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BLD-23-001039
0671 cfar RECEIVED • - POmt r- )11 spa ONE & TWO FAMILY ONLY- BUILDING PERMIT AUG 18 2022 Town of Yarmouth BuildingDepartment —--_ p �.'�: EPARTMENT 1146 Route 28, South Yarmouth,MA 02664-4492 ��_� 508-398-2231 ext. 1261 Fax 508-398-0836 - „;4' Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling �X/4 This Section For Official Use Only / Building Permit Number Z-J3-ad/O37 Date Applied: i r" cli;(.5' (---.)C— 'ock Building Offrcial(Print Name) ign Date SECTION 1:SITE INFORMATION. 1.1 Proj e erty Address: 1.2 Assessors Map&Parcel Numbers c9 r 'ercJA ta �a 114 i 19 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2. Owned of Record: � (' 3'uL-V41..-a Sr <-- \Or mCu �'j' ' Name(Print) City,State,ZIP Av c.h Por, vJa r... 503— 0- 1530 c e No.and Street \ Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units I Other 0 Specify: Brief Description of Proposed Work2: c'C Y - /,-kpr ,c . s-1aL10,--60v, c c 1? .Sa\ar-i6. L3th,w Oa c V., VI fri In e(S , \ —1 . a(bra K\vJ Coe -',"1.--.) cr3ci CO-Fi ck SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee Cl Total Project Costs(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amo �a 6.Total Project Cost: $ `� D ❑Paid in Full 0 Outstanding Balance Due: W/ SSOS 8 I aUA • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Name of CSL Holder License Number Expiration Date List CSL Type(see below) No. and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) City/Town,State,ZIP R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Telephone I Insulation Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date No. and Street Email address City/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in'the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No ❑ • SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize S-�' (4y) 77,L — to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) ft.) (including garage, finished basement/attics, decks or porch) Gross living area(sq. Number of fireplaces Habitable room count Number of bathrooms Number of bedrooms Type of heating system Number of half/baths Type of cooling system Number of decks/porches Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost' ' - The Commonwealth of Massachusetts ; Department of Industrial Accidents v Office of Investigations ' Lafayette City Center ; 2 Avenue de Lafayette, Boston,MA 02111-1750 "" www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): My Generation Energy Address: 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.El12 4.I am a employer with ❑ I am a general contractor and I 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 shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' insurance.: 9. ❑Building addition comp.[No workers' comp.insurance required.] 5. ❑ We are a corporation and its 10.0 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 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.0 Other solar panels employees. [No workers' comp.insurance required.] *My 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: Hub International New England LLC Policy#or Self-ins.Lic.#:WC231S605824031 Expiration Date: 12/11/22 Job Site Address:OP I I(C t Party wQ City/State/Zip:\jacrn Jl I 1 v ' , (7.) .11 Attach a copy of the workers'compensation policy declar'ion page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 4� '53Signature: %Ge� l-U Date: 1 '1 ) Phone#: 508-694-6884 Official 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 3.0City/Town Clerk 4.0 Electrical Inspector 5tlPPlumbing Inspector 6.0Other Contact Person: Phone#: • MYGENER-01 CWOODSIDE ACORE> CERTIFICATE OF LIABILITY INSURANCE DATE(M 1/28/202YYY) 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 holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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). PRODUCER License#1780862 CONTACT Jim Czura NAME: HUB International New England PHONE FAX 600 Longwater Drive (NC,No,Ext): (NC,No): Norwell,MA 02061-9146 ADDRESS:lim.czural*Dhubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Specialty Underwriters Ins Co 13037 INSURED INSURER B: My Generation Energy,Inc.and Luminous Solar,LLC INSURER C: 100 Independence Dr,Suite 10 INSURER D: Hyannis,MA 02601 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/OD/YYYYI (MMIDD/YYY10 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CSU0181866 1/21/2022 1/21/2023 DAMAGETORENTED 100,000 X X PREMISES(Ea oaxlrrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ D AUTOMOBILE LIABILITY (EIN aMcciden SINGLE LIMITt) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident) $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE CSU0181868 1/21/2022 1/21/2023 AGGREGATE $ 2,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as additional insured with respect to the general liability,when required by written contract.Blanket waiver of subrogation in favor of additional insured with respect to the general liability,when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ofM Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 -28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ?rt_. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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. OW R Signature Signature ,c i ke R4 er ,Siw Its, ,-tL, t. Ott ilL Print Name Print Name ^J l l +J r�� Date Date THIS CONTRACT IS TO HE EXECUTED IN DUPLICATE 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. Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation MY GENERATION ENERGY, INC. Registration: 16300 6 100 INDEPENDENCE DR Expiration: 05(03/2023 SUITE 10 HYANNIS,MA 02601 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 153006 05./03/2023 1000 Washington Street -Suite 7;10 MY GENERATION ENERGY,INC. Boston,MA 02118 ANDREW WADEj/t/ 100 INDEPENDENCE DR ! x - SUITE 10 Undersecretary Not valid witho tsignature HYANNIS,MA 02601 t 11...........it Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Cons ion Sl risor CS-116232 -- pires: 0310812025 CHRISTOPHER J NASHVILLE 485 CENTER STREET DENNIS PORT MA 02639 , `, ,tr)l.t; ct l f Commissioner o • if, i' a 41 rConstruction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. i i 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/dpl • VSE Project Number:U3232.0577.221 Peter Q Smith Residence 1111 / E C T Q R 8/17/2022 En G l n E E R s The solar array will be flush-mounted(no more than 10" above the roof surface) and parallel to the roof surface. Thus,we conclude that any additional wind loading on the structure related to the addition of the proposed solar array is negligible. The attached calculations verify the capacity of the connections of the solar array to the existing roof against wind(uplift), the governing load case. Increases in lateral forces less than 10%are considered acceptable. Thus the existing lateral force resisting system is permitted to remain unaltered. Limitations Installation of the solar panels must be performed in accordance with manufacturer recommendations. All work performed must be in accordance with accepted industry-wide methods and applicable safety standards. The contractor must notify Vector Structural Engineering,LLC should any damage,deterioration or discrepancies between the as-built condition of the structure and the condition described in this letter be found.The use of solar panel support span tables provided by others is allowed only where the building type, site conditions, site-specific design parameters, and solar panel configuration match the description of the span tables.The design of the solar panels,solar racking(mounts,rails,etc.)and electrical engineering is the responsibility of others. Waterproofing around the roof penetrations is the responsibility of others. Vector Structural Engineering assumes no responsibility for improper installation of the solar array. Vector Structural Engineering shall be notified of any changes from the approved layout prior to installation. VECTOR STRUCTURAL ENGINEERING,LLC 3 .�OF . ASS 4 yGs -• • •R �No 'S3 �SS10NAL ENG 08/17/2022 Jacob Proctor,P.E. MA License: 54953-Expires:06/30/2024 Project Engineer Enclosures JSP/bwh 651 W.Galena Park Blvd.,Ste.101/Draper, UT 84020/T(801)990-1775/F(801)990-1776/www.vectorse.com JOB NO.: U3232.0577.221 vEC1 ' DF SUBJECT: WIND PRESSURE E H e r o E E R s PROJECT: Peter Q Smith Residence Components and Cladding Wind Calculations Label: Solar Panel Array Note: Calculations per ASCE 7-10 SITE-SPECIFIC WIND PARAMETERS: Basic Wind Speed [mph]: 140 Notes: Exposure Category: C Risk Category: II ADDITIONAL INPUT& CALCULATIONS: Height of Roof, h [ft]: 25 (Approximate) Comp/Cladding Location: Gable Roofs 27°<0 <_45° Enclosure Classification: Enclosed Buildings Zone 1 GCp: 1.0 Figure 30.4-2C (enter negative pressure coefficients) Zone 2 GCP: 1.2 Zone 3 GCP: 1.2 a: 9.5 Table 26.9-1 z9 [ft]: 900 Table 26.9-1 Kb: 0.95 Table 30.3-1 KZt: 1 Equation 26.8-1 Kd: 0.85 Table 26.6-1 Velocity Pressure, qh [psf]: 40.3 Equation 30.3-1 GCP;: 0 Table 26.11-1 PRESSURES: p =q,,I(GCP)-(GC,, ) Equation 30.9-1 Zone 1, p [psf]: 39.8 psf (1.0 W, Interior Zones, beyond 'a' from roof edge) Zone 2, p [psf]: 47.8 psf (1.0 W, End Zones, within 'a' from roof edge) Zone 3, p [psf]: 47.8 psf (1.0 W, Corner Zones, within 'a' from roof corner) (a= 3 ft) JOB NO.: U3232.0577.221 VECTOR SUBJECT: CONNECTION E n G I rI E E R S PROJECT: Peter Q Smith Residence Calculate Uplift Forces on Connection Pressure Max Trib. Max Uplift Max Trib. Width z (0.6 Dead -0.6 Wind) Area Force (psf) (ft) (ft2) (Ibs) Zone 1 22.1 4.0 11.7 257 Zone 2 26.9 4.0 11.7 314 Zone 3 26.9 4.0 11.7 314 Calculate Connection Capacity Lag Screw Size [in]: 5/16 Cd: 1.6 NDS Table 2.3.2 Embedment3 [in]: 2.5 Grade: SPF (G = 0.42) Nominal Capacity [Ibs/in]: 205 NDS Table 12.2A Number of Screws: 1 Prying Coefficient: 1.4 Total Capacity [Ibs]: 586 Determine Result Maximum Demand [Ibs]: 314 Lag Screw Capacity [Ibs]: 586 Result: Capacity > Demand, Connection is adequate. Notes 1. 'Max Trib. Width' is the width along the rails tributary to the connection. 2. 'Max Trib Area' is the product of the 'Max.Trib Width' and 1/2 the panel width/height perpendicular to the rails. (2) rails per row of panels. Length of panels perpendicular to the rails shall not exceed 70". 3. Embedment is measured from the top of the framing member to the beginning of the tapered tip of the lag screw. Embedment in sheathing or other material is not effective.The length of the tapered tip is not part of the embedment length.