HomeMy WebLinkAbout121 Camp St #034 Building Permitso� r�
TOWN OF YARMOUTH
Building Department
BUILDING
(508) 398-2231 ext.261
PERMIT NO �--8-0�.880
_-.-___-__
' PERMIT
K
ISSUE DATE ; - - - - - 00 - _ ;
PROPOSED USE
APPLICANT Frank Capra
-----------------------------
JOB WEATHER CARD
PERMIT TO ' New Construction ;
AT (LOCATION)
ZONING DISTRIC R-25
Bldg. Type: Residential
100121CAMP ST Unit 34
SUBDIVISION MAP LOT BLOCK 044.21.1.C34 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R 4
LOT SIZE
new construction: 1 bath, 2 bedrooms, 1 kitchen, 1 livingroom as per plans dated 11/14/06..
REMARKS
AREA (SQ FT) - EST COST ($ $105,024.00 PERMIT FEE ($) $383.00
OWNER lVillages 0 Camp Street, LLC BUILDING DEPT BY
ADDRESS 1600 Falmouth Road # 25
Centerville I MA 102632
CONTRACTOR
LICENSE 012430
Capra, Frank
1600 Falmouth Road #25
Centerville MA 02632
5087789669
PHONE 15087789669
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.
ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION.
STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLLIC WORKS.
THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM INSPECTIONS REQUIRED FOR ALL
CONSTRUCTION WORK: 1) FOUNDATIONS OR
FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL
MEMBERS (READY FOR LATH OR FINISH
COVERING) 3) FINAL INSPECTION BEFORE
OCCUPANCY 4) REFER TO DETAILED INSPECTION
SCHEDULE
APPROVED PLANS MUST BE RETAINED ON
WHERE APPLICABLE
JOB AND THIS CARD KEPT POSTED UNTIL
SEPARATE PERMITS ARE
FINAL INSPECTION HAS BEEN MADE.
REQUIRED FOR ELECTRICAL
WHERE A CERTIFICATE OF OCCUPANCY IS
PLUMBINGIGAS AND
REQUIRED, SUCH BUILDING SHALL NOT BE
MECHANICAL INSTALLATIONS.
OCCUPIED UNTIL FINAL INSPECTION HAS
BEEN MADE.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTIONS APPROVALS
1 \
1
1
2
2
2
3
OTHER:
1 \
2
3
4
5
WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INSPECTIONS INDICATED ON THIS CARD
UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CAN BE ARRANGED FOR BY TELEPHONE
APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION.
STAGES OF CONSTRUCTION ABOVE.
ONE & TWO FAMILY ONLY - BUILDING PERMIT
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE 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
` wz frice UD se uly; z r1
>+ �` , t 3 s` X `. {' '�i r =
Planning Board Infonnaticri
f f 1 � F �s% e., U b
AssessoDepa'rtmenbinformatlont ` ° s ` p:
rs
.lt f� 2 'x,w.' '•"fit y 14"fr S .w 1 �G Yi'� 5 k �'a2
of a
r ,-
ndoisementDate°
zOld Newer ,
r
'I 4 PropertylTmensrons
Z.,r�
_x
�<,s
i
Reeordrng Date
DepOSlt Reed p
r �* �
PI , H., r .r
y ±r�'1 r�--i. •�s.,�er z ;-.,it .c
9thei
vera e
9
._. ,
2
F` (n •i Pi`£ ����v.? zri.. Mt.�'I' ;.,n.,-.�5r���`p111sSeotloll�QL 011.lce..l7se.Ot11 1� 1-..f.���'S.vb �f�, 't �+4.y>-.'YY/h.�+.+Yi^�le-�r-.~y"Y+{
d 33 t a
BUIICJII� e,yyGC
y
�C1ke`Issuei
f AYIVG 4L .i S.y# . Sta'4 vP
..
=Y (s F:�. .: � •k°
tiY 6 p .?, 4� �� Af i ) S f� mi .Y �
.tt.'4y� � 'i� �... t U M }y+�.Jd y.4 } T �. A++l' f ����
i L-,,.�wa .,
IS � L• Y Is nat. � ClH _seYr Ulred.vF ]5.'�F .
e4
y)X A "f-YS Y fw YFT f.T L""'a �
Official-,,,
,,,.: , ,.,✓,, .a ,
�r . �,rwBuilgl g a .cts....bat .rt,.,s �„
.n
, t }w , a=
Sectiorr"1 ife`Jnformation' Use Group: R-4 Type: 5-13
1.1 Property Address:
1.2 Zoning Information:
psi
ning-Distric roposed Use
F n
1.3 Building Setbacks (ft) -
Front Yard
Side Yards
Yard
911r,7R
Required
Provided
Required
I Provid
Aquired
Provided
1.4 Water Supply (M.G.L. c. 40. S 54)
TSF lood`Zone lnformatlonY?� ,mments tt'A=�
Public Private
Section 2 „'Property' 0wnership7Author,'Ized Aged:
2.1 9w r of Record:
Name (print) Mailing Address�V�`or�/j`j�
Signature Telephone
2.2 AuthorizpdtAgent,
Na print) Mailing Address
Signature Telephone Fax
Secfion 3 ,Construction Servfcfas
3.1 Licensed Construction Supervisor.
No A li 6
y�}h1,�/
Lic urrtDlN( D[f'T.
r v
Be
Add44,19 OGb
Expiration Date
YY (�/1--z 00
Signature Telephone
3'2 Flegrstered�filome�riprbvenent Cortractor._
Company Name _
Not Applicable
License Number
Address
Expiration Date
Signature Telephone
ly
9- 15-99 1 oft OVFR
6ecrio0,4_„Workers',••.Compens6tion.In0uron6eAAfCtlai/it,(M:GL c;752SP5C{f)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure
to provide this affidavit will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ......... No ..........
SectioTt 5 Descriptiarrof Proposecl,Work cttec3c;a[t appl1cafil7-
New Construction No. of Bedrooms No. of Bathrooms Z
Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑
AccessoryBldg. ❑ Type -
Demolition
Other Specify:
Brief Description of Proposed Work:
ter% -f.
e
Sectfon��.�Estmatect�ConStriactiori.Gosfs`;':
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
7
2. Electrical
3. Plumbing / Gas
Q4jd
4. Mechanical (HVAC)
p 8
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5)
700
F. Total Square Ft. (new houses & additions)
Secfior "7a OWnerAuthorizatior '
Ownei:s Aq&ftVor ContractarApp le
To be Completed When'
tir,8uilding Permit u
as owner of the subject property
hereby authorize/"% ( �.W-b�/��{— to act on
my behalf, in all m rs relatN' e to rk authorized by this building permit application.
Sig tur of wner Date
Section`°7b;OFnnerI.A[it(icsrri/eif�Rge`nt�ecJaratioir';
.as Owner/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. .
Pn�ame
Sig a of O ner/ gent �'C�✓�
Date
9-15-99 2 of 2
It
lvwlN.vt YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
JLMSE PREM I � I � S�'
ob Location: - l/rn (1 hrl ,oNumb v
( Street
Owner of Property: v `� S� LL Village
G
Construction Supervisor: 02. ( �69
Name License No. �P%hone No.
Address: P L v',� a ryVj 61- DD 6
Licensed Designee:
(If other than Supervisor) Name License No.
2.15 Responsibility of each license holder:
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 shallwillfullyviolate subsections 2.15.1, 2.1-5.2 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 E( No ❑
If you have checked y1s, please indicate the type coverage by checking the appropriate box.'
A liability insurance policy a Other type of indemnity ❑ Bond (�
OWNER'"NCE aware that the licensee does not have the insurance coverage required by
Chapte s, and thatmy signature on this permit application waives this requirement
Check one:
Signa re oOwner ❑ Agent (]
Signature:
Building Official Approval:
I
The Commonwealth ofMassachusetts-
Department of Industrial Accidents
_ o - OIIIca ollsr�stlpstli�s
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Applicant information: P[easePRiR7"1�v tas
T���mmr• �
Locotiorr /�/�Z1 ri A�Gl�-�1�Jt7� ��`L-� ram+
cir\
I am a homeowner pen-orming all work myself. r
[.am a sole _proprietor _n,', has a no one working in any capacity
1 am an.employer pros iding workers' compensation for my employees working on this job.
comnanv name:
address:
city- phone 0-
insurance co. policy t1
I am a sole proprietor. general contractor. or homeowner (circle onel and have hired the contractors listed below v ho has:
the followin_ workers' Compensation olices:
comnanv name,.
moanv name:
ititaeaaaataoaa 3neertrn
Failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of aimiaal penalties of a tine ep to 51.500 00 sadlo
th
one ve2rs' imprisonment as well as civil pensitfes in the for' of a STOP WORK ORDER and itfine of S100.00 a day against me. I understand that i
copyof this statement may be forwarded to the Met of investigations of the DIA for coverage veritieatio s.
I do -hereby terrify under the pains//and penalties of peijury that the information provided above is true and correct Signature 77�g� /�.1(. �Hf Date �/z <0 a' U
Print name �-fXll (�cs�/ ' \ Phone K T%ZE 91
official use onh• do not %rite in this area to be completed by city or town offkial
city or town: YARMODT$ permittlicenseq rlBuilding Department
_ []Licensing Board
C3 check if immediate response is required 261 QSelectmen's Office
OHealtb Department
contact person: pbonefh_ (508) 39.8-Ml eat. nOtAer
11
. cc., rr. w wrnvn�
ACORD. CERTIFICATE OF LIABILITY INSURANCE
1011ols°�""'
PRODUCER
Dowling & O'Neil Insurance
Agency
222 West Main St. PO Box 1990
Hyannis, MA 02601
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Assurance Construction, Inc.
A/O Assurance Excavation, Inc.
550 Willow Street
West Yarmouth, MA 02673
INSURERA Travelers Insurance Company
INSURER B:
INSURER C:
INSURER D:
INSURER E
a, ....,.�....
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 WH;ICH 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
--. POLICYNUM,BER
POLICY EFFECTIVE
DATE IMIDD
POLICY EXPIRATION
DATEMM/DD
---.-LIMRR_.
A
GENERAL LIABILITY
X COMMERCIAL GENERAL uABILrry
16808387A9841ND06
08/01/06
-
08/01/07
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
S300OOO
ES 000
CLAIMS MADE F—x1 OCCUR
MED EXP (Any one person) -
PERSONAL B ADV INJURY
E1 OOO 000
-
GENERAL AGGREGATE
s2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$2 000 000
POLICY0 PE O- LOC
AUTOMOBILE
LIABILITY
.. ..
'
-
COMBINED SINGLE OMIT
(Ea accident)
E-
ANY AUTO
BODILY INJURY
(Per person)
E
.. ,
-
ALL OWNED AUTOS
. SCHEDULED -AUTOS-.__. _-
BODILY INJURY' .....E
(Per accident) - '-
-
HIREDAUTOS
.. __ - .-
NON -OWNED AUTOS
.-
PROPERTY DAMAGE
(Per accident) -
E
- -'
- ..
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
E
ANY AUTO
E
_
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
E
AGGREGATE
E
OCCUR CLAIMS MADE
E
E
DEDUCTIBLE
-
E
RETENTION E
WC STA
WORKERS COMPENSATION AND -.. - _
IT FR
E.L. EACH ACCIDENT—. _. ._
E _..... _..
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICERIMEMBER EXCLUDED?
-
E.L. DISEASE - EA EMPLOYEE
E
E.L. DISEASE -POLICY LIMIT.
S
tt yyes, descnbeu660-'"—
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Operations performed by the named Insured subject to policy conditions
and exclusions.
Gatewood Homes, Inc.
1600 Falmouth Road, Suite 25
Centerville, MA 02632
ACORD 25 (2001108) 1 Of 2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL in 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.
AUTHOR=V.ED R PRESENTATIVE
I c� n ACORD CORPORATION 1988
— THIS CERTIFTCATE MISSUE
PFL.L A NSLLL:ANCE AGENCY, INC. ONLY AND CONFERS NO
HOLDEIL THIS C6R'TIRCAI
585A WASHINO=N Tr R2E'T I• ALTER.FFE COVERAGE AE
➢R71;TGTiTON, MA *2,3! 259a
T.A. (617) 787-e6c7 1NSUREAS-AFFOROING COVE
Ben Di"Ant0prnl0S
AAA xobast Yiumb1bg . G 'Hoating " " n+aLm6A B
25 Anthony Road xavREA
wo!;t Yamouttr;-M-OP673 - - - - - INEURAADI
—.0 Co
"Act
COVERAGES
THE POLICIES INSURANCE BELOW HAVE BEEN 128UEDTO THE INSURED NAMED ABOVE FOR THE POLICY PIRIGO INDICATED NOTWITHSTANDING • -
OF LISTED
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrcH RUP5CT TO MISICH THIS CERT*rATE MAY BE ISSUED OR
THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY FERTAIr THE INSURANCE AFFORDED BY THEPOUCIES-DESCRIBED HEREIN IS SUBJECT TO ALL
POLICIES. AGGLREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLANS.
.. POLICY NUMBER
I +lY.E_ ..
t
7�,E
.EACH
OCCURRENCE' - * !"'308-BOWCMIMADE
DOCCUR ..
MED41Iv ene0wxs7•- B_. _... 5-.
A I BS00031617 7/20/06 7/20/01
MIONAL&AOVOWAY s 0_�00 0
_ . .
MWIAL-ACCIREITATE • • S • -1-
Cf:N'IAAOREQATF_LAUTAVKCTPEA
PROOUCr3•CMAPADFAQO 1.000.000
Par M M M Loc
AUTOMfJOILELIABMY
..
_
COppMMBB���� IW
ell,= NOTE LT
A
AWAUTOwur
ALLONMAOD
BOCurMJURY
_
SCHEDULED AUTOS
NIABDAROS
BODB.YI�JtRi'T
S
NDN•OWAEDNJTOS
-.
..-
IPNAeet MR
PROrER7Y DAMAGE
!
lCrcAcmmM+Il
CMPOP LIADILRY
MITOONLY•EAACCIOEAT
f
owmTHAN- . EAAee
s
AHrnuro
�
I
AUTDONLY AD¢
6%CESSARAERELLA
Lam" .
....
-
EACH OCCURRENCE
!
AOCAWAIR
4
OCCUR CLABASMADE
DEDUCTMIX
s
R2TEta1'70N' -B- -
R
WONWEASCOMPENSATIONANO
EL EACNAGGDEIfT
2
ENPLDYERB' LIABILITY
-
E.L. otS@ACE • Bw 0000VE£
1....
AAY fM101K11'.7OPF'ANrtM:PlC�fCGfruR
otyy*ne 11MCIwID�lAl�epmurr r
_
....
CAL. DIL6ASE-POLICY LAST
S
97ECIniPROIRSION3 Nle► ..-
OTHER
mrom OF tA7,DNO fLDOA-f" eVCNiCI.E3I emuSIOFSAMC SrENODRPEMENTfBPEC1ALPgOtA,4pNB
DweR»ER
PLUMBING WORK
CERTIFIWS HOLDER
.SHOULD AW OP4K-A"4 OWMMO-MICIES BR CANCSLLED QUOIT .THF £RPt"TION
ATM- AMOgR CONSALV29 DATE TNEAEOF. 74r, G'.IUINO Nt+UAGR VAU ENDEAVOR TO MA0.7i DAY! WRRTQN
GATEMOD Baas - - . f.DTICE TO THE CERTR)CATCHOLDEA NAMED TO THC LEFT, BUT FARURE TO 00 EO 4;t al
1600 FAl2d0UTH RD STE 25 DAPOBE NOrtitiiigtiTjore LdBiLITY61 TIM I"UM.lt2 ACEWS OR
CENT2=LLF., . SSA 02632 AEPAEaNrA 5
AUTHORW 0 AT
FAx# 508-77E1^5603
�.:.,.::�.,s�.eaer�aceeAnnu�BRR
TOTRL. plep—
rtie..H{. 444 An
2BARNEL
ODCORDn CERTIFICATE OF LIABILITY INSURANCE
D°"
PRODUCER
ODATE 8/29106/29/O6
Dowling 8: O'Neil Insurance -
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Agency
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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
NAICM. #
, Inc D/8/A
INSURER A: St Paul Travelers Insurance Company
INSURERB: Associated Employers Insurance Compa
B
Barnstable Electric
Electric
INSURERC:
71 Lathrop's Lane
INSURER D:
West Barnstable, MA 02668
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.
FM
LTR
A
NSR
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
POLICY NUMBER
1680305OA587COF06
DATE IMMIFDPOILICYIED -Y)
07/19/06
PD TE MM D TIDN YI
07/19/07
LIMITS
EACH OCCURRENCE
E1 1000.000
DAMAGE TO RENTED
MED EXP (Any one Penton)
$3OO OOO
E5 000 -
PERSONAL 6 ADV INJURY
$1 00O 000
GEN-
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2 OOO 000-
PRODUCTS-COMP/OPAGG
E2 OOO OOO
POLICY EG- LOC
AUTOMOBILE
LIABILITY
ANY AUTO
CO BIKED SINGLE LIMIT(Ea
E
ALL OWNED AUTOS
BODILY INJURY
(Par Person)
E
SCHEDULED AUTOS
HIRED AUTOS
BODILY INJURY
(Per accident)
E
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
E
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
E
OTHER THAN EA ACC
AUTO ONLY: AGO
E
E
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
E
AGGREGATE
E
E
DEDUCTIBLE
$
RETENTION E
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILTY
01/1506
5
ATU- OTH-
WITS FR
E
ANY PROPRIETORIPARTNERIEXECUTiVE
OFFICERIMEMBER EXCLUDED?
E.L.EACH ACCIDENT
ESOO OOO
E.L DISEASE -EA EMPLOYEE
$500,000
Hyea, tlesaibe under
SPECIAL PROVISIONS below
OTHER
E.LDISEASE- POLICY LIMIT s500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Insurance coverage is limited to the terms, conditions, exclusions, other
limitations and endorsements. Nothing contained in the certificate of
insurance shall be deemed to have altered, waived, or extended the
Coverage provided by the policy provisions.
CERTIFICATE HOLDER
Gatewood Homes
1600 Falmouth Road, Suite 25
Centerville, MA 02632
ACORD 25 (2001/08) 1 of 2 #44180
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL In DAYS WRIITEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED R PRESENTATIVE
� -■e7 C. G
LS1 0 ACORD CORPORATION 1988
mPwzu-cuu0 Inv fuss I{n X IRMFINGt FAX N0, 508 991 5491 P. 02/03
�' = ' L;tK 11`FICA T E
r $.$t� SIU i Y MCSUtANi.E uaiz%zo 6'
PRODUCER (508)994-9633 FAX 003)9911-S461
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FLAGSHIP INSURANCE INC
414 COUNTY STREET
ONLY AND=NfffRS NO RIGHTS UPON T19EC€ATI€ICATE
HOLD, THE CERTIFICATE DOER NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLI ES BELOW.
NEW BEDFORD, 14A 02740
INSURERS AFFORDING COVERAGE
KAIC F
WSURED Fran Capra
PisuREAA: Providence Mutual
13040-
PO Box 664
INsuRERB. OneBeacon
20621"
West Hyannisport, FIA 02672
w$umac.
PIstIRER o-
INUMER E:
Ad-=Q
THE POLICIES OF INSURANCE USTETS BELOW HAVE SUN
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONT
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLI
POLICIES AGGREOATELIMITS SHOVMt,At,YMM*BEEN
ISSUED TO THE tNSUR'ED NAMED ABOVE fOR Tf12 POLICY P£RI3D INDICATED NOTVLTTHSTANDIM
CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
I -S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
EfIUC£D8YPAOCLAIMS.
TYPEOFIRSURANCE
f�RlHSET
POLICY EFFECTIVE
POLICY EXPIRATION
FJBIiS
A
Z.-NERALLIAINLRY
X CC CAE F3 lJ<R 4lIA°R tFf
CLARLS MADE Q
L.01CTOS31.31
-
03
I
12/13/200S
-
12/13/20D6
eAcm OCCURRENCE
t 1400,00
OAMAUTOR HTED
NEO EXP W7 0" Peron)
t S�iaDO
3 - 5.0001
PERSONAL t ACV INJURY
S 11000.00(
GENEAALAGGREWTE
t 2 000.0
cEUTAGCR.EGATfLuuTAaP1IES_PER
POLICY PRO-
JECT LOC
PRODUCT.-COLM10PAG0
a 2 CCO CC
S
AUTOMORLE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED ALITDS
NO"WNED AUTO$
CB1E63796
-
02/14/2006
-
02/14/2007
CDMBg,�D Sy��Iy,,,F
IeI lcoOwal
t
1,000,00(
BODILY INJURY
4pwpP )
t
X
X
RDDILY INJURY
(PAr aeperx}
t
X
PROPERTY DAMAGE
(Per ac4cf&v j
t
OARAOl LIABN.RY
ANY AUTO
AUTO ONLY. EAACCIOENT
t
OTHER THAN EAACC
AUTOONLY: AGG
t
t
A
EXCEIBIIMBRELLA LIABILITY
OCCUR flCLANS MADE
DEDUCTIBLE
RETENTION t
U
COO50264 Ol
I2/13/2005
01/13/2006
EACHOCCURRENCE
I Z 000 0
AGGREGATE
t I,DDD
�
t
Z
14ECIALPROVISIONSI*m
WORNEASCOMPOMATIONAND
EMPLOYEWMAI IM
ANY PROPRRETOMPARTNENIEXECUTNE
01IMERA404$EREXCLUDEDT
undw
WCbTAT1Y ORf.
ELEACHACCOENT
S
2t OISE�tr'se-EIc 9lRttTYE
t
£L DIScASO-POLICY tkXT
i
OTHER
OBBCOMON OF OPFNATO7NS II.00ATIONS / VEHICLES I EXCLUSIONS
UIDED BY ENDORSEMENT I SPEC AL PROVIINON5
SHOULD ANY OF THE ABOVE DESCRIBED POLICES OS CANCSLLSO BBFON TML
EXPIRATION DATE THEREOF. THE MU NG INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CNTIPICATE HOLDER NAMED TO THE LEFT.
CATEAIDOD it t TYX, ;.:
BUTFAILURETOIAMLSUCH MOM SHALL IMPOSE NOORMAIMORLIABRJTY
1.600 FALMOUTH ROAD, SUITE 25
CENTERVILLE, MA 02601
OF ANY RIND UPON THE INSURER m AGENTS on REPRESENTATIVES
AUTNDRMEO ATNE
Af_ftT]T1'fe »nm,rns, FAY- lULR177R_EGn2 I
42
?*eR-21-2006 FR1 10,06 AM R & K INSURANCE
' APR 21 2BHS 99:27 FR 407 g86 7648
CIRMCATE OF
Yroduar
FI AQSHIP DiSURANCE INC
414 COUNTY ST
NEW BEDFORD MA 027'40
Insured
CAP,RA, F ANIC G
PO BOXfm
WESTHYANN*Q.. N
FAX NO. 509 991 5461 P. 02
407 388 7848 To S150SS915461 p_B1,01
Issue Data 4/:1rwo
Condaenttt c"usityCompaay
HOMEDOROVFlv4, M
Cat'ata;ea
71 s IS TO CERTIFY THAT TX8 U(:MS OF'NSURANCE USTED !BELOW 11AV3 B
INSURED NAMED ABOVE FOR POUCY pFjUo D 1NMCATBD, NOI1i7THSTANDRQO ANY f
TaRiyt OR OONDMON CAP ANY CONMCi OR OTHER DOCUMENT WITi1 R€SPECT TO WFiTCH
CERTaPICATE MAY BB 13SVwr.V OR Y pS TANj 7I{b MSURANCE S HEREIN IS SUBACTTOALLTHB u TiYTHE POUaES DBSC UM .
MAY HAVE BEEN &8D , EXCLUMN3 A?Z CONtxr.o s OP SUCH POUCMS. LV4M SHOWN
UCBDBYP CLAM
Type ollasorsnet PaUcy Npmber policy Eff. Date FOU
CY Exp. Bate
WOLKS"'COMPENSAMCM NIX751606 03MM
03l21l07
Werkera' COlepeWntion and
RAC R ACC[DERr
D1S$ASEPOL►CYUMIT
DISEASE EACH MeLOYBE
THE P-1'4PRIIST0"ARTNMWi
Deaeriptlos otOp�a�ay�,
CerdficateHoldws
OATEWOOD ROMES L`1C
1600 FALMOUIgApAV
CENTERVIU.E MA 02601
cAfteeHatlan
SPOULD ANY OF TIM Aloyff 0
7wmor. TUB
HISSUING =&AI
Cm7mcjkTpOMUGAVON OR LLU NAMED
IIJT'Y OF Ain
Ae'.%ovfwd Dept+s =tatl.6
TOM "Au
AMmot mamw Uadonr:itir
i Liablltty Li
vits
$ 1,000,000
s I'm,000
S 1,000,000
Mg -TNCL
Added by Eadaraemsni/npedt t PrOvifloae
c' `m ralclE.1 BE CANCumm BEFORg Tm waimpON DATE
uMEAVOR TO Bur FAILURE TO A%Wt NOTICE ToTHii
WD UPON THE COMPANY SUCK N07TC1; MULL 11 e= NO
, ITS wOSN78 OR R8PMIMAT7I11S,
** TOTAL PAGE.01 **
ACCMD CERTIFICATE OF LIABILITY INSURANCE
12/20/ 05
PRODUCER -
PANTANO INSURANCE AGENCY, INC
220 BROADWAY, SUITE 202
LYNNFIELD, MA 01940
781-581-3100
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED CENTURY PAINTING & DRYWALL INC.
-
P.0- BOX 2903 I` � A�
HYANNIS, MA 02601t8 I.GCClLO
INSURERA: COMMERCE
INSURER B:
INSURER C:
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. -
wsa
M
Nsao
TYPE OFINSURANCr_
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD
POLICYEXPIRATION
DATE MMIDD
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
31f000t000
COMMERCIAL GENERAL LIABILITY
TEU�-
DAMAGE T PREMISES 'Ea occurence
S / O O O / O O O
DOCCUR
CLAIMS MADE
MEDEXP(Anyonepamon)
S51000
PENDING
12/17/05
12/17/06
000, 000
PERSONAL aADVINJURY
$1,
GENERAL AGGREGATE
5 2, 0 0 0, 0 0 0
GEML AGGREGATE UMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
$ 1 / 0 0 0 / 0 0 0
-1 POLICY JPE O- LOC
AUTOMOBILE
LIABILITY
-
COMBINEDSINGLELIMIT
-
`
ANYAUTO -.
-
(Eaacddent) _
S
-"- "`
BODILYINJURY
".
ALLOWNEDAUTOS-
_
SCHEDULED AUTOS
..
. - --
(Per person) .. __.
$
BODILYINJURY
HIRED AUTOS`"'
-
NON-OWNEDAUTOS
(Peracddent)
S
PROPERTY DAMAGE
S
(Peraccident)
GARAGE LIABILITY
AUTO ONLY- EAACCIDENT
S
OTHER THAN EAACC
S
ANYAUTO
$
AUTOONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
S
AGGREGATE
S
OCCUR CLAIMSMADE
S
S
DEDUCTIBLE
$
RETENTION S"
- -
WORKERSCOMPENSATIONAND
WCSTATU- OTH-
M ER
EMPLOYERS LIABILITY
ANV PflOPnIETOflRN3TNFJMJfECU11VE
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
S
OFFICERAIENBER IXQUDED9
"Yea, descdbeunder
E.L. DISEASE -POLICY LIMIT
S
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS ILOCATIONSIVEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
GATERWOOD HOMES
1600 FALMOUTH ROAD # 25
DATE THEREOF, THE ISSUING W URER vmtl ENDEAVOR TO MAIL _ DAYS WRITTEN
NOTICE TO THE CERTIFICATE H ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CENTERV ILLE, MA 02 632
IMPOSE NO OBLIGATIOt OR ILITY OF ANY KI IDUPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
"
AUTHORMM REPRES
THE
At,vrcucD(cuuvUDl OACORD CORPORATION 1988
Liberty Mutual Group
PO Box 7202
Portsmouth, NH 03802-7202
Telephone (800) 653-7893
Fax (603) 431-5693
December 21, 2005.
GATEWOOD HOMES
1600 FALMOUTH RD STE 25
CENTERVILLE, MA 02632-
RE: Certificate of Workers Compensation Insurance _
Insured: CENTURY PAINTING AND DRYWALL INC
PO BOX 2903
HYANNIS, MA 02601
Policy Number: WC2-31S-349702-015 Effective: 12/5 /2005 Expiration: 12/5 /2006
Coverage afforded under Workers Compensation Law of the following state(s): MA
Emnlovers Liability:
Bodily Injury By Accident: $
Bodily Injury by Disease: $
100,000 Each Accident
100,000 Each Person
Bodily Injuryby Disease: $ 500,000 Policy Limits
As of this date, the above -referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the
policy listed above.
The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions. and is not
altered by any requirement, term or condition of any or other documents with respect to which this certificate
maybe issued.
This certificate is issued as a matter of information only and confers no right upon you, the certificate holder.
This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the
policy listed above. -
If this policy is cancelled before the stated expiration date, Liberty Mutual will endeavor to notify you of such
cancellation.
AUTHORIZED REPRESENTATIVE
LIBERTY MUTUAL INSURANCE GROUP
This Certificate is executed by LIBERTY TIUTUAL INSLTRANCE GROUP as respects such insumee as is afforded by those companies
cc: Insured:
CENTURY PAINTING AND DRYWALL INC
PO BOX 2903
HYANNIS, MA 02601
Producer of Record:
SANDPIPER INS AGCY INC
12 ENTERPRISE ROAD
HYANNIS, MA 02601
i:r_frz005
1 IIVIILMs 9UVI LA InAUL
ACORD- CERTIFICATE OF LIABILITY INSURANCE
0830, 6°"YYY'
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rogers & Gray Ins. Agency, Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
434 Route 134
P. O. Box 1601
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
South Dennis, MA 02660-1601
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Cape Cod Insulation Inc
455 Yarmouth Road
INSURER A. Peerless Insurance
INSURER B: American Home Assurance
INSURER C:
Hyannis, MA 02601
INSURER D:
U V elvaLItU
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 OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
AT MMIDDIYYI
POLICY EXPIRATION
DATE (MMfDDfYY1
LIMITS
A
GENERAL LIABILITY
CBP9587416
04/16/06
04/16/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE �X OCCUR
DAMAGE TO RENTED ncel
5100000
MED EXP (Any one pemn)
E$ 000
PERSONAL &ADV INJURY
E1 00O O0O
GENERAL AGGREGATE
E2 000 000
GENL AGGREGATE UNIT APPLIES PER
PRODUCTS-COMP/OP AGG
$2000000
POLICY PRO- LOC
A
AUTOMOBILE LIABIUTY
ANY AUTO
BA9587917
04/10/06
04/10/07
COMBINED SINGLE LIMIT
(Ea accident)
i
ALL OWNED AUTOS
X SCHEDULED AUTOS
BODILY INJURY
(Perpemn)
$250,000
X HIRED AUTOS
X NON -OWNED AUTOS
(Per accident)
$500,000
PROPERTY DAMAGE
(Per accident)
$100 00O
r
GARAGE
GARAGE LIABILITY
AUTO ONLY. EA ACCIDENT
$
THAN EA ACC
$
ANYAUTO
$
AUTO ONLY: AGG
OCCESSIUMSRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
S
$
DEDUCIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
WC8962496
06/30/06
06/30/07
X WC STATU. OTH-
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTNE
E.L. EACH ACCIDENT
$500 000
E.L DISEASE -EA EMPLOYEE
5500,000
OFFICERIMEMBER EXCLUDED?
M yE6 describe under
SPECIAL PROVISIONS below
E.L DISEASE -POUCY UMM
s500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Insulation Installation & siding
Gatewood Homes
1600 Falmouth Rd., 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 I III_ 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
ZEPRESENTATNES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2 1LQ9Anaa1Il19'4waA
Ati✓L_J ,
AnrA a AAAnn AAnnAnATrArr AAAA
A-C-O-RQ , CERTIFICATE OF LIABILITY INSURANCE OP ID DA07 31" 6'
PRODUCER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
GOLDMAN & ASSOCIATES INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FINANCIAL SERVICES INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
933 FALMOUTH RD . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
HYANNIS MA 02601
Phone:508-775-6010 Fax:508-790-0249 INSURERS AFFORDING COVERAGE NAIC#
INSURER A PENN—AMERICA INS.
NUGNES ENTERPRISES INC INSURER B:
PETER NUGNES INSURER C:
805 CEDAR ST INSURER D:
WEST BARNSTABLE MA 02668
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.
lNb
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMlDD/YY
DATE MMlD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PAC6593654
07/24/06
-
07/24/07
EACH OCCURRENCE
$ 300000
PREMISES(Eaxwrence
$ 50000
MED EXP(Any one person)
$5000
PERSONAL B ADV INJURY
s300000
GENERAL AGGREGATE
$ 600000
GEN'L AGGREGATE LIMIT APPLIES PER:
JPRO-
POLICY LOC
PRODUCTS-COMP/OP AGO
$ 300000.
'.
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMB
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
3 ANY AUTO
AUTO ONLY -EA ACCIDENT
$
OTHER THAN - EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
-
EACH OCCURRENCE
$
AGGREGATE
$
E
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE .
OFFICERIMEMBER EXCLUDED?
I(yes, describe under
SPECIAL PROVISIONS below
OTHER
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE -POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CARPENTRY RESIDENTIAL
CPRTIFICATC Unr nCo _
GATEWOOD HOMES INC
1600 FALMOUTH ROAD
CENTERVILLE MA 02632
ACORD 25
TION
GATEWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
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. _ k
`0
$ _o TOWN OF YARMOUTH
O- 1146 ROUTE 28 SOUTH YARMOUTH
`e .� M„�ES . Z` MASSACHUSETI'S 02654.4451
Telephone (508) 39.8.2231, Fact. 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 the proposed work/demolition to be
conducted at A ; ` p 5-+/
Work Ad ess
is to be disposed of at the following location: _ -
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Applicant Date
Permit No.
ueL ub ub uu:4aa Hudson Corp 44 1 508 775-2318 p.1
n s .1.
BOARD OF BUILDING
zR
�zs
License; CONSTRUCTION SUP RVVISORS
Number. CS 012430
pyy:.-i(he
Birthdate:. 06rt61t940
"L`, �: 1L3'f;•T
Expires: 0&1 6/2008 Tr. no: 24654
`
Restricted:
FRANK G CAPRA 00 .
i.
40 COPPER LN_
CENTERVILL"E MA 02632
J i
Commissioner I
NONE MpROVEmENT CONTRACTOR
RagktrtNa+!c- tt0321. .. .
EXPIMHcn;.._10J2=06
CAPRA HOMEIMPROVEMENTS.
FRANK CAPRA
40 COPPER LANE
rcnlrpn�gl t,F, �4A 02632 1tt+dr_kR'ct�•
License or registration valid for Individul use only
before thee#lratloudata H1ouVd-teturo-46:-1
Board of Building Regulations and Standards
One Ashburton Place RmXIIII
Bostau, Ma. 02108
Not valid withoutsienst�ure
�� ry TOWN OF YARMOUTH
Building Department
_ Town Hall
qr a Yarmouth, MA 02664
(508) 398-2231 ext.261
BUILDING PERMIT
TRANSMITTAL
Temp Permit No.:
T-07-213
Applicant Name:
Frank Capra
Applicant Phone:
5087789669
Building Location:
00121 CAMP ST Unit 34
Owner's Name:
Villages @ Camp Street, LLC
Owner's Addres
1600 Falmouth Road # 25
Centerville MA 02632
Owner's Telephone:
(508) 778-9669
REVIEWED BY:
(OFFICE USE ONLY
Recorded By:
Ic
Permit Fee:
$0.00
Deposit Rec:
$50.00
Payment Type:
Check ChkNo.: 5304
Net Owed:
($50.00)
Application Date:
11/7/2006
Issue Date:
Expiration Date
Comments: Map/Lot: 044.21.1.0
new construction:
ZONING APPROVED
1. WATER DEPARTMENT:
DATE:
N/A:
2. ENGINEERING DEPARTMENT:
DATE:
N/A:
3. CONSERVATION:
DATE:
N/A:
4. HEALTH DEPARTMENT:
DATE:
N/A:
5. BUILDING DEPARTMENT:
DATE:
N/A:
6. FIRE DEPARTMENT:
DATE:
N/A:
PLEASE NOTE
COMMENTS:
RECEIPT OF COPY:
SIGNATURE OF APPLICANT:
DATE:
Date Printed: 11/8/2006
_�_
____
�_��_�
____
�___
�_�_
_r
�___
____
�___
�_�_
�_�_
__�_
_�__
�_
��!,
-_.,y
''
��
_�.
��,
__
•
TOWN OF YARMOUTH
WATER, DEPARTMENT
99 Buck Island Road
West Yarmouth, MA 02673
Telephone: (508) 771-7921 • Fax: (508) 771-7998
Letter of Water Availability
Date of Issue: 10-31-06
1. Single Family Dwelling X 4. Commercial / Industrial
2. Duplex Family Dwelling 5. Other (Specify)
3. Condominium Dwelling
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.X34; Street: 121 CAMP STREET, UNIT 34
As shown of Assessors sheet / map 50.
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
owner's expense, the installation of water mains and appurtenant items to meet
water demands 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)
�� Yarmouth Water Department
4
TOWN OF YARMOUTH
WATER DEPARTMENT
99 Buck Island Road
West Yarmouth, MA 02673
Telephone: (508) 771-7921 • Fax: (508) 771-7998
BUILDING PERMIT APPLICATION
DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET
Bldg. Site Location: 1 Z/ a462 Map #: Lot #:
Proposed Improvement: gip% "Mi." �Y` /i'i' C �
Applicant: G
Address: ��40 1 tifplTel. #: �»� e Filed:
RESIDE TIA(�. AN��OR COMMERCIAL BUILDING
Water Department:
Engineering Department:
Determines Compliance of Water Availability and or Existing Location.
Determines Compliance for Parking and Drainage
Conservation Commission
Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of
Health Department
Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc...
Determines Compliance to Stat 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 DMSION:
signature
i
d tae
PLEASE NOTE:
COMMENTS: Ltf)�r#c(3� L4(llT41 a$, UniT 4-3�--I Un1T'i Q' o c�' �,{nl I ��
V Is p k u se —7
a� Y9e TOWN OF YARMOUTH HIE
Sic HEALTH DEPARTMENT
�, NOV 0 2 Z006
°"`�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
HEALTH DEP I .
To be completed by Applicant. -
Building Site Location: /,2, l Map No.: Lot No.
Proposed Improvement: t
Applicant:_//.G���
Address:,//,(R� /o?-S� /y� Date Filed: Z
**Ifyou would like e-mail notification of sign off, please provide e-mail address: t' 4'M 0A Lam/
Owner Name: i
Owner Address: Owner Tel. N•�
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit four (4) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY:
COMMENTS/CONDITIONS:
PLEASE NOTE
Faj ram
DATE: l t Lo (o `
GMS9/GCS9 .SERVES _ .. .
93% AFUE
Muld.-Poaitionj-
Single-Stage/Multi-Speed .. .
Gas Furnace......
Heating Capacity:
46,000-115,000 BTUH
L
.. a•4
YT,1
_�V�_ •HIV _..-
Standard Features
• Corrosion -resistant, alumini2ed•steel tubular heat
exchanger and stainless -steel recuperative coil for
maximum efficicncy
• Designed for multi -position insra[%tion--GMS9:`
upflow, horizontal right or left, GCS9: downflow,
horizontal right or left
• Energy -saving, reliable Hot Surface Ignition system,
featuring a Norton® Mini•Iggiter.with patented
adaptive learning algorithm to maximize igniter life
• Aluminued•steel inshot burners
• Energy -saving P5C; iiiuid=ipeed, direct drive
blower motor
• Quiet, corrosion resistant induced -draft
blower assembly
• Integrated fumace control with imptaved_.....
diagnostics
• law voltage terminal blocks
• Multiple flame rollout switches, blower door safety
switch, outlet air limit switch and pressure switch for
proof of combustion air
• 40VA transformer for heating and air conditioning
control service -
• Combination redundant gas valve and regulator
• Top venting -is standard; aitemate-flueAverirkxared
on right side
Compictdy assembled.factoquun:tested furnace —
for... -heating or combination heating/cooting application
• All models comply with California NOx Standards
• Suitable for direct vent (2-pipe) or non -direct vent
(I -pipe) applications
air-Cancritiarting-& Heatng-\
The GMS9/GCS9 single -stage,
multr-sPee&gas f =a=es offer-
installation .versatility, .
Cabinet CUMtractiom
• Heavy gauge. reinforced, fully insulated steel cabinet
with- dtuable-baked-enamel finish
• Attractive architectural gray paint finish
• Foil -face insulation -lined heat exchanger
compartment
• Coil and furnace fit flush for easy installation
• Convenient left or right connection for gas and
electric service
• Bottom or side air inlet (GMS9)
o
• Removable; solid -bottom block=off (GM59).
Accessorii3
• L.P. Conversion Kit (LPT-00A)
�J
•-L:P-Ges as-LowPrcure-Kit•(LPLPOI) VG
�^
• High Altitude Natural Gasll..P. Kits
v
HANG12, HALP10) •
• High Altitude Pressure Switch Kit (HAP 7)
• ExtemaLFiltmRack.(EFROI).
• Horizontal Concentric Vent Kit (HCVK)
i
• Vertical Cottcentric_Vent_Kit(VCVK)...
• Internal Filter Retention Kit— ptlow, horiwntO
aUM0180) ......
• Internal Filter Retention
Kit—downflow
(RF000181)
• Thermostats 8fower Motors
(CHTI8-60, CH70TG,
CHSATG, H20TWR)
SS•377D wwwgoodmanmfg rn 6N4.
PRQQUQT SPECIFICATIONS
Nomenclature
8
'0 0
O
A]''
P
Goodman® Brand
Revision
A:-lOklal-RWe1
Air Flow
NOX
8: lit Revision
Direction
A: Upflowl Hodzonfal..
Natural Gas
C.. 21 Revision
D: Dedicated Downflow
.
......
Xi Cow Nox
C. DownflowiHorizontat
. . . . . . . . . . in A Width
it MAU Flow
A: 14-
Description
i
8: A_
5: Single Stage/Mulct-speedD;
C^ Z 1.
L4A
V: Two Stage/Variabi
t
9: 90%
045' . 45,0M
070: 70,000
090: 90,000
140; 140,ODO
2-
Maximum CFM
0 0.51, ESP
1. 3:-1,200.. . ' 4:1,600
3: 2,000
U.
J PRODUCT SPECIFICATIONS
GCS9 Dimensions
• lErr
-
VIEwty
rMr.T .
Rltpa We
s
]v
�1rs f/t aN
Ip wraps
sus veliMua "N
noF
T rvC
tati'MaN pia)
rove
2 raft
r j
COMPENSATE
OppW Tgar
r lOw vOtTAOE ,
LCINVOLUGE fyr
WIMI VC f
M."
NCIE
wevftp .*Lw— ... a
....
_. a
..
Op
..ELECT"Al
M
L
... ..
........
Len voin
71[�
El! RICALLHOLE
ERNATL
boa
a tYe
"EIMILUE J-
LOW"
ELECU"VC[TpOe
CAt "CLE
2111,
ALTVR Te
'
OaAw
.... ... ...
.. ..
........ It fro
rpr, t
7Li rw
Lf,
RA L
u=X3,,LL
wLta V
Kyt
..
fa fray
N
l
�.Wl twf:
s
rya r�Noia Iv.
s,sns
Q
a
n N
J Hotel
rvs,l
ra[
ALrsrasLrE GM
upra �a.•p:es
... ...
•0.0[o R,�MpEy
�. �• • .
v
AM y
fOLOeO FN1e10EE
bSCfypOE A,R
vrt- 16" 12sA" --
GCS9D7DJB7U 14/t" 16" -
.. .. _- t4yt"..... - .... .
GC590904C%A 21" l6"
GCS91155DXA 18" 19 S"
NOTES: ZT34
1 )mcailer mutt supply one or two PVC pipes: one for cambW WTtt ajr juptjpaaH'and tittr(orthefj sr outleE f her
2" or )• in diameter, depending upon furnace inpur; numberof tibows, length of run and'instdlation I or 2pii t). The
pipe must m ultio
Air Pipe is dependent on ins[a8ationkode requhements and most be 2• of )• diarnetet PVC. prPts). The optional Ctunbustion
3.
2. l ne voltage wiring cart totes rhwugis tlse sight or )ektFdeoFr►re'f imaca Ciiw'voltage wiring eanenter through the tight pr left side of furnace.
C�nvers on kits for high alOwde natural gas operation are available- Contact your Goodman duty tutor w dealer hu details.
0. Le t—Tallig must supply ksdkrwing gas line RtntV, according to Which rntranceis.used:
Left—%+, 9De elbow. one cU»e nipple: straight pipe
Right —Straight pipe ro teach gas valve
Minimum Clearances to Combustible Materials
I. � I.afnoustitile: If placed on eombustihi (16oc chi floor b1U5T be wood ONLY.
NC - Non -Combustible: A combustible floor subbsse most be used fw installation on combustible flooring
NOTES:
• For rervicmil or cleaning, a 36" front clearance is recommended
Vnit conntcnom WATCUIcal, flue and drain) may necemitatt greater clearance&than tlrs mpaimomekartssea listed blow:
In all cats, -accessibility cltaraoce must take precedence O""I"arattees from the rncloswe where accessibility clearances are gxe m.
5
PRODUCT SPECIFICATIONS
Blower Performance Specifications
,
t,260 .-•-,--.
1,202
1352
,.
-••••
1 :•--•,
r318
HIGH
3.0
G 590453BXA
MED
2.5
1,214
-•••_
1,172 ------
7,723
1,064
(LOW)
MED-LO
2.0
997
......
994 ------
960 35
923
36
LOW..
..1:5..
.757 ..-
44-...753-
..44---
734 - .. 45....70.....
47
HIGH
3.0
1,449
36
1,409
37
1,326
39
1,273
41
G 5907038XA
MED
2.5
1,192
43
1 172
44
1,141
45
1,094
'917
47 ,:
(MED-Hq
MED
2.0
•981
' 53
962
S4
943
35
56
LOW
1,5
750
---•-
730
------
714
------
692
-•=•-- 1. r .ji )
t11Gkl ..
...4,0• •
1,970
,----
1,874-
--35•-
1�757.
..38•
11667
--40-- .
G_590904CXA
MED
3.5
1,713
39
1,650
40
1,572
42
1,510
44
(MED-LO)
MED•LO
3.0
1,439
46
1,412
47
1,370
48
1,327
...
SO
..LOW......2.5'
�
1 T83
'56...f.15S
-.ST..
1'tZ2
•54V
1 108
-.b0...
HIGH
5.0
2,134
40
2,103
40
2,029
42
1,941:_'.
,, .. . ; ;.
G_591155DXA
• MED
4.0
1,67E
„ji..
1.,643
- 52.
1 543
.52.
1,577
,,XW -. ,•.
..54.. - '
(MED-HI)
MED•LO
3.5
1,453
58
1,446
59
1,426
59
1,363
62
. LOW .
, .3.0....1
259
..67...1
239
_bfl...
220
70- ..
1 tf11
•A�4A� ""'
NOTES:
1 CFM in chart is �idwut filter(s)• Filters do nest eldp.with-this fumace. but. muar.ln.pruvifkdhythe .Ittiulhm INKC 1 tr"e-ret}ufres two rocs.
this than assumes hods Glten are installed. _
2. All Fumaces ship as high speed ceolinq. Installer must adjust Mower cnuling spend as needed
3. For most jobs. ahnar 400 C.-FM per tun when ending it desirablo.
4. INSTALLATION IS TO BE ADJUSTED TO OBTAIN TEMPERATURF. RISE WITHIN THE RANCib SPECIFIED ON THE RATING
PLATE.
5. The chart is fur dnfixmatirm only. For satisfactOry Operation, external static pressure must not exeeed "too shown on ,he ,,tinw plate The
shaded arcs indicates tangier in excess of maximum static pressure allowed when hearing.
0. The dashed I ---- ) areas indicare a tinepesattve+ixtwt reeumrnended fi,rthls-srawlel.-..
7. The above ehsut is Am U.S. furnaces installed at 0' • 2.000'. At higher altitudes. a properly dr-rated unit will have appruxuaataly the same
temperaturr rise at a mrtkular CFM,. while ESP at the CFM wi11 be.ltnve_,, _ .. ..
PRODUCT SPECIFICATIONS
Accessories
LPT-OOA
L.P. Conversion Kit
✓
,r
LPLPOI
L.P. Gas Low Pressure Kit
✓
✓
✓
i
HANG11
High Altitude Natural Gas Kit
1
1
HANG12
High Altitude Natural Gas Kit
Z
2
2
2
HALP10
High Altitude L.P. Gas Kit
.. 3.
...... 3 _....
..... 1.. _
_ . ..3_
HAP527
High Altitude Pressure Switch Kit
3
3
3
3
..EMI..
External Fllter.Rack....... .
-_...... ✓.......
.:... .✓
..__ ✓.....
_ .�.--
DCVK-20
Horizontal/Vertical Concentric Vent Kit (2")
✓
✓
DCVK•30
Horizontal/Vertical CancentrfcVentiot-(}")-
... __ ..
_ .... ✓....
✓. ,
• „vauaoie ror Chu modal
(1) T.001-Io 9,90�00'�
(2) 9,001' to I I'MO,
(3) 7,001' to I1,000'
Noce: All installations above 7,000'require a Pressure switch chartgr.. For btstailatiorrin Canada, farrcaces are terrified only to 4,500'.
Downflow Floor Base: When the =9 maiel is installed directly on a wm d floor, a downf "flaw base must be usea. Tiuna awaet nuralzJ- .
arc: CFBI7, CFB21 and L:FBZ4.
Thermostats
CHT18-60
Cooling/Heating, Mechanical
CH70TG
Cooling/Heating, Digital, Non -programmable
CHSATG• ....
COOHMS/'HCdfing•,-Me[1141 _ ... .
HZOTWR
Heating Only, Mechanical
a
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit #
MAscheck Software version 2.01 Release 2 I I
I Checked by/Date I
i
CITY: Yarmouth
STATE: Massachusetts
HDD: 6137.
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non -Electric Resistance)
DATE: 5-3-2004
DATE OF PLANS: 05/03/04
TITLE: The Swan
PROJECT INFORMATION:
Mill Pond Village
%z1 Camp street
Yarmouth, MA.
COMPANY INFORMATION:
Northside Design Assoc. !` %
141 Main Street
Yarmouth Port, MA. 02675
COMPLIANCE: PASSES
Required UA = 229
Your Home = 125
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-value UA
-------------------------------------------------------------------------------
CEILINGS
1112 30.0
30.0
19
WALLS: wood Frame, 16" O.C.
1048 15.0
15.0
46
GLAZING: windows or Doors
86
0.340
29
DOORS
40
0.086
3
FLOORS: over Unconditioned Space
1112 19.0
19.0
28
-------------------------------------------------------------------------------
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 Cade. 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 a 4 V.
Builder/Designer Date
Massachusetts Energy Code
MAscheck software version 2.01 Release 2
The Swan
DATE: 5-3-2004
Bldg
Dept
use
[]
[]
[]
I
I
I
[]
[]
CEILINGS:
1. R-30 + R-30
Comments/Locati
WALLS:
1. wood Frame, 16" D.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/Location
DOORS:
1. u-value: 0.086
Comments/Location
FLOORS:
1. Over unconditioned space, R-19
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.
marked on the building plans or specifications.
C]
C]
DUCT INSULATION:
Ducts shall be insulated per Table 34.4.7.1.
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 for balancing
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 A.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 I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
170-180 0.5 I 1.0 1.5 2.0
140-160 0.5 I 0.5 1.0 1.5
100-130 0.5 I 0.5 0.5 1.0
----NOTES TO FIELD (Building Department Use Only)-------------------------
011
�LOT33�
�• N767 1,0
FI E C®PY 69
LOT 34
6,O82t S.F.
2.54' /
Yarmouth
1
cc 1
Date
IC
P HOUSED
S*AN
24.9
5
n
14"Sejj,R VPC
L�
PROPOSED
DRIVEWAY''''
I J
v
P,
SEE
NOTE,• ✓ev
® SEWER LATE HALL BE
LOT 35 SLEEVED IN ACCORDANCE
WITH TITLE V IF WITHIN
s 10FT. OF WATER MAIN.
( IN FEET )
t inch = 20 fk
PLOT PLAN
OF LOT 34
PREPARED FOR
MILL POND VILLAGE
IN
Y
2s -
FF = DENOTES FIRST FLOOR ELEVATION
VICE
GW = DENOTES APP��1�ET�{�VATION
FILE Copy I Arno EG S
0 f RMWTN WATER Ic
CA E
n ass and until such time as the original (red) stamp of the
responsible Professional Engineer, or Professional Land Surveyor
oppeor� on thfs 01on:
( ) no person or persons, including any municipal or other
public officials, may rely upon the information contained herein; and
(8) this plan remains the property of Holmes & McGrath, Inc.
holmes and mcgrath, inc. �zN OF
civil engineers and land surveyors rrl!a
N
362 gifford street MB
folmouth, ma. 02540 No Ra
ARMOUTH, MA JOB NO: 201197 DRAWN: LMC
1 "=20' DATE: 8-04-06I DWG. NO.: A2562 CHECKEU,,/►ti
/k1
TOWN OF YARMOUTH Building Department BUILDING
- - - - - - - - _ , (508) 398-2231 ext.261
PERMIT NO 6-07-880 PERMIT
ISSUE DATE ; _ 1/11/2007 _ ; PROPOSED USE
APPLICANT -Frank Capra
-------------------- JOB WEATHER CARD
-----------------------------
------------
AT (LOCATION) 100121CAMP ST Unit 34 ZONING
SUBDIVISION MAP LOT BLOCK 044.21.1.C34 BUILDING IS TO
LOT SIZE
L� PERMIT TO ' New Construction '
FT R- 5 Bldg. Type: Residential
NST TYPE 5-B USE GROUP R-4
new construction: 1 bath, 2 bedrooms, 1 kitchen, 1 livingroom as per plans dated 11/14/06..
REMARKS
AREA (SO FT) EST COST ($ $105,024.� I PERMIT FEE ($) 1$383.00
OWNER IVillages @ Camp Street, LLC BUILDING DEPT BY
ADDRESS 11600 Falmouth Road # 25
Centerville I MA 102632
CONTRACTOR
LICENSE 012430
Capra, Frank
1600 Falmouth Road #25
Centerville MA 02632
5087789669
PHONE 15087789669
INSPECTION RECORD FIELD COPY