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Home My WebLink About121 Camp St #008 Building PermitsCommonwealth of Massachusetts official use only Department of Fire Services Permit No. E `dS— �Q y BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME , 527 CMR 12.00 r , (PLEASE PRINT IN INK OR TYPE ALL AFOR:bL4TION) Date: JX?3�00 4,-/11 z City or Town of: a/m To the Inspector of Wires: 3 By this application the undersigned ,ives notice of his or her intention to, rform the elegtric I work described below. w Location (Street & Number) 0 ce Owner or Tenant Telephone No. E' Owner's Address !i! D7iG� 12 P i w I Ul � � Is this permit in conjunction with a building permit': Yes �� No E) (Check p�Ipr r'/�retet�x)y H Purpose of Building Utility Authorization No it u AUG 2.4 7004 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. o{ N}eter BUJ LLnPw . _. New Service Amps /Zd / Volts Overhead ❑ Undgrd 6. of Yteters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: COMDletion of the following table may be waived by the Insaector of TVires. d d a a w U H tea' z w H rn w a. i5 H No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. TransTotal Trsformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures b b Swimming Pool Above ❑ In- ❑ rnd. rnd. t o. o mergency ig ting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches ,zzInitiating No. of Gas Burners No. o Detection and Devices No. of Ranges No. of Air Cond. Tonsl No. of Alerting Devices Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers Totals: ........... --------- _ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers rY Heating Appliances KW Security Systems: No. of Devices or Equivalent No. o Water CCW No. of No. of Data Wiring: Heaters Signs Ballasts No. of DeviceSSr Equivalent g No. H dromassae Bathtubs Y No. of Motors Total HP Telecommunications Wiring: No. Devices E uivalent b of or OTHER: Attach additional detail if desired. or as required by the Inspector of lVires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless e licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The cundersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. a HECK ONE: INSURANCE ❑--96ND ❑ OTHER El(Specify:)1--Z,A1Ve- /.��j / V � � (E:cpiration Date) Estimated Value of Electrical Work: 40 UD (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. certify, under t/te ns and enaltfes of perjury, that the information on this application is true and complete. [RM NAME: `LIC. NO.: 3UZ.d% icensee• (77 Signature LIC. NO JP od (Ijapplicabl , enter "ecem t.. in thelicense numb I' e... / - Bus. Tel. No.• 3Address: /%L��t � /�lJI-Ole L�y0 iA� 6e4fi JI9'4LO Alt. Tel. x OWNER'S IN RANCE WAIVER: I am aware that th6 Licensee oes n t have the liability insurance coverage normally a required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. aOn nt PERMIT FEE: $ Signature Telephone No. P 05 TOWN OF YARMOUTH ()Vl—r fs> Building AT: Location New ❑ Plans Submitted Renovation ❑ Yes No❑ APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) ByI It Fee: $ 95'b �ug4 PERMIT NO, O`7—o5S Date Type of Occupancy Replacement ❑ I z Z F U1 Uf y 0 Y FQ- > Cn Y ¢ ¢ Q fY 2 F z O t�s Z en Z_ a Lu ? Cn W F- W ~ N LL Z c� N z¢¢ w w=_ rn W¢ Q W F' !A N Y z c a a to Z Q rr 0. a¢ Q of X LL = Z Y y ¢ J O W u- Y W W a Q =�= F- O y 60. y 7 N a OJ O OJ y Z Z a Q F F> Y J G Q O Q a 2 tr tr O Q m M G .Q1 _ ►- y LL C7 7 G a = m 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: JUL 6 0 Q4 Installing Company Name eu,Lc66,r-: r. Address ❑ Partner ip it ompany� Business Telephone Name of Licensed Plumber �i / ��d V `,�/'sl INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of coverage by chec ' the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owneror 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 Chapter 142 of the General Laws. Check on Type: Master❑ Journeyman 1-� r c., p P, TOWN OF YAR4 NOV 0 J., 2004 06`C- F- 13-f`t APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By Fee: $ �q PERMIT NO. &-u5— 375 Building ' 2 G S T AT: Location �% 2Q�1j T � New (X Plans Submitted Renovation ❑ Yes ❑ No t' Replacement ❑ Owner,P Namej euos Type of Occupancy�T--- Y cc (/� d4 W W W Ct m O_ U Z H 2 = y t y i I/ Cn UJI } m Z J i P� Z m W ~ Q a W O° } N a o W~ W Z Wx cc Wx No W3 W Q a> W aF�J > z U. oz W Jyz rn x - w w LLx� ¢ am o¢> o a O o c7 IW- SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR at (PRINT OR TYPE) Installing Company Name-GTS - U Al /,1 � tTE17 O Address t C 664 6 S +4)e A Niy is MA to 2 In o I Business Telephone S© F— 7 3 7 r 3 6 S 4 Check One: ❑ Corp. ❑ Partnership P Firm/Company Name of Licensed Plumber ot^ er S: 0 �A N 'cD L-A N CT INSURANCE COVERAGE: Check One 1 have a current liability insurance policy or its substantial equivalent. Yes Ero�No ❑ If you have checked yes, please indicate t e type of coverage by checking the appropriate box. A liability insurance policy 2 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 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 Signature o licensed Plumber or Gasfitter ,2 S 1 0% License Number TVVP 1 IrCIJCF- Daniel E Braman, PE 189 Harbor Point Road Cummaquid, MA 02637-0361 Phone (508) 362-6016 1.. \., A\ SF James Brandolini, Building Inspector Town of Yarmouth 1146 Route 28 South Yarmouth, MA 02664 Mill Pond Village ——F 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 DANIEL E. ♦ BRAMAN �. ► o STRUCTURAL yea " NO.S6 r' ► C =rs-off LOTI 8 / LOT 9 \ LOT 7 EXISTWG FOUNDATION \ I CERTIFY THAT THE FOU DATION IS \ LOCATED IN FLOOD PLAIN ZON C AS SHOWN ON FLOOD INSURANCE RATE MAP \ COMMUNITY PANEL NO. 250015 0005D AND THAT FLOOD PLAIN ZONE C IS NOT A SPECIAL FLOOD HAZARD AREA. ATE REGISTER D OFESSIONAL LAND SURVEYOR SCALE: GRAPHIC SCALE ( IN FEET ) I inch = 20 fk AS —BUILT PLAN OF LOT 8 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA 1 "=201 DATE: 6-30-0 FILIE COPY 1 EXISTING FOUNDATION 6� �o" I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE 40B SPECIAL PERMIT � DJATE REGISTERED'PR6FESSIONAL LAND SURVEYOR g 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 & McGrath, Inc. holmes and mcgrath, Inc. civil engineers and land surveyors 362 gifford street falmouth, ma. 02540 JOB NO: 201197 DRAWN: LMC DWG. NO.: A2507A CHECKED: ��te of efas`'•� MICHAELC6G r a rc�rH 2= 4-t ■ TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO B-04-1400_ ISSUE DATE ; 6/14/2004 PROPOSED USE APPLICANT _Frank Capra ---------_ -- PERMIT 66) JOB WEATHER CARD PERMIT TO ' New Construction_' AT (LOCATION) 100121CAMPST#8 I ZONING DISTRI i-2 SUBDIVISION MAP LOT BLOCK 044.21.1.C8 BUILDING IS TO BE: CONST LOT SIZE Bldg. Type: Residential 'E 5-B USE GROUP Ti-4 new construction: 2 baths, 3 bedrooms, 1 diningroom, 1 kitchen, 1 livingroom as per plans dated REMARKS 03/31/04 and BOA # 3546. AREA (SO FT) EST COST ($ $148,896.00 PERMIT FEE ($) 1$543.00 OWNER IVillages at Camp St., LLC ILDING DEPT BY ADDRESS 11600 Falmouth Road # 25 Centerville I MA 102632' CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date'CERTIFICATE of OCCUPANCY= Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Re arks BUILDING 'D- , PLUMBING/GAS 711& ELECTRICAL ENGINEERING OTHER PAL Of To be filled in by each division indicated hereon upon completion of its final Inspection. y or V TOWN OF YARMOUTH Building Department BUILDING F+-qw)) (508) 398-2231 ext.261 PERMIT NO 4-04-1400_ _ APPLICANT ,Frank Capra -----; PERMIT ISSUE DATE ; _ 6/14/2004 _ ; PROPOSED USE --_-_-_-_-_-_---------- JOB WEATHER CARD PERMIT TO ; New Construction ; AT (LOCATION) 00121CAMP ST # 8 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C8 LOT SIZE I BUILDING IS TO BE: CONST TYPE CB- USE GROUP new construction: 2 baths, 3 bedrooms, 1 diningroom, 1 kitchen, 1 livingroom as per plans dated REMARKS 03/31/04 and BOA # 3546. AREA (SO FT) EST COST ($ $148,896.00 PERMIT FEE ($) 1$543.00 OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road # 25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector 7 TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: T-04-438 (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: Expiration Date Applicant Name: Frank Capra Comments: tf ylo2/ . /• C Location: 00121 CAMP ST # 8 new construction: Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 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. Z 7 `1-- �7- Date Printed: 3/15/2004 e oF'Y'�RONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING p — y Town of Yarmouth Building Department MATTACwrr5 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 •Fax: (508) 398-0836 Lod_&g Office Use Oniy Planning Board lnfarmation Assessors Department information Permit N �yate �2 PladType Map Lot a ;Lot Permit Fee $�` °j r Endorsemen tDate ol d lVew , � Recordm�Date� � A 1 4 Property Dimensions beposltRec'd $Date P Ne Frontageift) F' Lot Coverage ;, ?his Sectionfor.Office Use'Onl - .Certificate of 0ccupancyiJ Signature �_3 is , . is not required .Building Official �, , ,Date ,i,.. Section 1 ='Site Irifarmation`s Use Group: R-4 Type: 5-13 1.1 Property Address: 1.2 Zoning Information: jet,* 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. a. 40. S 54) 1 5 Flood Zone Information :., Comments y F Public Private :Zone ; , ; BFE , Section'2 -' Property,Ownership/Authorized Agent' 2.1 Owner f Record: l`o�(� �� LLC' N mePntk Mailing Address U4,44,jr Vf 02 t (XT� — Signature Telephone o�/I ut d Agent: C PO"AL., I(`p r JO 0 0 O ✓ '`� J Name (print) .� a Mailin ress 6 Signature Telephone Fax � L fy Section 3;-Construction Services° Jut, 3.1 Licensed Construction Supervisor. 99 N b e ❑ /� (�/� (�� 44A eerys` tuber `�! u✓�1`� � N1�1 0 Adres - 78 wExpiration Date 0(0 Signature I Telephone 3.2.Aegistered Honid.lrriproveirient.Contractor:' Company Name Applicable ❑ MAR S 004 Address UU y7N__ Lic nse Number — ration Date Signature Telephone 9 9-15-99 1 of 2 OVER Section 4'- Workers' Compensatlo i Insurance Affidavit (M.G.t c 52 S�SC Workers 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 .......... s Secttan;5-„Desc{'ptlo��ot�Prrapose Wark,{ctjeck°a1t applicable); 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: c l 1� � 4►1 ! In � � V 1 Costs' Sectionx6.-l=sUmated'C6tastructi6n 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 . O C e 2. Electrical O 3. Plumbing / Gas O 4. Mechanical (HVAC) a 5. Fire Protection 0 6. Total = (1 + 2 + 3 + 4 + 5) O 7 O 7. Total Square Ft. (new houses & addflions) To be Completed W for' dildin Per Section 7a Owner,Authonzation - Owner's Agent°or Contractor A lies I, ".' 0 v e.r— aywner of the subject property hereby authorize tV00 -eS i to act on m beh , in all matters elative to work authorized by this building permit pI'cation. Signature of Owner Date Sectid 7b:-Owner/Authorized Agent.Declsiation I, V ► l Ot �-,'Cl 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. i Print name J C7 Sig a of Owner/Agent �- Date �.a U 9- 15-99 2 of 2 oH � 3 O�`+..o:S:� )PLEASL' PRINT: Job Location: _ k TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Owner of Property: 1 0—1 GL/t" n S+ Construction Supervisor: Address: (r, 00 Licensed Designee: (If other than Supervisor) Name BE 2.15 Responsibility of each license holder: License No. oa G 3z 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 al", No ❑ If you have checked }L, please indicate the type coverage by checking the appropriate box. A liability insurance policy a 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 ❑ Signature: Building Official Approval: i The Commonwealth of Massachusetts Department of Industrial Accidents O/Ace o/l"afflodoss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit 61% ( U_ t— , w p 6 J-,)-phone Mom"') cL> U 7 7 LJ 0 O I am a homeowner performing all work myself. I am a sole proprietor _rd ha%e no one working in any capacity 1 am an employer pro%iding workers' compensation for my employees working on this job. company name' address- city- insurance co. nhone 0, policy 0 am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below who ha%e city: phone M: insurance co Policy # Failure to secure coverage as required under Section 25A of MGL 152 an lead to the imposition o(erinisaal penalties o(a flat up to 51,5MMU and/or. one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine o(3100.00 a day against me. I saderstuad that a copy of this statement maybe forwarded to the Office of Investigations of the DU for coverage verification. t do herehy cerunderthep-ains an enalties of perjury that the information provided above is (rue and cone k Signature .[ lC�— Date % f �� _� A Print name \ —1 aV-,- 1� Phone M Cal — ;7` C> ��4ae OM1621 use only do not write in this area to be completed by city or town official city or town: YARMOIIT11 _ permittlicense M n8uilding Department C3Licensing Board check if immediate response is required 261 C3stlectmen's Omce (508) 3982231 eat. C3Healtb Department contact person: phone M: _ —nOther ... .. .a i.A. Jm VtK i it -IL ATE OF LIABILITY INSURANCE DATE(MM0aYy) r PRODU R 07/22/2003 (508) 994-9688 FAX (508) 991- 5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUB KOWSKI & 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 PO BOX 664 JNSURER A INSURER B: West`Hyannisport, MA 02672 INSURER C: _.. ._ 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. usR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPI ION GENERAL LIABILITY PP0053131 00 DATE (MMID uMlrs 12/13/2002 12/13/2003 EACHOCCURRENCE $ I nAr X COMMERCIAL GENERAL LIABILITY CLAIMS MADEFXJ OCCUR FIRE DAMAGE (Any one fire) S 50 A MED EXP (Any one person) S i 3 ADV INJURY $ EGATE LIMIT APPUES PER GREGATE $ . COMPIOP AGG S PRO-JECT LOC WBF.ODIILY��WJURY,$ fAUTOMOBILELIABILITY TO AUTOS BXE48125 02/14/2003 02/14/2004 INGLE LIMBSNED ULED AUTOS AUTOSerperson) RY SHIRED BODILY INJURY (Per acddeng S NON -OWNED AUTOS GARAGE LIABILITY .. �•' PROPERTY DAMAGE - (Per accident) S -AUTO .ONLY..EA ACCIDENT. S... ;, •. .. ... 'ANY AUTO _ _?n5 - . .. EXCESS LIABILITY - . ... ... OTHERTHAN ' EAACC AUTO ONLY. AGG S S OCCUR ED CLAIMS MADE ' .. EACH OCCURRENCE S, AGGREGATE S DEDUCTIBLE s RETENTION S S C WORKERS COMPENSATION AND - EMPLOYERS' LIABILITY S59UBH61X7516O3 03/22/2003 03/22/2004 S TOR,�Y L MITs ER E.L. EACH ACCIDENT $ ' --•'' E.L. DISEASE • EA EMPLOYE S OTHER E.L DI$EAS�'. POUOY LIMN i- OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY CERTIFICATE HOLDER I I ADDITIONAL Gatewood Homes Inc 1600 Falmouth Road Ste 25 Centerville, MA 02632 000 250 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, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ------------------------------- Producer: } ` SOUTHEASTERN INS ASCY 641 MAIN ST HYANNIS MA 02601 Code: -------- ---------------------- Insured: RJ BEVILACOUR P 0 BOX 628 FORESTDALE MA 02644 OE' 2 NSLJRANCE Issue date: 7/22/03 This certificate is issued as a matter of information only and confers DO rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by -the-- policies below. --------------------------------------------- - COMPANIES AFFORDING COVERAGE Sub -code: I Cc Ltr A: ARBELLA PROTECTION --_----- Co Ltr B_ ARBELLA PROTECTION -------- Co Ltr C-------------- Co Ltr D: ARBELLA PROTECTION -------------------------------- Cc Ltr E: COVERAGES This is to certify that policies of insurance listed below have been issued indicated notwithstanding any requirement, term or condition of any contract to the insured named above for the polio yr period or other document with respect to certificate may be issued or may pertains the insurance afforded by the exclusions, and conditions of such policies. Limits shown have been vhich this policies described herein is subject to all the terms, ------------------------------------------------------------------------------------------ may reduced by paid claims. ° I I Ltrl Type of Insurance ---- I ---------------=---------------------------- I Policy Polio number leffective date r--------------------------- - - --------------------------------------- I PPolicy I ' ex iration date) All limits in thousands A IENERAL LIABILITY I Commercial general liability 850001BI47 I 7/15/03 ----------------------------------------------------- 7/15/04 (General aggregate: 21000 Products-comp/cps [ Claims made �wner's 8 contractor's I I aggrey: Personal/advertising inj: (Each i I occurrence: 1,000 IFire damage: 100 ------------- -------------------------------------------- --------------- Medical expense: 5 B iAUTOMOBILE LIABILITY I An 06052400001 ----------------------------------------------------------- 1 2/21/03 1 2/21/04 lCombined l auto All awned autos I single limit: 250/500 IBodiinju Scheduled autos Hired autos I I y 11Pert; erson Non owned autos Garage liability I I I odily injury (Per accident): ------- ------------------------------ -------------------------------------- Property damage: 500 EX ESS LIABILITY I _ Each I I —I[`Other than umbrella form i I Occurrence Aggregate I D I WORKERS COMPENSATION AND 9088680403 4/27/03 4/27/04 Statutory I - EMPLOYERS LIABILITY I too (Each accident) limit) D • - ...I. 100. Disease -each em to ee. OTHER -- - ------------------------------------------------------ Description of operations/locations/vehicles/restrictions/special items: CERTIFICATE HOLDER GATEWOOD HOMES 1600 FALMOUTH RD STE 35 CENTERVILLE MA 02632 CANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing companT will endeavor to mail 10 days written notice to the certificate holder named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. -its -agents —or —representatives, --- --------------------------------------- -- Authorized representative: JOAN M MARTIN JA 4189 r,%e..,xL l:tK riFICATE ORLIABILITY INSURANCE DATE (MWt)DM/YY) ........fl 508_;gg_6033 FAX SOS-760-1667 07/21/2003 1 Allled`American Insurance Agency LLC THIS CERTIFICATE t5"tSSUED AS A MATTER OF INFORMATION ' JI 9 Y ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 Atlantic Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR So Yarmouth MA 02664 ALTER THE COVERAGE aFFnwncn ev t•,. •._.__ _ } INSURED ape o Custom Floors INSURERS AFFORDING COVERAGE NAiC u 762 Falmouth Road INSURGRA Arbella Protection Ins Company Hyannis MA 02601 INSURERS' Hartford INSURER C' INSURER D: OV A S INSURER E THE POLICIES OFREQUIREMENT, N$URANO LISTED BELOW HAVE BEEN CT OR TO THE INSURED NAMED ABOV); FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY RTAIN.HETERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH MAY PERTAIN, THE INSURANCE RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS, INS D TYPE OF INSURANCE - ' OF SUCH GENERAL LULBIInY POLICY NUMBER PODCYE FECTIVE POLICY EXPIRATION X COMMERCIAL GENERAL LIABILITY LIMBS 7500000373 12/13/2002 12/13/2003 EACHoccuRRENCe s 1 000,01 CLAIMS MADE O OCCUR AM GE TO RENTED A MED EXP (Ay one p.mw) 'APPLIES PERSONAL aADV INJURY s 1 OOO, DL OE/JL AGGREGATE LIMIT GENERAL AGGREGATE A 2 OOO, p� X POLICY JER07 LOC PRODUCTS- COMP/OF AGG A 2 DDD Or AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT A ALL OWNED AUTOS ' IGa emld..0 SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (P., PGMW) A NON•OWNEDAUTOS BODILY INJURY (Pel.aide0l) A GARAGE LUI6LRY PROPERTY DAMAGE A (PW A"ident) ANY AUTO AUTO ONLY • FA ACCIDENT A OTHER THAN EA ACC A EXCESSIUMBRELLA LIASIUTY AUTO ONLY; A00 A OCCUR D CLAIMS MADE EACH OCCURpENCE A AGGREGATE A DEDUCTIBLE S RETENTION S A WORKERS COMPENSATION AND EMPLOY 1IT LIABILITY 08WECKLIDD7 OS/2S/2003 OS/25/2004 X s WC STATU• OTH" B O�FICEWMEMBERtEXCLUDEDE? ECIJTYE E E.L. EACH ACCIDENT S 100,000 .Jb Yec dee.eunde. SPECIAL PROVISIONS bet" E.L. DISEASE • EA EMPLOYE A 100, AM OTHER El. DISEASE • POIX:Y LIMIT s CAA nnn I EXCLUSIONS A66EO BY Evidence of Insurance for work performed within the Insured's scope of normal operations 11"PGATF mnF D C C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRMEN NOTICE TO THE CERTIFICATC HOLDER NAMED TO THE LEFT. Gatewood Homes.. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION CR LIABILITY 1600 Falmouth Road M25 OFANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTgTrvEq, Centerville, MA 02632 AUTHORIZED RESENTATIv ACORD25(2001/03) FAX: (500778-5603 Q' ©gCORD CORPORATION logo n VRD CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE (MM/DD CROWC50 07 25 /03 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION + Su;livan, Garrity & Donnelly ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 508-754-1767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10 Institute Rd - PO Box 15010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester MA 01615-0010 Pthone:508-754-1767 Fax:508-754-1885 Crowell Construction, Inc. PO Box 309 So. Dennis MA 02660 COVERAGES INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Hanover Insurance Co 22292 INSURERS: ASch Insurance Company INSURER C: INSURER D: 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICYEF WTE DATE MMF D/YY DATE MM/DD/Yl' LIMITS GENERAL LIABILITY - EACH OCCURRENCE E 1000000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FRI OCCUR ZHN7007141 05/01/03 05/01/04 PREMISES Ea oca me E 100000 MED EXP (Any one person) E 5000 PERSONAL 3 ADV INJURY 11000000 GENERAL AGGREGATE E 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY "'PRO- 'PRO-'JECT LOG PRODUCTS-COMP/OP AGG E 2000000 AUTOMOBILE LIABILITY A ANY AUTO ABN7001142 05/01/03 05/01/04 COMBINED SINGLE LIMIT (Ea accident) E ALL OWNED AUTOS SCHEDULED AUTOS BODILYINJURY$1000000 (Per person) X X HIRED AUTOS NON -OWNED AUTOS � BODILY INJURY (Par accident) E 1000000 X PROPERTY DAMAGE (Per accident) E 500000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC E E AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE - EACH OCCURRENCE E AGGREGATE E s DEDUCTIBLE E RETENTION WORKERS COMPENSATION AND B EMPLOYERS'LIABILITY ANY PROPRIETORlPARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? IRWCIOOI OO 03 /22/03 03/22/04 TORY LIMITS ER E.L. EACH ACCIDENT E 500000 E.L.DISEASE-EA EMPLOYEEE 500000 -- If yea; deacrbe under SPECIAL PROVISIONS below OTHER E.L. DISEASE. POLICY LIMIT E500000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Fax #508-778-5603 f`CCTICIPATC Llrll nrn _ _ _ _ _ _ _ Gatewood Homes 1600 Falmouth Road Suite 25 Centerville MA 02632 GATEWOO I 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 KINDUPON THE INSURER, ITS AGENTS OR �TM CERTIFICATE OF LIABILITY INSURANCE °A(M^� ' 11 /14/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ' Dowling 8 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. Vs,rMA 02601 INSURERS AFFORDING COVERAGE INSUREDSURED NAIL # Gutter Pro Enterprises, Inc. INSURERA: travelers Insurance Company P.O. Box.1197 INSURERB: Guard Insurance Group Plymouth, MA 02362 INSURER C: INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMEDABOVE 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 FXr9 I minnro AA.. POLICIES. AGGREGATE I IMIT3 clan%AMI RIIV �Av1--......_..__ _.. .. _. LTR NSR TYPE OF INSURANCE POUCY NUMBER A GENERAL LIABILITY1680459H3118TCT03 X COMMERCIAL GENERAL LIABILITY POLICY EFFECTIVE DATE MM/DD 11/07/03 POLICY EXPIRATION D TE MM/DD/YY 11/07/04 LIMITS EACH OCCURRENCE f1 OOO DOO DRMAi TO RENTED S300 DDD CLAIMS.MADE OCCUR MED EXP (Any one person) f5 DDD PERSONAL 3 ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2000000 ..I--1 PRO. r-1 PRODIICTS.CnAeeine An.. .n nnn n.... AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Fa accident) f ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Peraccidwt) f PROPERTYDAMAGE (Per accident) S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S EXCESSIUMBRELLA LIABILITY AUTO ONLY: qGG f OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE Is DEDUCTIBLE S RETENTION f f B WORKERS COMPENSATION AND GUWC440685 11/07/03 f EMPLOYERS' LIABILITY 11/07/04 WC STATU- OTH- ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT clni OTHER DESCRIPTION OF OPERATIONS I LOCATIONS L VEHICLES I EXCLUSIONS ADDED BY ENOORSEMENTI SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. TE Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #32273 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ._1D_ 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 AUTHORQED 0 ACORD CORPORATION 1988 DATE OF LIABILITY INSURANCE •e PRODUC R 10117/03 Dowling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE • HOLDER. THIS S CERTIFICATE CATE DOES NOT MEND, EXTEND R Agency, Inc. 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # IN URED Bayside Electrical Contractors, Inc. INSURERA: Travelers Insurance Company. 372 Yarmouth Road INSURERS: Guard Insurance Group Hyannis, MA 02601 INSURER C: INSURER D: 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. m'msrrn A I GENERAL LIABILITY X I COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR X I OCP GEN'L AGGREGATE LIMIT APPLIES PER A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ' Drive Other Car X X X X GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S B WORKERS COMPENSATION AND EMPLOYERS' UASIUTY ' ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? I(yes,descnbe under SPECIAL PROVISIONS below OTHER 102601 W561IND03 "IT' uAT MM/ODOPRODUCTS-COMPIMOPAUG'O LIMITS 10/05/03 10/05/04 RENCE ENTED y one person) ADV INJURY GREGATE OMPIOPAGG 10/05/03 10/05/04 INGLE ITLIMaccident)t (Ea accident) $1,000,000 BODILY INJURY S (Per person) BODILY INJURY S (Per accident) PROPERTY DAMAGE (Per accldenq $ AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ _ AUTO ONLY: 08/18/03 1 08/18/04 DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES I 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 ACORD 25 (2001/08) 1 of 2 #M31942 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 n_ 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 AUTHORIZED 0 ACORD CORPORATION 1988 10.11 riA ZU57900249 GOLDMAN ASSOC i �O1 ` A-0PDL CERTIFICATE OF LIABILITY WSt PAJN�E � ;►� • call T�'V3S35o 11 17/03 GOLL4w E AssocuTSS I2i617RANCE [e tEHpFiCAieL3.LS31iEt�ASAMATTER.OF1ltFn�aa:�n�u_ F11- T7CIAL SERVICES INC. ONLY AND CONFERS NO RI Kill UPON THE CERTIFICATE HOL DER. THIS C€RTIMCATEIDOES NOT AMEND, 933 rAF.>f oum RD. EXTEND OR ALTER THEC01lERAGE AFFmRDED.BY.THE POUCIES_SELOW- HYA2�TIS MA 02601 .. ' 2:'Jona:508-775-6010 €az:50S-790-02SS •- , !nl$'v' CFrCRu7Ft6` wd GE iiAw. S .� RffbCFERE CObmpxz 11JSU1tAtiCE co 1D7-AA RODHEY TAVANO s+stsmk& .ZURICE.IN3ffstA DBA NECSA*rICAL SYSTZM 24SURERQ �-"'-- 110 HOLD-sm' J.&W N' BARKSTAME MA 02668 M.—I to. I THE POUCIES OF tMUUpM LWM t a_oWNAY£UVE?I"L=TO TFGAJC X= NAi18D AMPE FOR THE PC= PERIOD MrAM ANY RR0LaMl4ENT.TEEWM COMMON OF ANY cCKx OR Mix • JWCp� 0= TVMPE PECTTU VWSCHamCaXTFCAYExr majEnoR MAY FMAKTreRZlA% = AMVFWM BY TW POJCa S D.HE"JG SC4KCrTOALL 71E7E796�EIQ.I)gprLTMID POUCE-&AGGREGATEUIOTSSN7MJWYNAVEltf FaMUCEDVr P/mCA9/3. CFMJCH LTR TIPS CA POLICY MVi1a67 ^� MOE GEIRk7iJILl]P�IIY Lpm A S w�=ALGV* AL,y�[ry �U172 11/21/03 11/21/04 cLAMa ®ocast °O4 _ _ oeG,nm.1 —ERw s3000000 s 50000 (AAT.A. psi.dq i 5000 oet�LAADVOUJ r _ i 1000000 Af.:��T! LSGTAPRJEA PER AGGREGATE s zuuauoQ' If POJC:• .ECT Lux -f:OAR'.tlPA00 t 2000D00 AiTTCYC^1£ LflL'�J}Y 7JvrutTD sacuLwr .q_ = Au-awr�nJurros R+'C AUTOS- JI�nAAurua rRaw Pram) _ N0N4VJWAJR06.- ratA»Rr .nsen4 _ DAAMGE OARABE LIMUTY AWAUTO. AIyTOONLY-EAACCLFNr i TRW EA A= s u�mia UVALRY OPAY. AGO i o ase a,areusoE s i s rVMCZM xaaMIAwefao s E "7�IDtO1Bl1'Li!®.1Tr >f7279AS4903 OS/03/03 05/03/04 TQg7 LOOTS fR EACT+AcccmE yr s 100000 s W' W. c "" f-aoaLaftM 1100000 aR1lcx ::= oSsA6E-Poucrwrr 1500000 oESCrC TICK OF CPEWT101P3 JI.Of17s71faf V@iiSSJE7CiLliTJ6 AVD®M @IpDniFFSiExrlaf�LnL FAWgdCIR C3A3'EIRLOD Haas Vac PAX 508-778-5603 1900 FAT143ME ROAD- C•varP¢RVlM= b, 02632 GATEWOO" '"�Jwar DATEMIEMOF. uaRm ND oKiMATICN EMWAVCRYOUAL 10 VATS MaTTBN RITS AGENTS OR . L ACORD.. CERTIFICATE .OF LIABILITY INSURANCE ' ' ► 10110MICER 508 672 2997 THIS CERTIFICATE IS ISSU JOA4M01AS ONLY AND CONFERS NO RI( DIAS INSURANCE HOtDER: THtS-- CEMT4RCATE C 535 BRAYTON AVE ALTER THE COVERAGE AFFOR T • FALL RIVER. MA 02721 INSURERS AFFORDING COVER AG aevREG JOEL DEALM PISURERA: GRANITE STATE WSUR PIsum e: NAUTTLUSINSWMCE ORA DBA EJJA JA COivSTRUCTION PIsuRERD: SO PICKERING ST. APT 17 PISURERO: FALL RN_R, MA 02720 wSURER E ' DATE rvwoorTYY» G&O84'J03 W FORDdATiON CERTIFICATE THE POLICIES OF WSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AUY.REO(LREMENT. Tents OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OESCitiseDTfERERV't3 SUBJECT TO ALL THE•T£RMS, EXCLUs(ONSAN4 CONDITIONS OP SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Tq T4 00•7W--l �- GENERALLIABILITY POU"T".MBER POUF EFFECTrYE POUCY EJIPIRATION � LPim 'UCH OCCURRENCE f T,000.000- NC27580E Ofi/26/2CO3 O6/26/2004 100,000 iLm CUR MEDFXP(AbyR qP ) IS 5PERSONALawVlwur<Y1GENV"V46GREGATE- �S- f•EWIAGER:PRODUCTS. CO►IP,OP A:;GS 2000000 PO OC AUTOMOBILE UABLITY ) ANYALTO COMSPIBO MW-1.2 UTAT (EFFceaan) f I ' AICOWNEDAVTO$ •-^ SENEDULEDAVROS QODI(PwRODILa,TY IpI) cfl _ S i �HRED AUTO$ I� HO"WUED.AUTOS DOWRY I f PROPE(-----RTY OAMAGE mwu GARAGE W BRIT' ADrooNCYTERAcaDei+T t ANY AUTO � on1ERTHANdr, AUTOONIY: -- f S. _ "CESZA7kiBRELLA LIA9IUTY EACHOCCURRENCE I f 1( J OCCUR 0 CLAIMS MADE AOGpEWTE I S f WORNERBCOMRENSATIONAND WC SiAi jTl{I EMPLOVERS'LLIBM1ITY WC' 4��-8S YTiOIi%O.3" 1-}JQ$f(�4. RY 4MIT5 T, EL UCHgCC106aT S %000;Be� CLTVE CRiE96wOCLaG#�pcpj` E.L. DICCASE • EA EMPL:>YGE S T' D00,0 eyy��SS d.wMa A0p SPECw.PNOV19bNPWlev CL01WASEI PDCILT[MYF T 1.000100- OTHER DESCR(PTIONOP OPEIgTIOtfS/ kCCATNTNSI VEYIGLESr E)CCLIISIOps A, .nnFn_gY ENOORSEMENY rS►ECUL PROVIsbNS CERTIFInATt Hni nFR GATEWOOD HOMES 1600 FALMOUTH RD. CENTER VILLE. MA 02632 SHOULDANY OFTHE ABOVE 4PSCR168O POLICIEj BE CAMCE.L'E38EPORETNB F%PIRkA9N- DATE THEREOF, THE ISSUING RISURER WILL ENDEAVOR TO MAR. 10 DAYS WRITTEN NOTICSTOTNE'CERnRCATE'NBkDE*MAMEDTO THE LEM IW.L f�IY.OREW nn en w•. MPG" NO OBLIGATION OR UABILrTY OF ANY RWO UPON 1'11E RfBURER, IT9 AGENTS OR ACORD CORPORA CERTIFICATE OF IN� C.E ISSUE DATE (MWDD/YT) 0/2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Passaro Leverone & Buckle Y DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Insurance Agency Inc POLICIES BELOW. ' P 0 Box 160 COMPANIES AFFORDING COVERAGE Dennisport, MA 02639 K Orcutt COMPANY S Concrete LETTER A, A.I.M. Mutual Insurance Cc r37Ladys Slipper Lane , MA 02649 COVERAGES THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAND ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIItEMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECfTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TERMS, L ° TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXP➢ZA710 DATE(MM/DD/YY) DATE(MM/DD/YY) Ts GENERAL L1ABI ITY OMMERCUL GENERAL LIABILITY ENERALAGGREGATE t PRODUCTS-COMP/OP ACC. t IMS MADE=�C PERSONAL & ADV. INJURY t OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE t FIRE DAMAGE (Any one Life) t MED. EXPENSE (Any orc Persm) S UTOMOBILTi LUBII.ITY MBINED SINGLE NY AUTO LIMIT t ALL OW NED AUTOS BODILY INJURY t FOULED AUTOS HIRED AUTOS ' NON-0BODB.YINIURY auWNED`AUTOS Per i(jmx) t ARAGE LIABILITY PROPERTY DAMAGE S XCESS LIABILITY EACH OCCURRENCE t MBRELU FORM COREGATE t THIER THAN UMBRELLA FORM WORKER'S COMPENSATION AND WC STATU. XOTH. EMPLOYERS' UABILTTY T R Y LIMITS A THE PROPRIETOR/ 6006181012003 10/21/2003 10/21/2004 t INCL PARTNERS/EXECUTIVE EL DISEASE —POLICY LIMIT t 1.000,000 OFFICERS ARE: EX EL DISEASE —EA EMPLOYEE t 11000,000 ESCRIPPION OF OPERA TIONS/LOCATIONSIVEE[ML S/SPECIAL rPEMS CERTIFICATE HOLDER CANCELLA-XION 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 I EFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LGatewoodsomes LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR h Road REPRESENTATIVES. MA 02632 AUTHORIZED ETA �� . --. •. �.. ... ram. a. W.aJIJ _;..�_-�. CORD PRODUGtTI��rv�, y 1 5� 554 72' 2 P.01i01 11 /0 s /n i RIDER. RISK SPECIALISTS ALTERKwLULK g CCVIS ERTIFICATE I�7AGE dFrO BE17S NOTBY AMEND, �•3�� INSIIRANCE AGENCY, INC. P � O. Bf?X 115 COMPAiNIESAFFOROINGCOVERAGE ' CATAIIMET MA 02534-0115 _ COMPANY A mum US LIABILITY INSURANCE COMPANY MONUMENT INSIILATION, INC. pe8 AMERICAN HOME INSURANCE COMPANY 223 COUNTY ROAD BOURNE, MA 02532 COMPANY C COMPANY D �`;.:^ �.w ..v.'-"•.."4"�aW..V.�H 'lSw°M.ni...-.....:) f!n ,a M✓n y f'v.�r�i' '++.Yq»a.r .. _ a y. ... Tests tS 70 C£ATIPYTHATTHE POUCiE6 OF WSURANC£ LISTED WDICAT<<.D. NOTWITHSTANDING "�''`"""""' "'w'`"x`'"` »,s....-,.�,...,°�;-•••-.- INSURED NAMED ABOVE FOR ANY REQUIREMENT, TERM OR ^E CONDITION OF ANY CONTRACT OR OTHER THE POLICY �THIS CERTIFICATE MAY DOCUMENT WITH RESPECT TO VJWHTHE ISSUED OR MAY PERTAI: L THE INSURNANCE AFFORDED BY THE POLICIES DESCRIBEDHEREIN IS EY. CLUSIONS SUBJECT TO ALL THE TERMS. AND CONDITIONS OF SUCH POUCIE3. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIR I TYPE OF INDURAMCE POLICY NUMBEA POUCY2rpoc7m OL*4 mAj" M d (N/ VfM U�3 O£itEfIAL LIABILITY - . " X mAiMERCI4LGEN6ULLU8EftY 0040-ALAOGAEQATE I $I , 000 , OC ^• aANO MADE ®R PRODUCTS. COMPATP AGG 1 3500 000 A OWNEASSCONTT CToa4PI70T CLI235745 PV6ONAL&ADVawAY S500 000 B/23/03 8/23/04 EuNcammENCE 13500 000 FMOAMAaeVjqoftam) s50 000 AUTOMOBIIF LIABILITY uEO E7o• s5 0 0 0 ANY AUTO OOMBBIED SINGLE L WT s AUDWNEDAuTos SCl�DAt17LTa IiIREp AUTra �B HOC s NONOWNEOAU= _ OWL s PROPSITY CAW= s ... oes'acz wIeILITY . ANY'ACR? I AUM OM.Y • EA AC=e7VT ? EICEBB UABILnY UMBRELLA FCFM OTNEA THAN UMBRELLA K WORKM COMPENMYM AND EMPlOVOU'LIABIUTY R 7W PROPREow ;:., I WC 782 61 72 GATEWOOD HOMES,INC 1600 FALMOUTH ROAD #25 CENTERVILLE, MA 02632 508 778-5603 9/5/03 19/5/04. n SHOULD ANY OF THE ABOVE DES MED P'OLiC n BE CANCEUID -N_M Rz^T- - Q04ftA ION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO IWAXInL DAT9 WRITTEN NOTICE TO THE CE7ITITTCATE HOLIER NAUWTO-TTRCIfYT: BUT PAIWRE TO VAS .NOTICE SHALL ILA NO CBUDAMON OR UABIUTY TOTAL P.01 t r.01 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (NLlPjDryn 11 PRODUCER THIS LID C'cRT1FICATE IS ISSUED AS A MATTER OF INFORMATION VICShe» Insurance Agency, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.. HOLDEFL is 749 Main Street, SuitelfFi ALTER THE COVERRAGS AFFORDED BDOES �THgEPOLICIESESEL04V, Oatgrville, Na. 02655 54 @-aZ Q 3 INSURERS AFFORDING COVERAGE INSURED Casperaoa Overhead Doors INSURERA' - M^aUgER B Sox 517 INSURER e East Falmouth, MA 02536 NsvaERn COVERAGES INJURER E: THE POLICIES OF INSURANCE LISTED BELOW HA1/E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT+f5TANDING. 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. iR TYPE OF INSURANCE POLICY OATS uEFFECfIVE PO�CYCEXPIRA ION ' CENEAAL LIABILITY MAD LSATE EACH OCCURRENCE COMMERCIAL GENERAL LUIEIUI Y FIRE DAMAGE. (Iaq eRe Ike1 f MADE OCCUR MED EXP A — Fs8352 (Nyw,pRa,) 05/20/03 05/28/04 PtRSONALA.ADVIDVRY GEN L AGGREGAI E LSdR ArTLIES PER GENERAL AGGREGATE flI—r_�DIIQ. PGLK.•Y JZ I L6C PRODUCTS • COMPiDP AGO f 0 0 A A 0 n AurDMDBILc uaelLrrY ANY AUTO ALL OWNED AUTO9 SCHEOU(:0 AUTOS NIRCD AUTOS NON•OWNCO AUKS h GARAGE LMSKM EKCEyStowul"P- OCCUR CLAPAS MADE OtOVCT IX 1f€TEN-DON_ WORKERS COMPENSATION AND EMPLOYERS LIASLLITY A GateSmy xcmga 1600 FaL-mut5 Road-; sums TSx Centerville, M 02632 778 5603 ACORD 25-S (7197) COMBINED SINGLE LIMIT IEa. deed) SOOILY INJURY (P=—Masan) BOOZY INJURY (Pv.edSMK) AUiOONIY - EA ACCIOEM S i <:TNER Tww_ . EA ACC f AUTOONLY; A00 f EACH OCCtIHRENCE f AGGREGATE f 2/22/03 02/22/04 ELEACHACCIDENT—` E.LDISEASj. EA EMPLOYE El. DrSEASE • POLICY LSAT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL IG_ DAYS WRRTEN NOTICEFOi11E-6ERHFlOASE.HpLpE KIND UPON THE INSUR W O IMPOSE NO OBLIGATION Ofl UASKJTY OF ANY K EII. ITS AGENTS OR 0 ACORD CORPORATION lose -PORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) • 07/18/03 JDucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION -04vling & 0' 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 # INSUREDINSURERn: Hanover Ins. Company Busy Bee, Inc... INSURER B: Safety Insurance Company . P.O. Box 50 East Sandwich, MA 02537 . 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. Mbm LTR ADD, INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/1^r LIMITS A GENERALLIABILm COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PD Ded:250 OHN643998501 06/14/03 7W) OCCURRENCE $1000000 X E TO RENTED S300OOO f1$ OOO XP (Any one person) X NAL&ADV INJURY S1OOO OOO AL AGGREGATE E2 000 000 GENT. AGGREGATE LIMIT APPLIES PER POLICY PEP LOC PRODUCTS - COMPIOP AGG $2 00O 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 LIMB (Ea accident) S (PaOPY�)uaY $100,000 X X BODILY INJURY. (Per accident), S30O OOD X PROPERTY DAMAGE (Per accident) $100,000 GARAGE LIABILITY ANY AUTO - _ .. ... AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S S C EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE ' RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED7 If M. desuibe under SPECIAL PROVISIONS below OTHER WCC5002932012003 - 06/27/03 06127/04 - EACH OCCURRENCE S AGGREGATE $ . S S 1 WCSTATU- I JOTH. TORYIIMITS PR S• E.L. EACH ACCIDENT $100,000 E.L DISEASE - EA EMPLOYEE $100,000 E.L DISEASE •POLICY LIMB SSOO,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Gatewood Homes DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN 1600 Falmouth Road Suite 25 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Centerville, MA 02632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #30822 KJS C ORD CORPORATION 1988 � .. r� „•� ✓%e i0anvrnaruirea� a� �L�a:rwciwaeQa :{ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate: 06/16/1940 Expires: 06/16/2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN CENTERVILLE, MA 02632 Administrator 00 - 35,000 d enclosed space (MGL C.112 S.60L) to - Masonry only 1 G -1 3 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)'344-7233 U ♦ l BUILDING TOWN OF Y A R M O U T H ELECrRICAL 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUS7 S 02664 4451 ' GAS Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 PLUMBING SIGNS BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT 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 the proposed work/demolition to be conducted at 1 ` p Work Ad ress is to be disposed of at the following location: 7g-L✓►^ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. 3 /d Signature of Applicant Date Permit No. �3 $ TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: 1.21 No: LA/ Lot No:P✓ C Cf Proposed Improvement: P i �/ ' `n+ r� •�nIh�=t U-✓�.� r �a �`' 11n� J 77e ' f Applicant: \30f d -le Address: //, / 1a;v2u��%L• %�S i 'ter C � F Tel.No.: �711 �/C' Date Filed 3 8 GC GEC 3v� 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 DEPARTNURsIT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVIEWED BY: ✓ 1. WATER DEPA �'2. ENGINEERING DEPARTMENT: DATE: N/A: f3.. CONSERVATION: DATE: N/A:, ✓ 4. HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WRING INSPECTOR: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: white copy - Building Dept• - Pmkcopy -WataDepL - Yellow Copy -Health Dept• - Pink Copy - Engineering DeP - Goldenrod-FiroDepNConvcVatwo rn LOT 7 6,401 ±S.F. I \. co �9. LOT 8\0� 6,127 fl S.F. ~ �s 1 � 36, LOT 9 4,875 S.F. NOTE: ' 'pJ1�R 49��4j SEWER LATERAL SHALLNbE ® SLEEVED IN ACCORDANCE �y �o• k Q�% WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. O OQ ��. Q� A L=5.41= u , GRAPHIC SCALE ly ( I V E D - u b U 20 10 0 20 60 NO I o o , P,f �.�� Unlesa'ond;untli ime as the originat!`12�) et of the responsible Professional or Professional hand Su ynr aPPeara on this plan:) (A) -no, persotLor persone, in any municipal other IN FEET publlc!officialsmay rely upon the Mfortn ontained�erain; and ". � �. � ..(B), WS- la�Las the rem6 1 lIICh = 20 it P _ Property of H , � McGrath, Ine. REVISED: 3-2-04 PLOT PLAN holmes and mcgrath, inc. ,H OF OF LOT 8 ` civil engineers and land surveyors �a�>`' �y PREPARED FOR 362 gifford street TIMOTHYN4. s MILL POND VILLAGE = saNTOs falmouth, ma. 02540 No.cwIVIL 45078 0 IN 9` �' YARMOUTH, MA JOB NO: 201197 DRAWN: LMC rc /STEP��s,o SCALE: 1"=20' DATE: 1-22-03 DWG. NO.: A2507 CHECKED:-7k c Q,, o�.Y.�R - $ TOWN OF YARMOUTH BUILDING DEPARTMENT O y BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: (AAx.4 /"Vy Map No: yy Lot No:041•1 Proposed Improvement: �� (' 4erLz �77 �� (v -� 7% s66 Applicant:i1��- i� f Address: A/74 '�� /o7S 6 x,&zTel.No.: 77(r !W Date Filed: 3 8 L s 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, Etc. ---------------------------------------------------------------------------------------------------------------------------------------------------- REVIEWED BY: ✓ 1. WATER DEPARTMENT: DATE: N/A: V12. ENGINEERING DEPARTMENT: DATE: N/A: �3. CONSERVATION: % DATE: N/A: 4. HEALTH DEPARTMENT.' �J �NJI/d/ SF 7f-1 0 DATE: J:,-�N/A: 9 i3—o z INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR DATE: N/A: w r 6. PLUMING INSPECTOR: DATE: N/A: M1 , 7. ' FIRE DEPARTMENT: DATE: N/A COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: White copy - BuddngDept. - Pink copy - Water Dept. - YclowCopy - Haft Dept. - Pink CoPY-Engineering Dept. - Goldenrod - Fire DepNCoreavatim .) /4',. 2 I /N 0 cg LOT 8 6,127 fI S.F. / II \ 3 LOT 9 4,875 S.F. 41 �q NOTE: -S��, P ® SEWER LATERAL SHALL-bE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. GRAPHIC SCALE LOT 7 6,401 ±S.F. �10 Qua G'�l L� t1� ,• \ L=5.41' U �f. 20 10 0 20 60 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 ( IN FEET ) pubile officials, may rely upon the Information contained herein; and 1 inch = 20 M (e) this pion remains the property of Holmes & McGrath. Inc. REVISED: 3-2-04 PLOT PLAN holmes and mcgrath, inc. OF 114 OF LOT 8 civil engineers and land surveyors!'��` > PREPARED FOR v/ TiV THEM. > MILL POND VILLAGE 362 gifford street Sq SANTCS q No. a5C378 IN falmouth, ma. 02540 e _ CNIL o s� S-V �• a YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 1-22-03 DWG. NO.: A2507 CHECKED:-r..t. nG bL • EFFlCIENCY • • • • RATWG CERTIFlEa nikLTI _amaCIV.AirCoraditioning &Heating Iui 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GMNT SERIES -li""tlC-f, ��t7 a.. Wvr-i�= m•a.yat�. iNARRAfi'TM ...:.i SNilEFARRlSii16Y1RMlii 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 heating 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 294C 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.goodmanmfg.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 92.6 25-55 060-3 60,000 55,000 55,000 51,000 92.6 35-65 0804 80,000 73,500 73,000 73,000 92.6 35-65 100-4 100,000 92,000 I 92,000 85,000 926 40-70 120-5 120,000 110,000 1 111,000 102,000 92.6 1 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA cl Model u�p'ayMotorW I " Blower . Vent' vCombustion* Filter Size Inz Electrical Ship HP Spd. Dia. Width FLA Max Fuse Number Dia. Air Perm. / Disp. Weight 040-3 1/3 3 10 6 2' Y 2901580 52 1 15 170 060 3 1/3 3 10 5 2' 2• 290 / 580 5.2 15 180 5804 1/2 3 10 8 30 3' 385 / 770 7.8 15 205 1004 12 3 10 10 3' 1 3' 1 385 / 770 7.8 15 225 120-5 1 3/4 1 3 1 11 1 10 1 3' 1 3' 1 480 / 960 9.2 15 265 `Note: Vent ana COmOOS IOn air alaHncLaw IJoy vary accompany the furnace. 5. 28" A 58 8.. 4,. 1961. �� 7„ 47 B4 � 8 8 3-51 1 F4;� 4 I 4r= 8i COMB. AIR INLET 123.. - COMB. AIR INLET i g , GAS INLET 51 ,• 4 VENT LOW VOLTAGE 4" J ELEC. 1101" i 4 i Model GMNT A B Combustible Floor Base 040-3 8 060-3 14• 12'/0 SBM14 080-4 17'/: 16' 9BM17 1004 21' 19'/: SBM21 120-5 24'% 23' SBM24 SS-312D i i i i ' GAS INLET i i i i 0 VENT 208"' l LOW VOLTAGE ELEC. CLEARANCES FROM COMBUSTIBLE MATERIALS Top 1' Sides Rear Front" Vent Approved for line contact in the horizontal position. *36" clearance for serviceability recommended. 2 CASPD (U) COIL APPLICATION OPTIONS Furnace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'h' 21' 24 Yi Coil Model Number Coil Width U-18 U-29 14' X U-30 17'h' X (1) X (2) U-31 14' X U-32 17'/:• X (1) X (2) U-35 14' X U-36 17'/' X (1) X (2) U-42 17 Yj X (1) X (2) U-47 17 Ya x U-49 21' x (1) X(2) U-59 21' x(1) X(2) U-60 24 YY X(1) x(2) U-61 24Y; X(1) x(2) U-62 21' 1 x(1) 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 MED 1210 1170 1130 1085 1040 980 920 860 040-3 LOW 895 880 870 840 825 780 725 680 HI 1360 1300 1250 1190 1135 1065 1000 930 GMNT MED 1200 1170 1130 1080 1035 1 975 925 880 060-3 LOW 910 895 885 855 835 790 750 700 HI 1865 1800 1735 1660 1590 1510 1415 1320 GMNT MED 1690 1645 1600 1545 1485 1410 1345 1245 080-4 LOW 1450 1400 1390 1360 1325 1270 1 1200 1125 HI 2010 1945 1875 1800 1715 1620 1510 1400 GMNT MED 1725 1700 1670 1615 1550 1475 1375 1275 100-4 LOW 1430 1390 1350 1315 1285 1245 1160 1070 HI 2360 2325 2300 _ 2170 2125 2045 1945 1850 GMNT MED 1815 1750 1710 1660 1600 1545 1480 1415 120-5 LOW 1275 1215 1190 1145 1110 1055 985 925 Values indicated by shaded areas represent airflows that are too low for nearing 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. That's why we know... There's No Better Quality. Visit our web site at www.goodmanmfjz.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4 o) LOT 7 D �. rs' ,Al 6,401 f S.F. ,ham j � APR 2 3 2004 a \ BUILDING DEPT. N ��9 6 \ I W N I y oS�O LOT 8 ' n� 6,127 / / GA S.F. �9 �/ h� sue• • z� • � I \ 3• s L=5.41' ..- '/ LOT 9 o 4,875 S.F. G s� ti� d8 s Z4 � s O NOTE: ® SEWER LATERAL SHALLs e-11'0 ii �o SLEEVED IN ACCORDANCE �y tK WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. O �^ O�\, GRAPHIC SCALE 20 10 0 20 60 NOTICE Unless and untl such time as the original (red) stamp of the responsible Professional Engineer, or professional Land Surveyor FEET appears on this plan: (A) no person or persons, including aIN ny municipol er other public offtelals, may rely upon the informatian contained herein; and 1 inch = 20 ft REVISED: 3-8-04 (B) this plan remains the property of Holmes & McGrath. Inc. REVISED: 3-2-04 PLOT PLAN OT 8D holmes and mcgrath, inc, POSH OF MgSs PREPAREOF OR civil engineers and land surveyors o�� qOt MILL POND VILLAGE 362 gifford street nSANTOSM' IN Falmouth, ma. 02540 N cvi0'B YARMOUTH MA JOB NO: 201197 DRAWN: LMC 9o�9FG/STEQ��a�� SSfo SCALE: 1 "=20' DATE: 1-22-03 DWG. NO.: A2507 CHECKED: -,n1v % u MAScheck COMPLIANCE REPORT .Massachusetts Energy Code MAScheck software version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Egret PROJECT INFORMATION: Mill Pond village 1600 Falmouth Road Unit #25 Centerville, MA. 02632 COMPANY INFORMATION: Northside Design ASSOC. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 216 Your Home = 123 I I Permit # I Checked by/Date l A pe a or Cavity Cont. Glazing/Door' erimeter R-value R-value U-value UA ------------------------------- ------------------------ CEILINGS ----------------------- 832 30.0 30.0 14 WALLS: wood Frame, 16" O 1409 15.0 15.0 62 GLAZING: windows or D rs 87 0.340 30 GLAZING: Windows Doors 40 0.340 14 DOORS 40 0.086 3 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 buildi�� shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and 34.4. APR 2 3 7�i 4 Builder/Designer Date Q ,FFT. Massachusetts Energy Code ' MAscheck software version 2.01 Release 2 The Egret DATe: 4-21-2004 Bldg Dept Use I [] I I I I [] CEILINGS: 1. R-30 + R-30 comments/Locati WALLS: 1. wood Frame, 16" O.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: 1. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Locatio^ 2. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. u-value: 0.086 Comments/Locati 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 marked on the building plans or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table 74.4.7.1. I'DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] I thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and 34.4. SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.): I 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 I 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 I refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department use Only)------------------------- I I MAScheck COMPLIANCE REPORT I 1Nassac'husetts Energy Code I Permit # MAScheck Software Version 2.01 Release 2 I I i I Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 6-20.2002 TITLE: The Egret PROJECT INFORMATION: Mill Pond Village 1600 Falmouth Rd. Unit 25 Centerville, MA. 02632 COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA.02675 u COMPLIANCE: PASSES Required UA = 219 Your Home,= 121 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ---------------------------------------------- CEILINGS 832 -------------------------------- 30.0 30.0 14 WALLS: Wood Frame, 16" O.C. 1432 15.0 15.0 63 GLAZING: Windows or Doors 128 0.320 41 DOORS 40 -----------•--------- 0.086 3 ---------------------•------------------------------------ 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 780CMR 1310 and J4.4. Builder/Designer Date Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Egret "DATE: •6-20-2002 Bldg.l Dept.l Use I CEILINGS: [ ] I 1. R-30 + R-30 Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-15 + R-15 Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.32 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] I 1. U-value: 0.086 Comments/Location AIR LEAKAGE: [ j I 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 I 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 marked on the building plans or specifications. DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. ► F DUCT CONSTRUCTION: [ ] ( All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or � �I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not i permitted. The HVAC system must provide a means for balancing I air and water systems. TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock.. HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids i 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 I refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.): I PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 i 100-130 0.5 i 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------ MPD3328 MPD3530 MPD4035 33" fireplace w/opt. flush face 35' fireplace w/brushed stainless 40' fireplace w/polished 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. "III'* O'Rm4^1, The first two model number aigits R indicate frame width, the last two digits indicate glass width. Id" All are A.EU.E: rated high efficiency vented gas fireplace heaters, certified W-Munder ANSI Z21.88 and CSA 2.33-M99. MPD4540 MPD4035 MPD3530 MPD3328 DIMENSIONS (Rear vent model shown) • 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) Is Hi/Lo flame operation • Pre -wired for wall switch Options • 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) • 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 (flexible) 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 U20006711) Warnock Hersey IiaR USA ` �M RO.2 O%M mien«MOM Pmducts, 20m 3328 MODELS (This model comes as a top or rear vent only) I--c I A C D B 1—" T 6.f11116" t-1/2' 1-1/2" 1 Front Face 35,40 & 45 MODELS Top (These models come with a top and rear vent) C g B 1 4714-1/2" Right Side Front .Face Top Right Side FIREPLACE & FRAMING DIMENSIONS K 13 35M 351/8 321/8 19 291/2 351/8 2111h6 24%s 12%6 351/4 351/4 16 4M5 401/s 371/s 24 341h 401/s 2611A6 29%8 1415116 401/4 401/4 16 4540 401/8 371/8 24 391/2 451/8 2611A6 34N 17%6 451/4 401/4 16 3328T NG 17,500 45 64 62 3329T LP 17,500 49 66 64 332BR NG 17,500 53 63 61 3328R LP 17,500 55 66 64 3530 NG 20,000 53 64 62 35M 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 Look for the EnerGuide Gas Fireplace Energy Efficiency Rating In this brochure Based on CSA P.4.1-02 Visit us at www.LelnccH earthProducts.com TYPICAL ROOM APPLICATIONS VERTICAL l =AA A q^11* 0..r4 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) 12.1C8 Street 121 CAMP ST #8 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 1PROPERTY ADDRESS: jai FOR PERMIT COST CALCULATION ADD TYPE OF RI ITION TERATIONS BATH ROOM RTIFICATE OF DEN I gl DINING ROOM FAMILY ROOM FOUNDATION ONLY GARAGE NO. OF BAYS GREAT ROOM! KITCHEN LAUNDRY ROOM LIVING ROOM _ MUD ROOK! OFFICE ;l4 PORCH CLOSED PORCH OPEN REROOFING SHED STORAGE AREA SUN ROOM HEATED ! SUN ROOM UNHEATED_ SWIAMNG POOL ABOW — SWIMMING POOL II4GROI WINDOW REPLACEMENT NO 2-. U 0 0 City or Town of: YAPMOUTH To the b By this application the undersigned gives notice of his or her intention to perform the Location (Street & Number) MILL POND VILLAGE, Catty Street Commonwealth of Massachusetts " use "Illy .. Permit No. rZ — OeJ — C- 32) Department of Fire Services • Occupancy and Fee Checked LVO. BOARD OF FIRE PREVENTION REGULATIONS . 11199j eaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL W� C� U All workto be pedormed in accordancewiththe Mansahusetts Electrical Code (MEC), 527 CMR r 40 174�I (PL&4SEPRWlININKORTYPEALLINFORMATIONJ Date: Dn ZC»� (' 7 2004 of Wires' work descnbed below. OwnerorTenant Gatewood Homes/ Jeff Sollows Telephone No. 508-7789669 Owner's Address 1600 Falmouth 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 ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Amp acity No. of Meters No. of Meters Location and Nature ofPruposed Electrical Woric Fire Alarm System (low voltage control panel) with backs= battery, centrally monitored . Ce nletio» of the followinr table may be w' afved-hv the 1mveetor of Wirem No. of Recessed Fixtures No. of Cell -Sus . (Paddle) FansLN P r o Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA of Lighting Fixtures Ab.No. Swimming Pool d e rnd. Battery Uniitsency g No. of Receptacle Outlets No. of Oil Burners FIRE.ALARMc No. of Zones —1— No. of Switches No. of Gas Burners o. of DFt�ection.ana7 Initiating Devices No. of Ranges al No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Totals umber ons Detection/Ale tinn nDevices 7 No. of Dishwashers SpacelArea Heating KW Local ❑ Colnn�lon ® Other ers Heating Appliances , ecuNotNo.ofDr.ostems* Dceore ivalent o. of Water KW Heaters o. o o• o Sipus Ballasts Data Wiring. No. of Devices or Rouivalent No. H dromassa Bathtubs 7 8e No. of Motors Total HP oMing: Telecommunications .ofDevices No. of Devices or E uivalent OTHER Attach addftlonol detail i.rdestred_ or as required by thelnrpeetar ofWires. 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 exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ oum ❑ (Specify:) Estimated Value of Electrical Work $750. 00 required municipolicy.)(Fxpttatron ate (finby P� Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion. Icerdfy, udder thepains andpenaldes ofperjury, that the infio6ttadon on this application is true and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1178C Licensee: Jonas R Bielkevicius Signature LIC. NO.: 499D (Ifapplioable, enter "exempt" in the lieemenumjte Bus. Tel No.- 508-833-0996 Address: PO Box .1609 San0253 Alt Tel. Na- 5087 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.