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HomeMy WebLinkAbout121 Camp St #082 Building PermitsLOT 81 r` �ry a•1 ! LOT 82 O '• 1 2N ti 2 / EXISTING FOUNDATION �6 4 • N�- ?9 3oy LOT 84 j LOT 83 49 2• I CERTIFY THAT THE FOUNDATION IS LOCATED IN FLOOD PLAIN ZONE C AS SHOWN ON FLOOD INSURANCE RATE -MAP COMMUNITY PANEL NO. 250015 0005D AND THAT FLOOD PLAIN ZONA C IS AOJ A SPECIAL FLOOD H A ZARD R DATE REGISTERED PROFESSIONAL .LAND SURVEYOR. 0 � 'tic; } w3 0 a I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTSOF THE 40B �SPECIAL PERMIT. 5 DATE AEGISTERED PRO SIO AL LAND SURVEYOR GRAPHIC SCALE NOTICE 20 10 0 20 Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other public officials, may rely upon the Information contained herein; and IN FEET (B) this plan remains the property of Holmes & McGroth; Inc. 1 inch = 20 ft. AS —BUILT PLAN holmes and mcgrath, inc. o "�, OF LOT 82 civil engineers and land surveyors �� �� PREPARED FOR 362 gifford street µ a� MILL POND VILLAGEIN Falmouth, ma. 02540"T" y YARMOUTH, MAC JOB N0: 201197 DRAWN: LMC SCALE: 1 "=20' DATE: 6-5-06 DWG. NO.: A2550A CHECKED: 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 Office Use Onl Y Planning Board Information PIan;Type Assessors Department Information �cot PermitNo�?'6��� atPS INap r x ' Endorsement uate t 'x Recording Date- k%K V!U A IYeYY 1 c F r Deposit Rec'd � at S D ,. 1 4 Property Dimensions " � "x� � r- _ IarNo a c -r �r Net'Due /�r b., ;->b .. s mOtti' LPtAre3(sf} Fron ge(it) Lo(:Goverage r ;: s!This" Sectioti for'Office Us'j Building -Per It mb r._.: mature.`{Occupancy; Si` g �r , '" 'r'equired a . wild ng'Official ;Date,�4 is is not, , _. Section, = Site Information ` Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information:. cAt:±A 42 sy- Lc -T n 7- 9 %ZZ. S �Sl �-� Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Requireg Provided 1.4 Water Supply (M.G.L c. 40. S 54) 1 5 Flood Zone irifprmation k Comments T Public Private t/_f/ Zone. BFE.�' � ; ' x Section 2 = Property Ownership/Authorized'Agent -11 21 Owne of Record: 2cs .4 Y Cart-Ae9`' LG / I� tif6vYYt,�� Name( ri 50 Mailing Address,— I r�,�. a z 6 Z CFI Sig ature Telephone `- 2.2 Authorized Agent: ` Name (print) NailingAddress NOR Signature Telephone I Lim v Faxl•„WWI I Section3'='COrlStructiOn'Service6 i AY 2 20 gU1LDlNGOEPr. . 3.1 Licensed Construction Supervisor: BUILD;tdG DZPT. ica e >n Z/( umber License N o�Z�3a Addre 07,G 3 Expiration Dat le4 Si ature Telephone 3.2 Registered Horrie airlprovement"Contractor: Company Name Not Applicable Address License Number Expiration Date Signature Telephone W7 9-15-99 - 1of2 OVER Section 4 '; Wpikers'.C©mpertS fitihIl'InSurarida'AffidaVit'(M:G L .c. f 52 5 25G (6): Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure , to provide this affidavit will result in the denial oft a issuance of the building permit. Signed Affidavit Attached Yes ... ..... No .....:.... Section, S i3e`scriptiott of, PrbOosed.Wotk"(chdck-atl applcable) New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: G SeCtion &- Estimated'ConstrUdtion,Costs. Item Estimated Cost (Dollars) to be completed by permit applicant Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) 1. Building 2. Electrical 3. Plumbing / Gas p 4. Mechanical (HVAC) 5. Fire Protection e<290 6. Total = (1 + 2 + 3 + 4 + 5) Ztd F, rot 7. Total Square Ft. (new houses & addhions) Z Section 7a�- Owner Authorizatiorr Owriisr's A ent or ContractorA des To be Completed When f .Building Permit q... hereby authorize (5,.* [ �D1tcaQ.s%(�.tc� �. as owner of the subject property rA— to act on my behalf, in all m sr ative to work authorized by this building permit application. signa f wner Date Section 7b`- Owner/Authorized Agent Declaration: 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. Print name Signatur6 of wner/Agent Date 9-15-99 2 of 2 4'- The Commonwealth of Massachusetts Department of Industrial Accidents Oft7ceofImsVostfsss 600 Washington Street ' Boston. Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: ❑ame- Location- /2i Cl�ltilr7 ��"� r ❑ I am a homeowner performing all work myself. rJ I ant a sole proprietor an.4ha%e no one working in any capacity I am -an. employer pro% iding workers' compensation for my employees working on this job. comnanv name, address: city phone a• insurance co, policy# I am a sole proprietor. general contractor. or homeowner (circle one). and have hired the contractors listed below who hat e the. follow in_ %%corker" compensation olliiicces: comoanv name: M company name* rT7S fGf�J Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a flue op to 51,5N.00 and/or one years' imprisonment as well as civil peaaldes in the form of a STOP WORK ORDER and a tine of 5100.00 a clay against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verifintloa. I do hereby cerrify under the pains and penalties ojperjury that the information provided above is true and corrax Signature �r-_ Print name official Use onhV do not write in this area to be completed by city or town oftieial city or town YARMOUT$ Cl check if immediate response is required permit/license 0 nBuilding Department pl.fcensing Board 261 OSeleetmen's omee (508) 398�2231 mot, [3Health Department contact person: phone et _ _ nOther Information and Instructions . . Massachusetts General Lams chapter 152 section 25-requires all emplovers to provide workers' compensation for their eniplo%ees. As quoted from the " la%% an employee is defined as every person in the service of another under any contract of hire. express or implied, oral or written. An enrphr ver is defined as zn indi% idual..partnership, association, corporation or other legal entity, or any M-o or more of the fore_oing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recei%er or trustee of an individual . partnership: association or other legal entity, employing employees. However the om� ner of a dwell ing house ha% ing not more than three apartments and who resides therein, or the occupant of the da elling house of another n ho employs persons to do maintenance , construction or repair work on such dwelling house or on the _rounds or building_ appurtenant thereto shall not because of such employment be deemed tote an employer. %IGI_ chapter 152 section also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to.operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionall%. neither the comrrion,%ealth norany of its political subdivisions shall enter into any contract for the performance of public %%ork until acceptable evidence of compliance with the insurance requirements of this chapter hay e been presented to the contractin_ authorit%. Applic.:nts Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplyim_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial ,accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidam it should be returned to the city or town that the application for the permit or license is being requested, not the Deparunent of Industrial .accidents. Should you have any questions regarding the "law" or if you are required to obtain a %%orkers' compensation policy. pfease call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant, please be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. . TheOffice of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department -of Industrial Accidents t(fl�e tl larestl/ttlii�s 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone#: (617) 7274900 ezt. 406, 409 or375 °f.YgR TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM' PLEASE PRINT. Job Location: Ot` I a0A pa-1%�/ rl Number illage Owner of Property: V f��� S AT_ C&LAP 5f4nC.e_* LL C Construction Supervisor: Address: O Licensed Designee: (If other than Supervisor) a�ro� o ID - Name License No. Name 2.15 Responsibility of each license holder: o Phone No. �L CQ*f'yJ d mf]7163„ License 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 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 Anylicensee who shall willfullyviolate subsections 2.15.1, 2.15.2 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 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 lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No ❑ If you have checked�es, please indicate the type coverage by checking the appropriate box. A liability insurance policy � Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 15 of th G ral Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent. Owner H0, Agent Signature: Building Official Approval: TOWN OF YARMOUTH BUILDING L 1146 ROUTE 28 SOUTH YARMOUTH . MASSACHUSETTS 02664 4451 GAS Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 PLUMBING SIGNS BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from �the proposed work/demolition to be conducted at ; Inn Work A ess is to be disposed of at the following location: ' V��^ oco ��✓I Q �Q't—� lA Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Permit No. Date FROM :PELLA IN E AGENCY INC FAX NO. :16177870185 Aug.�08 2005 01:19PM PI / AUG-08-2005 12:24 F.I.PATNODE 1NS.AGY: . A-C-Qm, :CER-p .1GATE OF LIABILITY IW V�1E s Issueo a M,tvTEn oc lNFoaM�tioµ i =.aovicea _ _ - - D iI Y AND COHPI'AS 'N0 RIGHT$ tlPOK •THE- CFAtIPlCAT6 INC,HOLDEA. TH►s GlEITTT E1G� �ROEO tiYTTNEEvouCl r El°w. .. ALTM �.., PC�.r.�►. �Tasu�rl� AG�rle�', A, WABH1NGfON STRGST INSIIAERS FORCING C SSE �R)GN'TON. MA 02135459'Z Y tection •_ —i' j.. Hen DihttentoppploLF >NeuRena, _—• _. .- nA& iI0bal'Ct plumbing �, py . _-*:_—• —• + 25 Anthony Road q t. . �� vs e2673 1ME A Of Wk aLK.ueau7i , - ['0«.neMCUtG4N�NlLVdttUTe 71 pw,.swoe FJ,F flew pclxaY wh%As COATE UWA P6t; .--�u--rIIpNOCAf.:ure:Ll7.Y. I AW. WTO A:.I OMnSA!`Otob tlE7+F0utiL! A.um& hUNgWNEpAVTOtl FNrMi�: . t �.cE30kaeacuwLwtna• 4W wf ..GCUp::W.0 r� y.ONnESS60NPENe�T10NA*� � rrvtoTERr.twmuT:tt.. ear u/in'n[:P+••+W1M•WCMewn+� I fMMGtwri'� r� 0 Pluacb'iag Kock :. '.• ' •.. Gate+food- Homes. 11, 1600 Falmouth Road 02632 CeateYivLtbe R . b!A cam: i 506=778-5603. E DumEjW H ACPBW TO .WMCH 71u5 CEMirtmxwrc .^••• __ .., �.t'IL96U9JBCt 10AL,L,Tt't3T6M�A•CXOTr'wO"' Ig' aO a, yocaccurateNct f suo..R°U on Ian ..4.A7"tn.ent 07-20.-05 07-20^06 ` btasaNM�•�v�+NP► is 5Qq.o!t; , t4oENsara Acp.aar�ae { J.J • I�pylp� tNOIE tinaT { ' 600rCrtlUU4Y' { PRPPE�cr PMwOE � e �' .. Nnooiar.�uoaoF�+r . t. —_. •- I �OTMAJHAN IGAOO �. WTQGNLY' ,IrF. i-. Ft, IV Et, LNAIT - i rl �ppppty¢NT.:9PFOytPFOvt6fORS � . ;AN LATION .. �18[FOR6 TMlFF>u2wATNiv r cHWLO ANY Oc Tt64904 0E:1GmoED POU4Ei pE V 04 C` µNI 10 Oavll W rrt r•_ QATE TNERtOF. THE tL8l7MN vmqur 1 We1r. tNAFA O. NOT:tt TO THE G6 f GATi NpLC1cR NM lr'i TO THe LEIS tUT FAII TO DO W pF- KILII ON (KE tN UREtL R� AtiQN17 Cr Omer No omnAl:� u'� .TOTAL P-OZ CERTIFICATE OF LIABILITY 114SURANCE • PRODUCERCOR©TR =0"06 United Insurance A an 199 Main Street Agency, Inc. THIS CEFmi: ;ATE131SSMI)ASA ILIA77EROF1 2 ONITANDCOI�ERSNORIGHTSUPONTHECERTF �ET10 P.O. Hox 1013 HOL�THISC�TIFTCATEDOMNOfAM1345,q�TgIpOR ALTBt THE COVE�tAGEA�pRp®eY Buzsartia Hay, MA 02532 mt�ICIES BELOW. LteUR� '-'��—•_ "'UR> AFFORONO COVL3IAISE Patton Electric, Inc. NAIC Is INSURER/. Zurich NA P.O. Box 1525 '"BuRERS: Libor Mutual Ins, Co. Ma9hpe9, MA 02649 - INSURER C: - INSURER 0: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ANY REQUIREMENT- TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R pE E POLICY PERIOD INDICATED. NOTWITHSTANDING MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEn NFRR.„..e a„e,r_Eb CT lO WHICH THIS CERTFICATC ILur De .e�..�_ POLICIES_ AAGNcr.�.....�.. .�_ BY PAID CLAIMS. •—••.. .,.c .crt.+J. CAL:LUSIONS AN ---- `- A CONDITIONS OF'SUCIf " ►OLICYNUMBER POUCYEFfECTI U BIP AT M GENERAL LIABILITYtpERB A X COMMERCMLOENERALUAMUTY SCP42415399 7/30/05 7/30/06 EACH OCCURRENCE f 1 000 000 � CLAMS MADE R OCCUR PREMISES EAf 300 000 MWEXPfArgarW" f 10 000 PERSONALAADVwjURV f 1 000 000 CEN•L AGGREGATE LMAAPPLIE3 PER: GENERMAGOREGATF A 2 00 0 ]( nOUCY JFCT LOC FROOUCTS-COMPIOPAGG f 2 000 000 AUTOMOBgEL1AAgOY ANYAVTO COMBINEDSINIxEWAIT IEA MriJMy = ALL DINNED AVTOS BODILYINUURY f fPa pw%" SCHEOULLDAUTOS MMEOAUTOS ( gY INAMY f NON-OANED AUTOS - DutAOE f (Pr Paid.n9 GARAGE LIMIUTY - AUTODNLY. FA ACC CENT f ANY AUTO OTHER THAN EAACC f AVT ONLY: App f EXCES&UMBRELLAUABLtTT EACHOCCURRENCE ! OCCUR CLAIMS MADE AGGREGATE f f OEOUCTOLE --._—.. ..•. T .— RETENTION WORMERSCOMPENRATIONAND TATU- OTIi B NYPR WC231S353049014 12/10/05 12/10/06 TFR PRIETOR/PAY ANY PROfR IETORlpMt TNFRR7(ECUTAE ELCACMACCWENT f 100,000 OFFICERIMEMSER EXCLUOEOI Upa X - - E.L DISEASE. FA EMPLOYEE f 500,000 EPfCIIDfuvw SPECIALPROYISCNSb*. E.LOfSEASE-POLICYUMIT j 100,000 OT"aft D ISCRWTIONOF OPERATRTNIILOCATIONS NVEHIC1.0 I EXCLUPONSADDED BY EMOOIAEMENT I SPECIAL PROMMMS Electrical .t1 A.=: Catswood Homes Fax No. 500-778-5603 1600 Falmouth Road Suite 25 Centerville, MA 02632 25(2001108) WOULD ANY OF THE ABOVE DESCRIBED POLICIEBBE CANCEL.®■UORE TIM EXFlRATpN DATE THEREOF, THE IBBUINO INSURER WILL ENOFAVOR TO MAIL 10 OAYB WRRTFN MOTH: E TO THE CERTIIICATE HOLDER MANED TO THE LEFf, BUT FAILURE Ti WALL• IMPOEENOOBLIWTION OR UADRLTYQF ANY KIND UPON THE ODURER, RR p[NTB OR I. CORPORATION 190 02/16/2006 16:18 5084204474 EDWARD A GRAZLL PAGE 01 ACOtRD CERTIFICATE OF LIABILITY INSURANCE 0DATE(2 1GONY 06 6I/06VY) PNOOUCEA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Edward A. Grazul Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marstons Mills, MA 02649 INSURERS AFFORDING COVERAGE NAIC# Ev$UflFfl American Foundation Co., Inc. IryeuflFAa_ Savers Property_ &Casualty 43 Phinney's Lane INRMRERC: Centerville, MA 02632 N,uRERD I INSURER C-: (;OVERAGES THE POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. I�TWITHSTANOING ANY REOUIRiWENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CeFIrII'ICA'rK MAY BE ISSUED 0A MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH FOLICIFg, AGGREGATE LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS. .... .. ..-...._.--_... ...._....... ... . ......... .. INGR'MO' : POLICYEFFECTIVE POLICY EXPIRATION LTR inn SVPANC! I POLICYNUNBER ,,,j_DASIM*�LR4 DA D LIMITS GENERALLIADIUTY i EACHO=IHFIhWP S k_iEJ(�E3TOOE}-:. X I COMMERCIAIAMNERALt�7L}"ILITY i TIFREMISEejEapccwTrcry_.,_, ICLARASMADE I, .V OCCUR; ( MEDEfP(A"ep"nf S A i $P 00006134 10/05/05 .. •. 10/05/06 PE171so+4AL A ADV INJURY s _ I. 0/�/0�0/� n GEN_RALAGGREGATE. .... FP�00�, S,. 2- 00 jOGG-I- GEN'I,A00REQIATE LIMITAPPLIES PER:- PROOUCTS• COMPIOP AEG S 2M000,O00. Fn0• I POLICY LOCII - AUTOMOBILEUAMLITY S ( ANV AUTO i 1COOMBF+EDaiNGLELBAIT Es waltm) I I - ( AU-OWNFDAUTOS DOOILY INJtARY S :CHEUULED AUTOS fPIP pnrfalti), I I HIRED AUTOS OODILY INJURY MOM-OWNEDaU'fO5 {Px A[NUaKI PROPM4c.E s trer acdcannaal,$ GARAGE LIA&PLJ" ' AUTO ONLY. EA ACC:DCNT ANY AM pTNEERTHAN _EA ACC S .. ... ...... AUTOONLY: A00 S E%CESSNMORE" UABUdTY ' EACHOCCURRENCE S - . I OCCUR l . I CLAIMS MADE A011 I ATP IS — ftF DEDUCTIBLE L___.._ ... RETENTION S ..... . S NAnn WCSTAT ff O I4 TORXLIMI?.AL_. EMPLOY ATLIABILITY my PAGERS' LIAEl ART ,wrPAOPRIETURrP}RTNER+E%ECUTNE � -C[�, El. EACH ACCIDENT -.............. , . -�. S - g OFRCEfVMEMSER EXCLUDED? WC 0001630 04/01/05 04/01/06 E.L DIFAS&^F.A EMPI.OVFE S IIy et. deecriba Under ' _ .... .. .. .. _._ SPECIAL PROVE:pN.j C• w ' E.L. O19EA.SE •POLICY LIMA S OTHER DEBCNIPTION OF OPERATIONS/ LOCATIONS V EHICLER/EXCLUSIONS ADDED OY ENDORSEMENT/S►FCIAL PROVISIONS ♦.cn I Ir H.A I c nuwers CANCELLATION Gatewood Homes SHOULD ANY OF THE ABOVEDEBCAUStO►OLKKS DE CANCELLED PEFORE THE EXPIRATION' f 1600 Falmouth Road, DATE THEREOF, TNF ISSUING INSURER WILL ENDEAVOR TO MAIL _._, DAYS WRITTEN Centerville, MA 02632 NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT. OUT FAILURETD OO-SO SHAL4 - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR FAX# 508-778-5603 REPRESENTATIVES. AUTMODREPRESENTATIVE- I 25(2001/0e) ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMA?OYYYYYI 1 5 2006 PRODUCER FAX Select Financial Group 1574 Washington Street Holliston ., MA 01746 THIS CERTIFICATE 13 ISSUED AS A MATTER ONLY AND CONFERS NO RIGHTS UPON HOLDER. THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE OF INFORMATION 114E CERTIFICATE EXTEND OR POLICIES BELOW. INSURERS AFFORDING COVERAGE NAICfI INSURED / � � TIC Carpentry Inc. sd4-4' JLQI) 625 Normandy Drive ., Norwood NA 02062 INSURER A; Wes tern World INSURER B: INSURER C: INSURER D: INSURER F.' ERA 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LYR ADO IN9R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT. E DATE MMIODIYY POLICY EXPIRATIC DAW MMI LaeTS GENERAL LIABILITY. EACH OCCURRENCE f 11000,000 X COMMERMLGENERAL LIARKm pREMISfS Eelmlmeee s 50,000 A. CLAIMS MADE Q OCCUR NPP20ls127 _ 12/29/2005 12/29/2006 uEDEXP ollr eA s 5..000 PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE s 2.000.000 GENL AGGREGATE LIMIT APPLIESPER: PRODUCTS• COMPIOP AGO S 1,000,006 7-► L CY M 3PPT M LOG AUTOMOBILE LIAB0.RT ANY AUTO - COMBINEO SINGLE LIMIT (So hind") I BODILY INJURY (Pw°e`m S ALL OWNED AUTOS SCHEDULED AUTOS BODILY IM"Y (Per AMIdeM S HIRF� AUTOS NON OWNED AUTOS PROPERTY DAMAGE (►r ¢eMVMl I GARAGE LIABILITY AUTO ONLY• EA ACCIDENT s OTHER THAN EAACG S ANYAUTO 19 AUTO ONLY: AGO EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S s S DEDUCTIBLE I RETENTION s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT I ANY PROPRIETOWPARTNEWEXECUTNE OFFICERIMEMBER EXCLUDED? 0 m d"Cite UIMM - E.L DISEASE. EA EwPLoYE4 s E.L DISEASE • POLICY LIMB S SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATK)NSILOCATIONS/VENN.LFSIEXCWSIONS ADDED BY EKOORSEMENTISPECW. PROVISIONS General liability is provided for the above insured as carpentzy - residential not exceeding 3 stories in height (subject to deductible S2SO) 778-5603 Gatewood H(mes 1600 F&IMouth Rd Suite 25 Centerville, KA 02632 ACORO SHOULD ANY OF THE ABOVE OESCROED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE [SWIM INSURER VSLL ENDEAVOR TO MAIL 10 DAYS W WTTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT. BUT FAIWRE TO 00 90 SMALL IMPOSE HO OBLIGATION OR LUVBILITY OF ANY KIM UPON THE Susco/KATHY OACORD CORPORATION ISM IN5025 (0100)•06 ANSI VMP MNlpepe S/NIw. na (I 10n274W Peg. I M 2 APR-20-2006 THU 10:33 All R & K INSURANCE FAX NO. 508 991 5461 P. 02/03 AC�a CER i IFICATE OF - LIABILITY INSURANCE --- - DATE IMMm yyym 04/20/2006 PRODUCER (508)994-9699 FAX (SOS)99� FLRGSNIP INSURANCE INC 414 COUNTY STREET NEW BEDFORD, MA 02740 ' -5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIACATE }!OLDER. THIS C€RTIFJCATEDOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDFD BY THE POLICIES BELOW. INSURERS AFFORDING COVE -RAGE NAiC R BNsuRTa Frank Capra PO Box 664 West Hyannispors, MA 02672 PmRENA Providence Mutual IS040 INSURERS! OneBEACon Z06Zi' INSURER C: INSURER D! INSURER I- Y ANY REOWREMENT, TERM OR COIND)TION OF ANY THE POLICIES OF INSURANCE LISTED SELOW HAVEJEW MAY PERTAIN. THE INSURANCE AFFORDED BY THES PMtCtES. AGGREGATE LIME !TS 6HOWNMSAY fMS BDUCEO SSUED TO THE INSURED NAMED ASovE FOR THE POLICY PERIOD INDICATED NOTILTTNSTAYDIMI CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE (JAY BE ISSUED OR DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH BY PA)OCLAIMS. INSR Im umTYPEOFXISBRANCE VMBER POLICY EFFECTIVE POLICY EXPIRATION LXGtF6 A Q.-M'ERAL U;Um Y X C.OM.V��CJLLQ�P,1lLIA9lLITY CLAIMS MADE Q OCCUR t.RPL'OS3131 O3 12/13/200S 12/13/ZO06 LACK OCCURRENCE s 1.000,00 DAMAGE TORENTED MEO EXP pq or* Pw) E 50,000 S 1 5.000. PERSONAL SADV INJURY S 11000.004 CENERALAGGRECATE s 2,000.0 C,M, ,MCATfwRTAPPUESPEN: POLICY jE� LOC PROOUCn.COW" A40 S 2.000.00( B AIITOMOeLEUAMUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CBIE63796 02./14/Z006 02/14/2007 lAMBSNED SINDIELB17 (!•Acoarn' s 1 coo 0 BOOBY INA/RY (Pwpww) = X X BODILY WMAY (Pa wid") S X PROPERTY DAMAGE S. OARAOE LIABILITY ANYAUTO - AUTO ONLY-EAACCIOENT S OTHER THAN EAACC AUTOONLY. AGG I S A EXCESSnIMBRELLALI MITY OCCUR f—1 CLAIMS MADE DEDUCTIBLE RETENTION S C0050264 01 22/13/7005 01/13/2006 EACH OCCURRENCE S 2,000,000 AGGREGATE 1 2,000 00 s S WORNERSCOMPTJISATXINAND EMPLOYERCIWRITY ANY PROPRIETORIPARTNERl"ECUTNE OFF)CEMMEMUR EXCLIXY7T wx". a� u..welSIO SPECIAL PROVINSb9W& WC STATUJOT". ITmY I "Tr PR EL FACHACCEBiNT S eLOdEAae-EAFMN.OY€ s EL DISEAS€•POLX:Y LIMIT S OTHER 1!WDEO DFSCAVTIDNDFOPFRATIONS/M¢ATIONS/VEHICLES/EXCLUSIONS BY ENDORSEMENT/ SPECIAL PROVISIONS GATEW[X)D HONES, INC. 1600 FALMtWM ROAD, SUITE ZS CENTERVILLE, MA 02601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANOELLCD BEFORE THE EXPIRATION DATE THEREOF, THE ISSUINC INSURER WILL 6113EAVOR TO MALL 10 DAYS WIBTTEN mome TO THE CERmcATE NDI.on NAMED To THE LEFT. BUT FAILURE TO MALL SUCH NOTICE SHALL NPOSE NO OBLIGATION OR LIABILITY ACORD25(2001108) rAA; (5U5}//6-5-D'U3 I 111ww��MADOPAIV00JIMTION1988 ,� �. CERTIFICATE OF LIABILITY INSURANCE oti�sl I DN""") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St Paul Travelers Insurance Company Assurance Construction, Inc. INSURER B: A/O Assurance Excavation, Inc. INSURER C: 550 Willow Street INSURER O: West Yarmouth, MA 02673 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POUCY EXPIRATION DATE (MMIDDIM LIMITS A GENERALLIABILITY 16808387A9841ND05 08/01/05 09/01/06 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (Fa occtmnce) E300OOO MED EXP (Any one Person) s5' 000 CLAIMS MADE O OCCUR PERSONAL 3 ADV INJURY $1 000 000 GENERALAGGREGATE s2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2000000 PRI LOC POLICY JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE '. (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE s AGGREGATE - $ OCCUR CLAIMS MADE S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND - WC STATUTQRY - OTH. EMPLOYERS' LIABILITY E.L. EACH ACCIDENT Is ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE- POLICY LIMB I S SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 1 n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED C. AUUKU "l0 (ZUUI/US) 1 of 2 #41713 LS1 Q ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE 12/20/ 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PANTANO INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 220 BROADWAY, SUITE 202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LYNNFIELD, MA 01940 781-581-3100 INSURERS AFFORDING COVERAGE NAIC# INSURED CENTURY PAINTING & DRYWALL INC. INSURERA: COMMERCE INSURER B: P:O: BOX 2903 I `' (A�/ggg �A/' INSURER C: HYANNIS, MA 02601� 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. MR LTR NeRo TYPE INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICYEXPIRATION DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S F 0 I 000 COMMERCIAL GENERAL LIABILITY PREMISES 'Ea oaurence S 1, 0 0 0, 000 CLAIMSMAOE OCCUR MEDEXP(Anyoneperson) s5, OOO PENDING 12/17/05 12/17/06 PERSONAL&ADVINJURY S1,000,000 GENERAL AGGREGATE s 2, 0 0 0, 0 0 0 _ GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $1 , 0 0 O , 0 0 0 POLICY PECa 7 LOD _ AUTOMOBILELIABILRY - COMBINED SINGLE LIMIT _ ANYAUTO""- _ (Eaaccident) S BODILYINJURY ALLOWNEDAUTOS .. - SCHEDULED AUTOS - (Per person) BODILY INJURY HIRED AUTOS NON-OWNEDAUTOS (Peraccident) $ PROPERTY DAMAGE S ' (Peracddent) GARAGE LIABILITY AUTO ONLY-EAACCIDENT S OTHERTHAN EAACC S ANYAUTO $ AUTOONLY: AGO EXCESSNMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE S OCCUR CLAIMSMADE S $ DEDUCTIBLE S RETENTION S - WORKERS GOMPINSATIONAND WCSTATU- OTH- RY M R EMPLOYELIABILITY RS, ANY PROPRIETORNMiNERIEQ:CUTNE' E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S oFFCERa BER E MEW Iyes,desabeunder " E.L. DISEASE -POLICY LIMIT S SPECIAL PROVISIONS belay OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS - GATERWOOD HOMES 1600 FALMOUTH ROAD # 25 CENTERVILLE, MA 02632 1 25(2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING IN URER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFl ATE H ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OSLIGATIOF OR U ILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES THE a 00-35;000dendosedspace - - -- (MGL- C-Tlz. S7 fi0L) S 4G;F•1t&EFamtyHomes Failure:So possewacuff.entedidon of the Massael wsetts�State Baadhg-Code. is-cause:-fc r.mvoca dnofthis-license. cam. DIG SAFE:CALL.CENTER: j888) 344-7233 j TOWN OF YARMOUTH MAY 0 Y auo t' c HEALTH DEPARTMENT HEALTH DEPT. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant. Building Site Location: f L/ e:�,x7` 157 -&-7 — Map No.: Lot No.: S 2- Proposed Improvement: e4Ac4.A,cq o.4^9 t �g L3t!:y g-com 5 Applicant: .fib//G C,4pR2,4 //aG✓Y/63 Tel. No.: •77Y- 9W,9 Address:" �� /'ID Luc ��pZ,s3� Date Filed: **Ifyou would like e-mail notification ofsign off, please provide e-mail address: Owner Name:_/, ,gT G, W,00 �TiLt�l� Owner -- ZjZ owner Tel. No.: - - - - - - 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: (L) 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: tl' LIZ-�f DATE: ✓�'�—� PLEASE NOTE -796q 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: /Z 16 s T- Map #: Lot #: 82- 9/ Proposed Improvement: Applicant: V11 � c A G &-S pT' LA M r 5 r h(Do I'O Address: v , NLg 02 6 3 Z Tel. #: 507 Tag 9 c 6 q Date Filed: RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location. Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc.. Health Department 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. PertY Protection; i.e. Smoke Detectors, Sprinkler Systems, Etc.. REVIEWED BY A D N: cin h iro PLEASE NOTE: COMMENTS: Signature Of Applicant Date: of �� TOWN OF YARMOUTH �� Building Department v. Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT B TRANSMITTAL Temp Permit No.: T-06-465 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 82 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.: 9939 Net Owed: ($50.00) Application Date: 5/5/2006 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.CM 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: 5/8/2006 ME lam MOM i I MPD4540 MPD4035 Standard • Louvered face design • Charred split oak gas log set • Deluxe pan burner for big yellow flames and glowing embers • Charcoal black exterior powder coat finish • Realistic brickaded interior panels • Combo top/rear direct -vent outlets (except 3328 models, which have either a top or rear outlet) • Hi/Lo flame operation • Pre -wired for wall switch optlions • Choice of standing pilot (works in a power failure) or pilotless electronic (intermittent) ignition • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) • Wireless remote controls • Blower kits (including a temperature control version) •Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) All Merit Plus Series direct -vent gas fireplaces utilize either a Secure Vent (rigid) or Secure Flex Iflew 11e) 4.5' inner/7.5' outer coaxial ventmg system, and include a 20-year limited warranty. Note: Due to Lennox' ongoing commitment to quality, all specifications, ratings and dimensions are subject to change without notice. Local conditions, such as elevation, wind vent configu- ration and choice of fuel will affect the overall appearance of the fire. Warnock Hersey U20006711) Warnock Hersey V/ C �-ie US t- vO �Gco COO, The first two model number digits indicate frame width, the last two digits indicate glass width. All are A.F.U.E.-rated high efficiency vented gas fireplace heaters, terrified under ANSI Z21.88 and CSA 2.33-M99. MPD3530 MPD3328 DIMENSIONS (Rear tent model shows) 3328 MODELS (This model comes as a top or rear vent only) — f ' a FOF x c fs D I Fi3MV' Lalrr atrr' Front Face 35,40 & 45 MODELS Top (These models come with a top and rear vent) Right Side Front Face Top Right Side FlREPLACE & FRAMING DIMENSIONS 3530 351/8 32Y8 19 29/2 351/8 2111A6 24Y8 12%6 351/4 35t/4 16 4035 401/8 371/s 24 34;12 401/8 261A6 29Ys 14% 401/4 401/4 16 4540 401/s 371/8 24 391`t 451/s 2611A6 34%s 17%16 4SY4 401/4 16 3328T NG 17,500 45 64 62 3328T LP 17,500 49 66 64 3328R NG 17,500 53 63 61 3328R LP 17,500 55 66 64 NG 20,000 53 64 62 LP 20,000 55 62 60 NG 27,000 59 69 67 LP 27,000 60 69 67 NG 29,000 59 69 67 LP 29,000 59 69 67 nt igmnon systems Look for the Enerauide Gas Fireplace Energy Efficiency Rating In this brochure TYPICAL ROOM APPLICATIONS MPD3328 MPD3530 MPD4035 33' fireplace w/opt. flush face 3S' fireplace w/brushed stainless 40' fireplace w/polished brass louver and door trim trim arcb door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except. our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I Permit # MAScheck Software Version 2.01 Release 2 Checked by/Date CITY: Yarmouth I STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-16-2004 DATE OF PLANS: 04/16/04 PROJECT INFORMATION: Mill Pond Village Camp Street Yarmouth, MA .02673 COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES HOUSE MODEL• MALLARD ("a Required UA = 245 Your Home = 140 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value• UA -------------------------------------------------------------------------------- CEILINGS 865 30.0 30.0 15. WALLS: Wood Frame, 160 O.C. 1631 15.0 15.0 72 GLAZING: Windows or Doors 109 0.340 37 GLAZING: Windows or Doors 40 0.340 14 DOORS 20 0.086 2 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date MAY C 5 Cugib By _ Massachusetts Energy Code S' MAScheck Software Version 2.01 Release 2 DATE: 4-16-2004 Bldg.l Dept.l Use CEILINGS: [ ] I 1. R-30 + R-30 Comments/Loca WALLS: [ ] I 1. Wood Frame, 162 O.C., R-15 + R-15 Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ } I 2. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] I 1. U-value: 0.086 Comments/Location AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I t,;oY,�-r oroo-3 `- RODUCT SPECIFICATIONS GMS9/GCS9 SERIES 93% AFUE Multi -Position, Single-Stage/Multi-Speed Gas Furnace Heating Capacity: 46,000-115,000 BTUH A Mll■D '�`,-- GE�� C9f11NiD ETA ETA aura ,grto ® G RE C EI BY: Standard Features • Corrosion -resistant, aluminized -steel tubular heat exchanger and stainless -steel recuperative coil for maximum efficiency • Designed for multi -position installation—GMS9: upflow, horizontal right or left; GCS9: downflow, horizontal right or left • Energy -saving, reliable Hot Surface Ignition system, featuring a Norton® Mini -Igniter with patented adaptive learning algorithm to maximize igniter life • Aluminized -steel inshot burners • Energy -saving PSC, multi -speed, direct drive 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 venting is standard; alternate fluelvent located on right side • Completely assembled, factory run -tested furnace for heating or combination heating/cooling application • All models comply with California NOx Standards • Suitable for direct vent (2-pipe) or non -direct vent (I-pipe)applications 6I9191.1110 Air Conditioning & Heating MAY q= I /GCS9 single -stage, multi-s d gas furnaces offer BUiLDN-'IF"instaation versatility. Cabinet Construction • Heavy -gauge, reinforced, fully insulated steel cabinet with durable 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) • Removable, solid -bottom block -off (GMS9) Accessories • L.P. Conversion Kit (LPT OOA) • L.P. Gas Low Pressure Kit (LPLPOI) • High Altitude Natural Gas/L.P Kits (HANG11, HANG12, HALP10) • High Altitude Pressure Switch Kit (HAPS27) • External Filter Rack (EFR01) • Horizontal Concentric Vent Kit (HCVK) • Vertical Concentric Vent Kit (VCVK) • Internal Filter Retention Kit—upflow, horizontal (1117000180) • Internal Filter Retention Kit—downflow (RF000181) • Thermostats Blower Motors (CHT18-60, CH70TG, CHSATG, H20TWR) SS•377D w .goodmanmfg.com 6/04 L MAY 0 2 2006 S ,� HEALTH DEPT. W 3) 0 94' o � o O �O WW ,O O /�� 33. 0���/ O Lm/ V �b' ro pRpp Q L y / W P- Z ��1[[32• W Z A UFO /Q� i FF CC gRp O it c GW , 74 p 4„ p OPOS D l 1 / 2S fR A �R N • � qc o LOT 82 0 W 4,492f S.F. u- 1 "' a ` S 3 ao 0 m o a s 93 • 4�? Z PROPOSED `° w % 84 F WATER SERVICE M �( 16�01 U aalth Dep NOTE: TPRO ® SEWER LATERAL SHALL BE rtT-.//j SLEEVED IN ACCORDANCE a e D to WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. TOWN t UST!! NSLLWS GRAPHIC SCALEOE�r °A E YARM H;XTtR 2TOTICE Llnle s end until such time us the original (red) stamp of 2` responsibla Professienol Engioaaq or Profeaaional Land Surveyor oupaq., on this plcn: (A) no perscn or p�rscns, Including cny municipoi or oth pu,af„ offdei s, mry rsly upon rha information ccr.:cipod h p,:n: cn,: (R) this rann r+;mcins the fr+perty cf lio;rnes ✓ McGrath, ( IN FEET ) 1 inch = 20 M `SN OF /�f�es M2ICH.A B MCGRA No G� PLOT PLAN ,« C."" s holmes and mcgroth, inc. �' -�� • OF LOT 82 PREPARED FOR civil engineers and land surveyors TIMOTHY.s.In 362 gifford street a� F.^JTCS MILL POND VILLAGE "ciw�"8 4 IN falmouth, ma. 02540 o v sTCP YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SCALE: 1 "=20' DATE: 3-24-05 DWG. NO.: A2550 CHECKED. IN [W (2EC�E9wED ,��,,``""�� MAY b 2 2006 / CO O v Z�• S r O � O O N� /Co r pRop S 2 Co rV Mq °� ao / FF I ow a .40 4 6� LOT 82 I4,492f S.F. � � S 29 oss•4\2y OT 84 '7� F i NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. .3> 00, � cS` O W' 0O q�;Ez W O O 0 0) W W ^ /) LJ L 3 ar a_ � � E r PROPOSED `n W WATER SERVICE in n �922 �49 AY a 5 20Q6 / t-%--9 \ O niNGD_pf M TO ALL TOWN WORK � MUST CONFO Ti0t 1d4 ��AND GRAPHIC SCALE rff DATE 10 0 20 ( IN FEET ) 1 inch = 20 M <<H 8F y�7 WCH FAAFAA B. McGR" Nm 28M I YARMOUT Wq ER DE rmTTcE 6D Ur;e=s ^r"V fime as the origin Gt (rr.0) stnrnp n — n p:nsiCla frpj; sb;nal Ex,,pnr-er, or Profesaionct Lond (A,1 no per:c� •-r parsons, i;xlua'.n7 any municipal er .,.r. inf-;r��tic� co. .in^_d rs r r.�pertj of H.!msi ,; Si: Vt t , PLOT PLAN holmes and mcgrath, inc. <t OF LOT 82 civil engineers and land surveyors � e PREPARED FOR - f - Tis�.:, J' s' �1 e 362 gifford street .1 rs, -,CS MILL POND VILLAGE Falmouth ma. 02540 a,\ =VIL IN y \, ; a YARMOUTH, MA JOB NO: 201197 DRAWN: LMC crfA1 SCALE: 1"=20' DATE: 3-24-05 DWG. NO.: A2550 CHECKED. OWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO _B-06-1399 ----------- PERMIT ISSUE DATE ; _ 5/26/2006 _ ; PROPOSED USE APPLICANT ,Frank Capra _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ JOB WEATHER CARD PERMIT TO New Construction ' AT (LOCATION) 100121CAMP ST Unit 82 ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C82 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction: 2 baths, 3 bedrooms, 1 kitchen/dining area, 1 livingroom as per plans dated 05/15/06. REMARKS AREA (SQ FT) EST COST ($ $108,500.00 I PERMIT FEE ($) 1$534.00 OWNER I Villages @ Camp Street, LLC BUILDING DEPT BY ADDRESS 11WO Falmouth Road # 25 Centerville I MA 102632 11 INSPECTION RECORD CONTRACTOR LICENSE 1 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 15087789669 FIELD COPY Date Note Progress - Corrections and Remark Inspector Z2�e� i /V C .it . Q & G� D m 6P