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121 Camp St #035 Building Permits
o� r� TOWN OF YARMOUTH Building Department BUILDING + (508) 398-2231 ext.261 PERMIT NO g-07-88_2--.------- PERMIT r.r�f7iae ISSUE DATE 1/11/2007 _ ; PROPOSED USE --------------------- APPLICANT .FrannkkCapra --------------------- JOB WEATHER CARD PERMIT TO ' New Construction ' I AT (LOCATION) 100121CAMP ST Unit 35 1 ZONING DISTRIC R-25 Bldg. Type: Residential I SUBDIVISION MAP LOT BLOCK 044.21.1.1035 BUILDING IS TO BE: CONST LOT SIZE 5-6USE GROUP R-4 new construciton - affordable: 2 baths, 3 bedrooms, 1 diningrroom, 1 kitchen, 1 livingroom as per plans REMARKS dated 11/14/06. AREA (SQ FT) EST COST ($ $148,896.00 PERMIT FEE ($) 1$0.00 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 POST THIS BUILDING 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. ) IT IS VISIBLE FROM STREE 1 \ \ 1 [ l 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 � r OfficeUseAnly- �y� ,.. Plannmg'Boarctrnformatiorti� a h_ f k e Assessors bepartmenllnformafwrr �, * >� '• ,. '�j *r J• 1 Y'3 .i 1 3t i. fartfiyper lz 6�T' Y N ktap r Lot T r t Perms NO .rr NS[5 �� �, ;��, � »r �,.� � �13 t,r;y� ,� :.r, �f>s�-�a�Id��� Lam= ��s� c'` �N-.eW`��.-y�•,``� 3-5 �e Record,ogoate ,; jj PJaO M1rO yw Sr ''�' +ix .Lt ar" r.+,-1` x•L.*.t iw �n other r' ' x-.c ^ of Area (§ Fro apeftpr.s' LotCovera e k.-1 iY t.� .x�-. 3 ..5 ...h .- ry' 'i.; % .XL'i' {i .t• '- A. .k Btiildin er..-. +''=# �I 4 _ .�.a J�lra,`b,.µ; r.. x erax 1 ia• rr-„Q a h.„e-, d - 4,ey r S ., 3 :Date-Cssuetl � �-� � � `� �3-".�. .l?e".r. pn $;#,~� 3�-.>t�°�... ,�,r�,�• � ya F I X^* Y.a✓t � rs1J5 U 5 n, "'^4 KI h.Y iG-+:- Ya�S'. d :fir b .. YAY Ey,t i1 # �i.'>;"1.`J A. h '4. 4 Certliate ofiOccupancXi y F" *� Signature, t Yi k N 4 S Y �3 Y a - M Y1 ^� Off�e,aIFfdr rP. wree �l3ui(dm 1 . ... 9 .. . ,.Nq Section 1'-fife lnforrrfaffoni- Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: 21 P4-&-5"ez - Zoning District Proposed Use Llt�(l / it 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. e. 40. S 54) �5 Floodo[te`.fnformaLoil ' Cbmment� fc� . +�tta�4•u f ty+x:.: is '.:' trig �. Y .n .ceSF�`L ,t AG 1• r,} Public Private Y .., , . �w w -G� .�it4 _, M "?,�° .. Y}.•*�W t , �r+_=r+h" {3=,.rd" - S'ecfign 2Y".'property,O,wnersliiwAutfiotizedARM 2.i7;%%0� C4-",pt-r�- Name (print)/ Mailing AddressC�v�gyr�/j�f� M Signature Telephone 2.2 AuthorizpdrAgent: -2d� t s��v���� Na print) Mailing Address��f^�yryj�� a� el 3 Signature Telephone Fax eciion 3` Constructlori Services G 3.1 Licensed Construction Supervisor. Addr Expi tiOY Date% �'� / Signature A, Telephone 3 2 f3eglster�tl Homektmprovement .Con'tractor:„ Company Name _ Not Applicable License Number Address Expiration Date Signature Telephone 9- r5-99 1 of nVFA 3S Section 4 aWarkers' Compensat[on;IrisutariceAfdavlt,hA.G t c, =j52`5:25C%{j;, 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 .......... Section 5,,,'Descnptiocj:of Proposed Work: check dRapjiGcablel; New Construction No. of Bedrooms V No. of Bathrooms Z Existing Bldg. ❑ I Repair(s) ❑ Alterations ❑ I Addition ❑ Accessory Bldg. ❑ Type - Demolition Other Specify: Brief Description of Proposed Work: S'ectien.6:= Estinatect��©nstructiotl Casts? Item Estimated Cost (Dollars) to be Check Below completed by permit applicant ❑ Conservation -Commission Filing 1. Building 2. Electrical (if applicable) . ❑ Old Kings Highway & Historical Commission approval (if applicable) 3. Plumbing / Gas . 4. Mechanical (HVAC) 5. Pre Protection 6. Total = (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. (new houses & adcrMons) Sectioi'.7a` OwnerAuthdrzation To be Completed When+ Owner`s'Agent`orContractarAppfes or:Buildirig;Perrlut I, ` as owner of the subject property hereby authorize �I`Agllk to act on my behalf, in all mgMrs rk authorized by this building permit application.L 7rela'to 'Sign6itureof wner Date Section`r7b �`OCvner/AtittiQ�Bf��p^,ge/n%t.Declacatio 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. . Prin ame Sig a of O ner/ gent Date 9-15.99 2 of 2 k 1 v wiN . Uti YARMOUTH {ram ^�^•• BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM LEASE PRINT. I l) �^L yI�LA i Job Location: LQ 1A � j� S� Num. ber Owner of Property V Construction Supervisor: Address: / � 0 o Licensed Designee: (If other than Supervisor) Name %.,9Fv1 2.15 Responsibility of each license holder: Village `%k 3-k- License No. Phone No. 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 onlypursuant 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 Anylicensee who shallwillfullyviolate subsections 2.15.1, 2.1-5.2 or 2.15.3 or anyother 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 n construction, reconstruction, i 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 21*, No El If you have checked yes. please indicate the type coverage by checking the appropriate box. A liability insurance policy Gr� - Other type of indemnity ❑ Bond :Chapte NER'S IE WA VER: I aware that the licensee does not have the insurance coverage required by s. al s, and that my signature on this permit application waives this requirement. �- Check one: of ner orOwnees Signature: Owner ❑ Agent ❑ Building Official Approval: �.� - ,Z Z The Commonwealth of Massachu .etts Department of Industrial Accidents - Offlcaollsr�st/psth�s 600 Washington Street Boston. Mass. 02111 Work ers'.Compensation Insurance Affidavit Pf ease Piii10'T'i�cLL ❑ ( am a homeowner performing all_work myself. ❑ I am a sole proprietor =.-d have no oneuorking in am eapaeit< ❑ I am-an.emp{oyer pro% idine workers' compensation for my employees working on this job. r I am a sole proprietor. general con tractor. or homeowner (circle one) and have hired the contractors listed below who ha%: the.folluwin_ workers' compensation olices rrt env nome, . address: `�� �i2,,.9r-79-%t _ �7n _ S'D�'� /x7ts/z�V,0 *itFi3FtY' _'Zttres--=, -Failure to secure coverage as required under Section 25A of MGL 1S2 can lead to the im one yearsimprisonment as well as civil penalties in the form of a STOP WORK ORDER a�afinal d fine of Sl mPca gar aties gainst a fl a upt. Understand .t oSI A;oo athat coverage copy Of this statement may be forwarded to the Once of Investigations of the DIA for erage verifintion l do -hereby terrify under the pains and penalties of pedury that the information provided above is true and correm Signature,_ t, •gate -� z� .��_ Print name s r ofrcial use anfy do not write in this area to be to by city or town official city or town: YARMODTIi - nBuildiag Department pet�nit/licease-M i3 check if immediate response is required ClUcensing Board 261 OSeteetmen's Office contact person: phone#r_ (508) 39.8-2231 pat_ Qlleatth Department n Other .2Acsl IDA V I ICI I lM. I V YJY • ACORDa. CERTIFICATE OF LIABILITY INSURANCE o10/ 6DmTTi 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 NAIL # 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: ., .111, ..,. 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 -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 HSP., - TYPE OF-INSUP_ANCE _ _.. POLICY NUMM.FR POLICY EFFECTIVE °ATE MK(DD POLICY EXPIRATION DATEMM DD - - — -LIMITS-' A GENERAL LIABILITY X COMMERCIAL GENERALLIPJ31L0]I 16808387A9841ND06 08/01/06 -- 08/01/07 -• EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISE S300DOD MED EXP (Any one person) $5 000 CLAIMS MADE �X OCCUR PERSONAL & ADV INJURY $1000000 ' GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO E2000000 -1 7POLICY PE LOCO- -AUTOMOBILE LIABILITY ANY AUTO .. -. - - COMBINED SINGLE LIMIT (Ea accident) $- - - - - BODILY INJURY (Per person) $- : ALL OWNED AUTOS SCHEDULED:AUTOS__ _. r BODILY INJURY- (Per accident) .. :,... HIREOAUTOS .. NON -OWNED AUTOS -. PROPERTY DAMAGE (Per accident) - y - - GARAGE LIABILITY AUTO ONLY• EA ACCIDENT t OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE S DEDUCTIBLE $ $ RETENTION $ IN STATU• OTH• WORKERS COMPENSATION AND _ E.L. EACH ACCIDENT_ -. __ S EMPLOYERS' LIABILITY - ANY PROPRIETORMARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? El DISEASE - EA EMPLOYEE $ E.1— DISEASE. -POLICY LIMIT- 3 .. ._.. .-.... .. _- byyees dascdice 'und SPECIALPROVISIONS 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 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL tE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED C. ACORD 25(2001108) 1 of ry44705 L5T V` /1VVRY e_Q4MJ. wvm V`KI INUA I C WE "wJuns1 ' - I avi rj TNIS CERTIFICATE IS ISSUED AS A MATTER OC'UFOP AA _ 1PEL,L A INSURANCE AXGRNCX, J(�1C. ONLY AND COUPON, TtiE- HOLP� THi9 C�ECRTIFICATERC0IG 5B NOT AMEND, EXTEND Sa,A WVASHaM=W STF-F i' " ALTER THE C01{ERAG9 AEPORDED- 9Y THE POLICIES 9 Rp,jr,HTON, ?AA e%j35 ,z54z K AX Too. (617) 797.0617 INSURERS-AFFORDMO COVERAGE . SUCo INSURER A: AtbO11A BroT�Ct:ieT1 Sav MIRED Ban Dimnantopoulos `NsuA61! 0:. . ABA Hobart ?lumhlh4 - & '3Qa;tJmcr - - - - - - 25 Anthony Road "WREA wont Y&Mouttr;-YA-OP673 . - - INsuRFRa . crx I In nvwan - _BNOULD MiVOF-7NEARCUF ^aacMecaPQNOtEA Wl WZ41lm a5FORicHE c7tcmaclON ATTN: SrmER CON9A2.vES OATS TNeRCCIP. TWO MUM MAUMCA WILL ENDEAVOR TO MA2IO DAYi vYk� ft OATEMOD BOM69 - - - pOTCC TO IMF CMJMCA?r_%QLD N NAMED" TMC LEFT. BUT FAIU Mc TO 00 60 6MALL 1600 FASd omm RD STE 25 "AmaE NorKi:K yi iv BtuTvrol� TMpM1UA[k1h AGENTS OR CENTERY2LLr., . m 02 632 MPRESENTAyGt<S. _ - 508-778^S603 " .I TOTAL P 02-- 2BARNEL ACORD- CERTIFICATE OF LIABILITY INSURANCE PRODUCER - DATE,MM DDM YQ 08/29/06 Dowling & O'Neil Insurance Agency 222 West Main St. PO Box 1990 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 INSURER A St Paul Travelers Insurance Company NAIL # Hyannis, MA 02601 INSURED M. Ostrowski, Inc D/B/A Barnstable Electric INSURER B: Associated Employers Insurance Compa INSURER C.- 71 Lothrop'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 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 A NSR TYPE OF INSURANCE GENERAL LIABILITY16803050AS87COF06 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY 07/19/06 POLICY EXPIRATION DATE MMIDD 07/19/07 LIMITS EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED PREMMED EXP (Any one person) $3OO OOO ES 000 PERSONAL &ADV INJURY E1 00O 000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG s2000000 PRO- LOC POLICY AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) E ALL OWNED AUTOS BODILY INJURY (PW pew) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY (Per accidwA) $ NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ E EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE E $ DEDUCTIBLE E RETENTION E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCC5000804012006 01/15/06 01H5/07 WC STATUS OTH- E ANY PROPRIETORIPARTNERIEXECUTrVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $500000 E.L DISEASE - EA EMPLOYEE s500,000 If yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $500,000 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 CANCELLATION Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL I_ 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. - Arnnnn AUTHORIZE REESE✓NTTATIVE `� - 7c- " "1 1 OT d 944130 LS1 0 ACORD CORPORATION 1988 fnric�cu-cuJJG 111U IU:ss fin X A IN6UXANGE FAX NO, 508 591 5461 P. 02/03 I CERTIFICATE F LIABILITY iNSi9RANCE.2 94/20/z o' PRODUCER (508)994-968E FAX (508)991-S461 FLAGSHIP INSURANCE INC 414 COUNTY STREET NEW BEDFORD, NA 02740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Tim CERTIFICATE HOLDER. THUS CERTIFICATEDOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 8 INSURED Frank Capra PO Box 664 West Hyannisport, CIA 02677 vmwAA Providence Mutual ISO40- INSURER M 00e6e4lcon 20621 INSURERC. INR1kERO� INSURER L. THE POUMESOFTNSURANCEUSTEDBELOWnAVEBEf ANY RECUTREMEr4T, 7ERLT OR CO oi,noN 0FA1Y CONT MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLI aMUEDTOTHEiNSUREDNAMED ABOVE FORTHEPOLICYPERIODMI;ATED:NO7aMTHSTANDINI CT OR OTHER DOCUMENT VVITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TFRAIS, EXCLUSIONS AND CONDITIONS OF SUCH EDUCEOSYPACCLAN& IiNSTfRR TYPE 6iRYSURARCER POl1CY EFFECTNE POLICY EXPIRATION 12/13/ZWS GcNERALLIAERM -'w- LrWS3131 03 12/13/2005 eAC»OCCVRR£NCE ; 11O001OD A CLAIAS MADE � OCCUR DAMAGETORENIED A 50100 LIED EXP (Any we Fa" 3 - MOO PERSONALSAOVRINRY S 1 099,99 GENERALACOREWTE S 2,000.0 r .AGGRP tTFLINRAPPj1�S.PEA --Ipmxyn Fl J-SGT LOC PRDDUCTS•COMwcrAdo s 2.000.00( AUTOMO;LLE LIABILITY ANY AUTO CBIE63796 02/14/20 66 02/14/2007 COMBINED cC■ ■cw.n1 ; 11000,00( ALL OWNED AUTOS $ X Le SeMOLDAUTOS HIRED AUTOS N NON -OWED AUTOS BOOILYW"Y (Pwp■N■n) _ X (POW ACI INJURYILY ) A X PROPERTY (Plot"*MRWIAMAGE RAOX LIABILITY AUTO ONLY • EA ACCIDENT II. ANYAUTO OTHER THAN EA ACC; AUTOONLY. AW E A EXCESSAWBRELIA LIABILITY OCCUR QCLAW MADE U -050264 01 I2/13/Z S 0S 01/13/2006 EACH OCCURRENCE s Z 000 0 AGGREGATE I Z,000 s DEDUCTIBLE s RETENTION E i WORRBRSCOYPIOIIIATIORAND - EMPLOYERVIIAMIUTY WC STATL6 D714 ELEACHACGDEHT s ANY PROPAIETORIPARTNERM)MCUTIVE OFFICciWAEMBER E7�LtAIED9 YrI�N.INQIOOYMIf SPECIALPROVISONSiwm ft OISFASC tt. DlSiAfi@.P'CLiCY LIMIT i 0TH9R DiSCA1PT101�1 DF 9PFMT1011ilLOCATWNS1VE111CLE;/E1QU51ON5 neo�wrrw •x uw...�.. DED;YENDOR;EMENTISPMALPNONSIONS GATEMM liT N S, JMX. 1600 FALMOUTH ROAD, SUIT£ z5 CENTERVILLE, MA 02601 ACORD2512001103) FAX: (503)776- 64OUL0 ANY OF THE ABOVE DESCRIBED POU CTI[S BE CANCELLED BBFGM THE EXPIRATION RATE THERCOP. THE IISUING INSURER WALL ESIDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE No OkIGATION OR LIABILITY J/ A-21=2006 FR1 10:06 Aft R $ K 1N9k1RA110E 'APR 21 200S OSI27 FR 407 PPS 7849 I U RTMICATE Pndntm FLACISHIP WURANC2 iNC 414 CoVM ST NBW i38DPORD MA 02740 Insured WRA, F,AWC G POBox �m VI XYANN=00AT10 CosataEea THIS IS TO CERTIFY TM`T THE INSURED NAIdED A9ovB FOR h TERM OR CONDMOFT Cif ANY CORTIFICATS 4AY BE LS3Vw OR HERPM 13 SVBIECIToALL TM T MAY HAVE RUN REDUCED BY PA 'Hype Oflnsorence WOLK-°RS' CO.'-S?ENSATI.'1N Workers, Compeasa4ion mad EACH ACCMWr DISSASHPOLICYLDOT DISEASE EACH MVLOYFE THE PROPRIET R)Pa27WOV Description or CerHfleate8otdea OATEWDOD HO."ES INC 1600 FALMOUralMAP CPMVILLE MA DWI coaceRatiaa SHOULD ANY OF TM A$OYR Di AN CERTIFICATE HOLDER HO ERR NAMED OBLIGATJON OR UABU Ty OF ANY Azad 1freseatat3Te TOM VEWA Amoat Maaa3ar tladarwricer FAX N0, 509 991 5461 407 386 7848 To $151i89915461 P. 02 P_01/01 Inut Dort olnow cwdReaw casualty company )LICMS OF INSURANCE LXTliD BELOW HAVH BM ISSUED TO THE POLICY PFIUCD INDICATED, NOTWITHSTANDING ANy REQLMU24M, OKMACT OR OTHER DOCUMENT WrrH RRSPECT TO WHICH THIS RY PERTAIN, = INSURANCE AFF6I= gyTHH POUCFs DES ... . , U S=.t AMCONDi .ONS OF SUCH POLXML Ladd SHOWN CLA >L'ty Number Polity Eff. Date FOUcy Exp. Date s6iX73i6O6 olwa 034=7 Fero Liabliity Lmft 3 I,00o,000 s I.M.Oaa S 1,000,000 �/$dFPIC0CS71FiZS •iNCL Added by EadmemenrinpetW Frbvido., D POLICIES BE CANCEU,= HEFORS 7H8 B7O7&1TION DATE WILL ENDEAYCR TO MAIL WRi1'4'B3i NOTICE. TO TIM IVE, BUT FAILURE To MAIL, SUCH Np7TCs L IAtFOSE NO ND UPON TiiL COMPANY, ITS AG6N78 OR REMESENTATNES, ** TOTAL PAGE.OI ** ACOR,� CERTIFICATE OF LIABILITY INSURANCE 12/20/2005 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: O: BOX 2903 / HYANNIS MA 02601 Oa-�� L� dJLa i - 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. - w•e M Nseo TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICYEXPIRATION DATE MMIDDIVY LIMITS GENERAL LIABILITY - EACH OCCURRENCE $1f000F000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR PREMISES 'Ea occurence E 1, 0 0 0, 0 0 0 MED EXP(Any one person) s5, 000 PENDING 12/17/05 12/17/06 PERSONALdADVINJURY S1,000,000 GENERAL AGGREGATE s2,0001000 GEHL AGGREGATE LIMIT APPLES PER - PRODUCTS. COMP/OPAGG $1 I 0 0 0 1 0 0 0 ri POLICY JET LOC AUTOMOBILELUABILITY- ANYAUTO - .. COMBINED SINGLELIMIT (Eaacddent) . - E - ' .._. BODILYINJURY (Perperson) .. __. i .. ALLOWNEDAUTOS SCHEDULED AUTOS - .- - - - .. - - -- BODILYINJURY (Peraccident) E - HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Peracddent) E GARAGE LIABILITY AUTO ONLY-EAACCIDENT S OTHERTHAN EAACC S - ANYAUTO S - AUTOONLY: AGG EXCESSIUMBRELLA W181LTTY EACH OCCURRENCE S AGGREGATE E OCCUR CLAIMSMADE S $ DEDUCTIBLE RETENTION $ WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY I WCSTATU- OTH- RY IM T E.LEACHACCIDENT E ANY PRO Eros MTNEwE>aclmvE - - EL.DISEASE - EA EMPLOYEE E CF ERAIEMeER E MWu Nyes, desrnbeunder E.L.DISEASE •POLICY LIMIT E SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/ LOCATIONSI VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS GATERWOOD HOMES 1600 FALMOUTH ROAD # 25 CENTERVILLE, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING IN URER MILL ENDEAVOR TO MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFl ATE H ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATIOf�ORI ILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORRED ACORD25(2001108) ©ACORD • • r Liberty Mutual Group _ Libel" PO Box 7202 MUtu5l. 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 Employers Liability' Bodily Injury By Accident: $ Bodily Injury by Disease: $ 100,000 Each Accident 100,000 Each Person Bodily Injury by 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. %_1J I AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Cemiticate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance 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 Tv2Tr2005 s Client#! A597 ru ACORD. CERTIFICATE OF LIABILITY INSURANCE 0830/ s°"'"' 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 Inc Cafe rm uth Road 455 Yarmouth Road Hyannis, MA 02601 INSURERA: Peerless Insurance INSURERS: American Home Assurance INSURER C:INSURER D: INSURER E: COVE 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 POLICY EFFECTIVE ATE MM/DD POLICY EXPIRATION A MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAMS MADE O OCCUR CBP9587416 04/16/06 04/16/07 - EACH OCCURRENCE $1 00O 000 DAMAGE TO RENTEDPREMISES fE. MED EXP (Any one Person) E700 UOO ES 000 PERSONAL &ADV INJURY 51 OOO OOO GENERAL AGGREGATE E2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICV PRO- LOC PRODUCTS-COMP/OP AGG E2000O00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA9587917 04/10/06 04/10/07 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Par Pena') $25O 000 ' X X BODILY INJURY (Per ecddenQ $50O 000 r X PROPERTY DAMAGE (Per accident) E1OO OOO ' GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC AUTO ONLY: AGG $ E EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E EACH OCCURRENCE E AGGREGATE E S E E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? rc yes, describe ender SPECIAL PROVISIONS below WC8962496 06/30/06 06/30/07 X WCSTATLL OTH- ra E.L. EACH ACCIDENT $500,000 EL DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE- POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insulation Installation & siding Gatewood Homes 1600 Falmouth Rd., Suite 25 Centerville, MA 02632 LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL _ID_ DAYS WRITTEN 'E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL M NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE - --- ••- r Ur , �94000IM14J404 CBR 0 ACORD CORPORATION 1999 ;.ACbRD CERTIFICATE OF LIABILITY INSURANCE oPID C DATE (MM/DD/YYYY) PRODUCER NUGNP50 07 31 06 GOLDMAN & ASSOCIATES INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FINANCIAL SERVICES INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 933 FALMOUTH RD . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS MA 02601 Phone:508-775-6010 Fax:508-790-0249 INSURERS AFFORDING COVERAGE INSURED NAIC # INSURERA PENN-AMERICA INS. CO. NUGNES ENTERPRISES INC INSURER B: PETER NUGNES INSURERC: W805 ECBRN STASTABLE MA 02668 INSURER D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER DATE MM/DDIYY DATE MM/DD/YY LIMBS S 300000 A $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR PAC6593654 07/24/06 07/24/07 EACH OCCURRENCE PREMISES Eaoccurence $ 50000 MED EXP (Any one person) $ 5000 PERSONAL B ADV INJURY s300000 GEN'L AGGREGATE LIMIT APPLIES PER: ' GENERAL AGGREGATE $ 600000 PRODUCTS-COMP/OP AGG $ 300000, POLICY JEC LOC AUTOMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) , $ NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY $ ANY AUTO AUTO ONLY -EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: $ EXCESSAIMBRELLA LIABILITY AGG $ EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ - WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? TORY LIMITS ER E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ OTHER E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECAL PROVISIONS CARPENTRY RESIDENTIAL CERTIFICATE HOLDER CANCELLATION AT ,EWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN _ GATEWOOD HOMES INC 1600 FALMOUTH ROAD CENTERVILLE MA 02632 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHOR R RESENTAT ACORD 25 (2001/08) ©ACORD CORPORATION 1988 not Ub Ub Ub:48a Hudson Corp 1 508 775-2310 p.1 s d t30iiR0 w.� :.: • "�ya * OF BUILDING LATIONS License: CONSTRU�ION REGU r. SUPER VISOR ry her: CS 012430 Birthda1940 Ex Ir Pas: 06/16/2008 Tr. no: 24654 i .T=S:Y.`•s Restricted: 00., FRANK G CAPRA 40 COPP� LN _ y_. CENTE;tV[LLE-LtA 02632 .. . Commiagioner i, Damant.Hal tatlea�u a rds HOME VApROVEItlENT CONTRACTOR .. RnpktrLNan;- tt0;121.... . ERpiatloR;...10I20I2005 ypo;-D" CAPRAHOME IMPROVEMENTS. FRANK CAPRA 40 COPPER LANE ' rz.....-w- (7=MTER%/I1 I.F. MA 02632 ,1 A.et.lerrern� License or registration valid for Individul ass only before the t4irsdon date: Iffouud-relQntie:- Board of Building Regulations and Standards One Ashburton Place Rin-IM, Boston, Ma. 02108 • - Not vatidwithout eigna"are P � `5P 7 TOWN OF YARMOUTH n HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTALEALTH DEPT. To be completed by Applicant: Building Site Location: Map No.: Proposed **Ifyou would like e-mail notification ofsign off, please provide e-mail RESIDENTIAL AND/OR COMMERCIAL BUILDING Lot No J3 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: DATE: 11 & 4G C. PLEASE NOTE COMA ENTS/CONDITIONS: 3 -R� 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) 21.1C.35; Street: 121 CAMP STREET, UNIT 35 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 Temp Permit No. Applicant Name: Applicant Phone: Building Location: Owner's Name: Owner's Addres TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 F-11111111171►Lr174-Lq►'1IkI TRANSMITTAL T-07-215 Frank Capra 5087789669 00121 CAMP ST Unit 35 Villages @ Camp Street, LLC 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: 1. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: RECEIPT OF COPY: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 11/7/2006 Issue Date: Expiration Date PLEASE NOTE SIGNATURE OF APPLICANT: Comments: Map/Lot: 044.21.1.C3S new construciton - affordable: ZONING APPROVED 1/�/z)y DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: Date Printed: 11/8/2006 i 5 f i PROPERYY mi - :m Owl H 19V d GMS9/GCS9 .SERIES. 93% AFUE Multi,Tositionj- Single-Stage/Multi-Speed-... . Gas Furnace..._ Heating Capacity;.. 46,000-115,000 BTLJH ama -Ow air-CQni Wanif'ig'& ffeafm&\ The GMS9/GCS9 single -stage, multi=Tee&gas furnaces offer-- installation .versatility, Standard Features Cabinet Construction• • Corrosion -resistant, aluminized -steel tubular heat • Heavvgauge. reinforced, fully insula l exchanger and stainless -steel recuperative coil for with durable baked -enamel fmish • V maximum efficiency • Attractive architectural gray paint fin • Designed for multi -position instaltation--GMS9:- . Foil -face insulation -lined heat exchang upflow, horizontal right or left; GCS9: downflow, compartment horizontal right or left • Coil and furnace fit flush for easy installati Energy -saving, reliable Hot Surface ignition system, featuring a Norton* Mini-Igniwwith patented • Convenient left or tight connection for gas • d0 adaptive learning algorithm to maximize igniter life- electric service • Aluminized• steel inshot burners • Bottom or side air inlet (GMS9) Energy -saving PSC; mule -speed; direct drive • Removable, solid bottom blockooff (GM59)` blower motor • Quiet, corrosion•resistant induced -draft blower assembly • integrated furnace control .with improved...... diagnostics • Low voltage terminal blocks • Multiple flame roll -out 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 veriang-is standard; altemate-flue/vertrlocate&- on right side • Completely. assembledJauon ruaftestedfurnace.for..... heating or combination heating/cooling application All models comply with California NOx Standards • Suitable for direct vent (2-pipe) or non -direct vent (1-pipe) applications iccemorre3 LP. Conversion Kit (LPT-OOA) LP -Gas LcwvPressure•Kiv(LPLPOI) High Altitude Natural Gas/L.P. Kits (HANG11. HAN012, HALP10) - High Altitude Pressure Switch Kit (HAPS27) External Filter Rack.4EFR01.) Horizontal Concentric Vent Kit (HCVK) Vertical Cancentric_Vent-Kit (VCVK), . Internal Filter Retention Kit—upllow, horizontal 1Rf000180) ..... internal Filter Retention Kit—downflow (RF0001811 L—�� • Thermostats Blower Motors (CHT18.60, CH7(YTG,. CHSATQ H20TWR) SS•377D www.goodmanmfg.com _ 6/04 , PRQDUQT SPECIFICATIONS Nomenclature G M S 8 070 AM' Goodman® Brand ev z an A. JaWal Rel Air Flow irection NOX Revfsfon AA: UpflowIlionwnLaL.-.. N: Natural Gas C; Z"d Revision D: Dedicated Dow"flow X. L ow NOx C: DownflaZDHowri"zontal W. HfAir Row Ubinet Width A: 14" Description 8: Mi" s Single Stage/Multi-speed D: 2411" - I on C:.2r : si V: Two Stage/Variable-speed 4: 1 600 9; gn 5: 2:000 ..045,. 45,000 070: 70,000 090., 90,000 ME GCS9 Dimensions LEFT six . wEw OR M nEw . s" GCS"3axA L.6,catiw. . a— FOLDIIIJILZMS - baPMa0a ANt m vuE view VMIFLUe PILE rout ... f" low voxrAot l ELECTFIKAL+ralt. t to etA taGMvoLTA(„E. ELECTRIW MaIE � / VEMFLUE .t te�v,e T%VW SIDE :7 w . +. ...-�. nnnA LLWK n H HKOP f Ye T-L1ER4ATe b au.v�Lr "are �oet�rmlyt . GCS907038XA "�- 16" GC590904CXA t477" 16" 21" 7911" 764G" GES911550NOTES- XA ZIy}" ig" 19Yt" " I. Installer must suppiv one or two PVC pipes: one for camh tsthTn aim et 1"tar 3" in diameter, depending upon furnace input; numbtrof ePoo.vs(up length of a� d installation on all p tied): Vint pipe must he either Air Pipe Is dependent on installatitmkode «gWtirDeAU a d must be 2" or 3' diametet PVC. ( pipes). The optional Combustion 1. Line crsitm wiring as tntit de natural lit, o t ration areoftke fumate Cot) vvtriV wiring can enter through the right or left side of furnace. 3. I mversm itts [Or following altitude natural gas operation are wai6bit' Contact your f3oodntan distributor or dealer fix derails. 4. tnsniltt must supply following `res hrte (itttttgs, according t0 which entranccia toed: LeG—T"' 90 elbows. one close nipple: stralght pipe Right -Straight pipe to reach gas valve Minimum Clearances to Combustible Materials - the flow MU$T be iwood ONLY. NC °+ Non•Combtunble: A combustible floorrssubbase must be used for installation on combustible flooring NOTES: • For u"king or cleaning, a 36" front clearance is recommended. • Vnit connections (elecrtical. flue and drain) may necessitate greater clearanceac6ae.thaaepLinwm.ekarattEee listed below: • In all cswj, accessibility dearartce muss take precedence over clearaoees. rom the enclosure whate accessibility cleanoces sue greater. 5 Blower Performance Specifications V. ti 1,$8 LM .. 1,260 199F .. M1GN 3.0 14352 -,-• 1,202 G_5904536XA MED 2.5 t,214 ...... 1,172 ------ 1,123 ...... 1,064 ..... (LOW) MED-LO 2.0 997 -----• 994 960 35 923 36 LOW.. ..1:5.. - 757 ... 44- -.753- - 44-.. 734 LA:. .... 704'-- " 47' 41 ,. G_5907038XA HI(,H MED 3.0 2.5 1,449 1,192 36 43 1,409 1,172 37 44 1,326 1,141 39 1,2 33 (MED•HIY ''MED'-LO 2.0 981 'S)' 962 54 043 45 1,094 47. LOW 1.5 750 730 714 ':.. ...4P _ k ^ " G_590904CXA H1Glt .. MED ...4 0 • . 3.5 1,970 1,713 ^•--^• 39 } 4p4- 1,650 ..-35 40 U; 757 1,572 ..3s - 42 } �F 1,510 (MED-LO) MED-LO 1.0 1,439 46 1,412 47 1,370 48 1,327 44 SO ' LOW" —�2.5'� 1183 'S6'�l'YSS-'ST"' t�t22 .59,...1108 `60 4a ' G_591155DXA HIGH MED S.0 4.0 2 134 + 1,67j! 40 2,103 1.,643 40 $2. 2,029 .42 t,941 (MED-Hp • MED-LO 3.5 1,453 ..51 58 1,440 _ 59 .t-.643 1,426 ,52. 59 t,.577 1,363 ._54.. 62 LOW • 3.0....1 259 ..67. .1 239 ..63- Lj,ZZ0 70_ .. i 181 NOTES: I I. CFM in chart is withuut fdter(s). filters do not e1tiP.ss:(th dais furnace. but must.bu.Pruvitled..by ThMSCallrt.Af the.fi trsace ieyuiras c w •recut ss. this chart assumes both filrers are installed. 1 2. All furnaces ship as high speed cnnl(nq. Insndler mvet adjtut binwer C,roP11" speed ns needed. -- 3. For tut jobs, ahni,r 460 UM Per tun when axsiing it desirable. 4. INSTALLATION IS TO BE ADJUSTED TO OBTAIN TEMPERATLIU, RAISE WITHIN T IAE RANQF SPECIFIED ON THE RATING PLATE. 5. The chart is fur lAwmatinn only. For satisfacnwi OPeratlem, externol stuns pre.mre most not exeeed value shown no the rating place. The shaded arc* indicares ranjme 1n excess of maximum static pressure alluwcd when heating. 6. The dashed ( ---- ) areas indlcare is telttPeranuetix nut reeummended 4w-r4rts'mmk4.-.. 1. The above chart is fan US. furnaces installed at 0' • 2.000'. At higher altitudes, a properly de,rated unit will have appnuanaeely the same remPernture rise at a Particular CFM,. while ESP at the CFM w9Ibe_kmcr,... . 6 PRODUCT SPECIFICATIONS Accessories LPT-OOA L.P. Conversion Kit Jnow si J BEER, LPLPOt L.P. Gas Low Pressure Kit r J r HANGt 1 High Altitude Natural Gas Kit 1 t t HANG12 High Altitude Natural Gas Kit 2 2 2 2 HALPID HAPS27 High Altitude L.P. Gas Kit High Altitude Pressure Switch Kit 3 . 3 .... - 3 ..... 3 ..... 1 ..... 3 - . ..; _ . _ 3 EEROt.. External Flltor.Rack...... J... :.. ..... J _ �... c._. OCVK-20 Horizontal/Vertical Concentric Vent Kit (2") J J DCVK•30 Horizontal/Vertical foncentrk-VentAilt3")- -....-.- .. ... f.... J" (2) 9,001' to I1,000' (.3) 7,001' to I I,OOO' Noce: All installations above 7,000' teguite a pressure switch dtxngt-hn 6rsraRGeiort in Can,�da, furnaces as cenified only to 4,5O0'. Downflow Floor Dam When the G(ti9 snexiel is installed directly on a w,xxi fluor, a downflrw A xK base must be used. 7 xl o model numbeu_ art! CFB17, CFB27 and C-FB=f. Thermostats - CHT18-60 CoolinglHeating, Mechanical CH70TG Cooting/Heating, Digital, Non -programmable CHSATG . C"hT/+teating; Mechanical H207WR Heating Only, Mechanical ilk -`-MAScheck COMPLIANCE REPORT Massachusetts Energy code MAScheck Software Version 2.01 Release 2 CITY: Yarmouth 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 121 Camp Street �eLUf i'3` Yarmouth, MA Q2673 COMPANY INFORMATION: Northside Design ASSOC. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 216 Your Home = 123 --------------------------- CEILINGS WALLS: Wood Frame, 16" O.C. GLAZING: Windows.or Doors GLAZING: Windows or Doors Permit # checked by/Date Glazing/Door U-Value UA 14 62 0.340 30 0.340 14 0.086 3 -------------------- - - _--,�--- --------------------- COMPLIANCE STATEMENT: The proposed-building-dLfsign 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. Area or Cavity Cont. Perimeter R-value R-Value ---------------------------- 832 30.0 30.0 1409 15.0 15.0 87 40 40 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 .,ssachusetts Energy Code 1 . MAscheck software version 2.01 Release 2 The Egret DATE: 4-21-2004 Bldg. Dept. Use I 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/Location 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/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. -E ] I I E] E7 I El DUCT INSULATION: Ducts shall be insulated per Table 74.4.7.1. 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 74.4. 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) EE SLEE Y FILE C®P NOTE BELOW • 3 OpOSED `& PROPOSEDm pR DRIVEWAY HOUSE Sw� � Rtu wo FF 515 P. G`N .V6 LOT 34 r o Z. 10 2.54' / LOT 35 5,407f S.F. ' AFFORDABLE Yarmouth Hmyth 47" W f FF = DENOTES FIRST FLOOR ELEVATION GW = DENOTES APPROXIMATE ELEVATION OF GROUND WATER GRAPHIC SCALE ILE COPY ( IN FEET ) 1 inch = 20 ft R PROPOSED HOUSE EGRET FF = 25.1 GW = 15 PROPOSED DRIVEWAY C E I V E D 2006 By; j N NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WORK MUST cXFTWA7MALLWGMwI TH IN BYLM AND FZEQ3OITATIOASWATER MAIN. 3/ YAFTU WATIE��IF� IC nATC n s d unti u me os tha wfgin`al (red) stomp of the responsible Professional Engineer, or Professional Land Surveyor appears on this Cion: (A) no person or persons, including any municipal or other public officials, may rely upon the information contained herein; and (B) this pion remains the property of Holmes & McGrath, Inc. PLOT PLAN holmes and mcgrath, inc. --1 ,I" OF OF LOT 35 s� PREPARED FOR civil engineers and land surveyors o 1A.WAEL fir; MILL POND VILLAGE 362 gifford street `' o.CGRATH ;t falmouth, ma. 02540 U F�N.o28sM ¢ IN q �o YARMOUTH, MA JOB NO: 201197 DRAWN: LMC �Fr Fi r SCALE: 1 "=20' DATE: 8-04-061 DWG. NO.: A2563 CHECKE+ AT (LOCATION) 100121CAMP ST Unit 35 1 ZONING Di`' SUBDIVISION MAP LOT BLOCK 044.21.1.C35 BUILDING IS TO BE: LOT SIZE of r TOWN OF YARMOUTH Building Department BUILDING _ _ _ _ _ _ _ _ . (508) 398-2231 ext.261 PERMIT NO B-07-882 _ M IMM p A IMIr ISSUE DATE ; _ 1/11/2007 _ ; PROPOSED USE APPLICANT _Frank Capra - - - - - - - - - - - - - - - - - JOB WEATHER CARD PERMIT TO ' New Construction ' C R-25 Bldg. Type: Residential CONST TYPE 5-B USE GROUP R-4 new construciton - affordable: 2 baths, 3 bedrooms, 1 diningrroom, 1 kitchen, 1 livingroom as per plans REMARKS dated 11/14/06. AREA (SQ FT) EST COST ($ $148,896.00 PERMIT FEE ($) OWNER lVillages @ 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 5087789669 INSPECTION RECORD FIELD COPY