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HomeMy WebLinkAbout121 Camp St #089 Building Permitsof r TOWN OF YARMOUTHw-Builciing Department BUILDING • (508) 398-2231 ext261 s PERMIT NO .• ----- ----- PERMIT ISSUE DATE ; • 5/26/2006 • ; PROPOSED USE APPLICANT _Frank Capra - - JOB WEATHER CARD •-•- •- -- PERMIT TO 'New Construction AT (LOCATION) 100121CAMP ST Unit 89 ZONING DISTRICT= Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C89 LOT SIZE BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 new construction - Affordable: 1 bath, 2 bedrooms, 1 kitchen/diningroom, 1 livingroom as per plans dated REMARKS 05/16/06. AREA (SQ FT) EST COST ($ $89,856.00 PERMIT FEE ($) $0.00 OWNER Villages ® Camp Street, LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road # 25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 5087789669 FIELD COPY Date Note Progress - Corrections and Remark Inspector r a /f iD-3/-oG O' 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 Only Planning Board tnformabon Assessors Department lnformaGon 1 Permit No 1��D ate an Type Map for htap a : ;;ot; ry Permit Feb' $ EndorsemerrtDate r ward. e,rNew { DepOSIt FieC'CI<'�-� Date 1 4 Qroperty Dimehsions Net Due $ 1 Other Lot Areas - FroMa e ft LoYCovera e his Section for Otfice.i7§e.Onl Buildm r� Certificate of Occupancy Sire gnatu x z no = r - is not -required _ Bui ding Official ,, „ , Section-1 ,,5ite lnformafian ;' Use Group: R 4 Type: 5-B 1.11 Property Address: 1.2 Zoning Information: 4 FF-pe zwal-L Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Require Provided Z S- 1.4 Water Supply (M.G.L e. 40. S 54) 1.5 FloodZone I rmation 1' Comments e � Public Private -Zone BFE " 3 Section 2 =Property,Ownership/Authorized Agent' 2.1 Owner of Record: L s .4 ✓1-s Y'ae�`' LC / /3— ti16v� tJ Name (print) Mailing Addresr 1,-Ik O Z G Z Signature Telephone 2.2 Authorized Agent: OName LMAY (print) Mailing AddressU2U1NG D Signature Telephone Fax Section 3 = Construction Services_ 3.1 Licensed Construction Supervisor. Not Applicable ❑ fn ` h �Z ������i/'• /�� ,y jJ /( License Number l �•� ��/ /l /•� Addre 779 - d (a �(� Expiration Date /t� Sigfiature - Telephone 3.2 Registered Homelmprovement: Contractor:- Company Name Not Applicable License Number Address Expiration Date Signature Telephone A �� 9-15-99 1 of 2 OVER Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of issuance of the building permit. Signed Affidavit Attached Yes ..:.lam No .......... 5O, l6 1,Se `Description of Pfoposed,Work'(checkaflappilcab1c)' New ConstructlonX Existing Bldg. ❑ IRepair(s) I No. of Bedrooms No. of Bathrooms ❑ Alterations ❑ I Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: P fY: Brief Description of Proposed Work: ` G 0's✓ S Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) pp 5. Fire Protection 6.Total=(1 +2+3+4+5) ©� 7. Total Square Ft. (new houses & additions) IM Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) , as owner of the subject property hereby authorize G4 %`�I trDiun� S%�j1r �.� rl�' to act on my behalf, in all m la ' e to work authorized by this building permit application. �412,o� Signature &f 6wn r Date , 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 C/ Signature of ner/ ent Date 9- 15-99 2 of 2 °fYA� TOWN OF YARMOUTH 'r 0 N...�„.�y BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: 1 _ Job Location: �� I Cliy1 Q Je-C� r10 � Number , Street illage Owner of Property: — V��S AT— / (ten p �-2� , Lc Construction Supervisor: Address: b b O Licensed Designee: (If other than Supervisor) Name Name rA.- 0t^A(___A P, d 2.15 Responsibility of each license holder: DID License No. License No. Phone No. d 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 any other section of these. rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy @11-� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIYER: I am aware that the licensee does not have the insurance coverage required by Chapter 152 oft ' eral Laws, and that my signature on this permit application waives this requirement. /Q� Check one: Signature of Owner or Owner's Agent Owner BOO' Agent ❑ Signature: Building Official Approval: The Commonwealth of Massachusetts Department of Industrial Accidents 1INCOallmsdlpstlsss 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit Annlicant information locatlnT /'Z1 G/A-�r7 I am a homeowner performing all work myself. lam a sole proprietor =r.J ha%e no one norkinc in any capacity I am-an.employer pro%iding workers' compensation for my employees working on this job. comnany name, tlddreir city ohone+t insurance co. policy of I am a sole proprietor. the.followina workers C comoanv name* general contractor. or homeowner (circle one) and have hired the contactors listed below «ho ha%e compensation o[ices: Failure insecure coverage as required under Section 25A of MGL 152 can lad to the imposition of criminal penalties of a fine up to SI M.00 sad/or one rears' imprisonment is well as civil penalties in the form of a STOP WORK ORDER and a line of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do herehy cerrifj• under the pains aannd penalties of perjury that the information provided above is trite and correct Signature / "/ Pate Print name ofricial use only do not %rite in this area to be completed by city or town official city or town: YARMODT$ _ permittlicense 0 riBuilding Department ❑Licensing Board Q check if immediate response is required 261 OSelectmen's Once pHcalth Department contact person: phone#: _ (508) 398-2231 eat. nOther. Information and Instructions Massachusetts General l_av s chapter 152 section 25•requires all emplovers to provide workers' compensation for their. entpIo%ees. As quoted from the " law". an employee is defined as every person in the service of another under am• contract of hire, express or implied, oral or written. An errrplt{rer is defined asan indi%idual, partnership, association, corporation or other legal entity, or any tw-o or more of the fore_oin_ enuaged in a joint enterprise. and including the legal representatives of a deceased employer, or the receiver or trustee of an indiv iduaI I. partnership: association or other legal entity, employing employees. However the owner of a dwelling house having 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 to be an emplo jer. %IGL chapter 15_ section =5 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. Additionalh. neither the commom"ealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha%e been presented to the contracting authorit%. Applic.:nts Please fill in the workers' compensation affidavit completely. by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits mav 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 the Department by mail or FAX unless other arrangements have been made. . The Office 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 hidustrial Accidents PHU of leirestiva dels 600 Washington Street .Boston. Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 FRAM :PELLA INSURANCE AGENCY INC FAX NO. :16177870185 Aug.�08 2005 01:19P1 Pi 9M-08-2005 12:24 F.I.PATN01 1NS.AGY " ---- 2 21--1 V/ fig.-�p7iFrtATE t8 )Y6�80 as A MATTER Oo INFOIiMAS10N • e�urr iNsur� ACQ :C�fi�1PIGATE OF i lA ND RIGNTq- upON •TNE- UMIMMS =.OrnxEA - _ _ INC,NLY AND CONPrws pNOLDF3t. T14S CEH E �FOppEU AYTTNEEPOUCI ND 6Et OQW At:TEt► PELI.A. 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I18URERA Zurich NA NAIC0 p.0. Box 1525 Maohpae, MA 02649 Y+BURER . Libar Mutual Inc. Co. INSURER C: INSURER 0• �OV BTAG� +NEURER E. THE POLICIES OF INSURAN ANY REQUIREMENT- TERM OR C CE LISTED EELOW NAYS BEEN ISSUED TO T . INSURED NAMED P ONDITION OF ANY CONTRA ABOVE FOR THE MAY ERTAIN, THE INSURANCE AFFORDED CTOR OTHER DOCUMENT YYITH R "'� 7 VtKIUU INDICATED, NOTWITHSTANDING 0 ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT POLICIES. AGGREGATE LIMTIS SHOWN ALL TERTHIS BE ISSUED �• �� MAY HAVE BEEN REDUCED BY PAID CLAIMS. TO TIE, LUSnONS ANY OR D CONDITIONS OF -SUCK,' ' POLICYNUNBER POLICY SIP PEC TI GENERAL LIABILITY - /OL) BIP ATOM 1 A X COMMERCIAL GENERAL LIABILITY 8CP4241$399 7/30/05 7CLASMADE Lone EACH OCCURRENCE f 7/30/06 1 000 000 Mix PREMISBeE.a¢uAnpA f 300 000 MID E1fP (A^Far..." S 10,000 _`- PERSONALEADVWA)AV A 1 ODD 0 0 GEN'L ACCAECATC LMAAPPLR.'S PER: GENERAL AGORECATC A 2,y900•Qnn X POLICY Eta LOC FROOUCTS•COMPIOPAGG E 2 000 000 AUTOLLOBILELIABR,IFY ANYAUTO COMBINCDSWOLEUMIT IEa ornery f ALL OWvm AUTOS SCHEDULED AUTOS BOOILYWIURY f {Par PI HCi40 AUTpg NON-ONNEO AUTOS (P� IP YY INJURY f .•--...-�-��- PROPERTYDAMAGE I (PM AW-IW J QARA YAUTO AUTO ANNY AUTO ONLY, EA ACC CENT f OTRER 7MW EAACC f AU700NLY; AOO t EXCESWUMBRELLA LIABILITY EACH OCCURRENCE f OCCUR CLAMS MADE AGGREGATE S OEOUCTOIE f �••-- "" ' f RMENTION f f W01INCRSCOMPENEAS"AND ATV• OTH H EMPLOYERS' LMwLm WC231S353049014 12/10/05 12/10/06 ANY PROIRIETORIPAR TNERIELECUT116 eLEAeHACeN7ENr f 100,000 �O�FFICSRWMBER EXCLUDED? - LPIALPROWSCX FA EMPLOYEE f 500,000 RELOiSEwSE. SNSI*bv E.L DISEASE• POLICY LIMIT = 100,000 OTWR b®ORV TgNOf OPIRATNNJE / IODATIONS /VENDEE! / EXCLVBIONf AODm BT ENOdEEMENT / 61'ECIAL PR WI>•O NO Electrical Cateuood Homes Fax No. 508-778-5603 1600 Falmouth Road Suite 25 Centerville. MA 02632 SROULDANY OF THE ABOVE DESCRIBED POLICRSBECAMCCLLCD MEFORE TIM EIIPIRATgw DATE THEREOF. THE IASUWO INENDEAVOR TO MAIL lO DAYS WRR TEN NOTIC ETO THE CCRTMICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TODPfEO SMALL.... IMPOSE NOOBLIWTION OR LIABILITY OF ANY KIND UPON THE W SURER. ITS AOENTS OR 0 ACORD CORPORATION 1968 02/16/2006 16:18 5084204474 , EDWARD A GRAZL!_ PAGE 01 , ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOry 02 26 06 PAOOIJCEA Edward A. G.razul Insurance Agency, Inc. P.O. SOX 337 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. Marstons Mills, MA 02648 INSURERS AFFORDING COVERAGE NAIC# INSUAEO American Foundation Co., Inc. g4SURCRA:.-&&eiy_.InatjLance_Coinpan INSORCRI%_Savers_Property & Casua,Ey . 43 Phinney's Lane WrUAEA C: Centerville, MA 02632 INSURER0 INSURERc U"VIt HAC,ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRiZMENT, YtRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNIM' WITH RESPECT TO WHICH THIS CEHTIFICATE MAY SE ($SUED ON MAY PF_RTAIN, THE INSURANCE AFFORDED RV THE. POLICIES DESCRIBED HEREIN IS SUE IECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POI. (CIF,. AGGREGATE LIMITS SHOWN MAY HAY#_ BEEN REDUCED BY PAID CLAIMS. wGR'�Aq0' I POLICY EFFECTIVE POLICYEXPMATION LT, 1n A S.{lAANCE I POLICY NUMBER ,y�DjLT • D DA M D LIMBS ' GENERAL LIAOILITY I ` EACHOCCURKNOF, E i I X I CCMUCACIAI.OENER`ALgLW31LITY tXwAG[NTED TS'RE-... ._ ... ....1 d. FRENIISESjF�accu¢rcrl_.„-, -„--_ J.!?�•„ , CLAIMS MADE 1• OCCUR, I °R.' MCOCXP(M"epIlnl i 10., 000:, •PEnsONALLAOYINJURY A I $P 00006134 10/05/05 10/05/06 _ . _ ......... s_ 1,Q00,_000,. i ' I GCNCMLAGGHEGATC S Z,TQGg3 GEN'1• ACQFIE..OAT.E LIMIT APPLIES PER:; _ PRODUCTS•COMPIOPACG S 2,000,000. Pbucr PAD• LOCI AUTOMOBILE LIABILITY I COMMeD SINGLE LIMIT IS 1 ANY AUTO I (ES uUDMI) ( ALLOWNFDAUTOS ! BODILY INJURY ' S . KNEUULEO AUTOS (Prn 4Aro17) MRCO AUTOS BODILY INJURY S NON-OWNEG aUf05 IPet QC1V ... : ' '•- - PROPERTY OPMAGE , 5 (P41 AG:T4MLI GARAGE LIABRBV ( AUTO ONLY -EA ACCIDENT S i . I ANY AUTO OTHEER THAN E`A.. ACC S ..._ ..._.- I i At1TOONLY: AC O. } EXCESSAlMORELLAIJABBJTV ' EACH OCCUnAENCE S 1 (H%'VR CLAIMS MAOF AO0RFSATP fi . F DEDUCTRLE L�_._._.......... RETENTION } WORKERSCOMPENSATION AND IWC STATU• OTII- rgRXQM!TS.L_ EMPLOYER ;'LIABILITY ANY PPOPRIFTUMPAR7NER+E%CCUTNE • r— .EO.........._..... CI EACH ACCIDENT .._ S g OFFI MIWMSER EXCLUDED? WC 0001630 04/01/05 04/01/06 E.L DI_.EASE•f.A FMPI.QYF..F_ S II yy°L. ' ML PR SPECIAL PROVISIOlYj (p1Pw :P.O.. OISCA.aE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS I V EHICLES/ EXCLUSIONS ADDED OY ENDOASEMENT ISPECIAL PROVISIONS Gatewood Homes 1600 Falmouth Road', Centerville, MA 02632 FAX# 508-778-5603 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELtCO McFORC THE EXPIRATION' DATE THEREOF, THE 11161.11040 INSURER WILL ENDEAVOR TO MAIL „--_- DAYS WRRT4N NOTICE TO THE CERTIFICATC MOLDER NAMEO TO THE LEFT. BUT FAILURE NO OBIJOATION OR LIABILITY OF ANY KIND UPON THE WSUAER, ITS AGENTS OR I AUTHOTiXEO REPRESENTATIVE— 1 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 5 2006 PRODUCER FAX select Financial Group 1574 Washington Street - HollistonMA 01746 THIS CERTIFICATE IS ISSUED AS A MATTER HOLDERNTHIS CEERTIFICATERDO SS NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE OF INFORMATION CERTIFICATE OR POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC#' INSURED FC Carpentry Inc. 625 Normandy Drive Norwood 16A 02062 WSURERkWestern World INSURER a: NSUPERG: INSURER O: INSURER E' COVERAGES The POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RECUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADO INSRD TYPE OF MSVRAN09 POLICY NUMBER POLICY EFFECTIVE DATE MMRIDIYY POLICY EXPIRATION DATE MMIDD LIMITS GENERAL LIABILITY . EACH DCCURREn¢E B 1/000/000 7L COMMERCML OENERAL LIA9XITY CIAIMSMADE Fx-�OCCW, NPPIDIS127 12/28/2005 - 12/29/2006 GE TO RENTED PREMISES Ea sRVrreeee f 50, 000 MmExP enr ee f 5,"a PERSONAL &ADVINJURY S 1,000,000 GENERAI.AGGREGATE S 2.000.000 PRODUCTS. Complor AGG S 2,000,000 GFN'L AGGREGATE LIMB APPLIES PER: x I POLICY M T 71 Loe ' AUTOMOBILE L" LrrY ANY AUTO _ CONIVINED SINGLE LMIT (so AecMeet) f BODILY INJURY (Pw Pvton) S ALL OWNED AUTOS SCNEOULEDAUTOS BODILY INJURY (PM mcidwtl S MIRE° AUTOS NON4WNED AUTOS PROPERTYDAMAGE (For eeekenl S GARAGE LIABILITY AUTO ONLY• EA ACCIDENT f OTHER THAN EA A G S ANY AUTO AVTOONLY: ADO I EXCESSNMBREUA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE 3 AGGREGATE S f F DEDUCTIBLE f RETENTION S WORMERS COMPENSATION AND EMPLOYERS' LIABILITY �N 14- R E.1- EACH ACCIDENT f ANY PROPRIETOR/PARTNERJEXECUTNE OFFICERMEMBER EXCLLIDEDi - E.L DISEASE • EA EAPLDYEE f R m. de,c * urMa E.LDISEASE• POLICY"LonT I SPECIAL PROVISIONS belm OTHER DESCRIPTION OF OMRATIONS&OCATIONMeNCLFSAXCLUSIONS ADDED BY ENDORSEMENTI6PECIAL /RWISIONS Coastal liability is Provided for the above insured as caryentzy - residential not exceeding 3 stories is height (subject to deductible 0250) 778-5603 Gatewood Homes 1600 Falmouth Rd Suite 25 Centerville, IBA 02632 imm.m(0100).00 AMS SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAD. 10 DABS wRfT)EN NOTICE TO THE CERTIFICATE HOLDER MANE° TO THE LEFT, SLIT FALURE TO 00 90 SHALL IMPOSE NO OBLCATION OR LIABILITY OF ANY RIND UPON THE SUsco/KATHY VMP MMlgege SeNllen, he (000p274W5 TOM Pegs I of 2 APR-20-2008 THU 10:33 AM R & & INSURANCE FAX NO. 508 991 5461 P. 02/03 J��I CER i WICA � r UABILITY INSURANCr. 04/20/D° 6' PRODUCER (508)994-9688 FAX (SOS)99� FLAGSHIP INSURANCE INC 414 COUNTY STREET NEW REDFORD. MA OZ740 - $461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER• THIS CERTIFICATE DOER NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICtES BELOW. INSURERS AFFORDING COVERAGE NA'C? mmmED Frank Capra PO BOX- 664 West Hyannisport. MA 02672 INSURERA Providence Mutual 1SO40 INSURERB! One6eacon z06zi INSURERC, INSMIRER d MU IA E: rnVFRAGFS THE POLICIES OF INSURANCE LISTED BELOW KNVESEF14ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. MOTWITMSTANDIM ANY REOUIREMENT. TERM OA CONDITION OF ANY CONTg ACT 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 SMOVOW MAY NAVE SEEN I EDUCED BY PAID CLAIMS. .-SR TYPE OF INSORANCE i POINY EFPECTN! POUCY EXPIRATION $ GENERAL LIABILITY CRPOOS313103 12/13/200S 12/13/ZO06 EACH OCCURRENCE 1 1.000,0011 X 4C%MEWA4L4E9ERALUA9XM 0 TO RENTED i S0.00 CLAIMS MADE Q OCLIIR 1 - 5.0001 LIED EXP (Airy oM➢wwU A - PERSONAL SADV INJURY It 1 OYO.O _ GENERAL AGGREGATE S 2 ODQ Q GENLAS wawrELINIT.AP;iUP€R: PRODUCTS• Cow"AOO 1 21000.00 POLICY ECT LOC AIITOMONLE UAMUTT ANY AUTO CBIE63796 02/14/2006 02/14/2007 ca"WEDSWAKUW (EllMOOM) S 1,000.0 B ALL OWNED AUTOS X SCNEOU.EOAUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY WARY IPwPNIan) BODILY INJURY IPa wuJe,MO i PROPERTY DAMAGE (Per a "m i. OANIOE LIABILITY AUTO ONLY -EA ACCIDENT i OTHER THAN EA ACC AUTOONLY: AGG 1 ANYAUTO I EXCEMIMBRELIA UARLLITY 50264 01 12/23/2005 01/13/2006 EACH OCCURRENCE 1 2 000 00 OCCUR ❑ CLAIMS MADE AGGREGATE i Z 000 O A 1 s MOUCTIBL E RETENTION i WORKERLCOMPEDLATIONAND I 40710l• Max EL EACMACCCENT I EMPLOYE IV IJM1dTY ANY PROPAMTORIPARTNERIFXECUTNE OFFIC€R#4-M€R E=LIw'^EDD EL DISEASE -EA EMPLOYE i ... dMwbA mmn SPECIAL PROVISIONS below E.L. DISEASE POLICY LIMIT S OTHER DEBCAVTID)ODFOPFRA7M$11.00ATKINSIVENICL"IDCLMONS kWED BY ENDORSEMENT/ SPECIAL PROVISIONS CgRTIFICATE HOLDER I CAMCFt1 - SHOULD ANY OF THE ABOVE MACRIZED POLICIES U CAMC=Cb BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAUL 10 DAYS WRITTEN NOTICE TO THE CERTw-ATE !BOLDER NAMED TO THE LEFT, CATEIMOD f=ESt l.. BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY 1600 FALMOUM ROAD, SUITE 25 OF ANY HIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. CENTERVILLE, MA 02601 AUTNDRU TATNE ACORD281200IMS) FAX: (506)778-S6;03 ROftTION 7888 rrpnrrt- IRAAA k-n•s_-may 1I-7.n reT3d.1 CORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYM 02/16/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling Sr O'Neil Insurance Agency 222 West Main St. PO Box 1990 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED Assurance Construction, Inc. A/O Assurance Excavation, Inc. 550 Willow Street West Yarmouth, MA 02673 INSURER A: St Paul Travelers Insurance Company INSURERB: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE 1MM1DOfYYI LIMITS A GENERAL LIABILITY 16808387A9841ND05 08/01/05 08/01/06 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE. O OCCUR DAMAGE TO RENTED $300 000 MED EXP (Any one person) $5; OOO PERSONAL 3 ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PE O- CT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident) _ FD GARAGE GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ THAN FA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE S ' $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- LIMITFR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE- EA EMPLOYEE S OFFICERIMEMBER EXCLUDED? If yes, describe under - E.L DISEASE -POLICY LIMIT $ SPECIALPROVISIONSbelow OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / 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 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I 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 ACORD 25 (2001103) 1 of 2 #41713 LS1 o ACORD CORPORATION 1988 -AC,ORD CERTIFICATE OF LIABILITY INSURANCE 12/20/ 05 PRODUCER PANTANO INSURANCE AGENCY, INC 220 BROADWAY, SUITE 202 LYNNFIELD, MA 01940 781-581-3100 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED CENTURY PAINTING & DRYWALL INC. ' * P.O' '. BOX 2903 �� �� HYANNIS, MA 02601�-tea INSURERA COMMERCE tNSURER 8: 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. MaN L" NSRo TYPE N RANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0OCCUR POLICY NUMBER - PENDING POUCYEFFECTIVE DATE MM/DD - 12/17/05 POUCYEXPIRATION DATE(MMIDDfM 12/17/06 .LIMITS EACH OCCURRENCE sit Y 0 00 PREMISES'Ea oal mr 31100, 000 MED EXP (Any one person) S 5Y 0 0 0 PERSONAL&ADVINJURY $1, 00 Y 000 • GENERAL AGGREGATE S 2/ 0 O, 000 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $1, 0 0 0, 0 0 0 . POLICY PRO-LOC JECT AUTOMOBaFLIABILITY ANYAUTO., , .. COMBINED SINGLE LIMIT (Eaaccident) _ .. S BODILYINJURY -�_ (Perperson) ." . S - .. ALLOWNEDAUTOS - SCHEDULED AUTOS - BODILYINJURY (Peraccident) $ - HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Peraccident) S " GARAGE LIABILITY AUTO ONLY.EAACCIDENT S OTHERTHAN EAACC S ANYAUTO $ AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE S OCCUR CLAIMSMADE S S DEDUCTIBLE S RETENTION S 1 WCPER T RY YLIMIMIT R E.L EACH ACCIDENT S EMPLOYERS' LIABILITY OF ENME SEE DITNewDacuma eFRcewNeae01 DceLuoew E.L. DISEASE • EA EMPLOYEE $ EL.DISEASE - POLICY LIMIT $ Yyes,describeunder SPECIALPROVISIONSbelow - OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS rCDT•ICWr A71= Unl MCD CANCELLATION 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 FALMOUTH ROAD # 25 NOTICE TO 111E CERTIFl ATE H ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CENTERVILLE, MA 02 632 IMPOSE NO OBLIGATIO OR ILITY OF ANY KI D UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES THE ACORD25(2001108) vhwrcu vvrcrvr Ilvll Iavv TOWN- O-F YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026644451 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 a Cam. Inn. f •e�¢-��d�„DL �j�- Work Address is to be disposed of at the following location: ' VL"4jin rJo ��✓I� �Q't—. l l Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. z Signature of Applicant Date Permit No. tNGREGULATIONS ION SUPERVISOR 243a- i f UO-3s;ooadenclosed space , (MGL CAIZSsoc) n fit-Masoac"glg tG 44;ZfaririOomes Failure topossess acurient..edition of the t : Massaetwsett-Stite_BuldngCode: -'- is-cause:•for.:revocatioiivtihisBcense. DIG SRFE:CALL.CENTER: {888)344-7233 TOWN OF YARMOUTH xc HEALTH DEPARTMENT =HEALTHH PERMIT APPLICATION SIGN OFF TRANSMITTAL SHE To be completed by Applicant. - Building Site Location: /Z / CXmR 5 z2ng7— Map No.: Lot No.: 19' Z cTcrjp/eco.-".5 Proposed Improvement: /tam/ .«or�DABl Applicant: F/7.AN,P— ZA✓JjLA Tel. No.:So9 77Z FL!`' Address:/Zoo J;jt1jj6eWA?cw &- Date Filed: **Ifyou would like e-mail notification of sign of, please provide e-mail address: Owner Name: P;�� I ,-cM A7— �i�is7P ,�TJZ�=z'T Owner Address: //eV z��w AAD`iy lM- s1zlE1)WeWfLOwner Tel. No.: 7;7,r— 91Z'09' T 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. REVIEWED BY: 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. PLEASE NOTE IMP .✓1rr.�N�G Nc3 So$' 2"30 -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 Sr - Map #: Lot #: 72— 9/ Proposed Improvement: Applicant: V/�& Aa &3 Ar- GAM/' Sr- 400 KO Address: cams evi 12A o2e 3Z Tel #: s07 778 -9c6 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 Health Department Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc.. Determines Compliance to Stat and town Regulations' i.e., Requirements for Septage Disposal and other Public Health Activities. Fire Department: Determines Compliance to State and Town Requirements for Personal Safety, roperty Protection; i.e. Smoke Detectors, Sprinkler Systems, Etc.. REVIEWED BY A R D N: 5z go PLEASE NOTE: COMMENTS: Signature Of Applicant Date: %0 oF. TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-06-472 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 89 Owner's Name: Villages @ Camp Street, LLC .Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/5/2006 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction - Affordable: ZONING APPROVED_ REVIEWED BY: 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 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: 5-3-2004 DATE OF PLANS:•05/03/04 Permit # Checked by/Date TITLE: The Heron PROJECT INFORMATION: Mill Pond village Camp Street Yarmouth, MA. COMPANY INFORMATION: wG y`l;o Northside Design ASSOC. y 0 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 205 Your Home = 120 Area or cavity Cont. Glazing/Door Perimeter R-value R-Value U-value UA ----------------------------------------------------------------------------- CEILINGS 938 30.0 30.0 16 WALLS: Wood Frame, 16" D.C.. 955 15.0 15.0 _ 42 GLAZING: Windows or Doors 68 0.340 23 GLAZING: Windows or Doors 40 0.340 14 DOORS 20 0.086 2 FLOORS: Over Unconditioned space 938 19.0 19.0 23 ---------------------------------------------------------------=------------- 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 tFy�f,�25% of the design load as specified in Sections 780CMR 131Van"4.4. Builder/Designer Date S Massachusetts Energy code MAScheck Software version 2.01 Release 2 The Heron DATE: 5-3-2004 Bldg.l Dept.l use I CEILINGS: [ ] I 1. R-30 + R-30 Comments/Location I. WALLS: [ ] I 1. wood Frame, 16" o.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ J No Comments/Location (] I 2. U-value: 0.34 I For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I comments/Location DOORS: [ ] i 1. U-value: 0.086 Comments/Location FLOORS: [ ] I 1. Over Unconditioned Space, R-19 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 I installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: i 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no J more than 2.0 cfm (0.944 L/s) air movement from the the I 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 I ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment.and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly I 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 I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are -less than 1/8 inch. Duct tape is not I permitted. The HvAC system must provide a means for balancing i air and water systems. TEMPERATURE CONTROLS: [ ] I Thermostats are •required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING; [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified . I in Sections 780CMR 1310 and 34.4. SWIMMING POOLS: [ ] I All heated swimming pools must have .an on/off heater switch and I require a cover unless over 20% of the heating energy is from I .non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.): I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I 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: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 i CIRCULATING HOT WATER SYSTEMS: C ] I Insulate circulating hot water pipes to the following levels (in.): 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 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 r -NOTES TO FIELD (Building Department Use Only)------------------------- MPD3530 MPD3328 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, certified under ANSI Z21.88 and CSA 2.33-M99. DIMENSIONS (Rear vent model shown) 3328 MODELS (This model comes as a top or rear vent on] ) Front Face 35,40 & 45 MODELS y (These models come with a top and rear vent) Right Side r T. -,�=,r� G--y a B L D +k4l1r- ,� F 1 ^n.cb�ia E FIREPLACE & FRAMING DIMENSIONS --- — 1. �1. 1/ ci72 ssr8 i9i8 215'2 105/4 33Y4 33Y4 13 3530 351/8 321/8 19 291h 351/8 2111A6 24%s 12%6 35N 351/4 16 4035 401/8 371ll 24 341h 401/8 2611A6 29Ti 1415A6 .40;/4 40Y4 16 4540 401/8 371/s 24 39% 451/8 2611A6 34%s 17%6 451/4 40Y4 16 3328T NG 17,500 45 64 62 332BT LP 17 500 49 66 64 332SR NG 17,500 53 63 61 3328R LP 17,50() 55 66 64 3530 NG 20,000 53 64 62 3530 LP 20,000 55 62 60 4035 NG 27,000 59 69 67 4035 LP 27,000 60 69 67 4540 NG 29 000 59 69 67 4540 LP 29,000 59 69 67 'Intermittent ignition systems TYPICAL ROOM APPLICATIONS 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 Optilons • Choice of standing pilot (works in a Fwer 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 fire place s utilize either a Secure Vent (rigid) or Secure Flex Iflextble14.50 inner/7.5" outer coaxial venting systeay and include a 20-year limited warranty. Note: Due to Lennox' ongoing commitment to quality, all specifications, ratings and dimensions are subject to editions, such as elevation, wind vent configu- oice of fuel will affect the overfi appearance Hersey U20006.11) Warnock Hersey RECEIVED. MAY 0 5 2006 BUILDING DEPT. UM Look for the En•rGuide Gas Fireplace Energy Etticlency Rating In this brochure MPD3328 MPD3530 MPD4035 33' fireplace w/opt. flush face 35" fireplace w/brusbed stainless 40' fireplace w/polished brass louver and door trim trim arch door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except. our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or l-w,a+oho-3 . F PRODUCT SPECIFICATIi GMS9/GCS9 SERIES 93% AFUE Multi -Position, Single-Stage/Multi-Speed .Gas Furnace Heating Capacity: 46,000-1151000 BTL: •I0I911110 Air Conditioning & Heating I 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 'he 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 (LPLPOI) • High Altitude Natural Gas/L.P Kits (HANGII, HANG12, HALP10) • High Altitude Pressure Switch Kit (HAPS27) • External Filter Rack (EFROI) • Horizontal Concentric Vent Kit (HCVK) • Vertical Concentric Vent Kit (VCVK) Internal Filter Retention Kit—upflow, horizontal (RF000180) • Internal Filter Retention Kit-downflow ' (RF000181) `—"•"�� / • Thermostats Blower Motors (CHT18-60, CH70TG, CHSATG, H20TWR) SS377D ww .goodmanmfg.com 6/04 G LIN TOWN OF YARMOUTH APPLICATION FOR PERMIT TO DO GASFITTING Fee: uv r I PERMIT Build!ng 41NIa f57'r AT Location New ❑ Renovation ❑ Replacement ❑ Plans,$ubmitted Yes ❑ No ❑ (OFFICE USE ONLY) -07,- .Sa_' Date U401 Owner's Name, Type of Occupancy l its' l N 2 W N 00, cc Cn Y z x v, -j N W OF V m Z 2 cc `^ 2 H Q } Z O� W 0J W W y W Z Q= R 2 2 W ~ W V= y fL W a� z Q W J Q 0: F } f/) m Z O Z W O y M= o 0 i LL 0 3 e cal g > o a o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (T (PRINT OR TYPE) installing Coq Address Name Check One: ❑ Corp. ❑ Pa ship — Firm/Company _ Business Telephone �O 409vf �l Name of Licensed Plumber or Gasfitter T �-�/ 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. Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check One. Owner ❑ Agent ❑ Signature of Lic used Plumber or Gasfitter License Number TYPE LICENSE - Plumber etj Gasfitter ETJourneyman t LOT 76 LOT 75 N84-19'0= eE _ 754.00 � I ' LOT 89MID I 4.7• OI N W 'Z N O 0 13.011 2' 29.2' �I P O p EXISTING JIJ FOUNDATION c LOT 88 IN LOT 90 to i I w _ 54.( 13.16 54.00�N84'27932"E i DRIVEWAY 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 NOT A SPECIAL FLOOD HAZARDL. NW .-e� DA I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREW.NTS 0 THE 40B SPECjALPER DATE EGISTEREO PROFESSIONAL_ LAND SURVEYOR .LAND SURVEYOR GRAPHIC SCALE NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Lend 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 (8) this plan remains the property of Holmes k McGrath, Inc. AS —BUILT PLAN OF LOT 89 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1"=20' DATE:6-19-06 ( IN FEET ) 1 inch = 20 ft. holmes and mcgrath, inc. civil engineers and land surveyors 362 gifford street falmouth, ma. 02540 JOB NO: 201197 DRAWN: LM DWG. NO.: A2557A CHECKEDA a f 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 # ag38 Fee: $ PERMIT NO. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: _ To the Inspector of Wires: By this application the undersigned gives notice of his or her work described below. to perform the electrical Location (Street & Number) / Z / Cdjj;Q 5 r Unj,-r `* '95 Owner or Tenant G 4-r E I j_%=A j�taM&s S Telephone No. "7 _2 fr ^ 1 !s• (n Owner's Address IIo00 FA-LtyL0L>4A-1- ILA t__C7"%c(zva u-tc . tMn C) Is this permit in conjunction with a building permit? PrYes ONo (Check Appropriate Purpose of Building S I khl o CA•wt_C I `4 �w r Utility Authorization No._ Existing Service Amps / Volts Overhead[] Undgrd C3 New Service 100 Amps 110 / 2. ubVolts Overhead❑ UndgrdX Number of Feeders and Ampacity. Location and Nature of Proposed electrical C E I V E D +S "6E�ob lLlire n vCrA-t 1v.I Vow Or tiev?_S l Inspector No. of Recessed Fixtures No. of Ceil.-Sus . Paddle Fans No. of Total Transformers KVA No. of Li htin Outlets No. of Hot Tubs Generators KVA No. of LightingFixtures A ove n- SwimmingPool d. gmd. No. of Emergency Lighting Battery Units o. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Num er — — Tons _I — K K — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal Local Connection Other No. of D Dryers ry Heating Appliances KW g pp Security Systems: No. of Devices or E ui valent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. H dromassa a Bathtubs Y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent Attach additional detail iJ desired, or as required by the Inspector of Wires. 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 th ermit issuing office. CHECK ONE: INSURANCE BOND O OTHERCI (Specify:) (Expiration Date) Estimated Value of flecIrical Work: (When required by municipal policy.) Work to Start: L3J0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. the<paihs and penalties of penury, that the information on this application is true and complete. RM NAME: • U S ILO /< - C. LIC. NO. censee: /It G Signature LIC. NO. (If applicable, enter "exempt" in the license number line.) /� Bus. Tel. No.: 2 - 19 Address: %/ L e77!`120 /> rS�AJ • LU• rJ Vy/4t Alt. Tel. No.: 7 7 t/ ' tf' 0// Z_ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner owner's agent. ❑ Owner/Agent Signature Telephone [Rev. 04/00] WPS - Permit • NSTAR WPS - Permit • • Work Order Information Utility Auth/WO #: 01543087 Date: 09/15/2006 Company BEA LORD Rep: Report By: YAR 121 CAMP ST U89 VILLAGES AT CAMP ST LLC Status: ACTIVE Service: NEW Type: RES Nature of Work: CONNECT 100A 120/240V UG IN HH190C Service Information: There is no Service Information. Permit Information Page 1 of 1 Permit #: E07-216 Meters: 1 Reseal (Y/N): Y Date: 10/13/2006 Inspector: W10060 Description: Search Detail Contacts NSTA_R�Home WPS Lonon WP_S. Help C...omments WO Request _WPS News LL+uJ (a "Y1 � IT ;y Copyright 2003 NSTAR, 800 Boylston Street, Boston MA USA. All rights reserved. Reproduction in whole or in part of any graphics, Images, tent 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= {ts_'2006-... 10/13/2006 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All .,..,.4 .� k. ..<.f ..,,P.7 ... ..,;,k k6 AA—c—h,—... !'..A. txxpri s,)7 rmv ii nn • (P, To We Lo ON ON Is this permit in conju ction with a building permit? 000Yes ❑No (Check Appropriate Box) Purpose of BuildingUtility Authorization No. Existing Service New Service Number of Feeders and Location and Nature of Proposed electrical Volts OverheadO Volts OvcrheadC] 1,80 . % 1 Undgrd Q No. of Meters Undgrd No. of Meters ►o Completion of the followinz table may be waived by the Inspector of Wires No of Recessed Fixtures No. of Ceil.-Sus . Paddle Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above In- Swimming Pool grad. ID gmd. ❑ No. of Emergency Lighting Battery Units No. of Receptacle Outlets No, of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: um er — — Tons — K — — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local Municipal Connection Other No. of D Dryers rY Heating Appliances KW g PP SecNity Systems: No. of Devices or E ui valent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent dromassa a Bathtubs No. Hent Y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uival Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides J 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 a permit issuing office. CHECK ONE: INSURANCE le BOND C] OTHERO (Specify:) Estimated Value f E 'ctric Work to Start: Ob I certify, under t Zak al �1RM NAA�—V (If OWNER'S INSURANCE WAIVER: I am aware t below, I hereby waive this requirement. I am the Owner/Agent Signature (Expiration Date) (When required by municipal policy.) to be requested in accordance with MEC Rule 10, and upon completion. ry, that the informs ' n thi pplication is true and complete. V LIC. NO. Signatur LIC. NO. in line.) jqus. Tel. No.: Alt. Tel. No.: the Li nsee does not have the liability insurance coverage normally required By Trw. By my signature eck on) owner Q owner's agent. Telephone [Rev.04/001 .r 0 0 Commoriwealih of Massachusetts v Ev. p7^ Z 33 Permit No. Department of Fire Services Occupancy and Fee Checked WAC .c, 0 BOARD OF FIRE PREVENTION REGULATIONS . 111991(leave. blank)_ APPLICATION FOR PERMIT -TO PERFORM ELECTRICAL WORK All wakto be perfo®ed in acw &= with the Mssuhuutts F1ect' Code (MEC), 327 GMIL 12041) nob q � ' !�- 1 (PLEASEPRWIININKORTiPEALLINF27RMRTI019 Date: / Q 6 ' YAR UUrH To the Inspector of Wires��`— City or Town of: , By this application the uadersigne gives notice of his or her intention to perform the electrical wofk desc�ubed below. Location (Street & Number) MILL •POND VILI Er 121 Cr3Itlp St Bld4�i * _ ----- —'1 OwnerorTenant Gatewood Homes/ Jeff Sollows Telephone No.508-7789669 Owner's Address .1600 Falmouth Rd., Suite 25, Centerville, A4a. 0263.2 Is this permit in conjunction with a building permit? Yes XQ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters New Service Amps / volts Overhead ❑ IIndgrd ❑ Na of Meters NumberofFeeders and Ampacity Location and Nature of Proposed Electrical Work Fire Alarm System (low voltage control panel) w; h hacktro'batter},centrally monitored comoletiod of the following table may be x+aivgM the Impector of lYi Na of Recessed Fixtures jNo. of Cellcusp. (Paddle) Fans Transformers KVA Na of Lighting Outlets INo. of Hot Tubs Generators KVA No. of Lighting Futures Swimming Pool gru., d. oo Emergency 0 Ble Units g No. of Receptacle Outlets No. of Oil Burners FIRE ALARMc INO. of Zones —1—' Na of Switches No. of Gas Burners o. oetection.an 7 Wtiatine Devices No. of Ranges NaofAir Cond. Tons No. of Alerting Devices No. of Waste Disposers t p , um er ors Totals• Detection/Aloertin Devices 7 No. of Dishwashers Space/AreaHeating KW U� Connection Other No. of Dryers BeatingAppltances KW ecW yystems: No. ofDevices brE ivalent a o Water KW Heaters o. o o. o Si s Ballasts Data Wiring-. No. of Devices or uivalent No.HydrumassageBathtubs No. ofMators Total N ofDevicesonS orEwivalent .��OTHEI2: NJ Attoeh addltiawl detail tfderire$ or as required by tlulatpe=r ojlYires. INSURANCE COVERAGE: Unless waived by the owner, no.permit for the performance of electrical work may issue unless N the licensee provides proof of liability insurance including "completed operation" .coverage or its substantial equivalent Mt. =� undersigned certifies that such coverage is in force, and has exhibited proof of same to.the permit issuing office. CHECK ONE: INSURANCE M BOND•O 'OTHER ❑ (Specify:) Estimated Value of Electrical Wodc $750. 00 required municipolicy.)�usuon (�by 7?� Work to St= Inspections to be requested in accordance with NIEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this applicatiox is true and complete FMM NAME: Baltic Security, Inc LIC. NO.: 117�_ •Licensee: Jonas R Bielkevicius Signature LIC. NO.: 499D a%ttpplkubk, enter ' eratrpt" ire lirense.numke . Bus. Tel. No: 08-833-0996 Addrtss: Iiox. ,1609 :Si3?sdwac� 1`ia• 02563 Alt Tel.Na.508-7 —3 7 OWNER'S INSURANCE WAIVER •1 am aware that the Licensee does not have the liability insurance eovemp normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMITFEE. � 40.•00. Signatnrie. Telephone No. LOT 75 0 o' , LOT 90 5.3! i ' w Z to rn� :D p O� ) W IJ 3.5 5 I LOT 76 N8419'0.3�E — j 54. - -r:, 1T.- I 54.00 AFFORDABLE LOT 88 p LOT 89 z.1 3, 677f S.F. I �+ W , ,28.2 0) lull PRHOUSED PROPOSED w O PLOVER HOUSE j J = 23.5 HERON I = GW = 14 = 23.0 GW = 14 11 43�'.1 c�i!�iii/,22 IOf��r W O' In o i O 3N C ) �Q ' 1— F1 3.16 1- �i 54.00' 3 PROS ED 4" SEWER LATERAL ^ . o LA I O� CLO @190WE[0 MAY '0 2 2006 NOTE: I HEALTH DEPT. ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V 1OFT. OF WA 9 ( IN FEET ) 1 inch = 20 ft MAY 0 5 2006 T_nrC�CL—Y and until such time as t �riginresponsible Professional Enginaer, rr ft--' ' -- appears on this plan: _- (A.) no person or person% including any meni.-lpnl or erhar Luk;I afFi;;ials, cony rely i;pen the informotisn c^nt..!ir,ed (D) this pinn ramoinv the property of Holmas G: k!-wrath, 4:�:. LASH OF OF LOT 89 AN holmes and mcgrath, inc. 'tis POT PLAN civil engineers and land surveyors nrnorHvnn, � sT PREPARED FOR 25 SANroS MILL POND VILLAGE No. gifford street No45078 y falmouth, ma. 02540 9 CIVIL TE YARMOUTH, MA °�sA` JOB NO: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 3-24-05 DWG. NO.: A2557 CHECKED:-/N,-5 MUST G AND I LOT 76 LOT 75 N8:, � 154. 7--: 5 AFFORDABLE LOT 88 ° LOT 89 LOT 90' 5.3' 3,677t S.F. °f I t6 t to .28.2 Ip PROPOSED a �! U' HOUSE Z PROPOSED Ip OD o PLOVER FF = 23.5 rn � HOUSE � cn :D ao'-o / HERON ' I ; GW 14 N takil N FF = 23.0 3.5 GW = 14 j 0, Ui v 5 4 6 w 7'01 ? W pI I� �z 0 (f) �LJ/ /^ �� W [7_ _i I LAY- LL a- O I'rCr 1 p a „ 4.00 0- Dn L ° 54.00 131 ' 3 SEE NG SLEE PROnEDPd� L W 4" SEWER LATERAL �F%Aism MAIN TO ALL TOWN GRAPHIC ( IN FEET ) 1 inch = 20 M N GOMCED MAY '0 2 2006 NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF EVE NO U E MAY 0 5 2006 Unless and until such t;me L-13M, he original (red) stomp of t:n: re=nonsiNe Professional Engine<r, EP�^" appeu�9 on this plan: BUILD{NGb7: 0A.) no pe-tnn or persons, i, t-i• - .,,,..-__ cubiic nrficiais, mo rely upon the .. ,.n.,n., aJ t:r ..._: (9) this plan r=rnoins the property of Holmes d: UcGrnth, i-c. PLOT PLAN holmes and mcgrath, inc. `q�% s" OF ?f.4_S OF LOT 89 civil engineers and land surveyors_ g• �/�' TIMOTHY Pd . Gm� PREPARED FOR 362 gifford street �' SANTOS MILL POND VILLAGE ' "C 45 i07 8 IN falmouth, ma. 02540 YARMOUTH, MA JOB NO: 201197 DRAWN: LMC �Ssrr +M, SCALE: 1 "=20' DATE: 3-24-05 DWG. NO.: A2557 CHECKED-.`I/NJ PROPERTY ADDRESS. /Z/ S4(- EedA) ALCULATION FOR PERJWRT COST 936 . 3Lg, ETC NO ADDITION ' �-TERATIONS BATH BED ROOM r, CERT{F{GATE OF OCCUPANCY Z COMPUTER ROOM DECK OPEN DECK WITH RooF DEN DAT{ON ONLY .GE NO. OF BA T Roose LAUNDRY ROOM LIVING ROOM / .- . MUD ROOM F" OFFICE PORCH CLOSED PORCH OPEN STORAGE AREA SUN ROOM {-�,}�TE© SUN ROOM ONHEATEII .� SWIMMING POOL OF . TOWN OF YARMOUTH r ..Buil ding Department BUILDING - - - - - - . - - , (508) 398-2231 ext.261 '- PERMIT NO �: B.06-1405_ � - - PERMIT ISSUE DATE ; - 5/26/2006 - ; APPLICANT �FranPROPOSED USE �-kC"-ap--ra ------------_---_--_--- _-- JOB WEATHER CARD _ PERMIT TO New Construction ; AT (LOCATION) 100121CAMP ST Unit 89 ZONING DISTRICT= Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C89 BUILDING IS TO BE: CONST LOT SIZE new construction - Affordable: 1 bath, 2 bedrooms, 1 kitchen/diningroom, 1 livingroom as per plans dated REMARKS 05116106. AREA (SQ FT) EST COST ($ $89,856.00 PERMIT FEE ($) 1$0.00 OWNER I Villages @ Camp Street, LLC ILDING DEPT BY ADDRESS 1600 Falmouth Road # 25 Centerville I MA 102632 USEGROUPI 8-4 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 5087789669 Certificate Issue Date 2?z L:!,( -;�5 0 > - N_ CERTIFICATE of'OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks Owl,0 =1 10 To be filled in by each division indicated hereon upon completion of its final inspection.