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121 Camp St #110 Building Permits
05/10/2006 11:13 FAX 5087713597 ANGELA RAE PRILBROOK fz.003 r I oust you will find these demands on behalf of my client extremely fair in light of the circumstances. I look forward to your prompt response. Respec - i 1 ngela Rae Ph..slbrook cc: Claudette Vickery, Sowxeigu Bank 508-362-9645 Brenda Rockledge, Massachosett• Housing Finance Agency 508-775-7434 James Brandollni, Building Inspector, Town of Yarmouth 508-7604248 Zoning Board of Appeals, Town of Yarmouth 508-398-2365 05,,10/2006 11:12 FAX 5087713597 ANGELA RAE PHILBROOK Z 001 LAW OFFICES OF ANGELA RAE PHILBROOK -- 22 Main Street Hyannis, MA 02601 (508) 771-3NS fix (508) 771-3597 angtc1'ap1ri-xook@cornutstnet FACSIMILE TRANSMISSION COVER SHEET DATE: May 10, 2006 SEND TO: Law Office of Peter Daigle ATTN: Attorney Peter Daigle FAX NO.: (508) 771-8205 # PAGES: 3 finclading cover sheet) Re: Unit 110, W.lpond Village CC Claudette Vickery Brenda Rockledge James 13randol ni. Zoning Board of Appeals 508-362-9645 508-775-7434 508-7604.24 - VN1 508-398-2365 D���OdC� 1 III MAY; 1 I zoo, D The dmirnenm acca ipui Jiq IN, f mmilc twuimisaion eona;n infmnadun frorn dtc law Uftices of Angdn Rne philbrook which is conucrtij nr inivaeGed. Ttm infnnmtiot is intasded to Lv: fur the use of the individual tecip;ent. Ae awns rhnr ary tiscloatue, eopyiag, &tnb000 us tam of the cnntcnn of this facsitruk 6 sviedy ptohbited. If you have:ccaked ties racs;m;le in txror, please notify 4e by telephurw: innxd Awly no thnc we can unnAe fot the retriewa of the n_Rna: documrn[a u tut .w:t to yoe. �— SENDER: Angela Rae Philbrook REPLY TO: 508-771-3597 (facsimile direct line) Please contact the SENDER at (508) 771-3595 immediately if there is any problem. G APPLICATION FOR PERMIT TO DO GASFITTING ( (OFFICE USE ONLY) TOWN OF YARMOUTH 'I Fee: 1 PERMIT --- Building �^ -ram Owner';/ AT: Location_ Type of Occupancy_25-4 i New LT Renovation Replacement CJ Plans Submitted Yes `-" No !' 4 It_ LU LU us N¢ W m Z Z O W C'§ 8 f��/N Na a N W z Z V W Vl yZj C W 0 Q> O W T ¢�LI F D z YJ aUj N a a = W W a �% s O> 4 W 8 J 8 u"'t � >� SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 9RD FLOOR SPRiNI OR TYRE ) Check One.: Installing Company D Corp. Address __ �_C3-.. _ . G..1�}!3s_ .— s _l_ _. -.- -------_ �__ _] Partnership V Firm/Compan ._DEC...1 � 20U�5-. Business Telephone.�.�. v O Lj BUILDING DEPT. Name of Licensed Plumber orfer-_;— INSURANCE COVERAGE: Chec`�k One 1 have a current ?,ability insurance policy or its substantial eQuivaient Yes LNo Q It you have checked yes, please indicate :Pe type of coverage by checking the appropriate box A I;atd:ty insurance policy Other type of indemnity 1.1 Bond ❑ OWNERS INSURANCE WAIVER: I am aware tnat the licensee does not have the insurance coverage required by Chapttr 142 of the Mass. General Laws, and that my signature on this permit application waves this requirement. Check One: _ . _...... -... _..._ __.. ---- Ownet Agent l� Signature of Owner m Owner's Agent l hereby certify that all of the details and Information I have submitted Signature o Licensed (or entered) in above application are true and accurate to the best of Plumber or Gastaler my knowledge and that all plumbing work and installations performed 2,1 5 1 0 under Permit issued for this application will be In compliance with all --._" - pertinent provisions of the Massachusetts State Plumbing Code and License�e cec• APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (OFFICE USE ONLY) '� /OggUTH By /ems Fee: $ 2 2 PERMIT NO. (PLEASE PRINT IN INK OR TLYItE ALE -IN) To the Inspector of Wires: By t is appitcatF work described below. Location (Street & Number) Owner or Tenant r, ah ,N Owner's Address �'�4 r0U��'e % e signed gives notice of his or her intention to perform the electrical G Telephone No. Is this permit in conjunction with aibuilding permit? 2J-Yes ONo (Check Appropriate Box) Purpose of Building—�� � c%2J� � Utility Authorization No. I Y e -;.e Lf5 Existing Service Amps / Volts Overhead Undgrd Q No. of Meters New Service DG Ampseil0J //ate Volts Overhead❑ Undgrd To' No. of Meters 1 Number of Feeders and Location and Nature of Proposed electrical Work: c,,.,,...,lthn! llnunno ruble mnv he wnived by the ln.snector of Wires No. of Recessed Fixtures No. of Lighting Outlets No. of Lighting Fixtures No. of Ceil.-Sus . Paddle Fans No. of Hot Tubs Above Swimming Pool md. n- rnd.7:1 No. of Total Transformers KVA Generators KVA No. of Emergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones o. o Detection an No. of Switches No. of Gas Burners Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices g Heat mp Num er Tons W No. of Self -Contained No. of Waste Disposers Totals: — Detection/Alerting Devices Municipal Local C3 Other No. of Dishwashers Space/Area Heating KW Connection Secutity Systems: No. of Dryers Heating Appliances KW No. of Devices or Equipvalent No. of Water KW No. of No. of Signs Ballasts Data Wirin : No. of Devices or Equivalent Heaters Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent _r rya r.., rho rn c...mr of Wiroc trUUCrt Uuutituitut uuuu y_- 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 ]nsurance 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. p y) �y y� ; C j1 / l,L CHECK ONE: INSURANCE BOND OTHERE] (S ecif : aL C' "C // (Expiration Date) Estimated Value of Electrical Work: b (When required by municipal policy.) Work to Start: Inspe lions to be requested in accordance with MEC Rule 10, and upon completion. / aI certify, under the 'gs and penalties iperjµry, that the information on this application is true and complete. NAME: LIC. NO. ensee: Signature LIC. NO. VJ (If applicable, en exempt""in the license num r lines i��2 Bus. Tel. No.: Address IqJ ,v >! Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner owner's agent. Owner/Agent Signature Telephone No. [Rev. 04100] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEQ, 527 CMR 12.00 TOWN OF YARN U' d_ / iV N '7 (OFFICE USE ONLY) BY 1U Fee: $ "� I ` / ie9 PERMIT NO. l - "�J b � (PLEASE PRINT IN INK OR TYPE ALL INFORMATION1_' Date: W VC AX C To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to work described below. I _ I 'r ) n r-. Location (Street & Number) � Owner or Tenant Owner'sAddress Is this permit in conk tion with a building permit? 20 es ❑ No (Check Appropriate Box) Purpose of Buildingz,a nGP Utility Authorization No. QExisting Service Amps / Volts New Service 1(2_ AmpsIZO UVolts Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: OverheadD the electrical Undgrd No. of Meters _ I 6-4� Co m letion o the following table may be waived bE the /ns ector o lI rres No. o Tota No. of Recessed Fixtures No. of Ceil.-Sus . Paddle Fans Transformers KVA No. of Li htin Outlets No. of Hot Tubs A n- Generators KVA No. of Emergency Lighting No. of Li ht]n Fixtures ve swimming Pool rnd. d. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones o. o Detection an No. of Switches No. of Gas Burners Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices Heat Pump um er Tons _W_ No. of Self -Contained No. of Waste Disposers Totals: — — Detection/Alerting Devices Municipal Other Local No. of Dishwashers Space/Area Heating KW Connection Secutity Systems: E No. of Dryers Heating Appliances KW No. of Devices or ui valent No. of Water No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent Heaters KW Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or E uivalent ;roil by tho Inenortnr of Wirer. .xrraca uuuuiorrui uesun tj . , ., y .. -� ....,....1--• _, .. 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: INSURANCE 2_00� J* BOND OTHER (Specify:) E D t ) Estimated Value fkEltnical Work:Work to Start: Insp lions to beI certify, unde{ thand �eq ies o�perjury,�th: (If applicable, �ei}teh "exWlj" tt the Address• v�+res Sn OWNER'S INSURANCE WAIVER: I am aware that th Licei below, I hereby waive this requirement. I am the (check one) �, Owner/Agent Signature [Rev.04/00] ( xpuat�on a e (When required by municipal policy.) ;te in accordance 'th MEC Rule 10, and upon completion. n r�1 tion on th' application is true and complete. LIC. NO. vs- lure LIC. NO. Bus. Tel. No.: Alt. Tel. No.: does not have the liability insurance coverage normally required by law. By my signature ier ❑ owner's agent. 13 Telephone WPS - Permit Page 1 of 1 C� • • ,NSTAR WPS - Permit Wnrle nrrler Information UtilityAuthMO #: 01492859 Date: 12/14/2005 Company DONNA JONES Rep: Report By: YAR 121 CAMP STVNrrit0 VILLAGES AT CAMP ST Status: PLAN Service: NEW Type: RES Nature of Work: NEW 100AMP UG SERVICE TO HANDHOLE#P080D SET ON PROPERTY LINE - TRANSF#P080 - NEW 1500 SQ FT HOME IN RES DEV(MILL POND VILLAGE OFF WILLOW ST) - NO A/C - GAS HEAT & HW - ELECT RANGE & DRYER - SET METER Service Information: There is no Service information. oar it Infnnnatinn Permit #: E06-569 Meters: 1 Reseal (YIN): Y Date: 04/112006 Inspector. WI0060 Description: S� earch� Detail Contacts NSTAR RHHome WPS Lotion WPS Help Comments WO Request WPS News tLJ r IT 00 Copyright 2003 NSTAR, 800 Boylston Street, Boston MA USA. AN rights reserved Reproduction In whale 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/wpspermit.cfm?Page=Permit&Unique={ts '2006-0... 4/11/2006 commonwealth of Massachusetts Official Use C ^On/ly / Permit No. — Ub b D Department of Fire Services Occupancy BOARD OF FIRE PREVENTION REGULATIONS (Imand v blank) • J APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Allworkto be perfoazzed in accordance with the Mmarizusem Electrical Cade (ME" 527 CUR 12oo (PL&UEPREff]YE KORT PE ALLINFORMA77OA9 Date: City or Town of: YARMOUPH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) MILL POND VMLAGE, 121 Cmp St Bldg # /l0 Owner or Tenant Gatewood Homes/ Jeff sollows Telephone No. 50 8-778 9 6 6 9 Owner's Address .1600 Fallmutn Rd., Suite 25, Centerville, Ma. 0263.2 ; j)1 • Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / volts Overhead ❑ IIndgrd ❑ No. of Met j New Service Amps / volts Overhead ❑ Undgrd ❑ No of Meters, 06 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woric Fire Alarm System (low voltage control`panel) / with baclaM'batterv, "ce_ntralllr monitored. COmnletio ofthe fallawinQ table Mau he ivnima'Au the lntnectnrofrv""* No. of Recessed Fixtures No. of Cell.-Susp. (Paddle) Fans No., of ° Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool = e' d. Batt IInrgency g its No. of Receptacle Outlets No. of Oil Burners FIRE. ALARMS No. °f Zones —1— o. of Switches No. of Gas Burners o. o etection.an 7 InitiatingDevices o. of Ranges No. of Air Cond. Tons No. of Alerting Devices o, of Waste Disposers [No. Jra-pumTotalsp • um er. ors Detection/Alert�Devices 7 of Dishwashers Space/AreaHeating KW Local ❑ umcip ® Other Connection .., No. of Dryers .. Heating Appliances KW ecuaty ystems: No. of Devices or E ivalent o. of Water KW Heaters o. o o. of Signs Ballasts Data Wiring: No. of Devices or uivalent Na Hydrumassage Bathtubs No. of Motors Total HPTelecommunications Wiring, No. of Devices or Wvilent 07HEk- Armco amuoonm a3tmr rJcerrreq a mr+egrrtrsQ by thelnrpector ofWircc INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical wor;c may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE M BOND p OTHER p (Specify:) cprratzon Date Estimated value of Electrical Woric $ 75_ 0.00 ^ (When required by papal policy) Work to Start Inspections to be requested in accordance with MEC Rule 10, and upon completion. rcertify, render the pains and pmahies of perjury, that the infointadon on this application is true and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1178C Licensee: Jonas R Bielkevicius Signatures LIC. NO.: 499D (IfapPA=ble, enter ' emnpt" in the Ucvue nu nJie� lore Bus. Tel. No: 50 8-833-0996 Address:_" PO Box .1:609 Sandwicrt, lam. 02563 Alt, TeL No.; 508-71 3347 OWNER'S INSURANCE WAIVER .I am aware that the Licensee does not have the liability insurance coverage normally requiredby law. By my signature below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent OwnedAgent Signature. Telephone No. PERWTFEE: $ 40.00 RE -INSPECTIONS 1 . RE -INSPECTION - $26.00 2NDRE-INSPECTION - $30.00 3RDRE-INSPECTION - $40.00 j.. JAN o Buy 4 2006 ALL OTHER RE -INSPECTIONS - $40.00 DATE: / Zo DATE RECALL: / GAO REASON FOR RE - INSPECTION: BUILDING DEPT.: OCCUPANCY PERMIT: PLUMBING PERMIT: GAS: ELECTRICAL: FIRE DEPARTMENT: OTHER --d5- 16 i 2 05 D OCT 1 tibbEttS EngimEnng c CONSULTING ENGINEERS 716 Cauntystreet, TawionMA 02780 Tel. (SOS) 822-6934 Fox. (508) 880-7811 Fie/dDensity Test Report - Sand Cone Method (ASTM D1556) Client: Gatewood Homes Job No. 10980.010 1600 Falmouth Road, Suite 25 Date: 10/7/2005 Centerville, MA 02632 Report No.: 5 Project: Mill Pond Village, West Yarmouth Test No. Location of Field Density Test FD5264A Unit #111 - NW Comer - Footing Grade - Sandy Material r FD5264B U . - SE Comer - Footing Grade - Sandy Material FD5264C Unit #110 - N mer - Footing Grade - Sandy Material FD5264 Unit #110 - S Corner - Footing Grade - Sandy Material FD52646 - North Center - Footing Grade - Sandy Material FD5264F Unit #109 - South Center - Footing Grade - Sandy Material - Ta u/ation Field Density Test Results Date: Test No. Proctor I.D. Req. % Obtained Meets Moisture Dry Wt Max Dry Optimum Compt Co npaction Specs. Content P.C.F. Wt. PCF Moisture 10/7/2005 FD5264A PR4252E 95 99.8 Yes 5.3 125.2 125.4 8.2 101712005 FD5264B PR4252E - 95 97.7 Yes 5.9 122.5 125.4 8.2 10/712005 FD5264C PR4252E 95 96.5 Yes 5.7 121.0 125.4 8.2 10/7/2005 FD52640 PR4252E 95 100 Yes 6.5 126.6 125.4 8.2 10/7/2005 FD5264E PR4252E 95 96.5 Yes 4.5 121.0 125.4 8.2 10/7/2005 FD5264F PR4252E 95 96.2 Yes 5.4 120.7 125.4 8.2 Remarks: All tests met the specified minimum 95% compaction. M. White Wafter P. Galuska Laboratory Technician Laboratory Supervisor , tibbEtts EnginEEring Corp.144FM E. v �' CONSULTING CIVIL ENGINEERS & LAND SURVEYORS i maAN'S D iLY REPORT OF CONSTRUCTIO PROJECT: Mill Pond Village DATE: 10/7105 Yarmouth, MA JOB NO.: 10980.010 CLIENT• Gatewood Homes CONTRACTOR: Homes and McGrath EOUIPMENT WORKING: None MEN WORKING: Rick H. of Gatewood Homes WORK PERFORMED: FIELD TIME: } 4.5 Hours TRAVEL TIME In accordance with a request from the client, I arrived at the referenced job site at apx. 9:10AM for scheduled compaction testing. Upon my arrival I met with Rick of Gatewood Homes who informed me that compaction testing would be needed at the base of the footings on lots 109, 110, and 111. He also informed me that he had previously compacted the areas with a vibratory plate. Rick requested that two compaction tests at footing base be performed on each lot. A total of six compaction tests were taken today. All tests passed the 95% compaction requirement according to site specifications. See attached report for detailed information on test locations. After testing was completed I informed Rick of all test results. I then packed up my equipment and left the job site. Paul Faeundes Lab Technician OCT 1 2 05 t tibbEttS Engirt c CONSULTING ENGINEERS 716 County Street. TauttmMA 02780 Tel. (509) 822-6934 Fex. (508) 880-7811 FieldDensity Test Report - Sand Cone Method (ASTM D15561 Client: Gatewood Homes Job No. 10980.010 1600 Falmouth Road, Suite 25 Date: 10/7/2005 Centerville, MA 02632 Report No.: 5 Project: Mill Pond Village, West Yarmouth Test No. �otl r�tFi Id Density Test FD5264 ( Unit #111 - NW C or - Footing Grade - Sandy Material FD5264 Unit #111 - S or - Footing Grade - Sandy Material FD5264C - NE Comer - Footing Grade - Sandy Material FD5264D Unit #110 - SW Comer - Footing Grade - Sandy Material FD52645 Unit #109 - North Center - Footing Grade - Sandy Material FD5264F Unit #109 - South Center - Footing Grade - Sandy Material Tabulation Field Density Test Results Date: Test No. Proctor I.D. Req. % Obtained Meets Moisture Dry Wt Max Dry Optimum Compt Compaction Specs. Content P.C.F. Wt. PCF Moisture 1017/2005 FD5264A PR4252E 95 99.8 Yes 5.3 125.2 125.4 8.2 1017/2005 FD5264B PR4252E • 95 97.7 Yes 5.9 122.5 125.4 8.2 10/7/2005 FD5264C PR4252E 95 96.5 Yes 5.7 121.0 125.4 8.2 10/7/2005 FD5264D PR4252E 95 100 Yes 6.5 126.6 125.4 8.2 1017/2005 FD5264E PR4252E 95 96.5 Yes 4.5 121.0 125.4 8.2 1017/2005 FD5264F PR4252E 95 96.2 Yes 5.4 120.7 125.4 8.2 Remarks: All tests met the specified minimum 96% compaction. JM. White Walter P. Galuska Laboratory Technician Laboratory Supervisor r rectibbEtts EnginEEring corp. CONSULTING CIVIL ENGINEERS & LAND SURVEYORS OLD TECHNICIAN'S D ILY REPORT OF CONSTRUCTION PROJECT: Mill Pond Village DATE: 10/7/05 0� Yarmouth, MA JOB NO.: 10980.010 CLIENT• Gatewood Homes CONTRACTOR: Homes and McGrath EOUIPMENT WORKING: None MEN WORKING: Rick H. of Gatewood Homes WORK PERFORMED: FIELD TIME: } 4.5 Hours TRAVEL TIME In accordance with a request from the client, I arrived at the referenced job site at apx. 9:10AM for scheduled compaction testing. Upon my arrival I met with Rick of Gatewood Homes who informed me that compaction testing would be needed at the base of the footings on lots 109, 110, and 111. He also informed me that he had previously compacted the areas with a vibratory plate. Rick requested that two compaction tests at footing base be performed on each lot. A total of six compaction tests were taken today. All tests passed the 95% compaction requirement according to site specifications. See attached report for detailed information on test locations. After testing was completed I informed Rick of all test results. I then packed up my equipment and left the job site. Paul Faeundes Lab Technician n LOT 111 SEP 1 EXISTING FOUNDATION / CV �0Cps/ o 6 EXISTING FOUNDATION LOT 109 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 HAZARD AR . _ l9 2w-, 5 - DATE REGISTEREDUPROFE SIONAL LAND SURVEYOR NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this pion: (A) no person or persons, Including any municipal or other public officials, may rely upon the information contained herein; and (B) this plan remains the property of Holmes & McGrath, Inc. N 42 \ try 6,? ? is 0' /A ti CV % LOT 112 CV CV /hQl. I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTSfOF THE SPECIAL PER T. 91 ��M L DATE REGISTERED PRO SSIONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) 1 inch = 20 & AS —BUILT PLAN holmes and mcgrath, inc. '', o 4, OF LOT 110 civil engineers and land surveyors EL'�y PREPARED FOR 362 gifford street MILL POND VILLAGE Falmouth, ma. 02540 MCC. rH IN Na 28 YARMOUTH, MA�� �E JOB N0: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 9-19-05 DWG. NO.: A2538A CHECKED,fi/j.L, 'y TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO B-05-1552_ PERMIT ISSUE DATE ; _ 6/30/2005 _ ; PROPOSED USE APPLICANT -,Frank Capra -------------- ------------- JOB WEATHER CARD /�!Y'i�� PERMIT TO _New_Construction-' I AT (LOCATION) 100121CAMPSTUnft110 k 5 ZONING DISTRIC r-25 Bldg. Type: Residential I SUBDIVISION MAP LOT BLOCK 044.21.1.C110 LOT SIZE 0 IS TO BE: CONST TYPE 5-B USE GROUP R-4 new construction - affordable: 2 baths, 3 bedrooms, 1 kitchen, 1 laundry room, 1 livingroom as REMARKS per plans dated 06/02105. - Subject to compaction & proctor tests. AREA (SO FT) EST COST ($ $117,024.00 OWNER I Villages ® Camp St., LLC ADDRESS 1600 Falmouth Road, # 25 -(¢ Centerville I MA 102632 PERMIT FEE ($) 1$0.00 .DING DEPT BY CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date O� �1, �omU T CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date, , Permit Number Approved By Remarks ffffA r� 11111111111 - I I �/1M / /�If , To be filled in by each division indicated hereon upon completion of its final Inspection. TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO 6-05-1552 _ ISSUE DATE . _ 6/30/2005 _ : PROPOSED USE APPLICANT •Frank Capra ........ PERMIT JOB WEATHER CARD PERMIT TO ' New Caristructan ' I AT (LOCATION) 100121CAMPSTUnftllo ZONING DISTRICT r-25 Bldg. Type: Residential ' SUBDIVISION MAP LOT BLOCK 1044.21.1.C110 1 BUILDING IS TO BE: LOT SIZE CONST TYPE 5-B USE GROUP new construction - affordable: 2 baths, 3 bedrooms, 1 kitchen, 1 laundry room, 1 Ilvingroom as per plans REMARKS dated 06J02105. - Subject to compacticn & proctor tests. AREA (SO FT) EST COST ($ $117,024.00 PERMIT FEE ($) OWNER I Villages 0 Camp St., LLC BUILDING DEPT BY ADDRESS 1600 FWffim h Road, # 25 Centerville I MA 102632 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 15087789669 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK 1) FOUNDATIONS OR FOOTINGS. 21 PRIOR TO COVERING STRUCTURAL MEMBERS (READY FOR LATH OR FINISH COVERING 31 FINAL INSPECTION BEFORE OCCUPANCY 41 REFER TO DETAILED INSPECTION cclacnui c APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE JOB AND THIS CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR FINAL INSPECTION HAS BEEN MADE. ELECTRICAL PLUMBING/GAS WHERE A CERTIFICATE OF OCCUPANCY IS AND MECHANICAL REQUIRED, SUCH BUILDING SHALL NOT BE INSTALLATIONS. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. WORK SHALL NOT PROCEED PER':::- WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS PERMIT 13 ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION d le I 0o r TOWN OF YARMOUTH Building Department BUILDING - - - - - - - - - (508) 398-2231 ext.261 PERMIT NO 8-05-1552- - PERMIT APPLICANT ,Frank Capra ISSUE DATE ; _ 6/30/2005 - ; PROPOSED USE ------------------ JOB WEATHER CARD PERMIT TO ; New Construction ' AT (LOCATION) 100121CAMPSTUnft110 Z NING ISTRIC r-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C110 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction - affordable: 2 baths, 3 bedrooms, 1 kitchen, 1 laundry room, 1 livingroom as REMARKS per plans dated 06/02/05. - Subject to compaction & proctor tests. AREA (SO FT) EST COST ($ $117,024.00 PERMIT FEE ($) OWNER I Villages G Camp St., LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road, # 25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 1- FIELD COPY .: Note Progress and . r. .� OOFMANINAMM I r ONh & I WU FAMILY ONLY - t3U1LU1NCa Pt=HMI I 0 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING - Town of Yarmouth Building Department 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 Fax: (508):398-0836 t se;Dr ` Planciing oar ....... sessar5bep e Ir,fAmnabo�n: 44*5 5y �, 1<6 ectlorll� otanafia Use Group: R 4 Typ2 5-B 1.1 Property Address: a S 1.2 Zoning Information: �� -I Zoning District Proposed Use Lp //0 Q , � 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. c. 40. S 54) Public PrivateZon kFjloodZoneJta?4#lbiu,. n�„ i��A ppr�a 2.1 Ow ne of Record: 5� /O �l lttc 11LS A� �rv�—,� J tLC' A(�v R6A N me not Mailing Address Cet-, Vf~ M4 02 Signature Telephone 2.2 WOri� d Agent: mG C / _ N GAR Name (p nt) Mailing Address lot �Ook — a Gn nfi ro Pi. B FaX Construction Supervisor. I Not Applicable ❑ License Number /L o o j t j4A_ 0 Expiration Date / Sgnature Telephone `,' I`.It,� 0(0 l7 —O `�R; lsteretlz,; Qrae Crriro�retrientDptrac of Company Name ^ 1 d U' 1 Not Applicable ❑ License Number Address R Expiration Date Signature Telephon 9 - 15 - 99 1 of 2 OVER @coon vVorKars csm-en ft irlsr ar ce fff .a j l G c 752 52 fij: �L Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial f the issuance of the building permit. Signed Affidavit Attached Yes .... .:..:, No .......... SEGtIEJti ! Icn #f 1 t o j?IYji pse { rk x iecfc l# appl�cait1eJ° New Construction Lff No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: rt S`E�C��[1T16�r1Tat�d,�firQil�S�rfiGffOT1�05�5 . Item Estimated Cost (Dollars) to be Check Below completed by permit applicant ❑ Conservation -Commission Filing 1. Building. '�� 2. Electrical (if applicable) Q Old Kings Highway& Historical Commission approval (if applicable) 3. Plumbing / Gas' 4. Mechanical (HVAC) 5. Fire Protection © 6. Total = (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. (new houses & add6ons) Sectid 1a" €{3tvner Au"`t ' rizatr± Q To bcPCompt;sfed lher i3wne, s. entoTsO infiractorAp res o> Sti#din' J?eti?7 ++ JA as owner of the subject property hereby authorize -e rA, to act on m beh , in all matters elative to work authorized by this building permit dppfication. ` 67 ' r _ Signature of Owner Date Sectiap"'�b ..v'viita'ei'�A`titaorrzed�A)�en#�ec#aratinit �� P�its n' tGl-v�,, as Qwner/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. IAJt l \GCt�,� AQ-f- Print nam ,L 2 Signature of Owner/Agent Date VF 9- 15-99 2of2 x 1 %--1 w1N. yr YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: I Job Location: Owner of Property v V Construction Supervisor: Address: 00 Licensed Designee: (If other than Supervisor) Name I License No. Name 2.15 Responsibility of each license holder: Village 0 License No. A 0136 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 Anylicenseewho shallwillfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or anyother section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No If you have checked yps, please indicate the type coverage by checking the appropriate box.' A liability insurance policy aoo� Other type of indemnity ❑ Bond OWN ER'S.INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Ch 152 the M General Laws, a ature on this permit application waives this requirement. Check one: Signature of Owner or Owner's AgqaK Owner ❑ Agent Signature: Building Official Approval: i �} The Commonwealth of Massachusetts Department of Industrial Accidents o leesawstlpstfess 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit ( �Q O 1 am a homeowner performing all work myself. ❑ Lam a sole proprietor ,-d ha%e no one working in any capacity V AI-- 1 am an employer pro% iding workers' compensation for my employees working on this job. anv na al! a ress: city: tfhQee a insurance co. - policy 0 am a sole proprietor. general contractor. or homeowner (circle ones and have Mr.a rh. ,.,.., ... r..._a t._1.... .. L._ L_. _ insurance co.. pelf . N company name: address: city: phone N. Failure to secure coverage as required under Seenoo 25A of MGL 152 can feed to the impooition of erindual penalties of a fine up.to S1,5N.00 and/or one years' imprisonment as well as civil penaidei in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I saderstand'that a copy of this statement may be forwarded to the Office of Investigadom of the DU for .eovenge verifiadon I do here4cr'nd the pai penalties of perjury that the information provided above is true and co ect k Signature Print name ��0.t� k V a Phone K OM021 use only do not w rite in this area to be completed by city or town otneial city or town: YARMODT$ _ permitAicense N riBuilding Department cheek if immediate response is required �Uceusing Board ZpSeiectmen's Mee ex 0Health Department contact person: phone p: _ (508) 398-2231 eat. nOther. ...... . .. I." �� �` fiu �nealdi o�..F�aaaoaa/ivaella BOARD OF BUILDING -REGULATIONS LJcenseLONSTRUCTIONSUPERVISOR .. Number`.C.S.: U12430 . x•�Y= � Brr[In3afe':�6�€�6�i940 „�.. wrx: .,yam_-f-:-•_. E 406m5j _06. Tr. no: 25926 F; Res>t[ete�k FRA IG.... . CI}COPPERLN ti` t, CEUTERVILLE, MA .0'163� �� !/ Commissioner ' 7 ' '�. 00 - 35,000 G enclosed, space .. . (MGI: CJ12'S:60L)' TA- Masonryonly. Failure topossess:i,c6rrentedition of the J : MassaetiuseOsStati-Building.Code: iscausefor:revo atior of-hs license. `t DIG SAFE.CALL CENTER: 1888) 344-7233 TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS026644451 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 CLkWp 5+- Work Ati4ress is to be disposed of at the following location: �l�-�v� Y/in5`C 14 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. ignature of Applicant Date Permit No. 05105/2005 1C 09T 508-760-1667 EASTERN-INS_YARMOUTH PAGE 01 �SD. CE TIMATE OF LIABILITY INSURANCE D05t/OV20o PRODUCER 508-398-6033 Eastern insurance Gr 1 Atlantic Ave 5o Yarmouth MA 02664 FAX S08-760-1667 up LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND.CONFERS NO RIGHTS -UPON THE CERTIFICATE HOLDIMTHIS_CERTIFICATE DOESI'IOTAMEND.EXTENiiOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. lNSURERS-AFFORDING-COVERAGE *L IN6VRED Cape- Cod Custom 762 Falmouth ROW Hyannis MA 0260 Floors L . INSURER A: Ar ell a. Protection Ins Company 4NSVRER8-.' Hartford- - - - - INSURER C,, INSURER.E: - THE POLICIES OFL INSURANCE ANY REQUIREMENT. TERM 0 MAY PERTAIN, THE INS POLICIES. AGGREGATE LIMIT LISTED BELOW WAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDIN CONDITION OF ANY CONTRACT DR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIACATE MAY -RP -ISSUES na AFFORDED BY POLICIESIIESCRIBED HEREIN FSSUBJECT'TII"ALL TTTEfiERMS E%CLUSIONS iETdp-COfV01T10N$ OF9UE1+ SHOWN MAY HAVE BEENREDUCED-BYPAIDCLAIMS.. INSR DO' TYPE OFJNSIIRL FOUGX NUMBER, , POLICY FFECTWE .... 1ZI13/2004 .",.,DAMAGE POLICY EXPIRATION - 12/13/2005 LPA� _ cENEpALLUBILITr.. X COMMERCIAL GENE 75000003Z3 EACH OCCURRENCE S. 1 000 00 I4 RENTED PRE&KSEq_ SO1 MED EXP Wry"P"9P) -S. ' 5,00 PERSONAL-& ADY INJURY S 11000, 0 A GENERAL AGGREGATE- S Z. 000 OO _ GENTAGGREGATEpplIgqMpOR PPLIESPER: PRODUCT$.COMP/OP AGG S Z 000r0O X POLICY JECT LOC AUTOMOBILE LIABILITY _ .... COMBINED SINGLE LIMIT (ES PLi+dcnQ S- ANY AUTO BODILY INJURY ALL OWNED AUTOS SCI+EDULEO AUTOS BODILY MLURr (Pef accldenq HIRED Al/T05 .. ... NON-0WNEO AUT09 PROPERTYOAMAGE S GARAGELIABSJTY - - -. - AUTOONLY"-EAACCIDENT- 3. OTHERTHAN EAACC AUTOONLY!." AGO- 5 ANY AUTO .". S SJICSSSIUMBRELLALf" - EACH OCCURRENCE - S- 1" OW,000 AGGREGATE . s. 1,000 OQ E OCCUR QC AIMSMADF— -" 4600029ZBS-i2/13/20Q4- 12/13/2005- S. A DEDUCTIBLE RR "X RETENTION- 1 10, 00C WORKERS COMPENSATION A EMPLOYERS' LIABILLTT _ O&WECKLIQOI W25/1.004-- -^s-+T2S/2 QQS- OU QS/ZVZ0Q5 AC' c , -w.y 2.s{"Z.O.00S- ,X STATIL Q-:& E1. EACN•ACCIOENT... 5.... SQQ O0 B ANY PROPPoETORlPARTNER/U OFFICER/MEMSEREXCLUDED_T CUT1VE - E.L:015F151-EAEMPLOYE i- SOQ OO E.LDISCASE'PDLICYIMR 5... Via. if ye tlequiEe undw SPECW. PAONSIONS PYIP.v - OTHER ... . . DESCRIPTIONOFoPERAijomalt-ar Bence Of ZnsuranCe TIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS TnAAlres I ATInu o IrI Ic r• � c _ _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE • EXPWATIONDATE THEREOF, YNE-MSUFNG INSURER WILL ENDEAVORTO MAIL -10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. GateWOOd ROB/eS SUIT. FAILURE TO MINL SUCHNOTICE SMALL DAP03C NO OBLIGATRWORLIABRITY ' 1600 Falmouth Ad #25 OFANY aND"ADN'TRE1NSUITER.ITS AGENTS OWREPRESENrATWEs- AurHoal PRESENTAnYE Centerville, MA b2632' ACORD 25 (200IMS). FAX: 1 .(508)778-5603-- - (/ � ®AGORD CORPORATION 1935 rIianiif- 1RA4A 2ASSURANCECO A ORD- CERTIFICATE OF LIABILITY INSURANCE 10/041 a°��'"' PRC0UCFR Dowling & O'Neil Insurance Agency, Inc. 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. 222 West Main St. PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Travelers Insurance Company Assurance Construction, Inc. A/O Assurance Excavation, Inc. 550 Willow Street - West Yarmouth, MA 02673 INSURER B: INSURER C: INSURER D.- INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSK LTR NSR TYPE OF INSURANCE POUCYNUMBER DATE1MMtDEUON POLICY p TYYI IVE PDATEOLICY MMMIDONON LIMITS A GENERAL LIABILITY 16808387A9841ND04 08/01/04 08/01/05 EACH OCCURRENCE 111000000 PREMISE fE.DAMAGE TO RENTED E300OOO X COMMERCIAL GENERAL LIABILITY - MED EXP (Any one person) E5 000 CLAIMS MADE a OCCUR PERSONAL 6 ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 32000000 POLICY JET LOG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB (Ea accident) E BODILY INJURY (Per person) E ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) E HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) E GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ ' S $ DEDUCTIBLE $ RETENTION S WC SUN111 OTH- WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? Des. describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. Gatewood Homes, Inc. Attn: Paula 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #35866 i ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRn1 EN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED REPRES LS1 0 ACORD CORPORATION 1938 i i PRODUCER DOWLING & 0 NEIL INS AGC 222 WEST MAIN STREET PO BOX 1990 HYANNIS 22LGR INSURED HP BUISNESS SERVICLS INC 118 WATERHOUSE RD SUITE E BOURNE MA 02532 MA 02GOI A ss ura-ncz THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A ST. COMPANY q B COMPANY C COMPANY D PAUL FIRE AND MARINE INSURANCE COMPANY ......... ............................. 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. COLICY EFFECTIVE POLICY ExPiRA-nONj LIMITS PO LJO TYPE OF INSURANCE POLICY NUMBER DATE (MWDMYY) POLICY (MWDMYY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAM S MADE a OCCUR OWNER'S & CONTRACTORS PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY -1 ANY AUTO iS LIABILITY UMBRELLA FORM GENERAL AGGREGATE i$ PRODUCTS-COMP/0P AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Any one person) $ COMBINED SINGLE LIMIT BODILY INJURY (Per Person) BODILY INJURY (PerAccldenl) $ PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE S AGGREGATE $ A WORKER'S COMPENSATION AND (UB-4042B37-2-04) 12-24-04 12-24-05 A'u 1 uhl uml 1 EMPLOYER'S LIABILITY EACH ACCIDENT $ 100.000 THE PROPRIETOR/ F71 INOL DISEASE -POLICY LIMIT $ 500,000 PARTNIERSIEXECUTIVE OFFICERS ARE: ffl EXCL DISEASE —EACH EMPLOYEE $ 100 000 COVERAGE RESTRICTED TO LEASED EMPLOYEES OF ASSURANCE EXCAVATION INC THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. AUTHORIZED REPRESENTATIVE Dates 5/5/2005 Timer 3202 PM TO: 4 15007785603 r-fu..rs- dleaeo Page: 002-003 ACQRD- CERTIMCATE OF LIABILITY INSURANCE � NYYY) , PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION The Feitelberg Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE - 222 Milliken Blvd. HOLDER: THIS CERTIFICATE DOES NOTAMEND, EXT€NDOR- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.G. Box 3220 Fail River, MA 02722 INSURERS AFFORDING COVERAGE NAIC a INSURED wsuRERA: Acadia Insurance Companies Cape Cod Ready Mix Inc. INSURER B: Construction Industries Compensation PO Box 399 INSURER aOrleans; MA 02653 INSURER D: INSURER E: LZ X' 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 DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEOOR- MAY PERTAIN, TH E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCFDBYPAID CLAIMS.. TYPEOFINSURANCE POLICYNUMBER DO F GTIVE DATE fMMMDNYI POUCY EXP4RA TION LIMITS A GENERAL LIABILITY CPA0132468t0•- _ O't/t}tI '. Olmt/i16. - EACH OCCURRENCE S1000000 X COMMERCIAL GENERAL LIABIUTY CLAIMS MADE al OCCUR - .. .. _ DAMAGE TO RENTED 5100000 MED EXP (Arty we Pawn) S5 000 -PERSONAL S ACV INJURY E1 000 000 GENERALAGGREGATE S2 000000 GEN'L AGGREGATE UMIT APPLIES PER: -1 PRODUCTS-COMP/OP AGG 52000 7POUCY JECPROLOC A _ ALITOMOBILF LIABILITY ANYAUTO MAA013246$10 M 01/01/D5 - 01101/06. WMBINEDSLNGLEUWT - LEaaw'dx l S1,000,000. - DILY ILYININ:AIRY BGBO I S . ALLOMVNEDAUTOS SCHEDULED AUTOS X HIREDAUTOS -- NCN4AVNEDAUTOS X BWILYIN.AIRY - IPaaeadern} S X 'PRCPERTYDAMAGE pa aafaaAJ GARAGE LIABILITY _ AUTO ONLY• EA ACCIDENT S OTHER THAN FA ACC AUTOONLY: AGO S ... .ANY AUTO ... S A SSBRELLA LIABILITY _ OCCLAIMS MADE CUAO13247010 01/01/0,5 _ 01/01/06 EACH OCCURRENCE 57000000 AGGREGATE S NXZ:E CTIBLENTION S _ S O B WORKERS COMPENSATION AND EMPLOYERT UAeAJYF '- .. WC001=55 p1/O1/Db O1/01/08 - - X YJCSTATU•I JOTH* _. - EI..EACH ACCIDENT S500OW ANY PRCPRIETCR/PARTNERJEJ(ECUTIVE OFFICERWEMBER EXCLUDED7 'S C—LPR CS1dO SPECIAL PROVISIONS bNav -E.L. DISEASE -EA EMPLOYE $500 000 E1.lTSEASEPOLICY UMIT SSDD000- OTHER DESCRPTIONOF OPERATIONS / LOCATIONS [VEHICLES FEXCLU90NS ADDED BY ENDORSEMEMr7 SPE=2L-PROVISIONS ' CERTIFICATE HOLDER CANCELLATION- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCETI.ED BEFORE THE EXPIRATION GatewoodHomes Inc. DATE ..._._,.,THEISSIANGINSURER-WILLENDEAVORTOMAIL An, DAYSWRTTTEN. 1600 Falmouth Road Suite 25 NOTICE To THE cEFTRRCATE HOLDER NAMED To THE LEFT, BUT FAILURE To DO So SHALL Centerville-, MA 02632 MPOSENOOBUGATIONORLIABILITY OrANY KIND UPON THE INSUREFEFTS-AsENTSOR . REPRESENTATIVES. A�= WTA-� .... M�n�k4 j,VD7 1 OT Z aS68995/M66526 - - AH1- W ACORD CORPORATION 1989 05/06/20B5 09:38 5884204474 EDWARD A GRAZLL PAGE 02 ACCERTIFICATE OF LIAMUTY.INS-URANCE..osi�/o� THIS CERTIFICATE IS ISSUED AS A MATTER OF 1NFORMAt10N AND NO RIGHTS UPON THE CERTIFICATE 11.Tit91a�TCe xYf Imo• ONLY .CONFERS HOLDER. THIS CERTIFICATE'DOES NOT -AMEND,- END OR THE AFFORDED :BY THE POLICIES. BELOW. AtTER .COYERA(4E , MA tNSURERBA�FfF�O�RDING(C�OgLYE�RAGE NAIL# rgsuRER9.. �j�� $t4hal Rids INSIIHEftG_ 145 Cam>ryt�t�11 _ IHSt1RE19 D. _/yy�p M�tfxis � V[f3�U l'iLiJ.3f .. •' •.' ... I pvgURGR E: CERTIFICATE HOLDER - �+' r�,T�� CIW=ARV OF THE ABOVE.OESCWBED TOLMMS BQ SAHCELLED BEFORE THC EKPIAATKfH Vo/te' wood �'�f.. � ... OATi HIEREOf. THE 7SBYWC NSWiER w LL END/iivOR TO MAR. _DAYS riRIREN G(Q Fpl l � l- _ RO710E TaTHE CERWCAT6 HOLDER HAMED TO THE LEFT, BUT FAEURS TO DO 34 SMALL ... R o .'I- - WPOSE WO-0BUGAU0,0-OR LIAelLM. OF. ANY.KIBO UPDN THE INS 'ITS'�T$"o*-'- centervillef MA C26 • REMEIEHTATNES. ... E'PX' ..1 C�-778-5603 AUTR02fL5QHEPRESENTATW6 �.. CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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 Lane Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE INSURED Stephen M Childs 145 Catnmett Road COMPANY A.I.M. Mutual Insurance Co LETTER A Marstons Mills, MA 02648 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATIO DATE(MM YTYI) LIMITS GENERAL LIABILITY IGENERAL AGGREGATE S PRODUCTS-COMP/OP AGG. I COMMERCIAL GENERAL LIABILITY LAIMS MADE[�CCUR PERSONAL&ADV. INJURY I OWNER'S& CONTRACTOR'S PROT. EACH OCCURRENCE S FIRE DAMAGE (Any ow rim) $ MED. EXPENSE (Arty OW Person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINEDSINGLE LIMIT $ BODILY INJURY (Per Person) $ ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Per =ident) S HIRED AUTOS NON -OW NED AUTOS I PROPERTY DAMAGE I S GARAGE LIABILITY ;EXCESS LIABILITY EACH OCCURRENCE f AGGREGATE S MORELLA FORM THER THAN UMBRELLA FORM A 'ORKER'S COMPENSATION AND • f PLOYERS' LIABILITY HE PROPRIETOR/ INCL 7015793012004 12/13/2004 12/13/2005 A R H R X EL EACH ACCIDENT S 100,000 EL DISEASE —POLICY LIMIT $ 500,000 ARTNERS/EXECUTIVE FFICERS ARE: X EXCL IEL DISEASE —EACH EMPLOYEE S 100,000 OTHER IWSCIUM ION OF OI'IiItATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GateWOOd Homes. - 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 Bell Tower Mall Rte 8 . LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Centerville, MA 02632 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 28 OO4 PRODUCER , Serial # A1530 ROBERT P. BIXBY, CPCU 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 P.O. BOX 830 -651 PUTNAM PIKE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GREENVILLE, RI 02828 INSURERS AFFORDING COVERAGE NAIL# INSURED wsuRER A: NAT L FIRE INSURANCE CO. OF HARTFORD INSURER B: VALLEY FORGE INSURANCE CO. HOLMES AND MCGRATH, INC. wsuRER c: CONTINENTAL CASUALTY CO. 362 GIFFORD STREET INSURER V. FALMOUTH, MA Q2540 INSURER E - • COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAR) CLAM. 1MTR AODi TYPE OF INSURANCE POLICY NUMBER - POLICY EFFECTIVEPOLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCWL GENERAL UABLLITY CLAIMS MADE ❑X OCCUR - 1074082434 - 10/06/04 10/06/05 EACH OCCURRENCE $ 1,000,000 AMA I O E . E FIRE 250,000 MED EXP one s 10 000 PERSONAL& ADV INJURY f 1,000,000 GENERAL AGGREGATE E 2,000 000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS -COMWOP AGO $ 2,000 000 POLICY SECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea acadenq E BODILY INJURY ra Pam^) f ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY Ter accident) E IPeracc�E s GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY.. AGG S ANY AUTO - E EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE S E $ DEDUCTIBLE $ RETENTION •f WORKER'S COMPENSATION AND TU• X WC STAER EL EACH ACCIDENT $ 1,000,000 B EMPLOYERS' LIABILITY OFFlCERJMEMBER EXCLU ED?��E 2057445273 09/01/04 09/01/05 EL DISEASE- EA EMPLOYEE E 1 000 O00 tt yes describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT s 1 O00 000 OTHER C PROFESSIONAL LIABILITY AEA 00 43133 38 07/13/04 07/13/05 $1,000,000 PER CLAIM/ AGGREGATE DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECULL PROVISIONS AGGREGATE LIMITS ARE PER THE TERMS AND CONDITIONS OF THE POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN GATEWOOD HOMES, INC. 1600 FALMOUTH RD., STE. 25 CENTERVILLE, MA 02632 NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT BUTFAaLmeTODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATNES. ALIT REPRE ACORD 25 (2001108) C "/ VAWHU UUKHVKAI IVrI Tnaa C:IFMPROICERTPROS.FPS ACORD, .. CERTIFICAT.EDF LIABILITY INSURANCE DA184MMMON--IT �IfU�a.cnurtin...w..,..........—.. ..... ._.. _. ... _. __.__-___ United Insurance Agency, Inc. ONLYANOCONFERS NOFUGHTSUPONTHECERMCATE, �Mt-THgE�iflCATEDOMNdr ANEW F XTBOOR- 194 Main Street ALTIR THE COVWAGE AF MRDM BY THE POUCI6 BELOW. P.O. Box 1013 i fRODU KR Buzzards Hay, MA 02532 INSURERS AFFORDING COVERAGE talc Al INSURER R Patton Electric, Inc. INSURER5: 129 Scitma" Road INSURE Cc: Mashpee, MA 02649 NSURERD: Ina. COVERAGES . THE.COLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE FOR THEPOV CY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION DF"ANY CONTRACT OR�OTHER DOCUMENT MTN RESPECT TO WMICKTHl3 CERTIFICA?EJWAY BE ISSUED OR MAY-PERTAIN_THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E)4CLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PiMOCLAIhMo WSR - Ppuev uUR18ETL ICUGYEr FFClPA- ON - CwI OEMERALLmacny MADE E3OCCUR VC SCp42415399 7/30104 7/30/OS - EACHOCCURRENCE rREMISEs Ee :.S S �0�000 300L 000 f 10 0OO ,MS MED EIIP IAA's PERSONALA ACV INJURY s 1.,QQD.,.OnD GENERALAOGREGATE i 2,000,000 PRDDUCTS•CDNPIDP AGG S �, QQ,Q--QQQ. GEN% AGGREGATE LIMIT APR.EB PER: X POLICY �cT _ IOC _ AUTOYOBRELBIBILfTY COMBNEO SINOLE LIMB IFi 00ewe" �. • " DOOLY INJURY IvQ va�o f i LOMMAUTOO .. g RY S--S.PROPERTY DAMAGE IPM nddoM AVTO'ONLY•EAACCIDENT S -EAACC OTHER THAN AUTDONLV: AGO &- GARAGEUIIBSJTY ANYAUTO --- S EACM DCCURRENCE f EXCFSSIUMBRELLA LIABILITY OCCUR LURIB NICE AGGREGATE f & s DEDUCTIBLE RETENTION f Tt4 B WONCRS COMPENSCION AND EAIILOYEIB'LIAMUTY MIYPROp+?IETORIPJiITNER)B(ECUTtVC MOMF�eFPK.'ERAAEMBER E><0.V D6,Vl SPEpAL M�OV19�QaS pebw X NC23ig353043014._ 12/101iL4 ..12/.10105 - E,LEACMACCwENT... s 10II.0Q0_ ELOISEAEE.EAEMPLOYEE S 500,000 FLDISEAEE•POUCYUMR S 100 4OD OTHER D BOIIIPTION OF OlERATION91LOCATVNSI VEN CIX& CENCI-MIONS ADDED BY ERDLRBEMENT 13YFCIRL MOVI90NS Electrical Gateway Homes, Inc. 1600.ralsouth Rd., unit Z5 fax 508-778-5603 Centerville, Ma 0263,2 25 &MOULD MIT Of TIIE ARM DESCRIBED POLICIESBE CANCELLED BEPORE THE EXPIRATION PATETNREOF.TNEIEWIMGNSURER WILL ETIDEAVORTOMAIL —3JQD/IYSw RRTEN NOTIC ETD TMECRTF'N:ATE MOLDER NAMED TO THE 166FT. BUT FAILURETODD809RALt: INFOSENOOBUOATIOM OR,tIABILIFYOFmY RIND UPON TMEIM ARER,OSAGENTB OR 7 'i GGRD�, CERTIFICATE OF LIABILITY INSURANCE RoLTMI DATE 761 09-27-2004 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 INSURERS AFFORDING COVERAGE FARMINGTON CT 06032 I INSURED INSURER B: LAWRENCE ROBINSON MASONRY INC INSURER C: 5 FRESH HOLE ROAD INSURER D: HYANNIS MA 02601 INSURER E: —THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPf Of INSURANCE POLICY NUMBER POLICYEFFECTIVE DA E MM D POLICY EXPIRATION DATE MM D Y LIM11l7S GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR • EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PENTLOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS .SCHEDULED AUTOS - HIRED AUTOS - NON -OWNED AUTOS +. - - COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) - $ BODILY INJURY (Par accident • . PROPERTY DAMAGES - (Per accident) $ _ GARAGELIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LMBRITY OCCUR FICLAIMS MADE DEDUCTIBLE RETENTION - $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORMERS COMPENSATION AND EMPLOYERS'LIABRITY 76 WEG NQ5620 - 09/06/04 09/06/05 TATU OTH- WC X ORY UMIT- I ER E.L. EACH ACCIDENT $100 000 E.L. DISEASE- EA EMPLOYEE $10 0 , 0 0 0 E.L. DISEASE -POLICY LIMIT $500 000 OTHER DESCRP77ON Of 0PERA770N520UTIONSNE/BCLES/EXCLUSMNS ADDED BYENDORSEMENTISPEdA1 PROVISIONS Those usual to the Insured's Operations. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE HOMES HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO GATEWOOD OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1600 FALMOUTH ROAD, SUITE 25 REPRESENTATIVES. CENTREVILLE MA 02632' AUTNOR/ZED RFPRESEMA Toffl ACORD 25-5 (7197) - r wwrcu L,unrurIA I IUN I atsa 12/02/04 13:36 FAX 5087900249 GOLDMAN ASSOC AC RD_ CERTIFICATE OF LIAWLITlf-tNSttRANCE GSR As - --- ---- _ ----. __ TAVAN50 12 02 04 GOL11B6AN At ASSOCIATES ZNSIIRANCH THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FINANCIAL Siumic88 ZNC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 933 FALMOUTH RD. ALTER THE COVERAGE AFFORDED BY_THE POLICIES BELOW. HYANNIS MA 0.1603. Phoao:508-775-6010 Fax=508-790-0249 INSURERS AFFORDING COVERAGE NAIC9 INSURED INSURERA.' MARYLAND CASUALTY COMPANY RODNPIY TAVANO DSA RMCHANICAL SYSTMW 110 LOWER LANE W BABNSTABLS MA 02668 THE POLICIES OF INSU %ANW LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIRDAINT. TERM OR CONDITION OF ANY CONTRACT OR OTNGR OOCUMGNT W ITN RESPECT TO WHICH THIS CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE tN$JRANCE AFFORDED BY THE PQLICIE$ PE$CRREO HEFTA 1$ SU&/EGTTO ALL THE TERM, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BED REDUCED BY PAID CLAIMS. _. --...POL]CY LTR ;;RNTYPE OF INSURANCE NUSBER GATE NIMIO DA E AMID LIMITS -_ A ' GENERAL LMJSRJTY X COMMERCLV-GENERALLIABILITY CL/JMS MADE Q OCCUR 000372088 11/21/04 11/21/05 - EACH OCCURRENCE $1000000 PREMISEs(Eatmaenra) s 300000 MED FJXP OM ate veBon) 310000 - PERSONAL 4ADVNAM S1000000 GENERAL AGGREGATE s 2000000 GEM AGGREGATE LIMIT APPLIES PER POLICY' PR LOC FROOUCTS-COMPIOP AGO s 2000000 AUTOegBILf: LIABILITY ANV AUTO ALL6W4EDlAUFOS SONEDULMAUTOS HIRED AUTOS NON -OWNED AUTOS - .. .. ... COMBINED SINGLE LIMIT (Ea aa'dom) s BODILY INJURY (PefpetTan) s BODILY NJURY (Pefaccident) s PROPERTY DAMAGE IFef amaenq S GARAOELIAMLI Y ANYAUTO AUTO ONLY -EA ACCIDENT i-- OTHER THAN EAACC AUTO ONLY:. AGO s S ERCES&UMRFLLALUUNLRT OCCUR CLADS MADE DEDUCTIBLE EACH OCCURRENCE s AGGREGATE S s _ s S .-WOR1tFTq _.. _ COMPENSATION AND E4PLOYERb'LU&R/ ANY PROPRIETORA-ARTNERIEXECUTNE OFFICERMEMBER GXCLUOEDT I yyxee,. pffn" rt+Oc' SPECLLL PROVISIONSIfelav TORY LIMffS I:R E.L EACH ACCIDENT S El. DISEASE -EA EMPLO S El- DISEASE -POLICY LIMIT S OTHER OESCAIPTIDII CF OPaRAft�S/LCG7 Y/LTcN.'CL>:SIE, :C � YEtX+ttFROYYJtCYq--. a61yA9.1i"%9yf UlallC• MVI\i]a R,\1�:.` 1• raTR6TAff SHOULD ANY OF THE AWWE DESCRIBED POLICES BE CANCEL LED BEFORE THE EXPIRATION DATETIEREOF. THE L93UNG INsURER4RLL ENDEAVOR TO MAIL 30 D►Ys WINTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 80 SHALL Gwta �GIi SO-ia3S IivL�... . FAX 508-778-5603 RAPOSE NO OBLIGATION OR LIAMM OF ANY IGND UPON THE INSURER ITS AGENTS OR 1600 FALMODTH ROAD SUITE 25 REPRESENTATIVES. wuTnD REFtmERTwTnE CBNTIIRVILLH MA 02632 U ACORD 25 (2001/03) W AGONO GONPONATLON TM, niLksn Ur aA nax umvil u ulolzuva 1u;U,7 efluz VV%/VV-1 rax Dul-vwx .. ............. PRODUCER . ..... ..... _lkl�'_"�fATEj(AlF=IAYYr 05-06-05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAltow -ONLY-'AND- CONFERS" NG - RW4fTS •UPO* - TH15--CERTIf4GATE- GOLD14AN & ASSOC IN-S.FIN -.HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 933 FALMOUTH RD ALTER-TPX-covrsRAGEAu-oaomEtYTHERbEEgARPlaW RTE 28- HYANNIS MA 026012319 COMPANIES AFFORDING COVERAGE COMPANY 28HPP ..A" AMERICAN ZURICH' INSURANCE -CCMFAN-r INSURED. COMPANY TAVANO, RODNEY DBA B___ MECHANICAL SYSTEMS 201 CAPES TRAIL W='BARNSTASLE MA 02668 COMPANY COMPANY THIS a TO" CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INSUED TO _S THE INSURED NAMED ABOVE -FOR T14E.PQLICrPEFWD-- INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE -MAY RE -ISSUED. OR -MAY PFRTAW, THE-INSURANCE-AlFORDED B)LTHE-POMIES-11ESCRIIIED HFREINAS SlIFLI CT TOALL.TWC.TERMS, FACLUSKNS-Am CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LT R TYPE_OFINrURAKCE POLICY-NUMSER POLICY EFFECTIVE DATETMM*DtYY)-' POLICY EXPIRATION DATE PftT*DkYn- - LIMITS GENERAL LIABILITY GENERAL AGGREGATE 3 PRODUCTS-COMPIOPAGG. - COMMERCIAL GENERAL LIABILITY =CLAIMS MADE F7 OCCUR PERSONAL & ADV. INJURY $ 1EACHCfCC[)MRENCE_ OWNERS & CONTRACTORS PROT. FIRE DAMAGE (Any oie fire) $ MrO. EXPENS5(Krty one person) S AUTOMOBILE LIABILITY ANY -AUTO COMBINED SINGLE _IlMtT_ ALLOWNEDAUTOS ... BODft_Y INJURY SCHEOULEDAU70S- (Per Person). HIRED AUTOS NiDNOV&ED_AUTOS_. BODILY INJURY (Per Acdclard) $ PROPERTY DAMAGE $ GARAGEJJABIUTY AUTO ONLY - EA ACCID ENT OTHER THAN AUTO ONLY. ANY AUTO EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE BUMBRELLA FORM TGO Ti OTHER THAN UMBRELLA FCFW A WORKER'S COMPENSATION AND EMPLOYERS-1-LABILITY (TJB-727BA84-9-05) 05-03-05 05-03-06 STATUTORY LIMITS EACRArCH)ENT s 10A1000 THE PROPRIETORf PARTNERS(EXECUTIVE i7d INCL OISEASE-w POLICY Lurr s 500,000 OFFICERS ARE EXCL - DISEASE-EACHEMPLOYEE au XMHER IV DESCRIPTION OF 0PERATION&I-0.CATIONSI EMCLES(RE$TRICTIONS(SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. KT.lFf Ew 12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING' COMPANY WILL ENDEAVOR TO MAIL G&TEWOQD HOMES INC 1600 FALMOUTH RD SUITE 25 CENTMA 02632 -10 DAYS— WRITTEN NOTICE TO -�mceRnr=-rE-mtvEFriwAmEa-roTmL- LEFT-MUT. FAU.UEtE_TQ_ NIAILSUCH-NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTN"Ves: AUTHORIZED REPRESENJATIVE TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: Applicant Name: Applicant Phone: Building Location Owner's Name: Owner's Addres Owner's Telephone: T-05-610 Frank Capra 5087789669 00121 CAMP ST Unit 110 Villages @ Camp St., LLC 1600 Falmouth Road, # 25 Centerville MA 02632 (508) 778-9669 ' REVIEWED BY: Vf. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: t/4. EALTH DEPARTMENT: BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/12/2005 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction - affordable: ZONING APPROVED 5 DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: 7 I3 '05 Date Printed: 5/24/2005 PROPERTY ADDRESS: ALCULATIO!k FOR PERMIT COST .�. TYPE OF R ETC NC gP60, 2S0.76 ADDITION ALTERATIONS BED Z' �J ROOM yoZ"/• CERTIFICATE OF occupe-v 1170z4 Z OPEN FOUNDATION ONLY GARAGE NO, OF BA GREAT Room OPEN SUN ROOM HEATED _ SUN ROOM UNHEATED SWf14NIiNG POOL ABVW -- SWIMMING POOL INGROI WINDOW REPLAcEMENT In TOWN OF YARMOUTH Building Department Town Hall e.r a Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-610 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 110 Owner's Name: Villages @ Camp St., 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: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/12/2005 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction - affordable: DATE: DATE: 3. CONSERVATION: DATE: 4. HEALTH DEPARTMENT: DATE: 5. BUILDING DEPARTMENT DATE: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: [R@MflMGD N/A: N/A: N/A: N/A: N/A: N/A: DATE: Date Printed: 5/24/2005 TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 Fax: (508) 771-7998 Date of Issue May 31, 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., #110 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 the provisions/restrictions of this Letter of Water Availability. (S;�Ud--Joe--, Owner (Sign) Reference : Villages Q Camp St., LLC : 1600 Falmouth Rd., #25 : Centerville, MA 02632 AC.ORD 'CERTIFICATE -�.- DATE(MMIDD/YY) OFLIABILITY INSURANCE 9/15/04� PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chatfield, Whitman &Young 549 Washington Street 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 connPANv _q Harleysville Worcester'Ins Co INSURED - p - COMPANY _ Lawrence Robinson Masonry B COMPANY 5 Fresh Hole Road Hyannis, MA 02601 C COMPANY D COVERAGES mi 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 DATE(MMIDWY) POLICY EXPIRATION DATE(MMIDWY) LIMITS GENERAL LIABILITY - GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMP/OP AGG S 2,000,000 A COMMERCIAL GENERAL LIABILITY CB 7E 32 32 9/07/04 9/07/05 CLAIMS MADE a OCCUR PERSONAL B ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S B CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 10 0 , 0 0 0 MED EXP (Any one person) $ 5,0()0 AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) S HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT- $ OTHERTHANAUTO ONLY: ANY AUTO EACH ACCIDENT S I AGGREGATE $ . EXCESS LIABILITY - EACH OCCURRENCE $ AGGREGATE $ UMBRELLAFORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTW TORY LIMITS ER .- EL EACH ACCIDENT S EL DISEASE -POLICY LIMIT S THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -EA EMPLOYEE S OFFICERS ARE: ri EXCL OTHER DESCRIPTION OF OPERATIONSILOCATONSNEHICLES/SPECIAL ITEMS 'CERTIFICATE HOLD CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Gatewood Homes EXPIRATION DATE THEREOF, THE ISSUING COMPANY WALL ENDEAVOR TO MAIL 1600 Falmouth Road Suite 25 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Centerville, MA 02632 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILI OF ANY KIND UPON THE COMPANY E SENTA S. AUTHORIZED REPRESENTATIVE Robert S Chatfield ACORD GORPORATIOtJ'1988'' �r Of r� TOWN OF YARMOUTH Building Department _ Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-610 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 110 Owner's Name- Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road, # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By,. Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/12/2005 Issue Date: Expiration Date Comments: Man/Lot: 044.21.1.0 new construction - affordable: REVIEWED BY: 1.-WATER DEPARTMENT: - DATE: / O N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 5/24/2005 bq,VWA 0 2 LOT 11 GRAPHIC SCALE ( IN FEET ) 1 inch = 20 it. PLOT PLAN OF LOT 110 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1"=20' DATE: 1-5-05 LOT 109 NOTE: SEWER LATERAL SHALL BE z� SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. UnTTr1b, 0 Unless and until such time as the original (red) stamp of the responsible Profoasionml Engin,.ar, or Professional Land Surveyw appears on this plan: I (A) no person or persons, including any rruniCIPGI or ot'�rr public officialn, may rcly upon the information contained hcrejl; and (B) this plan remains the property of Holmes & McGrut�, inc. holmes and mcgrath, inc. civil engineers and land surveyors Z'l 362 gifford street <I N j 3 C "L falmouth, ma. 02540 \�cs- c ° ; i' JOB NO: 201197 DRAWN: LIVIC DWG. NO.: A2538 CHECKED:? .s MPD3328 MPD3530 MPD4035 33' fireplace w/opt. flush face 3S' fireplace w/brushed stainless 40' fireplace w/polisbed brass louver and door trim trim arch door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except, our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or polished brass or brushed stainless trim options. The first two model number digits indicate frame width, the last two digits indicate glass width. All are A.F.U.E.-rated high efficiency vented gas fireplace heaters, certified under ANSI Z21.88 and CSA 2.33-I499. 3328 MODELS (This model comes as a top or rear vent only) _I FA r-4-1 A C n 6 e•,ans•� E Front Face 35,40 & 45 MODELS Top (These models come with a top and rear vent) �c� c c e 1 8. 1-,rr 4-,rr 1 Right Side Front Face Top Right Side FIREPLACE & FRAMING DIMENSIONS 3328 33t/s 303/8 17 27th 33t/s 19518 21't 103/4 33t/4 3334 13 35M 351/8 321/8 19 29�t 35t/8 2111A6 2478 12%6 351/4 35i'4 16 4035 401/s 3711/8 24 341i2 401/8 2611A6 2978 14% 401/4 401/4 16 4540 401/s 371/s 24 39% 451/8 2611h6 34%8 17%16 451/4 401/4 16 TYPICAL ROOM " APPLICATIONS 3328T NG 17.500 45 64 62 332817 LP 17,500 49 66 64 3328R NG 17.500 53 63 61 3328R LP 17,500 55 66 64 3530 NG 20,000 53 64 62. v UKI 3530 LP 20,000 55 62 60 4035 NG 27,000 59 69 67 4M5 LP 27.000 60 69 67 4540 NG 29,000 59 69 67 4540 LP 29,000 59 69 67 *Intermittent ignition systems Look for ft EnerGulde Gas Fireplace Energy MPD4540 MPD4035 MPD320 MPD33M DIMENSIONS (Rear vent model sbown) • Louvered face design • Charred split oak gas log set • Deluxe pan burner for big yellow flames and glowing embers • Charcoal black exterior powder coat finish • Realistic brickaded interior panels • Combo top/rear direct -vent outlets (except 3328 models, which have either a top or rear outlet) • Hi/Lo flame operation • Pre -wired for wall switch • Choice of standing pilot (works in a power failure) or pilotless electronic (intermittent) ignihon • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) • Wireless remote controls • Blower kits (including a temperature control version) • Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) is Series direct -vent gas fireplaces utilize either (rigid) or Secure Flex iflewble) 4.5' .ter coaxial venting system, and include a :d warranty. e to Levnox' ongoing commitment to quality, ans, ratings and dimensions are subject to ut notice. editions, such as elevation, wind vent configu- nice of fuel will affect the overall appearance Hersey Q20006711) Wamoek Hersey W C ■—tee US Lkw u" MUM R 2 091M.. I I MAScheck COMPLIANCE REPORT Massachusetts Energy EPOR MAscheck software version 2.01 Release 2 _ I I I I I Permit # I I I i jChecked by/Date CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Plover PROJECT INFORMATION: Mill Pond village Camp Street ^ t1m� Wwo Yarmouth, MA 02673 COMPANY INFORMATION: Northside Design ASSOC. `V 141 Main Street Yarmouth Port, MA. 02675 �,; COMPLIANCE: PASSES vi Required UA = 237 Your Home = 133 Area or cavity Cont. Glazing/Door Perimeter R-Value R-Value u-Value----- ---- -- 823 30.0 30.0 CEILINGS 15.0 1588 15.0 0,340 WALLS: Wood Frame, 16" O•C• 97 340 GLAZING: Windows or Doors 0.340 0.346 GLAZING: Windows or Doors 20 ------------ DOORS ____ The proposed building design described here is COMPLIANCE STATEMENT: plans, specifications, and other calculations consistent with the building plans, The proposed building has been submitted with the permit application.Code. designed to meet the requirements of the Massachusetts Energy 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 �v c equipment than 125% of selectedthe toload tasrC001 the building specified in shall be no greater s ctions 780CMR 1310 and 34.4. e Date Builder/Designer UA 14 70 33 14 2 L ar a+ Oho-3 PRODUCT SPECIFICATIONS GMS9/GCS9 SERIES 93% AFUE Multi -Position, Single, S tage/Multi, Speed . Gas Furnace Heating Capacity: 46,000-115,000 BTUH WlIIN1iEDA PART$ IA • F%tN WARRANTY, NT iY. D T.I av < �1 ®ram Standard Features • Corrosion -resistant, aluminized -steel tubular heat exchanger and stainless -steel recuperative coil for maximum efficiency • Designed for multi -position installation—GMS9: upflow, horizontal right or left; GCS9: downflow, horizontal right or left • Energy -saving, reliable Hot Surface Ignition system, featuring a Norton® Mini -Igniter with patented adaptive learning algorithm to maximize igniter life • Aluminized -steel inshot burners • Energy -saving PSC, multi -speed, direct drive blower motor • Quiet, corrosion -resistant induced draft blower assembly • Integrated furnace control with improved diagnostics • Low voltage terminal blocks • Multiple flame roll -out switches, blower door safety switch, outlet air -limit switch and pressure switch for proof of combustion air • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Top venting is standard; alternate flue/vent located on right side • Completely assembled, factory run -tested furnace for heating or combination heating/cooling application • All models comply with California NOx Standards • Suitable for direct vent (2-pipe) or non -direct vent (I-pipe)applications •101•11110 Air Conditioning & Heating The GMS9/GCS9 single -stage, multi -speed gas furnaces offer installation versatility. Cabinet Construction • Heavy -gauge, reinforced, fully insulated steel cabinet with durable baked -enamel finish • Attractive architectural gray paint finish • Foil -face insulation -lined heat exchanger compartment • Coil and furnace fit flush for easy installation • Convenient left or right connection for gas and electric service • Bottom or side air inlet (GMS9) • Removable, solid -bottom block -off (GMS9) Accessories • L.P. Conversion Kit (LPT OOA) • L.P. Gas Low Pressure Kit (LPLPOI) • High Altitude Natural Gas/L.P. Kits (HANG11, HANG12, HALP10) • High Altitude Pressure Switch Kit (HAPS27) • External Filter Rack (EFRO1) • Horizontal Concentric Vent Kit (HCVK) • Vertical Concentric Vent Kit (VCVK) • Internal Filter Retention Kit—upflow, horizontal (RF000180) • Internal Filter Retention Kit—downflow (RF000181) ? • Thermostats Blower Motors (CHT18-60, CH70TG, CHSATG, H20TWR) SS-377D www.goodmanmfg.com 6/04 MILL POND VILLAGE CONDOMINIUM CAMP STREET, YARMOUTH, MASSACHUSETTS PURCHASE AND SALE AGREEMENT UNIT 110 PLOVER PART A: References: [Affordable Unit] The following terms which are capitalized and marked in quotations in this Part A shall have the meanings set forth below wherever such terms are used in Part B hereof, and this Agreement shall consist of both Parts A and B and all exhibits hereto: A. The "Date of this Agreement" is November , 2004. B. The "SELLER" is: Villages at Camp Street, LLC, a Massachusetts limited liability company, with an address of 1600 Falmouth Road, Suite 25, Centerville, MA 02632, or its successors and assigns. C. The 'BUYER" is: Michael P. Dillen of 120 Coachman Lane, West Barnstable, MA 02668 D. Notice. Any and all notices or other communications required or permitted by this Agreement to be served on or given to any party hereto by any other party hereto shall be in writing and shall be deemed duly served and given when personally delivered to the party to whom it is directed, or in lieu of personal service, three (3) days after deposit in the United States Mail, first class and postage prepaid, or one day after deposit with a reputable overnight courier, addressed to the BUYER and SELLER at their respective addresses as listed above. E. The "Unit" to be conveyed hereby is: Unit #110 PLOVER, as such is further shown on the plans attached hereto as Exhibit A, which plans include a unit floor plan (Exhibit A-1) and a Designated Use Easement Area showing the Unit's Maintenance Easement Area and Exclusive Use Easement Area (Exhibit A-2). F. The "Percentage Interest" in the Common Areas referred to in paragraph 2 of this Agreement will be determined upon the completion of the phasing in of the Phase of the Condominium containing said Unit and will be so determined in accordance with the provisions of the Master Deed described herein. See also paragraph 27 of this Agreement. G. The "Purchase Price" referred to in this Agreement is: One Hundred Nineteen Thousand and 00/100 Dollars ($119,000.00), which is calculated as follows: $119,000.00 PURCHASE PRICE: = $119,000.00 (base price) (options and upgrades further described in paragraph I of this Agreement) of which: have been paid as a deposit as of this day, $ have been paid previously, and $ are to be paid at commencement of Unit construction are to be paid at the time of the delivery of the deed in cash, or by certified, cashiers, treasurer's or bank checks. $119,000.0o TOTAL DUE H. The "Time for Performance" shall be at a.m. on the day of at the place referred to in paragraph 7 J this Agreement. I. Options and Upgrades. The following items will be included in or eliminated from the Unit to be delivered hereunder and the costs or credits thereof are included in the purchase price set forth in paragraph G hereof.- J. Commission. A commission fee for professional services specified in this paragraph is due from SELLER to Housing Assistance Corporation,(HAC) but only if, as and when the SELLER receives the full purchase price pursuant to this Agreement and the BUYER accepts and records the SELLER'S deed and not otherwise. Commission Due: 1.835% of Purchase -2- GSDOCS-1282281.1 yassachusetts Energy Code MAScheck software version 2.01 Release 2 The Plover DATE: 4-21-2004 Bldg, Dept, Use [ -] I I [] I I [] I CEILINGS: 1. R-30 + R-30 Comments/Locati WALLS: 1. wood Frame, 16" O.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: 1. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] NO Comments/Location 2. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. U-value: 0.086 Comments/Location AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM_E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls., and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. 03/10/2006 11:12 FAX 5087713597 OGELA RAE PHILBROOS Q 002 LAW OFFICES OF ANGELA RAE PHILBROOK 22 Main Street Hyannis, MA 02601 (508) 771-3595 fax (508) 771-359" angelaphilbrook ct comcastnet Peter M Daigle, Esquire 6 Center Place 1550 Falmouth Road Centerville, MA 02652 at Dear Attorney Daigle, ad Village, West Yarmouth Street LLC to Michael P. Dillen 2006 Via facsimile 508-771-8208 With regards to the above referenced matter, as you are aware, this office was retained to conduct the closing, originally ichedulecl fat March 31, 2006. After numerous extensions, requested solely by your client for a variety of reasons, it appears that once again your client is unable to fulfill their contractual obligations. At this point, the buyer has incurred numerous bank charges as well as mottgage rate increases due to your client's inability to proceed pursuant_ to the terms of the Purchase and Sale Agreement. According to the office of the 'Town of Yarmouth building inspector, James Brandolini, it appears that your client has not even scheduled a final inspection of the unit. As your client has stated, the most recent "excuse" for not proceeding was that the final inspection was scheduled for this afternoon for purposes of issuing a Certificate of Occupancy. However, your client asserts that they need an additional extension until totnotrow because the final inspection is allegedly scheduled fot this afternoon. It is clear that your client is not proceeding in good faith and I would suggest that you client is in .inlation of the MGLA c. 93A as their refusal to fulfill their obligations amounts to unfair and deceptive practices. Please advise your client that at this point, we expect the buyer to be reimbursed for loan documentation re -draw fees as well as $50-00 per day from the original closing date (March 31, 2006) until the date this property is actually conveyed pursuant to the terms of the Purchase and Sale Agreement. In addition, a thorough walk-through will be conducted on the property which I intend to attend with my client. If all items in the unit have not been completed, we will iasist upon your client bringing additional funds to closing to be placed into an escrow account until the unit is completed to my client's satisfaction.