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HomeMy WebLinkAboutBLD-23-002097 Ink unto r)l) (i ?2 OCT 171011 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department _�). iN DEPq 1146 Route 28,South Yarmouth,MA 02664-4492 �1 R TM E N T 508-398-2231 ext. 1261 Fax 508-398-0836 :+' t � --- Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: LT) e App 'ed: Building Official(Print N e) • Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 14 Loch Rannoch Way 149 71 1.l a Is this an accepted street?yes J 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' 2.1 owner'of Record: Yarmouth port MA 02675 Jason Mnriarty P Name(Print) City,State,ZIP 14 Loch Rannoch Way No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 I Repairs(s) 0 Alteration(s) ❑ I Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 'Specify: Snlar Brief Description of Proposed Work2: Installation of 39 Solaria 4ntlwatt rnnf mnuntPct solar panels. Total system size: 15.6kW. SECTION 4:ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ 1. Building Permit Fee:S j Indicate how fee is determined: ?.Electrical g ❑Standard City/Town Application Fee 0 Total Project Cost3(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 Amount: 6.Total Project Cost: $ 59280 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5,1 Construction Supervisor License(CSL) CS-088921 09/18/2023 Neal Holmgren License Number Expiration Date Name of CSL Holder 75 Spring Hill Road List CSL Type(see below) U No.and Street Type Description E Sandwich MA 02537 L' Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling lvf Masonry RC I Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-747-6284 info@solarrising.net I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 175578 Neal Holmgren 05/27/2022 HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date 348 Main Street info@solarrising.net No.and Street Mashpee MA 02649 508-744-6284 Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(iVI.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 9/ No 0 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 Solar Rising LLC to act on my behalf,in all matters relative to work authorized by this building permit application. *Please see attached property consent form* 09/22/2022 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. �a-ai Y r o, 09/22/2022 Print Owner's or Authorize 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 riot 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 1 3. "Total Project Square Footage"may be substituted for"Total Project Cost" C orrwrionweitt h of Massachusetts 11 Division of Professional Licensure Board of Building Regulations and Standards C LUIS,t ritelltkniSUPierV Mar I CS-0843921 ' . ' - Wiriali: Daf18i2023 ,,-- NEAL F HOLVOR 76 SPRING 146..i. REY:, EAST SANDWICH MA07 ;,.. i. Avoiii*Ir4i..0... Corn nimstorper 44 F 0 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaka a Business Regulation 1000 Washingtilearglit-Suite 710 Boston, Massachusetts 02118 Home Im ro ,mept.1141, tractor Re9lstration ;_4,, Po ==.',..-:'' 1: , Type: Supplement Card SOLAR RISING LLC , —:I: 71...J.:lion. 05/27/2024 348 MAIN STREET ....—. .. .17:-.-....=. iiii "=----:-----------/*/ ' V:* Update Address and Return Card, THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME 1MPROVEMENT'CONTRACTOR expiration date. If found return to: TYPE.suPbrerrient Card Office of Consumer Affairs and Business Regulation fic gat aka ? Upkation 1000 Washington Street -Suite 710 17Rn „ .,,,,i 05/27*074 Boston,MA 02118 SOLAR RiSiNG LLC z' '.... 11,•„...0.1 M / 348 AIN STREET , ,,i,...4,4,w.f....4' iiAASHPEE.MA 0264G •:/.<4.:„.--„,-- ..,. Undersecretary Not valid without signature ACcoRD® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/01/2021 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). PRODUCER CONTACT Krystal Doyle BALDWIN KRYSTYN SHERMAN PARTNERS LLC (alCC,No,Eat): (508)398-7980 ' FAX ,No): E-MAIL ADDRESS: kdoyle@rogersgray.com 4211 West Boy Scout Blvd Suite 800 INSURER(S)AFFORDING COVERAGE NAIC# Tampa _ FL 33607 _INSURER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER 6: SOLAR RISING LLC INSURERC: INSURER D: 348 MAIN STREET INSURER E: MASHPEE MA 02649 INSURERF: COVERAGES CERTIFICATE NUMBER: 711486 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 SUBRI POLICY EFF POLICY EXP LIMITS LTR INSD WVD i POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE i$ DAMAGE TO RENTED CLAIMS-MADE L J OCCUR PREMISE55Ea occurrenceL $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JE� LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea 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 J CLAIMS-MADE N/A AGGREGATE $ _ DED RETENTION$ $ WORKERS COMPENSATION PER TH 1O - AND EMPLOYERS'LIABILITY X I STATUTE ER_ Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A 6HUB5B67705021 11/02/2021 11/02/2022 - - - - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A I DESCRIPTION OF OPERATIONS/LOCATIONS I 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/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. 348 Main Street AUTHORIZED REPRESENTATIVE �� -`P Mashpee MA 02649 Daniel M.CrooIey,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 A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/10/2022 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 CONTACT RogersGray, Inc.-Kingston Branch PHONE FAX 63 Smith Lane IA/C,No.Extt:508-746-3311 (Arc,No):877-816-2156 Kingston MA 02364 ADDRESS: mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# _ INSURER A:Scottsdale Insurance Company 41297 INSURED SOLARIS-01,INSURER B:Pilgrim Insurance Company 21750 Solar Rising LLC 348 Main Street INSURER C:Underwriters at Lloyd's London 15792 Mashpee MA 02649 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:412359485 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 EFF POLICY EXP LIMITS -LTR INSD,w1/D POLICY NUMBER .(MMIDD/YYYY) (MMDD/YYYY) A X COMMERCIAL GENERAL LIABILITY CPS7538467 3/9/2022 3/9/2023 EACH OCCURRENCE $1,000,000 D GE TO RENTED CLAIMS-MADE X OCCUR PREMISES SES(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY JEC7 LOC PRODUCTS-COMP/OP AGG $2,000,000 _ OTHER: _ _ _ $_ B AUTOMOBILE LIABILITY PGC00001018498 10/30/2021 10/30/2022 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS Xy HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION , PER OTH- AND EMPLOYERS'LIABILITY Y/N I STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ tf yes,describe under _DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ C Builder's Risk/Eqpt Floater XSZ183677 11/8/2021 11/8/2022 Installation Floater 50,000 At Any One Jobsite 10,000 Leased Solar Panels 29,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Information Only AUT ED REPRESENTATIVE 7 /C """.... ,17,—"LitiLei ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD , . I ri CEiVF: 1 *TPA, TOWN OF YARMOUTH ". iv -,4,..,4 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451 0 C'; 3 1 a)? - Telephone(508)398-2231 Ext 1292-Fax(508)398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ,.)1..t)KING'S'If Giqvv, 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 Arol : Indicate type of Building: Commercial Residential 'I)Exterior r..Buildi Construction: New Building Fl,Addition iterations Reroof ri Garage FIShed Solar Panels I Other:4 2)Exterior Painting: riSiding Shutters ri,Doors ElTrim 00ther: 3)Signs/Billboards: ri New i n Change toLi?ting Sign 4)Miscellaneous Structures: Fence Wall Flagpole FI,Pooi Flother:S.T Please type or print legibly: 14 Loch Rannoch Way 149.71 Address of proposed work Map/Lot# Phone# Owner(s) Jason Moriarty 774-836-6335 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address 14 Loch Rannoch Way Year built, 2000 Email: yfd171@comcast.net Preferred notification method [21 Phone Email Agenticontractor. Solar Rising LLC Phone# Mailing Address 348 Main Street, Mashpee MA 02649 . . Email, info©solarrising.net Preferred notification method: Phone 2 Email Description of Proposed Work: Installation of 39 Solaria 400watt roof mounted solar panels. Panels to be installed on back roofs. Panels are black matte. Total system size: 15.6kW DC. Signed(Owner or agent): 44,2a,a174/19.47142,0,-. Date 1 0/25/2022 _,.. .,. _ ,. A"earl):,, ,t,/ , r Owner Icantr aCtOr;agent is aware that a permit is required from the Building Department.(Check other deparimil itTr' or r 0--ty':,--;-- r If application is approved,approval is subtect to a 10-day appeal period required by the Act e 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 Et,nnal in.sdectf00., i For Committee use only: Approved Approved with Modifications :'..,1Y3.:,:,;' .. .': Rcvd Dale: 10/31/2,— Reason for Denial ; ' , Amount tiOt to Cash/CK# Rc Signed. i ", • _fil#1, (6 /6 _____vd by: r •.00ditirp- 45 Days: °Al 'C-- Date Signed / 2 - 2-c'2'2- ' " 1 6 APPLICATION# §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 14 Loch Rannoch Way Work Address Is to be disposed of oat the following location: Barnstable Transfer Station Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 4.4 7Ve hrze, 09/22/2022 Signature of Application Date Permit No. Tom Petersen Architects • Planners Construction Official September 15,2022 Building Department for project at: 14 Loch Rannoch Way Yarmouthport,MA 02675 Re: Solar Panel Installation Moriarty Residence 14 Loch Rannoch Way Yarmouthport, MA 02675 Dear Sirs, I've reviewed the proposed solar panel installation at this location to evaluate the existing roof structure and the connection of the panels to the roof. Criteria: Applicable codes: MA State Building Code—780 CMR,9th Edition (2015 International Residential Code with MA Amendments) 2015 Wood Frame Construction Manual Design roof load: 30 psf live load, 10 psf dead load,40 psf total load Design wind load: 140 mph,35 psf; Exposure Category`B' My findings are as follows. I. The new solar panels will imply an additional dead load of 3 psf. The existing roof structure (2x8 roof rafters @ 16"o.c.,with collar ties and 2x10 ridge,span=+/- 14'-3")is sufficient to bear this additional load. Inaccessible,assumed or concealed structural members that were not documented during the initial site analysis will be verified by the system installer prior to the system installation, and any discrepancies will be reported to the Architect in writing. 2. The solar panels are attached to the roof with the SolarMount-1 rack system by UNIRAC. The rack system,roof connections and connection spacing are rated for 140 mph. This project requires the larger Solar Mount 1-2.5 beam(2.5"high)and spacing of flange foot connection to roof at 48"o.c.maximum. Flange footing connections to the rail are not required to be staggered. The flange foot connections to the roof are 5/16"diameter x 4"long lag bolts. I therefore certify that this installation complies with the applicable codes and design loads mentioned above and is acceptable for approval. Please let me know if you have any questions on this information. Thanks! Vey 5 V. Pei /1' Sin r ely yours, 4, �P .p c' et O m t',,, o No.31621 = v. HOWELL, t. Tom Petersen . NJ PGr�y "rM O F M PSS Cc: Neal Holmgren,Solar Rising LLC 6 Country Lane•Howell,New Jersey 07731 •Telephone 732-730-1763,Fax 732-730-1783 DocuSign Envelope ID:232928A1-36F2-4ACF-A43D-3867FF8930E6 Solar !? i s i n g Property Owner Consent Form Owner: Jason Moriarty Address: 14 Loch Rannoch Way Town: Yarmouth Port State: MA Zip: 02675 Phone: 774-836-6335 I hereby give permission to Solar Rising M. and their representatives to pull the required permits for a solar installation on my property. i.—Dx-uSlpned by: '1r� 9/7/2022 400060114000471... Property Owner Date //2e41y4444 72,4.4. 09/06/2022 Solar Rising Date The Commonwealth of Massachusetts _ *=. Department of Industrial Accidents � ►� t Office of Investigations ? �1=tO, Lafayette City Center .�L-$ 2 Avenue de Lafayette, Boston,MA 02111-1750 -4v- '4 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I'lease Print Legibly Name(Business/Organization/Individual): Solar Rising LLC Address:348 Main Street City/State/Zip:Mash pee MA 02649 Phone#:508-744-6284 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction listed on the attached sheet. 7. ❑Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in anycapacity. employees and have workers' P h 9. ❑Building addition [No workers' comp.insurance 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.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no Solar employees. [No workers' 13.❑� Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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-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 Indemnity Company Policy#or Self-ins.Lic.#:6H U B5B67705021 Expiration Date: 11/2/2022 Job Site Address: 14 Loch Rannoch Way City/State/Zip:Yarmouth MA 02675 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains( and penalties of perjury that the information provided above is true and correct. Signature: � r "'1frxrJp Date: 09/22/2022 Phone#: 508-744-6284 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): 10Board of Health 20 Building Department 3.DCity/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: ROOF DETAIL N SYSTEM LEGEND ' A ROOF TYPE:ASPHALT SHINGLE PHOTOVOLTAIC SYSTEM:J^j DC SYSTEM SIZE:15.60 kW ROOF SECTION 1:32 MODULES AC SYSTEM SIZE:11.31 kW AZIMUTH:201°PITCH:37° O u-k-ii MAIN SERVICE METER AND SERVICE POINT ROOF SECTION 2:7 MODULES MP MAIN SERVICE PANEL AZIMUTH:201°PITCH:12° O pC FUSED AC DISCONNECT CP ENPHASE ID AC COMBINER BOX(X-IQ-AM1-240-3) (39)SOLARIA POWERXT-400R-PM WITH - ENPHASE 107PLUS-72-2-US(240V) NMCROINVERTERS MOUNTED UNDER EACH - MODULE SOLADECK BOX AND CONDUIT CONDUIT RUN CONDUIT TO BE RUN IN ATTIC IF POSSIBLE, OTHERWISE CONDUIT BLOCKS MIN. 1"IMAX 6' ABOVE ROOF SURFACE,CLOSE TO RIDGE LINES, 4 is" AND UNDER EAVES,TO BE PAINTED TO MATCH --- EXTERIOR/EXISTING BACKGROUND COLOR OF ITS LOCATION;TO BE LABELED AT MAX 10'INTERVALS. CONDUIT RUNS ARE APPROXIMATE AND ARE TO lii * --.... BE DETERMINED IN THE BY THE INSTALLERS Oiiiiiiii ritlii r O \ SM SMART METER 0 ® SUB 2 SPACE 125A RATED PANEL,240V,SINGLE \ PHASE O \ \\ ® I ATSI AUTOMATIC TRANSFER SWITCH I e- it.iiii lief Air 14! SCALE:1/8"=1'-0" itt MORIATY,LINDSEY 14 LOCH RANNOCH WAY YARMOUTHPORT MA 02675 AHJ:YARMOUTH TOWN SOLAR RISING LLC IL L NO 9,0,446284 SITE PLAN DATE:9/5/2022 DRAWN BY.DR PV-�A { ROOF DETAIL SYSTEM LEGEND ' • ROOF ATTACHMENT POINT ROOF TYPE:ASPHALT SHINGLE ROOF FRAMING(RAFTERSTFRuss) ROOF SECTION 1: 32 MODULES RACKING AZIMUTH: 201° O LAG BOLT EMBEDMENT DEPTH 3' PITCH: 37° ROOF SECTION 2: 7 MODULES AZIMUTH: 201° PITCH: 12° (4 I. • • • . 1 • .__ • t • - .- • • • ' • • I 1. • • • V 02 • • -• •• I • • . •-- MODULE MECHANICAL SPECIFICATIONS 1 • • • - • ` 4 . I t 1 11 11iI , I 1 I ' -- DESIGN WIND SPEED 130 MPH /-4' I DESIGN SNOW LOAD 30 PSF #OF STORIES 2 ROOF PITCH 37°&12° TOTAL ARRAY AREA(SQ.FT) 759.33 SCALE:0.010400 MORIATY,LINDSEY TOTAL ROOF AREA(SQ.FT) 3040 14 LOCH RANNOCH WAY YARMOUTHPORT MA 02675 ARRAY SQ.FT/TOTAL ROOF SQ.FT 24.98% AHJ:YARMOUTH TOWN STRUCTURAL ATTACHENT 11C°IILE ASRULT SIIIIGLE ..... SOLAR RISING LLC \\� ROOF PLAN Tauss®16.oC.-2.(8• DRE: /BD2 DRAAWNN BY:Y:DR �+V^` -A3.1 NTS ELEVATION DETAIL