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HomeMy WebLinkAbout121 Camp St #091 Building PermitsCF TOWN OF YARMOUTH Building Department BUILDING + ,_ - (508) 398-2231 ext261 PERMIT NO . B-06-14o� _ PERMIT ISSUE DATE 5/26/2006 _ _ ; PROPOSED USE JOB WEATHER CARD APPLICANT---------------------- -Frank CraPERMIT ___ TO ; New Construction ; AT (LOCATION) 100121CAMP ST Unit 91 ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C91 BUILDING IS TO BE: CONST TYPE 5 B USE GROUP R-4 nT -- • -.-- new construction - Affordable: 2 baths, 3 bedrooms, 1 diningroom, 1 kitchen, 1 livingroom as per plans dated REMARKS 05116✓06. AREA (SO FT) EST COST ($ 1$148,896.00 PEHMI I Mt (4) 1w.uu I OWNER lVillages @ Camp SUeet LLC BUILDING DEPT BY ADDRESS 1600 F8 nXXM Road # 25 Centerville I MA 102632 INSPECTION RECORD - CONTRACTOR LICENSE 012430 Capra, Frank 1600 FalnxxM Road #25 Centerville MA 02632 5087789669 PHONE 15087789W9 FIELD COPY Date Note Progress - Corrections and Remark Inspector 7' i3 d Ca 7 loIf 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 Sections-. -- Site inforriiatiori Use Group: R-4 T pe:-5-i3 1.1 Property Address: 1.2 Zoning Information: 9Z AfF0at) I BLS 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 e. 40. S 54) 1 5"rFlood Zone I rmation Comments Public Private r;Zone. '� ; BFE f ; , Section 2'-"P,roperty,Ownership/Authorized Agent 2.1 Owner of Record: es A -r C4. X Name (pri Signs re 2.2 Authorized Agent: Name (print) Signature Telephone 3.1 MailingAddres;!_ `��/�- Q Z G Telephone Mailing Address Fax onStrUction Sen/ices Construction Supervisor. Not Applicable ❑ f1V VIGJ S" nature 32,Reglstered I Company Name Address Signature License Number ozG 3 Og 770 - 9;4 i�Q Expiration Date Telephone 1 of 2 Not Applicable License Number Expiration Date RECEIVED N ICI MAY 0 5 2006 BUILDING DEPT. l 9- 15-99 OVER ,,jectton`4'= Workers' Corn ensatlon`11isUrance`Affida�it (M G,L:c i152°S 25G 6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial oft a issuance of the building permit. Signed Affidavit Attached Yes ... ..... No .......... Section S"= Descriptionof Proj%sed Wol<.,{ctreck ag applicable); New Construction I No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: /J . f Secti4n.6 e�Estiitiated Gonstrtlaion Costs Item Estimated Cost (Dollars) to be. Check Below completed by permit applicant. ❑ Conservation -Commission Filing 1. Building 2. Electrical (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) 3. Plumbing / Gas 4. Mechanical (HVAC) p 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. (new houses & additions) Section 7a':OwnerAuthorizat)on -To be Completed Whera Owndes A ent;or Contractor A pbJ;; ies # Buildfn5Y.1?ermtt .: s as owner of the subject property hereby authorize G�%`�Il`Ditc-� 5��I'Jt--' to act on my behalf, i all ma rs relat' to work authorized by this building permit application. SigrAilreof ownerf Date Section 7,b.-,Owner/Authorized Declaration Agent 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 Signature of Owner g Date 9- 15-99 2 of 2 . 1, PLEASE PRINT: Job Location: _ TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERRVISOR FORM ia I Number _, , i 15treet , It i illage Owner of Property: Construction Supervisor: ` 6`1' Name Address: I d O �Q Licensed Designee: (If other than Supervisor) Name 0LA( 2.15 Responsibility of each license holder: r0, DID - License No. License No. Phone No. dMd v)b3; 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shallwillfullyviolate subsections 2.15.1, 2.15.2 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 iability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes � No ❑ If you have checked y.Ls, please indicate the type coverage by checking the appropriate box. A liability insurance policy al Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE "IVER: I am aware that the licensee does not have the insurance coverage required by Chapter MeW eneral Laws, and that my signature on this permit application waives this requirement. Check one: Signs o O er or Owner's Agent Owner (� Agent u Signature: Building Official Approval: 4' The Commonwealth of Massachusetts Department of Industrial Accidents oxce0119"stlpulsrs 600 Washington Street Boston. Mass. 02111 Workers' Compensation insurance Affidavit Applicant information, PI RsePRi1V7`TeoiltFy nnmc... 1 ;1 Aq 0_S' locatiin-,%Z� . cits /�/11�1��`Ll%L%Y�/L. phoney I am a homeowner performing all work myself. I am a sole proprietor _nj ha,.e no one workine in any capacity C3 I am -an.employer pro% iding workers' compensation for my employees working on this job. comnanv name- address: city phone +t- insurance co. policy N &�l am a sole proprietor. general contractor. or homeowner (circle onel and have hired the contractors listed below tsho hase the.followine workers' compensatiouolices: comnanv name - Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penaltles of a line op to S1,500.00 and/or one years' imprisonment as well as civil pensides in the form of a STOP WORK ORDER and a tine 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 veri0eatioa. I do hereby certify under the pains and penalties ojpeijury that the information provided above is true and correct � Signature Date�Z L �/ Print name official use only do not w rite in this area to be completed by city or town omeial city or town: YA}3MO17T$ O check if immediate response is required permit/license 0 nBuilding Department C3Ireensiog Board 261 OSeleetmen's Omee frna% 398 22 1 OHeslthDepartment contact person: phone Nt _ , _ 3 e=- nOther Information and Instructions Massacliusetts General I_a«s chapter 152 section 25-requires all emplovers to provide workers' compensation for their emplo%ees. As quoted from the "Ia%%". an eniplot•ee is defined as every person in the service of another under any contract of hire. express or implied, oral or written. An enrpinrer is defined as an indis idual. partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise. and including the legal representatives of a deceased employer, or the recei%er or trustee of an individual . partnership: association or other legal entity, employing employees. However the o%%ner of a dv�ellini_ house having not more than three apartments and who resides therein, or the occupant of the d%%ellin= 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 emplojer. NIGI_ chapter 15 = section also Mates that every state or Iocal licensing agency shall withhold the issuance or rencival 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 comrnon%ealth nor anyof its political subdivisions shall enter into any contract for the performance of public %%ork until acceptable evidence of compliance with the insurance requirements of this chapter ha%e been presented to the contracting authorit%. Applic.:nts Please till 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 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 %%orkers' 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 made. TheOffce of Investigations would like to i-hank 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 iflCO �(IaI►estlllttlo0s 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 7274900 ezt. 406, 409 or 375 _ FROM :PELLA INSURANCE AGENCY INC FAX NO. :16177870185 AlG._I _zm5. 12:24 F.I.PATNOi INS.A ' �NSUKP ,A.C.Q13l2 a :CER�I�.ICATE Of LIA6IUTY _ ?.ODVCEp _ - - - ONL AN C HOLDER. YNC 0C1 T A lwsu"NCB AGIENCY,1[NC... AkTE%1 Aug. 08 2005-01:19PM PS THE_ SOFA WA4E11NGCON 5T'EaGSI t!iSImFRs AFFORD!.. —a -A0L— 1 —. �tR)GH'TON.MA003's-259Z ...� wrAm2.1 Ptpt9C zo!' _. 1 wtusNn G_ __ r»vDE� , . INeupta a _ : �---•.. � . '—�_ -- .,._ ---�. Hcn Di.7lM1Batoj10010a MaUPCTi C DSa Koba>;t PLumbinq d+Nr!Ena 25 Anthony Road NpIaER c Ita h 2 I. 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THE CERTIFICATE ISISStEI Main Street HOOLYA CONWM ORIQCATE - Box 1013 rs ALTERTHECOVERAGEAFFK LdrdS Bay, MA 02522 tN8t7R13iSAFF'ORCINOCOV6tton Electric, Inc. NSURERA ZurichNA. Box 1525 NBURERV Libartpae, MA 02649 $#SURER C: DATE 0 THE POLICIES OF INSURANCE CoNOI BELOW HAVE BEEN ISSUED Tb THq INSURED NAMED ABOVE FOR THE POLICY PERI00 INbICATED. NOTWITHSTANDING ANY RE THIN. IHE I TERM OR CONOIhON OF ANY CONTRACT OR OTHER DOCUMENT WITH R p A4tY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1?I hIRMS. IIS EXC RTIFIC AN MAY POLICIES. AGGREGATE LIMIT'S SHOWN MAY HA BE ISSUED OR WFOV -- yE BEEN REDUCED BY PAID CLAIMS_ D CONDITIONS rx�cl,.-., ►OLICYNUMBER POLICY EF FEC TI U B(P ON GENERAL LIAe<m tIMRs A $ COMMERCIALOENERALLIAMUT' SCP42415399 7 7/30/OS EACHOCCURRENCE 7/30/06 3 1 OOO OOO ��y1 CLANS MApE EJ OCCUR 'REMISES EAAmAY,p s 300 000 — _-- MCD EXPI°"I'A "q t 10,000 — PERSONAL S ADVNPJRV 3 1 000 000 CEN'LAGGREGATELRfAAPPLR3PER: GENERAL AGGREGATE A 2 OO�QQD X POLICY MOB LOC PRODUCTS-COMPIOPACC t Z OOO 000 AUTOMOR4E LIAMP ITY ANYAUTO COMBINED SNOLE LIMIT IES Mria,y S ALL OVHaEp AUTOS SCHEOULEDAUTOS BODILYNNRY IPx pNVAM f NEIEO AVTpg NON-ONNEO AUTOS 1RAY CRY f PY EfOC�ds DAMAGE t GARAGELIABLITY AUTO ONLY, CA ACCIDENT3 ANY AUTO - OTHER THAN EAACC 3 AUTO ONLY: ADD t EKCl66UMBRELLALIAaLITY EACHOCCURRENCE a OCCUR CIARTSMAOE AGGREGATE a EOVCT47LE - f t RETENTION 3 t WORa6L3COMPENSIPIONAND - TATu- oTl+ I 8 EMPLOVERS-LIAaury WC231S353049014 12/10/05 12/10/06 ANY PROPR IETORIPAR TNERIEEXECUTR,fi - E.tETORYIWNT; t 100 ,000 OFFICEFUMEMBER EXCLUOEDT YR EL DISEASE. Fa EMPLOYEE f 500,000 W SPFCJALPROVI3CNSDv E.L. DISEASE -POLICY UMIT 3 100,000 OTHER D ISCRIPTIONOF OPERATIONS I LOCATION!/ VENICLEB/ EXCLIJI ONSADDOM BYENDOISEMENT I SPECIAL PROVISIONS Electrical Gatewood Homes Fax No. 508-778-5603 1600 Falmouth Road Suite 25 Centerville, MA 02632 25(2001ro8) SHOULD ANT OP THE ABOVE DE3CRI0ED POUCat BE CANCELLED REPORE THE DMIRA7KIN DATE THEREOF, THE ISBUINO INSURER WLL ENDEAVOR TO MAIL 10 D4=14TEtI MOM E TO THE CERTFICATB HOLDER NAMED TO THE LIP?. BUT FAILURE 76SI0E5 ENALL• • IMPOSENOOBLIGATION OR LIABILITY Of ANY KIND UPON THE MRURER, ITS AORMTE OR TION 1968 n 02/16/2006 16:18 5064204474 EDWARD A GRAZLIL. PAGE 01 ACORD.- CERTIFICATE OF LIABILITY INSURANCE 02 E16' 06Y) F,pCUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Edward A. G.razl.11 Insurance Agency, Inc.OLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR $ Y, . el TOVI TWO cnvFRAe%r AFFORDED 13Y THE POLICIES BELOW. P.o. Boz 337 Marstons Mills, MA 02648 ', INSURED ' American Foundation Co., Inc. 43 Phinney's Lane Centerville, MA 02632 i 1 _ INSURERS AFFORDING COVERAGE NAIC# uvsufleR�_ S��e�tY_.�L1�1i.}is�llce_�41CIP�.y{V..:__._... IN6UREA 8: Savers PropertV & CASUalt Mk;VR6R C: - INSURER O: MISUREA 6: a.v • c n..vc.� THE POT TC E-S OFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO T14E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TEEM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH AESPECT TO WHICH THIS CERTIFICATE MAY RE ISSUED OA MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIFSI. AGGREGATE UMITS SHOWN MAY HAVE_ CFEN REDUCED BY PAID CLAIMS. : POLI4 YEFFECTIVE POLICY EXPIRATION LTR in R S,kEAHfY � POUCYNUMDEA yDkTS LIMITS GENERAL UADILITY i I EACH 0OCUppFNCP• S. -..... . X I COMAIERCIAI. OENERAL LIABILITY i TSA?:fAGGTLS RENTED FR,EMISE3jEiaccumrccl_.._. . • ICIARASMADE I, OCCUR; i nM MEDEXP(AAYonlpemoni f lMO-,VyW�., A i I I BP 00006134 10/05/05 10/05/06 f PEnSON[AL&ADVoNJLIRY f,_ 11000,000. 1 I GENERALAGGM.GATE s 2tWQ,%SP0,, GEN'I,AOOREOATE LIMB APPLIES rL-R:� PRODUCTS COMPIOPAGG f 2,10001000- PULIDY PnG LOC I AUT0MOG1Li LIABILITY COMBMED SINGLE LRAR f ANY Auto � i (taa4tta A) I _. i ALLOWNEOAUTOS BODILY INJURY ,3 SCHEDULED AUTOS IPnr gnrsol•J___. __..__ ...._..._. _.... MriED AUTOS BODILY INJURY 3 i NON-OWNED1Uf0S leer etNuaW I .. .. ... ' [PROPERTY OAMACE ,S Kacnaeml GARAGEUABILTY AUTO ONLY• EA ACCIDENT S i • I ANY AUTO OTHER THAN GA ACC- AUT ONLY: S ..... ..... . . AOO 1 S ERC45SNMBRELLA_IJA_ BRJTY EACH OCCURAENCC• 1 S CLAIMS MAO;; S DEDUCT? —LE RETENTION f S WO STATU1 OTIt iWORKERS ADD : TOfar LIMCT.SI,L,_.. -E13, ,....._. ____.. . EMPLOYER LIABILITY nNV PROFRIP,TUPJPARTNERIEXECUT{YE ELEACM ACCIDENT S, B UFF CEfl?AEMBEfl EXCLUDED? WC 0001630 04/01/05 04/01/06 F.LDt.cAsF.F.ARMPI.OYFF. f II yyCe PROVISIOdeeedbe 9NS ' SPECAL IpIpw ' P.L. OISEA8E• Pol)CYLIMR f OTHER OEECRIPnON OFOPERATIDHSJ LOCATIONS I VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS .ERTIFICATE HOLDER CANCELLATION Gatewood Homes SHOULD ANT OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION' 1600 Falmouth Road DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---- DAYS WRRT4N ` : NOTICE TO THE OENTIRCATE HOLDER NAMED TO THE LEFT. BUT FAA:UNETD b�SO-SNALk Centerville, MA 02b32 IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER. ITS AGENTS OR FAX# 508-778-5603 RE►RESENTATN63. AUTHD D RErRESENTATric. L 25(2001/08) k\ CACORDCORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE 11512'° 1 5 3006 PRODUCER - FAX Select Fiaaneial Group p 1574 Washington Street Holliston- KA 01746 THIS CERTIFICATE 13 ISSUED AS A MATTER ONLY AND CONFERS NO RIGHTS UPON HOLDER TH13 CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE OF INFORMATION THE CERTIFICATE EXTEND OR POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED PC Carpentry Inc. e� 625 Normandy Drive Norwood KA 02062 &mmeaA:Western World NSUREI1 e: NSURERC; INSURER D: NSURERe THE! 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LOOTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM. INSR LTR ADO INBR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMMOIYY POUCYEXPHIATION DATE MMIDD LIMITS GENERAL LIABILITY. EACHOCCURRENCE f 1,000,000 PREMISES E�aNm to f 50.000 X COMMERVALOENERALLIARILRv A CLAIMSMADE Q OCCUR UPPIGIS127 12/28/2005 12/29/2006 MEDEXP o en s 5,.000 PERSONAL S ADV INJURY ! 11000,000 GENERALAGGREGATE f 2.000.000 GENI AGGREGATE LIT APPLIES PER: PRODUCTS-COMPIOP AGG ! 1,000,000 3LI POLICY M spEn 71 LOC AUTOMOBILE LIABRRT ANY AUTO COMBINED SINGLE LIMIT (iA A kWfll) ! BODILY INJURY IPWPP) f' ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY IFe, aold"l) ! HIRED AUTOS NON.OWNED AUTOS PROPERTY DAMAGE (Pe, eFFnenu f. GARAGE LIABIUTY AUTO ONLY -EA ACCIDENT ! OTHER THAN IZA ACC ! ANYAUTO S AUTO ONLY: AGO EXCESSIUMBRELLA LIABIUTY EACH OC RENCES AGGREGATE f OCCUR CLAIMS MADE ! ! DEDUCTIBLE f RETENTION f WORKERS COMPENSATION AND EMPLOYERS'UA8I1,177 Tw 1 R E.L. EACH ACCIDENT It ANY PROPRIETORIPARTNERIEXECUTNE E.L. DISEASE • EA GAPLOVEE f OFFICER(MEMBER EXCLUDED? I Ye:, d"Cfte Vndv E,LDISEASE•POLICYLIMIT ! SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONBILOCATONSNEN)CLESIEXC W SIONS ADDED BY WDORSEMENTWICIAL PROVISIONS 00ROX&I liability is provided for the above insured Be carpentry - residential not exceeding 3 stories in height (subject to deductible $250) 778-5603 Gatewood game# 2600 talmouth Rd Suite 25 Centerville, KA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EIMIRATION DATE THEREOF, THE ISSUING INSURER VBLL ENDEAVOR TO MAIL 10 BAYS WRITTEN N0TXE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHAU. IMPOSE NO OBLIGATION OR LIABRTTY OF ANY KIND UPON THE SU6co/KATHY 6)ACORD CORPORATKMI 1998 IN5025 (0100).06 AM3 VMP Monpeps S01.11dW, Int (ea0)327asd5 Peps I of 2 .APR-20-2006 THU 10:33 A19 R & K INSURANCE FAX NO. 508 991 5461 P. 02/03 Acc,;M CERTI iCA T c f UABILI T Y INSURANCE 04/20/DD 6' PRODUCER (508)994-9688 FAX (508)99 FLAGSHIP INSURANCE INC' 414 COUNTY STREET NEW BEDFORD, MA 02740 -5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO R—HTS UPON THE CERTIFICATE AALLTER THE COVERAAGE AFFORD D BY THEP OLfC1ES BE OW. INSURERS AFFORDING COVERAGE Ndt.; a MSURED Frank Capra PO Box- 664 West Hyannisport, 14A 02672 IN3URERA Providence Mutual 1SO40 INSURERBI OneBeacon 206Z1 INSURERa INSURER V. WSULER E: C THE POUCESOFtNSURANCEUSTMUMOWKrVESEV ANY REQUIREMENT, TERM OR CONDITION OF ANY CONT MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLN POLICIES. AGGRE13ATE LUTS 8"OWNUAY HANS SEEN ISSUELTTOTMtNSUREDNAMEOABOVE FOR THE POUCYPERIODINDWATED. NOTIA/)THSTA.VDINI tACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH EDUCED BY PAIDCLAIMS. TYPF OF tI3URANCE NtiSiBER FOLICYEFFECTIVE POU0YEXPiRATI0N �B A ocusnm X CQM ERCIALDE—�PALLIABRJiY Ct AStS MA pE Q ccimR Cj _ POOS3132 03 12/13/200S 12/13/Z006 ZACKOCCURRENCF 3 11000,0011 DAMAGEEHTED MEO EXP Ww a» Foe") 3 50.00 3 5.001 PERSONAL SAOV INJURY 3 11000,004 GENERAL AGGREGATE 3 2,000,00( GFftAGGREGAY£LAtIT.APPLIES PER: POLICY JPREGT LOC PRODUCTS• COMPIOP AGO 3 2,000,00( B AVTOMOEBEUARNUTY ANYAUTO ALL OWNED AUTOS SCMULR.ED AUTOS HIRED AUTOS NON -OWNED AUTOS CB1E63796 02/14/2006 02/14/2007 COMINNED VC"1llAIT (E•"OOip) 3 1,000,00c EMILYIN"Y (PerFwwl) 3 X X X BODILY RNNURV a (Pow S PROPERTY DAMAGE (Pa *=ds q 3 mOARAOE LIA86RT ANYAUTO AUTO ONLY. EA ACCIDENT 3 OTHER THAN EA ACC AUTOOZt AGG 3 S A EXCESSIUMBRFLLALMBILITY OCCUR aCLAIMS NAADE DEDUCTIBLE RETENTION S U 00050264 01 12/13/2005 01/13/2006 EACH OCCURRENCE 3 2,080,00C AGGREGATE 3 2,000,000 3 3 3 WORI(ERS COMPENSATION AND EMPLCYEAVIIADRdY ANY PROPAMTORIPARTNEIVEXECUTIVE OFf)C€RIMEMKR EXCLUDED? !I m dego-me WAK SPECIAL PROVISIONS beIm WG ETAIU- O7H. E.LEACHACCIDENT S E.L DISEASE -EAEMPLOVE S £L DiSE:.S@•POLICY LYIT S OTHER DESCRVM))DPOPFRA7MXILOCATWNS/VENICL"IF.XCLUSION3 WDED BY ENDORSEMFNT/ SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES At CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE g3UWC INSURER WILL ENDEAVOR TO MAIL 10 DAYS WNITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. GAT EtI FmEs* lK. 1600 FALMOUTH ROAD, SUITE 25 BUT FAILURE TO MAR. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LARR.)T/ OF ANY KIND UPON THE INSURFNL ITS ADENTS OR REPRESENTATIVES AUTHORIZED TATTYC CENTERVILLE, MA 02601 ACORD 2a 12001183) FAX- (508)778-S603 I i J�rv�A-L�� �c ,rOamotapugTION 1988 AOA`IA 011LAA11 IW.111 1151a3a1 CORD CERTIFICATE OF LIABILITY INSURANCE oti 610 °"""'' 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 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM/OD LIMBS A GENERAL LIABILITY 16808387A9841ND05 08/01/05 08/01/06 EACH OCCURRENCE E1 000 000 DAMAGE TO RENTED $300 LIDO X COMMERCIAL GENERAL LIABILITY MED EXP (Any we person) $5.000 CLAIMS MADE FRI OCCUR PERSONAL 3 ADV INJURY E7 000 000 GENERAL AGGREGATE E2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO $2000000 POLICY - PE O- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per Person) $ ALLOWNEDAUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT E OTHER THAN EA ACC S ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE S $ DEDUCTIBLE E RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND E.L. EACH ACCIDENT E EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUT VE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - FA EMPLOYEEI E E.L. DISEASE- POLICY LIMIT Is 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 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ 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 w✓/ 7 ` d ACORD 25 (2001108) 1 of 2 #41713 LS1 0 ACORD cUHPUKAIJUN IV00 •ACORD CERTIFICATE OF LIABILITY INSURANCE 12/20/ 02 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PANTANO INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 220 BROADWAY, SUITE 202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LYNNFIELD, MA 01940 781-581-3100 INSURERS AFFORDING COVERAGE NAIC# INSURED CENTURY PAINTING & DRYWALL INC. INSURERA: COMMERCE INSURER B: P.O ' BOX 2903 (�,,�� / INSURER C: HYANNIS, MA 026010�"" 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. roan LTa Naso E INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY POLICY NUMBER POLICY EFFECTIVE DATE MM/DD - POLICYEXPIRATION DATE MMIDD LIMITS EACH OCCURRENCE S 1 , 000, 000 PREMISES (Ea occurence Sir 000, 000 MED EXP(Anyone person) S5rO Oo CLAIMSMADE OCCUR PENDING 12/17/05 12/17/06 PERSONAL&ADVINJURY $1, 000, 000 GENERAL AGGREGATE S 2/ O O O I O O O GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 1 r O 0 0 r 0 0 0 POLICY JEOCT LOC AUTOMOBILE LIABILITY ANYAUTO�, :. _ COMBINED SINGLE LIMIT (Ea accident) $ BODILYINJURY (Perperaon) .... S -- ALLOWNEDAUTOS SCHEDULED AUTOS BODILYINJURY (Peraccident) S HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE PROPERTY $ GARAGE LIABILITY AUTOONLY-EAACCIDENT $ OTHER THAN EAACC S. ANYAUTO S AUTOONLY:. AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE S OCCUR CLAIMSMADE E S ' DEDUCTIBLE - $ RETENTION $ WORKERS COMPENSATKINAND TH WCYTM OER TST E.L. EACH ACCIDENT S ' EMPLOYERS' LABILITY rNr PaoraiETowruerMewE�eurnE E.L. DISEASE - EA EMPLOYEE $ , o FK;Ea EMaea IXCLUDEW _ Ifyes,descrbeunder SPECIAL PROVISIONS Wm - E.L DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS L.CRIIrirAic rIVLNCR v/1RvcLLllrwn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATERWOOD HOMES DATE THEREOF, THE ISSUING IULLITY RER WILL ENDEAVOR TO MAIL _ DAYS WRITTEN 1600 FALMOUTH ROAD # 25 NOTICE TO THE CERnFI ATE HER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CENTERVILLE, MA 02 632 IMPOSE NO OBLIGAnO�ORILI OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ©ACORD 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 a C � sf_ Inn f) Jl"- Work A ess (� I r is to be disposed of at the following location: ' VJi^ 040�Ir%�2 t�+T' IA 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. INGREGULATIONS 7ONSUPERVISOEZ 24ZO �i2CJt]Fr Tr. no: 25$26 Restri ted , v:RAWG CAPM- 40CQPPERLN CEI>LTMWLLE, VA 172ti32 Commissioner a00 - 35;000 cf. endosed space _-.— (MGL CJ1Z: S:60LJ to - MasOnw— vfy tG t Z FaisriljcHomes Failure io*wessa-cauientedition otthe I . MassaciiusettsStki Buomng: Code. ''- iscause:forrewcASanoF�iisticense. '. DIG SAFE:CALL.CENTER: 1888);344-7233 TOWN OF YARMOUTH MAY'0 2 2090 s ? c HEALTH DEPARTMENT HEALTH DEP-1 •��` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant:. Building Site Location: / 2 1 R M P STrLc�-&T Map No.: Lot No.:-L Proposed Improvement: f%'7�N - 2 SLi7l/►'IS Applicant: el. No.: sb� 77 8 1: Ir Address: %goo I-ALrv-1)07- t RJ) Sv, rt z5 Z&W7rYt1/(2L-,C %%� _ Date Filed: **Ifyou would like e-mail notification of sign off' please provide e-mail address. Owner Name: U1t.�ArrC� A"T' _Aml­) Si11Lc�T Owner Address: /6 0 o t= a � n� oo774 /7 o Owner Tel. No.: 5 08 77$ 96(, 9 SJ I Tt- Z5 M�V___07-6 32- RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit four (4) copies of plans, to include: (L) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note. Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: �G�I�GCDATE: PLEASE NOTE U ,✓lr,Y.CN�lr Nr3 'So$ 2�0 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 r Map #: Lot #: -,:rZ- 9/ Proposed Improvement: Applicant: V.,« AG &3 Ar LA M h 'Sr - Address: (fxE-,Ay7?r2v p,t 41A o26 3Z Tel. #: sc 778 -9c6 q Date Fled: 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... =REVIEWEDBYR D N: einn fi ernIN PLEASE NOTE: COMMENTS: Signature Of Applicant Date: TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-06-474 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 91 Owner's Name: Villages @ Camp Street, LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 ' REVIEWED BY: 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: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/5/2006 Issue Date: Expiration Date PLEASE NOTE SIGNATURE OF APPLICANT: Comments: Map/Lot: 044.21.1.0 new construction - Affordable: ZONING Al- r iROVED DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: Date Printed: 5/8/2006 MPD4540 MPD4035 Standarili • 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 op tions • Choice of standing pilot (works in a power failure) or pilotless electronic intermittent) ignition • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) • Wireless remote controls • Blower kits (including a temperature control version) •Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) Merit Plus Series direct -vent gas fire aces utilize either :cure Vent (rigid) or Secure Flex IfleMlle 4.5' er/7.5' outer coaxial venting system, and include a Note: Due to Lennox'. ongoing commitment to quality, specifications, ratings and dimensions are subject to nge without notice. Local conditions, such as elevation, wind vent configu- on-and choice of fuelwill affect the overall appearance he fire. Warnock Hersey (J20006711) wamoek Hersey V/ C �— z us C0Y4 uun usw 7M M Rsv.2 t9jtti 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. MPD3530 MPD3328 DIMENSIONS (Rear vent model shown) 3328 MODELS (This model comes as a top or rear vent only) D Z7- E--i Front Face Top 35,40 & 45 MODELS (These models come with a top and rear vent) c B �» D + oA� F 1 a.cb o 8" ra.i ,.sre„ 7-t2" 412" a' t Right Side FIREPLACE & FRAMING DIMENSIONS 3328 331/8 30'/s 17 271t 33'/8 195A 21% 103/4 331/4 331/4 13 3530 35'/8 32A 19 291fz 351/8 211As; 2478 12%6 35% 351/4 16 4035 401/8 371/s 24 341t 401/8 2611A6 29N 147SA6 .401/4 401/4 16 4540 401/8 37'/8 24 391/z 451/8 2611A6 34%8 17%6 451/4 401/4 16 "' == TYPICAL ROOM 3328T NG 17 500 APPLICATIONS 3328T LP 17,500. 45 49. 64 66 62 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 55 62... 60 4035. NG 27,000 59 69 67 4035 LP 27,000 60 69 67 4540 NG 29,QCO 59 69 67 _4540 59 69 47 Look for the EnerGuide Gas Fireplace Energy Efficiency Rating In this brochure MPD3328 MPD3530 MPD4035 33' fireplace w/opt. flush face 35' fireplace w/brushed stainless 40' fireplace w/polisbed brass louver and door trim trim arcb door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except. our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or __I__L__i 1____ -- L____L_-1 _____1___ __-[___ OGO-3 PRODUCT SPECIFICATIONS GMS9/GCS9 SERIES 93% AFUE Multi -Position, Single-Stage/Multi-Speed Gas Furnace Heating Capacity: 46,000-115,000 BTUH �uFM TED . P FITS LIMITED ,,pNFA; ACH NRFB: WARRANTY yt_ r1 Gaeta E1� E1v m '�.reo ® C 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 teaming 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 pressureswitch 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 NCx Standards • Suitable for direct vent (2-pipe) or non -direct vent (1-pipe) applications 0101011110 Air Conditioning & Heating The GMS9/GCS9 'single -stage, Cabinet Construc o> • Heavy -gauge, re force (� el abinet with durable ba £3nis • Attractive architectural gray paint rs • Foil -face insulation -lined heat exchanger compartment • Coil and furnace fit flush for easy installation_ • Convenient left or right connection for gas and electric service • Bottom or side air inlet (GMS9) • Removable, solid -bottom block -off (GMS9) Accessories • L.P. Conversion Kit (LPT OOA) • L.P. Gas Low Pressure Kit (LPLPOI) • High Altitude Natural Gas/L.P. Kits (HANG11, HANG12, HALP10) • High Altitude Pressure Switch Kit (HAPS27) • External Filter Rack (EFR01) • Horizontal Concentric Vent Kit. (HCVK) • Vertical Concentric Vent Kit (VCVK) • Internal Filter Retention Kit—upflow, horizontal (RF000180) • Internal Filter Retention Kit—downflow (RF000181) • Thermostats Blower Motors no (CHT18-60, CH70TG, CHSATG, H20TWR) SS•377D w .goodmanmfg.com 6/04 MAScheck,COMPLIANCE REPORT 1 Massachusetts Energy Code I Permit # MAscheck software version 2.01 Release 2 1 1 checked by/Date CITY: Yarmouth STATE: Massachusetts HOD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Egret / v �- 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 Required UA = 216 Your Home = 123 RECE1 VE D MAY, 0 5 2006 A.'JLDJNG D EPr. 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 Date Massachusetts Energy code MAscheck software version 2.01 Release 2 The Egret DATE: 4-21-2004 Bldg.l Dept.l use I CEILINGS: [ ] I 1. R-30 + R-30 I Comments/Locati I WALLS: [ ] I 1. wood Frame, 16" I Comments/Locati I O.C., R-15 + R-15 I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 I For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. u-value: 0.34 For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] NO I Comments/Locatio^ I I C ] I i C7 I I i I I C] I I I I C ] I I I I I DOORS: 1. u-value: 0.086 Comments/Locati 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 is 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. dt I [] I DUCT INSULATION: Ducts shall be insulated per Table 34.4.7.1. DUCT CONSTRUCTION: 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. i 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 I and/or cooling input to each zone or floor shall be provided. [] I [] [] HVAC EQUIPMENT SIZING: 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: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" LOW pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): HEATED WATER TEMP 170-180 140-160 100-130 PIPE NON -CIRCULATING (F): RUNOUTS 0-1" 0.5 0.5 0.5 SIZES (in.) I CIRCULATING MAINS & RUNOUTS I 0-1.25" 1.5-2.0" 2.0+" I 1.0 1.5 2.0 I 0.5 1.0 1.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use only) OF rq - APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) _ TOWN OF YARMOUTH By WITTACNE ESE � a Fee: $ - U'v I I PERMIT NO. Date Building ��yrG, ,,% �� %1 Owner's AT: Location //7/��"���//__ / / Name Type of Occupancy New ❑ Renovation ❑ Replacement ❑ moans Submitted Yes ❑ No ❑ Cl) O O1 y COW Y. z t/1 cc y nn� v cc W oC O O ~ = M Q O J Cn 2 F U m t= Z F' O� ¢ °m O: rW- 8 Q w oR z a 0 x> W �Q W x z Cn o w W W Cl) W J Z Q x CC W 2Lu 2 W ~ LL W~ V x J y cc W > � W= z Q Q m g O o W O W oc x o t, x LL 3 c 0 0 2> o a t- o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name % 7 Address�tiaf Business Telephone Check One: ❑ Corp. ❑ Pa ship Firm/Company- 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. 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 One: Owner ❑ Agent ❑ Signature of Lic nsed Plumber or Gasfitter 22. l ' 7 License Number TYPE LICENSE - Plumber Gasfitt er Journeyman 4 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 �t3 Fee: $�� �* PERMIT NO. la^ (07 —a It) - (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 intention to the electrical work described below. Location (Street & Number) / Z7 �Rn�iJ -`� Ltir 9/ (s,¢i tsu,caod /�iyj?t3S Tele hone No. ?7F-96eo/ Owner or Tenant P Owner's 7e Is this permit in conjunction with a building permit? Yes C]No Ch ropr Purpose of Building Si8VGMUq{Urw&-- U ity Authorization Existing Service Amps / Volts Overhead grd New Service Od Amps I ZO / 2(60 Volts Overhead[] Undgrd L / V a. v O 3 1201061 Z ,n 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 C1 In- No. of Emergency Lighting No. of Lighting Fixtures Swimming Pool gmd. gind. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones o. o Detection 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 um er Tons — — W — — 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 Signs Ballasts Data Wiring: No. of Devices or Equivalent Telecommunications Wiring: o. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or E uivalent Arracn aaamonat aeratt ty aestreu, ur ub reyuueu uy rue an-pcuur uJ rru 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 "complete peration" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same tot 5ermit issuing office. CHECK ONE: INSURANCE 01"BOND ❑ OTHER (Specify:) Estimated Value q# Work to Start: I certify, under thA RM NAME: rV1, censee: a C A/ (If applicable, enter "e) Address- ? OWNER'S INSURANCE (Expiration Date) Work: (When required by municipal policy.) _Inspections to be requested in accordance with MEC Rule 10, and upon completion. penalties f pgrjury, that the information on this application is true and complete. /Low 14 r (Z LIC. NO. / %2 29A O T2ocu Signature LIC. NO.:?16 $ ' in the license n ber line.) Bus. Tel. No.: . G Z - CL / 4 V ),PIS Q-A) . `. & AP-N ST � (e , p41� Alt. Tel. No.: 771/ - S s y - O"Z �R: I am aware that the Licensee does not have the 1 ability 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 Page 1 of 1 s AISrT,AM • WPS - Permit Work Order Information Utility Auth/WO #: 01543098 Date: 09/15/2006 Company BEA LORD Rep: Report By: YAR 121 CAMP ST U91 VILLAGES AT CAMP ST LLC Status: ACTIVE Service: NEW Type: RES Nature of Work: CONNECT 100A 120/240V UG IN HH190D Service Information: There is no Service Information. Permit Information Permit #: E07-215 Meters: 1 Reseal (Y/N): Y Date: 10/13/2006 Inspector: W10060 Description: • Search f Detail' Contacts NSTA.R_Ho..me WPS L000n WPS Help Comments WO Request WPS..News* (a Le 45 1, Copyright 2003 NSTAR, 800 Boylston Street, Boston MA USA. All rights reserved. Reproduction in whole or in part of any graphics, 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. k http://www.nstaronline.com/apps/wps/wpspermit.cfm?Page=Permit&Unique= f ts_'2006-... 10/13/2006 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR To the Inspector of Wires: By work described below. Location (Street & Owner or Tenant MOUTH By U` � Fee: $_ 2006 PERMIT r. (OFFICE USE ONLY) S� gives notice of his or her to nerfoAn the electrical Telephone No. Owner's Address I ` ' "` r K -- Is this permit in conjunction with a building permit?.2'res C3 No (Check Appropriate Box) Purpose of Building CU4JC� Utility Authorization No. Existing Service Amps / Volts OverheadQ Undgrd C] No. of Meters New Service Amps MO Volts OverheadD UndgrdO� No. of Meters Number of Feeders and Location and Nature of Proposed electrical Completion ofthe following table may be waived by the Inspector 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 A ove n- No. of Emergency Lighting No. of Lighting Fixtures SwimmingPool md. rrid. L-J Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones o. o Detection 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 um er — — ons — — _W_ 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 Equilivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent 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 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. V CHECK ONE: INSURANCE OND C) OTHERD (Specify:) (Expiration Date) Estimated Value bf E ctrical Work: (When required by municipal policy.) Work to Start: 011 lof id t.0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pVN s and penal ' of pe that the information on this ap ication is true and complete. WM NAM LIC. NO. censee: Signa e LIC. NO. (If applical?jq,; ter; ` e t" in thelliAnse num Mine.) Bus. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware t below, I hereby waive this requirement. I am the Owner/Agent Sionntiire L.—it Alt. Tel. No.: the L c see does not bave the liability insurance coverage normally required bylaw. By my signature ieck one owner ❑ owner's agent. 13 Telephone [Rev. 04/001 0 0 Commonwealth of Massachusetts Official Use °a1y Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULA71ONS .11/991 vo blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK7}'j� { All wockto be perfbaned in so=dwce wilt. the M"'A husetts Electrical Code o0q, 327 CMR 12.00 k INKORTPPEALLINF27RMATI01� Date: 1.2-) bb II (PLEASEPRZNTrr City or Town of: YAxr�Urli To the Inspector of Wires::'. i'i By this application the undersigned gives notice of his or her mtennon to pejeorm the electrical work descnbed below. Loiaton (Street & Number) MILL POND VII,I AGE, 121 stg' St Bldg # Y OwnerorTenant Gatewood Homes/ Jeff Sollows TelephoneNo.508-7789669 Owner's Address .1600 Falrmutti Rd., suite 25, Centerville, Ma. 0263.2 Is this permit in conjunction with a building permit? Yes N] . 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 ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Fire Alarm System (low voltage control panel) tW�elg,,battery sPntrally monitored rmmnletiat ofthe followinz table maybe iot;Ned by the Impector ojlirrres Na of Recessed Fixtures INO. of Cell.-Susp. (Paddle) Fans Transformers KVA Na of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool d e . ❑ d. BatteryUniitssency g No of Receptacle Outlets No. of Oil Burners FIRE ALLARMS No. of Zones —1— _ No of Switches No. of Gas Burners o. o Detection and 7 Initlatine Devices Na of Ranges Na of Air Cond. Tons No. of Alerting Devices No.oCWasteDisposers Tot�alsP , um er ons Dettion/Aloertited aDevi 7 No. afDishwashers Space/AreaHeating KW Ucal 0 Municipal Co nection ® Other • - No. of Dryers Heating Appliances KWit ty yystems: ecunNo. ofDevices 6rEquivalent a o ater KW Heaters o. o o• o Signs Ballasts Data Wiring. No. of Devices or r4alvalent. N.HydromassageBathtubs No. of Motors TatalHP No. fDevicesorEquivunications alent Attach additional detail iftierired, or asreWred by the lnspecrar. afWYru. -N-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. CBEMONE: INSURANCE M BOND0 'OTHER ❑ (SpecifY) cpuation tc VEstimated Value of Electrical Work: $ 750.00 (When required by municipal policy.) ,WorktoStart Inspections requested in accordance with MEC Rule 10, and upon completion. Icertify, under thepaitu andpenalties ofperjury, thatthe information on this application is true and complete F4RMNA: Baltic security, Inc LIC.NO... 1178C ME • Licensee: Jonas R Bielkevicius Signature' LIC. NO.: 49 D aft"liarble, mwr <'ez=pt'<in the lPemse,nrtntbe .lace 02563 Bus. Tel. No.: 08-833-0996 AddrIss: ' PO Box..1609 Sa?3dw�c t Alt. TeL Na: 508- -3 7 OWNER'S INSUi2ANCE WAIVER:am aware that the Licensee does not have the liability insurance coveragm nosy . required by law. By my signature below, I hereby waive this requirement I am the.(check one) ❑ owner ❑ owner's agent. Ogn2tur . pERIKIT FEE: 40.'00. Owue Ag Telephone No. pp6 U 00 ti 73 ! LOT 74 1 / L N8 4-1 9'0-9-E - -- ' 7 ' _ 54.00' 91 LOT 90 `4 2, . � � 28.0 1.0l LOT 92 0 a0 , 0 EXISTING ai C 1� N IO N FOUNDATION v O J f 36.0' 19.0' NS4.19'03"E 151.54 DRIVEWAY 1 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 HAZARD EA ��e W4� D TE REGISTERED 6140hg6ONAL LAND SURVEYOR EXI. FOUN I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN. AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF 4DAjS�q. A�ERM REGIS EDED PRO ES ONAL LAND SURVEYOR GRAPHIC SCALE NOTICE 20 10 0 20 60 Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional land Surveyor appears an this plan:. (A) no person or persons, including any municipal or other public officials, may rely upon the information contained heroin; and IN FEET (8) this plan remains the property of Holmes k McGroth. Inc. 1 inch = 20 fL AS —BUILT PLAN holmes and mcgrath, inc.(Lct,� °iOF LOT 91 PREPARED FOR civil engineers and land surveyors MILL POND VILLAGE 362 gifford street IN falmouth, ma. 02540 YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 7-10-06 DWG. NO.: A2559A CHECKED:/L/O LOT 73 LOT 92 Iz 0 0 o•� I� PROPOSED] WATER SERVICE-� PROPOSED 2 4" SEWER LATERAL - me I 1 WORK MUST CON RM TO ALL TOWN BYLAWS AND pm Y A WATER DEPT DATE GRAPHIC SCALE ( IN FEET ) 1 inch = 20 M LOT 74 N 84'19; 0, _ 5400AFFORDABLE'LOT 90 LOT 91 i 3.672f S.F. PROPOSED HOUSE HERON FF = 24.0 GW=15 IU' P HOUSE rn Oo ' o EGRET p ICn FF = 23.5 GW= 15 r� Q os 3 aw 0, 0-0 '�j _ 40.84' 12ad[E[0 MAY 0 2 2006 By: NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. 110 r, '.0 Unless and uotl such time as the original (red) sta;n;; cf i, ,; respoovble Profe=siora! Enginear, cr Prcfaasione:I Land Suer.=y.�r appears on this plan: (A) no ,ersoo or persons a ':,ding cry m:;nt ;pai C.r t p;:biic ofrici•Is, nl-y rely ;non i n4'rn.'fi n cent ,nnj lyre; (©) this plin rsmains the pr»erfy of Holmes .i McGra`.h. 17.., PLOT PLAN holmes and mcgrath, inc. �jj" OF a14ss4 OF LOT 91 civil engineers and land surveyors °yam PREPARED FOR 362 gifford street � TlSANTOS MILL POND VILLAGE f N0.45078 y IN falmouth, ma. 02540 4 CIVIL �Ff /S7EP�O \�4�r YARMOUTH, MA JOB NO: 201197 DRAWN: LMC �F�` rori Gc SCALE: 1 "=20' DATE: 3-24-05 DWG. NO.: A2559 CHECKED:yl,, LOT 73 LOT 74 � —_:, I 54.00'AFFORDABLE � LOT 90 LOT 91 5. 3,672t S.F. I W LOT 92 M / 1• z t .28.2 to rn (' rn P HOUSE plo PROPOSED � CO • EGRET p HOUSE p p / HERON � p lUi FF = 23.5 N IN24.0 ' GW=15 GW = 15 32.. tot. PROPOSED 7' Nz WATER SERVICE ow>PROPOSED o4" SEWER LATERAL--�� �cc40.84' % 54.00' �I N84.19 03" t 15 N84019 03 EEVI PROPOSED SEWER MAI MAY 5 2006 WORK MUST CON TO ALL TOWN BYLAWS AND TIONSc,� Y OU WATER DEPT DATE E - GRAPHIC SCALE ( IN FEET ) I inch = 20 M OF No. 289M 0MI2D BUILDING DEPT. MAY U 2 2006 By: NOTE: HEALTH DE -PT NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 1 OFT. OF WATERMAIN. D 110TICE "I"3s and u.eU such time as the criainal (red) stamp of the re-pce;�ble Prof<_;s onal Engineer, or la cfe;sioncl Land Suryeyrr app:ars on this plan: (A) no pe�;an or persons, irc!uing any municipal -,r other pnblir, affioials, mny rely upon fI,e in fn. motion cnnto nrd harsin; :m+ (B) this plan remains the propsrty of Holmes i< IAcFrath, I^a, PLOT PLAN holmes and mcgrath, inc. OF LOT 91 civil engineers and land surveyors PREPARED FORTIMOTHY M. 362 gifford street SnNTos MILL POND VILLAGE � N , 4507 L7t3 IN falmouth, ma. 02540 0 YARMOUTH, MA '0 9�ofsTe�`��� JOB NO: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 3-24-051 DWG. NO.: A2559 CHECKED:`P&L. OF ,, TOWN OF YARMOUTH Building Department BUILDING + (508) 398-2231 ext.261 PERMIT NO B.&61407 PERMIT KaTheim ISSUE DATE , _ 5/26/2006 _ JOB WEATHER CARD ; PROPOSED S _ _ _ APPLICANT .Frank Capra _ •------------••---------- PERMIT TO New Construction AT (LOCATION) 00121CAMP ST Unit 91 ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1044.21A.C91 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction - Affordable: 2 baths, 3 bedrooms, 1 diningroorn, 1 kitchen, 1 livingroorn as per plans dated REMARKS 05116✓06. AREA (SQ FT) EST COST ($ 1$148,896.00 OWNER lVillages 0 Camp Street, LLC ADDRESS 11600 Falmouth Road # 25 Centerville MA 02632 PERMIT FEE ($) 1$0.00 .DING DEPT BY CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 15087789669 Certificate Issue Date 7 c> - '�' - � �Z CERTIFICATE of OCCUPANCY 4' Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks WR �� ELECTRICAL �M 92 To be filled in by each division indicated hereon upon completion of its final Inspection.