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Home My WebLink About121 Camp St #007 Building Permits• Commonwealth of Massachusetts "m"at use vtnY Y .. Permit No. Department of Fire Services occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS prv.1U99j oeave blank), r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR � L� . 14 1 U 9 All workto be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR12.00 ' D (PLEASE PR MTININKORTYPE ALLMFORMA770NJ Date: ��Z6,,4 P C,.7 2004 City or Town of. YAIMUrx To the Inspector of Wirels: By this application the undersigned gives notice of his or her intention to perform the electrical work descn"bedbelow. Location (Stred & Number) MILL 'POND vmIAGE, Camp Street .4 o T —7f % OwnerorTeaant Gatewood Homes/ Jeff Sollows Telephone No.508-7789669 Owner's Address 1600 Fallnouth Rd., Suite 25, Centerville, Ma. 0263.2 Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woric Fire Alarm System (low voltage control panel) with bad battery centrally monitored ' !•n.nnlefimf nfthe relhnaimo tahle may he ivaivabv the InmeetarDrWimm No. of Recessed Fixtures No. of Ceil.•Sus . (Paddle) Fans P � o: o Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool d a . ❑ d. No. orEffierglighun BatteryUniits�cy S No. of Receptacle Outlets No. of Ot'1 Burners FIRE —ALARMS No. of Zones —1— No. of Switches No. of Gas Burners o. of Detection.an 7 Initiating Devices No. of Ranges No. of Air Cond. Tons tal No. of Alerting Devices No. of Waste Disposers �TotPumP ,umber. Tons No. of Self-Cntained DetectionfAleortine Devices 7 No. of Dishwashers Space/Area Heating KW Local ❑ Csot Connection ® Other No. of Dryers .. Heating Appliances KW pal a No of Devicas brEquivalent o. of Water KW Heaters o. o o. o Sias Ballasts Data Wiring: No. of Devices or E uivalent No. H drumassa a Bathtubs y g No. of Motors Total HP o innal Telecommunications of Devices No. of Devices or E uivalent OnIL- Attach additional aetol tj dertre4 or as regwrea by autnTeetor of wirer INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has wthibited proof of same to the permit issuing office. CHECK ONE: INSURANCE M BOND ❑ OTHER ❑ (Specify:) (E#uattoa to Estimated Value of Electrical Work: $750.00 (When required by municipal policy) Work to Start Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penaMa of perjury, that the information on this application is true and complete FIRMNAME: Baltic Security, Inc LIC.NO.: 1178C Licensee: Jonas R Bielkevicius Signature r LIC. NO.: 499D (Ifappliaible, enter "exempt" in the lieensenwnae Bus. TeL No.- 508-833-0996 Address: PO Box 1609 Sandwicg.line r . 02563 Alt TeL No 508� 7 OWNER'S INSURANCE WAIVER:.I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent Owner/Agent PERMIT FEE: $ 40.00 Signature Telephone No. OF Y4 9 MAMCHEESE �,m a APPLICATION FOR PERMIT TO DO PLUMBING TOWN OF YARMOUTH I (OFFICE USE ONLY) By Fee: 7PERMIT NO. -C�fo-C-64 P' V [ D,atee 20 cz Building Owner's^"��r�� AT: Location Name (/ �Renovation _ Type of Occupancy QS New Renovation❑ Replacement El ZI I Plans Submitted Yes ❑ No ❑ �P �5; uV z Z Cn Y F< > 6 W X J fN a . 4 Z O O. j N O Z iL FQ- W 2~ X _ Q W 0 y C N 0 Z Z_ a z Z Q 3 X V Z x m 7 x N W 2 Cl) Z G Q V) Z a x-J U. W x a= O Z x Y a 0~ Z Z Q W LL Y W H a U H 0 2 N a y 7 y a 0 Z O O N a¢¢¢ W F a O 0 0 V a x F- Y Q J a m x M G G Q J x Q F Mn LL O 7 0 Q 3 M m 0 . ..- ��■©ern■■■■■■■■■■■■■■■■■■■■■■■ ,.. _ �/L1/ %/ r ■ .,..tam ° it "'"1 2rFlr m a y Business Telephone Name of Licensed Plumber�� INSURANCE COVERAGE: I have a current liability insuranXbyecking r its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of coverage the appropriate box. A liability insurance policyther type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. 54 Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type: Master ❑ Journeyman OF r49�0�t TOW OF-YARM TH I/NOV 0 12 4 APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE FFICE USE ONLY) By Fee: $ 3�p. oil PERMIT NO. CT- OS 73 Date ' 6� Owner' — Buildin AT Location S Namek C-a A?T ZUe 5 ,.! Type of OccupancyI /c/ New EX Renovation ❑ Replacement ❑ IF Plans Submitted Yes ❑ No a ¢ 0 Z wZ x >w O -i Cr (7 J m x � u. rn : W W x W ¢ G R O a> W Z O a O 0 U O aO J cc W m Z o V H Z a oC M O Uzi > 2¢ F- WWa > 5 O W 4W . O a yOW W t- 1iJ ►x- O .. SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) "�� Installing Company Name--- -- �i Q/�! ►^ti tTE17 Address 1 %}AS E T NNIs MA c) 2. &o 1 Business Telephone SD F-7 3 7 r 3 6 i 4 Check One: ❑ Corp. ❑ Partnership P Firm/Company Name of Licensed Plumber oar :S:4n 1AN cDL- ^ N Cr INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes Er' No ❑ If you have checked yes, please indicate Pe type of coverage by checking the appropriate box. A liability insurance policy 200 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Signature o Licensed Plumber or Gasfitter Z1 S {3 License Number TVDC 1V`GNCF- Daniel E Braman, PE 189 Harbor Point Road Cummaquid, MA 02637-0361 Phone (508) 362-0016 SEP 16 2 4 .. 6UIlGiiV� _>, . James Brandolini, Building Inspector Town of Yarmouth 1146 Route 28 South Yarmouth, MA 02664 A,O:� Mill Pond Village r� /a/ Camp Street Yarmouth, MA.02664 Septemberl5, 2004 Project: 22604 Today, I made a site visit to the above property to conduct an inspection of floor joists with holes for plumbing in house 7&8. I found: House #7; in second floor; 2" pipe through 10" "I" joist has been sistered. In this area "I" joists are 12" o.c. in lieu of 16" ( as designed ). In the first floor "I" joist cut at top. Adjacent "I" joist have been tripled to take load. House #8; In second floor; 2x10 floor joists. Hole 3 1/2' out on a 12' span.Double 2x10's with 3/4" plywood on floor joists either side. In first floor;pipe through 2x10's near rear stairs: Three floor joists sistered with 3/4" plywood. In addition, the builder has informed this engineer that in future houses he will move floor joists as not to fall on wet walls. I believe that these details are structurally sound. Daniel E. Braman, PE P.z VA Fi_u V _ •65.87 1 ,.� o 2 LOT 7 w �b.., 1\• 1 ors zA a e 96 I \ ,9 o � rn 02 ac? Nei �0 6 J*k EXISTING FOUNDATION f L=5.4V___7 .. 1 CERTIFY THAT THE FOUNDATION IS LOCATED IN FLOOD PLAIN ZONE C AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 250015 0005D \ . 0 AND THAT FLOOD PLAIN ZONE C IS NOT A S ECIAL FLOOD HAZARD AREA. TE REGISTERED PROFESSIONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) 1 inch = 20 ft. AS —BUILT PLAN OF LOT 7 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1 "=20' DATE: 6- � .57 1 LO' 1 I CERTIFY THAT THE FOUNDATION IS h LOCATED ON THE LOT AS SHOWN, AND IL THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE 408 SPECIAL PERMIT ta g'DATE REGISTERED PROFESSIONAL LAND SURVEYOR D NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons. Including any municipal or other public officials, may rely upon the information contained herein: and (B) this plan remains the property of Holmes do McGrath, Inc. holmes and mcgrath, inc. civil engineers and land surveyors 362 gifford street falmouth, ma. 02540 JOB NO: 201197 DRAWN: DWG. NO.: A2506A CHECKE Q MCGRATH Na 2m of �� TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO _ B-04-13is_ . PERMIT Pe ISSUE DATE ; --619/2004_ - ; PROPOSED U APPLICANT _Frank Capra- - - - - - - - - - - - - - - - - P JOB WEATHER CARD PERMIT TO ; New Construction ; AT (LOCATION) 100121CAMPST#7 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK I044.21.1.C7 BUILDING IS TO BE: CONST LOT SIZE new construction: 3 baths, 3 bedrooms, 1 familyroom, 1 diningroom, 1 fireplace, 1 one bay REMARKS garage, 1 livingroom as per plans dated 04/02/04 and BOA #3546. AREA (SO FT) EST COST ($ I$169,536.00 PERMIT FEE ($) 1$617.00 OWNER lVillages at Camp St., LLC UILDING DEPT BY ADDRESS 11600FalmouthSt#25 p � Centerville I MA 102632 USE GROUP R-4 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 ' Certificate Issue Date �� j 7 �y v,S� � CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks BUILDING o PLUMBING/GAS 5 ELECTRICAL 7/ ENGINEERING l� OTHER 2v % pro c� 3 G u(' S7 �r p 1r f/r r t�4 �Z- 3 li o S ^ ro be filled in by each division indicated hereon upon completion of its tinal inspection. v OF TOWN OF YARMOUTH Building Department BUILDING _________(508) 398-2231 ext.261 (19V+W1W1 PERMIT NO B-04-1378_ . -- _ "' - - - . PERMIT ISSUE DATE ;_ _6/9/2004- _ ; PROPOSED _ _ _ _ _ _ _ _ ' APPLICANT Frank Capra - - - - - - - - JOB WEATHER CARD PERMIT TO ; New Construction ; AT (LOCATION) 100121CAMPST#7 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C7 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE CONTRACTOR new construction: 3 baths, 3 bedrooms, 1 familyroom, 1 diningroom, 1 fireplace, 1 one bay REMARKS garage, 1 livingroom as per plans dated 04/02/04 and BOA #3546. AREA (SO FT) EST COST ($ I$169,536.00 PERMIT FEE ($) 1$617.00 OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 11600 Falmouth St # 25 Centerville I MA 162632 INSPECTION RECORD LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector ?— aD-o ctoe L,c. IT �- TOWN OF YARMOUTH Building Department Town Hall e Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT APPLICATION RECEIPT (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 614 Net Owed: ($50.00) Application Date: 3/8/2004 Issue Date: Temp Permit No.: T-04-442 Expiration Date Applicant Name: Frank Capra Location: 00121 CAMP ST # 7 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth St # 25 Centerville MA 02632 a Owner's Telephone: (508) 778-9669 Comments: new construction: This is NOT a building permit. Application subject to plan review. Contact Building Department for permit status. Official Building Permit will be issued upon plan review completion, approval, and complete payment of Net Owed on Permit Fee. Date Printed: 3/15/2004 4Aj ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH AONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 Ofric`e Use Only', Planning Board lnformation` Assessors Department Information PermltN `6 Plan Type ap Map o Mo L t+ / Endorsement Date 01tl r New Permlt�Fee r, Recording Date 1 4 Property Dimensions Deposit Re c d $ 6000VVVDate/ Plan No " Net Due { ,Dther� LotCoverage'a This'Section for Office Use On( t <i • _ . _ '` _ , r Buildin Per `i Numbe Date.lssiied , " Certlflc a of Occupancy SlgnatUre Building Official is is not Section i = Siteinforination` Use Group: R-4 Type: 5-B 1.1 Property Address: _ 1.2 Zoning Information: Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. c. 40. S 54) 1.5' Flood Zone Information: Comments Public Private ;Zone, Section 2 _ Property Ownership/Authbrized'Agent 2.1 Owner off RecoM: A ; 11 0v �L N meprint) , Mailing Address Cu,44.jr t/h Signature Telephone 2.2 uthorized\Agent: Name (print) ng Address j� ° g' $ Z� Signature Telephone F Section 3"- Constructiori'Seivices' 3.1 Licensed Construction Supervisor. Not Applicable ❑ lJt.—� DL 81 License Number IIIIAA /k �\YVl A"&T 1(t �a O Ll o \ � V ✓� 0 ddress Expiration Date i� X �(0 Signalbre elephone , li _ 3.2 Registered Home1mproverien7Contractor.: Company Name 6 QR O $ M No Applicable ❑ •. ense Number Address Expiration Date Signature Telephone 7 9- 15-99 1 of 2 OVER Section 4 - Workers' Compensation, lrisurahce Affidavit`(M.G L C.`i52 S'25C —(6-YI Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial f the issuance of the building permit. Signed Affidavit Attached Yes .......... No .......... Section 5'; Mscriptioii of Proposed Work{check aflApplicable)'; New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: , r f vs c( V 1 Costs' t Section-`6r:.Estimated Construction Item Estimated Cost (Dollars) to be completed by permit applicant Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) 1. Building 2. Electrical 0 3. Plumbing / Gas 4. Mechanical (HVAC) x 5. Fire Protection , 1 3- 6. Total = (t + 2 + 3 + 4 + 5) t P_3 0 7. Total Square Ft. (new houses & additions) 1140 S Section7af=OwnerAuthonzation -To Ov✓ner'.s'A ent'orCotitractorAp tiesfor:Buildin beCompletedW i' Per t : bl I, t' e.r— a�lowner of the subject property hereby authorize tV0,3A IWAe -`-� (- to act on m beh , in all matters elative to work authorized by this building permit pplj Iation,./ - 7-- T — 03 Signature of Owner Date Secti($ 7,b ;-;Owner/Authorized Agent [?ectaration •. cc� n� 1' Ol.t.�., I,� as Qwner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Fe -AQr- Print name n Signature of Owner/Agent Date Y E 9-15-99 2.of 2 FA of 'qR,� } 0 0Z-3 PLEASE PRINT. job Location: _ TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Owner of Property: j— Construction Supervisor: Name O Address: 0 Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: Village S�I . LL c Da ly3o Sob ��$-96� License No. Phone No. License No. oa63z 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfully violate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No ❑ If you have checked y— s, please indicate the type coverage by checking the appropriate box. A liability insurance policy L 7 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 152 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 Ej Signature: Building Official Approval: The Commonwealth of Massachusetts Department of Industrial Accidents o flce01INFOSII&VORs 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit cits ( U k— /✓ 17l phone fl LoL 2 7 g- / C; ( t ❑ I am a homeowner performing all work myself. FJ I.am a sole proprietor a-d ha%e no one working in any capacity I am an employer pro%iding workers' compensation for my employees working on this job. company name: address, city: phone q: insurance co, policy N IR/I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below «ho hase city: phone N• insurance co. policy N Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 1114MM aadtor one years' Imprisonment as well as civil penalties. is the form of a STOP WORK ORDER and a fine of SIOO.00 a day against me. I undentand'that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do herehy cee�' }- derthe ins a enalties ojperjury that the information provided above is true and correct. k Signatures/��l�.u�l�/' Date x z Print name \ _1 wV�, n; t: -�Man olf'icial use only do not write in this area to be completed by city or town official city or town: YARMODT$ _ permit/license N nBuilding Department ❑Licensing Board ❑ cheek irimmediste response is required 261 ❑Selectmen's Offiee (508) 3982231 eat. ❑Health Department contact person: phone N; — _ nOther TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRICAL GAS PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from proposed work/demolition to be conducted at 1 �1 . Work AdAress is to be disposed of at the following location: �(i✓+� l �d l\ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. �a Da e Permit No. ' t ` ,I �� lOQ'I/WILOfNLE6LU0 6�✓!'LQJJQC7[IldEi�d s�BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate: 06/16/1940 Expires: 00612004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN. r, CENTERVILLE, MA 02632 Administrator 00 - 35,000 d enclosed space (MGL C.112 S.601-) 1 A - Masonry only 1 G -1 & 2 Family Homes Failure to possess a current edition of the Massachusetts State Budding Code is cause for revocation of this license. DIG SAFE CALL CENTER: 1888) 344-7233 t �,�.vrcuTM VtKI INNATE OF LIABILITY INSURANCE D7Em 22 0 PRODUCER (508) 994-9688 FAX (508) 991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE -414 COUNTY STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NEW BEDFORD, MA 02740 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED FranK Capra INSURER A: Providence Mutual PO Box 664 INSURERS: OneBeacon West`Hyannisport, MA OZ672 INSURERC: Continental Casualty.Co .._.. ._ .... INSURERD:__ .. .. . . ' INSURERS _. rnvcoanro ' 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIm NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTN 12/13/2002 POLIC PIRATION LIMITS GENERAL LIABILITY CPP0053131 00 12/13/2003 EACHOCCURRENCE X COMMERCIAL GENERAL LIABILITY $ 1, 000,000 FIRE DAMAGE (Any one fire) S 50 QQQ CLAIMS MADE O OCCUR MED EXP (Anyone person) $ 5 QQQ A PERSONAL R ADV INJURY S 1 000,00( GENL AGGREGATE UMRAPPUES PER - GENERAL AGGREGATE $ 2,000,00( PRODUCTS - COMP/OP AGG S 2,000,000 POLICY LOC JEC_TT AUTOMOBILE LIABILITY CBXE48125 02/14/2003 02/14/2004 ANY AUTO COMBINED SINGLE LIMB S (Ea accident' ALL OWNED AUTOS X " INJURY S B SCHEDULED AUTOS B(Per Person) 25000ODILY HIRED AUTOS 250,000 NON -OWNED AUTOS BODILY INJURY .... (Per accident' S w_ 500,.000 PROPERTY DAMAGE S .. (Per accidang 100_ GARAGE LIABILITY .000 "-- '.- -AUTO ONLY -EA ACCIDENT. S ANY AUTO ...' ..::...... _ . .. - . ... ... OTHER THAN EA ACC S - AUTO ONLY - EXCESS LIABILITY ,-, EACH OCCURRENCE S. OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE S RETENTION S $ WORKERS COMPENSATION AND S59UB861X751603 O3/22/2003 03/22/2004 S EMPLOYERS' LIABILITY TORY LIMITS - ER C E.L. EACH ACCIDENT S SOO, 000 EL DISEASE - EA EMPLOYEE 500,000 OTHER EL D18EAS�'-POLICI'UtvilY $ 500' 000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gatewood Homes Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Falmouth Road Ste 25 OF Centerville, MA 02632 NTHE COMPANY AGE 3 R EPRE NTATIVES. AUTHORIZED R R _ xA,TIV.'Eh JV� � ACORD 25s 17/471 - _ ©ACORD CORPORATION 1988 '7-1 ,a UCK i iNUA l t OF LIABILITY INSURANCE °ATE,MM,DD,YYYY) ' PRODUCER - 10117/03 Dowyling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURED INSURERS AFFORDING COVERAGE NAIL # Bayside Electrical Contractors, Inc. INsuRERA: Travelers Insurance Company 372 Yarmouth Road INSURERB: Guard Insurance Group Hyannis, MA 02601 INSURER C: INSURER D: COVERAGES INSURER E: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF SUCH LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD DA A GENERAL LIABILITY 16801484A82ACOF03 M D LIMITS - 10/05/03 10/05/04 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 ODD DOD CLAIMS MADE a OCCUR DAMAGE TO RENTED $30D 000 - MED EXP (Any one person) $5 000 X OCP PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 POLICY jEa LOC PRODUCTS-COMP/OP AGO $2 000 000 A AUTOMOBILE LIABILITY 18102601 W5611ND03 10/05/03 10/05l04 ANY AUTO (Ea acccideDISINGLE LIMB $1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY $ (Per person) X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Per accident) X Drive Other Car . PROP ERTYDAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG S OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ ETENTION $ S BCOMPENSATION AND BAWC436910 S' LIABILITY 08118/03 08l18/04 Wcsraru- OTH S IETORIPARTNERIEXECUTIVE MBER EXCLUDED?be E.L. EACH ACCIDENT $1 OD DOO FPROPRIETOR/PARTNERIEXECUTIVE under below E.LDISEASE-EAEMPLOYE 5OVISIONS E.L. DISEASE -POLICY LIMB 1$500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION Gatewood Homes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1600 Falmouth Road Suite 25 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN Centerville, MA 02632 NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) 1 of 2 #M31942 - �- LSi O ACORD CORPORATION 1988 L:.t�a�'.L' = F 2 CATE OF 2 NSURANCE Issue date; 7/22/03 .� *Producer: I ___ ____________________ This certificate is issued as a matter of information only and confers no rights u on the certificate holder. This certificate does not amend, SOUTHEASTERN INS ASCY extend or after the coverage afforded by the policies below. 641 MAIN ST HYANNIS MA 02601 I----------- COMPANIES AFFORDING COVERAGE ------------------------------------------------------------ Code: Sub —code: I ----------------------------------------------------------------------------------------------------------------------------------- Cc Ltr A: ARBELLA PROTECTION Insured: Co Ltr B; ARBELLA PROTECTION RJ BEVILACOUR --__----- Co Ltr C: � ------------------------------- P 0 BOX 628 FORESTDALE MA 02644 i------------------------------------------------------------------------- Co Ltr D:—_--ARBELLA PROTECTION I ------------------------------------------------------------------------------------------------------------------------------------ Cc Ltr E: COVERAGES This is to certify that policies of insurance listed below indicated notwithstanding any requirement, term or condition have been issued to the insured named above for the policy period of any contract or other document with respect to which this certificate may be issued or may pertaini the insurance afforded and conditions of such policies. Limits shown by the policies described herein is subject to all the terms, may hawe been by --exclusions, — ---------------------------------------------------------------------------------------------------------------------- reduced paid claims. Cc I I y I Ltrl Type of Insurance I Policy number --A Policy I p Policy I effective date ex iration datel All limits in thousands ENERAL LIABILITY--------------------I--8500018147--_-1----7/15/03----1_---7/15/04----lGener— Co,000 mmercial general liability aggregate:-------------- ----- [ Claims made (] Occur �wner Products—comp/ops aggrey: Personal/advertising inl: s 9 contractor s Prot i i I Each occurrence: 11000 (Fire damage: f00 ---------------------------------------------------------------------------------------- B LIABILITY 1 86852400001 ----Medical —expense- ----------- —5 — ---- ------ 2/21/03 I 2/21/04 ICombined I (AUTOMOBILE An pp auto I All owned autos I Single limit. 250/500 l I l Scheduled autos I+ Hired autos IIPer person�r 1 Non —owned autos ( uodily injury (Per accident): Garage liability —--------------------------------------------------� damage: 500 --------------------- IEX ESS LIABILITY ----------(Property -------- ----- — — Each ( 11Other than umbrella form I Occurrence Aggregate D I WORKER'S l 9088680403 4/27/03 4/27/04 I----------------------------- ACOMPENSATION ND l EMPLOYERS' LIABILITY I l lStatutor l ach accident) l l too E 500 sease-policy limit) ------------------------------------------------------------------- ----IOTHER 100. emp_I.oyeel- Description of operations/locations/vehicles/restrictions/special items: CERTIFICATE HOLDER CANCELLATION Should any of the above described policies be cancelled before the GATEV100D HOMES expiration date thereof, the issuing companT will endeavor to 1600 FALMOUME RD 5TE 35 I mail 10 days written notice to the certificate holder named to the 1600 FALMOURVILLE MA 02632 left, but failure to mail such notice shall impose no obligation or CENTliability of any kind upon the company, its agents or representatives. Authorized representative: -------------I JOAN M MARTIN JA txly-% SL laK FIFICATE OF, LIABILITY INSURANCE DATE508-398-6033 FAX SOS-760-1667 ,Allied American Insurance Agency LLC ONILYANDICONFERS NO RI HTS A MA A MATTER UPON Tr THE F TIORMA ION 1 Atlantic Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR So Yarmouth MA 02664 ALTER THE COVERAGE AFFORDED BY THE POLICIES =LOW. INSURERS AFFORDING COVERAGE NAIC If INSURED ape o Custom Floors 762 Falmouth Road INSURER Arbe a Protection Ins Company Hyannis MA OZ601 INsuRERa- Hartford INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE( POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 70 D D TYPE OF INSLDWIC6 POLICY NUMBER POLICY E F TIVE GENERAL LNLBILnY 75000003 7I 12/13/20OZ X COMMERCIAL GENERAL LIABILITYCLAIMS MADE D OCCUR 7A CENL AGGASGATE LIMITAPPLIES PER X I POLICY 0JEP Lac AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS r NIRED AUTOS NON-OWNEDAUTOS F FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH EACH OCCURRENCE I tDAMAGE TO RENTED i XP (Any Me preen) IONAL A ADV INJURY I GENERAL AGGREGATE i PRODUCTS • COMPR7P AGG i COMBINED SINGLE LIMIT Ma I ICCMenl) BODILY INJVAY I (Per pomw,) RODILV INJURY (Peracodeny I PROPERTY DAMAGE (Per eedtlenl) I GARAGE LIABILITY ANY AUTO AUTO ONLY - CA ACCIDENT $ OTHER THAN EA ACC I AUTO ONLY; [XCESIAIMDRELLA UABIUTY AGO i OCCUR CLAIMS MADE EACH OCCURRENCE I AGGREGATE : OEDucnRLE i RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OSWECKLI007 05 25 2003 05/25/2004 X I I / WC STATU- OTH. B ANY PROPRIETOWPARTNEWFXECUTIvE OFFICEWMEMBER FXCLUOED' EI EACH ACCIDENT I E "roe fie' ee' YA 0 @L L PROVISIONS beE.L. E.L.ISEASE - EA EMPLOYE I OYNE'R E.L DISEASE - POI ICv I m, e U Evidence of Insurance for work performed within the Insured's scope of normal operations 1 IFICATF WnF D C ION SHOULD ANY OF THE ABOVE DESCRIEED POLICIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDCAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gatewood Homes .. BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBUGATION OR LIABILITY 1600 Falmouth Road N25 OFANY KING UPON THE INSURER, ITS AGENTS OR REPRESENTATA Centerville, MA 02632 AUTHORIZED RESENTATV 4CORD25(2001108) FAX: (508)778-5603 Q` (PACORD CORPORATION 1983 ADORD_ CERTIFICATE OF LIABILITY INSURANCE OPID A DATE (MMIDDIY03 CROWC50 07 25 PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Su4ivan, Garrity S Donnelly ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 508-754-1767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10 In§titute Rd - PO Box 15010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester MA 01615-0010 Phone: 508-754-1767 Fax: 508-754-1885 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A.' Hanover Insurance Co 22292 INSURER B: Arch Insurance Company Crowell Construction, Inc. INSURER C: PO Box 309 INSURER D: So. Dennis MA 02660 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR AUU'L INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE (MMIDDIYYI LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR ZHN7007141 05/01/03 05/01/04 EACHOCCURRENCE $1000000 PREMISES Eaoccurence 3100000 MED EXP (Any one person) $5000 PERSONAL d ADV INJURY 31000000 GENERAL AGGREGATE S 2000000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY - JECT LOC PRODUCTS -COMPIOP ADD s 2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS AEN7001142 05/01/03 05/01/04 COMBINED SINGLE LIMIT (Ea accident) S BODILY$ (Perrperson) 1000000 X X BINJURY eccidenl) (Perer accident) $1000000 X PROPERTY DAMAGE (Per accident) 3500000 GARAGE LIABILITY ANY AUTO - AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION 3 EACH OCCURRENCE $ AGGREGATE S $ $ $ B -- WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTN OFFICER/MEMBER EXCLUDED? IFyes; describe under SPECIAL PROVISIONS below IRWCI00100 0322E / /03 03/22/04 - - TORY LIMBS ER E.LEACHACCIDENT $500000 E.L.DISEASE-EA EMPLOYE --�_ $500000 E.L. DISEASE, POLICY LIMIT $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Fax #508-778-5603 CERTIFICATE HOLDER CANCELLATION GATEWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .10 DAYS WRITTEN Gatewood Homes NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Falmouth Road Suit IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Suite 25 - Centerville MA 02632 REPRESENTATIVES. _ 7QR AcWD„, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY PRODUCER • 11/14/03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency,'Inc. HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE INSURED NAIC # Gutter Pro Enterprises, Inc. INSURERA: Travelers Insurance Company P.O. Box.1197 INSURERe: Guard Insurance Group Plymouth, MA 02362 INSURER C: INSURER D: INSURER E: - 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GEI ERAL.._......._ 4ERCIA X COMMERCIATY L GENERAL LIABILITY CLAIMS.MADE a OCCUR _..._ .. 1 �.��.�•wn, umna 1680459H3118TCT03 11/07/03 11/07/04 EACH OCCURRENCE DAMAGE TO RENTED Rn I MED EXP (Anyone person) I PERSONAL 6 ADV INJURY I GENERAL AGGREGATE 3 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PET LOC PRODUCTS - COMP/OP AGG S AUTOMOBILE LIABILITY ANY AUTO - COMBINED SINGLE LIMIT S (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY S (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) S PROPERTYDAMAGE $ (Per accident) GARAGE UABIUTY . ANY AUTO ALTO ONLY -EA ACCIDENT S OTHER THAN EAACC I S AUTO ONLY: EXCESS/UMBRELLA LIABILITY qGG S OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE $ DEDUCTIBLE S B IWORKERS COMPENSATION AND IGUWC440685 11/07/03 11/07/04 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTNE OFFICER/MEMBER EXCLUDED4 OTHER DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR RFORCCCurwT,,.�.. ACORD 25 (2001/08) 1 of 2 #32273 1 f r,� - `41R�— LS1 O ACORD CORPORATION 1988 AGQRD, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/18/03 OUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dqwling & O' Neil Insurance' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St..PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hanover Ins. Company Busy Bee, Inc... INSURER B: Safety Insurance Company East Sandwich, MA 02537 . P.O. Box . INSURERc: Associated Employers Insurance Compa INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lNbR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM/DDIYY LIMITS - A GENERALLIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR PD Ded:250 OHN643998501 06/14/03 06/14/04 EACH OCCURRENCE 1$1.000.000 X DAMAGE TO RENTEDrlCm PREMIS 5300 OOO S15 000 el MED EXP (Any one person) X PERSONAL & ADV INJURY f1 000 000 GENERAL AGGREGATE s2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE 0. LOC PRODUCTS-COMP/OP AGG s2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 3175394 01/14/03 _ ... - - - 01/14/04 COMBINED SINGLE LIMIT (Ea accident) - $ ODILY INJURY (Pwpmm) $100,000 X X BODILY ( Per aaideeJn() q - s3000OO X PROPERTY DAMAGE '(Per aecldent) $100,000 GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE ' RETENTION $ EACH OCCURRENCE f AGGREGATE S . S S f. C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N yes, describe under ' SPECIAL PROVISIONS below OTHER WCC5002932012003 06/27/03 06/27/04 WC STATU- 0TH- E.L. EACH ACCIDENT $100,000 E.L DISEASE - EA EMPLOYEE $100,000 E.L DISEASE - POLICY LIMIT f5OO,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. I Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 Of 2 #30822 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CORPORATION 1988 11/ 11 / VJ 10. 11 rat DU57900249 GOLDbL9P1 ASSOC 1 c--0PD CERTIFICATE OF LIABILITY WSURANC� PROWCUt 0 11 17 03 ` GOI+mw E A880CIATBS nwu?A= TR03 C�FiCATe.I3.ta3LIF1�AS A MIAZER2.OF 0llt.ORi - • ' '' 4TXANCIAL SEMCES INC. ONLY ANO CONFERS NO RIEjKra UPON THE CERTTP=T€ 933 rrALm Tg RD. HOLDER. THIS CERTIFICATE NOT AMEND. EXTEND OR HYAM1S MA 02681 ALTER TNE-C=MAGE AFF*RDEDLRY.THE PQLtpE1iBM OW .. Sena: 505-775-6010 gaZ: 500-790-0249 iNlIURERS AFFORs'R. NG L. CE � qA= s ROW= SAVANO °1'`�?ig ZIIi2IC3.Ii7 C�>FA DSA NXCHANICAL SrSSEM9. c 770 HOLDER SAlm W BARNSTAHLE b A o2668 a I T}X MU:W3 OF PKIMMM UMED taow t VC MEN ra=10 n%NMW KWM NPM%FoFt TW PoWl PER= MdG,En. ANY FtFOLOM EM,TEMOR COMWOM OF AM mrnRA= aR orrM DaaaEWTVWM �svecr�n wrOtnas cFxrmG:E x�Y MATE nAKTW-WZtR =AffVFWM BY TM PCLCW OESR VWHW4J IS StijWrTO ALL TNETFlOa.E "ZDCR ARRO POLKZSr/GOREOATELMMSM O MAYMAVEMEMPSEUC DHYPAm[I/Np OFStJ[}I_ LTTy T'AE ar C.sIRASS FQ=aw A61®pR .x CfIE LiR[TS OERFTtAL W�J1Y �. �xEo�Mv,u�DY EiL8172 sl/21/03 IS/21/04 .QA>1G WM ® CC" cEc � � i 1000000 450000 OWVAr eti"m&V i5000 ORLY A ACV DLARY $1000000 cF1n_At'C3EI9ATC tlYrllPq.Eb:F3C ALidWCAM S'2aQaoaD-' �Yy WT tor -c0MPWA00 $ 2000000 ANrAUM SNM.ELW +1 _ i ALLOMREDAUY03 SCHEC=DAUrag, re+.T.azY s Kftm mAvo J �J RaAes�M►�xras.. rxAJRr _ a°AMAGE s ANYAUTO. MY-EAACCCENr i TTIMR EAACC i cKy'. AGO i �an96 MADEr.J.rYAm T7C0=CUJR s L.Me�RrY >S727PA34903 05/03/03 05/03/04 TORr/txazs ' EAQiAcclopRr s 100000 iall-A1°OLs FiTOMrycRcW. E e+sEAse-EAE20 aY� a 100000 OTHER EL cut—E-/'OLICYtSAJr i 500000 DRIGAWrION OF GPE4lTpIS / LOr.ATY76/ V6'1�7E9 J �""n .a.n` AOC®6Y E91�tlFF7�7(rl IPiCN1L iA6KS10iR CERTIFICATE BOLDER GAT£WOO" - sm"Nly-w TNLmms m A POLcl=" DATETTEREOF, THEMUMMONSUARKIMR ENDFAVORTONIPL 10 DAYS MRRDrEN GA=WOOD EOm—pB LTA MODCE3OTIA SO.TWLFirJWFALLRET000s?SNALL FAX 508-778-5603 movemam, mhowokmmm AM1aIDU/ORDI<NOUaMRSAOENTr OR 2 900 FAIMomE ROAD- rFAVVIEL CENTSRVI= MA 02632 DfoameRmsmaThc 4COM;>. CERTIFICATE -OF LIABILITY INSURANCE s PROOUCER 508 672 2997 THIS CERTIFICATE IS ISSUED-) R, JOA4M-OIAS. ONLY AND CONFERS NO RI1 OCAS INSURANCE HStDER: THIS- CE;tT4F4C;ATE E 535 BRAYTON AVE ALTER THE COVERAGE AFFOR FALL RIVER, MA 02721 INSURERS AFFORDfNG COVER AG FEREIw94REP ciDPISURERA: GRANITE STATE INSUR JOEL IJA CORi4 OEALP,ION PIsuRERa: NAUTrLUStFtSURgNCfi pf3A EJJA CDFISTRUCTtON 50 PICKERING ST. APT 17 INSURERC; FALL RIVER, MA 02720 NSURERO INSURER E• rnvsoanva MA GATE CmrOOITYM 0&08f2003 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AaX.REQULREMENT. TERM OR CONDITION OF ANY CCNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEDNERE W-*L SHB9EET TO ALL THSTERMS. POLICIES. AGGREGATE LIMITS SHOWN WAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS.ANO. CQNOITIONS OF SUCH Niv oO PO EFFECTrvE POUCY RATIO LadR3 GENE7m- T,000,OOQ'P1ERm NC27580E OS/28l2003 ®rACHOOCUF�CNCE 06/26l2004s OCCUR oeeuMcce100000 I SI S XP(any erla OauHJ ----�fi00- I ' PERSONAL&AUvIN_kuM' GENEFIICAGGREGATE I S- _ 2,000,OOL _ LAC"ECATIU149TAPPLISS GFN'tIES PER: PROOUCTS•COMPAPh:;G .S 2000000 PLOC AVTONYAUTO ILtfY µraUTO I COMSe IIo ZHO:E wT (Ea aeaAaPl)��''�'S i ' ALLOYINEDAUTOS —^ SCHE!BULEDAVTOs ROOR.YINJUR � (Par Pe7a11 S 1 �wR9 AUTOS + I NCNrOY EOAUTOS EOOgY1NJVRY (►ar aacaaMi PROPERTYOAMAGE !—•_--' I (Psraaxl I GARAGE UAER.iTY ` AUTOUMV19MACCIDEl Y I ANY AUTO �- ' OTNERTHAN AUTDONLY:� IXCESSIUMERELLrA L�IAZUJSY J OCCUR CLNMS MADE I • aOGitEGATE I -- I S ' —�{ OEDUCnaLE ( RETEHTWN s5--�- -�_ s wORNiRBCOMRENEATWNAND -- 7RN, D777 EMPIOYGR3'LUUtILrtf WC• 4g¢Q$-$5' Ti'i0$�03" Ln 5 1i/O$f( _ LI ANYPROPRIETOR/PARTNER*.X'cCLTNP Orner."AEM9ERfiXCLUDED? ELEACHACCIOGNTOOp- ayIy anWar E.L.OICCASG •EA EMPI:h'GF S 1' 00D, D SPECIAL PwGV1910N8 Wb.. " an+eR eL aseassl PuIL�-t MIT r 1.00t1C410- OE3CRPTRriYOF4PERATRNq/ tOCA710NS/YEYICLESf EXClUSR1HSA00EQHY ENDORSENEM r3PEC1AL PROYISION9 CERTIFICATEHOLDER GATEWOOD HOMES 1SW FALMOUTH RD. CENTER VILLE. MA 02632 0 3HOULD ANY OFTNE AEOVE GascRu m Pamm-s aE CANCE.L'EVREFORRTRE EX►1RA310N- DATE THERGOF. THE tS3UMG 313WRER WILL ENDEAVOR TO MAIL 10 0AY3 WRITTEN NOTIC6T0'TAE'CERTIFlCATYMOtDEftNMtPD iO THE LER, IILLL LAIL{lRESdEn en �.. IMPOSE NO OBLIGATION OR LIABILITY oP ANY RIND V►oN THE INSURER, IT3 AGENTS OR AUTHORIZED ACCORD CERTIFICATE OF I�TSVRANC.E [PRODUCER THIS CERISISSUED AS A P .Rssaro Levernne & Buckle CONFERS NO RIGHTS UPON THE C Y Insurance Agency Inc P O Box 160 Dennisport, MA 02639 INSURED Patrick K Orcutt 6a P & S Concrete 37 Ladys Slipper Lane Mashpee, MA 02649 THE COMPAMES AFFORDING COVERAGE A A.I.M. Mutual Insurance Co THIS LS TO CERTIFY THAT THIN IC ° TED' NOTWITHSTANDING POI INDICIES OF INSURANCE LISTED BELOW HD NA AVE BEEN ISSUED TO THE INSUREMED ABOVE FOR THE POLICY PERIOD ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TEE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIIvfiTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY Wn " POLICY EFFECTIVE I POLICY ExPMATIo . DATE(MM/DD/YY) DATE(MM/DD/YY) IMERCIAL GENERAL LIABILITY DZLAIMS MADC::IoccuI IER'S & CONTRACTOR'S PROT. LE LIABILITY AUTO OWNED AUTOS DULED AUTOS D AUTOS OWNED`AUTOS AGE LIABILITY Jam XLLA FORM R TNAN UMBRELLA FORM OMPENSATION AND 6006181012003 110,21/2003 10/21/2004 i THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE EX OTHER ESCRD'1TON OF OPERATTONSrtfN`eTtreucivcvrrroc,o.................._ Gatewoods Homes 1600 Falmouth Road Centerville, MA 02632 L4IITS ENERAL AGGREGATE $MS, PRODUCTS-COMPJOP AGO. PERSONAL&ACV. INJURY EACH OCCURRENCE FIRE DAMAGE (Airy one file) MED. EXPENSE(Anyone Person)MBINED SINGLE INJURY -1 1 $ IILY INJURY aclidem) S PERTY DAMAGE S HOCCURRENCE S REGATE S S S S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, HUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RAID UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTH IZED REPRESENTATIVE 1 -6>Ud 564 7272 P. 01 i01 • :� ,r. v —yyj PRODUCER t$ ` ' ONLY *RIDER.RISK SPECIALISTS N001 INSURANCE AGENCY, INC. JAD P.O-SOX 115 CATAUMET, MA 02534-0115 MONUMENT INSULATION, INC.223 COUNTY ROADCOMPAW BOURNE, MA 02-932 TY I1 ........v...v..w...::e[:r.::::ti::w n.nta:r<a::•.^�_ ..�i`�! w'i5....��T:�:n:: Y i:��✓4;`Ja:Gii'irrimvn. N Ls TO CERTIFY THE INDICATED, POLICIES OF WSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NOTWITHSTANDING ANY REOUTAEMW TERM OR CONDITION OF ANY CONTRACT OR OTHER DO CERTIFICATE MAYBE ISSUED OR MAY PERTAIN• THE INSUR,4CE AFFORDED BY THE POLICES DESCRIBED'I ppEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BE REDUCEDICIBY PAtD CLAIM um ,7I TYPE OF INDWNNCE POLcy NUMOCR �%1n rou*Y (PIA471oN D4TE(LWIOO/Y17 DATE p1ADDDIYY) O4NERAL LV UTY X Comm ROAI OENsm UABI m CLAIMS MADE ® OCCUR P A -k "efts CLI135?45 P � �B/23/03 �8/23/04 E ABOVE FOR THE POLICY PERIOD' T WITH RESPECT TO WHICN THIS IS SUBJECT TO ALL THE TERMS. Uum ACV I AAurOran eawannr MrD l7<P fAnY arr barfon) ' S ANYAuro COMBDLEDSHOO LUT A AucWNEDAuroS SO4 OLLWAUR3S scixywjupw __.. MVEO AUTCS i NON-OWNFDAUTOS BODILY CRY s PRCPSM DAMAW LLAr�`DE UA91u7Y .. • •• . AN�'AUTO. 3 AU70 OI&Y. EA ACCOM7 $ oTNER THAN AUTO CKY:fE �v �i lya _:_1 •1 0711FA THAN UMBRELLA R3M WORKM COMPENSATION AND E.7PLDYM. uANiLITY a�rROPROCRI AanmvE 1=J'" ETC 782 51 72 GATEWOOD HOMES, INC 1600 FALMOUTH ROAD #25 CENTERVILLE, MA 02632 508 778-5603 EACH vwmgs\--G •. 9/5/03 19/5/04 SHOULD ANY OF THE AOOYE DF4maW rOL=n BE CANCE1tm lETORE•THE' EVIRATWN DATE THFAEOr, THE =UING COMPANY WILL ENDEAVOR TO KIUL JD_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMFO7TornwLPFTT BUT FAILYWRE,7O NAIL NoncE SMALL w NO ORuOATIoN as LN sam TOTAL P.01 • P.O1 �. CERTIFICATE OF LIABILITY INSURANCE DATEImminum) PRODUCER THIS CATE IS SUED AS ONLY DFiCONFERSgNo RIGHTS UPON THEATTER OF NFORMATION CERTI LATE. 74.9.lecs-noms I:iaitreet, Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7E9. Twin Street, Suite#A ALTER THE COVERAGE AFFORDED BY THE POLICE$ ND OR 05terville, Ma. 02655 508rd,?0. QQj l INSURERS AFFORDING COVERAGE INSURED CAsperson Overhead Doors INSURE'R,. A NG� T^ /� INSURER B: � •f•:+r COL.- . Sox 517 WSURERc East Falmouth, SSA 02536 NSL RERD THE POLICIES OF INSURANCE LISTED BELOW HAVE ANY REOVIREMENTTERM OR CONDITION OF ANY BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING - 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7R TYP£ OF INSURANCE POLICY NUMBER MOAT! uWn EFFECTIVE POLICY�IX�MR GENERAL LIABILITY LIMITS MERC 0ENFRAL LLOCCUR OCURRENCEI __��R FE�arol LC41A MS MADE L � MED DAP (ApyoM pMsa+) S S'ts48352 05/28/03 05/28/Od PtasoNALa.ADYWA)Rv s OQQ_ OtN'l AGGREOAI F LM1R APPL25 PER - GENEIIµ AGGREGATE POLICY I rjr rLOC 'OMOB&B LIAOMM ANY AUTO ALL OWNEDAUTOS SCHEM FO AUTOS . WRCD AUTOS NON-OWNCO AUIOr GARM a LIABILITY 7EXCrmaIkiTY CLAIMS MADE OtOVCTIOLC NELENIION_ WORKERS COMPENSATION ANO EMPLOYERS LIABILITY A Gateway Homes 1600 FiLLi0uth Moad-, Suite 25X CIB"Iterville, NA 02632 778 5603 ACORD 2S.S (71H7) PRODUCTS. COMPiOPACO S WSINGLE LIMIT S WAJRV ) S IWURY OAM)TYDAMAGE 14= LAUTGONLY f4-1 S LY-EAA'C'CENT SEA ACC S LY; ADO i S 02/22103. 02/22/08 E.L£ACNACCIOENT ELEN OY a r W E�DEDLACTaKAn Ann DATE THEREOF, TNF M=WG INSURER VRLL ENCEAYOR TO MAR _to_ DAYS WRITTEN NOT7EE-TO-H/EGERT/FIOAse-NOLDERJ/AMmm SO IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUREII, ITS AGENTS TS OR 0 ACORD CORPORATION 7888 O.F1cE-,>.F PROPERTY ADDRESS < 7 7 ALCULATION FOR PERMIT COST TYPE OF ROOM ET Id. 73/ zs6: 3 a,S'. 90 ADDITION JALTERATjONs BATH i BED ROOM-', b/(• 77 CERTIFICATE OF OCGUP) �= COMPUTER ROOM DECK OPEN DECK WITH ROOF DEMOLITION DEN , DINING ROOM b y s FAMILY ROOM 6 FIREPLACE FOUNDATION ONLY �) GARAGE NO, OF BAYS E GREAT ROOM KITCHEN LAUNDRY ROOM LIVING ROOM MUD ROOM C OFFICE PORCH CLOSED PORCH OPEN REROOFING SHED STORAGE AREA SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVrz -- SWIMMING POOL MR01 WINDOW REPLACEMENT I NO r...err.bay.r.-.rYtr..Y..a.?�i..I��r.r.�::-«-:.N..-rw..e^-:�.. .. �,_.-- ..-r. .. e, �-rera..y..�..a---.r.r..r^�^_..a...�...-,�:.nc e+Tfr+.v...v Y�'•rr^a=.,..._.. • a o0•Y.�-If, oq- qy � TOWN OF YARMOUTH C BUILDING DEPARTMENT O H BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF 1 TRANSMITTAL SHEET Building Site Location: Map No: L& Lot Nor2 L `l 17 Proposed Improvement: /� u Applicant: V Address:1Ga \ �/3LDlti(J� olS ' i��rl Tel.No.: yVCI Date Filed: 3w a Q�63a- The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following applicable departments. RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal ------------------------------------------------•------•----•-----------------------------------------------------------------• Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Eta ---------------------- BY: 'REEVIEWED T/ WATER DEPARTMENT: DATE: N/A: �2. ENGINEERING DEPARTMENT: _ DATE: N/A: 3. ONSERVATION: DATE: N/A: HEALTH DEPARTIEICINT:hE�/S�J s�/ �lE� -1 DATE: 1� /A 913-fl� INDUSTRIAL AND/ R COMMERCIAL PERMITS S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: - DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: white copy - BuUmg Dept - Pint copy - Water Dept - Yellow Copy - Haft Dept- - Pink Copy - Engineering Dept - Gokl m - Fire DeWCoasavation • TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : Mar 18, 2004 Letter of Water Availability 1. Single Family Dwelling X 2. Duplex Family Dwelling 3. Condominium Dwelling 4. Commercial / Industrial 5. Other (Specify) Reference; Massachusetts General Laws Chapter 40, Section 54 To : Town of Yarmouth Building Inspector Please be advised that the Town of Yarmouth Public water supply is available to service lot/parcel(s) 21.1C7 Street 121 CAMP ST #7 as shown on Assessors sheet/map # 44 Issuance of this Letter of Availability is subject to the following provisions/restrictions. (1) The property owner agrees to comply with all Federal, State, and Local Laws, Rules and Regulations as they pertain to the use of the Public water Supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owners expense, the installation of water mains and appurtenant items to meet water demand requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue. I have read and understand the provisions/restrictions of this Letter of Water Availability. Owner (Sign) Reference : VILLAGES AT CAMP STREET : FRANK CAPRA : 1600 FALMOUTH RD #25 : CENTERVILLE, MA 02632 to� 0F'Y'�R S�� c O H N�MATT I. CS( ,7,, Oy. yy A TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET ,7 Building Site Location: Proposed Improvement: Applicant:. Map No: _Lot No• - Address:, ,?3 �' �°)/ f,;LTf JS Y %. i ice; �' . Tel.No.: �/GG' Date Filed: 3 r G t G�E3- The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following applicable departments. WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ---------------------------------------------------•---• -------------- REVIEWED BY: WATER DEPARTMENT: DATE: tN/A: ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: HEALTH DEPARTMENT. S. WIRING INSPECTOR: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS 6. PLUMBING INSPECTOR: DATE: 7. FIRE DEPARTMENT. DATE: N/A: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: Wh;u copy - Boedbug Dept - Prot copy - Water Dept - Yellow Copy - Haft Dept. - Pint Copy - Ens g Dept - Goldenrod - Fire Depuconservaaon E 6-7.57F APR 2 3 2004 N SO.47'49" E __ ; '— By BUILDING DEFT. 65.87 LUI I 22FND \, 4,705 fS C5' LOT 7 ,. 69401 tS.F. o, os, /Ze sue- L=5.41' o Q � NOTE: SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH T1TLE' V IF WITHIN 1OFT. OF WATER MAIN. GRAPHIC SCALE NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: . (A) no person or persons, including any municipal or other - public offloial% may rely upon the Information contained herein; and (B) this plan remains the property of Holmes & McGrath, Inc - REVISED: 3-8-04 PLOT PLAN holmes and mcgrath, inc. �P�ZH OF Mgssn PREPARED LOD FOR civil engineers and land surveyors MILL POND VILLAGE gifford street TIMOTHY 362 SA TOS T+ IN falmouth, ma. 02540 A "CIVIL 8 Q: ( IN FEET ) 1 inch = 20 M YARMOUTH, MA REV. 5-2-03 JOB NO: 201197 DRAWN: LMC i0 SCALE: 1 =20 DATE: 1-22-03 DWG. NO.: A2506 CHECKED:7i ft 'f .l CALL US DIRECT AT: =y CALL US DIRECT AT: Delivery (508) 477-5868 C O N T R A C T O R DIVISION Toll Free (800) 834-3132 Sales (508) 477-6575 CONTRACTOR DIVISION FAX (508) 477-4279 Bowdoin Road, Mashpee, MA 02649 L IEE�,,pp LL Mailing Address: P.O. Box V, Osterville, MA 02655 SOLD TO: 13 EATHEft DIIVED INVOICCEER#o 031009242861 MILTON, MA 02186 DATE: 10/30/03 TIME: 09:49:57 SHIP TO: MILL POND VILLAGE SALES ID: NAOMI K TERN BUILDING DELIVERY: 11/28/03 FRAMING LUMBER ROUTE: QUOTE F4i#617-698-9383 1009-24 PAGE 1 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELLO SIGNS ITEM QTY U/M DESCRIPTION U-PRC PER NET AMT QUOTE ID: TERN BCI EXPIRATION DATE - 11/28/03 PURCHASER: CORMICAH, BRIAN ALL SPL BC FRAMING PRICES ARE BASED ON DIRECT SHIPMENT TO SITE TRUCK MUST HAVE ACCESS_ TO SITE OR ADDITIONAL CHARGES WILL APPLY **MODULE AAST FLR - 10/30/03** SPL 829 EACH DC45912 1-3/4X11-7/8 1.860 EACH 1525.20 33/20' 5/18' 4/16' 2/31 LVL11 106 LNFT 1 3/4"X 11 7/8" LAMINATED BEAM 3.367 LNFT 356.90 4-20,92-10,71-6' SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SOLD 20' LENGTHS ONLY !! SHGUS410 2 EACH SIMPS DBL FACE MNT HNGR 9 1/2" 23.530 EACH 47.06 15/CTN SIUT11 14 EACH 1 3/4 X 11 7/8 FACE MOUNT HANG 2.010 EACH 28.14 **MODULE A.1ST FLR TOTAL $2176.50** **MODULE B.2ND FLR - 10/30/03** SPL 1177 EACH BC45012 1-3/011-7/8 1.860 EACH 2189.22 12/341 20/201 9/161 15/15' LVL11 120 LNFT 1 3/4"X 11 7/8" LAMINATED BEAM 3.367 LNFT 404.04 4-20174-10' SPL 14 EACH BC45012 1-3/4X11-7/8 1.860 EACH 26.04 SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 **MODULE B.2ND FLR TOTAL 82838.50** ,(ECT AT - =y CALL US DIRECT AT; A508) 477-5868 CONTRACTOR DIVISION Toll Free (800) 834-3132 CONTRACTOR DISION ' (508) 477-6575 Bowdoln Road, Ma hpee MA 02649 FAX (508) 477-4279 Mailing Address: P.O. Box V, Osterville MA 02655 SOLD TO: LAUHIE GROUP, LTD ACCT-Mh 13297-000 13 HEATHER DRIVE INVOICE 0: 0310WE42861 MILTON, MA 02186 DATE: 10/30/03 TIME: 09:49:57 SHIP TO: MILL FOND VILLAGE SALES ID: NAOMI K TERN BUILDING DELIVERY: 11/28/03 FRAMING LUMBER ROUTE: QUOTE PH11617-698-9383 1000-24 PAGE 2 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELLO SIGNS ITEM OTY U/M DESCRIPTION U-PRC PER HET AMT SUB TOTAL 5015.00 MA 5.000% SALES TAX 250.75 TOTAL 5265.75 Fax us vour orders 24 hours a day REVISIDNS BY: a Fbal Al It iT ed Np Irxap Ell seg aR�6 a}gg Win bE$oil g fIC FRAMF'RS xf1a2 SCALE W T-0. First Floor DATE WON= St.. PM*L W. TV* Me. Lw %Ml DM 1ap MEET: 113 LeM O.ea OMe:1PJWiWJ kJa IM flea Dala la'fMWf Pea IA1 t Fgat Floor Flamirp Schadub-NamMelhed Mark DIY DescRpiM LenpM i ]f 11 lT eCM�J016e SOP x 6 11 iT fICMMb BP 1fP f � 11 iT aaa,Ja. av leP 4 S IITT epaafa sv P P 6 a /JN'e11TT VERJMAMa NWM 1oP a 3 1WH11T VERKIAMPi1W fW 1PP 1 1 1WR11 iT VERFAUWJ1W bP eP e TL 1'R 111T VERSMlMW TIP Flit Floor Acpuwy Schedule Made Qry Mamdacdner RoduG OaecdRllorl M S lrpwaUanelirlc M(a19lla >IlSR�1Mb MViw FeeRMM trs 1a Jeore•saaoTl.r M1f faa.naw le la aCMFen Lla.f tw e...a o.� rmmmasuwA rm urc �ormom e:mnn Ile' • T4- srx Yl. M.l �.IMYY. n w4rr. aM.M .Ya M.r.n s.w YSYw an ^ I.YYY/eY11l YM1 J— 0 ON N Nee YA. Y W iYq 91.Wd CIkMbewlO peMp spS /�Roisw BC CALL® 20036SSIGW PMM, i% US, Thursday, October 30, 2003 08:1; 11 7/8" Job Name: Mill Po=R. Address: 1600 F City, State, Zip:' Centerville, Ma. Customer: Launie Code reports: NER 594, ICBO 5208 File Name: Tutorial Proto -2: Floor 1U_14 Description: Specifier: Rick Lowe Designer: Company.Botello•tumberC=jnc. Misc: 387 Ibs LL B7, 3 1/Z" 97. Ibs DL 387 Ibs ILL 97 Ibs DL General Data Version: US Imperial Member Type: Joist Number of Spans: 1 LeftCantilever: No Right Cantilever: No Slope: 0/12 OC Spacing: 12" Repetitive: Yes Construction Type: Glued Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability fora particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood Products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning Product installation. BC CALCO, BC FRAMER®, BCI®, SC RIM BOARDTM BC OSB RIM BOARDTM BOISE GLULAM^", VERSA -LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA -STRAND"', VERSA-0TUDG, ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. Total Horizontal Load Summary ID Description Load Type S Standard Load Unf. Area Controls Summary Control Type Value Moment 2335 ft-Ibs Neg. Moment 0 tt Ibs End Reaction 483 Ibs Total Load Dell. L/519 (0.447-) Live Load Defi. L/649 (0.357-) Max Deft, 0.447" Span / Depth 19.5 - 19-04-00 Ref. Start Left 00-00-00 End Type 1949-00 Live Value OCS Dur. 40 psf 12" 100% Dead 10 psf 12" 90% 6/*Allowable. Duration . Load Case Span Location 56 100% 2 1 - Internal Na niay 100% 33.3% 100% � 2 1 -Left 462% 2 1 73.9% 2 1 44.7% 2 1 n/a 1 Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets User specified (U480) Live load deflection criteria. Design meets arbitrary (1') Maximum load deflection criteria. Minimum bearing length for BO is 3-112". Minimum bearing length for B1 is 3-112" Entered/Displayed Horizontal Span Length(s) - Clear Span + 12 min. end bearing + 12 intermediate bearing iHOW BC CALCO 2003 DESIGN REPORT - US Thursday, October30, 200308:1, r Single : 7/8" �P File Name: Tutorial Proto -2 : Floor 2U_20 Job Name: Mill Po -Osprey Bldg. Description: Address: 1600 R 25 Specifier: Rick Lowe City, State, Zip: Centerville, Ma. Designer: Customer: Launie Company: Botello Lumber Co. Inc. Code reports: NER 594, ICBO 5208 Misc: 387 Ibs LL B1, 1-314" 97lbs DL 387 Ibs LL 97 Ibs DL General Data Version: US Imperial Member Type: Joist Number of Spans: 1 Left Cantilever. No Right Cantilever: No Slope: 0/12 OC Spacing: 12" Repetitive: Yes Construction Type: Glued Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a Particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning Product installation. BC CALC®, BC FRAMER®, BCI®, BC RIM BOARDTM, BC OSS RIM BOARDTM, BOISE GLULAMTM, VERSA -LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA-STRANDTM, VERSASTUDO, ALLJOISTO and AJST are trademarks of Boise Cascade Corporation. Page 1 of 1 Total Horizontal Length - 19-04-00 Load Summary ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf. Area Left 00-00-00 19-04-00 Live 40 psf 12" 100% Dead 10 psf 12" 90% Controls Summary Control Type Value % Allowable Duration Load Case Span Location Moment 2335 ft-Ibs 56.2% 100% 2 1 - Internal Neg. Moment 0 f -lbs Ma 100% End Reaction 483 Ibs 40.3% 100% 2 1 -Left Total Load Defl. U519 (0.447') 46.2% 2 1 Live Load Defl. L/649 (0.357-) 73.9% 2 1 Max Defl. 0.447" 44.7% 2 1 Span / Depth 19.5 n/a 1 Notes Design meets Code minimum (L240) Total load deflection criteria. Design meets User specified (LJ480) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for 50 is 1-3/4". Minimum bearing length for 81 is 1-3/4". Entered/Displayed Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing N 80'47'49" E ,•�!� 65.87 1* LOT 7 X 1 6,401 ±S.F. /19 / 6• \off LOT I 4,705 f5 L=5.41' Q S� O NOTE: C3 6-� SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN- 10FT. OF WATER MAIN. �,�0� Q� GRAPHIC SCALE 20 10 0 20 60 NOTICE Unless and until such time as the original( )( p of the responsible Professlonal Engineer, or Professional Surveyor appears on this plan: ( IN FEET) (A) no pion or persons, including any municipal or other public'clals, may rely upon the Information contained herein: and 1 inch = 20 ft. (8) this plan remains the property of Holmes & McGrath, Inc. PLOT PLAN holmes and mcgrath, inc. civil , ,�t"�d OF LOT 7 PREPARED FOR engineers and land surveyors 362 gifford street MILL POND VILLAGE crHv „ A IN falmouth, ma. 02540 YARMOUTH MA : JOB NO: 201197 DRAWN: LMC REV5-2-03/1 SCALE: 1 =20 DATE: 1-22-03 DWG. NO.: A2506 CHECKED: TiLc 111 MYl RhoSERIES 1eW w� o. Direct -Vent Gas Fireplaces MPD3328 MPD3530 MPD4035 33" fireplace w/opt. flush face 35- fireplace w/brushed stainless 40' fireplace w/polisbed brass louver and door trim trim arch door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or polished brass or brushed stainless trim options. �nI10 O'AA}O1. MPD490 MPD4035 Standard Features is Louvered face design • Charred split oak gas log set • Deluxe pan burner for big yellow flames and glowing embers is Charcoal black exterior powder coat finish • Realistic brickaded interior panels • Combo top/rear direct -vent outlets (except 3328 models, which have either a top or rear outlet) • Hi/Lo flame operation • Pre -wired for wall switch I e • Choice of standing pilot (works in a power failure) or pilotless electronic intermittent) ignition • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) Is Wireless remote controls • Blower kits (including a temperature control version) • Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) All Merit Plus Series direct -vent gas fireplaces utilize either a Secure Vent (rigid) or Secure Flex (flexile) 4.5" inner/7.5" outer coaxial venting system, and include a 20-year limited warranty. Note: Due to Lennox' ongoing commitment to quality, all specifications, ratings and dimensions are subject to change without notice. Local conditions, such as elevation, wind vent configu- ration and choice of fuel will affect the overall appearance of the fire. Warnock Hersey (120006711) Warnock Hersey C ■—ism US JV�"Oi°4 0 litlR USA 'laSalaM Pe..2 C%M pin«HoM HndcR alN The first two model number digits -; indicate frame width, the last two digits indicate glass width. All are A.EU.E: rated high efficiency vented gas fireplace heaters, certified under ANSI Z21.88 and CSA 2.33-M99. MPD3530 MPD33M DIMENSIONS (Rear vent model shown) 3328 MODELS (This model comes as a top or rear vent only) H c e D 8-13116" Front Face Top Right Side 35,40 & 45 MODELS (These models come with a top and rear vent) a.. �( J�HG� G. A C D 9 L.» F �-- g" ekcnical 6" 9° Bec"I InM 7-6/a" Nlet avx" avr' a' E Ti 318" Front Face Top Right Side FIREPLACE & FRAMING DIMENSIONS 3328 331/8 301/8 17 27' i4 331/4 13 35M 351/s 32t/8 19 291/2 35t/8 211A6 24%8 12%16 35% 35t/4 16 4035 401/8 371/8 24 34y2 401/8 2611/16 29%8 1415h6 40/4 401/4 16 4540 401/8 371/8 24 391/2 451/8 261 A6 34N 17%6 451/4 401/4 16 3329T NG 17,500 45 64 62 3329T LP 17,500 49 66 64 3328R NG 17,500 53 63 61 3328R LP 17,500 55 66 64 35M NG 20,000 53 64 62 3530 LP 20,000 55 62 60 4035 NG 27,000 59 69 67 4035 LP 27,000 60 69 67 4540 NG 29,000 59 69 67 4540 LP 29.000 59 69 67 'Intermittent ignition systems 1 Canada I Look for the EnerGulds Gas Fireplace Energy Efficiency Rating in this brochure Based on Visit us at www.LennoxH earthProducts.com TYPICAL ROOM APPLICATIONS VERTICAL !III'* �!l"TIFF:'. Ire 0=0 1 1 j Air Conditioning & Heating 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GMIVT SERIES CEFFlCIENCY RATNG CERn 1: 1 ama FISTED ® � [/S7ED Description / Application • All models design certified by ITS to be in compliance with ANSI Z21.47 and CAN/CGA �. 2.3 (Canada) safety standards • Completely assembled, factory run -tested furnace, for he or combination heating/ cooling application • For utility room, closet, alcove, basement or attic application • Vertical or horizontal venting with 2" PVC for 40k, 60k, and 3" PVC for 80k, 100k and 120k • Capable of multi -position installation — upflow, downflow or horizontal • For direct vent (2 pipe) or non -direct vent (1 pipe) installations Construction • Heavy gauge, reinforced, wrap -around insulated steel cabinet with durable baked enamel finish • Tubular heat exchanger (Primary) • Bottom or side air inlet • Aluminized steel inshot burners • Convenient left or right hand connection for gas, electric service, combustion air and vent • Removable solid bottom block -off Standard Equipment • Energy saving PSC, multi -speed, direct drive blower motors • Quiet operating, sound isolated blower assembly • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Integrated furnace control with diagnostics • Blower door safety switch • Energy saving Hot Surface Ignition system • Multiple flame roll -out switches • Outlet air limit switch • Pressure switch for proof of air • Complies with California NOX Standards • Completely insulated cabinet • Corrosion resistant 29-4C secondary heat exchanger that extracts energy from the. gas and converts it to usable heat • Quiet, corrosion resistant plastic induced blower assembly • Drain kit contains vent screens, drain trap, hoses & clamps Optional Equipment • L. P. Conversion Kit(LPT-01) • Concentric Vent Kit (CVK-00) As an Energy Star Partner, Goodman Mfg. Co., L.P., has determined that this product meets the Energy Star guidelines for energy efficiency Information contained herein is subject to change without notice. Made in the USA by: Goodman Manufacturing Company, L.P. SS-312D 2550 North Loop West, Suite 400 - Houston, Texas 77092 GMNT Series 10/01 www.goodmamnfe.com PERFORMANCE RATINGS Model Number GMNT Natural Gas Input BTUH Natural Gas Output BTUH Propane Gas Input BTUH Propane Gas Output BTUH DOE AFUE Temp. Rise 040-3 40,000 37.000 37,000 34,000 926 25-55 050-3 60,000 55,000 55,000 51,000 92.6 35-65 080-4 80,000 73,500 73,000 73,000 926 35-65 100-4 100,000 92,000 92,000 85,000 926 1 40-70 120-5 120,000 110,000 1 111,000 102,000 926 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA 4 4C14 /Cn P_`..n 7/_• CDT — Model Number Motor Blower Vent` Dia. Combustion* Air Filter Size In Perm. / Disp. Electrical Ship Weight HP Spd. Dia. Width FLA Max Fuse 040-3 1/3 3 10 6 7 2' 290 / 580 52 15 170 060-3 1/3 3 10 6 7 7 290 / 580 5.2 15 180 0804 1/2 3 10 8 3' 3' 385 / 770 7.8 15 205 100-4 1 1/2 3 10 10 3' 3' 385/T70 7.8 15 225 120.5 3/4 1 3 1 11 10 3 3' 480 / 960 92 15 265 'Note: vent ana COmDUSOon air oiameters may vary aepenullly UPUII vain rUIIyrII. Vn uvu accompany the furnace. 28" A 58" 4" 198„ 6.. 6 47„ 47„ 8 I 3 4 II II� �, 4 „ COMB. AIR INLET GASINLET 51„ 4 VENT i 27" LOW VOLTAGE 4" ELEC. 101" 4 Model GMNT A B Combustible Floor Base 0403 & 060-3 14' 12'/' SBM14 080-4 17 % 16' SBM17 100r4 21' 19'/i SBM21 120-5 24 % 23' SBM24 SS-312D 1231, COMB. AIR INLET B i i i i - GASINLET i . na: 0 VENT F 011 i LOW VOLTAGE 20$" CLEARANCES FROM COMBUSTIBLE MATERIALS nt" Vent Top 1' 0' 3' 0' ill Sides Rear Fro Approved for line contact in the horizontal position. `36" clearance for serviceability recommended. 2 CASED (U) COIL APPLICATION OPTIONS Fumace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'/' 21' 24'/s Coil Model Number Coil Width U-18 14" X U-29 14" X U-30 17Y20 X (1) X (2) U-31 14" X U-32 17'/z X(1) X(2) U-35 14" X U-36 17Y:" X(1) X(2) U-42 17Y2o X(1) X(2) U-47 17'/:" X U-49 21" X(1) X(2) U-59 21" X (1) X(2) U-60 24'/2" X(.1) X(2) U-61 241W X(1) X(2) U-62 21' X (1) X (2) (1) Using the factory installed bottom cabinet filler plates (2) Discard bottom cabinet filler plates Due to the rating mix/match of various coils with outdoor units it is important to match the furnace air flow for the total system capacity. Refer to furnace, heat pump and/or condensing unit specification sheets. AIRFLOW DATA CFM - NO FILTERS MODEL STATIC .1 .2 .3 .4 .5 .6 .7 .8 HI 1370 1315 1260 1200 1140 1070 1000 925 GMNT 040-3 MED 1210 1170 1130 1085 1040 980 920 860 LOW 895 880 870 840 825 780 725 680 HI 1360 1300 1250 1190 1135 1065 1000 930 GMNT 060-3 MED 1200 1170 1 1130 1080 1035 1 975 925 880 LOW 910 895 885 855 835 790 750 700 HI 1865 1800 1735 1660 1590 1510 1415 1320 GMNT 080-4 MED 1690 1645 1600 1545 1485 1410 1345 1245 LOW 1450 1400 1390 1360 1325 1270 1200 1125 HI 2010 1945 1875 1800 1715 1620 1510 1400 GMNT 100-4 MED 1725 1700 1670 1615 1550 1475 1375 1275 LOW 1430 1390 1350 1315 1285 1245 1160 1070 HI 2360 2325 2300 2170 2125 2045 1945 1850 GMNT 120-5 MED 1815 1750 1710 1660 1600 1545 1480 1415 LOW 1275 1215 1190 1145 1110 1055 985 925 Values indicated by shaded areas represent airflows that are too low for heating temperature rise. SS-312D 3 NOTE: SPECIFICATIONS AND PERFORMANCE DATA LISTED HEREIN ARE SUBJECT TO CHANGE WITHOUT NOTICE Quality Makes the Difference! All of our systems are designed and manufactured with the same high quality standards regardless of size or efficiency. Our designs virtually eliminate the most frequent causes of product failure. They are simple to service and forgiving to operate. We use the highest quality materials and components available because if a part fails then the unit fails. Finally, every unit is run tested before it leaves the factory. Thats why we know... There's No Better Quality. Visit our web site at www.goodmanmfg.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4 a♦ s MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 6-20-2002 TITLE: The Tern or 2 Family, Detached Other (Non -Electric Resistance) PROJECT INFORMATION: Mill Pond Villages 1600 Falmouth Rd. Unit 25 Centerville, MA. 02632 COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 317 Your Home = 163 Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 731 30.0 30.0 12 WALLS: Wood Frame, 16° O.C. 2082 15.0 15.0 92 GLAZING: Windows or Doors 160 0.320 51 DOORS 0.086 3 FLOORS: Over Unconditioned Space 330 0.0 30.0 5 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections,78OCMR 1310 and J4.4. Builder/Designer DAte Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Tern DATE: 6-20-2002 Bldg• Dept. Use CEILINGS: 1. R-30 + R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: 1. U-value: 0.32 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. U-value: 0.086 Comments/Location FLOORS: 1. Over Unconditioned Space, R-30 Comments/Location AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly w . :marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means forbalancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0,75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 N 80047' 49" E I, 65.87 LOT 7 " \ 6,401 ±S.F. I \. I \• ti _T LOT I 4,705 t: I I ' Qo55�, L=5.41' P S o �y NOTE: SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. GRAPHIC SCALE I 'Q � P 400 Q� ))Dies. and untAfs Iresponsible Professional —appear - on Ahis-plane% NOTICE v time as the on stamp of the [near. or Profess) nd Surveyor IN FEET (A) no person or persons, Including any municipal or other IYci (11 publ�a offlclals,`may-rely-upon the information contained herein; and 1 inch = 20 it. 1 �— (B)-this-plarcremaGs the property of Holmes & McGrath, Inc. PLOT PLAN "' holmes and mcgrath, inc. ,ljr�tH of dg4f� OF LOT 7 civil engineers and land surveyors y/s PREPARED FOR T1,IOTlival. y 362 gifford street o snvrc; MILL POND VILLAGE , 45078 y > IN folmouth, ma. 02540 e q CIVIL YARMOUTH, MA C I, - .. REV.• 5-2-03 JOB NO: 201197 DRAWN: LMC a� SCALE: 1 "=20' DATE: 1-22-03 DWG. NO.: A2506 CHECKED: *r/kS on w N gp'4T 49� LOT 7 6,401 ±S.F. I \ . ti \o. NOTE: SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 20 10 0 GRAPHIC SCALE \ \ L=5.41= E LOT I 4,705 f: �Cb Unless and until such time as - �Srtginai ) stamp of the responsible Professional Englnaer, or P eslo� nd Surveyor appears on this plan: 0 IN FEET (A) no person or persons, including mLi;"' or other public officials, may rely upon the Information contained herein; and 1 inch = 20 ft (8) this plan remains the property of Holmes & McGrath. Inc. PLOT PLAN holmes and mcgrath, Inc. ,,�-��_ OF LOT 7 �y Or civil engineers and land surveyors •'' s, PREPARED FOR MILL POND VILLAGE 362 gifford street j. T0,'0THYM z� falmouth ma. 02540 =! NO. IN � + � No. a5ma YARMOUTH, MAI REV. 5-2-03 JOB NO: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 1-22—o3 DWG. NO.: A2506 CHECKED:'iIAS Commonwealth of Massachusetts Official Use`Onl`��y ! Department of Fire Services Permit No. L — /q BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked \ [Rev. 11/991 leave blank) a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME ), 527 CMR 12.00 (PLEASE PRLVT IN INK OR TYPE ALL 1 FORV1ATION) Date: aCity or Town of- tVL �,�"b To the Ins ector of Wires: 3 By this application the undersigned gives notice of his or her iinttention two perf tthe electrical w04 Iorrk�d scribed below. wo Location (Street &t Number) I Z� (� �l� �:�',YCP2� 11AM� / a H Owner or Tenant Owner's Address Is this permit in conjunction with a building permit': Yes 6 z 1X4 Purpose of Building Existing Service _ Amps / Volts New Service � Amps ZZ:g / ZaPVolts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Tele /moo ❑ (Check Utility Authorization No Overhead ❑ Overhead ❑ Undgrd ❑ Undgrd E one No. of Meters of` Meters' 14 nrtho rnllnwino tnhle mr he waived by the 1nsDector of Wires. No. of Recessed Fixtures -. J --___. __. _- __ INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless ,Le licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The E" undersigned certifies that such coverage is in force, and has exhibited proof of same to the pe it issuing office. d a HECK ONE: INSURANCE j� BOND ❑ OTHER ❑ (Specify:)1 z/s'+-'G l !� Expiration ate) stimated Value of Electrical Work: (When required by municipal policy.) ork to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. certify, under the ffyins and penalties of perjury, that the information on this application is true and complete. IRM NAME: J.,' �� LIC. NO.:a F �T 7 �fdr7s Signature LIC. N0.:Z0� icensee: a(/japplicable. enter "exempt in the licens�ej'umber line.) Bus. Tel. No.:� 3Address: /'%� �.�1v !/, �str ;1i"'t'� Alt. Tel. No.: CI .�� I xOWNER'S INSURANCE WAIVER: I am aware t at the Licensee does not have the liability insurance coverage normally O required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent. GOwner/Agent Telephone No. PERAHT FEE. S Signature p