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HomeMy WebLinkAbout121 Camp St #095 Building PermitsTOWN OF YARMOUTH Building Department + (508) 398-2231 ext.261 PERMIT NO .: B=-- I- .---..--- BUILDING PERMIT u ISSUE DATE ;- 1/11/2' -; PROPOSED USE r--------------------------- . APPLICANT .Frank Capra _ _ _ _ _ _ _ JOB WEATHER CARD . ---- ------------ PERMIT TO ; New Construction ; AT (LOCATION) 00121CAMP ST Unit 95 ZONING DISTRICTR-2 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1044.21A.C95 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R 4 LOT SIZE new construction: 2 baths, 3 bedrooms, 1 kitchen, 1 laundry room, 1 livingroom as per plans dated REMARKS 11/17/06. AREA (SQ FT) EST COST ($ 1$117,024.00 PERMIT FEE ($) 1$427.00 OWNER I Villages @ Camp Street, LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road # 25 Centerville I MA 102632 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 15087789669 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLUC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1) FOUNDATIONS OR FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL MEMBERS (READY FOR LATH OR FINISH COVERING) 3) FINAL INSPECTION BEFORE OCCUPANCY 4) REFER TO DETAILED INSPECTION SCHEDULE POST THIS CARD S RI III niNr: INSPECTIONS APPROVALS APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE PERMITS ARE JOB AND THIS CARD KEPT POSTED UNTIL REQUIRED FOR ELECTRICAL FINAL INSPECTION HAS BEEN MADE. PLUMBING/GAS AND WHERE A CERTIFICATE OF OCCUPANCY IS MECHANICAL INSTALLATIONS. REQUIRED, SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. IT IS VISIBLE FROM STREET 2 2 2 OTHER: 3 1 2 3 4 5 WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INSPECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION ABOVE. ONE & TWO FAMILY ONLY - BUILDING PERMIT [ : APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department � ,�P° 2 1146 Route 28 ° Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 ° Fax: (508) 398-0836 OfficeUse On k ' Planrnng 8oarddnformation Assessors Depatiment information a k' ` r ti t p 1 anType� PerrriliNo ate '" Endorsement6�te " hw4i New` r' Permlt�ee ,� '"a ` �RecordingDate 4 �o e Imerislons,fi, P P rt5 A f " Deposli Reed` $ Rate '�- � �t r, ,a - * _ LotAtea(sf). v, : ,G Ftoutag� z yt*�.1or'Covetage f. 1VetDue Y} Dther' Trus.Sectlod-f6rOf 5e.UseOnl'�S mod t.a x 1.; . N'^' � <� 3 r x ti ��, ' t r �- ��t- � rz � d Certificate of Qccupancy�- �r �'" � • r .� 4�L� i-�Ir lid }�V•' y.v. YiF �. a { i�{ [t Ste& y�,°�t^� ,.�'1 F-•�Mi"1 �,ya �i`�{ Y t� if"-af )i x. Section 1iie )nforrrmattotr Use Group: R-4 T pe: 5 B 1.1 Property Address: t.2. Zoning Infomtation: " 2 i P 6 `I Zoning District D `Sed Ilse' V 1.3 Building Setbacks (it) Front Yard Side Yards R Yar Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L c. 40. S 54) 115 ElooZorte information c v,' " `Comments'`i> r ?si "'-':. s�JJ G .w r. M1 S.. i S iG -i <.. ? i P.wr i^YY�.'.Y-b .� i { Y*n 4.R ✓F�...'. Public Private .t}} „F'p .Zone Section 2 "Property„Owners)vp' mflb .lib Agent 2.1 wv r of Record: /`�6�4Y�5 Mailing Address��f-laj DZG Z Name (pri Telephone Signature 2.2 AuthorizedtAgent: Mailing Address Nam pant) Signature Telephone Fax $e6'LOrr2c C'OnStn'606b 5; - ieefl 3.1 Licensed Construction Supervisor. Not Applicable ❑ VA- License Number Addr Expiration Date Signature Telephone R E � E p Company Name Not Applicay�S� BUILDIN ' T. - License Number Address By: Expiration Date Signature Telephone 9- 15-99 t of 2 f)VFR a Workers Compensation Insurance affidavit must be completed and submitted withfthisapplication. FaHurbto provide this affidavit will result in the denial of the issuance of the buildin g perm Signed Affidavit Attached Yes ......... No .......... 11 New ConstruI No. of Bedrooms No. of Bathrooms Z Existing Bldgpair(s) ❑ Alterations ❑ AdditionAccessory Type - Demolition Other Brief Description of Proposed Work: Item 1. Building 2. Electrical 3. Plumbing /Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1 +2+3+4+5) 7. Total Square Ft. (new houses & addhons) I hereby authorize my behalf, in all r Estimated Cost (Dollars) to be completed by permit applicant 2) Specify: Check Below ❑ Conservation -Commission Filing (if applicable) . ❑ Old Kings Highway & Historical Commission approval (if applicable) , as owner of the subject property relat* tow rk authorized by this building permit application. /.0 Date to act on .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. _ . / , 1 /, - - l' /9 /o��� Date 9-15-99 2of2 UN6 PLEASE PRINT.• Job Location: _ 1vw1N.vr YARMOUTH -BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Owner of Property: Construction Supervisor: Address: I'W v o .�f Licensed Designee: (If other than Supervisor) Village ��k U�_P dXI Da I y o So 669 Name l . License No. Phone No. C I/LAP ti.�l U�� a„`(-Ctl, l�k 0 A oaG ivame 2.15 Responsibility of each license holder: License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures onlypursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.1-5.2 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 E( No If you have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance policy Other type of indemnity ❑ Bond OWNER'S I Chapteyi, WA VER: I aware that the licensee does not have the insurance coverage required by al a s, and that my signature on this permit application waives this requirement lJA Check one: SignatEfre of Mner orOwners Signature: Owner ❑ Agent Building Official Approval: The Commonwealth of Massachusetts Department of Industrial ,-accidents OIllceollavestlQsll,ris 600 Washington Street ' > Boston. Mass. 02111 Workers' Compensation insurance Affidavit Applicant information: pT A PRi1VT1<9 tan namrr locating I' Z 1 . 5 � P7 n r O 1 am a homeowner performing altwork myself. ❑ 1 am a sole.proprietor and ha%e no one working in am• capaciy rJ I am an.employer pro% iding workers' compensation for my employees working on this job. comnany name• address city phone 1h insurance co. ooliev.lt &1 am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below tsho has: the.follotsin_ .corkers* compensation olices: rmmnanvnamr- Ss64!!�YS company name - Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.50M andto 'one years' imprisonment as well as civil penalties in the forth of a STOP WORK ORDER and a fine of SIOLOO a day against me. I understand that i copy. of this statement may be forwarded to the Once of Investigations of the DIA for coverage verificatioa. I do -hereby cerrify under the painssand penaltics of perjury that the information provided above is true and correct Signature Print name r Official use only do not w rite in this area to be completed by city or town official city or town: YAIlliODT$ _ permittlicense0 n8uilding Department ❑licensing Board i3 check if immediate response is required 263. pSeleetmen's Office(508) 398--2231 ext. �Heattb Department contact person: phone#,; _ r-10ther V 1AQg1IQANnFrn . L.uenLlr: Iovor -• ------ ------ ACORD. CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE ,o%1UI s°"YYY' PRODUCER Dowling & O'Neil Insurance Agency 222 West Main St. PO Box 1990 Hyannis, MA 02601 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Assurance Construction, Inc. A/O Assurance Excavation, Inc. 550 Willow Street West Yarmouth, MA 02673 INSURERA Travelers Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: I.VVCK ucC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEISSUED 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. SR LTR- kDD'L NSF.. - .- - TYPE OF INSURANCE_._. POLICY NUMBER POLICYEFFECTWE ATE MM/D POLJCYEXPIRATION ATE .IM/CD — - .. .. _. _lJMn4-. .".... A GENERALLIABWTY X COMMERCIAL GENERAL LIABILITY. CLAIMS MADE a OCCUR 16808387A9841ND06 _. _... - - - - --. - 08/01/06 , 08I01/07 ' EACH OCCURRENCE $1 000 000 DAMAGE TO REPREMISES (EA NTED Meal S3OO OOO MED EXP (Any one person) - E5 000 PERSONAL & ADV INJURY E7000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F1 PE O- LOC PRODUCTS - COMP/OP AGO E2000000 ...,. ....,, .. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS - SCHEDULEDAUTOS.-_.- _. HIREDAUTOS . .. _ ...- .. NON -OWNED AUTOS - - .- - .. ..... ". _. _ "....... - -... _ _.. - - ___ .. .. COMBINED SINGLE LIMIT (Ea accident) $- - — BODILY INJURY (Per person) .. .. $ _..._ . ._. ... .__ BODILY INJURY' (Per accident) ..:;.... ... S - PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S ; EACH OCCURRENCE Is AGGREGATE $ S $ $ WORKERS COMPENSATION AND...... _ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? ttyea, deacdbe undWI= SPECIAL PROVISIONS below WC STATIY OTH- E.L. EACH ACCIDENT.. E.L. DISEASE -EA EMPLOYEEI S E.L DISEASE_ -POLICY LIMIT. $ ... -- -- OTHER .. _ .. - - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes, Inc. 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 of 2 #44705 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I n DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED R PRESENTATNE -+a? C. C LS1 a ACORD CORPORATION 198E P-154LO ►mm I 1 —_ FELLA YNSLur t\Nc E AGF-NCX, XNC. 58,A WASHING'TON STREET ISTLIGIiT®N. MA a21314542 Tot. (617) 787.06i7 INBURFD Hen OLAMA.T1topaulo9 ' AV.,. ' THIg CERTIFICATE ISASSU60 A9 A MATTER OF INFORMATION HOLPgR DTHIIS CERTIFICATERDOW NIGHTS OT AMEEND. EXTEN13 OR ALTER -THE COVERAG& AFFORDED. BY THE POLICIES BELOW. INSURERS-AFFORONG COVERAC,E . NAICS INEURER A: Ol=0 >'rofAetiM+ Silo CD mlUAER 0 ..... . AAA Hobart Plumbiaq' S -30atl ncg ... " . 1 25 Anthony Rona west Yaxmouttr;-WN-02673 WUREAC m[uREnO . IAlUAER fi -- THE POLICIES OF INSURANCE LISTED BELOW HAVE oMN ISRUM TO THE INSURED NAMU A8UVE F0K Inc rvLI .l ll ..— .•-•--- -- --- i -B-E ISSUED OR WRH RESPECT TO WHICH THIS CEATIRCATE W+Y ANY REQUIREMENT. TERM oR CONOMON OF AMY CONTRACT OR OTHER DOCUMENT BYTHEfOUCeS-OESCRWoHEREIN. ISSUMfg GITOALLTHETFpnS.EXCLiAONSAND CONDITIONS OFSUCH "AY PERTAIN THE INSURANCE AFFORDED POLICIES, AGGREGATE LWSSNOWN MAYHAVE BEEN R£DUCEDBY PAIOCIAIMS. PD=NUMOER POLLT er" SOH I. o EACH CODUP1 a-, . - !'-' S09-00 QENP.Rn4 LIAl1iUTY smnmg! �Oi000 -R6MIS 4G- - .. _ idEO4xP eMFetx�-- [•--... 5-- ftNM4MADE CI OCCURI 8500031617 7/20J06 7/20/07 PERIONAL[ADJE2NRY ! MA.No A OENERAL•nO0AWATE - • s- 1 A40 [ 1.000.000 ' 4CK AOMWAM LAOT APPLIES PEASPAOouCT!-COI�IDeD9 ... _ . POL Loo AUTOVC%!LIA8kM _ .. - _ . (Fi� rn l INQLE LDAT A Nrf AUTO uLawHeDAUro� I�u�� ! lCHMULCOAUTOT _ NIAQO AUTOS - SODE,YI {PNneel ad n0 - s _ NDN-OWNEONJTOS .._ P�tOPL'HTY OAAIAOE [ - AUTO ONLY.EAACCIOEHT ! CMADR LN6It4Y EAACC ! . A14YAUTO - - .OrAWTMN . AurDONLV. AGO ! EACH OCCU4ILEHCE ! ' axcE44AMTEACIIA LYIEIUIY . OCCUA CLAIM MTfi ... " - - nGCAEOrtTE .... 6 . OEDUCTMU; ! WOPIX04COMPEN9ATNINANO EMMOYERA` LIABILITY ' 91 EACH ACGOENT ! E,6 Oil6AAE-Wi EWLLYEE!-.-. . AMT AAOMI�TvPR'AmHPPR�fCGO'MI - .... 0MVE CM7pD�I�'A exCLUMM 9PE'CUK�vR0uI�0N4 Nfe� - - CL. DI[EA6E•P000T LAAT 9 OTHER O6AORA+TON OF L»ERAnOND�LDOATIpµ9fv6�nCLES/EXCWSIOHlAD0608Y ENOOApLMENTIEPECUL9AOVL4pnE - PLUMING WORK CERTIFICKrra HOLDER CANCELLATION —SMOULO AW OF-714SA WEDWCM2ED-P%'=A to CWCE'LLGD YRFOAGTMr%Xp`D&TtON ATW: 8M$tR =Nmvzs DATE THtkOF. TIE Y4UW0 IHL+uAGa ML ENDEAVOR TO MAP, 0 DAY[ WAITTF•N - GaTENOOD gObT>::9 - - . - P=trX To SNE CERTIFIGATLHOLM wwED TO THE LEFT. BUT FAUM TO 00 60 AHALL 1600 FALMOtT U RD STE 25 IMPOSE No�aei tucatr Rr 6r TK 04WCYi'tts ACExrs OR C£NTERN2IM, . MA 02 632 AEPAEEENTA $ FAX# 50a-778—S603 ACOR025(20011Da) TOTAL P,OZ- �ACOR& CERTIFICATE OF LIABILITY ZHAKNEL INSURANCE DATE(MMIDONYYY) PRODUCER Dowling & O'Neil Insurance 08/29/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED M. t, Inc D/B/A INSURER A St Paul Travelers Insurance Company INSURER B: Associated Employers Insurance Compa B BarnstableElectric INSURER C: 71 Lothrop's Lane INSURER D: West Barnstable, MA 02668 INSURER E COVERAr.F.R 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 INSRI TYPE OF INSURANCE POLICY POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR 1680 07/19/06 07/19/07 EACH OCCURRENCE $1 QQow, QQQ DAMAGE TO RENTED MED EXP (Anyone person) E300 000 E5 000 PERSONAL &ADV INJURY E1 000 000 GENERAL AGGREGATE s2,000,000 - GENL AGGREGATE LIMIT APPLIES PER: POLICY F1 PEa LOC PRODUCTS - COMP/OP AGG $2000000 AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Devon) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Peraocident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT j OTHER THAN EA ACC AUTO ONLY: AGG S S EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE j j DEDUCTIBLE E B RETENTION j WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCC5000804012006 01/15/06 01/15/07 WC STATU- OTH- E ` E.L. EACH ACCIDENT jSOO 00O ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE - EA EMPLOYEE $500,000 n yes, describe under SPECIAL PROVISIONS below OTHER E.L.DISEASE - POLICY LIMIT E500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms, conditions, exclusions, other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered, waived, or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR - REPRESENTATIVES. AUTHORIZED RE PRESENTATIVfEE ACORD 25 l2001/081 4 ..an ,.I ...... LS1 0 ACORD CORPORATION 1988 rlrl-cu-{uun Inu Iu.is Hn X x fftiUKANGE FAX N0, 508 991 5461 P. 02/03 CERTIFICATE °" {..IABILI 1 i' i SURAW.E T 04/224/ZO06' PRODUCER (508)994-9693 FAX (508)99!1-S461 FLAGSHIP INSURANCE INC 414 COUNTY STREET NEW REDFORD. MA 02740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANOCONFERSNORIGHTISUPON TME.C€RTIMATI= MOLDER. IS THC€RTIFICATEDOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC S imsum Frank Capra PO Box 664 West Hyannisport, MA 02672 INSURER& Providence Mutual 15040- INSURER B! OneBeacon 20621 wsuRERe wsuRER>r irlStlFiER 4: - COVEIRAGES THE POLICIES OF TNSURANCELISTED BELOW vivEEE£N ISSUED TO THE INSURED NAMED ABOVE FOR THS POLICY PERIOD1NDICATED. NO MTM£TANDIM ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIO= OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE IJAY BE ISSUED OR DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE tiMtTSSHOMMAYH? E$EEN EDUCEDSYPAIDCAIMS. SR 1 TYPE 6FDTSURANCE NUMBER POUCY EFFECTIVE POLICY EXPIRATION y ri2NERALLIABILITY ILPP005313103 22/13/200S 12/13/20D6 EAGIOCODARENCE S 1400,00 X CCMMERCALOENEPJkUA?PJTY DAM TORENTED 4 50,00 CLABAS#!P3)E QN MEDEXP(A"yonapawn) 4 5.0001 A PERSONAL S ADY INJURY S- —1-000.0011 - GENERAL. AGGREGATE 4 2 000 0 CMAGGR.EGAT'EI-IW APPLIES P)A.: PRODUCTS • COMMOP ADO 4 2.000100( POLICY " JECT LOC AVTOMOR"tMMUTY ANY AUTO CBIE63796 02/14/2006 02/14/2007 to"No Swoa LIMIT (EA waawX) S 1 000 0 BODILY UUURY IPWPm I 4 B ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Par as d"I 4 PROPERTY DAMAGE (PM a Cfovtf 4 . . DARAOE LIABILITY - AUTO ONLY -EAACCpENT 4 ANY AUTO - OTHER THAN EAACC 4 4 AUTOGNLY: AGG TiUICESBNMBRELLA IL6TMJTY - OCCUR CLAIMS MADE U 050264 01 I2/I3/2005 0I/I3/2006 EACH OCCURRENCE s Z ODD 0 AGGREGATE I Z,ON 000 A � OEDUrnBLE s RETENTION S - S WOBNER4COMPE14ATIONAND I WC 4TATU, I JOTlM EMPLJ)YER4'L1M4JTY £LEACHACCIDENT S ANY PROPPRTOMPARTNERIMCUTNE OFFICERME-MSEREXCLUOBDT s� I�ECIAL PRO ASIOLowla SPECUII PROUISION6 bNow - ftfl15EASE-fAArr'tOYE f EL DIccASI-MICYL$.AT s LTRER } t` DE4CPM10N0FD.PFRAMOP040CATWN31VEMCLESIOCLUWONS OEDBYENDORSENENTISPECW-PRONSIONS ' SHOULD ANY OF THE ABOVE DESCROED POLICIES BE CANCcM=BUM THI EXPIRATION DAYC THERECP. THE MUWG INSURER WILL Ef1DEAVOR TO MAIL 10 DAYS wwrmN NOTICE TO THE CPJR1 =TE HOLDER NAMED TO THE LEFT. CATBOOD HOMES, 1K. BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBUCJLTION OR WBUTY 1600 FALPIOM ROAD, SUITE 25 OF ANY RIND UPON THE INSURER ITS AGENTS OR RE►RESONTATMM CENTERVILLE, MA 02601 ADTHDRaED TATrve Lwnu ca IYVUI/UBj r/Ta: T.wajs ro-sous - I >L�J4MlU�L�( �¢gION 1959 FAX NO. 508 991 5461 P. 02 APR 21 2095 09127 €R 4137 {i88 7848 CUTDICATZ OF Prodneer aLA13SHM DISURANC&INC 414 COUNTY ST NEW HBDFORD MA 02740 Insured CAicZA, F,xwjc G PO BOXY 4" 'BST HYANN«—MmORT kR 0] CeTeradss 71i1S IS TO CERTIFY MT rem INSURED NAMED ABOVE FOR TF TERM OR 00"MON OF ANY CE'TIPWAT.-MAY BE L93M OR HEREIN 18 SUB3ECTTO ALLrm T MAY HAVE BUN REDUCED BY FA Type oflnstreuce WO"°S'COYpENSATION Werkera' Cot opegsetba amd EACH ACCIDENT• DISEASEPOLICYLWT DISEASE 84CH MOL40YIE THE PROpRI�ma o.a,�,� r:n Desalptlos of Cerdilate Hoiden. OATBWwD HO.` M WC 1600 PALMOLro XDAD CENTERVILLE MA OX01 canct ation SIiOIR.D ANY OF TM AEO" I T71BR803+, To I33UIH0 CONMAI CSRTIPICATB ttOLD$R AIAMED OBLTOATION OR LIABILITY OP AN Aw-lawejced Rptesentl&o TON VEM Aerevat 11sa.ag.r Uldaewyhr 407 38B 7848 To 815088915461 P_H1igl 7aa:raDsraC/3i/sv" o Cvadntn tt Ctaaslty Comptay CIBS OF INSURA cE Lmw avow HAYS 8E°i+I ISSi!m To Mrs UCY PFRIOD INDICATED, NOTWMSTANDINO ANY REQLMUMM, IRACr OR OTHER DOCUMENT wrrH R88pEa TO WHICH THIS PUTAiN, THE INSURANCE AFFO¢M gY THE POLICIES DBSCRIBgD ,U 3IONSt,NDCONMr.oN3OF8UCHpOLIC & LIIyIpgSHOWN IUsy Nazaber Policy EtG Date POUty E1Ia. Date a31X7iI606 03/IL06 034=7 rers LlabUity Ll�iits a 1,000.000 s 1,0wow 51,000,000 VSOFPIClMAMe Rd •INCL Added by EBdoraelffeut6peelat FiVvlsloW 1' 'QED POLICIES BE CANCKIM BEFORB THE R PIRA71ON DATE WILL ENDEAVOR TO MAIL IL DADM IWRIi'IBii NOliCH 2O TEIg l7Vg, BUT FA1LURg TO MAIL SUCH Na= SALT, NPOSE NO :ND UPON THL COMPANY, ITB AOHNTB OR Rg"MEN1•ATIYBS. ** TOTAL PAGE.01 ** Q © CERTIFICATE OF LIABILITY INSURANCE i2%2o�2005 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: .ter ,M' ^^ _ - .. HYANNIS, MA 02601�W 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. 1"R M � NeRo FIN RANCE POLICY NUMBER POLICTIVE DATE (MMfDO MM/DO POLICVE%PIRATION DATE MMIDD LIMITS " GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMSMADE1-1 OCCUR PENDING 12/17/05 12/17/06 EACH OCCURRENCE 5 1 I 0 0, 0 0 DAMAGE TO RENTED PREMISES 'Ea oc ence) sit 000, 000 MEDEXP("maperaon) $5i u uu PERSONAL& ADV INJURY $11000, 000 GENERAL AGGREGATE S 2, 0 0 0, 0 0 0 GENT AGGREGATE LIMIT APPLIES PER: POLICY PE O- LOC PRODUCTS -COMP/OPAGG $ 1 / 0 0 0 / 0 0 0 AUTOMOBILE LIABILITY ANYAUTO ALLOWNEDAUTOS - SCHEDULEDAUTOS HIRED AUTOS - NON-OWNEDAUTOS - - - - - COMBINED SINGLE LIMIT (Eaacdeent) ' BODILYINJURY— (Per peracn) $ - BODILYINJURY (Peracdtlent) S PROPERTY DAMAGE (Peracdoent) $ GARAGE LIABILITY ANYAUTO AUTO ONLY. EA ACCIDENT $ OTHER THAN EAACC AUTOONLY: AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE S S S $ WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY ANv PR0PRIET0"MTNERfDMCVrNE OP ERMEMBER ocauoeoT 11M.deecrlDelnder SIAL PROVISIONS below - - WCSTATU- PER MIT R E.L. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ra=1:11di:i a•�zierar.1 aa3radWAS irn 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 THE CERTIFI ATE H ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CENTERVILLE, MA 02 632 IMPOSE NO OBLIGATIO OR ILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES4r Al. V KU ZO (ZUUIIUD) V AGURU CURPURATIUN 19BU a Liberty Mutual Group PO Box 7202 Portsmouth, NH 03802-7202 Telephone (800) 653-7893 Fax (603) 431-5693 December 21, 2005. GATEWOOD HOMES 1600 FALMOUTH RD STE 25 CENTERVILLE, MA 02632- RE: Certificate of Workers Compensation Insurance Insured: CENTURY PAINTING AND DRYWALL INC PO BOX 2903 HYANNIS, MA 02601 Policy Number: WC2-31S-349702-015 Effective: 12/5 /2005 Expiration: 12/5 /2006 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily Injury By Accident: $ Bodily Injuryby Disease: $ 100,000 Each Accident 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date, the above -referenced policyholder Is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate maybe issued. This certificate is issued as a matter of information only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above-.- �• If this policy is cancelled before the stated expiration date, Liberty Mutual will endeavor to notify you of such cancellation. a 7 — AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIDERTY MUTUAL INSLTLANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: CENTURY PAINTING AND DRYWALL INC PO BOX 2903 HYANNIS, MA 02601 Producer of Record: SANDPIPER INS AGCY INC 12 ENTERPRISE ROAD HYANNIS. MA 02601 1 J21P1005 11- Client#: 4597 CCINSUI ACORD,a CERTIFICATE OF LIABILITY INSURANCE 08301 s°� "' PRODUCER Rogers 8: Grey Ins. Agency, Inc 434 Route 134 P. O. Box 1601 South Dennis, MA 02660-1601 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 Cape Cod Insulation Inc - 455 Yarmouth Road Hyannis, MA 02601 INSURERA: Peerless Insurance INSURERS: American Home Assurance 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 POUCYNUMBER POLICYEFFECTIVE DATE MM/DD POUCYEXPIRATION DA MM/DD LIMITS A GENERAL UABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FE OCCUR CBP9587416 04/16/06 04/16/07 EACH OCCURRENCE E1 000 000 DAMAGE TO RENTED $1 OO 000 MED EXP (Any one person) E$ 000 PERSONAL & ADV INJURY E7 OOO 000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER Lucy PR0. LOC PRODUCTS-COMP/OP AGG E2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BA9537917 04/10/06 04/10/07 COMBINED SINGLE UMIT (Ea accident) E BODILY INJURY (Per Person) E250,000 BODILY INJURY (Peraoddent) ESOO,000 PROPERTY DAMAGE (Per accident) $100,000 GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG E E EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E EACH OCCURRENCE E AGGREGATE $ E E E B WORKERS COMPENSATION AND EMPLOYERS'UABIUTY ANY PROPRIETORIPARTNERIEI(ECUTNE OFFICERIMEMSER EXCLUDED? H yee. desodbe under SPECIAL PROVISIONS below WC8962496 06/30/06 06/30/07 X I WCSTATU- I OTH- E.L EACH ACCIDENT $SOO OOO EL DISEASE -EA EMPLOYEE s500,000 JEJ DISEASE -POLICY LIMIT E500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Insulation Installation & siding Gatewood Homes 1600 Falmouth Rd., Suite 25 Centerville, MA 02632 LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL in DAYS WRITTEN 'E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED hUUMM co ILUD uvoJ T OT 2 9524U65IM234U4 CSR N AGUKU GUKVUKA I IUN I9tl6 ,ACORU CERTIFICATE OF LIABILITY INSURANCE. OP ID C DATE(MM/DD/YYYY) NUGNP50 07 31 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GOLDMAN & ASSOCIATES INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FINANCIAL SERVICES INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 933 FALMOUTH RD . I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS MA 02601 Phone:508-775-6010 Fax:508-790-0249 NUGNES ENTERPRISES INC PETER NUGNES 805 CEDAR ST WEST BARNSTABLE MA 02668 INSURERS AFFORDING COVERAGE INSURERA: PENN-AMERICA IT INSURER B: INSURER C: INSURER D: INSURER E: Co. NAIC # 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. MS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE(MWDDfYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑OCCUR PAC6593654 - 07/24/06 07/24/07 EACH OCCURRENCE $ 300000 X PUAMAUL IQ REMISES XLNI ence) S 50000 MED EXP(Any one person) $5000 PERSONAL 3 ADV INJURY $ 300000 GENERAL AGGREGATE $ 600000 GEWL AGGREGATE LIMIT APPLIES PER: POLICY JE T O- ElLOC PRODUCTS-COMP/OP AGG $300000` AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) E BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE (Par accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S $ EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE — OFFICERIMEMBER EXCLUDED? 1l yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CARPENTRY RESIDENTIAL CERTIFICATE HOLDER TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYE E.L.DISEASE -POLICY LIMB 1 $ $ S GATEWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL GATEWOOD HOMES INC IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1600 FALMOUTH ROAD REPRESENTATIVES. CENTERVILLE MA 02632 AUTHOR90 RWRESENTATDID 74 ACORD 25 (2001/08) v rw ©ACORD CORPORATION 1 O0 o," TOWN OF YARMOUTH 1146ROUTE28 SOUTH .urrn ++c¢s Y=RMOUTFi M4SSACHC7SETTS02664445.1 "` 9•"6La' 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 th^at'the debris resulting from the proposed work/demolition to be conducted at t o� Ca N^ ^ p 3- + Work Ad is to be disposed of at the following location: r\ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Date Permit No. UCL Ub Ub U8:488 r y, Hudson Corp 1 500 775-2310 P. 1 Boardff fattss aaJ$taa rda HOME NAPROVEUENT CONTRACTOR Rapbtrkle+!_ 118ni- ... . Expiration;_..10120f2005 CAPRA HOMEIMPROVEMENTS. FRANK CAPRA _ 40 COPPER LANE ' ? G....��rrr�✓ CCIJTErRVB I.E. MA 02632 1 tMtr_letrcrn. LJcensOAR OF OIN REGULATIONS� e: CONSTRUCTION SUPERVISOR ...Namber. CS 012430 8irthdate; 06/16/1940 Expires: 0&16/200& Tr. no: 24654 Restricted: 00. FRANK G CAPRA 40 COPPER LN CENTERVtLLE - XtA 02632 - J Commissioner I License or registration valid for indlvidul ute only before the t4iration date; IffovwJ-n nra_to:-, Board of Building Regulations and Standards One Ashburton Place Ra IM, Boston, Ma. 02108 . - Not validwithoutsimat re 41 0) k-rt se 7 TOWN OF YARMOUTH 7-n r HEALTH DEPARTMENT OV 0-2 2006 PERMIT APPLICATION SIGN OFF TRANSMITTLS4ETALTH Dt EJT. To be completed by Applicant. - Building Site Location: 12,1 C b Map No.: Lot No. N Proposed Improvement:VsaL-Xzvit1 e-,— Applicant:VL,,.-0 &4 No.����%%��lG G� Address- �� �� ate Filed: **If you would like e-mail notification of sign of); please provide e-mail address:�%j��C Owner Name: Owner Address: Owner Tel. No.: RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit four (4) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note. Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer —with fee. , REVIEWED BY: !/ PLEASE NOTE COMMENTS/CONDITIONS: _ — i DATE: lI I 6P TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Letter of Water Availability Date of Issue: 10-31-06 1. Single Family Dwelling X 4. Commercial / Industrial 2. Duplex Family Dwelling 5. Other (Specify) 3. Condominium Dwelling Reference; Massachusetts General Laws Chapter 40, Section 54 To: Town of Yarmouth Building Inspector Please be advised that the Town of Yarmouth public water supply is available to service lot / parcel (s) 21.X95; Street: 121 CAMP STREET, UNIT 95 As shown of Assessors sheet / map 50. Issuance of this Letter of Availability is subject to the following provisions / restrictions: (1) The property owner agrees to comply with all federal State, and Local Laws, Rules and Regulations as they pertain to the use of the public water supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owner's expense, the installation of water mains and appurtenant items to meet water demands requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue I have read and understand the provisions / restrictions of this Letter of Water Availability. Owner (sign) Yarmouth Water Department TOWN OF YARMOUTH Building Department _ Town Hall o Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-07-218 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 95 Owner's Name: Villages 0 Camp Street, LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 ' Owner's Telephone: (508) 778-9669 REVIEWED BY: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 5304 Net Owed: ($50.00) Application Date: 11/7/2006 Issue Date: Expiration Date Comments: new construction: 044.21.1 IIdG APPROVED 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 11/9/2006 n PROPERTY ADaRES ' R� :Al-CULATION FpR PERMtT COST TYPE aLVC�J. A �yy7 ga,'t . 29 .71D FE -ERATIou BATH BED ROOM CERTIFICATE !1 70zcl OPEN low OF LOT 94 S84'23'45"W FF = DENOTES FIRST FLOOR ELEVATION 1_114+ S_F_ GW = DENOTES APPROXIMATE ELEVATION OF GROUND WATER NOTE: ® SEWER L SLEEVED WITH TITI 1 OFT. OF 9TTHIN MAIN. GRAPHIC SCALE 20 10 0 20 60 NOTICE Unless and until such time as the original (red) stomp of the responsible Professional Engineer, or Professional Land Surveyor IN FEET appeors on this plan: (A) no person or persons, Including any municipal or other Information 1 inch = 20 M public officials, may rely upon the contained herein; and (B) this plan remains the property of Holmes k McGrath, Inc. PLOT PLAN OF LOT 95 holmes and me9rath, inc. `1H of ' PREPARED FOR civil engineers and land surveyors s:c�+�'�� MILL POND VILLAGE 362 gifford street $ a T IN falmouth, ma. 02540 R .- YARMOUTH, MA JOB NO: 201197 DRAWN: L C SCALE: 1 "=20' DATE: 8-4-06 DWG. NO.: A2566 CHECKE Ai AN �`'-• •�� GMS9/GCS9 _SERIES 93% AFUE Multi-Tosrtiou;- Single-Stage/Mu1Ci-speed Gas Furnace-. - -. Heating Capacity: 46,000-115,000 BTUH Standard Features • Corrosion -resistant, aluminized steel tubular heat exchanger and stainless -steel recuperative coil for maximum efficiency • Designed for multi -position i israIhttion--GMS9:" upflow, horizontal right or left; GCS9: downflow, horizontal right or left • Energy -saving, reliable Hot Surface ignition system, featuring a Norton® Mini•lgniter with patented adaptive learning algorithm to maximize igniter life • Aluminized. steel inshot burners • Energy -saving PSC; iiitilu-speeCF, direct drive blower motor • Quiet. corrosion resistant ihchiced-draft blower assembly • Integrated furnace control with•improued..... diagnostics • Low voltage tttminal blocks • Multiple flame rollout switches, blower door safety switch, outlet air•hrnit 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-fltte/vertrlocate&... on right side • Completely.assembled.factortrun-tested fumace.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 Air-Candfitioning-& featmgr The GMS9/GCS9 single -stage, llittltr sfFee&gaS jitmaares'offer` ins tallation versatility.. Cabirreceanstrnctiorr • Heavygauge.reinforced, fully insulated steel cabinet with-dwabkbaked-tnamel 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 anJ electric service • Botrom or side air inlet (GMS9) R • Removable, -solid -bottom block=off (GMS Accessories' �O • L.P. Conversion Kit (LFT-OOA) •- L.P-Gas LowPre»ure-Kit• (LPLP01) • High Altitude Natural Gas/L.P. Kits (HANGI I eY' HANG12, HALP10) - • High Altitude Pressure Switch Kit (HAPS27) • ExternalFilt=Rack(EFROI). . • Horizontal Concentric Vent Kit (HCVK) • Vertical ConcentricVent-Kit (VCVK)... • Internal Filter Retention Kit—upflow, horizontal (RFM01110) ..... . • internal Filter Retention Kit—downflow (RFooml) • Thermostats Blower Motors (CHTIM0, CH70TG, CHSATG, HZOTWR) BVILDiN G OEPI' SS•377D ww Scvdmanmfgcom 104. PRODUCT SPECIFICATIONS Nomenclature Goodman®Brand ev an n -1 ai J�L A: -Inklat Ref Air Flow Direction NOx 8: IX Revfsfon � .M:UpflowIHorJzantzI..-.- N: N tG s] Natural Ix C: Z" Revision D: Dedicated Downflow 'k., Low NOxN C'. Downflow/Horizontal M Hi'Air Flow Cabin idth L A:014! Description 8: 17A" S: Single Stage/Multi-speed C:lr. - V: Two Stage/Variable - weed D: 24$1 " c WX 9: 90% Maximum UM 0 0.5" ESP . ]:-I,ZM.. . .- 4: 1,600 3: 2.000 1 045:45,0W 670:76,000 090'. 90,000 115: 1 15rDcu- PRODUCT SPECIFICATIONS GCS9 Dimensions VIEM PROM - /Rats 3" VIEW va iq WTAMEPIPE � Iaa'Nar Ma) TOV(: C 29q i 1 .0ENaA1 DMW rnAr [CWVptMGf w3p•Pvc RENeIeM rMle" .--. - nm9cmuldl 40 e ImOrrr 01r ltIt310e1 EIECraKq WLE TMA .... ... _.ETW I3?«RATIces tor4W 04 C 151/t t3 V7 E uaaola la.uces Iasao s�i,s.mEa Moto oK ma W ' alscswnaEAy ouyva.ra)ca I7,A11 16^ 12%0 14fi' GC$90703B1(A VIM. 16" .. .. 16"..... .._....fI'Gm ... ....._ ttDf....... ...... 16" ccs9o9o4cxA z1^ 19vt" GC591155DXA tbs/a" 78" NOTES: 21" 1. 1nE(ailcr must supply one or two PVC Pipes: one For comhu3tWna(s (uptiogal).andyne{archeflot outfit 2" or 3" in diameter. depending upon furnace input; numberof elbows, length of run andinstallstion I orr22 pipe )). oni pipe reuse be tither Air Pipe is dependent on irutallationkgde r qutrmw,%t3 and mist be 2" or 3" diameter PVC, l piPe1. The Optional Combustion 2. l ne voh J. age wit ng can enter though. shs right or )efrtldetrf r►ro (umac"61". volute «irin9 eanenter through the right to left side of furnace. Conversion lri[3 for high altitude nature( gas operation an available- Concacr your Goodman distributor or dealer his lcrail3. 4. Installer must supply lollowmg gas line Strings, according to Which mtnncetr used: Left—Try 90s e(buott, v to close hipple; straight pipe Right—Seraight pipe to reach gas valve Minimum Cl'earatices to Combustible Materials � — k,omoustiblt: it P12CM On tumbustibiE 06016 the Guist MUST be wood ONLY. NC - Noo-Combustible: A combustible floor subbase must be used fur installation on Combustible Sooting NOTES: • For servicing or cleaning, a 36" front clearance is recommended. Vnit ctmnectiont (electrical• flue and drain) may necessitare greater cleorancearhao.themlrumumele.,s,listed below: In all casts, acccssibil4y dearance mtut talcs Precedence over-clearatuea from the mcloaure where acceasiwity Clemisces are greater. 5 PRODUCT SEECIEICATIONS Blower Performance Specifications _• _. �_ ' a - 4.�4.'. 2 ,1 ... r'^ .. ..;. � ... , ,:br: rglf it 1,)52 •G_59045387(A HIGH 3.0 MED 2.5 t,214 -•••-- 1-,172 ------ 7,723 1,064 ' (LOW) MED-LO 2.0 997 994 960 35 921 36 - LOW. . ..1:5... 457 ...44-- --753- -44 ... . 794- .. 45 - 90a- ... 1,273 47 41 HIGH 3.0 1,449 36 1,409 37 1,326 39 G 5907038XA MED 2.5 1,192 43 1,172 44 11141 45 1,494 ::'.: 47 `' �. ' (MED-Hp' ' ' MED-LO ' 1.0 •981 ' 53 - '962 - 54 941 55 417 56 LOW 1,5 1 750 1 730 f 1 714 692 'h66T '-40-- ;l •tUGLt.. ...4.0•. t,970 ^---- i,S74 -35• t;75T '38- G_590901CXA MED 3.5 1,713 39 t,650 40 1,572 42 1,St0 4 44 .h.•.� „� �I; , (MED-LO) MED•LO 3.0 1,439 46 1,412 47 1,370 48 lijogl- 1,327 50,._ LOW.. -- 2.5 f 183 ' 56 " '1 '15S "5T,- 6n - 59- 66 r • -,, NIGH 5.0 2,134 40 2,103 40 2,029 42 1,941 4a ).., G_591155DXA - MED 4.0 1,67E ,.j1- 1,,643 _ 52. 2 643 -52. t,527 , •_ :.... ..54.. -.,. (MED-HI) MED•LO 3.5 1,453 58 11,739. 1,440 59 1,426 59 1,363 62 . LOW 1. .3.0... 1 254 -6,T _M.. 220 -70... 1 191 ..-•-- NOTES: I. CFM in chart is withuut filter(s). Fikcrs do rtac slip.wich.this fumacc. but must ln_pruwkd by the.iwaDar- If she -jturaaceaetluires nm 10NM3• char than assumes both filte✓s are imralled. 2. All fumaces ship ar high speed cooling. Installer must adjust blower e,x,ltnx speed as needed. .3. For trust jubs. ah l,r 400 GFM per tun when cooling is Minable. 4. INb7ALIATION IS TO BE ADJUSTED TO OBTAIN TEMPERATURE RISE WITHIN THE RANGE SPECIFIED ON r1-1E RATING: PLATE. 5. Tha chart is fur lnfirrmat-ton only. For satisfactory opersitm, external stane pressure moat not exeed value shown ... rare rnting plate. The shaded area indicates snap- In excess of maximum $Cade pressure allowed when besting. 6. The dashed ( ---- ) areas inditare a tistrperenuetixmst reerxnmended 4w-tI* ,,a jeb 7. The above chit is fix U.S. firmnces insmIled at 0• • 2A00•. At higher altitudes, a ptvperly de -rated unit will have appruxunately the saute rcmlxranrrr rise at a p, rticular UM, whilc ESP at the CFM Wdlbe.ktwea..... . . 6 PRODUCT SPECIFICATIONS Accessories LPT-OOA L.P. Conversion Kit - I ,/ ✓ ✓ LPLPOi LP. Gas Low Pressure Kit 1 ✓ ✓ j HANGt i High Altitude Natural Gas Kit i i 1 1 HANGi2 High Altitude Natural Gas Kit 2 2 2 2 HALP10 High Attitude L.P. Gas Kit 7 . _.. ...-.._. 3..... 1.. _ ;_ HAP527 High Altitude Pressure Switch Kit 3 3 3 3 ..EERDI . External Fllter.Rack....... _...... ✓....... ..... ✓ ...._ ✓..... - . �._._ . . DCVK-20 Horizontal/Vertical Concentric Vent Kit (2") ✓ ✓ DCVK-30 Horizontal/Verticalfoncemrk-Vent-mt-t}")-- ✓..... ✓. . - nvauarne rtx true nsnaeF (1) T,C01"tit' 9, (2) 9,001' to I1;000' (3) 7,001' to I1,000' Nore: AN lltsrallatians above 7,CC0' ttyuitt a Pressure switch ehartgr. Fm mstaiflatiorrin Cana h, fernaces are terrified only to 4.500'. DownAow Floor Hasa When the GC5 9 moskl is installed directly tot a wood floor, a downflow flout base must be used..T.luos tsusdel numbau are. CFRJ 7, CF1717 and (702f. Thermostats CHTIB-60 CoolinglHeating, Mechanical CH70TG Cooling/Heating, Digital, Non -programmable CHSATG ...... Cols ftV"eating; Mechanicat _ .. . H20TWR Heating Only, Mechanical 7 e .IL I I MAScheck COMPLIANCE REPORT I Massachusetts Energy code I Permit # I MAscheck Software version 2.01 Release 2 I I I checked by/Date I CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Plover PROJECT INFORMATION: Mill Pond village 4� 1Z,j Camp Street V Yarmouth, MA 02673 COMPANY INFORMATION: Northside Design Assoc. e 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 237 Your Home = 133 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value ---------------------------------------------------------- CEILINGS 823 30.0 30.0 WALLS: wood Frame, 16" D.C. 1588 15.0 15.0 0.340 GLAZING: windows or Doors 97 GLAZING: windows or Doors 40 0.340 DOORS 20 0.086 -------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the code. The HvAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date UA 14 70 33 14 2 Massachusetts Energy code MAScheck Software version 2.01 Release 2 The Plover DATE: 4-21-2004 Bldg.( Dept.( Use I CEILINGS: R-30 + R-30 Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-15 + R-15 I Comments/Location I WINDOWS AND GLASS DOORS: C ] I 1. u-value: 0.34 I For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location C ] I 2. U-value: 0.34 I For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] I 1. U-value: 0.086 I Comments/Location I AIR LEAKAGE: C 7 I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. when I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type Ic rated, manufactured with no penetrations between the I 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 ( more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: C ] I Required on the warm -in -winter side of all non -vented framed I 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 I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. I .r; TOWN OF YARMOUTH Building Department BUILDING PERMIT NO (508) 398-2231 ext.261 B_°'.885 ---; PERMIT ISSUE DATE _ 1/11/2007 - ; APPLICANT Frank Capra PROPOSED USE ----------- - JOB WEATHER CARD ---------------- PERMITTO ; New Construction ' AT (LOCATION) 100121CAMP ST Unit 95 ZONING DISTRIC R"2 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C95 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction: 2 baths, 3 bedrooms, 1 kitchen, 1 laundry room, 1 livingroom as per plans dated REMARKS 11/17/06. AREA (SQ FT) EST COST ($ $117,024.00 PERMIT FEE ($) $427.00 OWNER I Villages @ Camp Street, LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road # 25 Centerville MA 102632 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 5087789669 INSPECTION RECORD FIELD COPY