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V
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, M_ . 02664
508-398-2231 ext. 1261 Fax 508-398-0836.
FINAL AFFIDAVIT FOR SOLAR INSTALLATION
I 5t?irm A. Ail Lic. # CS-44106 Z Z.
Property Address
844#-22-41‘cyo
Building Permit #
,SGDE 22- 1)464iL /i /a22 �Ck.).
Electrical Permit # Date Electrical Permit Finalized
Have installed the permitted solar system according to the manufactures
specifications and the Mass. State Building Code.
I do certify under pains and penalties of perjury that the information
provided is true and correct.
sire/4 ta7.
Permit holder sign he '
Final Construction Control Document
�T j To be submitted at completion of construction by a
t& \, , Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: 223R-086DAWK Date: 8/15/2022 Permit No:
Property Address: 86 Eileen St,Yarmouth, MA, 02675
Project: Check(x)one or both as applicable: New construction X Existing Construction
Project description: PV Solar System installation
I, Jason Brown MA Registration Number: 55030, Expiration date: 6/30/2024 am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans, computation and
specifications concerning:
Architectural X Structural Mechanical
Fire Protection Electrical Other: Describe
for the aboved named project, I, or my designee, have performed the necessary professional services and
was present at the construction site on a regular and periodic basis.To the best of my knowledge, information,
and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents
approved as part of the building permit and that I or my designee:
1. Have reviewed, for conformance to this code and the design concept, shop drawings,
samples and other submittals by the contractor in accordance with the requirements of the
construction documents.
2.Have performed the duties for registered design professionals in780 CMR Chapter 17, as
applicable.
3.Have been present at intervals appropriate to the st-, ,r00- "-L- tion to become
generally familiar with the progress and quality of th. o olgI ine if the work was
performed in a manner consistent with the constr A An' cumen 0 .*is code.
cS` JASON E
Nothing in this document relieves the contractor of its responsibilit i rdiryIrttgovi .•f 780 CMR 107.
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';I:), STCTIJRM F
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Enter in the space to the right a"wet'or ,<i~ a
electronic signature and seal: 0/'F Gt55[ c={ '
Digitally Signed:08/15/22
Phone number: (303)942-2514 Email:jason.brown@sunrun.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 01 01 2019