HomeMy WebLinkAbout121 Camp St #085 Building Permits� Yee
TOWN
wn
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2 � 11 3 2006
By BUILDINI;A
Y
Building
AT: Location
New IX Renovation ❑
Plans Suhmitted Yes ❑ No 19
APPLICATION FOR PERMIT TO DO GASFITTING
(OFFICE USE ONLY)
Fee: $7r--
PERMIT NO. 7-1e
Replacement ❑
Namei/Y.l�tS
Type of Occupancy <<T
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
—at
3RD FLOOR
(PRINT OR TYPE) Check One:
Installing Company Nam-t1C.TJ-_0AILI -" tTE1�_ ❑ Corp.
Address ❑✓Partnership _
2 PFirm/Company
Business Telephone —� � _-346 9 4
Name of Licensed Plumber otter..._. - iN
INSURANCE COVERAGE: Check One
I have a current liability insurance policy or its substantial equivalent. Yes 0�No ❑
If you have checked yes, please indicate a type of coverage by checking the appropriate box.
A liability insurance policy er Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check One:
—_--_---------_-._ _._� —. Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and Information I have submitted
(or entered) in above application are true and accurate to the best of
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be In compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Signature o Licensed
Plumber or Gasfitter
2.1 5 )0".
License Number
TVDO 0 IrGNRQ.
LOT 79
. ` 1 LOT 80
S�777
59.9777 . ` LOT 81
LOT 85
1 N Sj p8a
Lu
c /
W' .0 N
�O
.N . O g 4 •
Z N EXISTING
LOT 86 FOUNDATION 4
LOT 84
N
N �
90
8.7p
PROP
OSED EDG
E DF PA�MENr R 4
DRY WAY ��e o9•
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 ZONE C IS OOT A
SPECIAL OD HAZARD E .
DATE REGISTERE P FESSIONAL
LAND SURVEYOR _
NOTICE 2
Unless and until such time as the original (red) stamp of the
responsible Professional Engineer. or Professional Land Surveyor
appears on this plan:
(A) no person or persons, including any municipal or other
public officials. may rely upon the Information contained herein; and
(B) this plan remains the property of Holmes & McGrath. Inc.
I CERTIFY THAT THE FOUNDATION IS
LOCATED ON THE LOT AS SHOWN, AND
THAT ITS LOCATION CONFORMS TO THE
MINIMUM SETBACK REQUIREMENTS
PER IT.
DATE EGISTERED PROFEttIONAt-
LAND SURVEYOR
GRAPHIC SCALE
( IN FEET )
I inch = 20 M
AS —BUILT PLAN holmes and mcgrath, inc. of
OF LOT 85 civil engineers and land surveyors
PREPARED FOR 362 gifford street
MILL POND VILLAGE • s
IN falmouth, ma. 02540
YARMOUTH, MA JOB NO: 201197 DRAWN: LMC f.
SCALE: 1 "=20' DATE: 6-5-06 DWG. NO.: A2553A CHECKED: A41) =r
.►
TOWN OF YARMOUTH Building Department
(508) 398-2231 ext.261
PERMIT NO B-06-1401-
ISSUE DATE 5/26/2006 ; PROPOSED USE
APPLICANT .Frank Capra ..... - - - ... .
AT (LOCATION) 00121 CAMP ST Unit 85 ZbAI)(wB(S
SUBDIVISION MAP LOT BLOCK 044.21.1.C85 BUILDING IS TO BE:
LOT SIZE O
BUILDING
PERMIT
JOB WEATHER CARD
PERMIT TO New Construction '
TRICT R 22 Bldg. Type: Residential
CONSTTYPE 5-B USEGROUP R-4
new construction: 2 baths, 3 bedrooms, 1 diningroom; 1 kitchen, 1 livingroom as per plans dated 05115106.
REMARKS
AREA (SO FT) EST COST ($ $148,896.00 PERMIT FEE ($) $543.00
OWNER Villages ® Camp Street, LLC ?UILDING DEPT BY
ennoeee Arl -7
CONTRACTOR
LICENSE 012430
Capra, Frank
1600 Falmouth Road #25
Centerville MA 02632
5087789669
PHONE 1508T789669
Certificate Issue Date
C`
ERTIFICATE of, OCCUPANCY,
Departmental Approval for Certificate of Occupancy and Compliance
Insnector Date Permit Number Awroved By Remarks
,/H/"
0� X-' 3
�
AW011
Q�
To be filled in by each division indicated hereon upon completion of its final inspection.
o' r TOWN OF YARMOUTH Building Department BUILDING
... _ . _ . , (508) 398-2231 ext.261
PERMIT NO : B.o6.,40, _ - PERMIT
ISSUE DATE 5/26/2006 _ PROPOSED USE
APPLICANT Frank Capra JOB WEATHER CARD
. .........................
PERMIT TO New Construction ;
AT (LOCATION) 100121CAMP ST Unit 85 : ZONING DISTRICT R-2
SUBDIVISION MAP LOT BLOCK 044.21.1.C85 BUILDING IS TO BE: CONST l
LOT SIZE
Bldg. Type: Residential
'E 5-B USE GROUP 4
new construction: 2 baths, 3 bedrooms, 1 diningrcom, 1 Idtchen, 1 livingroom as per plans dated 05/15106.
REMARKS
AREA (SO FT) EST COST ($ $148,896.00 PERMIT FEE ($) 1$543.00
OWNER I Villages ® Camp Street, LLC BUILDING DEPT BY
ADDRESS 1600 Falmouth Road # 25,'
Centerville I I MA 102W2
INSPECTION RECORD
CONTRACTOR
LICENSE 012430
Capra, Frank
1600 Falmouth Road #25
Centerville MA 02632
5087789669
PHONE 15087789669
FIELD COPY
Date
Note Progress - Corrections and Remark
Inspector
O •a0
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'
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Page 1 of 1
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U
Elliott, Ken
From: Brandolini, Jim
Sent: Tuesday, October 30, 2007 12:36 PM
To: Bates, Kenneth; DeFreitas, Peter; Elliott, Ken; Kelleher, Robert; Murphy, Bruce; Stone, Bill;
Sherman, C Randall; Armstrong, James
Cc: Cipro, Linda; Greene, Karen; Lawton, Robert; David Reid (dsreid@verizon.net)
Subject: Unit 85 Villages at Camp Street
I had a discussion with Mass Housing Agency this morning regarding the general situation at the Villages at
Camp St. and the status of unit 85. They have requested that final inspections be authorized to initiate the
Certificate of Occupancy for UNIT 85. 1 agreed I would do so. Therefore, you may perform your final inspections
on this unit. However, it was absolutely understood that no further dwelling activity or inspections would be
permitted until progress has been demonstrated in resolving the outstanding Comprehensive Permit items.
Jim
10/31/2007
•
MILL POND VILLAGE
41 Rosary Lane
Hyannis, MA 02601
October 25, 2007
Dear Mr. Elliott,
At this time, I wish to dismiss Patton Electric from the job at 121 Camp
Street, Unit 85, Yarmouth, MA. I would like to have Stephen Childs of Childs
Electric pull a new permit and finish the job.
Thank you,
•
ames S
Page 1 of 1
•
Elliott, Ken
From: Brandolini, Jim
Sent: Thursday, October 18, 2007 10:32 AM
To: Bates, Kenneth; Cipro, Linda; Greene, Karen; DeFreitas, Peter; Elliott, Ken; Murphy, Bruce; Stone,
Bill; Spallina, Jane; Sherman, C Randall
Subject: FW: Unit #85
FYI RE: Villages at Camp Street
Jim
From: Brandolini, Jim
Sent: Thursday, October 18, 2007 10:29 AM
To: Jim Spalt
Subject: RE: Unit #85
Jim:
I will approve this request. However, I request an update on the progress of the project. We met in my office a
few weeks ago. Wwhat has transpired since then?
Jim
• From: jim Spalt [mailto:jspalt@verizon.net]
Sent: Wednesday, October 17, 2007 10:11 AM
To: Brandolini, Jim
Subject: Unit #85
u
Jim,
I am writing to request that you allow final building inspections on unit #85,electric,plumbing, building. We are 2
weeks from finishing the unit, and would greatly appreciate your assistance on this matter.
Sincerely,
Jim Spalt
10/18/2007
Page 1 of 1
•
•
Elliott, Ken
From: Brandolini, Jim
Sent: Friday, October 19, 2007 3:07 PM
To: Arnault, Andrew; Bates, Kenneth; DeFreitas, Peter; Elliott, Ken; Murphy, Bruce; Stone, Bill;
Sherman, C Randall; Kelleher, Robert; Armstrong, James
Cc: Cipro, Linda; Spallina, Jane
Subject: FW: Villages At Camp Street
As a point of clarification, the other day I cleared Unit 85 for inspections. That clearance is now revoked.
Jim
From: Brandolini, Jim
Sent: Friday, October 19, 2007 2:30 PM
To: Arnault, Andrew; Bates, Kenneth; DeFreitas, Peter; Elliott, Ken; Stone, Bill; Kelleher, Robert; Sherman, C
Randall; Armstrong, James
Cc: Cipro, Linda; Spallina, Jane
Subject: Villages At Camp Street
IMPORTANT NOTICE
Please be advised that as of today and until further notice, please stop all inspections on the
Village at Camp Street units.
The only unit that may be inspected is Unit 84 for finishing the basement. All other inspections
for all other units, whether finished or unfinished are to be discontinued.
Thank you,
Jim
10/19/2007
CommonwealU of ecJ
Mama�7chu effi Official Use Only
2,parEmattt; o`.}ira aroic,, Permit No. 93 '-3 -7 9
occu• BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1py a 07] (l ave bFee Chd
necke
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
_� (ELEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �6 7
I I Cityor Town of: J9/tn'd To the Inspector of Wires:
By this application the undersigned gives notice of his or he ntention to perform the electrical work described below.
J o Location (Street & Number) /�� / Cce/) �� 1j /7
o Owner or Tenant //i //4 fj!! a� �� i� 3 f Telephone No. -542�R � 2 5 �6
Owner's Address 4// Ird r,56P/; nP AAc��i
Is this, permit in conjunction with a building permit? Yes No Check Appropriate Box)
Purpose of Building Utility Authorization No.
xisting Service Amps / Volts Overhead ❑ Undgrd ❑ No.. of Meters
New Service /�(_ Amps „� c,`, 1/2a Volts Overhead ❑ Undgrd Q— No. of Meters L
Number of Feeders and Ampacity
•
Location and Nature of Proposed Electrical Work:
Completion ofthe folfowine table may be waived by the Insaectar of Wires.
No. of Recessed Luminaires
No. of Cell.-Susp. (Paddle) Fans
r o ota
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool rnd. Above ❑ n-
rnd. ❑
o. o m ergencyrg mg
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
n and
o. o eteng D
Initiating Devices
No. of Ranges
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
P
eat Pump
Totals:
_ u!R er
o_ns `"
"�
.. ...- -
o. o Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ un c pa ❑ fie,
Connection
No. of Dryers
Heating Appliances KW
uri
Sec No. f Devices or Equivalent
o. of Water KW
Heaters
o. o o. o
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
elecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: lJ�J. a U (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: J 7/eP ije ,17 ('—" /r i� /-) i" LIC. NO.: r-?X 3-;2
9p
is
Licensee: % m 2 Signature /1 /—, , �G� LIC. NO.:
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No., S C- 4'3a 9 ids
Address: 2' Cl ;J7 Alt. Tel. No. :,!5-ap Q%Z n — 2'o
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one)❑ owner ❑ owner's agent.
Owner/AgentPERMIT FEE. $
SignaturereTelephone No.
Commonwealth of Massachusetts Official Use only
Department of Fire Services Permit No. rz- 07 -
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked05,00
40 T [Rev- 111991 leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
two11 All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
RJ,L, (OLD (Pi
f6 0
ty
OLD �v
OQ
1]
NQ
PRINT IN INK OR TYPE ALL INFORMATION)
Date: 8/8/06
City or Town of: Yarmouth, MA To the Inspector of Wires:
application the undersigned gives notice of his or her intention to perform the electrical work described below.
(Street & Number) •121 Camp Street Unit 85
or Tenant
Address
Telephone No.
permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Boa)
Purpose of Building Single Family
Dwelling
Utility Authorization No. 1536326
Existing Service Amps
/ Volts
Overhead ❑
Undgrd ❑ No. of Meters
New Service 100 Amps
120/240 Volts
Overhead ❑
Undgrd ® No. of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: WIRE HOUSE, INSTALL SERVICE
Cmmnlotinn nfthe Allnwino tahle may he waived by the Insnector of Wires.
No. of Recessed Fixtures
No. of Ceil: Sus p• (Paddle) Fans
No. o Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above
❑ I rnd. ❑
Battery Uni sency Lighting
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
D and
No. of Detection
Devices
No. of Ranges
g
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Dis posers
P
Heat Pump
Totals:
Num.._er _
T_ o_n_ s _
—
_ _
No. oSelf-Contained
Detection/Alertin Devices
No. of Dishwashers
S ace/Area Heating KW
P g
Local ❑ CoMunicipalratio ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security
Na of Devices or E uivalent
No. of Water KW
Heaters
o. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
t
TelecommunicationsNo. of Devices es or Equivalent
OTHER:
Attaen aaamonat aerait iJ aesirea, or as requirea ay ine tnJpectar uj rrireS.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
VA undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:)
\Estimated Value of Electrical Work:
(When required by municipal policy.)
10/31/2006
(Expiration Date)
Work to Start: 8/8/06 Inspections to be requested in accordance with WC Rule 10, and upon completion.
I ceMfy, under thepains andpenaldes ofpedury, that the information on this application is true and complete -
FIRM NAME: PATTON ELECTRIC INC LIC. NO. A15542
Licensee: RICHARD PATTON Signature LIC. NO.:
ZL(ljapplicable, enter "exempt" in the license number line.) Bus. Tel. No50R 539 0200
Address: PATTON ELECTRIC INC. PO BOX 1525, MASHPEE, MA 02649 Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one El owner ❑ owner's agent.
Owner/Agent PERMIT FEE: $125.00
ignature Telephone No.
WPS - Permit Page 1 of 1
NSTAR
• WPS - Permit
•
•
Work Order Information
Utility Auth/WO #: 01536326 Date: 08/08/2006 Company EILEEN CAREW
Rep:
Report By: YAR 121 CAMP ST U85 VILLAGES AT CAMP ST LLC
Status: ACTIVE Service: NEW Type: RES'
Nature of Work: NEW 100 AMP UG SVC TO TX, 1200 SQ FT, GAS HT/HW, ELEC RG/DR, NO A/C,
PENDING INSP
Service Information:
There is no Service Information.
Permit Information
Permit #: E07-143 Meters: 1 Reseal (Y/N): Y Date: 10/02/2006
Inspector: W10060 Description:
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images, text or other content at this web site must be granted by NSTAR, Boston, MA, USA. Unauthorized modification of any information
stored at this site may result in criminal prosecution.
http://www.nstaronline.com/apps/wps/wpspermit.cfm?Page=Permit&Unique=f ts_'2006-1... 10/2/2006
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00
(OFFICE USE ONLY)
TOWN OF YARMOUTH By
Fee: $ 94 -35:(—
PERMIT NO. G." 6%/ '-155
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
To the Inspector of Wires: By this application the undersig
work described below.
Location (Street &
Owner or Tenant ���'G & li;—,
gives notice of his or her
Owner's Address LX2;2s�`I�t�^^a K M
Is this permit in conjunction with a building permit? Jg�fes ONo
Purpose of Building 2e<Utility
Existing Service Amps / Volts Overheado
New Service ()
Number of Feeders and
Location and Nature of Proposed electrical
(Check Appropri
Authorization No.
Undgrd
perform the electrical
No.
n1Yho fnllnwino tahlo may he waived by the Inmector of Wires
No. of Total
No. of Recessed Fixtures
No. of Ceil: Sus . Paddle Fans
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
Above In
�
No. of Emergency Lighting
No. of Lighting Fixtures
SwimmingPool rnd. m-d.
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
o. o etection an
No. of Switches
No. of Gas Burners
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
Heat Pump
Num er
— —
ns
To— —
K
— —
No. of Self -Contained
No. of Waste Disposers
Totals:
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Municipal Other
Local Connection
No. of Dryers
Heating Appliances KW
Secutity Systems:
No. of Devices or E ui valent
No. of Water
Heaters KW
No. of No. of ::JData
Signs Ballasts
WIrmg:
No. of Devices or Equivalent
Telecommunications Wiring:
No. Hydromassage Bathtubs
No. of Motors Total HP
No. of Devices or E uivalent
Arraen aaamonai aerau zy aestreu, ur us reyutreu uy iue ivapewur uJ rruw.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides
proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in
force, and has exhibited proof of same to permit issuing office.
CHECK ONE: INSURANCE BOND OTHER (Specify:)
(Expiration Date)
Estimated Value o Ele 'cal Work: 1115 (When required by municipal policy.)
Work to Start: IN l In tions to be requested in accordance with MEC Rule 10, and upon completion.
I certify, undel the Vt s d pfnal • of pbgury, that the information on this a plication is true and complete. tle
RM NAME• o
censee: Si
(If applicable- ter " pt in the li ense number 1'
Address
till
OWNER'S INS C WA IVER: I am aware that tife Licer
below, I hereby waive this requirement. I am the (che k one)
Owner/Agent
LIC. NO.
Lure LIC. NO.
Bus. Tel. No..
'1, Alt. Tel. No.: 2,_
does not have the liability insurance coverage normally required by' law. By my signature
0 owner's agent. 0
Signature Telephone
[Rev. 04/00]
•
•
Official Use Only
Commonwealth of Massachusetts �. rG�_ L�03
Permit No.
Department of Fire Services o=;pancy andFee Checked c{�
BOARD OF FIRE PREVENTION REGULATIONS 11f99.1 veblank
FORM ELECTRICAL WORK
APPLICATION FOR PERMIT TO PER
All vmrkto be perfo=ed in accordance with the lt=whusetts Flec c&l Code �' 327 C12,00
EPRINTMEEK ORTYPEALLWFi7RMATl010 Date: 31� i � �
City or Town of: YAPM UrH To the Inspector of Wires:,
pplication the undersigned gives notice of his or her intention to peiform the electrical workder described below.
i (Street &Number) MTT,T, POND VMLAGE. 121 C� St g
irTenant. Gatewood Homes/ Jeff Sollows TelephoneNo.508-7789669
Address irnn Falmouth Rd., suite 251 Centerville, Ma. 0263.2
ermit in conjunction with a building permit? Yes IJ
Parpostof$uilding single family residence
No ❑ (Check Appropriate Box)
Utility Authorization No.
Existing Service Amps / Volts Overhead ❑
New service Amps / Volts Overhead ❑
Undgrd ❑
Undgrd ❑
No. of Meters
No. of Meters
Number of Feeders and Ampaciiy
Location and Nature of Proposed Electrical Woric Fite Alarm System (low voltage control panel)
with backup batt-pry, 'centamllirn'
�_.. _ r n_. �__ �zf. �_.. A.:..,.:...T7•h.. rbe lnmoctnr nrWi,�e
wm tc"us.. ....
��• -- ----
0: 0 otal
No. of Recessed Firiures
No. of Cal-Susp. (Paddle) Fans
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Genetors KVA
ra
No. of Lighting Fixtures
Swimming Pool d e . ❑—ZId,
o. o ergency LiglitLug
Battery Units
No. of Receptacle Outlets
No. of Oil Barriers
=.AT ARMS No. of Zones -1-,
o. of 3TEtection.an 7
No. of Switches
No. of Comas Burners
initiating Devices
No. of Ranges
No. of Air Cond. ofal
Tons
No. of Alerting Devices
No. of Waste Disposers
t ump. um er. ons
Totals:
No. oSelf-Contained
Detection/Alerting, Devices 7
No. of Dishwashers
Space/Area Heating KW
Local ❑ umisp Other
Connection _,
No. of Dryers
Heating Appliances IKW
Security stems: ,
No. of Devices orEquivalent
0 of WaterKW
o� Ballasts
Datallo ofggDevices—or E uivalent
Heaters
Signs
No.Bathtubs
No. of Motors Total Bp
Telecommunications Wiring,
No. of Devices or E uivilent
�Hi�ddmmassage
1✓iLLLLV
��L�JAIN...,.I,ier,rilll.i�./..,i Ne.l'HTfllOdbllr%Ifo�W(ret. '
INSURANCE COVERAGE: Unless waived by the owner, no -permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
amm ONE: INSURANCE M BOND ❑ OTMM ❑ (Sim) '
(EVirafi= Dar)
Fs&=Cd Value of Electrical Work $750.00 (When required by municipal policy.)
Work to Start z O (, Inspections to.be requested in accordance with MEC Rule 10, and upon completion
lcertify, under thepains andpenalties ofperjury, that the information on this application is true and complete
FIRM NAME: Baltic security, Inc LIG NO.:
1178C
49 D
Licensee: Jonas R Bielkovicius Signature LIC. NO.:
afaRh=ble, enter "erernpt" in the license n=Oe r.Iure Bus. TeL No.- 508-833-0996
Addttss: PO 'Box ,1609 Sa?idw�cFtr �. 02563 . Alt. Tel No.: 508��47
OWNER'S INSURANCE WAIVER .I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent
OwnedAgeat PERMIT FEE: $ 40 .'00.
Signature, Telephone Na.
Page 1 of 1
n
Cipro, Linda
From: Brandolini, Jim
Sent: Tuesday, October 30, 2007 12:36 PM
To: Bates, Kenneth; DeFreitas, Peter; Elliott, Ken; Kelleher, Robert; Murphy, Bruce; Stone, Bill;
Sherman, C Randall; Armstrong, James
Cc: Cipro, Linda; Greene, Karen; Lawton, Robert; David Reid (dsreid@verizon.net)
Subject: Unit 85 Villages at Camp Street
I had a discussion with Mass Housing Agency this morning regarding the general situation at the Villages at
Camp St. and the status of unit 85. They have requested that final inspections be authorized to initiate the
Certificate of Occupancy for UNIT 85. 1 agreed I would do so. Therefore, you may perform your final inspections
on this unit. However, it was absolutely understood that no further dwelling activity or inspections would be
permitted until progress has been demonstrated in resolving the outstanding Comprehensive Permit items.
Jim
10/30/2007
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 r - Yarmouth, MA 02664-4492
Tel: (508) 398-2231 x261 • Fax: (508).398-0836
Use Only
lanning Board information
Iype
Assessors Department Information
map z :� Lor a Lor
Permit Nate,
Permit Fee�� �E
r
Eridorsementuate
•
Recotdi ate
D1d Nett/ '
Properly
-�
Deposit
1 4 Dimensions 1 _ �
y .-.,
n 1V0 `
.- ; t ss
c Y
NetDUe '.z
.� x. , ,,.,
L ✓t
-
•O(her
_ ,-."` '•.T � v.' c _� ; r -.
r
-^��- •--"-�
tot Area(sf) f"ro age(ft) ' ,'Lot Coverage
T ;r
-• it � t = Y a ` This•. Section -for Officebid Onl
Buildin 'Per i m er.,--: _ x �3 ��
"Date•.Iss6ed., ''` -� �-'
/10
to of Occupancy
Signature: .,
z t'
!s. is_not ''required
„ Building Official ; , ,;,% •,,< < <, Date
Section 1 Sitd lnforrnation" Use Group: R-4 Type: 5-B -
1.1 Property Address:
1.2 Zoning Information:.
Zoning District Proposed Use
1.3 Building Setbacks (ft)
Front Yard
Side Yards
Rear Yard
Required
Provided
Required
Provided
Requireo
Provided
1.4 Water Supply (M.G.L. c. 40. S 54)
1 5'i Flood Zone Information Comments i
j
' 4� i y k •x � �t �.
Public b.-� Private
Section 2- Property Ownership/Authorized Agent
2.1 Owner of Record:
�s A-r
Name (print) Mailing Address ,riJ,�- a z 6 3 Z
�
Signature IF R Telephone
2.2 Authorized Agent: WUNA"U
u
Name (print) �t MAY L Q ailing Address Mqy 2ROfl
`r
" ,��5i
Signature Telepho a buiw� Fix In BU/LDI
BY
Secfion`3-`Constructiori'Services':
3.1 Licensed Construction Supervisor:
Not Applicable ❑
License Number
l7 GIN /�
o, Zq 3 a
Address 01 3
rOg % _ �G
Expiration Date
Si ture Telephone
32iRegistered Home"°ImproJement' Contractor'::'
Company Name
Not ApplicableAt-
License Number
Address
Expiration Date
Signature Telephone
9 - 15 - 99 1 of 2 OVER
Workers Compensation Insurance affidavit must be completed and submitted with this application. Faildre .
to provide this affidavit will result in the denial otWe issuance of the building permit.
Signed Affidavit Attached Yes ... ( No ..........
New Construction I No. of Bedrooms_ I No. of Bathrooms
Existing Bldg. ❑ I Repair(s) ❑ I Alterations ❑ I Addition F1
Accessory Bldg. ❑ Type
Demolition
Other Specify:
Brief Description of Proposed Work: '
a -I✓ S -I
1pe 'UN,-
WIAM'A
Check Below
❑ Conservation -Commission Filing
(if applicable)
❑ Old Kings Highway & Historical
Commission approval
(if applicable)
, as owner of the subject property
hereby authorize G*fe,-&XJ l�Oflra� 5� ��%,�,a�7�' to act on
my behalf, in all matters relativ to work authorized by this building permit application.
G v 7 Sig ure of Owner Date
I
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.
UZ Y "ra
Print name
Sign re of Owner/At
9-15-99 2 of 2
_ Y/G
Date
°fYAR TOWN OF YARMOUTH
' Q
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: I
Job Location: —
Number
Owner of Property:
Construction Supervisor: 1 ` 9`12-
Name
Address: b b O
Licensed Designee:
(If other than Supervisor) Name
r� o ID -
License No.
oLAA( (Z d SLJZA-- 2
2.15 Responsibility of each license holder:
a-v /rfo c.- k%^
Tillage
LLC
o 9;o$-77 $- `� (o
Phone No.
&*fvI de and 01103:
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 Anylicenseewho shallwillfullyviolate 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 curren)iability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152
Yes No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy ar," Other type of indemnity ❑ Bond ❑
OWNER'S INSURAUCE,.WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter . General Laws, and that my signature on this permit application waives this requirement.
a Check one:
Signature of Owner or Owner's Agent Owner BOO' Agent
Signature: Building Official Approval:
4'-
The Commonwealth of Massachusetts
Department of Industrial Accidents
011lceollmstlpstli�s
600 Washington Street
Boston. Mass. 02111
Workers' Compensation Insurance Affidavit
ARniicant infoormation /7 M/ F►cAostLsPRi1V7"Gs. /p)
name... ZL1 ZAo o S
location-, /Z/
cirN nhon 0 %%g �ew
0 I am a homeowner performing all work myself.
1 am a sole proprietor _rd ha\e no one working in any capacity
lam -an. employer pro% iding workers' compensation for my employees working on this job.
comnany name,
address:
city phone e-
insurance co. policy 00
I am a sole propri or. general contractor or homeowner (circle one) and have hired the contractors listed below t.ho ha\e
the.followin_ %%orkzrs' commpensatiio/n�P_olliiicces:
emmnanv names
- "----- /� .rf� .�•il �ri .A. ,Q� �. /P O --#G, Lim
company name•
insurance eo. trofiev t)
a
Failure to secure coverage as required under Section 25A of MGL 152 an feed to the imposition of criminal penalties of a flee ap to 514N.00 •ndlor
one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flee of 5100.00 a day against me. I andentand that a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage veriBadoe.
I do herehy cerr�ify under the pains ant penalties of perjury that the information provided shove is trueamidcorreei
Signature
Print name
official use onh• do not r rite in this area to be completed by city or town oaieial
city or town YARMOUT$
O check if immediate response is required
permittlicense 0 nBuilding Department
[31-icensing Board
261 C3Selectmen's Office
(508) 102 2231 t C31-leaith Department
contact person: - phone N; _ ex - nOther
Information and Instructions
Massachusetts General Laws chapter 152 section 25-requires all employers to provide workers' compensation for their
entplo%ees. As quoted from the *:lam. an emplot•ee is defined as every person in the service of another under am•
contract of hire. express or implied. oral or written.
An enrp/r{t•er is defined as an indi-, idual, partnership, association. corporation or other legal entity, or any two or more of
the fore�aoina enga�:ed in a joint enterprise.. and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual , partnership: association or other legal entity, employing emplo}ees. However the
o%%ner of a dwelling house ha% ina not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who 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 emploj er.
NIGl_ chapter 1 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 comaiom%ealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evid
been presented to the contracting authorim. ence of compliance with the insurance requirements of this chapter ha. e
Applic.:nts
Please till in the workers' compensation affidavit completely. by checking the box that applies to your situation and
sttpplying 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
affida% it should be returned to the city or town that the application for the permit or license is being requested.
not the Department of industrial Accidents. Should you have any questions regarding the "law" or if you are required
to obtain a workers' compensation policy. please 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 permit/license number which will be used as a reference number. The affidavits may be returned to
She Department by mail or FAX unless other arrangements have been trade.
The Office of investigations would like to thank you in advance. for please do not hesitate to give us a call: you cooperation and should you have any questions.
The Department's address, telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
fiftce �i lal►es>ti>t>tU�os •
600 Washington Street
Boston, Ma. 02111
fax #: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
.FROM :PELLA INSLg2ANCE AGENCY INC FAX NO. :16177870185 Aug.�08 2005�01:19PM Pi /
A�UG�-0h8-ZH05 12 24
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Gater!ood :Homes Intlmm.I,oumy{roNoxuAmvTw
1600 Faimouih Road
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1 ®PF.Opp Rppp/.TION 17'~tlG
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,^��-TB CERTIFICATE OF LIABILITY 114SURANCE
- =009;MMIUCER
United Insurance Age THIS CUMFICATHISISSLE;DASA MA 7TEROFINFORRMATpI
199 Main Street B cy' Inc. ONLTANDCOMTRSNORIGHTSUpONTMECERTIFICATE
P.O. Box 1013 HE CCOV 6�fIGE ATF7aRC®for
3Y THS:L`CIC ® BLOW.
Buzzards Bay, MA 02532
LNSUFiSig AY6iAGE NAIC:
Patton Electric, Inc. EJBURERA=R%mkP.O. Box 1525 weu"atetual Ins. Co.
Mashpaa, MA 02649 NsuRarc:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY RE IN. THN7- 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 or HEREIN (S SU8JECT TO ALL THE TERMS. EXCLUSIONS TE CONDITIONS OF'SUCH' "
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
POUCYNUMSBR POUCYSA/EC71 L, III a N
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CLAIAS MADC 1-=J OCCUR ..__
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WC231S353049014
-
22/10/05
12/10/06
I 100,000
A 500,000
S.LEACH ACCIDENT
El. DISEASE. EA EMPLOYEE
X
SPEGK ROV19Qd5 bob.
S 100,000
E.L. DISEASE-POUCYLWIT
OTHER
Electrical
Catewood Homes
Fax No. 508-778-5603
1600 Falmouth Road
Suite 25
Centerville, MA 02632
WOULD ANT OF THE ABOVE DESCRIBED POUCaSBB CANCELLED EEPORE THE EXPIRATION
DATE THEREOF,THEISEUINO INSURFAWLL ENDEAVOR TO MAIL 10 OAYSWRITTEN
NOTIC ETO THE CCRTMKUITR HOLDER NAMSO TO THE LEFT, BUT FAILURE T&B088 SHALL.
IWO$ ENO OBLIGATION OR LIABILITY OF MY KIND UFO" THE INSURER, ITS MINTS OR '
02/16/2006 16:18 5084204474
EDWARD A GRAZLlL
PAGE 01
ACORD CERTIFICATE OF LIABILITY INSURANCE
02TEi61 06Y)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Edward A. Grazul Insurance Agency, Inc.
NOT ENDDEXTEND
HOLDER, THE COVERAGEAOED VTHE ICELOW
CERTIFICATE DOES
P.O. floz 337
Marstons Mills, MA 02648
IN SURERS AFFORDING COVERAG E
NAIC#
INEUAED
wsuRERa_S�fO_tY�.�-���L1ce Co111pany..:_.......
American Foundation Co.' Inc.
INBUREAS: Savers Property & Casualty
43 Phinney's Lane
uu;LaeR°i
Centerville, MA 02632.
IwuaFaD:
nasuRERE:
THE POT=E-S OFINSURANCE LISTED BELOW HAVE SF_EN ISSULD TO TtiE 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 OEHTIMCATK MAY RE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POI.ICT,4. AGGREGATE LIMITS SHOWN MAY NAVR_ DFCN REDUCED BY PAIO CLAIMS.
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OEECRIPNOH OFOPERATIONSR LOCATIONSI V EHICLESR EXCLUSIONS ADDED BY ENDORSEMENT1 SPECIAL PROVISIONS
I f.l yA a1 a IM.H y:1.10.1 d:
Gatewood Homes
SHOULD ANY OF THE ABOVE DEBCRMEDP0UCM$ RE CAHCELLEDREFORE THE EXPIRATION'
a
1600 Fa Falmouth Road
Fa 111
DATE THEREOF, THE 156UIN0 INSURER WILL ENDEAVOR TO MAJI . DAYS WRITTEN
Ce n t e e t"RA 02632
NOTICE TO THE CERTIFlCATE MOLDER NAMED TO THE LEFT. BUT FAILURE
1
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
FAX* 508-778-5603
REPRESENTATIVSS.
AUTHD ORCFRESENTATIYD
ACORD25(2001108) 0AC RDCORPORATION1988
J
6
ACORD CERTIFICATE OF LIABILITY
INSURANCE
°""`"°°'"'"
1 5 2006
PRODUCER FAX
SeleOt Finaneia] Group
1574 Washington Street
Holliston, !fA 01746
THIS CERTIFICATE IS ISSUED AS A MATTER
ONLY AND CONFERS NO RIGHTS UPON
HOLDER. THIS CERTIFICATE DOES NOT
ALTER THE COVERAGE AFFORDED BY THE
OF INFORMATION
THE CERTIFICATE
AMEND, EXTEND OR
POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAICO
INSURED
FC Carpentry Inc. ed,-L a
625 Normandy Drive
Norwood MA 02062
INSLIRMA;Western World
&SURERR!
INSURER a.
INSURER O.
INSURER E.
CI
TMe POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY
REOUIREMENT. 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 CLAMS.
INSR
LTR
ADOI
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POUCYEFFECTIVE
DATE MM87DIYY
POLIOYppXPFiATION
GATE MWDD
LaUi9
GENERAL LIABILITY.
OCCURRENCE
f 11000,000
R COMMERCULOENERALLIA90.1TY
GE TO RENTED
MSO
I EA awne.ee
f 000
A
CLAIMS MADE aoccuR
NPPIGIS127
12/28/2005
12/20/2006
►1EDEXP ent e.,
! 510,00
PERSONAL S ADV INJURY
! 1,000,000
GENERAL AGGREGATE
! 2.000.000
GENt AGGREGATE LIMIT APPLIES PER:
PRODUCT •COMP1OPAGG
! 1,000,000
X POLICY T LOG
AUTOMOBILE WBaRY
COMBINED SINGLE LAW
ANY AUTO
(EAsukl t)
f.
ALLOWNEOAUTOS
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-
(Pw Per )
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CHOCCURR NCE
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occult GUMS MADE
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!
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s
W COMPENSATIONAND
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!
ANY PROPRIETORIPARTNER/EXECUTNE
OFFICERMEMBER EXCLUDED?
EL DISEASE . FA EMPLOYEE
f
I YeT. d"Cfts Myer
E.L DISEASE -POLICY LIMB I
s
SPECIAL PROVISIONS below
-
OTHER
DESCRIPTION OF °PERATIONEILOCATI°N&WKICI P%YCLUSIONS ADDED BY ENDORSEMENTIBPECIAL PROVISIONS
General liability in provided for the above SDsured ea carpentry - residential not exceeding 3 stories in beisbt
(subject to deductible 3230)
wGST1l.w etc. uw, wow
778-5603
Catewood homes
1600 Falmouth Rd
Suite 25
Centerville, MA 02632
4CORD 25
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 oAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT
FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANT KID UPON THE
Susco/KATHY
OACORD CORPORATION IOU
•••....-+ry.wl.w ^M4 VMP MWW98 SANBwe. 11e.(8110P2745e5
Page t d 2
APR-20-200o THU 10:33 AM R & h INSURANCE FAX NO. 508 991 5461 P. 02/03
I
CERTIFICATE
LIABILITY IV.SI1RANCE
DATE (MMDDYYC-DR
0/20/2D06
'PRODUCER (508)994-9639 FAX (S08)99
FLACSHI:P INSURANCE INC
414 COUNTY STREET
NEW SEDFORD, MA 02740
'
-5461
THIS CERTIFICATE IS ISSUED A8 A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE.CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMIEND, EXTEND OR
ALTER THE COVERAGE AFFORDFD BY THE POLICIES BELOW.
INSURERS AfFORflING COVERAGE
NAiC ?
INSURED Frank Capra
PO Box: 664
West Hyannisport, MA 02672
-
INsuRERA Providence Mutual
15040
INSURER B! oneBeacon
20621
INSURERa
INSURER NY.
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW KIIVESE
ANY REQUIREMENT, TERN) On CONDITION OF ANY CONT
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES
POLICIES. AGGREGATE LIMITS SHOWN MAY HARE BEEN
ISSUED TOTHE INSURED NAMED A80VEFOR TMEPOUCYPER;ODINC.CATEO.NOTWITRSTANDIM
CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
I EOUCED BY PAIOCL4:MS.
--S1e
ITR0=11:
mij
TYPE OF WORANeE
PAAIBER
POLICY EFFECTIVE
POLICY EXPRAATION
UNITS
IMBILTTY
CilPOOS3131
03
12/13/280S
12/13/Z006
LACK OCCURRENCE
; F01-0
X C.CMI�RCLIIDE�P�ILLIIBB.IIY
-
OAMA_ TO RENTED
S. 50.0001
AU JMS WIPE X❑ OCCUR
NED EXP (AV ww pmum)
S 5.00
A
PERSONAL SAOV INJURY
S 1 000,0
GENERALAGGREGATE
S 2,000,0011
DEMAGGREGATELAMT.APKJESPfX
PRODUCTS .COMPIOPAOG
o 2,000,00(
P0WY PRa.
JECT LOC
AUTOMO "UAmUTV
ANY AUTO
CBIE63796
02/14/2005
02/14/2007
COMBINED aLNOLELxA17
(E••w)
' 1,000.0
BODILY INJURY -
(Pw Pff—)
S
B
ALL OWNED AUTOS
X SCMDIREOAUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
BODILY INJURY
(Pw seem)
s
PROPERTYOAMAGE
(For ereide^II
j
oAMOSLUBRIV
AUTO ONLY -EAACCIOENT
S
OTHER TMAN EAACC
AUTOONLY: AGG
S
ANY AUTO
I
EXCESSNMBRELLA LIABILITY
COOS0264 01
22/13/2005
01/13/2006
EACH OCCURRENCE
S 2,000,00c
OCCUR ❑CLAIMS MADE
AGGREGATE
S 2,000 ao
s
A
s
DEDUCTIBLE
S
RETENTION S
WORKENCOMPOUTKIHAND
WOETATU• OTM-
I Nag PR
fLEACHACCft1ENT
S
ELVL OYEWLIMEJT/
ANY PROPRIETORIPARTNERWMECUTNE
Ct-WEASE-£AfMPLOYEE
S
O"CERNEMI)ER 9=L'WeOT
9Y". do,aAi wow
SPECIAL PROVISIONS bolaw
£.L. DISEASE • POLICY LIMIT
S
OTHER
DESCRV'T)ON OF OPERATION$ 11.9CATIO97/VEHICLES/0CLUSIONS
EOBYENDORSEMENTISPECW. PRONBIONE
S_FFTT rICATF HST) /TFIX I CANCFI_L ATInN -
SHOULD ANY OF THE ABOVE DESCRIBED POIU=& $6 CANCELLED BEFORE THS
-
EXPIRATION DAYS THEREOF, THE MUINO INSURER WILL EIIDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
CATER P, 'G"iES, INC.
BUT FAILURE TO MAR SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LDIBXAY
1600 FALMOUTH ROAD, SUITE 25
OF ANY KIND UPON THE INSURER ITS AGENTS OR RE►RESENTATIVE&
AUTHORIZED TATNE
CENTERVILLE, MA 02601
ACORD 28 (200T108) FAX: (508)778-S603 . 1 L � R-R L� 0m4TION 1888
Client#• 18434
2ASSURANCECO
CORD-. CERTIFICATE OF LIABILITY INSURANCE
oDi161 s°�""")
PRODUCER
Dowling & O'Neil Insurance
Agency
9 y
222 West Main St. PO Box 1990
Hyannis, MA 02601
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED -
Assurance Construction, Inc.
A/0 Assurance Excavation, Inc.
550 Willow Street
West Yarmouth, MA 02673
INSURER A: St Paul Travelers Insurance Company
INSURER B:
INSURER C:
INSURER D:
INSURERS
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.
INSR
LTR
DDdPDATE(MM%DDIYYEOLII
NSR
TYPE OF INSURANCE
POLICY NUMBER
PDATY MIDDTION
LIMITS
A
GENERAL LIABILITY
16808387A9841ND05
08/01/05
08/01/06
EACH OCCURRENCE
E7000000
DAMAGE TO RENTED
E300 000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one pion)
$5; 000
CLAIMS MADE O OCCUR
PERSONAL & ADV INJURY
$1 OOO D00
GENERAL AGGREGATE
s2,000,000
GEML AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGO
$2000000
POLICY JEC- - LOC
AUTOMOBILE LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Ea accident) -
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
-
PROPERTY DAMAGE
(Per accident)
$
GARAGELIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
t
ANY AUTO
$
AUTO ONLY: AGO
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
E
RETENTION $
WC OTH-
WORKERS COMPENSATION AND
TORY MATT
E.L. EACH ACCIDENT
$
EMPLOYERS' LIABIUMY
ANY PROPRIETORIPARTNERIEXECUTE N
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMB
$
If yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS - -
Operations performed by the named insured subject to policy conditions
and exclusions.
Gatewood Homes, Inc.
1600 Falmouth Road, Suite 25
Centerville, MA 02632
• ^�Mm no innnA mn%
LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 n DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
—a.? C. G
r c. ra ACORn CORPORATION 1988
r r vc >n,• •v
A60P CERTIFICATE OF LIABILITY INSURANCE
12120/ 05
PRODUCER
PANTANO INSURANCE AGENCY, INC
220 BROADWAY, SUITE 202
LYNNFIELD, MA 01940
781-581-3100
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED CENTURY PAINTING & DRYWALL INC.
P: O: BOX 2903 1,
HYANNIS, MA 02601
-.'
INSURERA: COMMERCE
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
MR
irn
WORD
N RAMC
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE OCCUR
POLICY NUMBER
PENDING
POLICY EFFECTIVE
DATE MM/DD
12/17/05
POLICYEXPIRATION
DATE(MMA)DfM
-
12/17/06
LIMITS
EACH OCCURRENCE
f , O O / O O
PREMISES 'Ea ocarence
E 1, O O O, 000
MEOrXP(Arlyoneperson)
E5/ OO
PERSONAL& ADV INJURY
$1, 000, 000
GENERAL AGGREGATE
E 2/ 0 0 0, 000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OPAGG
E 1, O O O, 000
POLICY E TEl LOC
AUTOMOBILELIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Ea accident)
E
BODILYINJURY
(Per person) .._.
E-
ALLOWNEDAUTOS -
SCHEDULED AUTOS
BODILYINJURY
(Peracddent)
E
HIRED AUTOS -
NONJ)WNEDAUTOS
PROPERTY DAMAGE
(Peracddent)
E '
-
GARAGE LIABILITY
AUTO ONLY- FAACCIDENT
E
OTHER THAN EAACC
E
ANYAUTO
E
AUTOONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
E
AGGREGATE
E
OCCUR CLAIMSMADE
E
E
DEDUCTIBLE
E
RETENTION E
WCSTATU- OTH-
WORKERSCOMPENSATONAND
-
R IM R
E.L. EACH ACCIDENT
S
EMPLOYERS' LIABILITY
ANY wRwraclmva
orFnERflAaSEE EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
E
E.L. DISEASE -POLICY LIMIT
E
Ryes,deamrbewder
SPECIAL PROVISIONS below
I
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
rCDTIVIr ATc UnI nl:D CANCFLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
GATERWOOD HOMES
DATE THEREOF, THE ISSUING IN URER WILL ENDEAVOR TO MAIL _ DAYS WRITTEN
1600 FALMOUT H ROAD �L a 25
NOTICE TO THE CERTIFI ATE H ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL
CENTERV ILLE, MA 02 632
IMPOSE NO OBLIGATIO OR LI ILITY OF ANY KI D UPON THE INSURER ITS AGENTS OR
REPRESENTATNE1
AUTHORDED REPRES
THE
ACORD 25(2001/08) V AGUKU cUKFUKA I IUN T WOU
TOWN OF YARMOUTH
1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664.4451
Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
BUILDING
ELECTRICAL
GAS
PLUMBING
SIGNS
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at 1 gL) e5t�.�tDL/
Work A ess r
is to be disposed of at the following location: 0y-
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Applicant Date
Permit No.
BOARD OF.,
BUILDING -REGULATIONS
License, ,CONSTRUC11ON
SUPERVISOR:
Number -re
x
ClZ4Za .
,'�-�
- BittUirTai�=�36t�1h94�
tx7ggrrez 6tUM006
RestrFEEEd�
Tr. no: 25826.
GRAN!€ G. CAPRA% =
40'COP, PERLk
CEUTEMMLE, MA 0Z63£
;�:
=
-
-
commissioner
a
00 - 35;000 ct endosed space
(MGL C.M-S:EOE)
IA - Masopry only
?
TGA &Z Fain lj Homes
Failure Iopossessa+c ment edition of the
..I
:MassadwsettT-S Buldng Code
'
is-camefor•revocati000FtiisGcense.
DIG SAFE:CRLL.CENTER:
(888) 344-7233
�r�Uf[� 1219@1E0WE D
Jt- Y?k TOWN OF YARMOUTH
' ' o MAY b 2 2006
HEALTH DEPARTMENT
TH DEPT.
"'-•_�`'' PERMIT APPLICATION SIGN OFF TRANSMITTAL
To be completed by Applicant:
Building Site Location: /ZZ 3Tzc2-T Map No.: Lot No.: 35
Proposed Improvement: g GAe7— 3y el) ►Rao,. S
Applicant: f,P.9/Y/l 1!5; /I' X G412F-k✓vv0 A614e1'7&-5 Tel. No.: 77&F' �iw
Address:/.�6d f c�ovrH Oj9 Date Filed:
**Ifyou would like e-mail notification ofsign off, please provide e-mail address:
Owner Name:04u9C-&3 A,— 6fln0
Owner Address: eV �,&M110 IoWTtW/ZI-t= -IfIWO 3Z Owner Tel. No.: 77;K
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit four (4) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note. Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: 4 o��w"6ol DATE:
PLEASE NOTE
. ,✓lr,e�N�G-Nr3
SobZ7o0-7
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 / CA Al f6 ST- Map #: Lot #:
Proposed Improvement:
Applicant: Vl«^c-&S ^-r-CAAAP 57—
/�00 l=��rno�rh KD
Address:'<:�---wrc--e vl-,-t MA ozb 3Z Tel. #: sc,7 778-946) Date Fled:
RESIDENTIAL AND I 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,,groperty Protection; i.e. Smoke Detectors, Sprinkler Systems, Etc...
,.VA - ' ..-
PLEASE NOTE:
COMMENTS:
Signature Of Applicant Date:
OF �TOWN OF YARMOUTH
Building Department
_ x Town Hall
Yarmouth, MA 02664
(508) 398-2231 ext.261
BBUILDING PERMIT
TRANSMITTAL
Temp Permit No.: T-06-468
Applicant Name: Frank Capra
Applicant Phone:
Building Location:
Owner's Name:
Owner's Addres
Owner's Telephone:
5087789669
00121 CAMP ST Unit 85
Villages @ Camp Street, LLC . .
1600 Falmouth Road # 25
Centerville MA 02632
(508)778-9669
REVIEWED BY:
1. WATER DEPARTMENT:
2. ENGINEERING DEPARTMENT:
3. CONSERVATION:
4. HEALTH DEPARTMENT:
5. BUILDING DEPARTMENT:
6. FIRE DEPARTMENT:
COMMENTS:
RECEIPT OF COPY:
(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
PLEASE NOTE
SIGNATURE OF APPLICANT:
Comments: Map/Lot: 044.21.1.0
new construction:
ZONING APPROVED _
DATE:
N/A:
DATE:
N/A:
DATE:
N/A:
DATE:
N/A:
DATE:
N/A:
DATE:
N/A:
DATE:
Date Printed: 5/8/2006
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 1.
DATE OF PLANS: 04/21/04
TITLE: The Egret 0-4 �f(j
PROJECT INFORMATION:
Mill Pond village
121 Camp Street
Yarmouth, MA 02673
COMPANY INFORMATION:
Northside Design ASSOC.
141 Main Street
Yarmouth Port, MA. 02675
COMPLIANCE: PASSES
Permit #
checked by/Date
Required UA = 216
Your Home = 123
Area or Cavity Cont.
Glazing/Door
Perimeter R-Value R-Value
U-Value
UA
-----------------------------------------------------------------------------
CEILINGS 832 30.0 30.0
14
WALLS: wood Frame, 16" O.C. 1409 15.0 15.0
62
GLAZING: windows or Doors 87
0.340
30
GLAZING: windows or Doors 40
0.340
14
DOORS 40
0.086
3
-----------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described
here is
consistent with the building plans, specifications,.and other
calculations
submitted with the permit application. The proposed building
has been
designed to meet the requirements of the Massachusetts Energy
Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable standard Design Conditions found
in the Code. The HvAC equipment selected to heat or cool the
building
shall be no greater than 125% of the design load as specified
in
Sections 780CMR 1310 and 34.4.
Builder/Designer,
REC21VPIE"
MAY 0 5 2006
Massachusetts Energy Code
MAscheck software version 2.01 Release 2
The Egret
DATE: 4-21-2004
Bldg.
Dept.
use
I
[]
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.
I DUCT INSULATION:
[ ] I Ducts shall be insulated per Table 74.4.7.1.
DUCT CONSTRUCTION:
[ ] I All accessible joints, seams, and connections of supply and return
ductwork located outside conditioned space, including stud bays or
I joist cavities/spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the
manufacturer's installation instructions. Mesh tape may be
I 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:
[ ] I 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:
[ ] I Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in Sections 78004R 1310 and 34.4.
SWIMMING POOLS:
[ ] I All heated swimming pools must have an on/off heater switch and
require a cover unless over 20% of the heating energy is from
I non-depletable sources. Pool pumps require a time clock.
HVAC PIPING INSULATION:
[ ] I HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in.):
I PIPE SIZES (in.)
I 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:
[ ] I Insulate circulating hot water pipes to the following levels (in.):
I
PIPE SIZES (in.)
I NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
I 170-180 0.5 I 1.0 1.5 2.0
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)
MPD4540 MPD4035
Standard Features
• 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
Options
• Choice of standing pilot (works in a
(iower failure) or pilotless electronic
ntermittent) 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)
Merit Plus Series direct -vent gas fire aces utilize either
.-cure Vent (rigid) or Secure Flex iflexi lle 4.5"
er/7.5" outer coaxial venting system, and include a
year limited warranty.
Note: Due to Lennox' ongoing cotntnitment to quality,
specifications, ratings and dimensions are subject to
nge without notice.
Local conditions, such as elevation, wind vent configu-
on and choice of fuel will affect the overall appearance
he fire.
Warnock Hersey (j20006711) Warnock Hersey
W
C US
The first two model number digits
indicate frame width, the last two digits
indicate glass width.
All are A.EU.E.-rated high efficiency
vented gas fireplace heaters, certified
under ANSI Z21.88 and CSA 2.33-M99.
MPD3530 MPD3328
DIMENSIONS (Rear vent model shown)
3328 MODELS (This model comes as a top or rear vent only)
—I
17 A C B B �a
i\�4-'112'61
7.1 n�
Front Face
35,40 & 45 MODELS
Top
(These models come with a top and rear vent)
Right Side
_3- �181'.�Irr
31,
i
A C B
D + 1�
F
gel - E1111tw
n" �'
7-tn� atrr 3
I,I
Front Face Top �t �Right Side
FIREPLACE & FRAMING DIMENSIONS
3328 331/9 301/8 17 273t 331/8 195/8 211/2 103/4 33t/4 33Y4 13
3530
351/s
321/8
19
29i2
35118 2111A6 24%s
12%m
35%
35/4
16
40M
401/8
371/8
24
341t
401/8 2611A6 29%i
14%
40N
40%
16
4540
401/8
371/s
24
391f2
451/8 2611A6 34%8
17%16
451/4
40%
16
EE ®®
3328T NG 17,500
45
,
64
62
_3328T LP 17,500
49
66
64
3328R NG 17,500
53
63
61
332SR LP 17,500
55
66
64
3530 NG 20,000
53
64
62
3530 LP 20,000
SS
62
60
4035. NG 27,000
59
69
67
R CECE E;v4T*o
4540
MAY 0 5
or-
LP 27,000 60 69 67
VG 29,000 S9 69 67
LP 29,000 59 69 67
pt ignition systems
Look for the EnerOuide
' GRR Fironlaca Fne.mr
TYPICAL ROOM
APPLICATIONS
VERTICAL
MPD3328 MPD3530 MPD4035
33" fireplace w/opt, flush face 35" fireplace w/brushed stainless 40" fireplace w/polished brass 4
louver and door trim trim arch door kit
Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series
direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or
rear venting (except. our 33" units which have either a top or rear outlet). Standard features include a deluxe
pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera-
tion. And, these models are even easier to warm to when you select one of our optional remote controls, or
l-m n)+- 0GO-3
• PRODUCT SPECIFICATIONS
GMS9/GCS9 SERIES
93% AFUE
Multi -Position,
Single - S tage/Multi- S p e e d
Gas Furnace
Heating Capacity:
46,000-115,000 BTUH
W111[IW1�1 �1 umiTto
�,�.N�niyf�wAN4f0...v WARRNN TY
T
ms_m
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 flue/vent 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
(1-pipe) applications
•I0I0111t0
Air Conditioning & Heating
The GMS9/GCS9 single -stage,
multi -speed gas furnaces offer
installation 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 (LPLP 1
• High Altitude Natural GaS/L.E t
HANG12, HALP10)
• High Altitude Pressure Switch Ki
• External Filter Rack (EFROI)
• Horizontal Concentric Vent Kit
• Vertical Concentric Vent Kit (VC
• Internal Filter Retention Kit—upflow,
(RF000180)
• Internal Filter Retention
`"�J
Kit--downflow �
(RF000181)
• Thermostats Blower Motors
(CHT18-60, CH70TG,
CHSATG, H20TWR)
E
s G11
MAY G'5;��
( S27)
BUILDING DEPT.
SS-377D ww .goodmanmfgxom 6/04
LOT 79
LOT 80
LOT 86 _ S75s.'�s
;29"E
s��
NOTE:
SEWER LATERAL SHALL BE
SLEEVED IN ACCORDANCE
WITH TITLE V IF WITHIN
10FT. OF WATER MAIN.
SCALE:
WORK MUST
GRAPHIC SGV@AND
( IN FEET )
1 inch = 20 ft
PLOT PLAN
OF LOT 85
PREPARED FOR
MILL POND VILLAGE
IN
YARMOUTH, MA
1"=20' DATE: 3—
LOT 81
y4 S�S680�08a
39
T� i_2TICF�
DATE!nl= and u^t;i cuch time as the original (red) stamp of tr
re=pan s;bla Pr:�fassfinan< Professionol Land Surye}nr
appears cn thia p!nn;
(A) nu pa;=:n or parson e, in.Lcling nny muni.,ipel er other
raly a v;n '..F= iWormaHnn ccntninad h=r, n; . -L i
(0)0
t"ia � -:: r�.moins t; a p.r,porty of hlolmea :• Wa:ro ih. I.
holmes and mcgrath, inc.
civil engineers and land surveyors
362 gifford street
falmouth, ma. 02540
JOB NO: 201197 DRAWN: LMC
DWG. NO.: A2553 CHECKED:yj4
c
TIMOTHYM. �=
o SANTOS
c' No. 45078
CIVIL
9PG/STFE�
EF`r
�PA S<7NAL
LOT 79
LOT 80
1.2o��
77
S�s'29"E
LOT 86 ss•97� .
LOT 85
w 5,029t S.F. o
w
6.3 12�
E D .31
y ;W rn
4.5 w
0 j 0' �DO�SE D
p Rfr
ap �, OW 250 Aa
14
145 L.F.
Z
NOTE:
EM'SEWER LATERAL SHALL BE
SLEEVED IN ACCORDANCE WORK MUST
WITH TITLE V IF WITHIN BYLAWS AND
1OFT. OF WATER MAIN. p
GRAPHIC SC
( 1N FEl f )
1 inch = 20 M
DEPT
REC� i i�
MAY �5 2006 1
T 81
4.S1= V L 08"
39
LOT qf�
7 p(E@IEaw1Ep
r MAY 0 2 2006
HEALTH DEPT.
y
r+o�rtc_ r
UnL••�s and unfii auch tirne os the c,"ginal (red) Stomp of t;�e
re..=.puns bla Prnfassi::not engineer, r.✓ Professional land suremr
,pp —,A cii this plan:
(A) no pr. u, �r p r rq3 mcld,.�.ng any mum !pcl or r
pubi- rf,:ii s, mm re!y open h inf,rmnt:on eontn,ned
,.,, t;,e pro rty of Holms3 3. 6!eGrath,
(Ej) thia plar: r nns pe
PLOT PLAN holmes and mcgrath, inc.
OF LOT 85 civil engineers and land surveyors
PREPARED FOR 362 gifford street
MILL POND VILLAGE Falmouth, ma. 02540
IN
YARMOUTH, MA JOB NO: 201197 DRAWN: LMC
SCALE: 1"=20' DATE: 3-24-051 DWG. NO.: A2553 CHECKED: m>
•:S`t 0C n,aT
nrforHvr,n. •-
clvl�
G
TOWN OF YARMOUTH
wrr K.5"
AT: Location 45*1,11
•
APPLICATION FOR PERMIT TO DO GASFITTING
Fee:
PERMIT
New ❑ Renovation ❑ Replacement ❑
Plans Submitted Yes ❑ No ❑
(OFFICE USE ONLY)
�0 /—
Date !/
Owner's
Name
Type of Occupancy l
:...........■■:■■■■■■.
MEMO
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■■■■■■■■■
■MEMO
■■■■■
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MONO
INT OR TY E)
1Installing Company Name
1 ►Address
,f Check One:
❑ Corp.
❑ Pa ship
Firm/Company
U
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Name of Licensed Plumber or Gasfitter
INSURANCE COVERAGE: Check
I have a current liability insurance policy or its substantial equivalent. Yes No ❑
If you have checked yes, please indicate the type of 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 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement. k O
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted
(or entered) In above application are true and accurate to the best of
my knowledge and that all plumbing work and Installations performed
under Permit Issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
Chec ne.
Owner ❑ Agent ❑
Signature of Lic nsed
Plumber or Gasfitter
License Number
TYPE LICENSE -
Plumber Gasfitter Journeyman
OF k
so.
3+ q�o-4 TOWN OF YARMOUTH
x
Y11T�CNEEEE E C I V E D
RCM E
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46).
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BUILDING
Buil�By:
'L
AT: Locati n i
APPLICATION FOR PERMIT TO DO PLUMBING ;
(OFFICE USE ONLY)
By.
Fee:
PERMIT NO. V —y(e2 —
Owner's O
Name
Type of Occupancy
New ❑ Renovation ❑ Replacement ❑
Plans Submitted Yes ❑ No ❑
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2ND FLOOR
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(PRINTO TYPE)
Installing Company Name
Check One:
❑ Corp.
Address
MID'
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Business Telephone � % 7 7 �/vame of Licensed Plumber ref
INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑
If you have checked YES, please indicate the type of coverage by 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 142 of
the Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted
(or entered) in above application are true and accurate to the best of
my knowledge and that all plumbing work and installations performed
under Permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and
Chapter 142 of the General Laws.
Check on Owney Agent ❑
Signature of UcE646d I
Plumber
ZSZ5 7
License Number
Type: Master❑ Journeyman