No preview available
HomeMy WebLinkAbout22-A090 21 Perch Pond WayRECEIVEW' .Y G TOWN OF YARMOUTH i 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 JUL 0 8 Z02i � Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 YAFGLD.KINO'S HIGHWAY HISTORIC DISTRICT COMMITTEE ONG'S HIGHWAY I APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That AD I : Indicate type of Building: Commercial ✓ Residential 1) Exterior Buildin Construction: New Building II Addition iterations Reroof IIGarage Oshed �✓ Solar Panels Other: 2) Exterior Painting: IISiding Shutters n Doors []Trim IIOther: 3) Signs/Billboards: II New Si n Change to Existing Sign 4) Miscellaneous Structures: Fence Wail IIFlagpole IIPool IIOther: Please type or print legibly: Address of proposed work: 21 Perch Pond Way, Yarmouth Port Map/Lot #� I 4 iw Owner(s): Peter Q. Smith & Judith Price Smith Phone #:608-280-7530 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: PO Box 354 Yarmouth Port, MA 02675 Email: peter.smith5@comcast.net Agent/contractor: My Generation Energy Year built: 1990 Preferred notification method: �_ Phone Email Phone #: 508-694-6884 Mailing Address: 100 Independence Drive, Suite 10, Hyannis MA 02601 Email: jessica@mygenerationenergy.com Preferred notification method: Phone Email Description of Proposed Work: Roof mounted installation of 18 Solaria 400w black solar panels with 7.200kW (DC STC) rated capacity Signed (Owner or agent): Date: 7/5/2022 > Ownerlcontractorlagent is aware that a permit is required from the Building Department. (Check other departments, also.) ➢ If application is approved, approval is subject to a 10 -day appeal period required by the Act. This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later. All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections. Rcvd Date: 7 �r1�� Amount 1 CashICK#: 114 kef� Rcvd by: T,3" 45 pays: Date Signed: Approved Approved with Modifications Denied Reason for Denial: Signed: APPLICATION #: �! f1y y GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: Pitch (7112 min) Height to Ridge SIDING: Material/Style: Front: Sides/Rear: Color: Front: Sides/Rear: TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one.) Material: Color: Color: COLOR CHIPS DOORS: Qty; Material: Calor: �EIVSLR_E tyle/Size (if not listed/shown on elevations): EL) STORM DOORS: Qty: Material: Color: 0 S 2022 GARAGE DOORS: Qty: Mat'I: Style: Color: � 0UC'Hlnrn, WINDOWS: Qt/side:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Grilles (Requipd : Pattern (616, 211, etc.) Grille Type: True Divided Lite: Snap -In: I� Between Glass:1= Permanently Applied: =Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: MatT Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'l: Color: Railing Mat'l: Style: Color: WALLSIFENCES* (Max 6' height): Height: Mat'l: Style: Color: (Show running footage & location on plot plan.) "Finished side of fence must face out from fenced in area. UTILITY METERSIHVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: See attached Spec sheet for solar panels 2 -General �-&1 V1 APPLICATION #: TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Peter & Judith Smith Property Address/Location: 21 Perch Pond Way, Yarmouth Port Hearing Date: Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list. Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's Highway Department page on the Town website: www.varrnouth.ma.us Map Number Lot Number Applicant Information Abutter Information: RECEIVED JUL © 8 2022 YARMOd'I h 114 119 114 118 114 120 114 130 114 128 Application #: l��,ADc70 8.2018 3 ECEIVED JUL 0 S 2022 YAF3MO H C'Y ru � y C t R 0 ar s2 F }a UIz o. b � ❑ q X b � A ECEIVED JUL 0 S 2022 YAF3MO H C'Y ru � y C t R LO Ill. - CD _CD N O Q O CL 2 O 2 ry Q z 0 IL U W m N a I MYGENER-01 CWOODSII ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMroDIYYYY) 1/28/2022 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 holders an ADDITIONAL INSUREY, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subjcyto the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rightsto ilte certificate holder in lieu -of such endorsement(s). PRODUCER License # 1780862 CONTACT Jim Czura HUB International New England JUL ($ [U22 PHONE Fax 600 Longwater Drive (A/C, No, Ext): (Arc, No): Norwell, MA 02061-9146 YAKMOU'I_I-� diWkss: jim.czura@hubinternational.com INSURED My Generation Energy, Inc, and Luminous Solar, LLC 100 Independence Dr, Suite 10 Hyannis, MA 02601 B: INSURER F: CnVFRAr:FR CFRTIFICATF Id1111RRFR• RFVICIAbI NIIIIRRFR- 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 ITR TYPE OF INSURANCE IMMAODL WVDSUER POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LmaILITY CLAIMS -MADE X OCCUR X X CSU0181866 1/2112022 1/2112023 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED 700,00 PREMISES Ea occurrence $ MED EXP one-person). $'00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1XI JmT 1-1 LOC GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG E 2,000,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ BODILY INJURY Perperson) $ ANY AUTO -.i OWNED SCHEDULED AUTEOS ONLY AUTOS SSyy _ BODILY INJURY Per acadent y Ep AUTOS ONLY Al1TOS ONNLY PPeOr adenlDAMAGE $ $ A UMBRELLA UAB X OCCUR EACH OCCURRENCE S 2,000,00 AGGREGATE y 2,000,00 X EXCESS L.IAB CLAIMS -MADE CSU0181868 1/21/2022 1121/2023 DEC) X RETENTION# WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNERIEXECUTIVE ❑ CFFICERIMEMBER EXCLUDED' (Mandatory in NH) N 1 A STATUTE ETH E.L. EACH ACCIDENT 3 E.L. DISEASE - EA EMPLOYE $ ii yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT j DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule may be attached it more space is required) Certificate holder is Included as additional insured with respect to the general lia(tility, when required by written contract. Blanket waiver of subrogation in favor of additional Insured with respect to the general liability, when requ[red by written contract. Town of Yarmouth 1146 MA -28 South Yarmouth, MA 02664 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE N -M ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts RF���►D Department of IndustrialAccidents C _ Office oflnvestigations JUS Q $ �Q2z ' Lafayette City Center 2Avenue de Lafayette, Boston, M4 02111-1750 YARMOU-1T _; www.massgov/dia OLD KING S HIGHUVAY Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiori4ndividual): My Generation Energy 100 Independence Dr, Suite 10 City/State/Zip: Hyannis, MA 02601 Phone #: 508-694-6884 Are you an employer? Check the appropriate box: Type of project (required): 1. ■❑ I am a employer with 12 4. ❑ 1 am a general contractor and 1 6. ❑ New construction 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 ship and have no employees These sub -contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' g• ❑Building addition [No workers' comp. insurance required.] comp. insurance.x 5. ❑ We are a corporation and its IO.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.0 Other solar panels employees. [No workers' comp. insurance required.] 'Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. I 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: Hub International New England LLC Policy # or Self -ins. Lie. #: WC2315605824031 Expiration Date: 12/11/22 Job Site Address: \ e1 -ch 2boA,� V bq City/State/Zip: 'IG'( m Wl h Po(j M Attach a copy of the workers' compensationpolicy eclaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL o, 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA, for insurance coverage verification. I do hereby certify under the pa��in��s//andpenalties of perjury that the information provid�eed, above is true and correct, Siggature: 4 Wa4 Date: ni,--e u. 508-694-6684 Oficial use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License # Issuing Authority (check one): I❑Board of Health 20 Building Department 3❑City/Town Clerk 4.11 Electrical Inspector 50plumbing Inspector 6.❑Other Contact Phone #: �9,Nqo Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration MY GENERATION ENERGY, INC. 100 INDEPENDENCE DR SUITE 10 HYANNIS, MA 02601 Office of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE: Corporation Reoistration Expiration 163006 05103/2023 MY GENERATION ENERGY, INC. ANDREW WADE 100 INDEPENDENCE DR SUITE 10 Undersecretary HYANNIS, MA 02601 Rrmc 1� - jut ® 8 2022 YAHMO.U.i t; Type: Corporation Registration: 163006 Expiration: 05/0312023 Update Address and Return Card. Registration valid for individual use only before the expiration date. If found return to; Office of Consumer Affairs and Bu iness Regulation 1000 Washington Street -Suite 0 Boston, MA 02119 Not valid'withorifsignature 2?_P`D10 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Const,�ion Srvisor CS -116232 _4 CHRISTOPHER J NASHVILLE 485 CENTEWATREET DENNIS POWtMA 02639 4`1 iYl Expires: 03/0812025 Commissioner diaim��ca. Construction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpi RECEIVED JUL 0 8 2022 YARMOUI h ,—^ln LJIC-`L 22'M 0 This Agreement has been executed as of the day and year set forth on the cover page by the Owner and a duly authorized representative of the Contractor. Do NOT SIGN THis AGREEMENT IF THERE ARE ANY BLANK SPACES MY G ERATION ENERGY, INC. ?f OW*R Signature Signature Print Name Print Name Date Date ^ TH[s CONTRACT is To art EXECUTED IN DupucATE CoPIEs You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. KFIVED JUL G 8 2`_--Z2 YAhi%,.,.,,� i i A 0 I v RECEIVED JUL 0 8 2022 YARMOIJ-i ri ni n uwr'q HIrHWAY L 0 a m O E L cin a° z CY L L Q� +; a as a N y G? CL L m O 0 V O _ 7 O E 4- 0 O V c� co r O _ O V O as 0 CL 0 L a fjjjF� 1 S I.' r f a { { �A r A �} Y fjjjF� 1 S 4... { �A r A �} Y fjjjF� 1 S SOLARIA Solaria PowerXT° I DC Panel Achieving over 20% efficiency, Solaria PowerXT solar panels are one of the highest power panels in the residential and commercial solar market. Compared to conventional panels, Solaria PowerXT panels have fewer gaps between the solar cells; this leads to higher power and superior aesthetics. Solaria PowerXT Pure Black"" building's architectural beauty. JUL 0 8 202? Hi her Efficiency, Hi her PowerL0_LL Ahl\IIUU i. g y g : KING'S HIGHWAY Solaria PowerXT panels achieve over 20% efficiency; conventional panels achieve 15%- 17%efficiency. Solaria PowerXT panels are one of the highest power panels available. Lower System Costs Solaria PowerXT panels produce more power per square meter area. This reduces installation costs due to fewer balance of system components. Improved Shading Tolerance Sub -strings are interconnected in parallel, within each of the four panel quadrants, which dramatically lowers the shading losses and boosts energy yield. Improved Aesthetics Compared to conventional panels, Solaria PowerXT panels have a more uniform appearance and superior aesthetics. Durability and Reliability Solder -less cell interconnections are highly reliable and designed to far exceed the industry leading 25 year warranty. black backsheet and frames, enhancing a home or About Solaria C) Established in 2000, The Solaria Corporation has created one of the industry's most respected ��p4EAFOpr,� 1 P portfolios, with over 250 issued and pending patents in PV solar cell and module technology. Headquartered in Oakland, California, Solaria has developed a technology platform that 13NV•GL unlocks the potential of solar energy. TUVfiheinland PV MODULE RELLABJUTY5CARECARO Precisely Right, The Solaria Corporation 1700 Broadway, Oakland, CA 94612 P: (510) 270-2507 www.solaria.com Copyright O 2020 The Solaria Corporation Product specifications are subject to change without notice. SOL -DAT -0005 Rev 01 4-2020 SOLARIA Solaria PowerXT01-400R-PM Performance 000WIml, 25* C, AM 1.5) Mechanical Characteristics 9 Solaria PowerXT- 40OR-PM Cell Type Monocrystalline Silicon Max Power (Pmax) [W] 400 Dimensions (L x W x H) 64.72" x 47.4" x 1.57" Efficiency [%] 20.2 1644mm x 1204mm x 40mm Open Circuit Voltage (Voc) [V] 51.1 Weight 21 kg / 46 lbs Short Circuit Current (150) [A] 9.82 Glass Type / Thickness AR Coated, Tempered / 2.84mm Max Power Voltage (Vmp) [V] 42.4 Frame Type Black Anodized Aluminum Max Power Current (Imp) [A] 9.41 Cable Type/ Length 12 AWG PV Wire (UL) / 1000mm Power Tolerance [%] -0/+3 Connector Type MC4 Junction Box IP67 / 4 diodes Performance at NOCT:11W/m"', 20'C 1 Front Load 5400 Pa / 113 psf* Max Power (Pmax) [W] 295 Rear Load 2400 Pa / 50 psf* Open Circuit Voltage (Voc) [V] 48.1 'RefertosolarialnslallatianManual fordetails Short Circuit Current (Isc) [A] 7.92 Max Power Voltage (Vmp) [V] 40.0 Max Power Current (Imp) [A] 7 59 Certifications UL 617301UL1741/CEC CAN/CSA-022.2 TemperatureFire Type (UL 1703) 1 NOCT [°C] 45+/-2 Warranty 25 years* Temp. Coeff, of Pmax [%/ °C] -0.S9 +Warranty details atwww. solaria.com Temp. Coeff. of Voc [% / °C] 429 Temp. Coeff. of Isc 1 °C] 0.04 Stacking Method Horizontal / Palletized Design ParametersPanels/ Pallet 25 Operating temperature [°C] -40 to +85 Pallet Dims (L x W x H) 66.57" x 48.7' x 48.4" Max System Voltage [V] 1000 1691 mm x 1238mm x 1230 mm Max Fuse Rating [Al 20 Pallet Weight 590 kg 11300lbs Bypass Diodes [#] 4 Pallets / 40 -ft Container 18 Panels 140 -ft Container 450 90% 19 148mm A 8 S A 9 ?POSHIVE 6 NEGATWE 1-1 H 1000mm[394in1 1000-�m[39.s�nj A B 8 A H w`+ 3 2 1 0 0 5 10 15 20 25 30 35 40 45 50 55 VOLTAGE (V) I 45— 347mm 911— J/ I 7mm(0.276:+1 X J0m [0.39Anl 04-51—[° I&I "MOVN,ING SLOTS W 4X GROVNDNG HOLES W RECEIVE] JUL 0 8 2022 ► r, YWFiiVIV+J t i [� so% 81t OLD KING'S HIUNWAT I s ,a is zo zs � Years FRAME PROFILE The Solaria Corporation 1700 Broadway, Oakland, CA 94612 P: (510) 270-2507 www.solaria.com Copyright © 2020 The Solaria Corporation Product specifications are subject to change without notice. SOL -DAT -0005 Rev 01 4-2020 148mm A 8 S A ?POSHIVE 4m�1 NEGATWE 1-1 H 1000mm[394in1 1000-�m[39.s�nj A B 8 A 45— 347mm 911— J/ I 7mm(0.276:+1 X J0m [0.39Anl 04-51—[° I&I "MOVN,ING SLOTS W 4X GROVNDNG HOLES W RECEIVE] JUL 0 8 2022 ► r, YWFiiVIV+J t i [� so% 81t OLD KING'S HIUNWAT I s ,a is zo zs � Years FRAME PROFILE The Solaria Corporation 1700 Broadway, Oakland, CA 94612 P: (510) 270-2507 www.solaria.com Copyright © 2020 The Solaria Corporation Product specifications are subject to change without notice. SOL -DAT -0005 Rev 01 4-2020