HomeMy WebLinkAbout3 Belvedere Terr - building permit solar wolfRECEIVED
TMENT
22ONE &TWO FAMILY ONLY- BUILDING PERNfiT
Town of Yarmouth Buildiag Departmert
I146 Route 28, South Yarmouth, MA 026644492
508-398-2231 ext. t26l Fax 508-398-0836
Massachusctts State Building Code, 780 CMR
Building Permit Applicdiot To Constnrct, Repai\ Renovate Or Deuolieh
a One- or Two-Fotrily Dwelling
This Section For OfEcial Use Only
Buildiag Permit Number:Date App[ed
Building Officirl (Prirt Nsme)Dat€Signatu(e
SECTION 1: SITE INTOtu\'IATION
l-la Is this an ac sEeet? yes no
1.2 Assessors Map & Psrcel Numbers
Map Number
1.3 Zonirlg InformatioD:
Zoning Distdct Proposed Usc
1.4 Property Dimensions:
t ot Arca (sq ft)Frontagc (ft)
1.5 Building Setback (ft)
Sidc YardsFront Yad Rear Yard
Rcquir.d Providcd Requircd Providcd Requircd
I.6 Water Supply: M.G! c.40, {5a)
Publictr PriYate E Cbcck if
1.7 Flood Zone Information:Zot]e-: Outside Flood Zone?
I -ll Sewagc Disposal System:
Municipal tr On sit disposal A
SECTION 2: PROPERTY OWNERSIIPI UILDI
CEIVED
25 2022
G DEPAR TMENT
ffi
3 Rplve.lere Terrace Yarmouth, t\rA 02675
No. ald Sfta
C,ty, Statc, ZIP
508-36r-2392
Tolcphone EmailAddrdss
2"1 Orvnerr ofRecord:
Carolvn end Ralnh I ddders
SECTION 3: DESCRIPTION OF PROPOSED WORK: (check all that appM
Owner-Occupied tr Repairs(s) tr Alteration(s) trNew Construction tr Existing Building tr
Number of UnitsAcccssory Bldg. tr Other tr Spcciry;SOLAR
sed Work?: INSTALLATION OF 10 SOLAR PANELS TO T€TAL A: J1t(!V
ROOFTOP SOLAR SYSTEM WITH A SMARI ME I ER SOCKE I
Brief De-scriptioo of Propo
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs
and Materials OnlyItrm
$ srm zol' Building
2. Etectrical $ 3a7o so
3. Plnmbirg $
4. Mcchanical (IIVAC)$
5. Mechanical (Fire $
tr Totdt Project CosC (Itsn O x muttiplia
-
x
-
2. Othrr Fccs: S_
T i*_
s Indicate how fee is detcrmined:
Fee
tr Paid itr Fu[tr Outstadilg Balanc€ Due
l. Building Permit Fee:
tr Staodard CitylTovrr
3 oen6. Total Project Cost:
l.l Property Addressr
3 Belvedere Terrace. Yarmouth. MA 02675
ParcclNumbcr
o
Addition tr
Dcmolition tr
Total All Fa6: S
ChcckNo. Check AmorEt C8!h
tr":
SECTION 5: CONSTRUCTION SERI/ICIS
Llctnsc Numbcr
Lis( CSL Typc (sc. betow)
Eeiratioo Drrr
U
4CS-087 491 ?-19-2
Type Dc.cdption
U io 35 cu. fr-UGestricred
Rcstrictcd l&2 D
RC Roo Co
ws Window alld S
Solid Fucl
i insulation
5.1 ConstructioD SupGwisor LiceNe (CSL)
Ted Strzelecki
Emsil address
508-538-9445 operation s@solarwolfenergy.com
Barre MA 01005
No. llld Strecr
CiV/Town, Stac, AP
Na&c ofCSL Hold.r
582 Wauwinet Road
D Dcmolitioo
5.2 Registered flome ImproycrDent Contractor (HIC)
Solar Wolf Energy
ZE
HIC Company
771 Washi
Naruc or HIC Rcgist"ant Namc
nqton Street -
01501Ar r hr rrn
No. and St.cer
508-538-9445
0
HIC Rcgjstlation Numbcr 11_A_^O^2 _
Expiration Dat.
SECIION 6: WORKERS, COMPENSATION INSURANCE AFFIDAVTT (M.c.L. c. tsz. S 25C(O)
licationIasuranceaffidaltmustcobeletedaqdColnpe$ation subm withittedmp lstb loFailureapP provideal[dathisvtt rcsultu the ofdenialthe uance55 tbeof building permit
Sigoed Affidavit Attached? yes ... .. . . ... E No tr
AUTEORIZATION TO BE COIVPI.ETED WIJXNSECfION 7a: OWNER
FOR BUILDING PEfuVITOWNER'S AGEM'OR COMNACTOR APPLIES
to act otr Ey behalf, in all mattss r€lative !o work authorizei by this building pcrmit applicetio!
3-17-22Print Ourrcr's Narnc (El.cronic Sigaf,&rc)Dat
Please see attached owner auth
I, as Owue{ of tlrc s$ject property, hcreby authorize
WNER1sEmtoNb:1 o AORUTHORIZED DGINT TIONECLARA
By cDreritrg my name below, I hereby atrest under the pails ard penalties of pedury $at all of the informatios
coarained in this application is trre and accru?te to the best of my knorvler.lge and undcrstaading
Date
3-17 -22
Plint Ov,&c/s or Ag.irt's Namc (Elcctonic Sigoaturc)
-/o/
NOITS:
progam or guararty irnd uader M.G.L
n'ww. mass, gov/oca LnformatioD oo the
. c. t42A Other inportatrt hfomstion on the IIIC hogram can bc foond at
CoEstnrctioo Srpervisor Liccnse can be fou[d at www-Eass,soy/dps
bis/her hires
itratio!
AI Orvoer obtainsho a to do OJ lvhobuiidingpermitowler atr coDtrwork,actorurrcgistered
Il01 then Home veme(rt Contactor Pro wilt ha toaccqss a$tleImproc)(1rr grarD),,tol
Total floor arca (sq. ft.) _
Gross living area (sq. ft,
-
-Number of frrcplaces
2. WIen substmtial wort is plauned,provide thc information below:
Opcn
Nurber of batbrooms
Habitable room couEt
Number ofbe&ooms
Number ofhalflbatbs
Nuarber of deckV porchcs
Eoclosed
Typc ofhertitrg sy$em
Type ofcooling system
3. "Total Project Squale FootagC' slay be substitrrted for ,'Total project Cost',
R
Appliancls
Tclcohonc
_- ooerations@solarwolfenergy.com
Email addr.ss
Workers
TD
AD
registerEd
(includbg garage, finished basemeryanics, decks or porch)
The Co mmo nwealth of Massachrrserts
D ep artment o{ Intlustrlal Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
www.massgou/dia
11:orkers' Compensation Insurance Affidavit: Builders/Contrlctors/Etectricians/Plumbers.
TO BE FILED WITH THE PERMITTTNG .AUTHORITT..
Name
Address:
Art you ln cmploycr? Chcch the rppropriatc box:
l.fllamaemployerwith cmployees(tulland/orpart-time).*
L[ I am a sole propriemr or partncrship and have no employees working for me inany capacity. [No workers, comp. iruurance requirei.] -
l. I t am a homeowncr doing arl rvork myself. [No workers' comp. insurance rcquired.] t
4.[ I am a homeorvner and wilt be hiring contractors to conduct all work on my property. I willcnsurc that all contractors cither heve workcrs, compensation insurancc or-uc sole '
proprictors with uo emgloyecs.
5.I t un a gencral sootractor and I have hircd thc sub-con'dactors tistcd on the anachcd sheetThese sub",coutractors havc cmployccs and have workers' comp. insurancc.l
6.fl w-: "I a,corporation ard irs oflicers have exercised their righ! orexemption par ivIGL c.152, $ I(4), ard urc have no ernployees_ [No wo*ers, comp. insurance iequircd.]
City/State/Zip Phone #:
Any applicant dut checks box #l must also fiil out the section beiow showing rheir workers'compensation policy inforrnationHomeowners who submit this affidavit indicating thcy are doing all work and then hire outside confactors must submit a new afiidavit indi:ating suchlContractors tlut check tlris box must attached an additional sheet showing the name oithe sub-contsaclors and state whether or not those cntities have
Type of project (required):
Z. I New construction
8. fJRemodeling
9. f]Demolition
10 [ Building addition
I l.I Electrical repairs or additions
12. flPlumbing repairs or additions
13.IRoof repain
t4[Other
If the sub-contractors have thcy oust their workers'number.
is proviLingworkers' compensatiott ittsurancefor nry employees. Below is the poliqt and job sttef am an employer that
irlformalion.
lnsurance Company Name
Policy # or Self-ins. Lic. #Expiration
Job Site Addrcss: CitytstztetZip:Attach a copy of the \ilorkers' compensation policy declaration p"g. lrt otui"gihe poticy nimber rnd expiration date).
Failure to secure coverage as required under MGL c. 152, $25A is a criminal violation punishable by a fine up to $1,500.00and/or one-year imprisonmen! as well as civil penalties in the form of a STOP WORKbRDER and a fine ofup to $250.00 aday €ainst the violator, A .opy of this statement may be forwarded to the Ofrice of tnvestigations of fie DIA for insurancecoverage verification.
I do hereby certify unrler the pains orrdi",
Phone #:
ofJicial we only. Do notwrite in this area, to be completed by city or raw ofJicial
Issuing Authority (circle one):
l, Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5- plumbing Inspector6.0ther
Contact Person:_ phone
Permit/License #City or Town:
-_
l)efa'
JOB LOCATION
TOWN OF YARMOUTII
BUILDTNG DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
3 B6lwd€.€Tsme, Yamoulh, MA 02675
NAME STREET ADDRXSS SECTION OF TOWN..HOMEOWNER''
HOMEPHONE WORKPHONE
PRESENT MAILING ADDRESS 3 Belvede.e Temce, Yemou$, MA 02675
CIYORTOWN STATE ZIPCODE
The current exemption for 'Homeowner' was extended to include owner - occuoied dweiiin ss of one or two uoits
aud to allow such hommwners to engage an individual for hire who does not possess a license, orovided that such
homeowner shall act as suoervisor. (State Building Code Sectioo i10 R5.I.3.1)
Defi nition of Homeowner:
Person(s) who owns a parcel of land on which he / she resides or irtends to reside, on which there is or is iatended to
be, a one or two family attached or detached stmcture assessory to such use and / or farm stn ctures. A person who
constnrcts more than one home in a two-year period shall notbe considered a homeowner; such "homeowner" shall
submit to $e building official, on a form acceptable to the buildiog official, that he/ she shall be resoonsiblefor all
such work oerformed under the buildin nermit-(Section 110 R5.1.3.1)
NAtvIE
The undersigued 'homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned 'homeowner' ceflifies that he / she understands the Town of Yarnouth Building Department
minimum inspectioo procedures and requirements and that he / she will comply with said procedwes and
requirements.
HOMEOWNER''S SIGNATI.JRE
-
APPROVAI OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a cuneut liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.l42. x Yes No
If you have checked Es, please indicate the qpe coverage by checking the appropriate box.
A liability iosurance poliry , Other lype of indemnity Bond
-/e/ S6,XI1L*Z
Srgr"t r* "f OE*. ". o,r,*.3lgent
Check one:
Owner Agent
PLEASE PRIlrrI:
DATE:
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 pernrit application waives this requirement.
h:homcowndicllrcp
$TOWN OF YABMOUTH
1146 Route 28, South Yarmouth, MA 02664
508-398-223 ext. 1261 Fax 508-398-0836
Offrce of the Builtling Commissioner
BUILDING DEPARTMENT
DEMO LITION DEBRIS DISPOSAL AFFIDAVTT
Pursuant to M.G.L. Ch. 40, $54 and 780 CMR - Section 105.3.1' #4'
I hereby certifl that the debris resulting from the proposed worvdemolition to be
conducted at 3 B6lv.dd€ Tffi€, Yemddl iIA 02675
Work Address
Is to be disposed of oat the following location:771 Washington Street, Auburn, lVlA 0'1 501
Said disposal site shall be a licensed solid waste facility as defined by M'G'L'
ch. 1il, $l5oA.
/od
Signature of lication Date
PermitNo.
3-17 -22
SOLAR WOLF
tnc.
771 WashinSton Street, Auburn, MA 01501 . (888) 878-4396 ' www.solarwolfenersv.com
MA HIC: 1864q) r Rl HIC:4{l!174 o CT HIC:0653560
Home lmprovement Contract
Contact Infonnation
CustomcrNantc Carolyn & Halph Lodders Yasmene Badereldin
Addrcss 3 Belvedere Terrace 771 washington Strcct
City, State, Zip yarmouth port MA 02675 Auburn, MA 01501
Phonc (5oB) 362-2392 (508) 538-9451
Emri! carolyn652@verizon.net Yasmene.b@solanalolfenergy'com
Svstern Information
Syslem Sizc:3.35 kW Currcnt Annual Elcctric Usc (kwh): 3'551
Modulc Makc & Modcl Sunpower 335 I nvcrtcr Manulhcrurcr: Enphase lQ 7+
Modulc Count: 10 I nvcrtcr Count' 1o
10
Salcs Consultant
lncludc Onlinc Monitoring: EYESENO
Elcctrical Pancl Upgradc: EYES ENO
Roof Rcplaccmcnt: f] YES E]NO
Baucry Storagc: IIYES E]NO
Trcc Removal: EYES ENO
Additional Notcs:
Monitoring Term (Ycars):
N/AHos,many:
Pavment lnformation
E Lcasc/PPA Projccts:
lntcrmcdiary:N/A
Loan Tcrrn (Ycars):N/A
El Cash Proiccts
Total Projcct Cost ($):$8,677
Cash Paymcnt Schcdulc:
. l0% Duc at Signing ofContract
. 30% Duc at Filing of Pcrmits
. 30% Duc at Start of Installation
. l0% Due at Systcm Commissioning
Lcase/PPA Ncw Rate: gN/A 7PY1t
Escalator Ratc (%): N/A
r 2,603.10 Customcr lnitial tJ
Customcr;1;1;sl a-(
Customer lnitial a 4-
Customcr Initial e=zs-
$ 2,603.10
s2,603.10
$867.70
Iluycr's ltight to Cancel: Y
datc this agrecmeot was signctl.l:ncrgy lnc. postnra*ctl ntr
You rnay use this pagc as lhilt noticc hy rvritrng "l hcrcbY canccl" at the botlom rvith your n:ulrc & addrcss. 'l his
noticc can trc nuilcd to solar Woll'l;ncrgty rtt thc ntltlrcss ahovc or cntailcd lo inlitlrl solarsrrllirttru.\"ctrttt'
CONTRACT IF THERE ARE ANY BLANK SPACES'
'ou nrav cauccl this altrccntcnt ol'purchasc hy ruailing
latcr than nridnight ol'thc third brrsirlcss day alicr thc
a rvriltcn noticc kr solflr Woll'
I rcccivcrl a copy ol'thc tcrms & courlitirxrs and acknorvlcdgc that I agrce rvith said lcrms. DO NOT SIGN UNLESS
YOU HAVE RECEIVED A COPY.
llv signing hcl0\.. I agrcc $ar I har.c rc0d anrl rgre. rvirh all thc rcnrs oullin!'d irr this c(nrlncl. I acknowlcdgc tltat irnmcdiatcly
,it"r-"ig,ring, this agrecnrurl, a c.urplctcly cxcctltcd copy rvrrs lirrrished lty lhc conlraclor. DO NOT SIGn- THIS
c usluttcr
Salcs Consuhant Sigmturc:
L.,
hr,&tgtd /a.aoe/
rzrtct /fi,Lt.4tt.i /2, h)?/tl
5OLAR WOLF
rnc.
TTl Washington street, Auburn, MA 01501 '(888)878'4395
ADDITIONAL TERNIS AND CONDITIONS
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SOLAR WOLF
bSoLARWoLF
100 Davis Street
Douglas, MA 01516
Office 1: (888) 8784396
OIfice 2: (508) 839-2222
Owner Autho rization F orm
We the undersigned, hereby authorize Solar Wolf Energy Inc to act on our
behalf in all manners relating to the installation of a photovoltaic system
at the location 3 Betvedere Terrace Y Port. Ma 02675 This
includes but is not limited to financing paperwork, interconnection
documents, building & electrical permit applications, applicable rebate
applications, etc.
This authonzation is valid only for items pertaining to the installation
and commissioning of a solar power system to be installed by Solar
Wolf Energy Inc.
Signed under the pains and penalties of pedury.
Ca,Uty b//./Lt rt^t7L b//r,4r 09lMl2021 09107 12021
Signature of Owner Date
Doc lD: cd56f4dec725M947956f8899cf6d8406d0703e5
Commonwealth of Massachusett:
Division of Professional LicensurewBoard of Build
Cons
ing R ulations and Stander" ,
isor
\
cs-097491 _.i'
TED C STRZFIE
,d
Exp ires: 0211912A22
582 WAUWI
BARRE MA
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Comrnissioner K dt*,-!t*
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,%go-r-**.rro.t4/rrZ.%."*t*-,A"t"a
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusefts 021 18
Home lmprovernent Contractor Registration
Tvpe:
Registration:
Expiration:
Corporation
186400
111O6t2022SOLAR WOLF ENERGY INC,
771 WASHINGTON STREET
AUBURN, MA 01501
.2, 't ",,,,,,..,..,. /t, ,/ ,u n)),,,,.)-.,,,/1,
Olflce of Conrunr.r ArlrlrE & Bu3ln.s! Rlguldlon
HOME IMPROVEMENT CONTRACTOR
TYPE: CorDorationRooiEfr.tion Expiration
1 86400 11t6nl22
SOLAR WOLF ENERGY INC,
U n dersecretary
TED STRZELECXI
771 WASHINGTON STREET
AUBURN. MA OI5Ol fuaa 1/.a'e
Upd.te Addross and Return Card.
R.gisbation valid fo. lndividu.l us6 only
betore th€ erpkation dale. If round rolurn to:
Oflico of Consum€r AffaiB and Busin6ss Rogulrtlon
1000 Wrshlng(on Str€et - Suito 710
Boston, MA 021'18
Not valid without signaturo
24t7
Massachusetts C@ofcayruplpfrbwContractors Academy
A PDH Academy Company
Ted Strzelecki
cs-087 49r
has completed the
Massachusetts Contractor Classroom Renewal Course Part 1
Approval # CS-0102I2
Code Review 2 hours
Workplace Safety..ll hou rs
Business Practice t hour
Energy..ll hours
Lead Safety-.,lhour
Elective 2 hours
o2lr7 12022
Coordinator: Annie Schultz, Program Manager Coordinator Number: CD-000102
lf you hove ony comments about this course offering, please moil them to the Boord of Building Regulotions and Stondords, CSL
Continuing Educotion, One Ashburn Ploce-Room 7307, Boston, MA 02108
*i:
o.fu CERTIFICATE OF LIABILITY INSURANCE
Laib laluraDca
53? Dalk lvanu.
worcestGr, llA 01503
DrsUiED
SOLIR lfoIrt SIERO:I
i/l nAsElt{orox aT
AI'BURII I'A
COVERAGES
AI{YP'OPFIETOfu PARTI{ER/EXECUTIVE
OFFICER'IIEMOEREXCLIJOEO?E
CERTIFICATE R
CERNFICATE NUi/IBERi REVISION NUMBER
01 1 2 20I
CERTIFICATE BOLOER, TH|S
THE POLICIESALTE
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cTHE RTIE TEFICAUPONNORroStstloNMALONANDFETHIStsUEtssASooTTERINFORF
THR COVERAGEE BAFFOROEOEXTENO
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It SUBROOATION l9 WAIVED, .ubl.cl to lh. t.rmt .nd con.llllon3 ol thr Pol lcy, Gcrtllo pollcl.a may 'tqullt !n cndo.a.m.nt. A tLlament on
INSU o provlalodt rcr be airdorrad., th. pollcy(l.t) mu.t hrvoca ificata hold.r lr .n a
slo iha ceniflc.ta holdsr ln llau ol luchthl! c.rllllcat. doas nol coni.r
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508-792-0111
rNsuFEE{!) AFfORolrlc
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CERTlFICATE
EXCLUSIONS
uEo ro trE tNsuRED NAMED ABovE FoR THE PoLlcY PERlooPOLICIES OF INSURANCE LISTED BELOW HAVE SEEN IS5THIS IS TO CERTIFY THAT THE OR OTHER DOCUMENT WITH RESPECT TO WHICH TTIISTERM OR CONDITION OF ANY COMTRACTINDICATED, NOTWTHSTANOING ANY REOUIREMENT,DESCREED HEREIN IS SUAJECT TO ALL lHE TERMS,INSURANCE AFFORDED BY THE POLICIESMAY BE ISSUED OR MAY PERTAIN, THE
SHOWN MAY HAV€ BEEN REDUC€O 8Y PAID CLAIMS,ANO CONDITIONS OF SUCH POLICIES, LIMITS
x r 1,000,00
r 100, 000
s,000
! 1,00o.00O
2,000,000GENEFI!^GGRE6AIE
2, 000,000PRODUCIS . COUP/OP AGG
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s 1,000,000
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EL OS€ASE . EA EMPTOYE
DISEASE,
oeltol2022wc2-313-614935-020 oaltol202l
lor , Add|don l R.Dr*. SGn dqr., 6t, b. .thh.d il m .r.e i. ..q*'d)DE3CR|PIION OF OPERAflOiTS / LOCATIO|S
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IIIIOTJI.D AI'Y OF TH€ AAOVE DESCRBEO POIIC|EA BC CAXCELrID AEFORE
rii -gprurrot.t oatE THEREoF, toncE wlt.t. EE tlEUvEREo lt'
eccoaoexce wrx rrr PoIJCY PRO\rElKlt{Sl.
XTBIIOUAE TOTN Erl.L
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ACORD 25 (2016,03)
All dghrr r€.rved
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO,
o",r*n^'. [i *"r"
AUIOIOOITE LIABILITY
AXD EMPI,OYERI' LIABIUIY tr
i
Tha ACORD n.m6.nd togo ar...gbtEltd mttis o{ ACORD -
.,6r,-i(, \-**-'The Commonwealth of Massnchusetts
Department of Industriol Accidents
Ollice of I nv est tgat io ns
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02lll-1750
www.moss.gou/dia
Workers' Compensation Insurance Allidavit: Builders/Contractors/Electricians/Plumbers
Arrplicant Information Please Print Leeibly
Name (BusinesVOrganizatior/lndividual)
Address: 771 Washinqton St
: Solar Wolf Energy
Auburn Ma 01501 Phone #:
*Any applicant that checks box # I must also fill out the scction belorv showing their no*ers' compcnsation policy information.t Homeowners who submit this aflidavit indicating they are doing all wo* and then hire olside contracton must submit a new a{Iidavit indicating such.
tontractors that check this box must ottached an additional sheet showing the namc ofthe sub+ontractors and state whether or not those entities have
employees. lf the sub<ontractors have employees, thcy must provide tlreir workcrs' comp. policy numbcr.
I am an employer that k providing workers' comperrsation insurance for my employees. Below ls the pollcy ond jab siu
iuformolion.
lnsurance Company Name: Leib Insurance
Type of project (required):
6. I New construction
7. ! Remodeling
8. I Demolition
9. I Building addition
10.[ Electrical repairs or additions
I LE Plumbing repairs or additions
12.[ Roof repairs
otherSolar lnstallationl3.m
Are you an employer? Check the appropriate box:
l.E lamaemployerwith 6 4. D Iamageneral contractorandl
employees {futt anafor part+irne;.* have hired the sub'conhactors
2. I I u* u rot. proprietor or partner- listed on the attached sheet.
ship and have no employees These sub-contractors have
working for me in any capacity' ernployees and have workers'
[No workers' comp. insurance -
comp' insurance'l
reouired.l 5. fl We are a corporation and its
:. f] f am a homeowner doing all work officers have exercised their
myself. [No workers' comp. right of exemption per MGL
insurance required.] t c' 152, $l(4), and we have no
employees. [No workers'
lnsuftnce
Policy # or Self-ins. Lic. #: WC2-315-614936-020 Expiration oate; 08/1012022
Job Site J city/Stare/Zip:Vqrr.gfihflA ,,4^p 0Ltt1
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 imprisonmen! 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 ofthe DIA for insurance coverage verification.
I do hereby certify under the poins of perjury thal lhe information provided above k lrue and corrcclj -72-z z
Phone #:
Olficiol ase only. Do not write in this arca, to be completed by city or town officiol,
one):
Building Department sflcityrrown Clerk 4.fl Ehctrical Inspector SDtumbing
Phone #:Contact Person
PermiUlicense #
Inspector 0.Elottrer
City or Town:
Issuing Authority (chegk
lEnoaro ornealin dl
-
!5-.EV
ENGINEERS
27 6-220-0064
I.
3/22/2022
RE: Structural Certification for lnstallatlon of Residential Solal
CARoLYN LODDERS:3 BEwEDERE TERRACE, YARMOUTH PORT, MA 02675
Attn: To Whom lt 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 Asphalt Shingle
roofing over roof plywood supported by 2x8 Rafters at 16 inches. The slope of the roof was approximated to
be 36 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
(component and Cladding)
V 141 mph
Exposure B
STR
ONL
Sincerely,
Vincent Mwumvaneza, P. E.
EV Engineering, LLC
Droiects@even sineersnet.com
http ://www.even gi neerln€t.com
VINCENT
MWUMVANEZA
crv[,
proiects@evengineersnet.com
http://www.evengineersnet.com
Code
Risk categorv
Roof Dead Load
PV Dead Load
Roof Live Load
Ground Snow
Wind Load
lf you have any questions on the above, please do not hesitate to call.
2015 tRC (ASCE 7-10)-CMR 780 gth Ed
Dr 10 psf
DPV 3 psf
Lr 20 psf
S 30 psf
r/r
I.rh.-
-
EV
ENGINEERS
projects@evengineersnet.com
http://www.evengineersnet.com
276-220-0064
Structural Letter for PV lnstallation
3122/2022
Job Address:
Job Name:
Job Number:
Scope of work
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. All PV mounting equipment shall be designed and installed per
manufacturer's approved installation specifications.
Table of Content
Sheet
Cover
Attachment checks
Snow and Roof Framing Check
Seismic Check and Scope of work
L
2
3
4
Code
Risk catesorv
Roof Dead Load
PV Dead Load
Roof Live Load
Ground Snow
Wind Load
I
Dr 10 psf
DPV 3 psf
Lr 20 psf
S 30 psf
(component and Cladding)
Exposure
141 mph
B
References
NDS for Wood Construction
Sincerely,
Vincent Mwumvaneza, P.E.
EV Engineering, LLC
oroiects@evengineersnet.com
http://www.evenPineersnet.com
ONL
VINCENT
MWUMVANEZA
clvlL
711
Engineering calculations Summary
-
B.EV
-.
ENGINEERS
276-220-0064
Wind Load Cont.
Risk Category =
Wind Speed (3s gust), V =
Roughness =
ExPosure =
Topographic Factor, Kzr =
Pitch =
Adjustment Factor, tr =
141 mph
B
1.00
35.0 Degrees
1
ASCE 7-10 Table 1.5-1
ASCE 7-10 Figure 26.5-1A
ASCE 7-10 Sec 26.7.2
ASCE 7-10 Sec 26,7.3
ASCE 7-10 Sec 26.8.2
B
ASCE 7-10 Figure 30.5-1
3.s0 ft ASCE 7-10 Figure 30.5-1
Where a: 10% of least horizontal dirnehsion or 0.4h, whichever is smaller, but not less than 4% of least
horizontal dimension or 3ft (0.9m)
Uolift (0.5w1
Pnet30=
Pnet = 0.6 xlx XzTx Pnet3o)=
Downpr€ssuie l0.6wl
Pnet30=
Pnet = 0.6 xlx KzTx Pnet3o)=
Rafter Attachments:0.6D+0.5W {CD=1.6)
connectlon Check
Attachement max. sPacing=
zone 1 {psf)
-29.7
77.84
zone 1 (pso
32.5
79.52
zone 2 (psf)
-35.8
27.49
zooe 2 (psf)
32.5
19.52
zone 3 (psf)
-35.8
21.49
zone 3 (psf)
32.5
19.52
Figure 30.5-1
Equation 30.5-1
Lag Screw Penetration
Prying coefficient
Allowable CaPacitY=
4ft
266 lbs/in
2.5 in
L.4
760
Table 12.24 - NDs
DFL Assumed
0.6D+o.5W DpH.6W
zone Trlb Width Area (ftl Uplift (lbsl Down (lbsl
I 4 11.0 L76.5 247.7
z 4 11.0 276.6 247.7
3 3 8.3 152.5 185.8
Max= 216.5 < 760
GoNNECTIOI lS (,l(
1. Pv seismic dead weight is negliSible 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'
tl7
projects@evengineersnet.com
http://www.evengineersnet.com
5/16" Lag Screw Withdrawal Value=
Figure 30,5-1
Equation 30.5-1
-t
E\
-.
EV
ENGINEERS
projects@evengineersnet.com
http ://www.evengineersnet.com
276-220-0064
Vertical Load Resisting System Design
Roof Frami
P8= 30 psf
Ce= 0.9
q= 1.1
l, = 1'0
Max Length, L =
Tributary Width, wr =
Dr=
PvDL =
ASCE 7-10, Section 7.2
ASCE 7-10, Table 7-2
ASCE 7-10, Table 7-3
ASCE 7-10, Table 1.5-l
12.66 ft
15 in
10 psf 13.33 plf
3 psf 4 plf
Pr = 2t Psf
Pr,ntn. = 25.0 Psf
P. = 25 Psf
Cs 0.557
895 lb-ft OK
631 lb-ft OK
18.9 plf
Pnet+ Pevcos(e)+PDL= 43.4 plf
Max Moment, M, = 772 lb-ft Conservatively
Pv max Shear 247.7 lbs
Max Shear, Vu=wV2+Pv Point Load = 357 lbs
Load Case: DL+o.75 0.6W+Sll
Load Case: DL+o,6w
0.75(Pnet+Ps)+ Pp"cos(0)+PDr=
Mao*n=
Mallowable = Sx x Fb' (wind)=
Load Case: DL+S
s0 plf
89s lb-ft
2418 lb-ft
35 plf
631 lb-ft
1738 lb-ft
Max Shear, Vu=wV2+Pv Point Load = 357 lbs
Member Ca
DF-L
Depth, d =
width, b =
Cross-Sectonal Area, A =
Moment of lnertia, lu =
Section Modulus, SxI =
Allowable Moment, M,n = forg,q =
Allowable Shear, V aF 2/3Fv' A =
7.25 in
1.5 in
10.875 in2
47.6348 tn
13.1406 in3
1511.2 lb-ft
1305.0 lb
DCR=M,/Marr =
DCR=V,AaI =
0.35 < 1
o.27 < L
Satisfactory
Satisfactory
2X8 cr cF ci c,Kr 0 I Adjusted Value
1000 psi 1.0 t.2 1.0 1.15 2.54 0.85 0.8
F 180 psi N/A N/A 1.0 N/A 2.88 0.7s 0.8
E=1700000 psi N/A N/A 1.0 N/A N/A N/A N/A 1700000 psi
E.in 620000 psi N/A N/A 1.0 N/A 7.76 0.85 N/A 620000 psi
u1
Ps+ Po"cos(0)+Pe1=
Mao*n=
Mallowable = sx x Fb' (wind)=
Rafters
Design Value
Fr=1380 psi
180 psi
-: EXo,*rr*,projects@evengineersnet.com
http://www.evengineersnet.com
27 6-220-0064
Siesmic check
Roof Dead Load 10 psf
% or Roof with Pv
Dpv and Racking
Averarage Total Dead Load
lncrease in Dead Load
9%
3 psf
10.3 psf
l.!% 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 ScoDe of Work and Liabilitv
We have based our structural capacity determination on information in pictures and a drawing set titled PV
plans -CAROLYN LODDERS. 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.
UL
JAN t 1 2022
lv ED
eatt-o
MENT
CERE
BY
ifio oe TRPA
I
TOWN OF YARMOUTH
1146 ROUTE 28. SOUTH YARMOUTH, MA 02664.4451
Telephone (508) 398-2231 Ext.1292-Fax (508) 3984836
NG'S HIGHWAY HISTORIC DISTRICT COM
2v {0*
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acls of 1973 as
amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this
apprication. PLEASE SUBMIT4jgpls OF SPEC SHEET(S), ELEVA PHOTOS, & SUPPLEMENTAL lNFORlrlATlON.
1) Exterior Buildino'fl.n"o U Construction:
Solar Panels Other:
A(2) Exterior Painling:
3) SignsiBillboards:to Existino Sion
[Ir,**L llpoor [l4) Miscellaneous Structures :
Please typ or prlnt leglbly:
Address of proposed work:3 Belvedere Terrace Map/Lot # 132.109
owner(s): Carolyn and Ralph Lodders phone #.508-362-2392
All appllcatlons must bs submlttsd by owner or accompanled by letter from owner approving submlttal of appllcation.
Mailing address:3 Belvedere Terr. Yarmouthport, Ma 02675 vear uuitr 1971
g*r;1, carolyn652@verizon.net Preferred notifi cation method:Phone
AgenUcontraclor:Solar Wolf Energy Phone #: 508-839-2222
Mailing Address: 771 Washington St Auburn, Ma 01501
gr";g. alisha.v@solarwolfenergy.com Preferred notifi cation method ;Phone
Descriotion of Proposed Work:
Installation of a 3.35kW roof mounted solar array using 10 SPR 335W panels with built-in microinverters
and a SMART meter
j
Signed (Owner or agent):Date:qlrlu
Approved
Reason fol€cnial'
wilh _Modifications _Denied
fr{4 'lt*J.-*$' ./* q1u t/-L ^*1t *e"--7
ilrrfrz/7
> Omer/con$actor/agent is aware that a permit is required from the Building Deparlment- (Check other deparlments. also.)> lf applicalioo is approved, approval is subjecl to a 10-day appeal period required by the Act.> This ceruticate is good tor one year from approval date or upon date o, expiration of Building Permil, wfiichever date shall be later.> All new construction will be sublecl to inspedion by OKH. OKH-approved plans MUST be available on-site for framing & ftnal inspections.
Rcvd Dare: qlnY\
arornt $L10 '
cash/cK#: ll50 (/
rl5 Days:
Rcvd by:
Date Signed:
Signed:
8'
APPLICATION #:
I
l-l o*,.. fh,i, I]o*u,'
Ml e,ar
1
TOWNOFYARMOUTH
OI,D KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
I I 46 R0IITE :8. SOUTH YARMOUTH. fuIASSAC:HLISETTS O:66J."I,15
1'*lcphonc {508 ) 39tt-??l I Ext. I ]92 Fax I 50tl ) .191J-0t(-16
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPHOVED P
I
:
As property owner/contractorlagent for construction at
MaplLot tt-;" ru'1 C/A # ?l- &ty t, Approvat Date:
I certily that I understand the following requirements regarding any changes that may
be required for this project:
ln accordance with paragraph 2(a) of section 1.O3(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the fiting of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
calors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification lo and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writinq on the appropriate request form, which may be obtained from the OKH office.All change approvals must be obtained before incorporating the change Into the
project.
lf the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop-work order or delaying issuance of an Occupancy Permit or final
inspection approval.
I have read and understand the above statements
Date: I 1€?l.Signed:
ent)
Signed
x.rCKH COLSI?IEE*l)lpriaailon Fo.ssislalemesi ol Urder$ardng ?015 docr
Updar€d 1?r?0t5
(Chairman, Old 's Highway Committee)
I
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COII'III/IITTEE
Applicant's (Owner) Name
Property Address/Location
Hearing Date:nlr lzl
ABUTTERS'LIST
Carolyn and Ralph Lodders w
. 3 Belvedere Terr :-., : : ';::';.
-r--[
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: lnstructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: wunruJarmeu'lh.ma.us
Map Number Lot Number
Applicant I nformation :132 109
Abutter lnformation 132 110 ,
132 't08 ,
132 95
132 97.1
132 99
132 100 .
8.2018 3
Application #' ? i- &l*(j
1321 97.11 t I
BARTLETT SCOTT P
BARTLETT KIMBERLY R
5OO WEST MORELAND AVE
PH'LADELPHIA, PA,l,I918
132/ 95' t t
MARQUIS KATHLEEN TR
THE ANN CAVANAGH.STEIN IRR TRUST
117 CENTER ST
YARMOUTH PORT, MA 02675
132' 991 I I
wrLSoN MARK F TRS (LIFE EST)
wrLsoN PAULA R TRS (L|FE EST),l28 CENTER ST
YARMOUTH PORT, MA 02675
't32t 109/ t t
LODDERS CAROLYN M TRS
LODDERS RALPH L TRS
3 BELVEDERE TERR
YARMOUTH PORT , MA 02675
132.t tU I t
DELANEY DENISE
PO BOX 393
YARMOUTH PORT,
'I{A
02675
132t 108/ I t
BARRY JOSEPH L
BARRY MARY E
9 BELVEDERE TERfr
YARMOUTH PORT, MA 02675
13?J 100/ t t
JOHNSON BETSY
1O BELVEDERE TERR
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
3 Belvedere Terr., Yarmouth Port, MA 02675o":Effif&ffipltos
Andy tr46chado, Director of Assessing
Septemner 28,2021
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Data and scale shown on this map are provided for planning and informational purposes and Vision
Government Solutions are not responsible for any use for other purposes or misuse or this information ra/8/202r
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()LD I{IN{;'fi TTI{}HWAY HI$T(}II.IC NI$TRICT COMMITTEII
WAIVER OF 45-DAY DETERMINATION
'l-lte applicont/applicant'r agcnt urdcrstands *nd agrccs that duc to the surrcnt eleclnr*d
National *ncl State puhlic health rrnergencics tlrc clctcrnrination ol-our Applicntion lirr a
Certifil:at* <l{'Apprapriatcness/Denrolition/[xcrnpti*n nra.r' not be madc within .{5 day's of thr:
li lirrg ol'suclr nppliuatirn.
'l'hc upplicant agrt:e$ to extcnd the tinr* Ii'nrne rvithirr rvhich a clrtenninrtion is to trr: rn*de ns
rcquircd by the Old King's l-lighu,av Regional llistoric District Act.
SII(T|{}N 9 -Meclings, Ile*rings, Timc.lbr Muktng Defarminutiotrs
"tls :srson os u)nveni€rtt ufit surh publit' lww'ing: hr$ in iln.l, c:reilt vithin /itrt.t-/ive (45) du.t'r
tt/ttr tlrc ./iling ol'applicution, or v,ilkitr .ruc'h .firther tinrt, us lhe upplic'nnl shull n{lov, in
v'riting, the (.'rnnmittee shall moke a dctermination <tn the upplkation."
Apflicarrf uttr.lcrstan<ls that the r*vierv ol'tlris applic:ation rvill lrc scheduled as so()n as {he
situation allorvs.
Applicant/Agcnt Name {plersc prirrt
A pp I icantlA gerit signature:D-,-, qhlel
.
JAN 3 1 t*??
3t2020
Application #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS'LIST
Applicant'e (Owner)Name: Carolyn and Ralph Lodders
Property Add ress/Localion 3 Belvedere Terr
Hearing Date:tol0lLl| -.-l
Irlotices rnust be sent to the Applicant and abutters (including owners of
public or private street or way) who's property directly abuts or is across the
the Applicant,
OKH Office will send out notices using the addresses as they appear on the
applicable tax list.
Note: lnstructions for obtaining the abulters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: wurw.varmouth.ma.us
Map Number Lot Number
Applicant lnformation 132 109
Abutter lnformation
:
132 '110
132 108
132 95
132 97.1
132 99
132 100
8.2018 3
The
Apptication *, ?1.,tl{{.t
132t 97.1t I t
BARTLETT $COTT P
BARILETT KIMBERLY R
5OO WEST MORELAND AVE
PHILADELPHIA . PA 11918
13?t 95/ I I
MARQUIS KATHLE€N Tft
THE ANN CAVANAGH.$TEIN IRR TRUST
117 CENTER ST
YARMOUTH PORT, MA 02675
132t 99/ I t
WILSON MARX F TRS {LIFE EST}
WILSON PAULA R TRS (LIFE €ST}
128 CENTER ST
YARMOUTH PORT, MA 02675
132t 109r I t
LODD€RS CAROLYN M IRS
LODDER$ RALPH L TR$
3 BELVEOERE TERR
YARMCIUTH FORT. MA 02675
1321 11U I t
DELANEY D€NISE
PO BOX 393
YARMOUTH POR1, MA 02675
132t 108r t t
BARRY JOSEPH L
BARRY MARY E
9 BELVEDERE TERR
YARMOUTH PORT, MA 02675
1321 '.l0ot t t
JOTINSON BETSY
1O BELVEDERE TERR
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
dipclly abutting and across the street from the parcel located at
3 Belvedere Terr., Yarmouth Port, MA A2675
Np t3l, Lgt 10efflat*-ada
Andy o,
Septemner 28,2021
sessing
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7 inch = 112 feet
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Government Solutions are not responsible for any use for other purposes or misuse
Data and scale shown on this map are provided for planning and informational (MA) and Vision
of this information.
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APplicntion i:Lt- A.t{{t, .'
"{'he rrpplicaulJ;lppljrr$11i's flgent unclerstands arrd tgree: thnl clur,. ro rlrc srrruent cJcclar*rl
ir;atinn*l artd State puhlir lrcalth cnrergcucics tlre dcternrinatinlr ol'oirr A;rplicatirn tirr *
L'crtillcate of Applcpriuterrcssll)enruliti*niL;x*:rption nlay tu)t bc nrade n,ithin ,15 cl*rys *l'thc
fi lirrg ol'sueh applicati<>rr.
'l hc irpplicant agrccs lo cxtcttd thc titttc lrrlnc r.ritlrirr ulriclr a tletcrrrrinutiorr is ttr hs rnadc as
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