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Home My WebLink About121 Camp St #103 Building Permitss7w TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO 8:�6-44�_-------___ PERMIT ISSUE DATE ; _ 9/29/2005 _ ; PROPOSED USE _ _ _ _ _ _ _ _ APPLICANT Frank Capra - - - - - JOB WEATHER CARD PERMIT TO ' New Construction ' AT (LOCATION) 100121CAMP ST Unit 103 i NING DISTRIC R-2 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C103 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE O CONTRACTOR new construction: 3 baths, 2 bedrooms, 1 familyroom/diningroom, 1 kitchen, 1 livingroom as per LICENSE 012430 REMARKS plans dated 08/30/05. Capra, Frank 1600 Falmouth Road #25 AREA (SO FT) EST COST ($ $154,080.00 PERMIT FEE ($) $587.00 Centerville MA 02632 OWNER I Villages ®Camp Street, LLC LBLDING DEPT BY 5087789669 ADDRESS 11600 Falmouth Road # 25 Centerville I MA 162632 Certificate Issue Date •;CERTIFICATE of OCCUPANCY q. Departmental Approval for Certificate of Occupancy and Compliance r.......►... rhin Dnrmif Nnmhar Annrnvarl Rv Rpmarks n RMAM ENGINEERING To be filled in by each division indicated hereon upon completion of its final inspection. 4► If c OF r TOWN OF YARMOUTH Iding Department BUILDING 1 893 398-2231 ext.261 PERMIT NO B-06-447 - ISSUE DATE ;_ 9/29/2005 P OPO D USE PERMIT APPLICANT Frank Capra ---------------' JOB WEATHER CARD ----------------------------- PERMIT TO ' New Construction" AT (LOCATION) 00121CAMP ST Unit 103 ZONING DISTRIC R-2 Bldg. Type: I Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C103 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE CONTRACT new construction: 3 baths, 2 bedrooms, 1 familyroom/diningroom, 1 kitchen, 1 livingroom as per REMARKS plans dated 08/30/05. AREA (SQ FT) EST COST ($ I$154,080.00 PERMIT FEE ($) $587.00 OWNER I Villages ® Camp Street, LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road # 25 Centerville I MA 102632 INSPECTION RECORD OR LICENSE 012430 (Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY �.Note Progress IRI 1 -;� ,, L oF'YgR,� ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE 09 DEMOLISH A ONE OR TWO FAMILY DWELLING p — y Town of Yarmouth Building Department F „ATT^C„«S 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 ffice Use'Oniy Permit NO q ` to , � Permit Fee Deposit Rec'da#ems �- ... NetDUe= Plannmg Board lnformation De orsement Date L ; R rdmg Date an No .-' Assessors Department Information Map + Lot M , x Ne - walit _ 14 Property Dimensions s = boiAreialsf) FrontagelftJ LbtCoverage This'Section for rOffice use Onl - ' - � t Signature '- - - Certficate of Occupancy ,' ; W w is �' is not �' required r ,�S " Building Official ,=;Date Secfion•1 'Site information`` Use Group: R-4 Type: 5-13 1.1 Property Address: 121 4-9,/P StY`eeo 1.2. Zoning Information: I4 Z,�, r�s+ 0V / f / el 0; Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provid gmred Provided iL 1 � 1.4 Water Supply (M.G.L. c. 40. S 54) Public Private2one. 1.5_ Flood Zone Information �,BFE es? Y. SectiAt- onfs 2:_ Property Ownership/Authoeoeiz_,,ed,,A�gge�nt / // Name( _// _ � Mailing Addres f2 �vQ�`d� M/ DZG �f/ {O Signature Telephone 2.2 AuthorizgdrAgent: Zf je Na print) Mail' ress�y9�yr�sj� {� aum 41 Signature TelephOr one a ax L W4 b 005 Section; 3 - Constrdction'SeM66s 3.1 Licensed Construction Supervisor. � rPT C Gr . Not Applicable ❑ ' Licens/Z ber Addr 0 Expiration Date Signature Telephone '3:2;Registered Home`:Improvement Contractor; Company Name Not Applicable License Number Address Signature Telephone Expiration Date 5 9- 15-99 1 of OVER Workers Compensation Insurance affidavit must be completed and submitted with this application! Failtirel V. IN to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ..P...7 No New Construction Q I No. of Bedrooms V/ No. of Bathrooms Existing Bldg. ❑ I Repairs) ❑ I Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: "�. I Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) , as owner of the subject property hereby authorize �/"%� i ��-/�— to act on my behalf, in all mgMrs relay e toww rk authorized by this building permit application. 2- 14:27 'Sign6tureof wrier Date 0 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 Sig a of O ner/gent Date 9- 15-99 2 of 2 a �t 1 vw1N car YARMOUTH .$ BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: Job Location: Owner of Property: V ` lid — Construction Supervisor: Name Address:Address: ® 0 6 k Licensed Designee: (If other than Supervisor) Name 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 Lc�( No ❑ If you have checked ygs, please indicate the type coverage by checking the appropriate box. A liability insurance policy E Other type of indemnity ❑ Bond ❑ OWNER'S INSU NCE WA VER: I aware that the licensee does not have the insurance coverage required by Chapte 1 o ass. al a s, and that my signature on this permit application waives this requirement. Check one: 3ignat re of ner or Owner's Agen Owner ❑ Agent ❑ Signature: Building Official Approval: Z TOWN OF YARMOUTH 1146 ROLTTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664.4451 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 I ;L- 1 S+ Work Ad ess is to be disposed of at the following location: n Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Date Permit No. The Commonwealth of Massachusetts Department of Industrial Accidents Mee01"Ost/p&MRS 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit e-i,.,) 6 Mr. 1 am a homeowner performing all work myself. CD I_am a sole proprietor anj ha%e no one working in any capacity 9L. I am .an employer pro% iding workers' compensation for my employees working on this job. comnanv name address: city: nhnn a _-7 insurance r_n__. nnliry # am a sole proprietor, general contractor. or homeowner (circle one) and have hired the rnnrror,nre insurance co. company name; address- city: Rhone a rnture to secure coverage as required underSeetion 25A of MGL IS2 as lead to the impttaitloa oterimital penalties of a tlae up.to Sl,SD0M and/or one years' Imprisonment as well as civil pensidei in the form of a STOP WORK ORDER and a tine of SIOO OO a day against me [ aaderstaad'that: copy of this statement may be forwarded to the OlTice of Investigations of the DIA for.coverage verification, I dd Aerehy cetriJ• er thr afns a e� !tier of perjury that the information provided above is true and correct k Signature C/ ate �{5—/e, Print name a C5-29g'— 7/ 1S ^/d6 official use only do not w rite in this area to be completed by city or town.oMelal city or town: YARHODT$ _ permitAiccnse # rlBuilding Department check if immediate response 13Lleensing Board D ponse is required QSclectmen's Office contact person: 2ti1 ❑Health Department phone#:_ (508) 398-2231 eat. riOther. a 'i 00 - 35;000 d enclosed space (MGL- C.tt2$:BOLJ' . 1A - WSowl-onl3t f TGU ZFa[rritjrHomes Failure.opossess�a,.amntediton otthe Massadwseft.Stite 8uldinq-C6de: IsiauszforTevocatioiiofttdslcense. � �— DIG SAFE:CALL CENTER: j888), 344-7233 DATE A� O-RP CERTIFICATE OF LIABILITY INSURANCE 07/1M/2005 07/19/2005 PRODUCER (508) 790-1919 ONILYCANDFICATE IS CONFERSSSUED AS A NO RIGHTS UPON OF THE INFORMATION HE CERTIFICATE Sandpiper Ins. Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 Enterprise Road ALTER THE COVERAGE AFFORDED BY HE POLICIES BELOW. MA 02601- INSURED INSURER A: First Financial Insurance Filho, Antonio DBA BR ROOFING INSURER B: Po BOX 1231 INSURER C: 136 Stevens st INSURER Hyannis MA 02601— INSURER rnvFaer_Gc - 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY / / / / EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP(Any one person) S 5,000 CLAIMSMADE ❑OCCUR 491FOO2639 06/21/2005 06/21/2006 PERSONAL & ADV INJURY S 1,000,000 GENERALAGGREGATE $ 2,000,000 GENL AGO REGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 PR- PPOLICYJECOT 7 LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS / / / / SCHEDULED AUTOS BODILY INJURY (Per accident) S HIRED AUTOS / / / / NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S GARAGELIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO / I I I S EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE S AGGREGATE $ OCCUR _ ❑ CLAIMS MADE $ DEDUCTIBLE $ j RETENTION $ WORKERS COMPENSATION AND / / / / JOTH- TCRY LIMITS ER E.L EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? / / / % E.L DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS SIDING AND ROOFING. (508) 778-5603 GATEWOOD HOMES 1600 FALMOUTH RD SUITE 25 CENTERVILLE ACORD 25 (2001108) f�,M INS025 (0106).06 MA 02632- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 IMPOpSVO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED ELECTRONIC LASER FORMS, INC. - © ACORD CORPORATION 1981 Page 1 of: i i 1 � MASSACHUSETTS ASSIGNED RISK POOL REQUEST FOR CERTIFICATE OF INSURANCE lase this form to request a Certificate of Insurance from an Assigned Risk Pool Carrier. Please provide all of the requested information, including the facsimile num : ;s) of the person or persons to whom he Certificate of Insuranceshould be issued. If this form is fully and accur:l cptieted, the Certificate of Insurance willbe issued and distributed by facsimile to each fax number provided below, v4tfiirs :•,vo (2) business days of the carriers receipt. This Form may be mailed or faxed to the Assigned Risk Pool Carrier. To obtain each carriers c:.,itact information refer to the Certificates of Insurance section located in the Producer Comrrrrn; y section of the Bureau's webct,e ( mom- wcribma.oro). 1: Name, address,"phornebergnd facsimil number of the INSUREll: Name: Mailino Address: Physic,! Address:__ Pho --- — --- Fax: —/ -- Z ame, adoress, telephone nuu/mbeer� and acsimile number of the CERTIFICATE HOLDER: Name: _W✓ _ _ / Mailing Address: _ AL M _ Y\ I I�U / P7 Cc !u Physical Address: Phone: Fax: 3. Name, address, contact person, telephone number and facsimile number of the PRODUCER: Name: S_ando»ior insurance Agencylz inc — MailingAddress: 12 Enterprise Road Hyannis, MA 02601 Contact Person:or AnrEz_� —_ Phone: 508-790-1919 —_ Fax: 508-790-3560 _- 4. Policy Number, Policy Effective Date and Policy Expiration Date If a Certificate of Insurance is needed for more than one policy term, provide the'Policy Number, Effective Date and Expiration Date for each policy term. If the policy has not �yet been issued, you must attach a copy of the Notice of Assignment. Policy Number: l/V iCQ J�� --- Effeetive Date: Expiration Date: 5. List any special requests for optional coverages I endorsements (se'e Page 2 for listing of coverages available in the pool and the conditions of availability) or additional inf; rmation (including changes in exposure not yet reported to the carrier) that will assist the carrier in the issuance of the Certificate of Insurance. NOTE: An additional insured(s) shall not be listed on any Certificate of Insurance unless such additional insured(s) is a named insured on the policy. [oVe: VVL VVJ /! /� I'� V I1 f��L��V V V flC14U 1 LI• s TM L6.i"� ! !I �MP'STE Ot C f#CORD � _p �! _ s► a- �'�• ' ' ! y 0-ry ' • ' �� DATE (MMIDDIYYYO LI-A�BIU I 1NSU� ` L.. l B� w/4• -._. �RDULiCER ` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Feitelberg Company 04NCf AND. CONFERS NO RIGHTS UPON THE METIFICATE 222 Milliken Blvd. HOLDER. THIS CERTI6ICATEDOES NOTAMEN , EXT€NAAR-- P.U. Box 3220 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fall River, nA V2722 INSURERS AFFORDING COVERAGE NAIC k INSURED Cape Cod Ready .11:"X Inc.PO INSURERA: Acad in Insurance Companies - INSURER B: Construction Industries Compensation Box 329 INSURER C Orleans, MA. 02653 INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH$TANFSIP7G- ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENTWITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED.OA- MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCELIBY PAID CLAIIAS.. LILT NSR TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE AT ??AM,DATE POUCYEXPIRATION LIMITS A GENERALL!ABIUTY CPA013246810- _(Dt/Ji/fT's_ 01/w/CS- EACH OCCURRENCE S11000000 X COMMERCIAL GENERAL LIABILITY I I OARMAGFCO FZNTED _ S 100 D00 WED EXP (Any me pe smn) S$ 000 CLAIMS' MADE EZ OCCUR PERSONAL B AOV INJURY $1 D00 DDO GENERAL ADORE GATE s2,OW.000 - GE N'LAGGRFGATELIMITAPPLIES PER: PRODUCTS - COMPJOP AGG S20DD000 '.. POLICY 13 2O LOX; - - A _ 4I/TOMOBILE LIABILITY IMAA,013246910 01/01/005 01/01/06 .4NYAUTO COMBINED SINGLE LIMIT (`caacaGertt7 51,000,0^a- ALL CAVNEOAUTOS I BODILY?NJUAV S X SCHEDULED AUTOS per p3sm7 . X HIRED AUTO. NON-GwNE6 AUTOS - BODILY INJURY - Pt3 a�arsaJ S X -PROPERTY DAMAGE S per =nJent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S S . AUTO ONLY: AGO A EXCESS/UMBRELLI-A-�LIABILITY CUA013247010 01/01/OS 01/01/06 EACH OCCURRENCE s1 000000 X OCCUR 71 CLAIMS MADE AwREGATE S S ' DEGUGTIBLE - 5 I X RETENTION S O IB WORKERS COMPENSATION AND WCOW9255 01101/OS 01/01/06 - X vTATL O_H EMPRS• LOYEL1ABIU'rf- - E.L. EACH ACCIDENT 5500ow 1!! ANYPRCPRIETORMARTNERIEXECUTIVE OFFICEAIMEMBER EXCLUDED,?E.L. DISEASE - EA'MPLOYE S$O0,000 If yes�tlescibe unCn 'e.L.DISEASE-POUCYLIMIT S..r'00-O�Q, SPWOAL PROVSIONR fir.., 1 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS (YEHCLES / EXCLUSIONS ADDEO BY-ENOORSEMEN, I SPECTAt PROVISIONS Gatewood Homes Inc. 16W Falmouth Road Suite 25 Centerville-, MA 02632 LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUINGINSURER WILL ENDEAVOR TO MAIL An DAYSWRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER ITS AGENTS OR , ^-^ •- -^ L[-w •.��/ I DT Z ]fDbUVbIb/McwZb - AH1 © ACORD CORPORATION 1988 r NuG UL On1E(MW'DOMlYVI f1��i {�Jf f�,� {� 3 l ! /�� -= VE-'LtA- DFL.i f.lintia s�aAai`sa.. THIS CERTIFI IS ISSUED AS A MATTEF eF I MA710N PRODUCER ONLY AND .CONFERS NO RIGHTS UPO" THE CERTIFICATE CERTIFTCATE'DOES -NOT AMEND; E7FTEND-OX. End A. Gnuill I1713za= �yT Ztc• HOLDER. THIS ALTER THE-COVPRAC�E. AFFORDED :3X TFIE POUC!rc BELOW. ry'Y� 77 �stcrs Mils, VA 02648 INSURER_ S.AFFOSDINf>COVERAGE NAIC 9 -.• _. _. T INSURERA:_.d-.C]..i�+�_1T`w4..• -. - INSURED - SteEi Gtulds 1 - 145 Ccmmtt Rail INSUREFiC- x+suR�r�Dc mamtcm ?/052 �'A � NsuFEae COVERAGES THE POtIC1E5 OF:lA!SURANCE LISTED BE7.OJY74AVE necR1)$SUED TO THEINSURED NAMED ABOVE FOR trE POLICY PERIOD' INO:CATED. NOTWITHSTANDING WITH RESPECT TO WHICH T1415 CERTIFICATE MAY- BE ISSUED -OE-. ANY REOUIFEMENT, •TEPM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT INSURANCE AFFORDED BY THE POLICIES DE5CRtSEO-+HEREIN IS SUBJECT TO All THE RV:S. EXCLUSIONS AND GONDIT DNS OF SUCH MAY PERTAIN, THE POLICIES: AOGREGATE-UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAUZ. - - pOLI �Y EFF F7DOUCVEYPIRATION LIMITS iHSRA I POLICTNUlSER Pit -INSVAANPF. _ .. - EACH " 7<,W��,[y. � GEREAALL1ASlLLTY I � � � � �� TDTLERTE•6- .yy PREMISE91EgpccurenQel . $ ll.p CMM'tAC1Al GENERAL O ��/yyV�jUJ.J�_ ME6Exp r�I MADE OCCUR ! (A•gsPn:oerannL CLAIMS PF-RSONALSADVCJ.IURYS-kMt,N/M . •. - .- GENERAI; AGGREOATE QTI69 4f28iFYj 4fi8rl PaoDuCTs•camvoPaa; s2�{ Qaf 06- - OEt81AGGRSDATELW.FT APPLIES PER! .. M POLICY PRO- . LOC I AOTOMOFiiLE LIABILITY - COFlHINED SINOI,E LIMIT lEe Pc.,MennR .. ANY AUTO • - 1ALLOWNED AUTCS I I .. BODILY INJURY- ( (earoarct1- g t SCHeDULEO AUTOS ` i —I} I HIRED AUTOS i ^DOILY INJURY I;)ODIL INJU x !t I tr-IF NON-MVNEDAUTOS-' i` s t—`• �wridw) OE r i I� I AUTO ONLV•EA ACCIDENT S GA_RAOEUABNTY I - �CL•IERTHAN EA ACC _ S -- f •ANY AUCO I_ AUTO ONLY; AOD I S �IEXCES'S06M9RELLA UABRITY I I EA CH CU OCRRENCE L pAC,GRCGATE OCCJfi - D CLAIMS DE WIDE... I . g i DEOUCTIHLE. I ( I I T RETENTION L MM14 STATlI OTH-II TCRY Uii17ST ,ERL•, WORKERS EMPLOYERS'LIASILITY COMPEASATIONAND- LEACH ACCIDENT IIL ANY ARTNEFv:%Ei4,c E.L. DISEASE- EA EMPI.OYSSI's , .. {S1V'PReCeMcdUEn+ OFERIEMBER6%CLUOEL? C uOntlRerPf LDISEASE-LIMIT 1S >F AL PROVMSIONBvelaw I OTHER C'- DESCRIPTION O:OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPEALPAOVIS� 1 Cate -wood Ili(); , L C(O EP1L.1-OAM M'LbU . K -S G-1-,gm7;:11e, MA 02632 FMz . i-f5r—�q_j JR -5;-;m SHOULD ANY 09 THE A00uc n_ X-% MBEDPOLtCIGS BE CANCELLED OENRG,jWC TXrt=ATION LATE TH.- E05 THE FSSVIVC-* YRER "LL ENDEAVOR " MAIL _PAYS WFUTTEN NOTICC• TLLTHE CERLFICATE HOLDER NAMED TO THE LEFT. oUT FAILURE TO DL SO SHALL IMPOSE NO-OBLIGATION-013.LiAHAI7Y. OF ANY. KIND. UPON THE INSO7E4 Pfg AGEEN� CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 05/06/2005 THIS CERTIFICATE IS ISSUED AS A MATTER Or INFORMATION ONLY AND PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Harold H Williams Ins Agcy Inc DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 81 Bassett La Lane I COMPANIES AFFORDING COVERAGE Hyannis, 02601 INSURED Stephen M Childs COMPANY A.I.K. Mutual Insurance Co A 145 Cammett Road LETTER Marstbns Mills, MA 02648 I COVERAGES THIS IS TO CERTIFY THAT 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 RESPECTTO 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPEOF INSUI? A!dCE LTR n0yIC1' NU,SB1.,R I POLICY I EFFECTIVE DATE(MM/DDlYY) POLICY EXPIRATIO DATE(MM/DD/YY) LIMITS GENERAL LIABILITY - I !GENERAL AGGREGATE S AGQ I S COMMERCIAL GENERAL LIABILITY - I iPRODUCTS-COMP/OP Bc ADV. INJURY S 7FLAIMS MADECbCCUR - IPERSONAL EAC14OCCURRENCE S II OWNER'S S CONTRACTOR'S PROT. FIRE DAMAGE (Anyone lire) _ $ MED. EXPENSE (Any one person) S ' �AUFOMOBILE LIABILITY I COMBINEDSINGLE S III AUTO LIMIT BODILY INJURY S HALL OWNED AUTOS SCHEDULED AUTOS (Per person) (BODILY INJURY I' S HIRED AUTOS 1 r-- (NON -OWNED AUTOS :(Per:¢cldcm) (PROPERTY DAMAGE S I ----� I (GARAGE LIABILITY ' :EXCESS LIABILITY OCCURRENCE 1 AGGREGATE S �MI31'ELLA FORM MOTHER THAN UMBRELLA FORM w ATUTORv OTHER X 1 ' ,WORKER'S COMPENSATION AND EL EACH ACCIDENT S 100,000 All'LOYERS' LIABILITY � 7015793012004 12/13/2004 - '12/13/2005 EL DISEASE --POLICY LIMIT S 500.000 A riE PROPRIETOR! INCL �EL DISEASE—fn CFI EMPLOYEE 8 100.000 ARTNERS/EXECUTIVE OFFICERS ARE: �X EXCL i I I 1 I I.S(lUM'ION OF 01'I'IiAT'IONS/LOCAT'IONSfVEIIICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO GateNVOOd Homes MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Bell Tower Mall Rte S LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Centerville, MA 02632 ACORD CERTIFICATE OF LIABILITY INSURANCE OF ID K CROWC50 DATE(MMIDDfrM) 06/06/05 PRODUQ�2 Sullivan, Garrity & Donnelly 508-754-1767 10 Institute Rd - PO Box15010 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. Worcester MA 01615-0010 Phone:508-754-1767 Fax:508-754-1885 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER A: ALEA NORTH AMERICA INS CO INSURERS: Hanover Insurance Co 22292.. INSURER C: Crowell Construction, Inc. INSURER D: PO BOX 309 So. Dennis MA 02660 INSURER E: r^n%/eoAn_r=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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR - MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICYEXPIRATION DATE (MM/DD/YY) LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADEa OCCUR - ZHN700714102 - - 05/01/05 05/01/06 EACH OCCURRENCE $1,000,000 PREMISES (Ea ocwrence) $100,000 MED EXP-(Any one person) $ 5,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO LOC POLICY 7 JECT PRODUCTS - COMP/OP AGG $2,00,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS AFN7001142-02 05/01/05 05/01/06 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 1,000,000 X X BODILY INJURY (Per amdent) $ 1,000,000 X PROPERTYDAMAGE (Per accident) $ 5J00 DOD / GARAGE LIABILITY ANY AUTO _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ .. EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE RDEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIQER/MEMBER EXCLUDED? - S yes, ALPR PROVIund SIONS SPECIAL PROVISIONS below - WC1049858 03/22/05 03/22/06 I TN LIMITS X I ER E.LEACH ACCIDENT s500,000 - E.L. DISEASE- EA EMPLOYEEI $ 500,000 E.L DISEASE - POLICY LIMIT $500 000 / B OTHER Property Section DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Subject to policy forms, conditions and exclusions: nCOTIOIn AroU lmcm f-AN1:1-11 AI II)N GATEWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Gatewood Homes - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1600 Falmouth Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Suite 25 Centerville MA 02632 REPRESENTATIVES. q EPRESEN T 52 ACORD 25 (2001/08) - v At-ulcu uulcrvrvi 11v aoo •A-0-0-0. CERTIFICATE OF LIABILITY Y [NSU :NCIE r. ai C. DATE (M4VDDIYYYY) F12 uceR(506)7S0-1915 THIS CERTIFICATE IS ISSUED AS A MATTE nd i er Ina. ency, Inc. ONLY AND COCEcTI NO RDOES UPON P P R4 HOLDER. THIS cER71FICATE DOES NOT A entaz�rise Road ALTER THE COVERAGE AFFORDED BY THE i INSURED Gualberto, Paulo L.. 21 guippish 111d 649- t'nVFIzeaFc NAM 9 OR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH R€SPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN. 13. SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CCN01710NS.OF- SUCH -POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIP ADD'L INAR I TYPE DP INSURANCE POLICY NUMBER POLICY EFFECTIVE SATE MMIDLVYYf POLICE EXPIRATION W T OAT IMNSI UMRS A GENERAL LIABILITY � % % / / EACH OCCURRENCE �i 1,OOD,OOD X COMMERCIAL QENERAL LIABILITY CLAIMS MAO.' OCCUR ILP042T7aSYS - 11/20/2004 11/20I2005 DAMAGE TO RENTED PREMISES En �cwl±nrr i 3D0 00O MM EXPI APY oneemm f 10,000 PERSONA' A APV INJURY Is 1,000,000 OEIJERAL A0ORMAT.— I f 2,000,000 GEN1. AGGREGATELIMRAPPUES PER. PRODUCT$-COMP/OPA63 f 2,000,000 17 PLICY 20, LOG' AUTOMOOILELIABIUTY ANY AUTO / / / I COMBINED SINGLE LIMB (EA aL'c doMn i BODILY INJURY (Pet Pafeal) f i ALL OWNED AUTOS SCHEDULED AUTOS / I I / I EDGILY INJURY (PeraC.mtMJ �f HIRED AtR05 NON-OWNEO AVTO$- ! I I / PROPERTY DAMAGE (Pa =Iden0 f GARAGE LI?BIUTY AUTO ONLY• EA ACCIDENT 5 I ANY AUTO / / / I OTHER THAN FA Awe• (AUTO f 5 ONLY: AUG ESCES1PJ61ER3LA 41ABILITY I / / / / EACH OCCURRENCE �f OCCUR �CAIMS NIA AGGREGATE If I DEDUCTIBLE .f RETENTION I + WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIFTOR/PARTNERGXEC'UTIVE E.L. EACH ACCtOEM !f E.L DISEASE- EA EMPLOYE.:1 OFFICEPJMEMBER EXCLUDSD? III H)±=. 4esnAe !mea SFEMAL PROVISIONS Mk E.L. DISEASE •POLICY L1MR if OTHER DEaCRIFTION OF OPEii ATION&ILOCATIONS/VEiiICLESICXCLUSIONS ADDED UY ENOORSEMENTISPECIAL PROVISIONS 9XT=1CR FAINTING (509) 779-5503 OATEN-%= 1,10=9 /600 7=4MUTH AD sulT£ 25 ACORD 25 (2001101 �$.. IN8025 poe)'w MA 02632- SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 5E CANCELLW 5EFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL • ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTIQE TO THE CE FIFITTE HOLDER. NAME? TO THE LEFT. BUT FAILURE TO DO 60 SMALL IMPOSE NO ODEIOATION OR UASIUTY OF ANY KIND UPON THE ELECTRONIC LASER FORMS, INC. - (5001327-0145 o ACORD CORPORATION 198E Page ' et PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SANDPIPER INS AGCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 ENTERPRISE ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS MA 02601 - COMPANIES AFFORDING COVERAGE COMPANY 27BCN A HARTFORD UNDERWRITERS INSURANCE COMPANY INSURED - COMPANY GUALBERTO, PAULO L. 8 20 FERN BROOK LANE COMPANY CENTERVILLE MA 02632 C COMPANY D THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I co LTRI TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POUCYEXPfRATIONI DATE (MWDD\YY) I DATE (MWDD\YY) I - LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY ALTO EXCESS LIABILITY -7 UMBRELLA FORM GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. S PERSONAL & ADV. INJURY $ ,EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) S COMBINED SINGLE S LIMIT BODILY INJURY (Per Person) - $ BODILY INJURY $ (Per Accident) PROPERTY DAMAGE S AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE 4$S AGGREGATE OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND iU6-0243848-0-04) 11-22-04 11-22-05 STATUTORY LIMITS EMPLOYER'S LIABILITY EACH ACCIDENT $ 100 000 THE PROPRIETOR/ F LlOFFICERS PARTNERS/EXECUTNE INCL ARE: " EXCL I DISEASE—POUCY LIMIT $ 500,000 DISEASE —EACH EMPLOYEE $ 100,000 OF THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. AUTHORIZED REPRESENTATIVE P_np . -- _ - - . ACORI ... CERTIFICATE QF- . � INSURANCE D/LQQ 08102S ♦iA K BIXBY �LSURANCEAGENC7, K+A :- Send* A,530 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY -A*DE CONFERS- NO RIGIfTS UPON THE CERTIFICATE . - HMI)El2 THIS CERTIFICATE DOES NOT AMEND, EXTENCr OR P.O. BOX 8:0-661PUTNAMPIRI' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GREENVB_LE; RI 02828 ..... INSURERS AFFORD COVERAGE NA= INSURED sgmA; ER A: NAT'C FIRE INSURANCE CO. OF HARTFORD' ` INSURER S: VALLEY FORGE INSURANCE CO. HOLMES AND MCGRATH, IN, :. MSURERc. CONTWENTAt INSURANCE CO'. 362 GIFFORD STREET NSIRER D- FALMOUTH, MA 02540 COVERAGES THE POLICES OF INSURANCE LISTED BELOW I AVEBEEN=UED.IQTHE)NSURED.NAMED ABOVE -FORT} E MJCY PERIQQ INDICATED- NQTWITHSTANW4G ANY RENT, TERM OR CONDITION OF %NY CONTRACT OR-CSIHER- DOCUI6ENT WlIsf RESPECT TO. V1R1q THIS CERTIFICATE MAY BE t¢cI IFD OR - MAY PERTAN, THE INSURANCE AFFORDED BY THE POLICES DESCROM HEREIN ISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUC ES, AGGREGATE UMTTS SHOWN WAY W VE BEEN REDUCED BY PAK) CLAM. A�6L m TYPE OF MSURAMCE F1 ICYWJLTBER E33AT ! Eil�As>mL LIMITS GERERI1LUAENLRY EACH OCCURRENCE s 1,000,000 AMAG O RENTEO 3 F*& 254086 X COMMERGALOENEP.AL LIABILITY I A CLAIMS MADE Q accuR , 0: 4082434 101D6/04 , 0/06J05 !ED EXP a s , 0 oDD PERSONAL&ADVRA.iJRY S - GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP)OP AGO S 20001000- 17 POLICY MTO, LOC AUTOMOBILE LJAIN RY AM AUTO CCMUZ!ED SPVGLE LM2 (Ea woodeflo r. 96ULY INJURY der Pvsdli S ALL OWNGO AUTOS SCHEDULED AUTOS - BODILY INJURY LPN act enq S . HIRED AUTOS - NON-OWNEDAUTOS .. PRCPERTY DAMAGE - Y-Fl1 S GARAGE UABAITY AUTO ONLY ACCX)ENT s OTHER THAN EA ACC S' ANTAUTO S AUTO ONLY' AGO IXCEbEAfA18RELLAkJA.41LTFY' OCCUR FI CLAMS MADE EAGCEIEF S AGGREGATE S - S S DEDLCT9LE RETENTION S B WORKEICS COMPENSATION AND EMPLOYERS' LJABAY/Y ANY OFFICERIME�REXCLUDED?ESE 2a 7445273- 091OU04 .. 09101f05-' X WC STATII �TK Ei EACH ACCIDENT s TOAD-000.. EL DISEASE - EA EMPLOYEE S 1,000,000 tl yyee6�� EBGC ibe UM!( - SP££iAvPROW510Nsbml .. EtDSEASE-POUCYLMF" 1 000000-' OTHER C PROFESSIONAL LIABILITY AE4 00.43T 33 3Ii - 711-31M- .. 07/t3W 3,000= PER-CLAILdI- AGGRETGATE- DESCRIPTION OF OPERATIOkWLOCAT10N5NIXr:. F .fl 7USbNS ADOH] BY ENIMP TMPEQAL PRMSJONS AGGREGATE LIMITS ARE PER THE TER WS AND CONDITIONSOF THE POLICIES. CERTIFICATE HOLDER CANCELL LTION. SHOMIJ ANY OF THE ABOVE DESCPoBED POLICIES BE CANCELLED BE'EORE THE EXPIRATION DATE THEREOF. THE 1SSlA113 MSJRER WILL iNDEAVOR TO MAILDAYS WRITTEN GATEWOOD HOMES 1600 FALMOUTH- RD_, STE. ; S CENTERVILLE, MA 02632 FIORCETQTNECET7TFiCJTTE"HOCOERNMfEDTO THE LEFT. ROTFARURE TODOSOSFGlR IMPOSE NO OBUGATOON OR LIARIUTY OF ANY KIND UPON' THE MSURER, TIS AGENTS OR REPRES044TWS AA:7 R ATIVE ACORD 25 (2901108) C TmpR0\CERTT+RQS_FP5 I - / / ♦ UJ A6UKU � L sum I.. w , ACORDT, CERTIFICATE OF -LIABILITY IR ANCE .. PRODUCER tE r United Insurance Agoncyl--Inc, 199 Main Street P.O. Box 1013 THE CERTIFICATE IS ISSUED AS A M ATTER OF IN ONLYAND-00N6€RTNORIGHTSUPONTHECERTA HOLM R: THIS CEWIRCATEDOES NOT **END,, E) ALTER THECOVERAGEAFFORDIDBYTHE FOLICI Buzzards nay, Iln 02532 INSURERS AFFORDING COVSTAGE INSURED MSURMA. ZUrSC.TS-NA Patton Electric, Inc. INSURERS' Commerce Insurance Co. 128 Scituato Road. MashRea, X& 02649 wsuRERa Libor MutiTal Ina. CO.- INSURER O: NN URER-E'__. :OVERAGES DATE(MMMDIYYYYI 8/2/05 RMATION ATE.. . 30OR MOW. NAIC 0 J - THE -POLICIES OF INSURANCE LISTED.BELOW.HAVE BEEN.ISSUEO_TO h1E1N9URED.NALW AgDVEFOFi THE POLICY PERIODINDICATEED. 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. INM POLfLYNUMBER PQ=6FfE.C4\E POLLCY ON CIMIT7 GENERAL LIABILITY EACHOCCURRENCE [ 1,000,000 A COMMERCIALGENERALUADIUTY CLAMSMADE FX_l OCCUR $CP424-15399- 7/30/05 7/30/06 PTEMt4E3 fftow7vner S 300, m S 10 000 MEDEXP(An me esm) PERSONAL[ ADV INJURY S 1, 00Q,-aaa GENERAL AGGREGATE S 2 , 000 , O00 059L AGGRCGATE LIMIT APPLIES PER! PRODUCTB•COMPXIPAOG [ 2- 0 yQ_Q,Q 7[ POLICY F7 PE OT LOC AUTOMOBILE LIABILITY ANYAUTO COMBb/ED DW10LE LAi2 I6[[fCdeM) [ (PBOTL�EINJIURY S 100,0= H ALLOV44COAUTOG SCHEDULEDAUTOG YW9339 1013/04 10/3/05 wxlxc�)RY I! 3QC,000' HIREDAUTOS NON-O%wED AUTOS PROPERTYDAMAGE (Per[ IdWd) S SOS, 000- GOIRAGFUMILITY 11ANYAUTO AUTO ONLY -EA ACOIDENT. S - O?mEEAACC AUTO ONTHAN AUTO ONLY. AOG S [ EXCESSIUMBRELLA11481LITY EACH OCCURRENCE S pOCCUR CINMS.MADE.� AOOAFGATE S DEDUCTIBLE S 4 RETENTION S C WORAMSCOMP19,1=10HAN0 rMPLOTERS-LwaLITY ANY PROM=ORlPAR TNERAJ(ECUTILE T4C231S353049014 12/10/-04 12i1Oj05 NC $TAT U- OTH- E.LEACH ACCIDENT It I oa, Q110 EL DISEASE -EAEMPLOYEE S 500,000 O�FFICERPUGMSER EXCLUDED? 50EFj ALPROVISDeuv X - E.L. DISEASE•POLCYI.IMIT I 1Q0 000 OTHER 0@CRIPTION OF O KRATIONSILOCATIDWS/VMCLESTEXCCG710RSADDED-BT ENDOtDB/1ENTYBPEC1At MOVtffiQ/IS" ' ' S1netrical CERTIFICATE HOLDER CA N= LAT10N-- Gal ewood malnQ8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Fax No. (508) 778-5603 DATEETMEAEDE,THEIS9WNQ.INSNRfRWBt ENDEAYOR.TO MAIL 10 DAYSWRITTEN 1600 Falmouth Road NOTICETO THE CERTIFICATE HOLDER NAMED TO THFLEPT, 0VrrAEURmffCrSO'B4`ALL Suite 25 INPOSENO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSUAM ITS AGENTS OR CAy,2tgTlilie ,. Ma 02632 RiPRESENTRTIY�: _ AUTHORIZED REPW ENT AGUKU Z5 (ZUUTIUBI 0 ACIORD CORPORATION 1988 j l71 AC�f�D CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDYY) 9/15/04; CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Chatfield, Whitman & Young 549 Washington Street THIS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 850963 COMPANIES AFFORDING COVERAGE Braintree, MA 02185-096 COMPANY q Harleysville Worcester Ins Co INSURED COMPANY - - - - Lawrence Robinson Masonry B 5 Fresh Hole Road Hyannis, MA 02601 COMPANY C COMPANY D COVERAGES >_ _- �v m THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A G'ciJERAL LIABILITY COMMERCIAL GENERAL LIABILITY MS MADE 10 OCCUR CLAIMS & CONTRACTOR'S PROT OWNER'S CLAI CB 7E 32 32 9/07/04 9/07/05 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG S 2,000,000 PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone Fire) $ 100,000 MED EXP (Any one person) 1 $ 5,000 I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS - BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) S NON-OWNEDAUTOS - PROPERTYOAMAGE $ GARAGE LIABILITY ANY AUTO ' AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACHACCIDENT $ AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND AGGREGATE $ WC STAID- OTH- TORY LIMITS ER S - EL EACH ACCIDENT $ EMPLOYERS' LIABILITY - EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER a.rvr ,- wr....«_. .. v.4. i. CANCELLATION .u.:-.a.. d .. .. .-.:.w-...u• _n.u..s.... t+v-_.....�:.--s..-fr .x-+s r:.4 ..L_. .. sauir_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Gatewood Homes EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1600 Falmouth Road 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Suite 25 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Centerville, MA 02632 OF ANY KIND UPON THE COMPANY ENTS �� SENTA S. AUTHORIZED REPRESENTATIVE ACORDRATION 25=S Robert E. Chatfield W' -o ACORD CORP O 1988 -&1C_ RD,M CERTIFICATE OF LIABILITY INSURANCE Ro 6 09-27A-2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 210706 P: (877)287-1312 F: (877)287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 308 FARMINGTON AVE FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE INSURED I.,,�..oTurin rity Kira Tna C'n INSURER 8: LAWRENCE ROBINSON MASONRY INC I INSURER C: 5 FRESH HOLE ROAD FINSURIER D: 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. INSR LTR TYPE OF INSURANCE POLICYNUMBER POLICY£FFECTIVE DA TF fMMIDDIYYI POLICYEXPIRATION DATE MM/OD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) S MED EXP (Any one person) $ PERSONAL & ADV INJURY $ - GENERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PIECRO- LOC PRODUCTS - COMPIOP AGG S AUTOMOBILELIABIL/TY ANY AUTO ALL OWNED AUTOS SCHEDULED -AUTOS HIRED AUTOS NON -OWNED AUTOS - .: - COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY � (Per person) q S BODILY INJURY -(Per accident) - $ PROPERTY DAMAGE' - (Per accident) .S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S $ EXCESS LIABILITY OCCUR ❑'CLAIMS MADE DEDUCTIBLE RETENTION S _ EACH OCCURRENCE $ AGGREGATE S S a $ A WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY 76 WEG NQ5620 09/06/04 - 09/06/05 X TORY WC LIMIT OTRH- E.L. EACH ACCIDENT $100 000 E.L. DISEASE - EA EMPLOYEE $1 O O , O O O E.L. DISEASE - POLICY LIMIT s5 0 0 0 0 0 OTHER j DESCRIPTION OF OPERA TIONS20CATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: C:ANL.LLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE GATEWOOD HOMES 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 1600 FALMOUTH ROAD, SUITE 25 REPRESENTATIVES. CENTREVILLE MA 02632 ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 -vJ VG L All ----- -- -- ---- - ---- - - -- GvLa.sarair' & ASSOCIATES ZF7S—MAyCZ � THIS Ccm`FIC TE IIS!SSLI-EO ONLY AND CONFERS NO RIGHTS I $1Y CTAT• SERVICES ZEE. HOLDE.4 THIS CERTIC !FATE DOE' ALTER THE COVERAGE AFIFORDE HYANNIS MA 02601 PaonaL50B-77 -SO10 Fex:508-790-0249 INSURERS AFFORDING COVERAGE IN3U4ED PON THE CERTIFICATE .QT AMEND, EXTEND OR BY THE POL-!E:S 5e O:Y. NAIC R INSURERA: MARYLAND CASUALTY COMPANY BODNBIY TAVA..MTO INSURER 8: DBA NO3CHANICAL SYSTEMS INSU-OERC: 110 E-01ZER LAWN W BArNSTABLE MA 02660. INSURER D: INSURER S THE POLICIES OF INSURANCE LISTED BELOW HAVE WEN ISe.,ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REgU1R-EM04T, TERM OR CONDITION CC ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 1NS;IRANCE AFFORDED BY THE POLIQjE$ DFSCR:KD HEREIN IS SI!@JECT TO ALL THE TERMS; RIONS SCLUSAND CONDITIONS OF SUCH - POLICIES. AGGREGATE LIMB SHONfN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A ! INSRq ' TYPE OF INSURANCE GENERAL LLCJ3SJTY F COMMEXICIAL GENERAL LIABILITY CLFJmS MADE 1-1 OCCUR i Pot.=NUMBER 1000372088 i DATE MMFECTIVE- _ I 11/21/04 ICY DATE EXPIAA 11/21/05 LIMITS ' EACH OCCURRENCE iS1000000 uR� .I Sis(EaGaL:en } 13300000 j MED EXP (Any me Pelwn) 1310000 ! i PERSONAL & ADV INJURY ( S 1000000 GENERALAGGREGATE S 2000000 I GFJYL AGGREGATE LIMIT APPLIES PERT POLICY PPO�LOC PRODUCTS -COMP/ AGG I S 2000000 I LEABILTTY - ! MAUTOMmoru- ANY AUt'O COMBINED SINGLE LIMIT (Ex iCGOenG S ALL OWNED AUTOS SC:'-^LILED AUTOS I I BODILY INJURY (Per osrtan) 3 HIRED AUTOS I NON'�JVI'N€D Aaccident)dent)TCS I{ ( BODILYi I (Per accident) PROPERTY DAMAGE t (Per emcent) S j I I�-9ARA4E"IfLIT AUTO ONLY -EA ACCIDENT 'S— - ANYAU7n I OTHER THAN EAACC S I I. I I AUTO OILY: AGG S I ExcaF13' w-1'L,rA�LW1 nII1TY l..I (-Arms MADE I LL��333 I ! I � EACH OCCURRENCE �OCCUR1 AGGREGATE I j _ .._. ... iPRENT Ne S _. _ I ( . ---J$ pv)wrPPS C: �l-EIISAT".. AND I EMFLOYERS'LU5f1TY I I Iw V• can -I TORY LIMBS E.L EACH ACCIDENT , S I I 111 ANY PROPRIETOWI ARiNERJEXECU7N OFFICEP4VIE.- E G:CLUDED? Ky�,�e��- _ SPECIAL PROVi$IONS below � El- DISEASE- FA EMPLOYE S £.L. DISEASE -POLICY L!Mi7 S OTHER i I Ii CERTIFICA HOLVER CANCELLATION zanlvvu EGNMES Inv - FAx 508-778-5603 1600 PALWI=1 ."GOAD SUITE 25 C3NTURVILLH MA 02632 ACORD 2S (20011081 17-27- yn_ n _ SH-OULD ANY OF'.^..S ABOVEOE,^..'-..,'..EO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY XIND UPON THE 04SURE.R RS ACEN7S CA PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GOLDMAN & ASSOC INS FIN HOLDER. THIS CERTIFICATE DOES NOT AMEND,. EXTEND OR 933 FALMOUTH RD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, RTE 28 HYANNIS MA 026012319 COMPANIES AFFORDING COVERAGE COMPANY 28HPP A AMERICAN ZURICH INSURANCE COMPANY INSURED COMPANY TAVANO, RODNEY DBA` B MECHANICAL SYSTEMS COMPANY WESTTRAIL -- ' WEST BARNSTABLE MA 02668 C COMPANY D THIS _..... IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO - TYPE OF INSURANCE I POLICY EFFECTIVE POUCY EXPIRATION L POLICY NUMBER DATE (LAM\DD\YY) DATE (MM\DD\YY) I LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR. OWNER'S & CONTRACTOR'S PROT. GENERAL AGGREGATE S PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ - FIRE DAMAGE (Any one fire) S MED. EXPENSE (Any one person) S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHEq THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ ' A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL OFFICERS ARE: X EXCL (UB-7278A84-9-05) - - - 05-03-05 05-03-06 STAMORY LIMITS EACH ACCIDENT $ 100.000 DISEASE—POUCY UTA.7 $ 500,000 DISEASE —EACH EMPLOYEE $ 100,000 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. GATEWOOD HOMES INC 1600 FALMOUTH RD SUITE 25 CENTERVILLE MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE RFss: /oj?l ALCU ATION FOR p T OOK �'86 •'a M r s3 D Temp Permit No.: Applicant Name: Applicant Phone: Building Location: Owner's Name: TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-06-064 Frank Capra 5087789669 00121 CAMP ST Unit 103 Villages @ Camp Street, LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 ' (OFFICE USE ONLY Recorded By: IC Permit Fee: $0.00 Deposit Rea $50.00 Payment Type: Check ChkNo.: 1033 Net Owed: ($50.00) Application Date: 8/15/2005 Issue Date: Expiration Date Comments: new construction: 044.21.1.C/0 ZONING APPROVED .,gL. -:, IEVIEWED BY: J 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: V✓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: 8/22/2005 1 CR ►� TOWN OF YARMOUTH Building Department _ Town Hall Yarmouth, MA 02664 (508) 398.2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-06-064 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 103 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: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 1033 Net Owed: ($50.00) Application Date: 8/15/2005 Issue Date: Expiration Date Comments: new construction: AUG 2 4 2005 DATE: DATE: N/A: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: S ��5� N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: 044.21.1.C/ DATE: Date Printed: 8/22/2005 TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : Aug 25, 2005 Letter of Water Availability 1. Single Family Dwelling X 2. Duplex Family Dwelling 3. Condominium Dwelling 4. Commercial / Industrial 5. Other (Specify) 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) 21.1 Street 121 Camp St., #103 as shown on Assessors sheet/map # 44 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 owners expense, the installation of water mains and appurtenant items to meet water demand 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 th Water Availability. Reference : Gatewood Homes : 1600 Falmouth Rd., #25 : Centerville, MA 02632 Ya atek Department it TOWN OF YARMOUTH Building Department ~ Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-06-064 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 103 Owner's Name: Villages @ Camp Street, LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 ' Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 1033 Net Owed: ($50.00) Application Date: 8/15/2005 Issue Date: Expiration Date Comments: new construction: REVIEWED BY: '7-1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTME DATE: N/A: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: 044.21.1.0 /Q Date Printed: 8/22/2005 PRODUCT SPECIFICATIONS _ GMS9/GCS9..SERIES .' . 93% AFUE Multi-positionj- Single-Stage/Multi-Speed Gas Furnace..... Heating Capacity:_ 46,000-115,000 BTUH Yll� ama G Standard Features • Corrosion -resistant, aluminized -steel tubular heat exchanger and stainless -steel recuperative coil for maximum efficicrtcy • 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-Igoiter.with patented adaptive learning algorithm to maximize igniter life • Aluminized -steel inshot burners • Energy -saving PSC; inuki ipeed, direct drive blower motor • Quiet, corrosion -resistant induced draft blower assembly • Integrated furnace control with unproved..... diagnostics • Low voltage terminal blocks • Multiple (lame toll -out switches, blower door safety switch, outlet air -limit switch and pressure switch for proof of combustion air • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Top venting -is standard; alremartrflue/vene located -- on right side • Completcly. assernbled..factontiun-tested furnace.for..... heating or combination heating/cooling application • All models comply with California NOx Standards • Suitable for direct vent (2-pipe) or non direct vent (1-Pipe) applications air -Can di tio nirrg-& He2ltirrg\ The GMS9/GCS9 single -stage, multr-spee&gus fumat:es offe7— installation .versatility, . cabirrereonstractium • Heavy -gauge. reinforced, fully insulated steel cabinet with durable baked-crtamel finish - • Attractive architectural gray paint finish • Foil -face insulation -lined heat exchanger compartment • Coil and furnace flit 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 (GM59)~ Accessories' • L.P. Conversion Kit (LPTOOA) L: P.-Chm-Low Prc»um Kiv (LPLPOI ) • High Altitude Natural Gas/L-E Kits (HANG11, HANG12, HALP10) • . • High Altitude Pressure Switch Kit (HAPS27) • ExtemalFikuRack(EFR01). . • Horizontal Concentric Vent Kit (HCVK) • Vertical Concentric.Vent_Kit(VCVK):. Internal Filter Retention Kit—upflow, horizontal (RF000180) ..... • internal Filter Retention 1 Kit—downflow j (RF0001811 �/ ' • Thermostats Blower Motors (CHTIS-60, CH70M CHSATG, H20TWR) SS-377D wwwsoodmanmfg.=rn 6N4 . PRO12LZQT SPECIFICATIONS Nomenclature G M s a _0 0 OT Goodman® Brand Air Flow Direction Ik UpflowlHorizantat.. D: Dedicated Downflow C,. Downf low/ Horizontal r7Z;67ne!—W73th MAir Row ft. A: 14" Description B, 17A" S: Single Stage/Multi-speed C: .2r. V: Two Stage/Variabte-weed 0; 2411" 4- 1.600 9:90% 5: 2.000 Si 80% 045' 45,000 070.70,000 090'.90,000 115'.11S000- 140.140,000 1 PRODUCT SPECIFICATIONS GCS9 Dimensions LE" ame . . VIE'" vlEw Rtatm eWF view a �'• �,e Yew ,,,t a vi aN - _... f I y!'"T IR- "f�nnf IRFw" iMq L• rpvc ME i tna 1 MAW TtATF LOWVOLTAGE M IV6 taUW PAP r Lew vN ••^• 1 FLFNrRKK.eIf' ' L J irm+e' sww. vaTaoe FLECTRIt,L.OLE ORAa+ rIU/ ttlay( - LEeT e1Ge ea,w ,i 1? t+OLFa v e to LANeMO fOLDEO KANOES mci%sRat MR .e ' txecm i+tGMN ELECTr ata N .Art suoat DOE ORAWLt"a t M, ,LTERHA E— eorft! MOO LL. e v 7L %e' U'ft • 16" GCS907038XA 12W ... tom...... GC590904QfA .... ..._ .. . 21^ 19Vr" 16%" 16" GC59NSSD7(A 26y4" 18" 197s" NOTES: l Installer mutt auPPly one or two PVC pipes: one for tombustsuna(e (opriona4 and ore-wnhaue ounce r eithe e t (requite i): Vint pipe must h 2' or 3" in diameter. depending upon fumace input; nurnberof elbows, length of rust andinetaflation (1 or 2 piper). The optional Cube rs either Art Pipe is dependent on installation/code requirements end must be 2' or 3" dlatrtetet PVC. 2. Line volggc wiring can enter thnwgh tfx right or lefrsighrc the furnace: Cow voltage wiring cam enter thrtsugh the right M left side of furnace. 3. Gmvvnion kits for htgh altitude natural gas operatlun are available. Contact your Goodman discributot or dealer for details. 0. lm"ller must supply foliowtng gas line Rttings, according to which entrance is used: Left—T••,, 900 elbows. une close ripple: stralghr pipe Right--$aaight pipe to reach gas valve ' Minimum Clearances to Combustible Materials %- w i-omowttmt: It placed ran tumbuatiblf Root the floor MUST be wood ONLY. NC - Non -Combustible: A combustible floor subbase must be used fur installation on combustible mooring NOTES: • For servicing or cloning, a 36' front clearance is recommended. • Vnit amekcnons (electrical. flue and drain) may necessitate greater cletranee►Ehao.themhymumek.ranFp l,$m below. im all cases, accuFihilUy tl4rarace mot take precedence over cleamotee from the ondotwe where accessibility cleanuces ■m greater. 5 PRODOCT SPECIFICATIONS Blower Performance Specifications 'i1Y 6P 7AlutF HIGH 3.0 1,352 • 1,318 . 1,260 1,202 G S90453EXA MED 2.5 1,214 ..... I-J72 • ---- 1,123 •--• 1,064 • --• 7!, - �' (LOW) MED-LO 2.0 997 •••••. 994 •----- 960 35 92) 36 - •LOW.. ..1:5.. ..757 ... 44....753- ..44.... .734 ... 45.. 47' 41 HIGH 3.0 1.449 36 1,409 37 1,326 39 1,273 G S907038XA MED 2.5 1,192 43 1,172 44 1,141 45 1,094 47 (MED-HQ' MED-LO -2.0 -981 53' 96Z 54 941 "55 917 56 LOW 1.5 750 730 1 ------ 1 714 692 jl:lF .HIGH... ...4.0.. 1.,970 ....... 1,974 --35.• A,757. ..3&- r,66T--40-- G_S90904CXA MED 3.5 1,713 39 t,6501 40 1,572 42 t,510 44 (MED-1-0) MED•LO 2.0 11439 46 1,412 47 1,370 48 1,327 50 ..LOW" ....2.5' i T83 '56" 1155 -'S7-. I 112 'S9" 110E 60 44 It c: HIGH 5.0 2,134 40 2,103 40 2,029 42 1,941 G S91155DXA MEO 4.0 1,§7>!.1,643 _ 52. 1 643 .52.. 1,577 .54.. (MED-HI) , MED•LO 3.5 1,453 58 1,440 59 1,426 59 1,363 62 LOW ..3.0....1 254 .67. 11,739 1 68- 220 70... 1 tE1 -•-••- NOTES: 1. OFM in chart is withuuc filter(s). Filters do nw ship.with.this futnacc. but muxtbe. pruvakd.by The J13AAllit, If the-ftunacc 4egM10 two earvtns. chip chart assumes hod% filters are installed. 2. All furnaces ship a- high speed milling. Insndlcr mopt adjust Mower m.,ling speed as needed. .3- For must jabs. alxsur 400 CFM per tun .vhen awiling is depirable. 4. INSTALLATION 15 TO BE ADJUSTED TO OBTAIN TEMPERATURF. RISE WITHIN TH! RANGE SPECIFIED ON'YHE RATING PLATE. 5. The than is Rn Inlixmathm only. For sactsfactory operation, external static pressure meat not exceed value shown on Ih< rating place The shaded area indicates rangy In excess of maximum static oreisure Aluwed when heating. 6. The dashed ( ---- ) areas indicare a etatperanuetix nut reeumreended 4"Itr-n,ndeb-.. 7. The above chart is htr U.S. furnaces installed at 0' • 2.000'. At higher altitudes. a pn',ptrly de -rated unit will have appnx;u,ately the same temperattar rive at s pnrds;ular CFM,. w'hdc ESP ac the (;FM wdlbe.htwer...... ` J �1 PRODUCT SPECIFICATIONS Accessories LPT-OOA L.P. Conversion Kit LPLPOI L.P. Gas Low Pressure Kit f j HANG11 High Altitude Natural Gas Kit HANG12 High Altitude Natural Gat Kit 2 2 Z 2 HALPIO High Altitude L.P. Gas Kit .. ).. _ .. ....._. 3..... ..... 1 .. _ ..3 _. HAPS27 High Attitude Pressure Switch Kit 3 3 3 3 ..EEROt . External Filter.Rac4...... . _ _.... /... . DCVK-20 Horizontal/Vertical Concentric Vent Kit Q") ♦ / DCVK-30 Horizontal/VerticalConcentrie-Vent-tur(-)-. -........ .. f..... �. . rnumv,c tu[ M. name. M b021-Wr 9,9M� (2) 9,001' to I1;000' (3) 7,001' to I I,OO(i' Note: All htstaUations above 7,000'tegvlm a pressure twitch chartgr.. FrX RIItalianonrin Canada, furnaces ere certified only to 4,500% Dolmflow door Babe: When the GCSO mottel Is installed directly m a wood boor, a downflnw Row base mustbe tuad. Those antdet nutnbesa am! CFBI7, CFB21 end C:FBZ4. Thermostats CHTIS-60 Cooling/Heating, Mechanical CH70TG Cooling/Heating, Digital, Non -programmable CHSATG. i^g Heating,-Mechanicat .. H20TWR Heating Onty, Mechanical t MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck Software Version CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 HEATING SYSTEM TYPE: Other DATE: 4-26-2004 DATE OF PLANS: 04/21/04 TITLE: The osprey PROJECT INFORMATION: Mill Pond Village Camp Street Yarmouth, MA. COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 288 Your Home = 158 2.01 Release 2 Family, Detached (Non -Electric Resistance) I I I I I Permit # I I I I checked by/Date I I I Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 740 30.0 30.0 13 WALLS: wood Frame, 16" O.C. 1700 15.0 15.0 75 GLAZING: windows or Doors 101 0.340 34 GLAZING: windows or Doors 40 0.340 14 DOORS 40 0.086 3 FLOORS: Over Unconditioned Space 740 19.0 19.0 19 ----------------------------------------- COMPLIANCE STATEMENT: The proposed 7------------------------------------- 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,ad 34.4. Builder/Design Date 'qjai 10Z i Massachusetts -Energy Code ' MAscheck software Version,2.01 Release 2 The osprey DATE: 4-26-2004 Bldg.l Dept.l use I CEILINGS: [ ] I 1. R-30 + R-30 Comments/Location WALLS: [ ] I 1. Wood Frame, 16" D.C., R-15 + R-15 Comments/Location I WINDOWS AND GLASS DOORS: I ] I 1. U-value: 0.34 For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. U-value: 0.34 For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] I 1. U-value: 0.086 Comments/Location I FLOORS: [ ] I 1. over unconditioned space, R-19 Comments/Location I AIR LEAKAGE: [ ] I joints, penetrations, and all other such openings in the building envelope that are sources. of air leakage must be sealed. when I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type Ic rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating r I I I C] I 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. DUCT INSULATION: Ducts shall be insulated per Table 74.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: 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.): I I I C] I 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. DUCT INSULATION: Ducts shall be insulated per Table 74.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: 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.): PIPE SIZES (in.) NON -CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 -'----NOTES•TO FIELD (Building Department Use Only)---------- HUU.IJ.lfum le;141"M bHLHLLY SHLLS 1`10.489 P.2 rf. x mo" z ZWZZ, IQu REPORT -us hlondsy.Aug r.L1S ^ { t14s Sing1811-7/8" AJST"* 20 MR File name O88REY.BCC: j02 . Job Name: Description: ftoeriolst Address:. Speclfer• T CI.;. Bata, Zip:' Designer. Joe Madera Customar Company; SHEPLEY WOOD PRODUCTS Cc -de reports; 4SR-1144 Mtsc: so, 1-1/2" 40aMs-LL.._ _ -100 ft Dt- -_7---T--T- - Standard tgad •40 sf!LO pg! OO SDatlq �Z" ��• p I E .-- °- - 1 TTT .... Tom`. B:.�t�. •• ,p „-" i ,•,,.nq. . , , 1'!Nl+r. 1 Total Horrzontal-Lensth - 20.00.00 01, 1-1W 40Ms tb, 100 lbs DL t�enerat uata Load Summary Versioq: - .. US Imperial ID • Daserlptlon- 6otld-7yp& Ref:. Start-- End-. Type.. , yatuar pt-g Dur. Member Joist S Standard Load Unf. Area Left 00.00-00 20-OMO Live 40 psf 12' log% Number Sp ans:' f . . afsp Dead 10 psi 12, 90% Left Cantilever; No Contr013 Summary Right Cantilever; No Control -Typo- - Value-- % Allawahle-- Duration • L-aa¢gaw- gpafr{pcatFolt. Slope: Ql12 0112 Moment 2300 ft-Ibs 56.8% 1Cc% Neg. Moment 0 ft-Ibs n/a 10O% 2 1 - Internal OC Specigg - . Repetitive. Yes End Reactidn Sams 43.7% 100% 2 1 - Left Construction Type; Glued Total Load Dell. L/521 (0.46V) 46.1% Live Load Dell..._ LtSii (0.368) 73.7%..... 2 1 2. Live Load; 40 psf p ... Max Deft, 0-461" 46.1°R Span ! Depth 20.2 n/a t' 2 1 Dead Load: 10 psf 1 Partition Load: 0 psf Notes Duration: 100 Design meets Code Minimum (L240) Total load deflection criteria. Disclosure Dasi.3n 1`1108% User specified (U480) Live toed deflection critona. The completeness and accaracy of Design meats arbitrary (1") Maximum load deflection criteria. the input must be varifiad by anyone tdinin um.beadng. Wngth, for 60 is1-t/2 Minimum bearing tenmttt for 8l is 1-1t2". who would rely on the output as evidence of suitability for a ... . EntaradlDisptayed Horizontal Span Length(:) = Clear Span + 12 min. end bearing + 12 intermediate bearing particular application. The output above is based upon building Codo-accepted design properties . and analysis methods. Installation of BOISE engineered wood products must be in accordance with the currant Installation Guide and the. applicable boldin¢code& .. _ To obtain an Installation Guide or if you have any questions, please call (e0O)232-0788 Wore beginning - product installation. BC CALCZ,, BC PRAMER0,'SCt9; SC RIM BOARD^, 8C OSS RIM BOARDIM, BOISE GLULAM` 1, VERSA-LAM'J, VERSA-RlMds, VERSA -RIM PLUS®, VERSA-STRAND11, Vr-RSA-STUD ALLJOtST8 and AJS'r" are trademarks of Boise Cascade Corperaticn. Page 1 of 1' HUb. 17. CI�� 1C; 14r9-I StiLf LLY bHLLb NO. 489 P.3 g -RC2t3D3D�$l� � €PpRT - US Mondz-A Augusi,5 atlastl:n Quadruple 13/4" xx117/8" VERSA=iA 3160r SP Fite Name: ospREr.acc : Feot Job Name; Description: Cityy,,State. Address..tate,. Specifierr Zip; , Customer. Designer, Jos Madero Company: SHEPLEY WOOD PRODUCTS Code reports:- IC8O 5512; NEii 629 Msc; 2340 its LL ST 1983 Its OL • 2340 Ibs LL 1983fbs DL- General Data Version: US Imperial Member Type: Mor Seam Number of Spans: 1 Left.Cantllevec.. No,..... Right CaRtilavefr No. Slope:- 0/12 Tributary: 12-00-00 Live Load:.... 20 pst . . Dead Load: 10 psf Partition Load: 0 psf Duration.-- 100 Disclosure The compleh-less.and ac: ;racy of the input must be verified by anyone Who would." on the Output a$- - evidence of suitability for a Particular Application, The output above is based upon building cods-scceptsd design properties and analysis methods.. Installation . of BOISE engineered wood Products must be in accordance with the current Installation Guide, and the applicable building cedes. To obtain an Installation Guide or if you have any questions, please call (800)232.0788 before beginning Product installation. BC CALCb, BC FRAMERO, BCI®, BC RIM BCARDTM; BC OS15 A,. SCARDT"', BOISE GLU►AMT", VERSA -LAM®, VERSA-11Ify1O, VERSA -RIM PLUS9, VERSA-STRANOTM VERSASTUDO, ALL.JCIST0 and AJSTM are badors}arks of Boise Cascade Corporation, Page 1 of 1 Total Horizontal Length - I9.Ofi-00 Load Summary . 10 Description Load Type Ref. Start End Type Value Trlb. Our. S Standard Load Unf. Area Left 00-00-00 hg-OB-00._ Live... 20-pst.-. 12.00-00_ t0o%_ 1 Unf. Lin. Left Dead 00.00-00 1946.00 Live 10 psf 0 pit 12A0.00 90% _ n/a 90%a Dead-- 6Pplf._ Ma- 80ib. Controls Summary Control Typo Value Moment 21074 ft-Ws Neg.Moment- Of4bs.-.. End S(rear ZiWI a• Total Load Del. Live Load -Daft:' - U317 (1).738-1 L/58a(0:4"J- Max Den. 0,738" % Allowabl , cow 49.5% 100%a n!a-_ 100% ... .. 24.2% 100% 75.7% 61.5%' 73.8% L::3Cas: Spim Loca.ron 2 1 - Intsmal 2 1 - Left 2 1 2 1 Notes Design meats Code m(Nmurn (U240) Total load daflecdop criteria. Design-meat,Code-minimurrr(U36o}Liva oed dsnectioficriterre, Design meetsartritrary (11ltaaximum load deflection criteria. Minimum bearing length for Ba is 1.1/2". k5hirnum bearing langtfifor M tjY:t2". Entergd/Displayed Horizontal Span Langth(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing COnnectiort WaQfam Consult project design professional of record or BOISE technical represantative for connection de,ilgn Beams7lnpherwidewill be assumaattobe-eiftr top-tdaded only, orequely Loaded from each side:' Bolls are assumed to be Grade 5 or higher. Member has no side loads. Connectors are: 12 in. Staggered Through salt a=2" b = 2-1/2" a-7-7/8"' da24" rw.i�.cntn icva=�rrl StiLVLLY bHLL5 1`40.489 P.4 mn�= ---- CAI:C� 2QD�fG�i ' REPORT - US Monday, AUplMtl.' 20(5'LL'17 Doubler 1- 3/4" x i t7/8" VER9A=LAlt*.0-310)-SP- FiIaNanv.- oSPRZY.BCC : Ja1. Job Name: Address:..Description: . City, State, Zip:, Specifier: Customer. Designer. Joe Madera Company: SHEPLEY WOOD PRODUCTS Code reports ICBO 5512; NER 029 Mrac 9231be LL 01, f•3/4" 745:lbs DL 897-Ibs-Lt_ 7t8 f,4s1]L General Data Version:.... US Imperial . Member Type: Joist Numbar of spans -1 Lets Cantilever No Right Cantilever. No Slops 0112 OC Spacing:.... 12" Repetitive: Yes Construction Type: Glued Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 pet Duration: 100 Disclosure The ccrnpletanoss and accuracy of the input must be verified by anyone who would rely on the output aS evidence of suitability for a particularapplication. Theoutput above Is based upon building cads -accepted design propartiee -• and analysis methods. Installation of BOISE engineered wood Products must be in accordance with the current Installation Guide and the applicable building codes.. . To ob "in an Installation Guide or if Ycu have any questions, please call (800)232.07EO before beginning Product installation. BC CALCO, BC FRAMER©; SCIZ. SC RIM BOARDTM, SC OSB RIM BOARD", BOISE GLULAM'w... . VERSA -LAM©, VERSA-RIMm, VERSA -RIM PLUS®, VERSASTRANDTM' . . VERSA-STUD®t ALLJOISTS end AJSTM are trademarks of Boise Cascade' Corpdrallan. Page 1 of 1 Load Summary to Description - Loadypa-RAP. - S Standard Load Unt Area Left 1-1. Lint Gn: Left Stab .. 00-00.00 C5 OZ=00 2.. Unf, Lin. Left .. 0S-(2.00 Controls Summary— Control Type Value Moment 10813 ft-Ibs Neg. Moment 0 ft-Ibs End Shear 1607lbs Total Lcad Dof),.... 11313.(0.724'} ... . Live Load Del. L/597 (0.392") Max Dell. 0.724" Span 7 Depth tg:7 - . End Tysx - Valuer Of;S-- Der,, 19.0"0 Live 40 psf TZrr I= Dead 10 psf 12, 90% T3=1OwC0' "Lire 0 plf nfa 00%' Dead 60 pif n/a 90% 13-10-00. .Lire...... U00 .. n/a.... tl5%,. Dead 60 py n/s 90,64 % Allowable Duration 42.5% 115% n1a 1CO% 17.4% 115% 74:2%.... 60.3% 72.401. Load Case Span Location 3.. 1 - Intemai 3 1 •Leff 3 1 3� 1 V Design meets Code.minimum fLIM}Totat load deffset ^ieri!eria. Design meets Code minimum (W60) Live toad deflection criteria, Design meets arbltrary(,P) Maxim:rrrtoad�eRpc(enrrj g - Minimum bearing length for Mis i-11P. Minimum bearing length for B1 is 1-12". "El`1 tgdrDizplayed Horizontal Span Lengths) - Clear Span + 112 min, end bearing + 1r2 Intermadlats baariag Connector Manufacturer: Simpson Strong-T1e® Company Inc. ConneCtmn Dmaram Consult project gesign professional of record or BOISE technical representative for connection de:;ign fit-arvassurrredlo-ba,Grade Sor higher.' Member has no side loads. Connectors are: lain. St..ggered7hrougy Bait -a�2.' . b = 2-112" c = 7-718" -d - 24" ....._ or rq� TOWN OF YARMOUTH Building Department BUILDING + (508) 398-2231. ext.261 PERMIT NO 6-0 iA7 PERMIT 4 ISSUE DATE : 9/29/2005 ; PROPOSED USE _ . , �• _ _ .Frank JOB WEATHER CARD APPLICANT Capra PERMTTTO ; New Construction ; AT (LOCATION) 00121CAMP ST Unit 103 _� ZONING DISTRICTafl Bldg, Type: Residential SUBDIVISION MA LOT BLOCK 044.21.1.C103 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE _ CONTRACTOR construction: 3 baths, 2 bedrooms, 1 f imllyroom/diningroom. 1 kitchen, 1 livingroom as per LICENSE 012430 new REMARKS plans dated 08130/05. AREA (SO FT) EST COST 0 I$154,080.00 PERMIT FEE ($) L$587.00 OWNER Villa es 0 Camp Street, LLC BUILDING DEPT BY ADDRESS 16 Falmouth Road # 25 Cent rville I MA 102632 THIS PERMIT CONVE S NO RIGHT TO OCCUPY ANY STREET,. tLLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS PUBLIC PROPERTY, NOT SPECIFICALU' PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALUEY'GF ADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUSLUC WORKS. THE ISSUANCE OF TH S PERMIT DOES NOT RELEASE THE APPLICANT FROMTHE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 1600 Falmouth Road #25 Centerville MA 02632 5087789669 MINIMUM INSIDE TIONS REOUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHEREAPPLICABLE SEPARATE PERMITS ARE CONSTRUCTIO WORK: 1 FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. REQUIRED FOR ELECTRICAL FOOTINGS. 2) P 1IOR TO COVERING STRUCTUIIIAL WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBING/GAS AND MECHANICAL INSTALLATIONS. MEMBERS(RE YFOR LATH ORFINISH REQUIRED. SUCH BUILDING SHALL NOT BE COVERING) 3) FINAL INSPECTION BEFORE OCCUPIED UNTIL FINAL INSPECTION HAS OCCUPANCY 4) IEFER TO DETAILED INSPECTION BEEN MADE. SCHEDULE POST THIS CARD SO IT IS VISIBLE FROM STREET 2^ r 2 2 OTH 2 I.- ! r 3 /o % for/ 4 5 l • WORK SHALL NOT PROCEED PERMIT WILL BECOME: NULL AND VOID IF INSPECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WOF K IS NOT STARTED WITHIN SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS MONTHS OF DATE THIS PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION ABOVE. •' c(p x 1_ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. F — 06 -- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 111991 (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 WL SE PRINT ININK OR TYPEALL INFORMATION) Date: 5/09/2006 �o cm City or Town of: Y_ARMOUTH. MA To the Inspector of Wires: off- 13y is application the undersigned gives notice of his or her intention to perform the electrical work described below. ion (Street & Number) 121 CAMP ST., UNIT 103 �Q Ow er or Tenant GATEWOOD HOMES Telephone No. �g Ow is Address 1600 FALMOUTH RD UNIT 25 CENTERVILLE MA 02632 Ism s permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Box) urpose of Building SINGLE FAMILY DWELLING Utility Authorization No. 1520227 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 100 Amps 120/240 Volts Overhead ❑ Undgrd X No. of Meters 1 Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: WIRE HOUSE, INSTALL SERVICE No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans .urisc //{U UV W"I vra Vy Inv I ecroro rvtres. ° ° Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators K-VA No. of Lighting Fixtures Swimming Pool Above ❑ In ❑ rnd. rnd. o. o Emergency ig ing Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of In D ticti n and No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number. Tons___ KW No. oSelf-Contained Detection/Alertine Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other No. of Dryers No. o Water KW Heating Appliances KR, No. o o ° ° Signs Ballasts yConnection SecurityNof Devices or Equivalent Data Wiring: No, of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: 44 Attach additional detail ifdesirer, or as required by the Inspector of Wires. '1 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless y \q the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The NZ undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) P fY:) 10/31/2006 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains andpenalties ofpedury, that the information on this application is true and complete - FIRM NAME: PATTON ELECTRIC INC LIC. NO. A15542 • Licensee: RICHARD PATTON Signature LIC. NO.: (If applicable, enter "exempt" in the license number line.) f Bus. Tel. No508 539 0200 Address: PATTON ELECTRIC INC. PO BOX 1525 MASHPEE MA 02649 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required 1.by law. By my signature below, I hereby waive this requirement. I am the (check one ❑ owner ❑ owner's aizent. Telephone No. PERMIT FEE: $12S 00 WPS - Permit Page 1 of 1 Aw NSTAR WPS - Permit Work Order Information Utility Auth/WO #: 01520227 Date: 05/09/2006 Company MARION FEENEY Rep: Report By: YAR 121 CAMP ST UNIT103 VILLAGES AT CAMP ST Status: PLAN Service: NEW Type: RES Nature of Work: NEW 100A UG SERVICE FROM TRANSF #25-223 TO HANDHOLE... ELEC STOVE, HOT WATER, DRYER ... GAS HEAT.. RESDEV VILLAGES Ca CAMP ST LLC... CROSS STO WOULD BE BUCK ISLAND RD Service Information: There is no Service Information. Permit Information Permit #: E06-1011 Meters: 1 Reseal (Y/N): Y Date: 08/25/2006 Inspector: W10060 Description: • Search -- D le at le at I Contacts • NSTARHomeWPS Logon WPSHeIp Comments WO Request WPS News Copyright 2003 NSTAR, $00 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. http://www.nstaronline.com/apps/wps/wpspennit.cfm?Page=Permit&Unique= f ts_�2006-0... 8/25/2006 1 bF yq Y�rr�CXEESE " o APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 OP, A (PLEASE PRINT IN INK OR To the Inspector of Wires: By this application the work described below. t t Location (Street & Number Owner or (OFFICE USE ONLY) Fee: $_ 25 b7 PERMIT Date: gives notice of his or her intention to perform the electrical Is this permit in conjunction with a building permit? 2rYes QNo (Check Appropriate Box) Purpose of Building v Utility Authorization No. Existing Service Amps / Volts OverheadO Undgrd 0 No. of Meters New Service t� Amps C?k=) / 2-+3 Volts Overhead Number of Feeders and Ampacity Z 3 AA te50 Location and Nature of Proposed electrical Work: &c 6 Undgrd g' No. of Meters_ No. of Recessed Fixtures �•• ••••••.•... No. of Ceil.-Sus . Paddle Fans ..... .w..... .uv.c /..0 vc rru/rcuV f/IG I//.l Cl.{U/ U YII/C: No. o..Tota Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above - SwimmingPool md. nmd. Q No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o Detection an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Num er Tons — — — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local Municipal Other Connection No. of Dryers Heating Appliances KW Security Systemvicess: No. of Deor Equilivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wirin : No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: 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 the permit issuing office. CHECK ONE: 2_MURANCE,2r BOND C] OTHER0 (Specify:) (Expiration Date) Estimated Val f ^L work: (When required by municipal policy.) Work to Start: Inspections to be r q st d in accordance with MEC Rule 10, and upon completion. I certify, and the ins an Laltie pgrjur�, h th rmation this application is true and complete �RM NAM << �—i - LIC. NO. fq censee: van Signature r IkW,\AAU-AkAl LIC. NO. (If applica ter . e t" ' t= nu0ber line.) Bus. Tel. No.: Address N� Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am away that the Nicensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner ❑ owner's agent. Owner/Agent Signature Telephone [Rev. 04/001 : - Commonwealth of Massachusetts Official use Only (, Permit No. F--06 - ��O1S Department of Fire Services y yo �, ) and Fee C9recked 0 BOARD OF FIRE PREVENTION REGULATIONS . 11/991 ve blank w1j, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All workto be performed is acoo &= with the liassarhusem EecWcd Code (MEG), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: City or Town of: YA ;$UUPH To the Inspector of Wires: a licxtion the undersigned gives notice of his or her intention to perform the electrical work described below. 7FTL'E on treat &Number) MILL POND VM Are:, 121 CmTip St Bldg # In3o errant Gatewood Hanes/ Jeff Sollows TelephoneNo.508-7789669 LO 's ddress .1600 Falmouth Rd., Suite 25, Centerville, Ma. 0263.2 p it in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) j 3 rp Building single family residence Utility Authorization No. "J Ezistm7e ce Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Srr4? 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) with back To battery.."centrally. monitored. Coco letion of the ollawin table be iaaNe27 the ecforo wires No. of Recessed Fixtures No. of CeiL-Su addle r o otA sp• (P ) Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators RVA Emeot No. of Lighting Fixtures, ' .. Swimming Pool Move. erred. BatINO.tery Unftc cy g • 0 No. of Receptacle Outlets No. ofOil Barriers FME.ALARMS ffo.ofZones -1-• No. of Switches No. of Gas Burners o. o etectloa.an 7 Initiathi Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers t ump Totals: um er ons o. o Self -Contained Detection/Alertin Devices 7 No. ofDuhwashers SpacdAreaHeating ]iVV Local ❑ Cou unnectio:n ., ®Otba No. of Dryers .. Heatin g Appliances ' KW ecun stems: ty ' Nn_ n evrrre nrFm,ivalrnl aaw ua r.aa & An aw. w asa. va Data Wll7n: .I Heaters Signs Ballasts No. ofDg&icesorEquivalent INaH dmlimassa a Bathtubs No. of Motors Total Hp 1' ce� ommunrcations K g . .� Nn of nark&& a nr rivelant INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the ll=see 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. CHE:CKONE: INSURANCE ® BOND ❑ OTTER ❑ (Specify:) (ExEstimated Value of Electrical woric $750.00 it on (When required by municipal policy.) Work to Start Inspections to be requested in accordance with IvlEC Rule 10, and upon completion. Icalify, under thepauts and penalties ofperjury, that the infibimadan on this application is true and complete FMMNAME: Baltic Security, Inc LIC. NO.: 1178C V Licensee: Jonas R Bielkevicius Signature LIC. No. 499D aflapplfasble, enter "ezempt"in the license. a .line Bus. Tel No.• . 08-..833-0996 AddrEss: >?0 I3ox ,XW) IIIIIIIIIIIIIIISandw2-c-t 02563 AIt. TeL No.!508-7 -3 7 OWNER'S INSURANCE WAIVER •I am aware that the Licensee does not have the liability insurance coverage normaAy regnired by law. By my signa = below, I hereby waive this requirement I am the (check one) ❑ owner ❑ ownees agent Owner/Agent SIgnature. Telephone No. PERWTFEE. S 40.00. APPLICATION FOR PERMIT TO DO PLUMBING AA TOWN OF YARMOUTH _ (OFFICE USE ONLY) ByYr{ . r. Fee: $ q�'�'C7� 14- ab2,b ZgpS �� PERMIT NO. P b-70%'. 4, Date 20 Building �+ Owner's AT: Location ( M JName Type of Occupancy New Re a Ion ❑ Replacement ❑ Plans Submitted Yes No ❑ Z N Z � � W W z U Z0. LU W S/ui/ CR�/ 2 O Y z y W Q Q z Z O Z co Z O J fn W coN co= rn Ix F-- U Q o W co rn `1 0. LL Z O. ~ II W O C � Q co LU y J Z 0 LL ` W W Q~ =Id 2 O y J = _ LL Y Q J Q M a� Q O Q_j� Q d' tY Q 0 Q F W C G J = F- m LL C9 7 G Q 3 IY m O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Check One: ❑ Corp. _ Address G l?��}DO(/ iv�l� �� ❑ Partne ip '/�C�� irm/Company Business Telephone �� 1 5ame of Licensed Plumbe O(/(� INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes No El 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 or Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ Signature of Licensed Plumber License Number Type: Master❑ Journeyman +,� +e APPLICATION FOR PERMIT TO DO GASFITTING ~�~ TOWN B (OFFICE USE ONLY) ^ i m -I FR y-- 7 200 Fee:�fPERMIT NO. C��07T.ING DEP DataBuilding Owner'gAT: Location �Name �o 5� a�-------------_--. New CY Renovation ❑ Replacement ❑ Type of Occupancy_;-, jW e ZY � Plans Submitted Yes ❑ No fk N fA rA () Z = W w m y7 t C ¢ W C OUj O V W Z O O q> W W Q W to > W S Z Q S a W ¢ K< W 4 m fi W Z F' 0 p W = p y .. .W 0 C7 {Q Z Jfff>�>> OOa LL O 1W- O ism (PRINT OR TYPE) Installing Company Name _ , UGT P" I Address. Business Telephonea2�-Z___ Check One: ❑ Corp. ❑ Partnership C'1 Firm/Company Name of Licensed Plumber of it INSURANCE COVERAGE: One Check I have a current liability insurance policy or its substantial equivalent. Yes One ❑ If you have checked yes, please indicate t e 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. Check One: Signature of Owner or Owner's Agent — Owner ❑ Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) in above application are true and accurate to the beat of my knowledge and that all plumbing work and Installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Signature o Licensed Plumber or Gasfitter License Number Tvoo I fromica. EXISTING FOUNDATION LOT 102 �rN/ aS��S y 8F 19, DRIVEWAY AVE •sue ry,�yry �� 8L=14E . > 130,69 CAI N0 6. EXISTING FOUNDATION 0 19 3 4.0 'i aW N/;1. o 00• 0 N EXISTING oQ •• FOUNDATION Z' 14.0' I r•i LOT 103 3oF ' LOT 104 00 • S' I CERTIFY THAT THE FOUNDATION IS LOCATED IN FLOOD PLAIN ZONE C AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 250015 0005D AND THAT FLOOD PLAIN ZONE C IS NOT A SPECIAL FLOOD HAZAR A. DATE REGIS ED ROFESSIONAL ELAND SURVEYOR Unless and until such time0as 'h"e original(red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other public officiate, may rely upon the information contained herein. and (B) this plan remains the property of Holmes h McGrath, Inc. - AS -BUILT PLAN OF LOT 103 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA 1 "=20' DATE:12-15- 2a I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE 40B SPECIAL PERMIT. / DATE REGISTERED ROFESSIONAL LAND SURVEYOR GRAPHIC SCALE 1. inch = 20 ft holmes and mcgrath, inc. civil engineers and land surveyors 362 gifford street falmouth, ma. 02540 JOB NO: 201197 DRAWN: DWG. NO.: A2545A CHECKS B, Gn t1CGRATH No. 23978%� 9 SEE SLEEVING NOTE BELOW V 0 OQpSFFO 2g FR •S�, �� — i E 146- R o' I� L�0.69' 1 S "lv S� 2 try �`0 ,p- ?gg_ O Q -' Q w .y b _. O co Dc �Q p j LOT 102 /o, pRopo 1', Qo ��' �� o por✓SFFo . � X 14 �19 = S�. \ h, S s 7 OI' 4 i CS 9 a n F q7. (p d o' off) PROPOSED HOUSE I 63 '� Z TERN ' FF 24.5 : GW = 14 s LOT 103 s•s' N- 19'� 4,553 ' LOT 104 NOTE: N ® SEWER LATERAL SHALL BE �✓'"'`�`� �• SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN .o`' �tiJCH�AEL `�':`'Y; N83 57 38 10FT. OF WATER MAIN. /11 ._© . A �r ;�— "W 10 0 1_;o rtcr 60 o d un I au F tim o; thN or. .incl (rr 7) t m +F ra�pa� itla Pro(=ssi.. rl knoir er „r Profs sional tend Surv.}r rp=crs on this pI n (A) no pars o o p..r?�ns ln.'uding fny mun iDl or of IN FEET ^�.b�'c ffa _ me .ly L,t 'l rh (t) this r.l^.n r5r q,n3 th yr—ort! of flolm,l i Al 1 inch = 20 ft PLOT PLAN holmes and mcgrath, inc. OF LOT 103 civil engineers and land surveyors PREPARED FOR ,v/� TI"r70THY M. m 362 gifford street �I SANTOS MILL POND VILLAGE No 4s07e IN falmouth, ma. 02540 ` YARMOUTH MA 0, O SI-r >� JOB NO: 201197 DRAWN: LMC °s MAI. , SCALE: 1 "=20' DATE: 3-23-051 DWG. NO.: A2545 CHECKED: --ea GRAPHIC SCALE 20 RE -INSPECTIONS 1ST RE -INSPECTION - $30.00 2'D RE -INSPECTION - $40.00 3 OR MORE - $50.00 DUPLICATE - $25.00 WEATHER CARD DATE: %b ADDRESS: /� ISSUED TO: REASON FOR RE -INSPECTION: �` Fq 1. ` r. { .� . OCT 17 2006 euiLr,rlp_: PT. BUILDING DEPT.: l d t1p, yy % ELECTRICAL: FIRE DEPARTMENT: GAS: OCCUPANCY PERMIT: PLUMBING PERMIT: OTHER: