roof repairs insurance ram)t c.152, §1(44�and we have no employees [No workers' 13.❑Other comp.insurance required.] •A ay applic 11 at checks boa#1 mast also fill oat the section below showing their woders'caaIsatiaa.policy infarmatitm Aam eowmers who submit this&Tubn*uxbcatiagthey are doing 9B waik and then hue outside coaftwMrs mast subunt a new of davit indicating such- TCoutr ctors that the ck this boor most attached as additiaoal sheet showing the name of the sub-ca ttrachm sad state whether ornot those entities have emphryees. If the:sub-cwttacters have engd gees,they xmutpmvide thy&workers'comp.policy numb-- .Tam an employer that is prm*Ung workers'compensation.insurance for my emptti waL Below is the policy and job site. information. Insurance Company Dame: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:_' City/statelzip- Attach a copy of the workers'compensation policy declaration page(shGwing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year ingi isonmet,its well as civil penalties in the form of a STOP WORK ORDER and a tine ofup to$250-00 a day against the violator_ Be advised that a copy of this statement may be£arwarded to the Office of Investigations of the DIA'for insurance coverage verification_ I do hereby c stal%er the its d penalties of pc jury that the information:prm�irEed abous fs bw and corr&t psi—tt� w•-- :� ' � C—Phone#: - . J ' ' U,�tciaL use only. Do not write in this area,to be completed by city or town affiici al City or Town: PermitUcense Issuing Anthority(drele one)-: 1.Board of Health 1.Buffing Department 3.Cityfrorsn Clerk d.,Electrical Inspector 5.Plumbing Inspector 6.Other. Contact Person: Phone#: 6 �tHE Town of Barnstable Regulatory Services snxrrsTABL>;HAM ' Thomas F.Geiler,Director 1639. 'pr�,,,�,.�• 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 HOMEOWNER LICENSE EXEMPTION. CRATE 3 //,a- SOBL6CWTION:-= Please Print ff `G c' It P number street V village 2 ^C .HOMEOWNER": 6 OWne ( ' `_ l 0 :✓� O A` ! name home phone# Ce t vokphone# CURRENT.MAILING-ADDRESS: p�j` ' c tY ' 1 state zipcode 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 Aees and r quire nts and thathe/sshe will comply with said procedures and requirements. f--Home wn i .- 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. a Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 J BARNSTABurti MASS. ,,� Town of Barnstable °N10�A Regulatory Services Thomas F. Geller,Director Building:Division ry Thomas Perry,CBO Building Commissioner 200 Main Sheet, 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. QAWPHLESTORWbuilding permit forms\EXPRESS.doc Revised 051811 o �� tv G u u IG av >, t teL. ru,.r r'e .m a >t SAP°`WO. LOT N.O'. FIRE DISTRICT SUMMARY "2C�? STREET 238 Orai gville Rd, Hydnnis Port LAND a H 7j 120 BLDGS. ``--° OWNER TOTAL I _ LAND . RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS!rL'OaS"4 & 3B (8-1 C-99) BLDGS. 0) Zilc_ 5 �? v 9 1 A�@97 � iw o a u:=, r awws w .ems.�• .� a=:o::dr 9 4 a 6I,C9-..� —1-40°`�°' TOTAL � F�, �' ' 2 LAND .L8 aC BLDGS. D TOTAL LAND '-y _ ( r BLDGS. Brownell , Linda L. 9-21-81 3363 148 ($55,00 4? 50 TOTAL LAND BLDGS.ch - TOTAL LAND � BLDGS. TOTAL LAND BLDGS. TOTAL 'LAND �yNTERIOR INSPECTED: � BLDGS. DATE: TOTAL LAND ACREAGE CCOMPUTATIONS BLDGS. LAND TYPE .# OF ACRES PRICE TOTAL DEPR. VALUE Fiscal 82 b Plan 8-1 C.-99 TOTAL " LOUSE LOT " _- • / _ - LAND :LEARED FRONT all BLDGS. I "REAR TOTAL HOODS&SPROUT FRONT LAND REAR BLDGS. VASTE FRONT. TOTAL REAR LAND BLDGS. TOTAL i LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT. DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER a) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF SARNSTABLE, MASS. UNITED APPRAISAL-CO., EAST HARTFORD.CONN. OJNDATION B$MT. & ATTIC PLUMBING PRICING bnc:•.Walis LAND COST ' •Fin.Bsmt.Area Bath Room Base ,:,�s;;:y �? 6LDG.COST onc.Blk.Walls Bsmt.'Rec. Room St.Shower Bath i�C Bsmt. SLDG. PATE PURCK onc.Slab Bsmt.Garage St.Shower Ext. Walls PURCH,PRICE. rick Walls Attic FI. &Stairs Toilet Room Roof RENT tone Wells Fln.Attic •,/ Two Fixt. Bath Floors left INTERIOR FINISH Lavatory Extra amt. F I 1 2 3 Sink 4. ` 1/2- r/s Plaster Water Cie.Extra Attic EXTERIOR WALLS Knotty.Pine Water Only- 1 „ ouble Siding Plywood No Plumbing Bsmt.Fin. Ingle Siding Plasterboard Int.Fln.. /C Shingles TILING J — iric.81k. G F P Bath FI. Heat L ' ace Brk.On Int.Layout Bath.Fl.&Walns.• Auto Ht. Unit Veneer Int.Cond. Bath Fl.&Wells a Fireplace tf' :•;..'�,.v.= om.Brk:On HEATING Tollet.Rm.FI. Plumbing olid Core.Brk. Hot Air Toilet Rm.FI.&Walna. ' Tiling Steam Toilet Rm.Fi.&Walls e7 lankpt Ins. Hot Water St.Shower cof Ins. Air Cond. Tub Area Total Floor Furn.G ROOFING COMPUTATIONS sph.Shingle Pipeless Furn. / S.F. food Shingle No Heat S.F. abs.Shingle 011 Burner S.F. ` late Coal Stoker S F lie Gas S.F. OUTBUILDINGS ROOF TYPE Electric able Flat S.F. 1 2 3 4 5 8 7 8 9 10 1 2 3 4 t 6 7 8 9 10 MEASURE[ I ip Mansard FIREPLACES S.F. Pier Found. Floor iambrel Fireplace Stack Well Found. 0.H.Door LISTED I FLO RS Fireplace Sgle.Sdg. Roll Roofing I onc. LIGHTING Dbla.Sdg. Shingle Roo} i arth� No Elect. D TE ina .. -- Shingle Wells Plumbing lardwood ROOMS Cement Bik. Electric sph.Tile [2n mt. 1st TOTAL Brick Int. Finish PRICED Ingle d 4� . 3rd FACTOR REPLACEMENT ' OCCUPANCY �� CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL.. VAL. Phy.Dep. PHYS, VALUE Funct.Dep. ACTUAL VAL. III rw4 d=G �1 c."oY✓ 41 /r a �' :'•F' /S'�7"O /C� S'G �'O! �G�50 ? �Z'�. 3 . 4 ' t5 6 7 z if -n� TOTAL RESIDENTIAL�'flAt.. F'F C3P tTY Md45'?•1�tO, LOT NO. FIRE DISTRICT SUMMARY STREET CraiLyville ,Road lbrannis ort LAND73 267 120 H BLDGS. D S OWNER ' TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. 1,1. -9, /�."69._ _.1448-`--30 g TOTAL /^� LAND 0, 54 W BLDGS. . TOTAL In ot LAND 0) SLOGS. • TOTAL Brownell Linda L. 9-21-81 3363 148 LAND NE /l �5 2- .3 elDDs. TOTAL tit LAND i BLDGS. cn TOTAL LAND BLDGS. TOTAL 'LAND INTERIOR INSPECTED: O, BLDGS. may .Al S P� <' y�d w.i 7/-/ CJ w Ale {° TOTAL DATE:. ter?/ 7/ LAND ACREAGE -COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE ~ TOTAL iOUSE LOT LAND :LEARED FRONT O BLDGS. REAR TOTAL MOODS&SPROUT FRONT LAND REAR BLDGS. Ol VASTE FRONT TOTAL REAR LAND m 8LDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL i FRONT DEPTH STREET.PRICE DEPTH% FRONT FT:PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN`SEWER LAND ROUGH* TOWN WATER rn BLDGS. HIGH GRAVEL RD. ~ ' TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF BAR'NSTABLE. MASS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND cosT one.Walls Fin.Bsmt.Area Bath Room /' Base r ,�GAL Q„:� BLDG. COST one,Blk.Wells Bsmt. gee'. Room St. Shower Bath _rFe%J Bsmt. PORCH. DATE mc.Slab Bsmt.Garage St. Shower Ext. Walls PORCH. 'RICE rick Walls Attic Ff.&Stairs Toilet Room . Roof RENT i tone Walls `Fin.Attic Two Fixt.Bath Floors ' ars INTERIOR FINISH Lavatory Extra smt. F 1' 2 S 1 Sink Attic '1•1�� ' i rfe r/4 Plaster Water Clo. Extra f ti EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood Np Plumbing .Fin.ngle Siding lastarboard ✓ Fin,, / Shingle. TILING G P Beth Ff. eat nc.Bilk, F H wo Brk.On. Int.Layout Bath Ff.&Walns. Auto Ht.Unit Veneer Int.Cond. Bath.Ff. &Walls Fireplace . rm. Brk.On HEATING Toilet Rm. Ff. t "'? �2 — Plumbing Hid'Com.Brk. Hot'Alr Toilet Rm.Fl.&'.Wain. Tiling Steam Toilet Rm.Fl.'&Wells lankst Ins. Hot Water p' St. Shower ] ~ rof Ins. Air Cand. Tub Area Total Floor Furn. S •�� ROOFING COMPUTATIONS __— sph.Shingle Plpeless Furn. S.F. f � `ood Shingle No Heat �,// S.F. she.Shingle Oil Burner / S.F. late Coal Stoker S.F. IQ Gas S.F. • OUTBUILDINGS _ ROOF TYPE' Electric S.F. 1 2 3 4 b 161 7 8 9 10 1 2 3141516 7 8 9 10 MEASURi able Flat . S.F. Pier Found. Floor Ip Mansard FIREPLACES ambrel Fireplace Stack -Wall Found. 0.H.Door LIFE FLobRp Fireplace Sgla.Sdg. Roll Roofing ono: LIGHTING Oble.$dg. Shingle Roof DATE girth No Elect. . _ Shingle Walls I t Plumbing LP Ine Cement Blk. Electri ardwood ROOMS aph.Tole Bsmt.' 1st TOTAL Brick int.Finish Ingle 2nd �-� Q 9rd FACTOR " ! /� REPLACEMENT G o7 Q OCCUPANCY CONSTRUCTION SIZE AREA CLASS. AGE REMO'D. COND. REPL. VAL. Phy.Dep. PHYS:-VALUE Funct.Dep. ACTUAL VAL, )WLG. 7 s� -�, .�/r 9 �� �ln Q t+..1 Jro�. o . — . Z 3 i a 5 6 7 10 TOTAL f `II I I f { 'f �Ig' I O�qqc 10 9 91 �8D W 0 _ � Q m 1 3 PH UC H. � ,2lTA L HNGC/N I g C GOC US MAP a p IN I !• /000' � PL. BK. 2B4 I PG. BB 20N/NG D/ST.2/CT� .BB ! -/84.92'�-----"��I 1 �Y 5 85'S/'O2 E •�-+--.+�^^.`- A53e3.HAP 247 'T---^-..""_`.92:92'_'---•..- - ; -u� PRG'C EG3 !/9 ie l20 CB' 79 62' (.'/4948 57 a ® lV e B3� °etiv v 3z;T�h n•na�� ^ � ° N �' o p� KAUKO A C� p � ALTO O V y V N ,ZO' N ` 6 I p f b�0 y N Q c B. 7.7/4 ND. 9. 4 f.VD HVAA! Q IS P02T C2RtGV!(_LE D /99/ eoUNrY GAYour--PU04.ld NOYE• ( PLAN OF LAND LOr 4 / - WNI D By CR204VN 4G H2DY. /;N ^ Q['; c GOT5 9A E A E OWNED BY HE 9/C W: Hf'ANN/S,-CZr BARNSTABLE,MRSS I CERT/FY rNFlr THIS PLAN l B66N P.66PAED IN CONFOQMI'r`/ MA2Y .-TAj BSEM /AT 34 /3 7(0 F02 W/7'4 THE .EEGULATlON5 OF THE CONVES+E C ZOLYN:G. F,`P-Z^ I D/S �{ RC-G/STEP--3 OF DEEDS OF THE c,gwi-W a FA2Dti' COMMONWEFLTH F MA559 HU$E7T5. 7U BE U k CON�R CT/ON Jl LQT¢- �//� `l t ,� ".025./9B0 PL'J f1PP.2o OT .2EQU/.2E HENl21k W. / IQ)2T W• DHTE 2EG. LAND Sw2VEY02 6A AJ5 LEI P IA"j {QHQ�/ TACOBSEAI �a ' 1.� SCALE /"-20' HPl2/L 25' /9 �, DATE. f O /O BO - 9�P VA.2 MOUTHPO.eT, MR55. � � � I II I I i t 1 t f } f f . i { Osterville Real Estate, Cape Cod Real Estate,Vacation and Y.-arly Rentals http://www.seaportvillagere.com/RentalAdmin/MaintainRentalPropert... Rate Schedule Rates Available Start Day 'End Day Monthly N/A N/A Start End Date Date Monthly All Other Dates 1,000.00 Main Administration Rental Administration MLS Administration Live Site Log Out 3 of 3 3/4/2010 2:48 PM .� � Assessors'map and lot number. :!'.!.a THE vC SYEl� €�#I�STmQOF Sewage Permit= number . ..,j7.'...... •••.•••• INSTALLED Is"t15TCTCg?M—fn4�'; ['�>'e .�. TITLE 0 F..E Z.HAUST 4 -..v rasa Howe number ............... e ?;e?��?t`41VIENTAL C '_ °o 1639• e �orar TOWN OF BAR.NSTABLE BUILI I INSPECTOR APPLICATION FOR PERMIT TO ... ........................... ..... . ..... TYPE OF CONSTRUCTION :......:...�. -fiYG!yn e—....... .. .........................(I' ....... i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per acZK�. ding to the foil wing information ff.. .. . . a c� ....��.. . ....Location ............................ r_ ....... 1 . C .... . ... .... Proposed Use ... .. Fire District Qh ,l 5.:..; Z in District 1 Nome of OwnerJ..?�.t! .... .rQ�illl/.............Address ...:D.....U••%�� ��...A.il.�.. lrF/••Uf .. ... If Nome of Builder.................... .....:. •. ........Address ...... ....... .... ' ,:.......Address ... ..: ....... Nameof Architect ........................................... '................................... ......... ..... Number•of..Rooms) .. ............. .........:...................... Foundation ......................... ...... ....... Ezierior ........... ..... ............. ...................... Roofing .._ ....................................................-. . .... Floors .......................Interior ... ..: ......... ..... :. ..... I Plumbing .... ., ........................ ..... tH tinge j 1-. ..... .... ..... . Fireplace ©� . ... ...........Approximate Cost,.... �� Definitive Plan Approved by Planning Board — _-19— Area ..::.. � ... .... .: .. -- 1Diagram of Lot and Building with Dimensi ns Fee :.... ........ R SUBJECT:TO APPROVAL OF BOARD OF HE LTH J 1 f I c { OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a o e j construction. I Name .. } 03/04/2010 16:43 FAX lao01 �c RX REPORT RECEPTION OK TX/RX NO 6082 CONNECTION TEL 5084778833 SUBADDRESS CONNECTION ID ST. TIME 03/04 16:40 USAGE T 02'08 PGS. 8 RESULT OK Fes—$- No:_& THE COMMONWEALTH OF MASSACHUSETTS _ BOA D OF HEALTH OF-...............--•--_---------------------------- s Application is hereby made for;a Permit t Construct ( ) or Repair ( ) an Individual Sewage.Disposal System at: s ,y — C ---- = 'YL1 r9__1_7.� -r Loy No .� Location Address Add, — _.. .__ Install r Address G Size Lot--------,--------_—..Sq.feet C Type of Building Garbage Grinder ( ) ansion Attic ( ) ., Dwelling—No—of -- •- - -- � ' ria ( ) a Other—Type of Building _ _ No. of persons Showers ( ) Cafete C Other fixtures - -• _____. Design Flow.__-_--.-.---•_---- __--gallons Ier perso n per day. Total daily flow _.__..._.. ..._gallons. ® , Width--_------------ Disposal Diameter.-.--.------•--Depth 4 Septic Tank—Liquid capacity __gallons Length------------- - Trench—No-_ ------------ Width -------Total Length...........__....Total leaching area -sq. > Seepage Pit No..._------------ .Diameter.__..._ _ Depth below inlet Total leaching area.._-.-.-_--_-_sq ft . > Other Distribution box ( ) k Dosing tank ( ) ---------------- Percolation Test Results Performed by -- a Depth a Test Pit No. l..__... ..._.ininutes-per inch Depth of Test Pit_._._______.__D th to ground water P ground ----- q Test Pit No. minutes per inch Depth.of Test Pit.__-._-__ Depth to ound water 4 -- 1. Description of 5oiq..__Ido- •-�-r- tt• ---- ----- --••-•--••---- - _- - Nature of Repairs or Alyerah�ns Answer en applicable •---•- rg Agreement: The undersigned agrees to install the oredescnbed Individual Sewage Disposal System in accordance wit the provisions of TITIE 5 of the State Sanii iry Code—The undersigned further agrees not to place the system i operation until a Certificate of Compliance been iss ed by the b and ealth /y -_ _ _.-_ ? __ _. - -- - -s Si e G[ LL' t£ — gn Date Ole Application Approved.By__. - - ------ Date —"""___ .Date Application Disapproved for the foldauring re,sons:............_......_-•••• ____—---------------_— ---- ------- •Permit IssiiedM_ ----- ---- f No.__ ---- Date • THE COMI IONWEALTH OF!.MASSACHUSETTS B ARD OF HEALTH ..........................,.. . OF...................................... ...... .......__..... Ti ti crate d ( XrXVft=e T J S T IF hat the Invidual Sewage Disposal System constructed ( ) or Repaired ( - by -- - —_ •-- Installer — - has been installed in accordance with the p visions of TITIE 5 of The State Sanitary Code as described in application for Disposal Works Constructio Permit No.-.--- _.----- --------- dated --•..:.:........................... I THE ISSUANCE OF-THIS CERTIFICATE SHALL NOT 13E•CONSTRUED AS A GUARANTEE THAT T. E SYSTEM WILL FUNCTION S ISFACT DRY. -= Inspector--A-'A ---------------— ---------- I. THE COMMONWEALTH OF MASSACH.USETTS 1 BOARD OF HEALTH i .................. No.9..... i n rant# � Permission is hereby granted - i to Constru ) or RepaiP" ) Ind id Disposal System _ r,- --.. �-- _._ ._. ----- ---- at No :.17_�—L ;tti-tr 7� 1�uC sl ..__.... as shown on the application for'Disposal W rks Construction Permit/N/Jfo - Dd�-2 f F ^__•__ _/�/J rd Health DATE-___:._r _ __ -•— NNpp--.:_.—.- FORM 1255 HOHHS&WARREN. INC:. PUBUSI ERS_ 7 03/04/2010 15:29 FAX lao01 �C�skkhk;g�kk�k*�kk:k*�k��k �c�c TX REPORT %k�k�k�k�sksa�k8���kRxck��kskac�k�k�k TRANSMISSION OK TX/RX NO 0464 CONNECTION TEL 12395984231 SUBADDRESS CONNECTION ID ST. TIME 03/04 15:26 USAGE T 03'14 PGS. SENT 7 RESULT OK a , BUILDING DEPARTMENT BARNSTABLEE., SASS. P D CO F 0))4 Nuge$64 .gw � W.;,. o FO .O .45 B ! 1 WM* Under - f b" io Got W's J fflr to be a" for gIvw o0 omd f m 60 W vto*be dm 1dex+ sha8 sooft m is every rasped to ft aorrssp=d%g appacaden an ffie is fie e®dos et The Inspea&sr ad BsdIdtogp, �arm!Iamu-- as f , same* to the 8f fttgk, 66 awbung 006% $oai�g Laws, and to aU Z" o ' a Vaud oozy if s�gaed 01 n M UUMOTiON -- WIRWO AND PLMNZ Ron& whiEg Water Test a ' 8ervtos Final Approval lbal 19 Taapeator 19 Ins�eotar Aj VloleNM of WW Conditions of this Permit is Legal Caine for its Revocation and is Punishable by Fine. N i i Lta { awA Uses& Wa `.Rb M"..." 07--- o%— 1L VVl iV Vu VV.JLL! vvayc ni . ainuvauw� JVO-!/ I�y!fV P. ARCH ESTIMATE CONSTRUCTION CO. PO BOX 914 HYANNIS, MA 02601 { Ph. 508-775-1362 i Fax 508-771-9776 4 cell 774-836-0454 Date; 10/14/09 Estimate submitted to; L NDA BROWNELL Work performed at; PO BOX 744 238 CRAICrVILLE BEACH RD. NIATTAPOISETT,MA 02739 WEST HYANNISPORT Phone number 5 08-328-8294 We propose to furnish al.]materials and labor necessary for the completion of the following; COMPLETE TITLE V SEPTIC SYSTEM FOR A FIVE BEDROOM HOUSE(standard system only,550 GPD) This proposal given prior to engineers plan or test hole,price may vary due to unforseen conditions;such as water table, imperious soils i USE EXISTFNG 1000 TANK CONNECTED TO GARAGE APARTMENT i ADD 1500 HI O TAN-F,HID DBOX AND 750 SQUARE FOOT LEACHING FACILITY i BOTH TANKS TO BE CONNECTED TO NEW DBOX AND LEACHING PUMP AND REMOVE OR FILL OLD LEACHING PRICE INCLUDES ALL ENGINEERING,PERC TESTS AND TOWN FEES AND INSPECTIONS I LOAM AND SEED ALL DISTURBED AREAS :ANY SHRUBS MOVED WILL BE REPLACED IF POSSIBLE EXCEPT OVER LEACHING AREA sprinkler system (if existing)to be replaced by owner Not responsible for limbs or shrubs damaged due to large equipment { Any utilities not marked by dig safe or town water are responsibi lity of owner t All work in accordance with engineers plans and specifications and completed for the sum of: TEN THOUSAND FOUR HUNDRED FIFTY&00/00 DOLLARS $10.450.00 Payments made as follows: DEPOSIT PRIOR TO START OF ENGINEERING � BALANCE UPON COMPLETION $4,450.00 $6,000.00 Price valid for 60 days Respectfully submitted Z,/"'��kyneArchamt Acceptance of proposal: Above prices and conditions are satisfactory and are accepted. You are authorized to do the work, Payment will; be made as outlined above Date _ Signature P 03/04/2010 16:52 FAX fm001 RX REPORT RECEPTION OK TX/RX NO 6083 CONNECTION TEL 5087758804 SUBADDRESS CONNECTION ID ST. TIME 03/04 16:51 USAGE T 00,55 PGS. 2 RESULT OK (i 508428302.9 i.ArrWTt)F, 001 lOR2 ad r c { ENTERPRISES, LLC Sul I 7 i J.P.MACOMBER&SON j post Office Box 763 MOIRMR 12, 2009 Centervii1e,MA 02632 PROPOSAL SUBMfTTED TO: WORK TO BE PERFORMED AT: NAME: Linda Brownell ADDRESS: 238 Craigville Beach Road r t ADDRESS: P. O. Box 744 West Hyannisport, MA Mattapolsett, MA 02739 PHO U 508- 28-8294 74-377-3888 Capewide Enterprises, LLC proposes to furnish all materials and labor necessary to construct a fitie V septic system in accordance with 310 CMR: Department of Environmental Protection, The subject Property at 238 Cralgviile Beach Road, West Hyannisport is a five-bedroom dwelling with a design flow of 550 gallons per day. Woo Include, • Conduct a town monitored pert test and soil evaluation. • Supply an engineered plan for the sole purpose of upgrading to a Title V compliant on-site system, • Complete the permitting process and provide a disp=1 works const'rucrion permit for a fve- bedroom on-site system. • Removal of shrubs to left ofgarage(not to be rme.placed) • Pumpo tin cesspool d r •g� pool ry,collapse and fl(t fri pfrr remgv lam: sari , __'_ ,`„'!i,'f �•�-.. +`S .�: '�K v V,lW:;. • bccavate for and install a new H-10 1500-ga1ian septic tank: • Pump existing 1004-galion septic tank as needed a tltng�th �J { tt�f�[/ 'idg fete. S�Ra�T�F a �p'f t!•„i. �y 'S.Y'n�y y�.i• • A new dish tbution box will be set on 6"of crusliAW • Excavate for and install a 4ired.fiye-bedroom leach field an rd t%. fan which will be fed from(2)septic tatrks to'(1}disc budon • After town and engineer inspections the im � wa d ar11� -�': • Loam and seed will be spread to disturbed 000syai '�s `� y�* l A '��,• � t' .1r•k .�.f� Jim;ANY edj q4•F":{�^t�. U � 4 +tip { Phcmc, 508.428,4028 Fix: 508-428.3928 [ Rich(ajCapewideEntarpriaq_com loaa�C$pewideF.nterptfscy.cain , twrw-Capo*MdeEnty priimzoTn i I z ' t f 03/04/2010 18:00 FAX 001 sxxc RX REPORT �c �skxcsks.:�k�&skac��k�kxe��k��k�k�R�� RECEPTION OK TX/RX NO 6084 CONNECTION TEL 15088155222 SUBADDRESS CONNECTION ID ST. TIME 03/04 17:53 USAGE T 06'00 PGS. 3 RESULT OK o/13/2009 07:43 rAY 5084283928 CAPPWIDT R1002/002 1 E Any inside plumbing. Movement of any large sub surface bouiders or of any fences, sheds or other obstacles that may be encountered that are not otherwise noted in above included work j M©Vement of any underground utilities lE water, electric, ,gas, phone or cable. This work would be l performed by CapeHrde Enterprises for an additional fee. Any upgrades to electrical service # Any conservation filing t Any irrigation repairs I: i • f j i i i Form W'9 Request for Taxpayer Give form to the (Rev.October 2007) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) N N aBusiness name,if different from above c 0 a c Check appropriate box: ❑ individual/Sole proprietor ❑ Corporation ❑ Partnership Exempt ❑ Limited liability company. Enter the tax classification(D=disregarded entity,C=corporation, P=partnership) ► ....... ❑ p payee o ❑ Other(see instructions) ► +• Address(number,street,and apt.or suite no.) Requester's name and address(optional) a � City,state,and ZIP code a m List account number(s)here(optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals, this is your social security number ISSN). However,for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number(EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number number to enter. Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me), and 2. 1 am not.subject to backup withholding because: (a) I am exempt from backup withholding, or(b) I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person (defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement(IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. See the instructions on page 4. Sign Signature of Here U.S.person ► Date ► General Instructions Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: Section references are to the Internal Revenue Code unless otherwise noted. a An individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or Purpose of Form organized in the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number(TIN) a An estate (other than a foreign estate), or to report, for example, income paid to you, real estate e A domestic trust(as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or Special rules for partnerships. Partnerships that conduct a contributions you made to an IRA. trade or business in the United States are generally required to Use Form W-9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it(the requester) and, when applicable, to: has not been received, a partnership is required to presume that 1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable, you are also certifying that as a income. U.S. person, your allocable share of any partnership income from The person who gives Form W-9 to the partnership for a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income. on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the request your TIN, you must use the requester's form if it is following cases: substantially similar to this Form W-9. a The U.S. owner of a disregarded entity and not the entity, Cat.No. 10231 X Form W-9 (Rev. 10-2007) 01/06/2013 08:31 #0981 P. 003/006 yj:1V.s` ' J�b7 ryC SN,4 LL- 11 P A P4FK p i?o X 9 7-/ )3 M D A,41 T J',,f r rr Min"a0m efte um C.cww dtamrar��e.r�•s_�,.7� 7�II�ily� . 9(Ed ZZESLE£LL C«IcC/fEOC 9! £4119Z-a-�OZ 01/06/2013 08:31 #0981 P. 002/006 Paul F.Sim 13 Euclid Awe Moftepenaft,MA 02739 n TO Whom R May Concern: This is to notify you that I rented a be m at 238A Cragville N=h Road,Wed Hym!ToM Mam from the yms 1965 the 1959 and tt gall,mpaeate gar--A, a meet house on the sae pr+orpaty(238B)had a t=W as well d ing Abut time. R�ull}'sabmi#� Paul F.$hm N t"gWcmezz,Sell,10"Sipstar. E y. A: Netary Public Commmmealth of Mowamom My ConmisAm LOW January 17, 9414 OR d ZZ£SE «cLf�851805 � €�Ll 96�ZLGZ 01/06/2013 08:31 #0981 P. 001/006 .%.f. uvn i rr Mattapoisett MA 02739-0744 Tel.508-329-829.4 January 12,2010 Arch C suction P.O.box 914 Hyannis,MA 02601 Dear Arob: RE: 238WB Cm4ville Beach Road HysnaiWrt,MA Ewl sed plmase AM two,notarized letters that MW 238E was rented in the 1960's and was always a rental Good luck with the Town Hall and e,me lmnw how you made oat Very Wy yours, t SI Linda L Brownell LLl3lIt► 9nd MM*mn CC •,..,a.....,.. I mats sa L-aoz 01/06/2013 08:32 #0981 P. 006/006 C kA6 c ' A IA r 6 - � - 919d EZ£SLmom t IMMULSLSK (I WLL 9Z a ADZ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 238 Craigville Beach Road Property Address Linda Brownell Owner owner's Name information is required for Hyannis MA 02601 12/24/2012 every page. Citylrown State Zip Code Date of Inspection i Inspection results must be submitted on this form. Inspection forms maylnotrbe altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Wayne Archambeault cursor-do not Name of Inspector use the return key. Company Name box 914 Company Address Hyannis MA � Ciiyli'own State Zip Zip Code de 508-775-1362 355 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local ApprovinR Authority Z- - 12/24/2012 Inspector' ignature �/ Date The system inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. I ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11110 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 238 Craigville Beach Road Property Address Linda Brownell Owner Owner's Name information is Hyannis MA 02601 12/24/2012 required for State Zip Code Date of Inspection every page. Cityfrown C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ® ElHave large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® El information the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)1310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 5 r( 5 Number of bedrooms(design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550� * t5ins•11110 Title 5 official Inspection Forth:Subsurface sewage Disposal System•Page 6 of 17 r r u u y/y a f,{� o tJ . 14 YAA 0 i - -t 06 ONE CAR � �a Ni 5�N�C Cl Cl Clco Co 0 . - Y f �I I I� 1��a�1 �1,A J�//� o J9t r�iT !G Y 1�� fJ 6 4 C1 Vt7� r+'� 'EA-twlt o N SGa a m w N y �w f u 'iy _ g L CID � r � f c� uf- 3EVROOK h ti ti e4 - 0 co O Ch N O OD o� N Vim-q1h � r �— (Aid J (J Assessor's map and lot number : /................� F7NEt SEPTIC SYSTEM MUST a Sewage Permit number .... ...>.7................ INSTALLED IN COIVIPLIAI�p WITH TITLE 5 s BARNSTMILE, Houle number ............................................................ r NAea ENVIRONMENTAL CODE �.000�2639. \0� • 'Fp NFY M1 TOWN OF BARNSTABLiE ; ' BUILDI INSPECTOR 'APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ........................... 1..G -........................................................................ .�... ..�1 .................19 ! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby�applies for a permit ac/co,�ding to the following/information Location c��� (��(�1 ....11/�......... .....a�...............J�.(1�((. �...........y�............... ProposedUse ................. . .... .. . .1�. .. . ?�.f�'�?;1 .................................................................. . .. .. . . .. . .... .. Zoning District ......Fire Districth-0 l S1.................................... ..................................... ... . . ....... A.��a..... Name of Owner l.Y1.J(r�........ � F../.............Address ....1....... .. ��...�1/.�...1.a �� Nameof Builder" ....................................................................Address .................................................................................... / Nameof Architect ..................................................................Address ......................:............................................................. Numberof Rooms .. ..............................................................Foundation //J. ............................................. Exterior .......... .. ..:.. ..................................................................Roofing .................................................................................... FloorsLl." . ...............................................Interior ... :.I..aC. ............................................... r Heating ........................................................... Plumbin g ........../... .............. .. ................................................ &.uv—J............................ ..........A roximate Cost ........Fireplace ........................ pp .T7 . ................... ........................ Definitive Plan Approved by Planning Board ________________________________19________. Area ...! /. . .. ...... Diagram of Lot and Building with Dimensions Fee 3�3 SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name,.. e. . . . ... .. ...... . ... ............ ^' BRDW0ELL, LIlVDA . , ' 2]83,,8,-� ' REMODEL } No -_—.-.�... Permit for .................................... . � ' z�xiatizzg Apartment___. ____.__._.___.__o.._____.__ - . ' � 238 Crai ' IIe �each Road Location ' / Locoon --------�.�.��----------.. ' } ' / .-----------..—...--..�r�--.----. \ Linda Brownell Owner .----..-----.-----_—___— | ' ` . ` Frame . Type,of Construction .......................................... ` ' ---,—'----'---'—`r----^---'--- r / Plot ..�-------- Lot ------_.._-- \ ` ' / | L parnnh Granted ........................................�8az�b 2g 82' . / ^ > Doteof |nnpaction ------.------lq ' < Do^a Completed --- .—lg � / . / � . / . ' . ^ ' . / / . | ~ \ � . . . | ' | ' | Assessors map and lot number ............................................ P �O f YH E Sewage, Permit number 5F� -J ....�q3 rows .yam ........................... .�,.................... - Z BAHB9TdDLE, i HouAe number ro NABIL .......................................... pow t639. 9� i 'f0 mo a` TOWN OF BARNSTABLE w. BVILDING__, INSPECTOR APPLICATION FOR PERMIT TO � TYPEOF CONSTRUCTION ....................................:................................................................................................ _ r ...:...........!..:.. .�..................19 � - r �TO THE INSPECTOR OF BUILDINGS: t .' The undersigned hereby applies for a permit according to the following information: Location ..........`... ' .......................... �!�.`��:.!t.f.'/�..... :�....1,t,C.......:......� .......1,... ................... � 9�......A • AV ProposedUse ................ •ar-....! ........... ........../.... !�1 ..............................................:��?�............ Zoning District ........................... ............................`.......Fire District ( ..............AddrName of Owner ess � � �7 � F-T� r� Nameof Builder' .....................................................................Address .................................................................................... J f a Nameof Architect ..................................................................Address .................................................................................... Number of Rooms �. `'.........................................Foundation X/S ............ .......... .................... ............................................... Exterior ................:!..................................................................Roofing .................................................................................... / .Interior Floors t ��� .......................;...................... ..4::........P... ...........(..,,........................................... Heating .........................Plumbing Fireplace ......................................................Approximate Cost .....:..;..........,. �...j.. ................6................... .............. _. -----------,---19--------. /Area !.`��...�.�7Q%a1�1. _,,......, Definitive Plan Approvedd PlwithnDimens Dimensions _�� Diagram of Lot Fee .......,._................................... r�r SUBJECT TO APPROVAL OF BOARD OF HEALTH a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. v � Name ....... iYl ., / ...!P....;... f1,.�,.......... _ . - BROWNELL, LINDA A 267-120 No .2383 8 Per, for ..REM D L ........ ................... Existing Apartment ............................................................................... Location ...238 Craigville Beach Road ................... - 'HXannis .......................... Owner .....Linda Brownell Type of Construction .....Frame ............................. Plot ............................ Lot ................................ i March 2, ..............19 82 Permit Granted ., .......... Date of Inspection ....................................19 Date Completed ......................................19 NO V 1-4a C- 2#a -� Fizz......51.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................... ---------.........OF............... Appliration for Biapaaal Workii Toutilrurtion Vrrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 4..&. ........................................................... �dck ........... or Lot No. ......... rer ................................. ................................................AddrqsL..............I......................... ee-t- - - ' 6.............. 4------ ..................................... Installer Address Type of Building, Size Lot............................Sq. feet U Dwelling—No. of Bedrooms ...... Expansion Attic Garbage Grinder ------------------------- Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ............................ .........................*...................... Design Flow............................................gallons per person per day. Total daily flow------------ .........................gallons. 04 Septic Tank—Liquid capacity............gallons gallons Length................ Width._......_____... Diameter................ Depth.........___.... Disposal Trench—No- -------------------- Width................._._ Total Length._._....._.._....... Total leaching area....................sq. f t. Seepage Pit No..................... Diameter.._................. Depth below inlet.._..__............. Total leaching area..................sq. ft. Z Other Distribution box ( ) . Dosing tank ( ) Percolation Test Results Performed by........................................................................ Date...............I......................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.._...........:.__...__. PLI Test Pit No. 2_----------_--minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ----------------------------------------------*-----------I---------------------------------------*------- ---------------------- 0 Description of Soil....vec:L' .1_1�1.i—.......................................................................................................... --- --1:1-------- U ..........................................................................................................................................7------------------------------------------------------------- ------------............................................................................................ ......i.................... .......I....................... U Nature of Repairs or Akratlihs Answer 1 41 ee vkn applicable---- -------------_- .................. -------------------------------------- ... .. ............ ....... ............................................................ ............................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has.been iss ed by, the b and iealth. • Signed--_ ........................................................................... ................... Application App roved,By----- Date .................... ......2 Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF; MASSACHUSETTS .. . . .BOARD OF HEALTH .................................... OF...................................................................................... fit Qpwrtifirab of Toutpliatta T hat the Individual Sewage Disposal System constructed or Repaired by... .. .. ................................F............................. ----------------------- ------------------------------------------------------------------------------ Installer at...... .......... .......... ........... laa4"'.'L a, V ....m.. .........................!�......................................................................................................... has been installed in accordance with the provisions of TITLE . 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ -TIHE ISSUANCE-OF THIS CERTIFICATE SIHALL NOT BE CONSTRUED AS A GUARANTEE-THAT THE-- SYSTEM WILL FUNCTION SATISFACTORY. DATE...... _............ .............. Inspector..... ................. -------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.... . .....�2&....................................... No&.................. FEE.. .................... D q� or.. is 01i or ii Permissionis hereby granted............. ............................................................................................................................ to Construct Lor Repait, =d '111ag(!�I)isposal System IL_ f ............. ............... at ...................... V_ Street as shown on the application for Disposal Works Construction Permit No.... D ted.s;Z- .......... ..................................... B rd W�f a t DATE. r� ........................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS Assessor's map and lot number ........c,Z4P/ ..... ��) a,4 ........... SEPTIC ` STEI °� P yoF S 7N . Sewage Permit number ' / ��'................. INSTALLED IN COMPL.W ;d a TH TITLE 5 Z 11 STADLE,�. Hou a number ........................................................................ k MENTAL a� 9 MA86 3aixnQ+a # ' � s GOa�i639 ♦� TOWN OF BARNSTABLE DUILDI INSPECTOR APPLICATIONFOR PERMIT TO ................ ........ .. ............................................................................ TYPEOF CONSTRUCTION .............................. ��—........................................................................ . �.�...!!`...r�.................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for jai permit ac/co ding to the foil wing f information: J Location ......................................... .:(.. 1.�.�,.. .. C .......1'.�!�. ^'..:... ..................................: .. FV ....Proposed Use ................... 22..�..... .... C Zaning District Fire District Q`... .................... ....... .................... ...... ... ... ... .. ... ... ..... ... ....... . ................. Name of Owner 1..0-da .....3.r6.1•itd)e1:!!Y .............Address ..../..... Nameof Builder" ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms . �:`..........................................Foundation .. . ` /./' . ............................................. Exierior ................ ...................................................................Roofing .................................................................................... Floors .E..EA. . ...............................................Interior ... .. ....../.. ..............:.........................:...... 2. Heating ............................... ..................................................Plumbing ........../.. ............ .. ................................................. Fireplace .......... ...... ............. .................................. Approximate Cost ........,/�. . ................... ........................ Definitive Plan Approved by Planning Board -----------_-------------------19________ . Area .......... . ..- ... Diagram of Lot and Building with Dimensions Fee \ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ,. . oFt ra,,, Town of Barnstable Regulatory Services • BAM9rABr.e, 9 MAS Thomas F. Geiler, Director �Arf1639. p Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barristable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 15,2009 Mrs. Margo Pisacano 9 Parker Road Osterville,MA 02655 RE: 238 Craigville Beach Road Dear Margo, In reviewing the materials that you have supplied to me to make a determination of what is there,I find it very difficult to come to a conclusion with what exists at this property and how was it established legally. That documentation has not been supplied. I would suggest that you have an attorney research the records to establish what and how this property came to be in the present configuration. There is not enough evidence to make that determination at this time. RLesectfully, Thomas Perry,CBO Building Commissioner RESIDENTIAL PROPERTY MAP-NO. LOT NO. FIRE DISTRICT SUMMARY STREET Crai ille .Road H annis-oort LAND 267 120 H BLDGS. O S OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. 0) ..:....9.�1��(9•..._._.1448...,...304— B TOTAL LAND ra,°Sh m ld.8 BLDGS. TOTAL LAND 0) BLDGS. � TOTAL Brownell ,, Linda L. 9-21-81 3363 148 LAND �f //VE r C. ��..� I. 11114, 6 2-733 BLDGS. TOTAL LAN D BLDGS. 01 TOTAL LAND BLDGS. — 01 TOTAL LAND INTERIOR INSPECTED: r rn BLDGS. TOTAL DATE:. LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT LAND CLEARED FRONT - rn BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR 01 BLDGS. WASTE FRONT TOTAL REAR LAN D BLDGS. TOTAL LAND 01 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. 0) BLDGS. TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO., EAST HARTFORD,CONN. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST . . ' rOV. Fin. Bsmt.Area f Bath Room / Base BLDG. COST one. Blk.Walls Bsmt. Rec. Room St. Shower Bath r-,,—,_e;1 Bsmt. PORCH. DATE )nc. Slab Bsmt.Garage St. Shower Ext. ,Walls PORCH. PRICE. rick Walls Attic Fl. &Stairs Toilet Room Roof RENT tone Walls Fin.Attic ,f° Two Fixt. Bath Floors ers INTERIOR FINISH Lavatory Extra smt. F I 2 3 Sink Attic i r/z `/o Plaster Water Clo. Extra %"•�^'� EXTERIOR WALLS Knotty Pine Water Only ......_..._.,.._..._....--'-----� Ruble Siding Plywood No Plumbing Bsmt. Fin. ngle Siding Plasterboard Int. Fin. Shingles TILING mc. Blk. G F P Bath FI. - / Heat ice Brk.On Int. Layout Bath FI.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath FI. &Walls Fireplace rm.-Brk.On HEATING Toilet Rm. Fl. . . 2 Plumbing F - slid Com. Brk. Hot Air Toilet Rm.FI. &Wains. Tiling `^ ' Steam Toilet Rm. Pi. &Walls lanket Ins. Ar Hot Water if C, St. Shower )of Ins. Air Cond. Tub Area Total Floor Furn. ` •/-'/Y ROOFING COMPUTATIONS �a sph. Shingle Pipeless Furn. S. F. 'ood Shingle No Heat ��^.% '' S. F. J sbs. Shingle Oil Burner S. F. late Coal Stoker S.F. to Gas S F OUTBUILDINGS ROOF TYPE Electric able Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURE ip Mansard FIREPLACES S. F. Pier Found. Floor « ambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLO RP ireplace Sgle.Sdg. Roll Roofing Dnc. LIGHTING Dble.Sdg. Shingle Roof arth No Elect. DATE Shingle Walls Plumbing ine ardwood ROOMS Cement Blk. Electric sph.Tile Bsmt. 1st TOTAL "`''' 'i f Brick Int. Finish PRICED r _ Ingle 2nd a 3rd FACTOR REPLACEMENT (o Q OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOO. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. -WLG. /,J �'-s '-��a , ��� 0 -z 5-O t 2 3 4- 5 -- 5 --- --� - 9 10 TOTAL ' t�af�l_;..-, - KGDtuctV t t/�►�.. rrcvr�r< < >< �. FIRE DISTRICT �`� MAP 'f�f0. LOT NO. SUMMARY �67 STREET 238 Craigville Rd. Hyannis Pori �i LAND H 73 LBLDGS. '2 7 7d-0� 120 OWNER TOTAL 9 3 c4�o RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LAND Lots 4 & 3B (8-1 C-99) BLDGS. Gyl I • 2 LAND S 'e { ► �"S �Il1@$ M u..BCr IB .. 1�e$Tl �T. -U—/1e},s70R,�.-'. 55 1 BLDGS. 3►�" J 1 .28 ac TOTAL LAND _ — /%G BLDGS. Brownell , Linda L. 9-21-81 3363 148 ($55,00 ,1✓^ry s0 o TOTAL LAND i BLDGS. m TOTAL LAND BLDGS. TOTAL LAND BLDGS. 0I TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: / C�-(i /'ir _ LAND ACREAGE COMPUTATIONSchan (1(1 BLDGS. LAND TYPE $♦ OF ACRES PRICE TOTAL DEPR. VALUE Fiscal 82 b Plan 8-1 C-99 TOTAL HOUSE LOT _Y'I ✓ s- LAND CLEARED FRONT U 3 to Q J Q BLDGS. TOTAL REAR WOODS&SPROUT FRONT LAND REAR BLDGS. 01 WASTE FRONT TOTAL REAR LAND - - BLDGS. TOTAL LAN D BLDGS. m LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT F.T.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL.CO., EAST HARTFORD,CONN. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST one.Walls s Fin. Bsmt.Area Bath Room Base v„y BLDG. COST one. Blk.Walls Bsmt. Rec.Room St. Shower Bath i7C T (% Bsmt. PORCH. DATE one. Slab Bsmt.Garage St. Shower Ext. Walls PORCH. PRICE. rick Walls Attic Ff. &Stairs Toilet Room Roof RENT tone Walls Fin.Attic Two Fixt. Bath Floors iers INTERIOR FINISH Lavatory Extra smt. F 1 1 2 3 Sink i r/z- r/a Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only �J G� wG ouble Siding Plywood No Plumbing Bsmt. Fin. ingle Siding Plasterboard Int. Fin. tA/C,�Shingles L ,GJlr TILING mc. Blk. G F P Bath Ff. Heat _ ;J ace Brk.On In Layout Bath FI.&Wains. Auto Ht.Unit Veneer Int. Cond. Bath FI.&Walls Fireplace om. Brk.On HEATING Toilet Rm.Ff. Plumbing olid Com. Brk. Hot Air Toilet Rm.Ff. &Wains. Steam Toilet Rm.Ff. &Walls Tiling lanket Ins I r Hot Water St. Shower oof Ins. Air Cond. Tub Area Total Floor Furn.G c ROOFING COMPUTATIONS sph. Shingle Pipeless Furn. S. F. food Shingle No Heat S.F. sbs. Shingle Oil Burner S.F. ' late Coal Stoker S.F. ile Gas S. F. OUTBUILDINGS ROOF TYPE Electric . able Flat S.F. 1 2 3 1 4 5 6 7 8 9 30 1 2 3 1 4 5 1 6 1 7 1 8 9 10 MEASURE[ ip Mansard - FIREPLACES S. F. Pier Found. Floor Jr ;ambrel Fireplace Stack Wall Found. 0. H.Door LISTED FLO RS Fireplace If VSgle.Sdg. Roll Roofing one. LIGHTING Dble.Sdg. Shingle Roof arth No Elect. Shingle Wallsine DATE Plumbing lardwood ROOMS Cement Blk. Electric sph.Tile Bsmt. 1st TOTAL - AG'.2 5- Brick Int. Finish PRICED angle_ 2nd 1 3rd FACTORall REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL.- Phy.Dep. PHYS, VALUE Funct.Dep. ACTUAL VAL. �wL�e)= ,;;% %l'a/✓r /= a �7 :�` ✓���0 l! % 5"'Gr `~ P'(9( .3 t 2 3 4 5 _ 6 7 _t t ' t TOTAL Town of Barnstable *PermitC��GjbSS Expires 6 monthsfroissue date Regulatory Services Fee _ • sn_RIMAal.E, • vMAM SS PERMIT Thomas F.Geiler,Director Building Division NOV 16 2009 Tom Perry,CBO' Building Commissioner MOWN OF BARNSTABLE2oo Main street,Hyannis;MA 0260I www.town.baritstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not[valid without Red X-Press Imprint Map/parcel Number 7 _/1)0 P Property Addressan , C v/ ,-1 k, ki:�J Residential Value of Work Q Minimum fee of$25.00 for work under$6000.00 X /I Owner's Name&Address da- gzwn to-// ' 5S Cra, J (c. &A a- Contractor's Name f— , � � n 5V_4 �MC, Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) XWorkman's Compensation Insurance Check one: ❑ lam a sole.proprietor ❑ I am the Homeowner FY I have Worker's Compensation Insurance Insurance Company Name c ra h��� J_ Workman's Comp.Policy# W('� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) /�J Re-roof(stripping old shingles) All construction debris will be taken to /`►/� 'L �f,S �� OJ'1. l�er ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side '#of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is uire . SIGNATURE: ' C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 EIG Fax Server 11/16/2009 9: 19: 12 AM PAGE 2/003 Fax Server ACQR-P. CERTIFICATE OF LIABILITY INSURANCE 08/06/2oO9 PRODUCER (800)333-7234 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 233 West Central Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick, MA 01760 Regina Fernald INSURERS AFFORDING COVERAGE NAIL# INSURED Ea Barsness & Co Inc INSURER A: Berkley Excess - 54 Angus Way INSURERB: American International Group Centerville, MA 02632 INSURERC: INSURER D:. INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR kDDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MMIDD Y DATE MMIDDIY GENERAL LIABILITY NC861738 02/07/2009 02/07/2010 EACH OCCURRENCE $ 100000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ I, PREMISES 1Eacjrence10000 CLAIMSMADE OCCUR MED EXP(Any one person) $ 500 A PERSONAL&ADV INJURY $ 100000 I, GENERAL AGGREGATE $ 200000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-CCMP/OP AGG $ 200000 MPOLfCYF_j PROJECT n LOC - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Es accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA AGG $ 11 OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EICLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC638 7325 08/02/2009 08/02/2010 X OCY LAM TS °ER EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 10000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 10000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ S0000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL O3O_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TOWN OF BARNSTABLE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 200 MAIN ST OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. HYANNIS, MA 02061 AUTHORIZED REPRESENTATIVE Ronald Cleaves/REFl ACORD 25(2001108) FAX: (508)790-6230 ©ACORD CORPORATION 1988 Restricted to: 00 Vlassachwwtts - Department of Public Safct,. Board of Building Re�-ulations and Standards 00- Unrestricted Construction Supervisor License I-1 2 Family Homes License: CS 79M Restricted to. 00 Failure to possess a current edition of the ERICA BARSNESS 54 ANGUS WAY Massachusetts State Building Code x, is cause for revocation of this license CENTERViIlE, MA 02632 Refer to: WWW.Mass.Gov/DPS f�- Expiration: &V2011 (ummissioner Tr#t: 20501 lat ons an Stan ards X7rno Building Re Place _ Room 1301 One Ashburton Boston. Massachusetts 02109 Home Improvement Contractor Registration Reqistration: 141078 Type: Private Comer boon 261850 Expiration: 1/6/2010 E.A. BARSNESS & CO., INC. ERIC BARSNESS , 54 ANGUS WAY CENTERVILLE, MA 02632 _ update Address and return card.Marl:reason for change. Address — Renewal = Employment _ Lost Card DPS-CAI 0 5OM-07I07-PC8490 Or registration ,Pp�� valid for individul use only �-\ Board of Building Regulations and Standards License he expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR before t Board of Building Regulations and Standards Registrar►: 141078 One Ashburton Place Rm 1301 ExpW~r 1t6/2010 Tr# 261850 Boston,Ma.02108 Type: Private CorPoration E.A. BARSNESS&CO..INC. ERIC BARSNESS 54 ANGUS WAY � riot valid without signature CENTERVILLE.MA 02632 Administrator Tlxe Cittaxraaaxnxueakh of iassaclxu etts eprarixxtr,f lrlxlslA cci�d�► a o,f Iaa��estigut�iaras 49 �r sla xgl©tx�S`�re�t Ivsxx, 0211 ft�ac ��xra grar?/di urices^ ' CQpensataon Insurance 4ffidavit:Bdes� �nnraclnrslElectanst� E�eP cant'In#€aPxluaian r ease Prim t Name tBmaresPtDrg� amnddn�1) ► �( LQ Address- &,746 Are you sss etuployer"Check the apprapa�atc box::! T. arf ro ecE c.. 1 I am a la tenth 2 4 ❑ I asn a genesstl:contras tor and I 3'pe P. J ( ea4nii� Y .. .: 6 ❑Nets cxrnsttsc#ton - emplayeos.(fn1L d�csr get-sae}* lta��e.liirecl tire:sulj-easitta� ,�pp �j� 2.❑ I an a soii Or paiex- listed on dte attached shee# - Reamodehng (E�l�I IYtese sulz contrac.#ors have Ilesdalr#%cm ship and Have ssa la��s � ❑ far site tat c::: ct employees and have workers .. Y 1 9 ❑Buadmg addsfion jFa suctrless'eormp isssauo[tce comp:insurance . - ❑ ��►e arie a cararafon and its 1 a❑Electncslpas ar addxttasis atmcess have exercised:their 11. Pltutxbsn s airs aratlds#aons 3 ❑ I am a doing all wask ❑ .&p sell [I++Ta evarltess'comp sift ofexesnptionger 111GI 1 _0 R€rafairs t c 152 l(4},and we Have no . te P e camp.msurattce *AaY aPP tsnF tbat:e rocks box#1 mmst a�fil1 apt the secdan below showing theg rrorkOn'campensatian pa3icg ittfottnation ... . submit this:affidet-t indicating thW are doing all}vac and dm hire autude contractars mast submits new affidavit indicating such tCont actors tbat chock this must attached m sdditianal sheet showingthename of the:W&.cantracnirs and state*hgher ar nest thmm enti[�shave e�piapees If the su�z-caatrscfnas ltaee eruptaYees,:tiheP t�tust:gmvide their w�.rak�s'oaLup.poltcP amnher- I am ali$srsployr tlsat ss prtruxirrg t<rorAiers'cotertsatari irtsurRrrre for»aYtpojre �elats is t7te poiirc,*ertde?b stt tuforrrtariwra . _� vranze ornpaayl�Olne Cr6c to� e u Iu a�lCe Cd. Policy#ar Self-ins Lac.#�l/[� (i(J J t� ... ��/ E ptratxa / Jab Site Address u Q City/Stately _ . •date. At#ach G ropy of the: vi keys:eampensatian ptiLcy d eclaration patge(shaivmg ---polio}® tuber and caparatac►n } Failure to secure caverMge as required under Section 25A of MGL;c. 152 can lead to the itl3position of criminal pen�fties of d fine up to 1,50(3 vo asedlar t>ne-dear itagsonmetts as well as ciE�1 penalties tti die forau of a S #P7C?RK{313II atui a one ofup.t©:'$25U_Qfl,a day.again the violator Be:.advssed mat a copy:of this statement may be fartit�ar ied to the f3ffice of lstves€igatiom of the DI Pt far t+� =mince coverage t scation I ado k re6j�c�rti arpder a pray rtrI peatadt es+ ar��ar,�.'tlsatsite trrfortrtatiort pacrt�tde ab w is hrrt aritd ctrrr tt _ Date_ Pfiaae 'Sc: O�j`seiat laser onlS Ds►cart write rrs tJsis esraa,to be coy igd..b! ei or#i ro s orjail City:ar Tan ss Ter ease# Isswxtg Anthorst} (ri cle at►e .. _ .. . 1 Board of Health Y lluddmg Department 3 Ci4f rO f rlert� .Electr cal Luspecla S Plamiteng Ins}i star 51Iff CajltBCt Person. Phone#. .6 BAMSTABM , 039. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Lltr'C4 et—ow-n-0,O)i ,as Ov%ner of the subject property hereby authorize r tr s c� 5 to act on my behalf, � 'r� in all matters relative to work authorized by this building permit application for: La- drt; )I t - �Qi�n� (Addred of job) Signature of Owner D to Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 FRIEDLINE& CARTER ADTUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyaiuiis, Massachusetts 02601 Tel. (508) 771-3232 AX (508) 790-2344 TO: ( ' Building Commissioner or Inspector of Buildings Board of Health or Board of Selectmen { ) Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: BROWNELL, Linda Property Address: 238A Craigville Beach Road W. Hyannisport, MA Policy Number: 0931204 Type of Loss: Fire Date of Loss: 10/8/2007 File#: 106755 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. G. D. BRIDGE Adjuster 10/11/2007 10151M0 x`t - ' - y ^k-.: k � �..kt t t �--, w4�. ,,S y�*m �' .�� ,.e, v,�yr �' '' {,.>< .f: _ i- � ,p fl�,j. f.: -S�"•za1- d -f r Y k E�,,2 5 ! C M rtz iY^ '.gip 1,$. 4.YS4 =, x.'3 4� lti• `''`', - •S'Y �2+ s '' A n # MARCH 2 2014 A 5 s^-r '•�#,# *w�r r'r tfit`li` c a t:;r �« r , +; ar•t w ,,fir •A. � : �; ..� w,:�a? k.� r_ <� r^A *: i-:.a, ax ,. r:,_ .. :. + :nr ,, fora lanned,deck facing the Frtzgeraldas;enthusiastic about .the homeowner seek funding for, +, s 5�.:�.� ,w�K:i «� 3:: : rG.:ae^ ?t,t"^z :. S'y""�'..r.:: ,�4i,•z;3;�.rx1 'a ro- Y ` J,h; },.:.:n+.. _ .,d.":.v.,, :�,e. „ ,,-• s-�•.ti aF ;urs:.adm ,� 1 y.,. x y$WC „ -_ g;;4 n, ,,,,2.1 cam_ate P that-`will rolndelots"r$lus ro act an i the town ro am pgr g ,I ry.. P. th P J a„ P, gr , z .I € >of light as'well as the re uiredand is willilig;`to go through all I m there through.the-whole o secoegress Sie llalso-install as the requtred steps and-expense pm ass Thee s nothing to be - A artentf: � � s h tiiidhenewroofoyerthe to make itliappen afraid of r,ahe said All the H r p r gr. kY gh a,: :a zx;it' k+ts done5beforefthe awn i,,K,# acay.• and k._x tF i :mam'roomandhazdwood'floors r�The town:createthe Ac -paperwor 1 ,... r4.w. x.,, a ..; x 5 w ,aen� ,:,: ...,._x-x F ,•<. s rs o before:the hear �: ^ " r 800. � '" '.evenaddedamcedecorator cessory Affb dable'„Apartment rliomeowne g CONTINUED.FHOM PAGE A 1� (,' t Dnve2hathe dectdedto try,agam go oye $ f t_ , Hes y a�«>, r `:'r , 'The?latestr'a"artment vnth*all Its all freermoney IYs:not a `touch anarcnedwmdow.'mthe Pr'ogramtn2000 with;themam .ing officer -` p ` s' I think it`s a wonderful ro= e Then he lie an his lan for,,,newponstrochon will,cosf about business for meta Fitzgerald said bedroom which is at the front of objective to'use existing hous P ,. Sam•. g . ,.,. 6;in to- rovide safe,clean legal_'gram but you have to beantei, P Tr' i,;the 24-b =24-s uazefootigarage .$40;000 because'Fitzger`ald a 9 .Even though;,hercant docall �egazage %' �r:cy ,,.,g „P.„ , _ Y 4,..; _rW ,.,,:. r z^; . nstnrcff nb hunself,hey ra,Otherwtse^hesazdr'-Eromthe ::andtaffoidatile hou'sin 'while Vested Dabkowski saidCThe `of ad dormers oneacif-a to ':plumberbytrade;Ehashued,Pau1 the,co o Y i 4 r, F,,..e - ,..:,,, g Tam'also liel's'tke"towrc eforthea"art °Anderson Coristruchon,to do ,said; I do;the,dummywork z , people arenotgoingtorec�v,mamtatntng positive working .grog create enough:spac,. ,.r...p.. ,.:,; --r�: - `He ahead a has.a,tenant .,;_most,of_the.,work but he thinks Biit'.he has already.installed a .ogntze an apartment It,will have,.relanonshtps between the town 'meet the state affordable ho icing tment,_ y.. ,. ;,. ,.,- a a nev fiberglass.tub and the rough no'impact;;on the surrounding`.and property ownersIX-accord�-`quota of-10:,percent;foiftowns.' a thirtysomethmg professional its,worth it tS x pdt -- 4}a end* '^ ^': '` ' ' left iu'to'its missioa statement The ft Barnstable_was.at 6.63.percent ";'omen"who;is hvui in 'This will;payrfor everything f,Plumbmgforakttchenat ;neighbors�He deliberately f g r,..: a single,w w.;�,•�:,gt 4,n' M+S:.:..r rfr .,:. ;:>. 'Y" `' enr.s r the tie-- '10,ears .kie.+said t of the lazge;open living room ''dff;wmdows on thelslde.facuig ;pcogramwasamended�n2002to ':as}of Feb'6she said , i previous Amnesty apartm F fo tj Y r W-,ry. ,+ n 3 _ . --t ra t n `lie`will uisfall?a laundry; oom°`his"famil s'l a and totpronde"F?i`allow fornew accessory afford In addinonto the new$20,000 {Fitzgerald;had,such success referring tothe. malor reco Y,-. ;,.: 3 b "'owner- maxinium-loan,'tkiere is a$5,000. " t and ttie conveivted �strucaon on his'house He wont xon the first floor ,,tg., i privacy for.them as well,as lus j able housing units m an. grrth_histenan ,.;.,..., ;:..v ,i�K ,'.;.:`e'framework for:thewalls.,*•errant.KtkU .. *ci: t�1���`oc"cupied'dwelhng or:withm an --,'loan through'+thetCommumty -: arage:apartment,he built at his 'charge the program s allowable _MTh t,y _,.;,. - g..,;.• " '^'' ;" tit• andnewwindo`wsanda;dooraze .a i,s't St ra �'ezisang detached stnicttrreaon -Development Block Giant pro revious home„on Nottingham $1 200 a month rent and wo �,;.,a y : ..�„T�,,., a+ 'am:Fits amid did riot eft p I:::': P = q, J Sk „,:. a f t @1 t b y xS$ in,i t sUYtYm°{t? 'r i the property 9:': a gr F g ;.:.: 3 wa.i`k-tRt.`S -,,„;*'s v 1 .�•ls^.nr.ae: ;. ,ae, a _ a, - -w About,188t total:affordable f°$20 OOO loan;but he will get the" ikL 3k s x housing lmits have been°permit '$5 000 one=for the deck's second r� rt � a war =.rz3If�rka r fedb the.p;ogram,andi140aze _:egress Both loans carry zero i t U al ; centinterestandzeropercent J:.• ,: wr 3i _t;R"(D' ,G 5MI x 2 Comprehensive Permit fromthe ;paymentuntil the se of transfer R T M E NT �i t + Zoning Board of Appeals heating of the propetty or the loss of the t t`r4... x t•> ..,q �-j t ,�¢"' W. r '._�t"�y rn £,:.^'$;{�'"` -` (k :are s•<�officer.TliM6geralds'also had•--..apartment,Dabkowskt-;card t`i par {J j , i r _3 { yip gs Ito get approval for:the ti al t.Fitzgerald said despite the a+b "` z t, a f ::eta la demohhon and reconstructions ,grogram s.imany restrictions �•,y of the garage 4991,the;histoncal 'DabkoI ski has byeen`a rear y cominis'sion becase of the age -}ielp wouldn t have bothered ``Affordable rents, - ;of the House,t �:,r Jt Fr'withouther?,hesatd:bthertown 10'.ti'�°•• f �9, � a ;� ZBA Chairman Craig Larson;,--departments also get:involved,and'meome yfor l' ;�1rOR R '"t i who acts as,.the hearing office because the apartments have to i o. � as arapp$ f�� is for the apartment applications meet health and buffdmg code 4ahomeowners reported on the program to the ,iequuements P 4n n +s+ +a iw sY Ii town council recently. c said ':t 'Fttzgemld has,a"message for ao- ssr the ear-old $20000';per unit homeowners considerngthepro BYaSsoan Vaughn$ a♦p13t1 Z'i i'4,, a loan program using community gram They think they have to. svaug�in�barnstabl•epatnolcompiuf+,�, t ':a t reservation funds has been suc rent to a loin income or:problem Acessful `' "r tenant he`'sard before noting ill Fitz erald is such a bi fanx r 'It's worked outwell;'he said."I the higher:,income-limits and t of aBarnstable s Accessor + i "No has.been'denied So maximum`rents iThe allowable- tya Affordable Apartment orpm" eight ties 1Pro am thanheis;crea ac.k r 'ti, :",• r;,. •. fazet thomeownershavetaken incomes for rentersazebasedon t y the median for the B'' stable. n! ..<.... ,..�'.E,��w1t&'k' nw'43,. .,,s,.n ly.,'f+w,F�a r ; Sa';"`,`i anbh•T;x.:e, "tiara ti a: ,`#�..sUSAN VAU�HN PMOTO.� .i' '"t advantage of the new;loan�"s. ..r,3;�+ a,„, second one next to lus home ontP.mel�SURVEYINGTHEPROGRESS-BdlFnigereldshowstheaccessaryaflordableapertment Lazson commented;however.'.azea,staiting.at$44',950 or one.. i'Stree[m Centerville t 5k }?: hem hmlt above a detached era eon hrs'Prne,Street 'ro art m Centervdle Thrs g 8 8. P p Y, ;p 7 that be rs seeing a change m who d."person fo`__$64 000 foi:foui,and t1 i Its a great;progra I think the:�JFis the aecon`d apartmentFitzgarai&as created.throughj a townprogram intended is u ah"e'a artmeuts. We rc-Avm4ximum,rents are!from$.1,123 town•has done:a greattob on the ro y to increase effordahlehousmgtst"ogk� Dc s ;ti fi _' r ,,k`; '`.s:,Ig",. P dib to 1 365;for two ., aiii^ he cards°si p. M seeing the_reverse The pazents forza stu._ $ Mgr.•X' w M't andutg�n the midge+# m er. 'hext to Ste FranetsXavter+l 'But,Fiti erald' ' } have th'e money and the.kids are.,•,bedrooms of.the future one bedroomapa tment+l iP+°pie-ty, « i =:^f,; -:x teas,. ..,,B , ,3 s firs track last sum. a.t u,a. r `erald said'he:"' reaches + a y Cemeterywith an 1856 fixerupper�merXwas to dig;out a basement under coming back The lads are 50 . ' Fitzg P., .:,. under construchonoa the second,,, . ,.•. house a ye�az ago with the mtenaon�±�the house by.,hand 5-gallon.patlfuls at he said We cannon call them an Ilus program to others such as i - flooi•;•offnhisaragu Fitzgerald and* of creaHn'the a arEment inttb'.e'de't'z _. ,x,$,.'.`tr. a xp 'i - . his wife Julie'lion t;ahe'four acre°" w g r Psa r " ? m law apartment They remore -retired people who have extra'� � � 4t ,.';;tacked ope ca;gafage, l Ti n e,rk:{.°.,CONTINUED ON:PAGEA5,• of a famil a artrnent °s ace glyi'satwo,eargarageor: ar.• '-'i•.:....'a",,,','f..^ cn"fl::t.d,k„ hi.,.u.k,. yts''.,•nw.G'1";.12:'w' .2i: a�''�ktt s ,_,C J>v3r�Y. �: ;. + +?l" v; _. - e Ruth Weil a full basement Most important, l 'confirmed'that the town council he said the,'progiamprovides af' passed an-ordinance allowing 'fordable housmgforprofessnonal homeowner§to iv 'either the j speople who work in the town, �rroam house or the apartment such as teachers and firefighters irr AccessoryrAffordabl&,Housing Ifyputieateagoodproduct w a to d is tt e n d :Coordinator Cmdy ,Dabkowslo they ttila rt s a good deal "assists'thepioperty'owners wrtht?Fitzgerald, azd The,program.; G ':the enure>permitting;pocess bya�;helped hu,first tenantat tits other, i helping,detemunetheieligibility:_SL:house buyher own home {:assemblingapphcahon matenalsw!v Thais a he fsard to success. and coordinating staff'and ....coin ;,story �`mittee comments_She also helps.:; a •� a 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. I CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY uI NEUT NEUTRAL UL LISTING. cc NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE t OC ON CENTER UL—LISTED LOCATION PROVIDED BY THE SQ PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. "1 PV PHOTOVOLTAIC 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE _ �' C) SCH SCHEDULE BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PV1 COVER SHEET PV2 PROPERTY PLAN PV3 SITE PLAN PV4 STRUCTURAL VIEWS LICENSE GENERAL NOTES PV5 UPLIFT CALCULATIONS PV6 THREE LINE DIAGRAM GEN #168572 1. ALL WORK TO BE DONE TO THE 8TH EDITION X Cutsheets Attached ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Cambridge Electric Light) " CONFIDENTIAL OWNER: DESCRIPTION: DESIGN: CONTAINEDD SHALL NOT USED FOR THE AL — THE INFORMATION HEREIN JOB NUMBER: JB-026756 00 BROWN, MITCHELL BROWN RESIDENCE Drew Flerchinger \` ' BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �•,a NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 238A CRAIGVILLE BEACH RD 4.845 KW PV ARRAY ��,SolarCity. PART TO OTHERS OUTSIDE THE RECIPIENT'S MODULES: W HYANNISPORT MA 02672 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St Mortin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-255PA05.18 Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PACE NAME: SHEET: REV: DATE: PERMISSION OF SOLARCITY INC. INVERTER: T: (650)638-1028 F: (650) 638-1029 SOLA GE SE3800A—USOOOSNR2 (843) 252-4000 COVER SHEET PV 1 1/16/2015 (BM)-SOL—CITY(765-2489) www.solarcity.com 1 ' y � i PROPERTY PLAN N Scale:l" = 20'-0' W E 0 20' 40' S CONFIDENTIAL— THE INFORMATION HEREIN JOB NUMBER: PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE J B-0 2 6 7 5 6 0 0 BROWN, MITCHELL BROWN RESIDENCE Drew Flerchinger BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �.,�SolarCity. NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 238A CRAIGVILLE BEACH RD 4.845 KW PV. ARRAY �r PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES W HYANNISPORT MA 02672 - N WITH ORGANIZATION, EXCEPT I CONNECTION THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-255PA05.18 1 24 St Martin Drive, Building 2, Unit 11 Marlborou 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME SHEET: REV DATE T: (650)638-1028h F:A(650)638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE SE3800A—USOOOSNR2 (843) 252-4000 PROPERTY PLAN PV 2 1/16/2015 (888)—SOL—CITY(765-2489) •ww.solarcity.com PITCH: 40 ARRAY PITCH:40 MPl AZIMUTH: 172 ARRAY AZIMUTH: 172 MATERIAL:Comp Shingle STORY: 1 Story PITCH: 30 ARRAY PITCH:30 MP2 AZIMUTH: 172 ARRAY AZIMUTH: 172 MATERIAL: Comp Shingle STORY: 1 Story LEGEND MP1 (E) UTILITY METER & WARNING LABEL toy INVERTER W/ INTEGRATED DC DISCO AC & WARNING LABELS 0 Ji © DC DISCONNECT & WARNING LABELS B O A 0 O STAMPED & SIGNEDAC DISCONNECT & WARNING LABELS i I l FOR STRUCTURAL ONLY O DC JUNCTION/COMBINER BOX & LABELS - � M -�'1Rv 1 � � I D P � , � l � , l Q DISTRIBUTION PANEL & LABELS B JASON WIL IAM LG� LOAD CENTER & WARNING LABELS t� TO( AN VIM O 0 DEDICATED PV SYSTEM METER e STRUCTURAL M No'51554 Q STANDOFF LOCATIONS � '� CONDUIT RUN ON�EXTERIOR Front Of House a'°F ✓ST - ��'�' --- CONDUIT RUN ON INTERIOR '�SIp,NAL1~ta — GATE/FENCE Digitally i n Toman O HEAT PRODUCING VENTS ARE RED Date:2015.01.20 08:24:08-07'00' 1, 'I INTERIOR EQUIPMENT IS DASHED L J SITE PLAN N Scale: 1/8" = 1' IN E 0 1' 8' 16' J B-0 n 6 7 C 6 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: L J \\�,�SolarCity. CONTAINED SHALL NOT BE USED FOR THE BROWN, MITCHELL BROWN RESIDENCE Drew Flerchinger ft_ ; BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: IP NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 238A CRAIGVILLE BEACH RD 4.845 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES: W H YA N N I S P OR T M A 02672 - ORGANIZATION, EXCEPT IN CONNECTION WITH , 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-255PAO5.18 SII�: REV: DATE: Marlborough,MA 01752 SOLARCITY EQUIPMENT, NATHOUT THE WRITTEN INVERTER: PAGE NAME T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE380OA—USOOOSNR2 (843) 252-4000 SITE PLAN PV 3 1/16/2015 (888)-SOL-CITY(765-2489) www.solarcity.com S1 - si (E) LBW SIDE VIEW OF MP2 NTS 12'-2" B (E) LBW MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES _ A SIDE VIEW OF MP1 NTS LANDSCAPE .72" 24" STAGGERED MP1 I X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES PORTRAIT 48" 1 9" LANDSCAPE 64" 24" STAGGERED ROOF AZI 172 PITCH 30 PORTRAIT 48" . 191, RAFTER 3"x3" @ 24" OC ARRAY AZI 172 PITCH 30 STORIES: 1 RAFTER 2x6 @ 16"OC ROOF AZI 172 PITCH 40 STORIES: 1 C.j. 2"X6" @24" OC ARRAY AZI 172 PITCH 40 Comp Shingle C.J. 2x6 @16"OC Comp Shingle PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER, MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT STAMPED & SIGNED ZEP ARRAY SKIRT (6) HOLE. FOR STRUCTURAL ONLY (4) 62) PO POLYURETHANE SEALANT. PILOT HOLE WITH ZEP COMP MOUNT C -- -- �? A ZEP FLASHING C WR (3) (3) INSERT FLASHING. �� JASON WIL [AM (E) COMP. SHINGLE (4) PLACE MOUNT. TOMAN ll (1) ® STRUCTURAL --4' (E) ROOF DECKING (2) (5)1 N©•31564 INSTALL LAG.BOLT WITH -o .p �lST>K�' ®� 5/16" DIA STAINLESS (5) SEALING WASHER. �a� ' STEEL LAG BOLT LOWEST MODULE SUBSEQUENT MODULES INSTALL LEVELING FOOT WITH �*�S1pNAL � WITH SEALING WASHER 06) BOLT & WASHERS. g 2-1 2 EMBED MIN Digitally s n Toman ( °/ ) Date:2015.01.20 08:24:19-07'00' (E) RAFTER STANDOFF T n N DO F S♦ J 1 /11 V Scale:: 1 1/2" = 1' CONFIDENTIAL - THE INFORMATION HEREIN PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE JOBNUMBER: J B—0 2 6 7 5 6 00 BROWN, MITCHELL BROWN RESIDENCE Drew Flerchinger SolarCity. BENEFIT OF ANYONE EXCEPT SOLARGIY INC., MOUNTING SYSTEM: � NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount T .,,e C 238A CRAIGVILLE BEACH RD 4.845 KW PV ARRAY ��� m PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE W H YA N N I SP O R T M A 026 72 ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-255PA05.18 Malborou 24 St.Martin Drive gh,MA Building 2 unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITITIJ INVERTER PAGE NAME SHEET: REV: DATE T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. SOLAREDGE # SE380OA-USOOOSNR2 (843) 252-4000 STRUCTURAL VIEWS PV 4 1/16/2015 (888)—SOL—CITY(765-2489) www.solarcity.com UPLIFT CALCULATIONS SEE SEPARATE PACKET FOR STRUCTURAL CALCULATIONS. J B-026756 00 PREMISE OWNER: DESCRIP110N: DESIGN: CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: `\�,�SolarCity. CONTAINED SHALL NOT BE USED FOR THE BROWN, MITCHELL BROWN RESIDENCE Drew Flerchinger BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: ��� NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 238A CRAIGVILLE BEACH RD 4.845 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULE W H YA N N I S P O R T M A 02672 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-255PA05.18 PAGE NAME: SHEET: REV: DATE: Marlborough, MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRIIIEN INVERTER: T. (650)638-1028 F. (650)638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE # SE380OA—USOOOSNR2 (843) 252-4000 UPLIFT CALCULATIONS PV 5 1/16/2015 (888)-SOL-CITY(765-2489) www.solarcity.com I GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE # SE3800A-US000SNR2 LABEL: A -(19)TRINA SOLAR ## TSM-255PA05.18 GEN #168572 RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:42127202 Inverter; 38QOW, 240V, 97.5%; w/Unifed Disco.and ZB,RGM,AFCI PV Module; 255W, 232.2W PTC, 40MM, Black Frame, MC4, ZEP Enabled ELEC 1136 MR Underground Service Entrance INV 2 Voc: 37.7 Vpmax: 30.5 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 125A MAIN SERVICE PANEL E; 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 (E) WIRING CUTLER-HAMMER 10OA/2P Disconnect 3 SOLAREDGE SE380OA-USOOOSNR2 (E) LOADS 13 Lt z vj SolarCity ~ N 2 A 1 _ _ 2OA/2P ____ GND EGC/ DC+ DC+ A ------------------------------------- - GEC ---TN DC- DC- MP1,MP2: 1x19 6 I GND __ EGC--------------------------- EGC J I N I EGGGEC z I I I I , I - GEC TO 120/240V SINGLE PHASE I I UTILITY SERVICE I I I i I I . I I I i PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP Ol (I)SIEMENS#022Q PV BACKFEED BREAKER 6 (1)CUTLER-HAMMER g DC221URB /� A (I SolarCit. p 4 STRING JUNCTION BOX D Breaker,_20A 2P, 2 Spaces Disconnect; 30A, 24OVac, Non-Fusible, NEMA 3R /y 2x2 STRMGS, UNFUSED, GROUNDED -(2)Ground Rod; 5/8' x 8', Copper -(I)CUILER-�IAMMER H DG030NB Ground//NNeutral It; 30A, General Duty(DG) PV (19)SOLAREDGE 300-2NA4AZS PowerBox Optimizer, 30OW, H4, OC to DC, ZEP nd (1)AWG#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 1 AWG #10, THWN-2, Black �(1)AWG #10, THWN-2, Black Voc* =500 VDC Isc =15 ADC (2)AWG #10, PV WIRE, Black Voc* =500 VDC Isc =15 ADC O LPL (1)AWG #10, THWN-2, Red O IsaF(1)AWG #10, THWN-2, Red Vmp =350 VDC Imp=13.66 ADC O � (1)AWG #6,Solid Bare Copper EGC Vmp =350 VDC Imp=13.66 ADC I��LLL(1)AWG #10,THWN-2, White NEUTRAL Vmp =240 VAC Imp=15.83 AAC ALL(1)AWC 1.0, TfiWN-2,.Green. . EGG. . . .-(1)Conduit.Kit;.3/4'.EMT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. .70 AWG #8,.THWN72,.Green . . EGC/GEC.-(1)Conduit_Kit;.3/47.EMT. . . . . . . . . CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-0 2 6 7 5 6 0 0 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE BROWN, MITCHELL BROWN RESIDENCE Drew Flerchinger BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM:NOR ..� ,,SO�arClty NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 238A CRAIGVILLE BEACH RD 4.845 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENT'S MooutEs W HYANNISPORT MA 02672 ORGANIZATION, EXCEPT IN CONNECTION WITH 24 St. Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (19) TRINA SOLAR # TSM-255PA05.18 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET REV: DATE Marlborough,MA 01752 INVERTER: T: (650)638-1028 F. (650)638-1029 PERMISSION of SOLARCITY INC. SOLAREDGE # SE380OA-USOOOSNR2 7 (843) 252-4000 THREE LINE DIAGRAM PV 6 1/16/2015 (866)-SOL-CITY(765-2489) www.SdarcRycom ••t o o e • •o - o Label Location: Label Location: Label Location: (C)(CB) o (AC)(POI) o (�(J� (DC) (INV) Per Code: _ Per Code: _ "''V _ Per Code: NEC 690.31.G.3 0o 0 0 0 - • NEC 690.17.E ° o ° ° °_ n0• ° NEC 690.35(F) Label Location: 0 :0 ° - o o o TO BE USED WHEN O O C (DC) (INV) °'° ° ° :o ° e • ° INVERTER IS o- mow° UNGROUNDED p Per Code: NEC 690.14.C.2 Label Location: Label Location: o f.VYn7 (POI) (DC) (INV) Per Code: Per Code: a °- NEC 690.64.B.7 0 0 -° NEC 690.53 -e a � • e o- Label Location: - o 0 0 -o � (POI) Label Location: ° ° Per Code: (DC) (CB) -° °o 0 o ° NEC 690.17.4; NEC 690.54 _ Per Code: • ° ° NEC 690.17(4) o- e•o Or- �u�ulG`�3 Q o• o° e- -o ° oEZEUMM d Label Location: o ItiWi3 (DC) (INV) Label Location: Per Code: �rny1� (D) (POI) • -0 ° ° ® • °• ° NEC 690.5(C) ��!V I Per Code: NEC 690.64.B.4 Label Location: Label Location: . p (POI) (AC) (POI) ° -o - e - Per Code: (AC):AC Disconnect Per Code: eo ° .o -o NEC 690.64.B.4 (C): Conduit D O 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 (AC) (POI) (LC): Load Center °' ► �1�ll Per Code: o (M): Utility Meter n NEC 690.54 (POI): Point of Interconnection CONFIDENTIAL- THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR ����r�j ®�®0® THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED �- SDQM�A IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, SC Label Set solalcit o ®o�m EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. 1�'4^SolarClty ZepSolar Next-Level PV Mounting Technology 'rr,SOlarCity ZepSolar Next-Level PV Mounting Technology Zep System Components for composition shingle roofs r s ..Up-roof Ground Zep Intertock�'.(Key side shown) f_ Leveling Foot 1 . Zep Compatible PV Module yO .,-• ZeD Orowe - j Root Attachment Array Skirt GOMP4T/ rOe�� Description W PV mounting solution for composition shingle roofs ��COMPPA�� Works with all Zep Compatible Modules • Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules •U` LISTED Auto bonding UL-listed hardware creates structual and electrical bond Comp Mount Interlock Leveling Foot O 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 tt• �I I • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 �. • Wind tunnel report to ASCE 7-05 and 7-10 standards • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 Zep System bonding products are UL listed to UL 2703 Engineered for spans up to 72"and cantilevers up to 24" • Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-0113, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com Listed to UL 2703 This document does not create any express warranty by Zep Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for" This document does not create any express warranty by Zep Solar or about its products or services.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 THE Vinamount MODULE TSM-PA05.18 Mono Multi Solutions ' DIMENSIONS OF PV MODULE ELECTRICAL DATA®STC unit:mm Peak Power Watts-P.-(Wp) 1 245 } 250 255 260 O - 941 Power Output Tolerance-Penns I%) 0-+3 I o � Maximum Power Voltage-VmP(V) � 29.9 j 30.3 � 30.5 : 30.6 IDNRWN o Maximum Power Current-ImPP(A) 8.20 8.27 8.37 8.50 THE �pona mount I "nMEPL"TE o Open Circuit Voltage-Voc(V) f 37.8 38A i 38.1 t 38.2 1 f�.niiiNGNOLE Short Circuit Current-Isc(A) 8.75 8.79 8.88 9.00 Module Efficiency qm(%) 15.0 15.3 ( 15.6 I 15.9 MODULE STC:Irradiance IOoow/m',Cell Temperature 250C,Air Mass AM1.5 according to EN 60904-3. Typical efficiency reduction of 4.5%at 200 W/m'according to EN 60904-I. 0 .a O ELECTRICAL DATA®NOCT ® n n I Maximum Power-Pm".(W p) 182 186 F 190 i 193 III�'II� Maximum Power Voltage-VmP IV) 27.6 28.0 28.1 28.3 MUITICRYSTALLINE MODULE GNODNDWGNDLE Maximum Power Current-h,PP(A) 6.59 6.65 6.74 6.84 WITH TRINAMOUNT FRAME __ A- -" Open Circuit Voltage(V)-Vo<IV) 35.1 35.2 35.3 35.4 , Short Circuit Current(A)-Isc(A) 7.07 �, 7.10 7.17 7.27 NOCT:Irradiance at 800 W/m',Ambient Temperature 20°C,Wind Speed I m/s. PA05.18 ate 18o //�4 //�60\�/��/ Back View MECHANICAL DATA C� Q� V V stalline 156 x 156 mm(6 inches) Solar cells Multicr POWER OUTPUT RANGE y 4 11 I Cell orientation 60 cells(6•10) r 1 Fast and simple to install through drop in mounting solution Module dimensions i 1650 x 992 x 40 mm(64.95-39.05 x 1.57 inches) t Weight 21.3 kg(47.0 Ibs) �."��, Glass 3.2 mm(0.13 inches),High Transmission,AR Coated Tempered Glass , 15.97 MAXIMUM EFFICIENCY r Backsheet White A-A Frame Black Anodized Aluminium Alloy +(� ` Good aesthetics for residential applications 'J-Box IF 65 or IP 67 rated , ///���L���...��y// I-V CURVES OF PV MODULE 245W Cables Photovoltaic Technology cable 4.0 men'(0.006 inches'), ®IIV+3� •�,�-�� ( t i 1200 mm(47.2 inches) O - tg- Connector H4Amphenol i POWER OUTPUT GUARANTEE 9- locow/m' Fire type UL 1703 Type 2for Solar City e° Highly reliable due to stringent quality control a b- BOO 822W/m' W/m _ Over 30 in-house tests(UV,TC,HF,and many more) s° As a leading global manufacturer s xl • In-house testing goes well beyond certification requirements 5 4" eoWim' TEMPERATURE RATINGS MAXIMUM RATINGS of next generation photovoltaic \ i am - • PID resistant 20OW/m' _ Nominal Operating Cell Operational Temperature 40-+g5°C products,we believe close v �� Temperature(NOCT) j 44°C(±2°C) cooperation with our partners Maximum System 600V DC(UL) o.. Temperature Coefficient of Pm"x -0.41%/°C- Voltage is critical to success. With local a.W to.00 20.- 30.°' 40.W presence around the globe,Trina is voltage(v) Temperature Coefficient of Voc i -0.32%/°C Max Series Fuse Rating 15A able to provide exceptional service h n Temperature Coefficient of Isc 0.05%/°C f to each customer in each market Certified to withstand challenging environmental _. J and supplement our innovative, Conditions reliable products with the backing \\\\ • 2400 Pa wind load Of Trina as a strong,bankable WARRANTY • 5400 Pa snow load partner. We are committed 10 year Product Workmanship Warranty to building strategic,mutually beneficial collaboration with 25 year Linear Power warranty installers,developers,distributors (Please refer to product warranty for details) and other partners as the _ _ l backbone of our shared success in ' - - - y - CERTIFICATION o driving Smart Energy Together. LINEAR PERFORMANCE WARRANTY PACKAGING CONFIGURATION o a t UL us c Sus Modules per box:26 pieces w 10 Year Product Warranty•25 Year Linear Power Warranty UsrEu Trina Solar Limited -- r E www.trinasolar.com M } Modules per 40;container:728 pieces Add!/loaaj vol P E S EE a90% IE value tram Tfj11p SOIar'S lfnegj Wa„anty '"Nr CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. QS�Po�o�solar _ �P���SOIarc hange wit Solar Limited.All rights reserved Specifications included in this datasheel are sublecl to NaLj gp% change wilhoul notice. Smart Energy Together Smart Energy Together oYears 5 la I5 20 25 �a x _ - l3 Trfna standard -� Indu,nystanda , , solar,=oe solar=ooSolarEdge Power Optimizer Module Add-On for North America P300 / P350 / P400 SolarEd a Power 0 timizer 9 p - -- Module Add-On For North America —]---modules)( P300 ( P35D) ( P4Ule) for 60•cell PV for 72-cell PV for 96-tell PV modules modules INPUT P300 / P350 / P400 ® - _ - Rated Input DC Power10 300 ...........350......................400.......... W Absolute Maximum Input Voltage(Voc at lowest temperature) 48 60 80 Vdc MPPTOperatirg Range temperature) .......8..4s....... ........$..fi0........ ..8-80....... Vdc ..... .. ....................... ... .. ..... ... ....... ........... ..... .. 2d"jiw zL Maximum Short Grcu t Current(Isc) ................ ....................... ..... 10. ....... ..................... ...Adc ... Maximum DC Input Current ...I......................... 1.2.5 ........................................Adc .. 4ti ... .... .... ....... .... • ry ° 1 +v: tc' atws. * s..: Maximum Efficiency ..................................... ... ........ ..... .......99-5'..... .. ..... 9" .....axim.................... xp a Weighted Efficency. 98 8 % ... ... -. .. ..... ............ .................................... ........ .. Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) MawmumOutput Curren[ 15 sht Adc*+' 4 d * .. O "* ...................................................................... .. .. ...... ............. ........ ................... .. .. Maximum Output Voltage 60 Vdc - ;., OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE _ „.;„ C .. .. Yes ..... Safe y EC6 (class safety), ... . ... . .. . ..... ROHS INSTALLATION SPECIFICATIONS Maximum Allowed 5ys[en.Voltage......... .... ................. .. . 1000 ...Vd ter. ....... .. ... ..... ... Dimensions(W xLz H) 141x212x40.5/5 SSx834x159 mm/in l..,w „ Weight(including cables) ...................................... ........950/2.1 ............................ Br/lb.. ,y w put Connector MC4/Amphenol/Tyco Output Wire Type .... .. ............ ...... ... .... .... .. ............ .. - p yp Connector Double Insulated;Amphenol 0.95/3.0 1.2/3.9 m/ft......... ........................ ........ ...... ..I.............. �*°. `S°` �.vp• ns' .zP ° n'T-.. Operating Temperature Range ... .... ...... .............40.+85/40:+185 ..................... ..0/.F.. t, h4r a e a Gi m s 4 a .. ...................... .. .. .... IP65/NEMA4 ............................ .. .. YknY tx"'44 Relative Humidity......................... 0 100 ..%.. z 9.tk«a stt p.ronn�moe�:Mmueof�prosw poV.e.we,a aow•e. . ... .... .. .. .... ... ... ...... ................................... ..... PV SYSTEM DESIGN USING A SOLAREDGE THREE PHASE THREE PHASE INVERTER SINGLE PHASE 208V 480V PV F/OWer optimization at the module-level - Minimum String Len.gth.(Power Optimizers) 8 10 18 Up to 25%more energy Maximum String Length(Power Optimizers) 25 25 50 I ............................................................................................_.........._. ........................... ........................_. -............ Maximum Power,per String 5250 6000 12750 W - Superior efficiency(99.5%) ................... .........._._......._...._..................................................._. ........................... ...............,........... .....__.... Parallel Strings of Different Lengths or Orientations Yes - Mitigates all types of module mismatch losses;from manufacturing tolerance to partial shading ' ".'....""""""""" "-"'."""""""""""" """""""..... """""" - Flexible system design for maximum space utilization _ - Fast installation with a single bolt "'�' - _ `- "-`- "`- .» • -""'"" '"�""'`� -'""��"` _ m`�9 - Next generation maintenance with module-level monitoring - Module-level voltage shutdown for installer and firefighter safety •-- -- - - -- - "- ----- -- - _ _ _. _. - .._. -' _._ �_ .. - _ 5,+�e��� �l}IGSS� �'eawre a�.4v+.. t_�a �to .°+sue ��wok - �. USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us w *a s o I a�'' e 0Wo - Single Phase Inverters for North America so I a r e 0 p SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ Q SE760OA-US/SE1000OA-US/SE1140OA-US t k ` y�•>`:: SE3000A-US SE3800A-US SESOOOA-US SE6000A-US SE7600A-US SE10000A-US SE31400A-US OUTPUT - SolarEdge Single Phase Inverters 9980@208V rt' r- .- - Nominal AC Power Output 3000 3800 5000 6000 7600 11400 VA • ` ® = .s 10000 @240V y '� Max.AC Power Output 3300 4150 5400 208V 6000 8350 10800 208V 12000 VA For North America - • �`>. �4: .......................................... .. ... ..... .. ...... .... ... .5450@240V ... 10950@240V...... r �' AC Output Voltage Min.Nom:Max.* ✓ .. .... .... ..... ....... ....✓ ........... ......... SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ 183-tog-229Vac +`, r AC Output Voltage Mm:Nom.Max.* SE760OA-US/SE1000OA-US/SE1140OA-US r , 211.240-264Vac .. _ r •+, tt � ,; AC Frequency Min.Nom.Max.* 59.3 60 60.5(with HI country setting 57-60-60.5) Hz 25 Max.Continuous Output Current..... .....1.......... ........6...... ...2 @-240V..(... ........ ..I......3........I...48 @.240V .................. A x� ,r .................... ............................................................1............................................................. ..A..... Utility Monitoring,Islanding Protection,Country Configurable Yes Thresholds 5. �•F� INPUT ,feats Recommended Max.DC Power** aO�N -� (STC) 3750 4750 6250 7500 9500 1240014250 W Watt , ., .... ..... .. .... .. ......... ..... .......... ............... .............. . ............ ... .. 11 ""'°" .atzaha� <:: Transformer less,Ungrounded ... ................. ... .... ......... Yes .................... .. ................ .............. .. . ... .... .. .. ... .... .. ...... . " Max.Input Voltage Soo Vdc - .. .... .. ... ......... ............... .... ............ .. ...... .. .. ....... ................. .... .... .... ......... .... ... �'.„ ,,,,•a_ �, Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc .... .. . . . . ..... .. . .... ........ ....... @ 208V.. ....... .. ...... .... ...33 @ 208V.. ......... .... .. ..... Max.Input Current*** 9 5 L.....13...... .......@ 2. V. ............ ... ... .23.... .. ..I. ....34.5 Adc 15.5@240V 305@•240V ••. ••. . .. ...•,• .- -- -. .. ...... .. Circuit...r.... .. ............... :.............................. ................... ........ .. _ - '• i cr >k•. Max.Input Short Circwt Curren[ 30 45 Adc Reverse-Polarity Protection Yes _ .! .............. .... ......... ......................................................... ... .... ... ... .. ... Fault Isolation Detection 600kn Sensitivity .......................................... ................. ............... ....... ......... .. .. .. .. Maximum Inverter Efficiency.......... .....97.7. .,..98,2..... 98.3 -•98.3• - 98 9898 ...%.. - ................................ .................�................ ..... ).k t ..... 97.5 @ 208V I ......... I...97 @ 208V...I ......7.. ... ......... , - CEC Weighted Efficiency 97.5 98 97 5 97.5 97.5 % ter`. - 98 @ 240V 97.5 @ 240V Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES i "' f Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) .......................................... .......................................................................................................................... ........... .,, Revenue Grade Data,ANSI C12.1 Optional STANDARD COMPLIANCE f Safety.................................. ....•.......•...........................UL1741,UL16998,.UL1998;CSA 22.2 - Grid Connection Standards IEEE1547 1 v ..................................... ............. ..................... ... .......... ...pa . ... ......... .. .... ... ...................... .... .... .. ......... Emissions FCC art15 class B (f INSTALLATION SPECIFICATIONS t x t t.' AC output•conduit size/AWG range 3/4"minimum/24 6 AWG 3/4"minimum/8-3 AWG - �•v- w �;. .. .I...........I..... ... .... ... ... ......... ........................................ ............. ........ DC input conduit size/#of strings/ "�+.,--^�•� *4� i. 3/4"minimum/1 2 strings/24-6 AWG 3/4"minimum/1 2 strings/14 6 AWG ` AWG range. ................ ... ... ...... .... ...... ... .................................................. ........... - - _ • Dimensions with AC/DC Safety 30.5 x 12.5 x 7/ 30.5 x 12.5 x 7.5/ in/ Switch(HxWxD) 775 x 315 x 172 775 x 315 x 191 30.5 x x x x mm .................... .. ..... .... ... ..... .... . . .. .... ....... ................. .10 5/775 ................. ..... Weight with AC/DC Safety Switch 51.2/23.2 54.7/24.7 5 88.4/40.1 3 5 Cooling Natural Convection Fans(user replaceable) .......................................... ................................................................... ...................................................... ........... The best choice for SolarEd a enabled systems Noise <2s <so dBA .......................................... ................................................................... ...................................................... ........... Y Min.Max.Operating Temperature -13 to+140/-25 to+60(CAN version****-40 to+60) -F/-C Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance ..Range........ ......................................................... .. .............. ........ ................ ...... ..... ........... - Superior efficiency(98%) Protec Rting ..........tion......a.......................... ................................................. N.E.M.A 3 :.For other regionalsettin leasecontact SolarEd - - - - - ----- --- --- - -- - - -setting,p ge support. " Small,lightweight and easy to Install on provided bracket Limitedto 125%for locations where the yearly average high temperature is above 77'F/25•Candto 135%for locations where it is below77'F/25'C. For detailed information,refer to Built-in module-level monitoring A higher current source maybe used;the inverter will limit its input current to the values stated. •-CAN P/Ns are eligible for the Ontario FIT and micmFIT(ir lT exc.SE11400A-US-CAN). Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled AC/DC Safety Switch for faster installation Optional-revenue grade data,ANSI C12 1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.sola redge.us L