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121 Camp St #113 Building Permits
OF r� TOWN OF YARMOUTH Building Department BUILDING i. N8) 398-2231 ext.261 �= PERMIT NO _=B-05-236 - PERMIT .d ISSUE DATE ; _ 8/17/2004 _ ; PROPOSED USE APPLICANT -Frank Capra - B WEATHER CARD PERMIT TO New Construction ------------ AT (LOCATION) 00121CAMP ST # 113 ZONING DISTRIC R-40 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1044.21.1C713 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction: 1 bath, 2 bedrooms, 1 kitchen/diningroom, 1 livingroom as per plan dated REMARKS 08/05/04. CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 AREA (SO FT) EST COST ($ 1$89,656.00 PERMIT FLL ($) IWZU.uu I Centerville MA 02632 OWNER lVillages at Camp St., LLC BUILDING DEP�T/jBBY,,- 5087789669 ADDRESS 11600 Falmouth Road Centerville MA 02632 Certificate Issue Date 17 - v -,5-- CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks BUILDING PLUMBING/GAS g �� ELECTRICAL F ENGINEERING OTHER � 0 r �� ro be filled In by each division Indicated neruun upun wi l li—L-1 , — .M L OF r TOWN OF YARMOUTH Building Department BUILDING •�� (508) 398-2231 ext.261 PERMIT NO 6-05-236 _ PERMIT ag ISSUE DATE ;_ 8/1M004 - ; PROPOS SE _ _ . _ _ _ _ _ _ _ APPLICANT , . Frank Capra ----------- -_ -_ -_ -_ _ _ _ JOB WEATHER CARD _ _ _ _ (P PERMIT TO ' New Construction AT (LOCATION) 100121CAMPST#113 ZONING DISTRIC R-40 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1044.21AC113 LOT SIZE BUILDING IS TO BE: CONST TYPE 5-B USE GROUP L R-4 new construction: 1 bath, 2 bedrooms, 1 kitcheNdiningroom, 1 livingroom as per plan dated REMARKS 0=5104. AREA (SO FT) EST COST ($ PERMI I t+tt (zo) IWZ?5.UU OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road Centerville MA 02632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector UiJ oe 17- 05'�t S--z -05- aF � TOWN OF YARMOUTH fg Building Department ~ s Town Hall r� ae Yarmouth, MA 02664 (508) 398-2231 ext.261 B13UILDIf4,G PERMIT '`" TRANSMITTAL Temp Permit No.: T-05-074�'.; Applicant Name: Applicant Phone: Building Location: Frank Capra 5087789669 00121 CAMP ST #113 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road 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.: 702 Net Owed: ($50.00) Application Date: 7/ v °y Issue Date: I Map/Lot: 044.21.1 C /, new coqfflLirtlon: 5 ZONING APPRQp uj 47 z z•:a /x Cr ' T REVIEWED BY: V1. WATER DEPARTMENT: DATE: N/A: 1/2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: EALTH DEPARTMENT: DATE: N/A: 7BUILDINGDEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: J �C� t11b SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 Of .y (0 C • •. MR TAt JCLs \� 9-15-99 f ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department 1146 Route 28 « Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 « Fax: (508).398-0836 ♦ E i. 3 ♦ w r Office L1se Dnlyi_ x S t ^nit �,,.N .i. x• -'{ 3e t Planrnng Board Information �?.- �� r t' rr� �� q 5 > A t Yt 5-S S. Assessors Depaitment Information fi i, '+tom yet r r a�P aj ASS ;'C'01 lPermltV ' `ate" Jan a �pJjin '•tw^ (. T Y :. C" .`a. '. Y ..✓'i f i 1 £.4 S 1 IT S � �� i �� � ..f 3 Na "A'^+a..x `"`T `ic'� Ss na ✓ �` a: �'� Plan a �? 'Qt tot Areas Cpuera e,-- . er-� r F ; , _., Btliidi Pe .art tuber ty l3 -.:. h'Y"+S k� F.✓ FI s1 Y f E t -� it Ka 41t #Y s.a-.+q 2 >y,` f ,zf i Y ., Gertl(Ic�te of C3ccupancy � x ,� ,� ,p -�^a.. ✓'i -j. Y �! A:'.rK 7P4X. �_. 5},.r �.. i.q:.R .. l' T - � 5 , F. _ ..%1 ,� Section j �Site'1tYf"ariraton : Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: a 1 S4 _ IP A- - D�s� �, 3 h Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1A Water Supply (M.G.L. e. 40. S 54) 151Rood�one Ynformanork i - a CommenisF A i �-F t -:i, 4. i:Y £s 4f 1-T k •t" Public Private .,: � .+ fi vry s .,S Sectlo; 2 ;Property lOwnersJiiplAuthonzed`Agent 2.1 Owner li Record: j �- oL? ,` cr— LLc, ! ,. N me sprintk Mailing Address CQ" i Vf el jh4 pZ ( �O 6�--�260 Signature Telephone 2.2 utho�rizOed Agent: < 01 i 0 OItXn J1 Name(prino (`p P a Mailing Address -04 S' n ure Telepho e 1 , H {' SeCtt01'] �f�`�agstrfJctlon°:'�'erVlCes' t � i 3.1 Licensed Construction Supervisor. Not Ap bled lull II (' aK (t Licens /� O 0 fQdkA. o ✓ 4� � 7�h I 0 Address Expiration Date/ �y fnw'i / b rQ ���r Si nature' —Telephone '_ �' J � �-� � 2°f,3egistered<,kiome-I�jtproueixent`Gop_f�ac#orn. Company Name 2 %❑ Not Applicable J U L License Number Address BY Expiration Date Signature Telephone 1 of 2 OVER //3 (fie.; ml 13e0064 ,Wcir':kers'Garr>pensaton;(nsuartcAffidavlr(NT_Gic25'75C(6j; 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 .......... Secttot,.;R6scrfptio,'ri=o%'rop.0sedWork(check (tappticai%le} New Construction ff I No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. El Type Demolition Other Specify: Brief Description of Proposed Work: i►� v� f u�Rl V Q �ectfor 6t,.,.Esti>•tated�Gonstrtiction,Costs` Item Estimated Cost (Dollars) to be Check Below ❑ Conservation -Commission Fling (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) completed by permit applicant 1. Building. 14 S 3-7 2. Electrical S3q 3. Plumbing / Gas" - 'i 4. Mechanical (HVAC) g Z 5. Fire Protection (Dqy 6. Total = (1 + 2 + 3 + 4 + 5) Z o 7. Total Square Ft. (new houses & additions) 9Z Sect%7�nOuvne Authorrzahort ToWheGomptetedWhen_, Owner s A ent` r" Coniractor:Ap Wltesfor Suitdtn ,-Re itar I,J L as owner of the subject property hereby authorize C#,P (-^ to act on m beh , in all matters elative to work authorized by this building permit ppl'dation,. f 01 Signature of Owner Date 'Section M, us net'l 0h6rized AbbriMec[aratid .1 �' f—es'Cl . ( t (X' , 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. Print name Signs re of Owner/Agent Date ►'� 9-15-99 2 of 2 Of *qR'�i TOWN OF YARMOUTH x PLEASE PRINT: Job Location: _ BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Owner of Property: V ` Construction Supervisor: �Pfg Name Street Address: / � !"-�— Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: Village 5�.. LL C, 669 License No. Phone No. 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 only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes FY No ❑ If you have checked ygs, please indicate the type coverage by checking the appropriate box. A liability insurance policy a--*� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Cha er 15 o he M ss. G2e5fil Laws, and that my signature on this permit application waives this requirement. No Vu� Check one: Signature of Owner or Owne s Agent Owner all" Agent Signature: Building Official Approval: M The Commonwealth of Massachusetts Department of Industrial Accidents of ess1farestfla ess 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit �:.. i'Q c �%1/ 0 1( k- . MA a r0T)- nhone y � o� � � �-_��✓ I am a homeowner performing all work myself. I.am a sole proprietor =::d have no one working in any capacity ri I am an employer pro% iding workers* compensation for my employees working on this job. ^aarc5c• city- phone N• insurance co policy N (R/I am a sole proprietor. general contractor, or homeowner (circle one) and have hired the contractors listed below aho halve cite_: phone N• insurance co policy N Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erinisal penalties of a floe up to SUMAo aadtor one yens' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. I understandthat a copy of this statement may be forwarded to the Office of investigations of the DU for coverage verifieadoa I do hereby cerrif er the at a enalties of perjury that the information provided above is nue and co em k signature ��� Rate X rd' //fj�� Print name \ ` at^k I,G�Q fC� Phone N t19 / official use only do not write in this area to be completed by city or town official city or town: YARMOOT$ _ permlNieease N rlBuilding Department -- C31.1censing Board (] cheek if immediate response is required 261 C3Selectmen's Me contact person: OHealtb Department phone N; _ (508) 398-2231 eat. riOther J BUILDING TOWN OF Y A R M O U T H ELECTRICAL GAS 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS026644451 PLUMBING Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 SIGNS BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting fromtheproposed work/demolition to be conducted at 1 \ 6� (3 Work Ad ess is to be disposed of at the following location: ! ow►'�� 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. ..-��.. .". % .7PCL.1hL.171Z 1 VJU 5&1 7272 P.01/01 PROOUGf:7LMMZ ._�. �.x-.r.�x y. THIS CEFMFtCATE IS ISS ONLY AND CONFERS N HOLDER. THIS CERmQA RIDER. RISK SPECIALISTS ALTER THE cove aACE INSIIRANCE AGENCY, INC. P.O.HOX 115 COMPANIES CATAUMET, MA 02534-0115 COMP' mom A US LIA$ILITI MONUMENT INSULATION, INC.' C � AMERICAN HOi� 223 COUNTY ROAD BOURNE, MA ozs32 �'"P"'" c i COWANY D THIS IS TQ CEp +......n.::....e TIFY THAT THE POUCIES OF wsURANCE LISTED BELOW HAVE BEcTI " INDICATED. NO7WT HrTANDWG ANY REOUWEMENT, TEAM OR CON SUED TO THE WBURED CEW*'CATE MAY BE ISSUED OR MAY PERTAW THS INSURANCE AFFORCED BY TCONTRACpoLiCIS RDESCRIBEDOTHER o E(CLUStONS AND CONDITIONS OF SUCH FOLICIM LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM. CO TYPE OF txSURAMCE poUCy C LwtK1 EYMRAT1eM LTA POUCY NUYSER ...__-. Dl7E ryTAND/TTI DATE dYIOdYYI A COABAERCIAL GENERAL L1ASEM CAMAS NAOE ® . A c "Eas►=nvA0TORSPRDT CLI23E745 8/23/03 8/23/04 i ADTOKOSM LIAZULM ANYµ Q ALLOWNEDAUTM SCNEVIAm AIfl[T3 . ACN40WNET7AJ . mLr.3OE UARILITY . . ANrAUTO, raLao uASLuw LIMBPELA FCMW oTHeR TW W tAetT�LLA FOLiM WOAKEN6 cvuP .AOATm Aw EMPU""W UA&M= pff: iVE X M0. 'RTC 782 61 72 A 9/5/03 9/5/04 GATEWOOD HOMES,, INC 1600 FALMOUTH ROAD 925 CENTERVILLEl MA 02632 508 778-5603 ABOVE FOR THE POUCY PEPT w T WTTH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS, COMBNEp SMGLE L"T s �M» s rA=w 3 PFK PERTY DAMAGC... AUTO ONLY. EA AA mqT r3 s s L SHOULD ANY of 71AE JUIM Dom rCUCtn BE CJINCEttm ar►onE m TRf E7RPAPON GTE TNEREDF, THE ISSUING COWANY WILL ENDEAVOR TO MAX 10 GTs WRITTEN NOTICE To TIIE CFRTW=TE HOLDER NAStE TO-THS-O r BUT FAIWNE;TD PAIL NOTICE sMALL vmpyu Mo =m mLTxm DN Lasam TOTFL P.01 CERTIFICATE OF I 'SITRANCE ISSUE DATE (MM/DD/YY) PIZODZJCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Passaro Leverone & Buckley Dp� o NAj�� ��ND ,� OH G��TFHISRDED BY T HE Insurance Agency Inc POLICIES BELOW. P O Box 160 COMPANIES AFFORDING COVERAGE Dennisport, MA 02639 URED trick K Orcutt COMPANY a P & S Concrete LETTER A A.I.M. Mutual Insurance Co [37 Ladys Slipper Lane shpee, MA 02649 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POLICY PERIOD FOR TH P FOR THE P INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THEO INSURANCE ANY ANY CONTRACT OR OTHER DOCUMENT WITH T WHICH THIS BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EKPIRATIO '. . DATE(MM/DD/YY) DATE(MM/DD/YY) LTs GENERAL LIABn1T'Y ' MMERCUL GENERAL LIABILITY ENERAL AGGREGATE S PRODUCTS-COMP/OP AGO. S IMS MADE=DC PERSONAL & ADV. INJURY S WNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE t FIRE DAMAGE (Airy orc fire) S MED. EXPENSE (Airy me perms) S UTOMOBILE LIABILITY � MBAYED SINGLE NY AUTO MR S ALL OWNED AUTOS BODILY INJURY S EDUCED AUTOS P�) IRED AUTOS NON-OWNEIYAUTOS BODILY INJURY S aceidem) GARAGE LIABILITY PROPERTY DAMAGE S . XCESS LIABILITY CH OCCURRENCE S MBRELLA FORM � GCREGATE $ THAN UMBRELLA FORM WORKER'S COMPENSATION AND WC STATU- XOTH- EMPLOYERS' LIABILITY 6006181012003 10,712003 1021/2004 s uou A THE PROPRIETOR/ ' INCL PARTNERS/EXECU IVE EL DISEASE —POLE LIMB S IOOO,OOO OFFICERS ARE: REXCL OTHER EL DISEASE —EA EMPLOYEE $ 1 GOO 000 ESCRIMTON OF OPERATIONSa.00ATIONSr.'MCLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELIAT-ION HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE XPIItATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO _ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE , BUT FAII URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Gatewoods Homes :]RPEPRMENTATrVES. LITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR 1600 Falmouth Road Centerville, MA 02632 ORIZED REPRESENTATIVE ACORD CERTIFICATE OF LIA13 LITY INSURAP�C� DA�"'""'°°^'m 'PRODUCER 08/082003 JOAO M-O.IAS 5118 672 2997 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 'THE CERTIFICATE OIAS INSURANCE HOLDER: THIS- CIF*TWEATE DOES. NOT AAdEND_ EXiEMQ OR 535 BRAYTON AVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FALL RNER, MA 02721 .INSUEAFFORDING COVERAGE a3DREO �N'/fIC'JC• JOEL FERREIRA DEALMEIDA IIAIRETATE INSURANCECOMPkNy IWDBA EJJA CONSTRUCTION INSUREWSUfTANCH COMPANY•�50 PICKERING ST. APT 17 I SUREFALL RNER, MA 02720 NstmE w�IAePR P-f—• THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI THSTANOING ACLY.. RW EMENTr, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUmrNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEDIMREk-NI- -SUBJECT TO.ALL; THE..TERMS, EXCLUSIONS.MLO. CONDITjaNS OP SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR Dw TQ POLPT NUMBER PO EFF[CTIYG rOATE lmmmvfyyv IRATION LVATS GENERAL LIABILITY 'GOIOCCURRCNCE i f,0i1T1;O0Q' oaurMc_ 10,00cIMSADc nOCCUR X CCMMV.tCIALotrEa&rrr NC27580E 06/26/2003 061262004i I I -� µY AUTO I I ALLOwNEDAUTOS I1 SCHEMED AUTOS 1 seam AUTOS II H KCNIO"EQAUTOS ANYAUTO j OCCUR LI amowswAOE DEDUCTIBLE RETENTION S PI""R COWENEATLONANO ENPLOYERS'UARILRY ANYPROPMETOR(PARTNERIP„(' l.CUmt OPP=PIUEIISER fXCLUDEOT GATEWOOD HOMES 1600 FAL YOUTH RD. CENTER VILLE. MA 02932 T i i- COMlwtO rm"r, L:SNT Ii (EaaceaaM) ROOILYINJURY I - BOOA.YINIURY I i (rPr acdMnN ` PROPERTY OAMACE +` OTHER THAN AUTOONLY: i WC 468 85' tt/08/03 1418/04- I EL SHOULD ANY OF THE ABOVE OESCM&M POUOICS BE CANCE.CEITVEFORR THE rAMA*VNM, DATE TNERSOF. THE ISSUING INSURER WILL ENDCAVOR TO BAL 10 DAYS WRITTEN NOTZ=TOTIIE'CVWWFCATT'NOLDER'NAMEDTO THE LEFT, IRiL •.. .o UPOSE NO OBLIGATION OR LIABILRY OP ANY RWO UPON THE WINJAER, ITS AGENTS OR --•..•�� iV.11 rJLS 50ST900249 GOLDMAN ASSOC ZO .J. CERTIFICATE OF LIABILITY INSURANCE S Assccx=s nwamNcm TmrjurwCATeD3. FIP:A:aCIAL SERVICES INC. ONLY AID CONFEIM I HOLDER. THt8 CERTIF 933 FMMMTN RD. ALTERJNECOVERAG HYAmis MA 02601 Phone! 509-775-6020 Fax: 509-790-0249 :�iSi1REE3o �.FfCRuWG i RODHey TAVANO — ..— DEX MECHANICAL SSSTEM. MrsJa�,ze 110 HOLDER lam �� p W-SARNSTASLE m 0266H MSLMIFR E CYwS4grs4 (Doi aATE.. TMEPOLEESOF MMXtAiELSTEDtBDPl MAUE MEN==-rOTI$PC(m MAm AMOm FOR TM PD=PFRILO WOCa7LD. ANY REGIiW-%@Ji.r me R coNcr CNOFAWCWIR.fCi OR01/QtDmAE]irVW MREsrWrTGvR TffiC8KGn*PlCJITEIMT IMYPERTA4T.71LlQNLMCEARYN BY TFlfCTJCES OE6Ct�Ep,ryERE7iBSUG,scrTDAIL TETF7O6�FJZT3SDltlA1A PgJC4;6.AOt7TE0ATE WITS&l7ARI WYWWgfE.I71 REDlf®BYMDCLA6�6, JWOpC SGUEDOR OFSJCH L-M TTPM CA'MMA.y$' PMLTI{II� a pl6 LMiflb GeMEMUABLM A X c0wmJ FLGEMaaLL MxM aAMIs 0 ocart RLS172 11/21/03 I1/21/01 i 1000000 ' GEi.. 350000 wcE EZP(Anl,rn pr.eA) i5000 OHALAMWKurr 81000000 AOOREGATE 4'7aaaa0o•, GOMAGGRWATELM"APPIFB PER Lac 7 2000DOD .Fl 1��� �{+ AWARD y ALLOMANEDA nM Y4uWT ..� S ..�. iQ!•ONTa�MiTC6 . _ QWM.E miry ANYAYTO. ONLY-EAAGCCENT nm "A= i cmr. AOG uLlAactTY oCCLR [] C111MBTAADE s TQ s ,r,,._..s_ METwmoM 4 nuftww O.Ww"Ar-mAm i $ 8727EA44903 OS/03/03/04 EC�F $100000 C°iD �a 100000tl�is E alMist OBEA6E-T'OUGT L4AR i 500000 a:SegslnM OF OPERATMMI3 T tLr�TA70/ve•MaiM JESCL1M10►?r AOOm MT 01p011sB®rlJ fPiCulLi#OyiSpe{ CERTIFICATE HOLDER ..��.�...� -.. GATMOD HalEs im FAX 508-779-5603 1600 FALMW= ROAD• CZNTZRVI= MA 02632 DATMOtEOF. TIE MU MO V=w&R TMON Im OS.TMATA:NoR FAWKYONAL 20 CATS YM%ft01 T4E LEF.T.BIIt. Fl W �tE 1C QO f 071tALL 0 L&M THE MMMML ITS AGEMi OR . n �+/1p�TM L1�U11GKt'K -- CERTIFICATE OF LIABILITY INSURANCE' =DATE(M.M,1MM1YnPRODUCER Dowling & O'Neil Insurance THIS CERTONLY AND IFICATE IS ISSUEII AS A MATTER OF INFORMATION Agency, Inc. ONF S NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE ES NOT AMENDREXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURED INSURERS AFFORDING COVERAGE NAIC It Gutter Pro Enterprises, Inc. INSURERA: Travelers Insurance Company P.O. Box.1197 INSURERS: Guard Insurance Group Plymouth, MA 02362 INSURERC: OVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVE 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. A I EGENL LIABILITY MMERCIAL GENERAL LIABILITY CLAIMS.MADE F—X� OCCUR LIMITAPPLIES OMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AGE LIABILITY ANY AUTO caaiUMCRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE LWroR. ERS COMPENSATION OYERSLlTYROPRIOR/PgRTNEERIMEMBEREXCLALPROV SIONSbNow 11/07/03 LIMns 11/07/04 (EACH DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Operations performed by the named insured subject to policy condition's and exclusions. Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 of 2 #32273 EXP (AnY one (Eaaccident)BINED BODILY LIMIT S ) BODILY INJURY (Per Person) S BODILY INJURY (Peraccident) S PROPERTY Peaccident)PDAMAGE is OTHER THAN EA ACC S AUTO ONLY: AGG S EACH OCCURRENCE S AGGREGATE S �ROULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To0Do SO $HALLAYS N L IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER, ITS AGENTS OR 2Feecec1—...— LS1�0 ACORD CORPORATION 1988 A-C:UKUTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDLYYY) 07/22/2003 PRODUCER (508) 994-9688 FAX (508) 991- 5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW BEDFORD, MA 02740 INSURERS AFFORDING COVERAGE INSURED Frank Capra 4NSURERA: Providence Mutual _ PO Box 664 INSURERS: OneBeacon West Hyannisport, MA 02672 INSURER Continental Casualty. Co .. _ .... _ ...... .... 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE ( /DDfM POLICY EXPIRATION DATE fMMIDDrM LIMITS GENERAL LIABILITY CPPOO53131 00 12/13/2002 12/13/2003 EACH OCCURRENCE f 1,000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR FIRE DAMAGE (Any one fire) S 50,000 MED EXP (Any one person) f 5,00 A PERSONAL a ADV INJURY S 1 000 , 000 GENERAL AGGREGATE $ Z.0004000 GEHL AGGREGATE LIMIT APPLIES PER: POLICY jECT D LOC PRODUCTS. COMPIOP AGG S 2 , 000, 000 - AUTOMOBILE LIABILITY ANY AUTO CBXE48125 02/14/2003 02/14/2004 . COMBINED SINGLE LIMIT (Ea accident) $ g ALL OWNED ALTOS SCHEDULED AUTOS BODILY INJURY (Per Person) 250,000 X BODILY INJURY (Per accident)500,000 $ HIRED AUTOS NON-0WNED AUTOS .. .. _ - ... ' .. __. PROPERTY DAMAGE. _(Peracddent) .. .. f .100.00 GARAGE LIABILITY _ _ _ ... .AUTO.ONLY..EA ACCIDENT. I ANY AUTO . - ' ' . _z•w _ . '. ... OTHER THAN EA ACC AUTO ONLY: AGG S . S EXCESS LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE S. AGGREGATE S S DEDUCTIBLE S RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS! LIABILITY S59UB861X751603 03/22/2003 03/22/2004 TORY LIMITS Eft EACH ACCIDENT S 500,000 C E.L. DISEASE. EA EMPLOYEE S 500,000 ^_ EL DI$EAS�. POLICYLMIIY S'SOO OQO OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEMC.ESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 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, Gatewood Homes Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Falmouth Road Ste 25 Centerville, MA 02632 OF NTHE COMPANY AGgg.S5EPRnrATIVES. AUTHORED REIPR ATIVE Ar_nxn is c n/o7I N/I�V VRY V VIV VIW I IVN -IVOG ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE(MMloo/YYyy) PRODUCER CROWC50 07 25 03 Sullivan, Garrity & Donnelly THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 508-754-1767 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 Institute Rd - PO Box 15010 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Worcester MA 01615-0010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone:508-754-1767 FaX::508-754-1885 INSURED JINsURERE NSURERS AFFORDING COVERAGE NSURER A: Hanover Insurance CjtNAIC 2 NSURER B: Arch Insurance Com Crowell Construction, .Inc. NSURERC: So.BDennis MA 02660 NSURER 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. LTR NSR TYPE OF INSURANCE POUCYNUMBER ...�.....—____ GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY ZHN7007141 CLAIMS MADE FX OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY - PRO- I I LOC AUTOMOBILE LIABILITY A ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ - WORKERS COMPENSATION AND BfMPLOYERS' LIABILITYNY PROPRIETOR/PARTNERIEXECUTrVE FFICER/MEMBER EXCLUDED? .—,-a res. d.. �....w_. Fax #508-778-5603 CERTIFICATE HOLDER 05/01/031 05/01/04 LIMITS EACH OCCURRENCE $ 1000000 PREMISES Eaotarence $1000Q0 MED EXP (Any one permcm) $5000 PERSONAL 3 ADV INJURY S 1000000 GENERAL AGGREGATE $2000000 PRODUCTS-COMP/OPAGG $2001 ABN7001142 05/01/03 05/01/04 COMBINED SINGLE LIMIT a S (Eacddenq GODL�INJURY $1000000 (Per P BODILY INJURY $1000000 (Per accident) IRWC100100 lvra LIM115 ER 03/22/03 03/22/04 E.LEACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYI 3500000 E.L. DISEASE -POLICY LIMIT I SSOOOOO Gatewood Homes 1600 Falmouth Road Suite 25 Centerville MA 02632 BY CANCELLATION GAgTEWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR 25 (2001/08) ".0 © ACORD.CORPORATION 1 n1 vnU CERTIFICATE OF,L►A1311 17y INSURANCE ODUCER 508-398-6033 FAX SOS Allied American Insurance Agency LLC I -Atlantic Ave SO Yarmouth MA o2664 762 Falmouth Road Hyannis MA 02601 LLb7 DATE(MIWODNV" 07/2112nal A MATTER OF INFORMATIO UPON THE CERTIFICATE !S NOT AMEND, EXTEND OR INSURERS AFFORDING COVERAGE 'Ns'*Ct1 Arbe la Protection I INSURERS* Hartford NiSURER C THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. A ANY REOUIREMFNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCLMAENT WITFI RESPECT TO WHICH THIS CERTIFICATE MqY B MAY PERTAIN, THE INSURANCE AFFORDED 0Y THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS. IS CERTIFICATE A E CON( POLICIES. AGGREGATE LIMlT3 SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. IR DO TYPE OF INSLVIANC6 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION cENERALLIaaILITY 7500000373` 12/13/2002 12/13/2003 EAcNoccURRENCE LIMITS X COMMERCIAL GENERAL lI4BILrry = CLABeS MADE D OCCUR DAMAGE TO RENTEO f A CENLAGGAEGATEPILIIMITAPI�1S P-L-IER: PE X POLICY JER I LOC AUTOMGOILE IJAIRLITY ANVAUTC ALL DINNED AUTOS ' SCHEDULED AUTOS "MAUTOs NON'DVTIIEDAUTOS AGE LUBR.ITY ANY AUTO EXCESSOMBRELLA LIAWLnY 1] Z. CLAIMS MADE DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIADRJTY B ANYPROPRIEYORJPARTNERIPXECUTIVE OFFICEAIME/ABER EXCLUDED? SPECIAL MEO EXP (A-Y one PMW) f PERSONAL AADV INJURY f GENERAL AGGREGATE f PROD UCTS-COMPIOP AGO f CONLy; COMBINEDSINGLE LA'IT f I MJVAY oA) S MJURY dM!) fTY DAMAGE fidPlll)NLY-EA ACCIDENT fHAN EA'(CC f-T' AGO i f f f f E.L EACH ACCIDENT f EL DISEASE . EA EMPLOYE f EL DISEASE. POI xw I nM Evidence of Insurance for work performed within the Insured's scope of normal operations NAIC # ❑ OR OFSUCH C C SAOULD ANT OF THE ABOVE OESCRIDED POLICIES DE CANCELLED BEFORE THE "FIXATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, GateWOOd Homes- BUT FAILURE TO MAIL AUCM NOTICE SNAU IMPOSE NO ODUOAT1pN OR L48WTY 1600 Falmouth Road 025 Centerville, NIA 02632 OF ANY qND UFON THE INSURER, ITS AGENTS OR REPRESENTAIWM AUTHORIZED RESENTA 4CORD 25 (2001/OS) FAX: (508) 778-5603 a ' ®ACORO CORPORATION 1988 CERT 2 F 2 CATE OF' 2 LVSURANCE Producer: SOUTHEASTERN INS AGCY 641 MAIN ST HYANNIS MA 02601 Code: ----------------------- Insured: RJ BEVILACOUA P 0 BOX 629 FORESTDALE MA 02644 Issue date: 7/22/03 noirichtsiciastthescertificateaholder, Thisncertificatendoesnnotoamend, extend or after the coverage —afforded —by the policies below. COMPANIES AFFORDING COVERAGE ------------------------------------ Sob —code: I Co Ltr A: ARBELLA PROTECTION -------- Co Ltr B_-- ARBELLA PROTECTION Co Ltr C: Co Ltr D: ARBELLA PROTECTION Co Ltr E: COVERAGES This is to certify that policies of insurance indicated, notwithstanding any requirement, listed below have been issued term or condition of any contract to the insured named above for the policy eriod or document certificate may be issued or may ppertalnR exclusions, and conditions of snch the insurance afforded by the Limits other with respect to which his policies described herein is subject to all the terms, palic,es. shorn may have been -------------------------------------------------- reduced by paid claims. Ltrl Type of Insurance --------- - ------------------------------------ - — --------------------------------------- I Commercial general liability I 8500018147 I 7/15/03 I 7/15/04 (General aggregate: —21000 (l) Claims made (] Occur boner's 8 contractor's Prot Products—comp/ops aggre9: I (Personal/advertising ia1: Each occurrence: 11000 I (Fire damage: 100 ----___------ _______________—--- —_ Medical expense: 5 B IAUiOMOBILE I86852400001 LIABILITY Aauto I 2/21/03 -------"--lCombi-------'—"—'----'-------- I Z/21/04 (Combined Sin le limit: Allf owned autos I 9 250/500 l(B(Peilreinjurr Scheduled autos Hired autos I i l I9adilp rson): Non —owned autos i Garage liability i I y Injury (Per accidentJ: I I Property damage; 500 I In ESS LIABILITY ------------------------------------------------- i I Each l --I__ Other than umbrella form I I Occurrence Aggregate D i WORKER'SACOMPENSATION I 90806B0403 I----4/27/03--- I---4/27/04 IStatutor I-------------- ---------------------------- EMPLOYERS' LIABILITY 160 (Each accident) I I I 500 (Disease —policy limit) . - - -_ .. IDO. Disease —each emplar-eel.. OTHER—;---------------i--------------- I I I I -------------- ascription of operations/locations/vehicles/restrictions/special items: CERTIFICATE HOLDER 1600NFALMOUTHSRD STE 35 CENTERVILLE MA 02632 CANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing companX 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: JOAN M MARTIN JA 4189 --n�vryuTM t;tKTIFICATE OF LIABILITY INSURANCE ' • PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER bowling & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE Agency, Inc. HOLDER. THIS CERTIFICATE'DOES NOT AME ALTER THE COVERAGE AFFnranFn lav r = 222 West Main at. PO Box 1990 Hyannis, MA 02601 INSURED Bayside Electrical Contractors, Inc. 372 Yarmouth Road Hyannis, MA 02601 COVFRArFS INSURERS AFFORDING COVERAGE INSURERA: Travelers Insurance Co INSURERS: Guard Insurance Grour INSURER C: INSURER D: INSURER E DATE (MWDDNYYY) 10/17/03 EXTEND OR CIES BELOW. NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR A INSRI TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR POLICY NUMBER 16801484A82ACOF03 PDOALICY E--FFFEC nVE 10/05/03 SATE EX Dn ON 10/05/04 LIMITS EACH OCCURRENCE a1 .000.000 OAMAGE TO RENTED PREMMED EXP (Any one person) S3O0 DDD 55 DDD PERSONAL &ADV INJURY S1 000 000 X OCP GENERAL AGGREGATE 22 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC PRODUCTS-COMP/OP AGG SZ OOO DDD A AUTOMOBILELAMLITY ANY AUTO 18102601W561IND03 10/05/03 - 10/05/04 COMBINED aide)SINGLE LIMB $1,000,000 ALL OWNED AUTOS X BODILY INJURY (Per Person) S SCHEDULED AUTOS HIRED AUTOS X X NON -OWNED AUTOS Drive Other Car INJURYWNED (Peracddenl) S X PROPERTY DAMAGE (Peracciden0 $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ "DEDl1CI II RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY BAWC436910 08/18/03 08/18/04 WC STATO- OTM- S ANY PROPRIETOR)PARTNER/EXECUTNE OFFICERRdEMBER EXCLUDED? E.L. EACH ACCIDENT 51 OD,DOO E.L. DISEASE - EA EMPLOYE 5l00,000 N yes desalbe under SPECIAL PROVISIONS below OTHER E.L DISEASE - POLICY LIMB 5500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions.. ' CERTIFICATE HOLDER Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #M31942 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To Do SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR LS1 0 ACORD CORPORATION 1QAR A. 0 RD- CERTIFICATE OF LIABILITY INSURANCE 7/1810'°°"Y"' 7/18/03 DucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DoWling & O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St..PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # wsuRE° INsuRERA: Hanover Ins. Company Busy Bee, Inc... INSURER B: Safety Insurance Company East Sandwich, MA 02537 .. - P.O. Box . INSURERC: Associated Employers Insurance Compa INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ' ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMlDD/YY POLICY EXPIRATION DATE MM/DD/1'Y LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY "CLAIMS MADE O OCCUR PDDed:250 OHN643998501 .- 06/14/03 - 06114/04 . EACHoccuRRENcr $1000000 X DAMAGE TO RENTED 1300000 $15 000 MED EXP (Any one persm) X PERSONALSADVINJURY $1000000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POUCY JET PRODUCTS-COMPIOP AGG fZ OOO OOO B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEOULEDAUTOS HIREDAUTOS NON-OWNEDAUTOS 3175394 - 01/14/03 _ 01/14/04 COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Perpersm) f1OO,000 X X BODILY INJURY. (Per accident) .. t30O ,000 X PROPERTY DAMAGE '(Per accidenp $100,000 GARAGE LIABILITY ANY ALTO '" _ .. - AUTO ONLY • EA ACCIDENT $ ' OTHER THAN EA ACC AUTO ONLY: AGG S f C EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE - RETENTION f WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? B yes• describe under SPECIAL PROVISIONS below OTHER WCC5002932012003 06/27/03 ' 06/27/04 EACH OCCURRENCE S AGGREGATE S S S WcsrATu- f• E.L. EACH ACCIDENT $1 OO O0O El -DISEASE -FA EMPLOYEES1OO,000 E.L. DISEASE -POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #30822 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE KJS�>O ACORD CORPORATION 1988 Y, ACAORD, CERTIFICATE OF LIASILITi( INSURANCE P. O DATE (`1MfOOryY) PRODUCER 2iC811-601 IaeuranCe Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF 114 RMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAIE. HOLDER. 749. main Street, Suite#S THIS CERTIFICATE DOES NOT AMENDEXTEND OR ALTER THE COVERAGE AFFORDED Oetervills, Ma. 02655 BY THE POLICES, BELOW. 502---420-9011 INSURERS AFFORDING COVERAGE IN6URlD Caaparaon Overhead Doors �'`YEL'LIII'.iC�R 517ERSiengo tFINSURERAA7BOX Falmouth, MA 02536COVERAGES CEast NSURER S THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ANY REOVIREMENT, TERM OR CONDITION OF POLICY PEHI RIp01NDICATED. NOTWITHSFANDWG_ ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY PERTgIN, THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SU6JECT TO ALL THE TERMS £XCLU8IEONS IAAID , 15E ISSUED OR I POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED INBR BY PAID CMY CLAIMS.-- DffIONS OF SUCH T TYPE OF INSURANCE PO4GY NUMBER PO4CY EFFECTIVE PO�CY�XNRAMjON — GENERAL LIABILITY OATC LOATS COMMERCIAL OENERAL UABIL11Y EACH OCCURRENCE f d' CLAIMS MADE LXl OCCUR FOIE DAMAOF 1 tI, wsl A w2848352 MEDEXP(Mvwwpwsegf. 05/28103 05/28/04 PERSONAL /ADV INJURY OEM AGGREOAI E LIAIRAf'PLR:S PER GENERAL AGGREGATE f POIICY JE O' - LOC PROOUCT�'DP AGO t 000, 000' AUTOMOBILE LIAO&" • ANYAU1D COMBINED LIMIT . ALL OWNED AUTOS I w) f WHEDUI FO AUTOS gplor INJURY HIRCD AUTOS iPw wtson) i NOM-0WNED AUIOSGODLY INJURY W11AOC LIABILITY PROPERTY OAMAGE (Pot Amic 1It) S . AUTO EAACCIDENT S ` EA ACC f lXCESStIABIl'FFY- AUTOONLY; AOO f - URCLAIMS MADE - FACHOCCURRENCF f _ AGGREGATE f OIL VCTIOLC �— METEN.TJON- S COMPENSATION AND ' EMPL012S LIABILITY EMPLOYRO.R f A TORY LIMITS ER - 02/22/03 02/22/04 EL.EACNAccwENT sq/�/� n�X� Oruwr E.L. EMPLOY =SDD (IAA - Gateway iromea 1600 Fad-wutf' A-aacr quire 2SX Centarville, MA 02632 778 5603 ACORD 25-5 %"U,) DATE THEREOF. THE ISSUING INGLIRER MULL ENDEAVOR TO MAIL ..+a unRw710 m"VC-704ME-CE Lo_ DAYS WRITTEN IMPOSE NO OBLIGATION OR 4ABIUTY OF ANY SO SNALL KIND UPON THE INSURER, ITS AGENTS OR RE►r-.5�4:.TIus. ACORD CORPORATION 1988 ._A ✓ite l0ollwla.uWeaat OI✓4'�uld M rfI BOARD OF BUILDING REGULATIONS 'I License: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate: 06/16/1940 Expires: 06/16/2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN. 4 �i CENTERVILLE. MA 02632 administrator 00 - 35.000 d enclosed space (MCL C.112 S.60L) to - Masonry only 1 G -1 3 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888) 344-7233 I PP OF TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT B TRANSMITTAL Temp Permit No.: T-05-074 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST #113 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road Centerville MA 02632 ' Owner's Telephone: (508) 778-9669 REVIEWED BY: 1. WATER DEPARTMENT. 2. ENGINEERING DEPARTMEI 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: Z139FP6t34' 7 Jy l Issue Date: Expiration Date Comments: Map/Lot: 044.21.1C/ new construction: DATE: �'pL N/A: DATE: N/A: DATE:. N/A: DATE: N/A: DATE: N/A: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 Temp Permit No.: TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-05-074 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST #113 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date:3�4 �y Issue Date: Expiration Date Comments: new construction: 044.21.1 C Centerville MA 02632 Owner's Telephone: ' (508) 778-9669 ' REVIEWED BY: 1. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: PLEASE NOTE COMMENTS: DATE: DATE: DATE: DATE: l6 DATE: DATE: N/A: N/A: N/A: N/A: N/A: N/A: [3[�OMF9D AUG n 2 7004 HEALTH DEPT. 2 RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 I MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck software version 2.01 Release 2 CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 5-3-2004 DATE OF PLANS: 05/03/04 TITLE: The Heron 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 = 205 Your Home = 120 I I Permit # I I 1 I I Checked by/Date I I I Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------ CEILINGS 938 30.0 30.0 16 WALLS: wood Frame, 16" O.C. 955 15.0 15.0 42 GLAZING: windows or Doors 68 0.340 23 GLAZING: windows or Doors 40 0.340 14 DOORS 20 0.086 2 FLOORS: over unconditioned Space 938 19.-0 19.0 23 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the Code. The HvAC equipment selected to heat or cool the building shall be no greater ttla 25% of the design load as specified in Sections 780CMR 131Vanft}' 4.4. Builder/Designe Dat S 16 Massachusetts Energy Code MAscheck Software version 2.01 Release 2 .The Heron DATE: 5-3-2004 Bldg.l Dept.l use I CEILINGS: C ] I 1. R-30 + R-30 Comments/Location WALLS: [ ] I 1. Wood Frame, 16" O.C., R-15 + R-15 I comments/Location WINDOWS AND GLASS DOORS: [ ] I 1. u-value: 0.34 For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] 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 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 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. I 2. Type IC rated, in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the 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 I 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 II [I [I II II II II 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 34.4.7.1. 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 780CMR 1310 and 74.4. 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 I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) 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 4, 2004 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) 21.1C113 Street 121 Camp St., #113 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. owner (Sign) Reference Villages at Camp St., LL 1600 Falmouth Rd. Centerville, MA 02632 . . .4 m EFFlgENCY nnnNc CERTIFlED L I _ L I _ ama C V C V Air Conditioning & Heating„TEo ® <sTEo 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GMNT SERIES =..GkEs..GM 23 Description / Application • All models design certified by ITS to be in compliance with ANSI Z21.47 and CAN/CGA 2.3 (Canada) safety standards • Completely assembled, factory run -tested furnace, for heating or combination heating/ cooling application • For utility room, closet, alcove, basement or attic application • Vertical or horizontal venting with 2" PVC for 40k, 60k, and 3" PVC for 80k, 100k and 120k • Capable of multi -position installation — upflow, downflow or horizontal • For direct vent (2 pipe) or non -direct vent (1 pipe) installations Construction • Heavy gauge, reinforced, wrap -around insulated steel cabinet with durable baked enamel finish • Tubular heat exchanger (Primary) • Bottom or side air inlet • Aluminized steel inshot burners • Convenient left or right hand connection for gas, electric service, combustion air and vent • Removable solid bottom block -off Standard Equipment • Energy saving PSC, multi -speed, direct drive blower motors • Quiet operating, sound isolated blower assembly • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Integrated furnace control with diagnostics • Blower door safety switch • Energy saving Hot Surface Ignition system • Multiple flame roll -out switches • Outlet air limit switch • Pressure switch for proof of air • Complies with California NOX Standards • Completely insulated cabinet • Corrosion resistant 294C secondary heat exchanger that extracts energy from the gas and converts it to usable heat • Quiet, corrosion resistant plastic induced blower assembly • Drain kit contains vent screens, drain trap, hoses & clamps Optional Equipment • L.P. Conversion Kit (LPT-01) • Concentric Vent Kit (CVK-00) As an Energy Star Partner, Goodman Mfg. Co., L.P., has determined that this product meets the Energy Star guidelines for energy efficiency Information contained herein is subject to change without notice. Made in the USA by: Goodman Manufacturing Company, L.P. SS-312D 2550 North Loop West, Suite 400 - Houston, Texas 77092 GMNT Series 10/01 www.goodmanmfg.com it - .' PERFORMANCE RATINGS Model Number GMNT Natural Gas Input BTUH Natural Gas Output BTUH Propane Gas Input BTUH Propane Gas Output BTUH DOE AFUE Temp. Rise 0403 40,000 37,00D 37,000 34,000 926 25-55 0603 60,000 55,000 55,000 51,000 92.6 35-65 080-4 80,000 73,500 73,01D0 73,000 92.6 35-65 100-4 100,000 1 92,000 92,000 85,000 92.6 40-70 120.5 120,000 1 110,000 111,000 102,000 92.6 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA 44 G/4 fan !,. r nndw4inn A! r-ryr Model M Number �vMotor Blower Vent* Dia. Combustion* Air Filter Size In Perm. / Disp. Electrical Ship Weight HP Spd. Dia. Width FLA . Max Fuse 0403 1/3 3 10 6 2' 2' 290 / 580 52 15 170 0603 1/3 3 10 6 7 2' 290 / 580 52 15 180 080.4 1/2 3 10 8 3' 3' 3851770 7.8 15 205 100-4 12 3 10 10 3' 3' 385 / 770 7.8 15 225 120-5 314 3 11 10 3' 3' 480 / 960 9.2 15 265 `Note: vent ano COmou50on air alai l lURA s May vat y UVFl ,1IYII 1!j Upul i V o1 Il 1G61yu I. accompany the furnace. 3" 4 3„ 4 13- Model GMNT A B Combustible Floor Base 040-3 & 060-3 14' 12'/:' SBM14 080-4 17 % 16' SBM17 100-4 21' 19 Y; SBM21 120-5 24 % 23' SBM24 128" 0 CLEARANCES FROM COMBUSTIBLE MATERIALS Sides Rear Front' Vent To 1' 0' 3' 0' 1' Approvea Tor fine contact in the nonzornai posinon. *36' clearance for serviceability recommended. SS-312D 2 CASED (U) COIL APPLICATION OPTIONS Fumace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'/' 21' 24'/2 Coil Model Number Coil Width U-18 14• X U-29 14• X U-30 17 i- X (1) X (2) U-31 14' X U-32 17'G' X (1) X (2) U-35 14' X U-36 17'W X(1) X(2) U-42 17'/' X(1) X(2) U-47 17'/' X U-49 21' X(1) X(2) U-59 21' X(1) X(2) U-60 24Y2* X(1) X(2) U-61 24'/i X(1) X(2) U-62 21' X (1) X (2) (1) - Using the factory installed bottom cabinet tiller plates (2) Discard bottom cabinet filler plates Due to the rating mix/match of various coils with outdoor units it is important to match the furnace air flow for the total system capacity. Refer to furnace, heat pump and/or condensing unit specification sheets. AIRFLOW DATA r^FM _ NO FILTERS MODEL STATIC .1 .2 .3 .4L140 .6 .7 .8 HI 1370 1315 1260 1200 1070 1000 925 GMNT MED 1210 1170 1130 1085 980 920 860 040-3LOW 895 880 870 840 780 725 680 HI 1360 1300 1250 1190 1135 1065 1000 930 GMNT MED 1200 1170 1130 1080 1035 975 925 880 060-3 LOW 910 895 885 855 835 790 750 700 HI 1865 1800 1735 1660 1590 1510 1415 1320 GMNT MED 1690 1645 1600 1545 1485 1410 1345 1245 080-4 LOW 1450 1400 1 1390 1360 1325 1270 1200 1125 HI 2010 1945 1875 1800 1715 1620 1510 1400 GMNT MED 1725 1700 1670 1615 1550 1 1475 1375 1275 100-4 LOW 1430 1390 1350 1315 1285 1245 1160 1070 HI 2360 2325 2300 2170 2125 2045 1945 1850 GMNT MED 1815 1750 1710 1660 1600 1545 1480 1415 120-5 LOW 1275 1215 1 1190 1145 1110 1055 985 925 Values indicated by shaded areas represent aimows uiat dic iw wVn 1U1 ncaui iy LUMF www SS-312D 3 NOTE: SPECIFICATIONS AND PERFORMANCE DATA LISTED HEREIN ARE SUBJECT TO CHANGE WITHOUT NOTICE Quality Makes the Difference! All of our systems are designed and manufactured with the same high quality standards regardless of size or efficiency. Our designs virtually eliminate the most frequent causes of product failure. They are simple to service and forgiving to operate. We use the highest quality materials and components available because N a part fails then the unit fails. Finally, every unit is run tested before it leaves the factory. That's why we know... There's No Better Quality. Visit our web site at www.eoodmanmfe.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor. Programs and Training • Financing Options SS-312D 4. tibbetts enginEfa-ing carp_ r , CONSULTING ENGINEERS 716 County Street, TwmtoaMA02790 Tel. (502) 922-6934 Fat. (SOS) 880-78tt Report-ofAggregate-Wet Sieve-AnaPpia (ASTWC't36}-- �l3 Client;._ Gatewood Homes Job No. 10980.010 1600 Falmouth Road, Suite 25 Date: 05V7X2 Centerville, MA 02632 Report No.: MA2126B Project: Material: Location: Specifications: Pond Onsite Stockpile Sampled By: P. Fagundes . Date Sampled: 5002 Tested By: M. White Date Tested: 5/7/02 ANALYSIS RESULTS Sample M.(g) = 1951.66 Sieve Size Weight Retained_ % Retained % Passing Specification Gradation Limits (Grams) Min. - Max. 11nch 1/21nch 0.00 27.20 0.0 1.4 100.0 98.6 No.4 31.08 1.6 97.0 FI No.10 45.97 2.4 94.7 EP 2 8 2004 L No.20 285.35 14.6 80.0 No. 40 773.28 39.6 40.4 0UID;-NG- D2-PT. No.50 364.90 18.7 21.7 No.100 346.46 17.8 4.0 No.200 45.87 2.4 1.6 Pan 31.55 1.6 Remarks:... M_ White. - Walter P. Galuska Laboratory Technician Laboratory Supervisor 1,4 TIBBETTS ENGINEERING CORPj Grdph bf Siev6 Analysis Resulis Usina AASHTO T27 & T11 100 90 SO 70 60 50 40 30 20 10 0 .01 .1 Job No. 103801010 Mill Porid Villagb Report No. MA2126B Date: 5/07/02 1 10 100 Grdin Size in Millimeters i r oN ,D✓470/J �av�S GATEWO0 D —lei O M E S= Rick Howe 1600 Falmouth Road, Suite 25 p/508-778.9669 Centerville, MA 02632 f/508-778-5603 ispalt@bellatlantic.net 508- �1 tCCtbb(=�-enghGerqn-9c:c,,p. CONSUL-TING `S7GINi�S 716 Co�IY Steet;. s alzit0l� MA4 02780 TeL (508) 822-6934 Fal (508) 880- E-Marl— ��@tiobetis�,�" eyxiae_wm l /j TECANTCTAN'C DAI Y REPORT OF CONSIRROWN PROJECT: Mill Pond Village DATE: 9/16/04 W. Yarmouth, MA CLIENT: Gatewood Homes JOB NO.: 10980.010 CONTRACTOR: Client FIELD TIME/TRAVEL TIME: EOUIPMENT WORKING: None 5 hours MEN WORKING: Rick Howe oqEEjj od Homes WORK PERFORMED: In accordance with a request from the client, I arrived at the referenced job site at 11:45 'Am to perform soil compaction tests. Upon my arrival I met with Rick Howe of Gatewood Homes who informed me that he needed compaction.testing-orr-_lotr-1-13-to-r- 2-noted that the test ai eas were prevrous v comps ed with -a vibratory pla eta` I performed a total of four compaction tests. Qnne-test--'ailed--on:lot-#=1-14-A.retesL-wasr taken-after_re-compaction 41"ther--tests-passed--the.mini um- o-compa ion -actor mgto industry standard. See attached report for further detailed test information. Once testing was finished I packed up my equipment and left the job site. Paul Fa2undes Lab Technician I�) E � pC I.� SEP 27�2004 CUU/,� 4 h F ; � i bbrt#s ��ZZ f �'4 k [ t�dJ.-L ringinriering carp. 4t CONSULTING ENGINEERS 716 County Street Tauaton]WA02780 Tel. (509) 822-6934Fex. (508) 880-7811 FieldDensity Test Report - Sand Cone Method (ASTM D1556) Client: Gatewood Homes Job No. 10980.010 1600 Falmouth Road, Suite 25 Centerville, MA 02632 Date 9/16/2004 Project: Mill Pond Village Test No. Location of Field Density Test FD4260A Lot # 113-Footing Base -Center -Sand FD4260B Lot # 114-Footing Base -Center -Sand FD4260C Lot # 114-Footing Base-Z Left of Center -Sand FD4260D Lot # 115-Footing Base- Center -Sand Report # #2 P. � r SEP Tabulation Field Density Test Results Date: Test No. Proctor I.D. Req. % Obtained Meets Moisture Dry M Max Dry Optimum Compt Compaction Specs. Content P.C.F. Wt. PCF Moisture 9/16/2004 i 3 FD4260A 'PR4252E 95 195's Yes 6.5 119.9 125.4 8.2 6f2004 //� FD4260B r.,16,../,, PR4252 95 No 6.4 118.2 125.4 8.2 FD4260C PR4252E 95 96.9 Yes 5.7 121.5 125.4 8.2 9/16/2004 /I j FD4260D PR4252E 95 100= Yes 7.9 126.4 125.4 8.2 Remarks: All test areas met the specified minimum compaction of 95%. ��! �.✓ Paul Faaundes WalterP. Galuska Laboratory Technician Laboratory Supervisor FlA��Y W� kjv LOT 112 Oil N EXISTING 24.1' N CO FOUNDATION (0. ,C n 3 � _ 2 2s ., to F "' o / 2 'o LOT 11312.2-4 1 - i 1 6. 6. LOT 114 t S81-47'10SSW I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN. AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE —0 B7SP�ECIAL PERMIT. DATE REGISTERED PRO ESSIONAL LAND SURVEYOR NOTICE Unless and until such time as the original (red) stamp of the ,E—.iarslh!e Prcfesslonnl Engineer, or Professional Land Surveyor :: C:".rs on this plan! (A.) no person or persons, including any municipal or other P:d':ic officials, may rely upon the information contained herein; and (U) this plan remains the property of Holmes do McGrath, Inc. P" 13 EXISTING I FOUNDATION 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 RIOT A SPECIAL FLOOD HAZARD A E / DATE REGISTERED PROFESSIONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) I inch = 20 it N holmes and mcgrath, inc. •.0 OF LOT 113 civil engineers and land surveyors r��' °F A'ssyr~', 362 gifford street ' o�'� w1cHt�L MILL POND VILLAGE a. IN falmouth, ma. 02540 MCGRATH �E Na 2SW8 YARMOUTH, MA JOB NO: 201197 DRAWN: LMC\�F e SCALE: 1 "=20' DATE: 10-18-04 DWG. NO.: A2535A CHECKED,AyL .g4.aI L �Y v I 112 i S.F. 20 10 ^� pROp Qt �SEFp. RN ^; Gw \ 2S 0 ,S p PROPO C"aSE FF ` NJ GW , is LOT 113 59732 S.F. 71.93' S8147 10 W GRAPHIC SCALE 20 5' �12' w K6.3-1 •LOT 114 13, 753 S.F. AFFORDABLE L'249. PROPOSED HOUSE (OSPREY) GW = 150 Ulu n OFF NOTE: y�� ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE Le WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. 0 patio S HOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: ( IN FEET) (A) no person or persons. Including any municipal or other . public officials, may rely upon the Information contained herein; and 1 inch = 20 ft. (8) this plan remains the property of Holmes & McGrath. Inc. REVISED: 3-8-04 PLOT PLAN holmes and mcgrath, inc. 'gA OF 41�ss� OF LOT 113 civil engineers and land surveyors 2) PREPARED FOR TIMOTHYfd. 362 gifford street SAYTOS MILL POND VILLAGE U tvo.45078 n IN falmouth, ma. 02540 CIVI a 9�F F�/STEP YARMOUTH, MA JOB NO: 201197 DRAWN: LMC FS SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2535 CHECKED:?iYC .� M� "Y?q � yOUSFFO FF �RN� cw , 2s 1s 0 112 i S. F. r4j i0 00 .FIV N' _h ^ 2 ^ P� USE D MERoN FF , ) Gw 27.0 15 LOT 113 5,732 S.F. 71 S81.47' 10 GRAPHIC SCALE 20 10 0 20 !;PROPOSED HOUSE (OSPREY) FF = 29 0 GW = 15 L12' 6.3' LOT 114 13,753 S.F. AFFORDABLE 1 i,d1CHAEL `y✓� S NOTE: B. t!,oCiWH y;� SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE -�- WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 60 sy 0 CE Unless and until such time as the original (red) stamp of the En responsible Professional Engineer, or Professional Land Surveyor appears on this plan: ( IN FEET) (A) no person or persons. Including any municipal or other . public officials, may rely upon the information contained herein; and i inch = 20 ft. (B) this plan remains the property of Holmes do McGrath, Inc. REVISED: 3-8-04 PLOT PLAN holmes rind mcgrath, inc. OF LOT 113 civil engineers and land surveyors �.a�P`jH OF 41gss9oti PREPARED FOR 362 gifford street TIMOTHYM, u' MILL POND VILLAGE SANTOS IN falmouth, ma. 02540 8 No.asma y CIVIL a YARMOUTH, MA JOB No: 201197 DRAWN: LMC P°� �S�'S EPNo•�`� SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2535 CHECKED:�jrQ or _ s-- .0 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. G SOS ` �p19 Occupancy and Fee Che " �tl r7 BOARD OF FIRE PREVENTION REGULATIONS . 1L94] veblank ���' 1 h APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK' 61AY h u Aa walcto be performed in accorducee withthe Massachusetts Electrical Cede (MEC), 527 CM R 12. 0 2005 (PLEASE PRIAT IYEX OR TYPEALL XFORMATl0119 Date: S" � %5 _ OL City or Town of: YARM UTH To the Inspector of Wires By this application the undersigned gives notice of his or her intention to pe�orm the electrical work descn3� r Location (Street & Number) MILL POND VILLAGE, 121 CaW St Bldg # Owner or Tenant Gatewood Homes/ Jeff Sollows Telephone No.508-7789669 Owner's Address 1600 Falttauth Rd., Suite 25, Centerville, Ma. 0263.2 Is this permit in conjunction with a budding permit? Yes X❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woric Fite Alarm System (low voltage control panel) with backi= battery centrall�r monitorect 11sm"Ietieit of the fallewin -table may bL iaame?f by the Lctneetar nfW&rs No. of Recessed Fixtures No. of Ceilsu sP• (Paddle) Fans o: of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool d e . ❑ d. Battery Uniittssemcy g No. of Receptacle Outlets No. of Oil Earners FIRE.AT•ARMS No. of Zones -1- No. of Switches No. of Gas Burners o. or Detection.an 7 Initiating Devices No. of Ranges No. of Air Cond. Tans No. of Alerting Devices No. of Waste Disposers Tote um er ors of Dettion/Aloertia Devices 7 No. of Dishwashers Space/Area Heating KW Local E n=iau ® Other No. of Dryers .. Heating Appliances KW pm0 ecuri stems: or Equivalent o. of Water KW o. o o. o Data Wiring; Heaters Si Ballasts No. of Devices or Equivalent Na H dromassa a Bathtubs y g No. of Motors Total HP Telecommunications ofDev ces o it ivil No. of Devices or E uivalent OTSER: - Attach additional detail tjdesired, or as regWred by theMspeetor of -Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" .coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CBECK ONE: INSURANCE ® BOND p OTFIER 0 (Specify:) (Expuatron to Estimated Value of Electrical Work- $750.00 (When required by municipal policy.) Work to Start $" (4 0.5— Inspections to be requested in accordance with hMC Rule 10, and upon completion I ca*, under the pains and penalties of perjury, that th a information on this application is true and complete FIRMNAME: Baltic Security, Inc LIC.NO.: 1178C Licensee: Jonas R Bielkevicius Signature _F - LIC. NO.: 499D (IfalpHmb14 enter "exempt"in the Ucouenwnke .lute) 02563 Bus. TeL No.. 508-833-0996 Address: PO 'Box .1609 Sa?idw c , 1 Alt. Tel No.; 508508� 776- 347 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 aged Owner/Agent PERMIT FEE: $ 40.00. Signature Telephone No. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (OFFICE USE ONLY) TOWN d�FYARMO�JT By MAY 1 t- 005 Fee: $ PERMIT NO. E-05 — - Y1 �1� 10�7 (PLEASE PRINT IN INK OR TYPYATTN�Fb To the Inspector of Wires: By this application the ul work described below. Location (Street & Number) 1a Owner or T— Date: Med gives notice of his or her inte 11170/// v/)"l / / 3 to perform the electrical Telephone No. 3 69 7211` 7Cd9 cn;f� Owner's Address & /l ��?,� ,eZj 1VZ'G ,���P� Is this permit in conjunction with a building permit? 01 Yes O No (Check Appropriate` Box) Purpose of Building �ifit/ �i q? Utility Authorization No. 6 L�G� �? � U Existing Service Amps / Volts Overhead0 Undgrd O No. of Meters New Service / 6'-J Amp mil/ / Volts OverheadO Undgrd No. of Meters Number of Feeders and L Location and Nature of Proposed electrical Work:��i U U Cmmnlation nftho Mllnwino tnhla mmr ha wnivoi% 6v tho In cnortnr nfn..oe Alfto. of Recessed Fixtures d No. of Ceil.-Sus . Paddle Fans No. of Total Transformers KVA No. of Lighting Outlets 2 No. of Hot Tubs Generators KVA No. of Lighting Fixtures / 2. Above I rnd. Swimming Pool md. O Lighting f Units Battery No. of Receptacle Outlets 3 / No. of Oil Burners FIRE ALARMS No. of Zones No, of Switches L Q No. of Gas Burners � o. o Detection De an Initiating Devices No. of Ranges No. of Air Cond. o Total Tons No. of Alerting Devices No. of Waste Disposers Q eat Omp aall Num er ons K_ _ No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municip Local ❑ Connectioal n O Other No. of Dryers Heating Appliances KW Secutity Systems: No. of Devtces or Equilivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP ations iri TelecommunicNo. of Devices or Wng: uivalent 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 ftpermit issuing office. f % _ CHECK ONE: INSURANCE BOND [] OTHER[] (Specify:) ZlJ ,f jC f se:z �Y D (Expiration Date) Estimated Value of MCC Wor(When required by municipal policy.) Work to Start: s 1li Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under th ns and penalties of perjury, that the information on this application is true and complete. ��3 srNAME: ? p �h d %t I LIC. NO. �' see: CY.-� Signature LIC. NO. (If applicable, enter "exempt" in the isyps number line. �, Bus. Tel. No.: 5, kk - /I �G Address, /r/. /� tt /C ��%' �///1��'� 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 [Rev. 04/00] TOWN OF YARMOUTH �11 UM T APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By ;Fee: $ (r� n G PERMIT NO. I'' 05 — ✓�( . Date sue^ ,�_---------- I ' Building n�/ "l Owner's - AT Location Name CA 7T Type of Occupancy New Renovation ❑ Replacement ❑ Plnnc CI lhmittari YES ❑ No ❑ Z Co Z H > &i U Ujj N co J to a °� s F Z o Z C7 z cn z a Z to r w cc rn a Cl) a a 3 x tJi Z¢ m w w tW- a) z a ¢ to Z aac a 2 o LL LL W O OZ f j a M 0 z a w x txr wW a CnQ° o o co a a ¢ o F 0 o C.) a rC m 1q G 0 J 2 F- fn LL C7 7 0 Q m 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: Installing Company Name ❑ Corp. Address 2� ❑ Partnership ftz 8'L ❑ Firm/Company Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirem>9t. e C Signature of Owneror 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. Type: Master El Journeyman 2