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HomeMy WebLinkAboutBLD-23-001045 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department "o r 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 i 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:Z3Z0-23 Gi / Date Appl (� ,j Applied: fi 1 Ai(- 8--�.6-d;� R E C E I V E Building Official(Print Name) Signa re iDatr SECTION 1:SITE INFORMATION k AUG 23 2022. 1.1 pe^tyoAddre'`5.. M`CKtr 1.2 Assessors Map&Parcel Numbers _ 1, M"' 11 `�Q i'i�� D1NG DEPARTMENT 1.1 a Is this an accepted street?yes l no Map Number Parcel Number L ,, - ___________ 1.3 Zoning Information: 1.4 Property Dimensions: /l j'� Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) l�`� 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 1.6 Water Supply: (IvI.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? — Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1�&ctleeo a `(ormook-h , MA ,cQCGA Name 1(Printaa{Cti 1 e.`Jo iZV CntA.a 111 P Q3ity 9-1 O No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building U 1 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 1 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units / j Other /Specify: SSIQr IbneLs Brief Description of Proposed Work2:.2r)'j1011 it iot1 OF roof YYl(Sf)n/ y ?heyfo kXc 5olar Stperos, 5.LrIk4J 15 ne 7.a is SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs Official Use Only (Labor and Materials) I.Building $ ,�, `00 I. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ t C9 . 00 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: S 4.Mechanical (HVAC) $ List: i SI); 0De,L1i 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: $10 tt 3 ei \'J 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 0' /O/�b21 .0 She ,�I Licensef Number Expiration Date Name of CSL Holder ` J e. C�5 M V �]r\ Q 1„ '3h arl List CSL Type(see below) v No.a d Street Type Description _ 1 C, ( i�1v[ \ `In Ni i oa U I Unrestricted(Buildings up to 35,000 Cu.ft.)) Ulj t R Restricted 13c2 Family Dwelling City/Town,State,ZIP NI Masonry RC I Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances g121C13 1% eiagimperrnikesairoti•Con-.I Insulation Telephone Email address D I Demolition . 5.2 Registered Home Improvemen Contractor(HIC) I�o1aQ 1013 119, anror\ .Emicil[a1or\ San ices' HIC Registration Number Expiration Date P 4S mpgrLyIIgte2 Name o sid t�Jharit nOS M� N 1c�/�Sint t .and Street./ l -�.1J�t�IU;�p�1_•1�1`'�L"7..A llUr\'� Taunton 1 rill d C(1?20 972.793 .7881 '`"'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 Ur No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERI'VIIT I I,as Owner of the subject property,hereby authorize 51teJ k 1, I `ruY\ to act on my behalf,in all matters relative to work authorized by this building gb )(.rmit application. \ci\ CC\\CSC g-al -Q Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my -.me below,I hereby I-st under the pains and penalties of perjury that all of the information contained'i 1 ,•:}. ,-• '. lean. - c ' - to the best of my knowledge and understanding. s.�_/ i, UI�Y" Print Owner's or Authorized Agent's Name(Electronic Sin ature) 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 IIIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.sov/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 3. "Total Project Square Footage"may be substituted for"Total Project Cost" oy _' TOWN OF YARMOUTH ,T -. °' BUILDING DEPARTMENT a.Z=�",<<•4�� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT:DATE: g.pa - 01�.10It`[�M J, JOB LOCATION: a3 Cd bGal idickasT Qc\. WE /� STREET ADDRESS SECTION OF TOWN "HOMPOWNER" NI icr i Cn NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STA'rE ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) 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 attached or detached structure assessory 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"shill 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 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes,by-laws, rules and regulations. The undersigned 'homeowner' certifies that he I she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownriicexemp §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223'1 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 3 C(YptClth kS tckr ij( I�l� Work Address Is to be disposed of oat the following location: arn' s\es Cc15 M*2 Son6ish a laun1on, Mr\ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 41_2ei 2-N-nra Signature of Applicatiou' Date Permit No. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association.corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house 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 grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also 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 commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be 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 required 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 that the affidavit is complete and printed legibly. The Department 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 applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be 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 related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02 1 1 4-20 1 7 Tel. # 617-727-4900 ext. 7406 or I-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia • The Commonwealth of Massachusetts Department of Industrial Accidents 7 Office of Investigations (1.‘ h. 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): Sunrun Installation Services Address:225 Bush St STE 1400 City/State/Zip:San Francisco CA 94104 Phone#: 978-793-7881 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 50 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. [1 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 working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.[1] !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. y t p c. 152, 1 4 ,and we have no 12.0 Roof repairs insurance required.] e { ) employees. [No workers' 13.M Other Roof Mounted Solar comp. insurance required.] *Any applicant that checks box 41 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: American Zurich Insurance Company Policy#or Self-ins. Lic.#:WC614287600 Expiration Date: 10/01/2022 • Job Site Address: @3 Coplan, I li ckers 8, City;`State/Zip:YotC aA\,VI t r1 v 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 DR for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjuty that the information provided above is true and correct. Siunature: _ Date: 2 - 9` 0 ' OG99„ Phone#: 978-79 -7881 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): 1❑Board of Health 20 Building Department 3❑City/Town Clerk 4.❑Electrical Inspector 5.0Plumbing Inspector 6.0Other Contact Person: Phone#: ""'1 SUNRINC-02 TWANG AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 9/10/2021 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 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 Walter Tanner NAME: Alliant Insurance Services,Inc. PHONE FAX 575 Market St Ste 3600 (A/c,No,Ext): (NC,No): San Francisco,CA 94105 E-MAILDRRESS:Walter.Tanner@alliant.com lINSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Navigators Specialty Insurance Company 36056 INSURED INSURER B:James River Insurance Company 12203 Sunrun Installation Services,Inc INSURER C:American Zurich Insurance Company 40142 775 Fiero Lane,Suite 200 Ph#805-540-7643 INSURER D: San Luis Obispo,CA 93401 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. ILTR ADDL SUBR (MMWDY EFF POLICY EXP UMITS TYPE OF INSURANCE POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY /YYYIa (MMIDD/YYYY) 1 2,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR LA21CGL2303211C 10/1/2021 10/1/2022 Patti ST OE R EoNccTuEDe nce) $ 1,000,000 __... _ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X PR9 r LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X OTHER:Retention:$100,000 Per Project Agg $ 10,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) !$ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ' HIRED NON-OVyNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE 001072261 10/1/2021 10/1/2022 AGGREGATE $ 4,000,000 DED RETENTION$ $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC614287600 10/1/2021 10/1/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A -_ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation Policy WC614287600 Deductible:$1,000,000. Re:Permitting within jurisdiction. 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 ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 South Yarmouth,MA 02664-4492 AUTHORIZED REPRESENTATIVE %mot 0-.-C ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .V. Commonwealth o1 Massachusetts Gongsrtrucltun Supervisor Division or Profess+onal Li[ensure UnreStlftC'ted-Bueldin of any use group which contain Board of Building Regutatrans and Standards less than 35.000 cubic feel 1901 cubic meters)of enclosed _ s"*•• CS-040622 EX))fres.08e01.2023 STEPHEN A FLLY • 1s PARKWAY STONEHAM mil erne 1 Failure to possess a current edition of the Massachusetts Commissioner , ca.i.44 �. a'eina.40L, State Budding Code is cause for revracafion of this license. For information about this license Cali(617)727-3206 or visit wwwmass.gov/dpl Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Home Improvement Contractor Registration Type: Suppentent Card Reytstrabon: 180'20 SUNRUN INSTALLATION SERVICES INC. Enprabon: 10;122022 225 BUSH STREET SUITE 1400 SAN FRANCISCO,CA 04104 Update Address and Return Crd. crntce of_Oneurnar Arran M Olin...Regulation HOME IMPROVEMENT CONTRAC TOR Registration ealid for individual use only TYPE Suo0emenl Care before the eapration date If found return to: Eeyistratiop Frnittuoa Office or Consumer Affairs and Business Regulation 180120 '0I°_^_CCC 1000 Wasnington Street .Sole 7t0 SUNRUN INSTALLATION SERVICES INC Boston.MA 02118 STEPHEN KELLY 225 BUSH STREET SUITE 1400 Not id without sign re SAN FRANCISCO CA P410a Underseretary Stephen A Kelly 734 Forest ST STE 400 Marlborough MA 01752 TEL: 978-793-7881 Email:mapermits@sunrun.com DocuSign Envelope ID-5085BEAA-935E-48E5-819C-08EB43B76706 Sunrun BrightSave TM Agreement Michelle Fantoni 23 Captain Nickerson Rd, Yarmouth, MA, 02664 Take Control of Your Electric Bill $0 25 Years $ 138 $0.280 Deposit due Agreement Term Length Monthly Bill for Year Year 1 Cost per kWh Today (2.9% annual increase One (plus taxes, if applicable; (excluding upfront in monthly bill) includes $7.50 discount for payment, if any) Auto-Pay enrollment) WE'VE GOT YOU COVERED WITH OUR WORRY-FREE SERVICE —4) vs• We provide hassle-free We monitor the system We warrant, insure, Selling your home? design, permitting, and to ensure it runs maintain and repair We guarantee the buyer installation. properly, the system. We will qualify to assume also provide a 10- your agreement. year roof warranty. A SOLAR SYSTEM DESIGN FOR YOUR HOME You get a 5.47 kW DC Solar System With 15 Solar Panels and 1 Inverter(s) Which will produce an est. 5,932 kWh in its first year And offset approx.105% of your current, estimated electricity usage YOUR SALES REPRESENTATIVE: Adrian Cadar adrian.cadar©sunrun.com (508) 360-8542 ouounign Envelope ID: 9:*8Eu43u/6706 By signing be|ow, you acknowledge that you have reviewed and received a complete copy of the Agreement without any blanks. Such Agreement shall be the complete understanding between the Parties. SUNR SERVICES INC. Signa\u/LERF2CECBD959438. Print Name oani Newman Date: 7/28/2022 Title: projprt npprarinn" Federal Employer Identification Number: 26'2841711 IF YOU CHOOSE TO PAY BY CHECK. MAKE CHECKS OUT TO SUNRUN INC. NEVER MAKE A CHECK OUT TO A SALES REPRESENTATIVE. OUR SALES REPRESENTATIVES ARE NOT AUTHORIZED TO RECEIVE CHECKS IN THEIR OWN NAMES. ������N��EL �y ��U�� TO MIDNIGHT OF THE TENTHEFFECTIVE" DATE. PLEASE REVIEW~^-- ''--' ----'E ATTACHED NOTICES OF CANCELLATION FOR AN EXPLANATION OFTHIS RIGHT. Customer *w�-Ancount Holder Secondary Account Holder (Optional) \ 76 �Michelle Fantoni Signature 7/28/ZOZZ Date Print Name Ennai| Addnesa~: carey3616@aol .com Mailing Address: 23 Ceptain Nickerson Rd Ymnn)oudl, K1A02GO4 Phone-. (508) 221-5748 �m����� such as���n�������mu�s Sales Consultant sK ��be��/�C�,o���a �a�/an/ �m un acc���� Mal/pv�sen������r*men/acro/��� ' - " Cn /Co/,nUc4. '�?nd that/ 61,9ii7ecl//-,,a 1701770o0"Vne/s x��r,a11*eon/171Sagnee/nen1 U()�= L&&&A, I C9041 F5l���Our�' Adrian cagar Print Nome 4Sx461z4xa Sunrun \Dnumber Sun/uo Installation Services Inc. \ 225 Bush Street. Suite i4O0� x /v San F'anusco. CA94 R HUC 18012UCom/act Version: 2020C)1V1 GenenshonD ate: 7/23�0-2 �/opoaa| |u� � �mvmn^rL+'n .o."=. 2020Q1y1 21 EV projects@evengineersnet.com 276-220-0064 ENGINEERS http://www.evengineersnet.com 22/08/2022 RE:Structural Certification for Installation of Residential Solar MICHAEL CAREY:23 CAPTAIN NICKERSON RD,YARMOUTH,MA,02664 Attn:To Whom It May Concern This Letter is for the existing roof framing which supports the new PV modules as well as the attachment of the PV system to existing roof framing. From the field observation report,the roof is made of Composite shingle roofing over roof plywood supported by 2X6 Rafters at 16 inches.The slope of the roof was approximated to be 30 degrees. After review of the field observation data and based on our structural capacity calculation,the existing roof framing has been determined to be adequate to support the imposed loads without structural upgrades. Contractor shall verify that existing framing is consistent with the described above before install.Should they find any discrepancies, a written approval from SEOR is mandatory before proceeding with install.Capacity calculations were done in accordance with applicable building codes. Design Criteria Code 2015 IRC(ASCE 7-10)-CMR 780 9th Ed Risk category II Wind Load (component and Cladding) Roof Dead Load Dr 10 psf V 140 mph PV Dead Load DPV 3 psf Exposure C Roof Live Load Lr 20 psf Ground Snow S 30 psf If you have any questions on the above, please do not hesitate to call. STRUCT L ONL Sincerely, �FpytNOFMgSs40 4 VINCENT a' Vincent Mwumvaneza, P.E. MWUMVANEZA CIVIL EV Engineering, LLC N• j 2 projects@evengineersnet.com 1p c,9 http://www.evengineersnet.com �� ioNacENC'\� 1/1 EV projects@evengineersnet.com 276-220-0064 misim ENGINEERS http://www.evengineersnet.com Wind Load Cont. Risk Category= II ASCE 7-10 Table 1.5-1 Wind Speed (3s gust),V= 140 mph ASCE 7-10 Figure 26.5-1A Roughness= C ASCE 7-10 Sec 26.7.2 Exposure= ' ;ram ASCE 7-10 Sec 26.7.3 Topographic Factor, Kn= 1.00 ASCE 7-10 Sec 26.8.2 Pitch= 30.0 Degrees Adjustment Factor,A= 1.21 ASCE 7-10 Figure 30.5-1 a= 3.00 ft ASCE 7-10 Figure 30.5-1 Where a:10%of least horizontal dimension or 0.4h,whichever is smaller,but not less than 4%of least horizontal dimension or 3ft(0.9m) Uplift(0.6W) Zone 1(psf) Zone 2(psf) Zone 3(psf) Pnet30= -29.3 -35.3 -35.3 Figure 30.5-1 Pnet=0.6 x X x KZT x Pnet30)= 21.29 25.64 25.64 Equation 30.5-1 Downpressure(0.6W) Zone 1(psf) Zone 2(psf) Zone 3(psf) Pnet30= 32.1 32.1 32.1 Figure 30.5-1 Pnet=0.6 x X x KZT x Pnet30)= 23.28 23.28 23.28 Equation 30.5-1 Rafter Attachments:0.6D+0.6W(CD=1.6) Connection Check Attachement max.spacing 5.3,ft 5/16"Lag Screw Withdrawal Value= 205 Ibs/in Lag Screw Penetration 2.5 in Allowable Capacity= 512.5 0.6D+0.6W Dpv+0.6W Zone Trib Width Area(ft) Uplift(Ibs) Down(Ibs) 1 5.3 14.6 284.0 383.1 2 5.3 14.6 347.4 383.1 3 3 8.3 196.7 216.8 Max= 347.4 < 512.5 CONNECTION IS OK 1. Pv seismic dead weight is negligible to result in significant seismic uplift,therefore the wind uplift governs 2. Embedment is measured from the top of the framing member to the tapered tip of a lag screw. Embedment in sheading or other material does not count. 1/1 • INIENLV EV projects@evengineersnet.com 276-220-0064 ENGINEERS http://www.evengineersnet.com Siesmic Loads Check Roof Dead Load 10 psf %or Roof with Pv 15% Dpv and Racking 3 psf Averarage Total Dead Load 10.4 psf Increase in Dead Load 1.8% OK The increase in seismic Dead weight as a result of the solar system is less than 10%of the existing structure and therefore no further seismic analysis is required. Limits of Scope of Work and Liability We have based our structural capacity determination on information in pictures and a drawing set titled PV plans- MICHAEL CAREY.The analysis was according to applicable building codes, professional engineering and design experience,opinions and judgments.The calculations produced for this structure's assessment are only for the proposed solar panel installation referenced in the stamped plan set and were made according to generally recognized structural analysis standards and procedures. 1/1 mwmz-IKm m m>wm 90�<CZ mDRooC:rriim3 i 0o cn xq?2N 0 -< Z z 2� CC E O< 006,N G a z om > Oc O 0 CoA 'm 00 rn 7 0 0 0 cn m m mo zo Co: ,, ciI'r'7▪ x m> D 0 L07 r r -< -i 0 -1 ' c) m > 0 C) mm _ .x z p 0 Z 0 O 3 { m OC) O . z 3 z<� O z> 0 0 m O Om Rl OmzP rn m�z0 w y Co co c>m m c zo' pi -icp0 Z Opera > < pm mm z m m m� - °,-m R1 m m rrr cn c p -0 mC"I mx ili 0 0 0 Z O r Oz00m > 0 O y 0 3 p = m 0 m z 0 O D m D to 0 2 r <0 d m p z O D O 03.3 m m -1 S n < o m r OrzzD c c -Zrl mz raz z 0 0 mtn y� Z m < m z Q mcpm m , o �m mZ 3 3 3 <1 3 -1 03 _1 �C1 3 O Co 0 m -4 m >0 _1 m -i mm 0 m a m 2cng0 I m a ZC A�co OD 0 a m0 O r< Cl) m A > Z D A > Z C 3 w rl m t�"1 m xT O m 0 z0 D Z 0 Z 01 0 cm mo�A 1i N - <z HP r m m t<ii0 0 O y3 m-=0 c m D mm oZ (n r r mO 3 ()a 0-1 0 2- _+ o m c 3 0 m -1 , M z F. < C S o-ZmC) c O o o-1 K O o o On 0 * mm ow 0 A m 0 0 M I Z z Z z -O O 3 2 02 0 >Co rn Z z C mm > m 0 a rO m Z r3 71-I n0i Z -i > -i m Z -i M m m m 0 j m m X' D=o-1 .1 m m Z 0 C - m p 0 o D a x - - Co c A m z N C Z N Z o A r --I O -i N O N mm,o 03 C m zA 0 v SC 2 o too C.D<rd M , 0o = P' A 0 o0 m z� n m 0 000O z o PD -o wm to20 Cow 71 �z m > N wm m Z O _0 - A O 1 n z 0,)0 0 D 0 m D Z�-Q I- p m r m -<N�-' 0 -i C) -D•J m 0" o m r.m -< Z z v m v v m r Co ,<, c,v v v 0 z Z 3 3 Z X,m c p N T n D m p p G O O O O m m -o o -mnmp� m0 +-im 33c� L J _ Co 3 m m a _ O 0 0 < Co z < m Z m Z co Om po 0 0 m 0 p 0 $ 9 _< 0 A > > 0 Com Com z z"0- m 0 0 Co >i z 0 z z m D m >< o D 2 0 m z O z1 D D-I X Z xm x O N 0-1 3 m m m z z to m Co r m Z Z D pry Dm OCR1p--i*ZG)mm Amm33p mm 00 :O m Co < Co - D D mmptzn00Z0Dm0 mtztl0-OZ-1OciD zm my p p1 0 3 '� o Z D m rmtn<m0_440 m�po<p0mic>m m3 x N % M H m z-O m n z> <p A Z p n--I o Z o 0 mODm� m m z mz XO -> ,-*OOo D >0 - C)C - __ c < m mZ C Z M H:O I cn a mm m r Conziz ro 3 t1 pz? c -I 3 0 O m o 3 c O A Co > m m 0 c 1 I Z o b ❑ A Z M D m C) Cl)Z,__ cn 3 A a 0 Co -o < _.A Z -< Z C Co V m 0 0 < z�' 1 m z > z tzn x z m m cn Co t" -� Z z Co -0 -0 -0 -0 v D 0 m D--I p # < < < < G/ m c m W O Z r �n 0� � o 0 o No o m u D M m z O A m D,6 3 D 2 0 m N r > O F z 60 ,,Co O-0m3 "g 0 C m -u m NH 3 C-4rm OG c">z =zpA T 0 0 0 M > ;3 84 ZlCo rm. m O m o m r < CO G :L1 z . mm e, yz<o MI O o { m m A z O Cn • o ^'A Z z D 3 OC x 1 z 0 O m m �, a o m C 0m m z m z al o z + N m t N -1 N O N N N W H it m z 0 m D F H o D r m m u -- a ---------\ - 'd - d ld ld -11 \-------- z n , ,_ m p 0 .,.._ z c \ ss:.., , : .,II \ _ z z1ll \ ig D 0 _1 1 —� is law — \_________ id m m ��' co 5 ) D z 1 o m O z D m 0 a m co vim NA it <w3C -g; m D -o m y m Z 5 Am D c 3y2m n' tn nD u m rd C) m w Dorm > o < CA D w i 3 corm —{ cL DC 86,ro =ZnA DM �1 < m D mg o 3ZmmD a c N z m aom >5m,y), - Dm x o 5 o r o mA z $ Ace ' Z m Ao m C ry in'< z NO N Y. 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Z if D W K C o El o i' m m Z 6 7,t_ <^ 7Jc�=1 o y FmN m oT mz D 1 p Z m a o 3DD0 n� p1, m pi -DM nbin 1m O�m3 - a w ° cm Cn m c ° � � D c o 2 Z.y� - Z v 0 m'� Z m p p < 0 y .ZJm o p ,ZTlm A Z c <m Ul z z mm m m yc7mm -°° O x 0 N NZ D -' A '<O C T D Z Tn 11, 2 N O03 m o N AO m ff. a o Z m zo n� w Z m 3 O `A Pd mi npi o 0 ' i m °� ro AT x _ 000uoign Envelope ID:5085aEAA*35E-48s5-819o*8Ea43s76706 By signing below, you acknowledge that you have reviewed and received a complete copy of the Agreement wnnoutany blanks. Such AumeennentshaU be the complete understanding between the Parties. ~ ernen 3UNRUN | VICES INC. Signatu �--!EBF2C'EC8D959438 Print Name'. oani Newman Date: 7/24/202-2'_- [ide: Project � Federal Employer Identification Number: 2O-3841711 IF YOU CHOOSE TO PAY BY CHECK, MAKE CHECKS OUT TOGUNRUN INC. EVER K4AKEACHECK OUT TO A SALES REPRESENTATIVE. OUR SALES REPRESENTATIVES ARE NOT AUTHORIZED TO RECEIVE CHECKS /NTHBROVVN NAMES,YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE TENTH EFFECTIVE DATE. PLEASE REVIEW THE ATTACHED NOTICES OF ` EX" L�"�°~"=�� w� xnnu� ����n. -' -'----'^^^`~^~ ^FOR AN Customer Holder Secondary Account Holder(OpUona|) Michelle Fantnni Signature ///o/aoZZ Date -- PhntName Email Address*:� carey3010@aol.com Mailing Address: 23 Captain Nickerson Rd Yarmouth. MA02GO4 Phone: (508) 221-5748 oe"Ised -Xor a��Sef'19�0 20��'�����mn�a Sales Consultant cknowv&o(9e 11a*t/ax/ SunIo176ccn*&e41178/ aCro,nXvo/o~o/Cb/,(yZ � /� and1��Ll/m)Aplqeu/�,e 11on*powne/�aI�7//,3b»eon�v�a�,�e/nen� Adrian cadar / PnntName 4584bll*x2 8unrun0number | Sunmn Installation Sen000a Inc. | 225 Bush Suite 14OO San Francisco, CAS� 04 � lUD12OContmot Version: 2O20{)lV1 Generation~'`~` ~~ — - ' � H|C 2� ua�� 723/ 022Pmposa |D� PK4 - Version v '0O1V1 • Nr EV projects@evengineersnet.com ® ENGINEERS 276 220 0064 http://www.evengineersnet.com 22/08/2022 RE:Structural Certification for Installation of Residential Solar MICHAEL CAREY:23 CAPTAIN NICKERSON RD,YARMOUTH, MA,02664 Attn:To Whom It May Concern This Letter is for the existing roof framing which supports the new PV modules as well as the attachment of the PV system to existing roof framing. From the field observation report,the roof is made of Composite shingle roofing over roof plywood supported by 2X6 Rafters at 16 inches.The slope of the roof was approximated to be 30 degrees. After review of the field observation data and based on our structural capacity calculation, the existing roof framing has been determined to be adequate to support the imposed loads without structural upgrades. Contractor shall verify that existing framing is consistent with the described above before install. Should they find any discrepancies, a written approval from SEOR is mandatory before proceeding with install. Capacity calculations were done in accordance with applicable building codes. Design Criteria Code 2015 IRC(ASCE 7-10)-CMR 780 9th Ed Risk category II Wind Load Roof Dead Load Dr (component and Cladding) 10 psf V 140 mph PV Dead Load DPV 3 psf Exposure C Roof Live Load Lr 20 psf Ground Snow S 30 psf If you have any questions on the above, please do not hesitate to call. STRUCT .; Sincerely, oNL LZH OF Ai g0��� 4 S0- 4 09 Vincent Mwumvaneza, P.E. o MWUMVUMV NT �m ANEZA EV Engineering, LLC CIVIL projectsPevengineersnet.com NI 2 http://www.evengineersnet.com �.` �• ER `ti ONAIEN�' 1/1 Vaasa ENG projects@evengineersnet.com ) R 276-220-0064 http://www.evengineersnet.com Wind Load Cont. Risk Category= II ASCE 7-10 Table 1.5-1 Wind Speed (3s gust),V= 140 mph ASCE 7-10 Figure 26.5-1A Roughness= C ASCE 7-10 Sec 26.7.2 Exposure= ASCE 7-10 Sec 26.7.3 Topographic Factor, KZT= 1.00 ASCE 7-10 Sec 26.8.2 Pitch= 30.0 Degrees Adjustment Factor,A= 1.2.1 ASCE 7-10 Figure 30.5-1 a= 3.00 ft ASCE 7-10 Figure 30.5-1 Where a:10%of least horizontal dimension or 0.4h,whichever is smaller,but not less than 4%of least horizontal dimension or 3ft(0.9m) Ua1ift(O6W) Zone 1(psf) Zone 2(psf) Zone 3(psf) Pnet30= -29.3 -35.3 -35.3 Figure 30.5-1 Pnet=0.6 x A x KZT x Pnet30)= 21.29 25.64 25.64 Equation 30.5-1 Downoressure(0 6111/) Zone 1(psf) Zone 2(psf) Zone 3(psf) Pnet30= 32.1 32.1 32.1 Figure 30.5-1 Pnet=0.6 x A x KZT x Pnet30)= 23.28 Rafter Attachments:0 6D+0 6W(CD=1 6) 23 2s 23.28 Equation 30.5 1 Connection Check Attachement max. spacing= 5.3 ft 5/16"Lag Screw Withdrawal Value= 205 lbs/in Lag Screw Penetration 2.5 in Allowable Capacity= 512.5 0.6D+0.6W Dpv+0.6W Zone Trib Width Area ft 1 ( ) Uplift(lbs) Down(Ibs) 5.3 14.6 284.0 383.1 2 5.3 14.6 347.4 383.1 3 3 8.3 196.7 216.8 Max= 347.4 < 512.5 C N S K 1. Pv seismic dead weight is negligible to result in significanto seiissmfcouplift,therefore the wind d uplift 2. Embedment is measured from the top of the framing member to the tapered tip of a lag screw. Embedment in sheading or other material does not count. 1/1