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Home My WebLink About121 Camp St #114 Building PermitsY,a9�oy TOWN OF YARMOUTH WTfACMEFSE APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By Fee: PERMIT NO. a's Date Building ' 2. I CAM? AT: Location CS r �, oT 14 - New 1Y Plans Submitted Renovation ❑ Yes ❑ No E' Replacement ❑ Name Type of Occupancy ;!Foj 2f / lW to Y W rA �I W 0 0 S W J Cr >• m I_ z Z m y ¢ f.. W Q w 0 z 0 O ¢> Z w Q w t7 0 W = W Q¢ a w Lj 46 rn W W Q Nw.l W J Z Q¢ Q= t= ¢ ~} to ¢ cn ¢ m W z O p= w Z V W J O N y= W Z a W>¢ w z Q¢ a 0 0 0 W E 0 w F- = = 0 0 X n LL. M 0 0 -j L) Cr > a 0. 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR Ed+ 3RD FLOOR (PRINT OR TYPE) Installing Company Name ucTS" /�/�1 t-n ITE17 Address 19 C HA-S E 15 +4 pq N1V1S MA © 2- &a 1 Business Telephone SD F4 -7 3 7 — 3 6 9 q Name of Licensed Plumber or r ':�: 4D N CID Check One: ❑ Corp. ❑ Partnership INSURANCE COVERAGE: Check One i have a current liability insurance policy or its substantial equivalent. Yes 0'No ❑ If you have checked yes, please indicate t e type of coverage by checking the appropriate box. A liability insurance policy Ea Other type of indemnity ❑ JUN 2 3 2005 Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and (dl Signature o Licensed Plumber or Gasfitter ZI S {3' License Number rvoc 1 1rcucF• _. V DR/ VEWA y LOT 113 to:o s, 4"x I V 36.01 I I 5.3 � • EXISTING 24.1' 13.6' =OUNDATION 19.5 6'9 2.0 3• in of id ?I•i I- �I 4710 EXISTING M 00 FOUNDATION ONMot12•2' OT S81' 58-31 I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF� THE 40B SPECIAL PERMIT. DATE REGISTERED PROFESSIONAL LAND SURVEYOR NOTICE Uc;_ss cnd until such time as the original (red) stamp of the lc Frofessioncl Engineer, or Professional Land Surveyor on this plan: (L) no pers,o or persons, including any municipal or other -.i;c ^ft`chtls, may rely upon the information contained herein; and ;) this plan remains the property of Holmes & McGrath, Inc. z L4N E? FOL N�cn s I LOT 115 .r 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 PT A SPE IAL FLOOD HAZARD A DATE REGISTERED PROFESSIONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) 1 inch = 20 ft AS —BUILT PLAN holmes and mcgrath, inc. `�oF 414,S�._ OF LO 114 civil engineers and land surveyors /o�`'��r�ICHAEL`�'z � PREPAR 362 gifford street 'fs a'* CD MILL POND VILLAGE Falmouth, ma. 02540 McCRATH IN a o No. 215578 YARMOUTH, MA JOB NO: 201197 DRAWN: DLNJk., s 9 IST R SCALE: 1 "=20' DATE: 10-18-04 DWG. NO.: A2534A CHECKE 7��jj �i ,H.f OF .� TOWN OFYARMOUTH. BuiiJing Department BUILDING (508) 398-2231 ext.261 = x PERMIT NO _B-05-237 - PERMIT K ISSUE DATE ; _ 8/17/2004 _ ; PROPOSED USE ---------- JOB WEATHER CARD APPLICANT ,Frank Capra ------------ ----------------------------- PERMIT TO ' New Construction ; AT (LOCATION) ZO T C R-25 Bldg. Type: Residential 100121CAMPST#li4 SUBDIVISION MAP LOT BLOCK 044.21.1.C114 BUILDING I T E: ONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction: 3 Baths, 2 bedrooms, 1 familyroom/diningroom, 1 kitchen, 1 livingroom as per REMARKS plans dated 08/05104. AREA (SO FT) EST COST ($ 1$154,080.00 FtHM1 I t-tt ta) I4,v.vu I OWNER Villages at Camp St., LLC ILDING DEPT BY ADDRESS 11600 Falmouth Road #25 - Centerville MA 02632 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date Cam_ `CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks BUILDING �^ —4✓� 7 PLUMBING/GAS PA ELECTRICAL ENGINEERING OTHER ZCW ✓livc� S �.S mil' / / 10 DO TIIIOU In Dy UdUlI YIV1J1VI I nmwLW, uv—.....q.....— ... -. __ FA 5 01 OF t. TOWN OF YARMOUTH. • Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO ::B=o5-23� _ - _ __ - _ -_ -_ -_ PERMIT _B-0 - 37 k ISSUE DATE : _ 8/17/2004 _ ; PROPOSED USE _ JOB WEATHER CARD APPLICANT -Frank Capra _ PERMIT TO ' New Construction ' AT (LOCATION) 00121CAMP ST # 114 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C114 IS TO BE: CONST TYPEFEB] USE GROUP R-4 LOT SIZE new construction: 3 Baths, 2 bedrooms, 1 familyroNpAningr m, 1 kitchen, 1 livingroom as per REMARKS plans dated 081 AREA (SO FT) EST COST ($ $154,080.00 PERMIT FEE ($) OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road #25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector �'L =zS= Qs D,CI S6.1 g17--jdS F-�P Ft� oF'Y�+R ONE & TWO FAMILY ONLY - BUILDING PERMIT `C APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING y Town of Yarmouth Building Department „ATTAC„«S 2 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 (_,� / /Zl Office Use Only _ L+ ? Planning Board information Assessors Department tnforrnabon 77 PermdNoZ'�ete� Plan Type Map Lo Lot/ Endorsement Date 4 14 PropertyDrmensions Permit DepOSIfReC'd Date NetDUe' $ Oilier.° pronta a ft tot Coveia e , Lot Area(sf); ', 9 O_ 9 1 t u.z =Tfis Sectiori#or Office Use:Onl" Buildin 'Pe , _ Nu _er ... ;: ,.. ,. :. ;Date=lsstaed. i., .;. Section>i;,-.Site?information' Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: a Zoning District Proposed Use L_o `1 a Src. 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. e. 40. S 54) i 5" Flood Zone Information S Comments Y r Zone Public Private Section 2-` Property Ownership/Authorized'Agent` 2.1 OI nt of Record- f� FlL / /Ov V , N me Mailing Address Ce1,, r V e,Mt7 02 �printk Al I Signature Telephone 2.2 uthourizzed Agent: / , ^ O1� ` 00 t ✓ �(( �G Name nnt) (` p Mailing Address p g, 6 gnature Telephone a Section" 3,7"Construction'Seniices 3.1 Licensed Construction Supervisor. AUG 1 7 2004 Not Applicable ❑ r� License Number By 3a' O •� \� u..Y� O Add l n Expiration Date Expiration Signature Telephone P t 3:2.Reg1stered Horne Iri provement:`Contra Company Name 011l9. Not Applicable1111 License Number Address 6UILDING DEPT. Expiration Date Signature Tel t14l 9- 15-99 1 of 2 OVER Section 4:. WorkeW,`Comperisaflton°InsuranceAffidavit (M.GVec '152 S25C;(6)' 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 .......... New Construction CT I No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: p fy: Brief Description of Proposed Work: ` f v\de- ` Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building O o 2. Electrical Zo 3. Plumbing / Gas 4. Mechanical (HVAC) P y� 5. Fire Protection o 6.Total=(1+2+3+4+5) 7. Total Square Ft. (new houses & additions) I Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) as�owner of the subject property hereby authorize 0 -C (_®. m beh , in all matters elative to work authorized by this building permit ppl'cation. r a- 4 o Signature of Owner Date .►In I to act on , 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 na e Signat of Owner/Agent 9-15-99 2of2 Date ON .IF x TOWN. OF BUILDING YARMOUTH DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: Job Location: _ Owner of Property: 10-1 GLA" n Sf : Construction Supervisor: Address: 1 (.2 00 Licensed Designee: (If other than Supervisor) Name M 2.15 Responsibility of each license holder: UP License No. i)D63—� 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 Ur No ❑ If you have checked y-e—s, please indicate the type coverage by checking the appropriate box. A liability insurance policy al-� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chap 2 of the ss. G I Laws, and that my signature on this permit application waives this requirement. 'tCheck one: Signature o "bMe Agent Owner (Lao"—' Agent Signature: Building Official Approval: The Commonwealth of Massachusetts Department of Industrial Accidents 011lce ollavestlpadiis 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit I am a homeowner performing all work myself. I_am a sole proprietor _r.d ha%e no one working in any capacity I am an employer pro% iding workers' compensation for my employees working on this job. comnanv name: .lddress- city phone M• insurance co. Dolicy 0 IR/I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below "ho ha%e sip: phone Ht insunince c0 policy 0 company name: Failure to secure coversge as required under Section 25A of MGL 152 can lad to the imposition of criminal penalties of a Bose op 10 S1.SOl1A0 and/or. one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Bat of3100.00 a day against me. I undersnnd'that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriBadoa. I do hereby certif} tinder th pains penalties of perjtity that the information provided above is true annd/d :;;It k Signature. 15 . r_ _ /�./�-tC� Date /� �/` r Print name \ —t official use only do not write in this area to be completed by city or town oflleial city or town: YARMOUTQ _ permit/license M [3guilding Department pUcensing Board 0 check if immediate response is required 261 Dseleetmen's once (508) 398-2231 eat. DFlealtb Departmcat contact person: phone o: _ _ nOther A BUILDING TOWN OF Y A R M O U T H ELEcrRICAL GAS 1146 ROUTE 28 SOLTTH YARMOUTH MASSACHUSETTS 02664 4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 PLUMBING 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 thedebris resulting from the proposed work/demolition to be conducted at 1 ;, ` ` . Work Ad resss / r is to be dispose of at the following location: 10(i-�►�N�`"�� `( P g Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Permit No. Date . .•�.-•� ✓iie TOo-iirrrearuvea� a� .'!'[a�ac/uueitd 7{1 BOARD OF BUILDING REGULATIONS 'ILicense: CONSTRUCTION SUPERVISOR Number: CS 012430 s Birthdate: 06116/1940 Expires: 06116/2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN CENTERVILLE. MA 02632 Administrator 00 - 35,000 d enclosed space (MGL C.112 S.60L) to - Masonry only 1 G -1 6 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 A RD� CERTIFICATE OF LIABILITY INSURANCE DATE IMM DD/YYYY, rf DucFR 07/18/03 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 INSURED � ' ' NAIC # Busy Bee, Inc..- INSURER A: Hanover Ins. Company P.O. Box 50 . INSURER B: Safety Insurance Company East Sandwich, MA 02537 INSURERc: Associated Employers Insurance Compa INSURER 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 A NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 'CLAIMS MADE a OCCUR X PD Ded:250 POLICY NUMBER OHN643998501 ' POLICY EFFECTIVE POLICY EXPIRATION MMIDDIYY 06/14/03 - 06/14/04 NDATE LIMITS EACH OCCURRENCE $1000000 DAMAGE TO RENTED MED EXP (Any one person) $300 000 $15 000 PERSONAL d ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY E JC�T LOC GENERAL AGGREGATE S2 000 000 PRODUCTS-COMP/OP AGG $2 OOO 000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 3175394 01/14/03 01/14/04 • . . . - - - ', ...: ... COMBINED SINGLE LIMIT (Ea accident) $ X PW�M) BODILY INJURY $100,000 X X BODILY INJURY. (PWaccd O _ S3OO ,000 PROPERTY DAMAGE (Pe accidwi) AUTO ONLY• FA ACCIDENT 21 OO,000 GARAGE LIABILITY ANY AUTO S ' OTHER THAN EA ACC AUTO ONLY: S EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE ' RETENTION S AGG EACH OCCURRENCE S $ AGGREGATE S S S C WORKERS cOMPENSATIONAND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WCC5002932012003 06/27/03 06/27/04 WC STATU• OTH- s. E.L. EACH ACCIDENT $100 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION —� DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRTrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #30822 tjgz - _44R_— KJS 0 ACORD CORPORATION 1988 ..ram ..t-UJ VY: 14F' r.pl � M CERTIFICATE OF LIABILITY INSURANCE DATEIIlMOWn PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION XCS}SO;. IIIDur&nCe AgenCy, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#8 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ka. 02655 508-420-9011 INSURERS AFFORDING COVERAGE INSURED Casperson Overhead Doors INSURER A• —�3siCi=aLGtHag9 LliL3iDLT.IIr_C12.—. . INSURER 0 BOX 517 INSURER Q East Falmouth, NA 02536 NSURERD NSURER E nnvrn •,..... _ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING- ANY REOVIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO THE THIS CERTIFICATE MAY DE ISSUED OR ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. wSR . T TYPE OF INSURANCE POLICY "BASER OAT C uEFFECTN6 POIJCY EXMR KIN ' /^ GENERAL lu91LNY LDRTE CUMMERCWL OENER4L LUBAJIY n EACH OCCURRENCE f Y•� CLAIMS MADE OCCUR FIR[ DAMAGF. { m• AroI f 5� . Q.! A "P248352 MED EXP (AIW OM pasanl S 05/28/03 OS/28/04 PtASONAL CADY KMRV f GEN'L AGGRETJAI E LIMIT ATTVtS PER GENERAL AGGREGATE f POLICY °,ERA- Loc PRODUCT3. COMPIDP AGO s COO, Q44_. AUTOMOBILE LIASILITT ANY AV I O COMBINED SINGLE LIMIT f lE• •eriOaM) - 4LLOWNCJAUTOg _ SCHEDUIFOAUTOS 20OILY INJURY S WRCD AUTOS IPN palm) NON-0WNED AU70S GODLY MUURY (Pa 4wi i AMAGC (PPROPtAaN ,j s GARAGE LMBAJTY AUTQGNLY_EAACCMENT f _ EA ACC f AUTQ ONLY; EXCn tMBIER'y- AGO f OCCUR CLAIMS MADE EACNOCCURRENCF g AGGREGATE S . OtOVCTIGLE f NETENJ]ON_ WORKERS COMPENSATION AND f EMPLOYERS UAeILTTY � H2- TOgY LIMITS ER 02/23/03_ 02/22/04 A ELEACHACcIDENT f EL. DISEASE • EA EMPLOY i 0, OTHER E.L. DISEASE -PcUCYLBRT f DESCRIPTION OF OPERATpNA1LOCATKIN9/YEHICLEMCLUStONOADDED BY ENOORSEMENOS PEOU6 PROVIpON1 "AL Pff INSURER LETTEq: CANCELLATION Gateway Homes 1600 FAL�outji road- sai-re 2sx Centerville, MA 02632 778 5603 ACORD 2s-S (7t97) DATE THEREOF. THE MSUIN0 INSURER WILL ENDEAVOR TO YAE. 10— DAYS WRITTENN6flOET0-TNE�rERTIFli.Ai6310LDERWUPn ... r.. • _ tea, a0 sNALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KND UPON THE INSVREII, ITS AGENTS Oq 0 ACORD CORPORATION 1988 "'mil xCl,1FILIJIJ -'4-b 554 7272 P.01i01 THIS RIDER. RISK SPECIALISTS ONLY INSIIRANCE AGENCY, INC. AITE F.O.BO% 115 CATAUMET MA 02534-0115 compmy mumA I MONUMENT INSULATION, INC. CDg� 223 COUNTY ROAD ' BOURNE, MA 02-932 COLVANY cNY COWA THIS IS TO CfinTIF1' ___...,...wM<- ^.�%..a r.....; t, ., a.:•'*' , .: r';. ----,w, _ _--'"'^ .- w^-'z,,, THAT THE POLICIES OF WSURANCE "" "" ^ ^ INDICATED. NOTWtTNSTANDING LISTED BELOW NAVE BEEN " CERTIF1CATc' MAY BE ISSUED OR MAY PERT:W�TWe INN�cy� OR CONDITION OF ANY CONTRACT OR OTHER EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. {JMITS SHOWN MAY HAVWE M REDUCE D BY PA DEC �jlld L� TYPCO *SUURANCE POI1LyNUMNEp POUCY p GENERAL a mmM HATE DA77 fiff �°" x CO"BdEAMALmea-- LuAI M ®o A ~~ OWNC" s CONTAACTC" AUTOLlODU UAMUTY ANY A= ALL OWNEDAUMS SO4EDULED AUILS NON'OWNEO AWAWO- I U► BR¢u Fcraw 07NER THAN IAd=: FC WORKM COMPE"AUM ARo 'UAMU?Y & ?CP PRMFV 11 CLI133745 MQIWC 782 61 72 GATEWOOD HOMES,INC 1600 FALMOUTH ROAD 025 CENTERVILLE, MA 02632 508 778-5603 8/23/03 18/23/04 9/5/03 19/5/04 n ADwE FOR THE pOUCy PERIC6 T WITH RESPECT TO WTHIS 13 SUBJECT TO ALL THECTERMS. oomeNED MGLE LUT is 900 mIrPL 11.rMJURr s mw s s s ANOU.D `^.u..Y/ AJIP OF Die AOpYE Dcaoasm PoupEs x:^•:..«.:' DRIIMTtoN DATE TN DE eANeELItn mAPOAN nw EREOF. MgMUING CONPANY WH1 EMMVCR TO MAX 8DAn MMTfEM DER No"M To THE CEIMMATE HOLM NAN 7WnWmrT. UT F!UCIIRE;TO WyL 711LR i. No= SHALL IOF�� No OBIOAMRI OR U41lIUTY TOTAL p.01 A. CERTIFICATE OF ISCE PRODUCER PaSSaro Leverone & Buckley Insurance Agency Inc P O Box 160 Dennisport, MA 02639 INSURED Patrick K Orcutt dba P & S Concrete 37 Ladys Slipper Lane Mashpee, MA 02649 DATE COMPANIES AFFORDING COVERAGE A A.I.M. Mutual Insurance Co 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 REQUDtEMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED WITH RESPECTTO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L II6IITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN IS SUBJECT TO ALL THE TERMS, TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATI 1. DATE(M%JDD Y) DATE(MM/DD/YY) Mc= GENERAL LIABILITY I OMMERCIAL GENERAL LIABILITY ENERAL AGGREGATE S IMS MADE�C E3w�N:S:;Rv1% PRODUCTSCOMP/OP ACC. S CONTRACTOR'S PROT. PERSONAL & ADV. INJURY S EACH OCCURRENCE S ' FIRE DAMAGE(ArT arc Tim) S ITPOMOBILE LL18II1TY ED. EXPENSE (Any one Person) S NY AUTO COMBINED SINGLE ALL OWNED AUTOS MIT S EDULED AUTOS BODILY INJURY IRED AUTOS - . Person) S NON-0WNEITAUTOS BODILY INJURY GARAGE LABILITY acid it) S CF..S$ LIABILITYPROPERTY DAMAGE S MBRELLA FORM CH OCCURRENCE S THAN UMBRELLA FORM GGREGATE S WORKER'S COMPENSATION AND EMPLOYERS'L[ABILITY - WCR STATU. XOTH- A THE PROPRIETOR/ 6006181012003 10/71/2003 1021/2004 PARTNERS/EXECUTIVE INCL s •000000 OFFICERS ARE: EX EL DISEASE— I M I [Mrr I S 1 EL DISEASE —EA EMPLOYEE S 1 11M nnn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPII2ATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAII. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE BOLDER NAMED TO THE Gatewoods Homes Lam. BAIT FAII URE TO MAII SUCH NOTICE SHALL DEPOSE NO OBLIGATION OR LLABIIITY OF nxY I�ID UPON THE COMPANY. - TTS AGENTS OR 1600 Falmouth Road REPRESENTATIVES. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE �% ACORD- CERTIFICATE OF LIA$LUTY INSURANCE DATE ItANmunn ryI PRODUCER oaros2Doa JOAO-M-01AS- 508 672 2997 THIS CERTIFICATE IS ISSUED AS A MATTER OF ByFpRM 003 ONLY AND CONFERS NO RIGHT$ UPON 'THE CERTIFICATE OIAS INSURANCE HOLDER: THIS-- CER-FiFaTE DOES. NOI AMEND- FY7'eNQ OR 535 BRAYTON AVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FALL RIVER. MA 02721 INSURED INSURERS AFFORDING COVERAGE IyR�� JOEL FERREIRA DEALMEIDA r1�RERA' GRANITE STATE INSURANCE COMPFJJY WC 494- r)SURER5; NAUTICUU117SURANCE COMPANY- —_-48-85— DBA EJJA COPiSTicUCT10N I 50 PICKEFUNG ST. APT 17 NSURERC;--- FALL RNER, MA 02720 "+SUREROb ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE REMENT. TeRM OR CONDITION OP ANY CCNTRACT OR OTNG JN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED GGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID POUZhymSER ERAL UmuTy _ CDAIMFRCIAL OtT.ERAt vAeoLm• NC27580E CLAIM 3 MAOG OCCUR . I I AUTOMOBILE UASEJTY -- — - ANY AUTO 1 i� J ALLOWNEDAUTC* II SCNEDULEDAVTOS "",QM AVTas . L l NOK,0"CQAUTOs tGARAGN WBILITYAUTOMSNEIU LUl91MTY J OCCUR CLAIMS MADE I —,I OEDUCrame I . i I RETENTION y wOMNERE.COMRENEATION AND EMPLOYERS• LNEWYY WC d$¢$$-$5' ANV DROPME•rORNARTNENIEXGCL7NE O/FICGRAAEMEERa 0E07 GATEWOOD HOMES 1600 FALMOUTH RD. CENTER VILLE. MA 02932 25 (200'1/08) NAMED ABOVE FOR THE POLICY IGNT WITH RESPECT TO WHICH >'SUWE£T TGALL THE -TERMS. I 06(262003 1 06/26/2OD4 tt708/03 1 "Ma/04• TE MAY BE ISSUED OR L C.ONDITIONS Or SUCH Lpars � Is f� .00D'fNfr e- CO~CD &NCLS L:LET (Ea ace em) is 2��)URY I = comy INJURY (rar aacaFDti PROPERTY OAMACcz mwz=Ktmv) i T AUTODRL_.CACCIoaI t OYNERTHAN PAS_ LC AUTOONLY: T: ENOULDANY OFTNE ABOVE OESCfi6E0 pIS aCCANCCJ:ED'KPWWTRE DATE THEREOF, THE KSUWG MSURER WR1 EIroEAYOR TO MAIL 10 DAYS WRITTEN I' R r' O'TNE'CV"IFMAT{NOtDE*NAMWTO THE LfR, I=tAW.ySM-TO.pQSpmm" NPOSE NO OSMATION OR UA8RJry OF ANT KWO UPON TNC ElSURER, ITS AGENTS OR 4a ^LID . --•..• lu•1j raa 5057900249 GOLDMAN ASSOC 001 AID-.J CERTIFICATE OF LABILITY 9NSUPANCE �a God s Assocum Tuts anEicart3. T�LVAxso 11 i7io3 rsselE�,is a �ILtTTER OF LUFo - 933 rALAI. 3ER�m. INC. ONLY AND HIS CE R3 NO R! HT3 UPON THE CERTIFICATE 933 Fla RD, HOLDER. 7H1$ CFRT9'ICATE DOER NOT AMEND. EXTEND OR EXAM,71S MR 02601 ALTER-THECOYERAGE AFF 6Y.THE PCLxa&S .. ?%ana:SOO-775-6010 €2+:508-790-0249 AFFoftmNa CE NA= a RODNSY TAYANO ;?Rs Zi7iiICF.I?7 CQ 110 HOLDER Lam R'aVWSTARLE X& 02669 P.—Mmm 'OvsIAGsES IAStEtFR E T"EPa.CsCF7t3MA E=MWLC"NIW£EffN:SLiG707FP.PICtAFDNAIlEGA®OVEFORT1RPOLCf ANY RRMAMke T.T.WCpCONCaM OFAMYOQ�i1RACT OROr1ER PERIOD RID[JUFO. aw MAY PElrrAKTNGWCXVWiCe AFF*r W9y?W �=�rwFTmwEsPEcrTowHOiitmcj II wv�Y I861EDaR POLCES.AazrEwlE leafs &ioWNMLr1YVELEEr� IMNIRsARerroAUT►ETRaa.emm sou Ate RiLo®9rPAmQ_4023. OF$ A x�—� Q � AL9172 I 31/21/03 111/zi/0a "0'ri I :I<cT LOC AOp s 200t AUTCLV=LMmLrrr - AM-Ai/ro M1ED S� Lwr ALLOWN nAurm _ A{ROB- MiEDAYT09 6L17tY a . 7L4'►Ow1�AliTO6 YltAJRY ,.otieerq PAMAME 3AAABE LfA9a,irr i �ANYAuTo. ONLY-EAACCOENT A uA9r.RY - I.. AOo i OCCTJt �CUI90yApE s 7E ; PaTan=6s i VwLcrcpWLWumm b727EA34903 TORYLIM 05/03/03 05/03/04 E EA[7vAO s @u'b' e,I. a e+zEAse-EA13MRiM E a ""� � CIiEAiE-POlierL�yrr i GATEf000 .:NouLDAptoP�. aaLec�c oiuETNE>1EaF.TREa�rAaumrMEp ENOE►wRmsui. 10 aATa wwrTVL CAX 500D Hrcm78-56 Lx wnCeaoeae mTefEtgr eOrPAuwEToaoavawvs FAX 5rAlb2X RO uaoee woas�alLtgelaRLlAevtt yVrlaAladITNE R7RA0EiiTi CR 03 2600 FAi�g gpjsX-. CENTERVITTs FA 02632 11 !�/'1 OATM Ll7U 1 I GKr'K A l-i�i4i.�/ CERTIFICATE OF LIABILITY INSURANCE =(MM=MWy"yy •PRODUCER Dowling O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 Gutter Pro Enterprises, Inc. P.O. Box .1197 Plymouth, MA 02362 INSURERS AFFORDING COVERAGE INSURERA: Travelers Insurance Co INSURER B:_ Guard Insurance Groun NAIC # INSURER D: O'vERAVES INSURER E. EEEEEL= THE POLICIES OF INSIIRAAIcr= I IQT n ANYMAY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 01 HER DOCUMENT WITH RESPECT TO WHICOHITHIS CERTIFNCA E MAY BE ISSUED A 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 HgA/E Wn BEEN REDUCED BY PAID CLAIMS.OR A GENERALLWBILITY 1680459H3118TCT03 X COMMERCIAL GENERAL LIABILITY CLAIMS.MADE a OCCUR GENL AGGREGATE LIMIT APPLIES PER POLICY PRO- .LOC . AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY , OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ . B WORKERS COMPENSATION AND GUWC440685 EMPLOYERS' LIABILITY ANY PROPRIETORIPA OFFICER/MEM ERR EXC UDED? ERIEXECUTiVE OTHER DATE MM/D- r 'I urin IION DATE MMOD LIMITS 11/07/03 11/07/04 EACH OCCURRENCE DAMAGE TO RENTED PR I MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRO OVCTS-COMP/OP AGG 1 (Fa acaEentSINGLE LIMIT S BODILY INJURY (Per person) S BODILY INJURY (Peraccident) $ PROPERTY(PerttMentDAMAGE $ AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY. AGG S EACH OCCURRENCE Is AGGREGATE S S S 11/07/03 11/07/04 WC STATU- OTH S F r Clru . r-r.—. .. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSI Operations performed by the named iONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS nsured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #32273 �"UULD 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 FAILURREE To DO SO SDAYS HALL N IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED o ACORD CORPORATION 1988 H-c;vKu�, CERTIFICATE OF LIABILITY INSURANCE oi%ii%2 0 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 414 COUNTY STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NEW BEDFORD, MA 02740 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED. Frank Capra INSURERA Providence Mutual, PO Box 664 INSURERS: OneBeacon West`Hyannisport, MA 02672 INSURER C: Continental Cas.ualty.Co...:.., ._ .. _.. ._... 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 LUTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TN-SR— TN— SR-LT LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFEOCTPIEDATE IM POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR F--j LOC PER: GENL AGGREGATE LIMIT A POLICY JJEC CPPOO53131 00 . 12/13/2002 12/13/2003 EACHoccuRRENCE $ 1.000.000 FIRE DAMAGE (Arty one fire) S 50.00q MED EXP (Any e person) on S 5,00( PERSONAL & ACV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( PRODUCTS-COMP/OP AGO S 29000.000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CBXE4812S • ~�. -. 02/14/2003 ... 02/14/2004 .. _". COMBINED SINGLE LNAIT $ BODILY INJURY S 250,000 X BODILY INJURY (Per accident S 500,000 . PROPERTY DAMAGE. Tw accid" .. S _ 100 .000 GARAGE LIABILITY 'ANY AUTO . .. __ _ '•".•. - . _. _ .._ ... .AUTO.ONLY-EAACCIDENT. S _ OTHER THAN EA ACC AUTO ONLY: AGG. S S EXCESS LIABILITY OCCUR OCWMS MADE DEDUCTIBLE RETENTION $STA ,.. EACH OCCURRENCE S. AGGREGATE S $ S S C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY OTHER 6S59UB863.X751603 03/22/2003 03/22/2004 WRY LIMITS ER EL EACH ACCIDENT S 500,000 E.L. DISEASE -EA EMPLOYEE S 500,000 E.L DISEASE-POUC,YUW Y - SQO OQO DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES(EXCLUSIONS ADDED BY ENDORSEMENTISpECULL PROVISIONS CERTIFICATE HOLDER I Gatewood Homes Inc 1600 Falmouth Road Ste 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAIL 1.0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE(MMlpOryyyy) 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 ALTER THE COVERAGE AGE AFFORDED BY THE POLICIES BELOW. Phone:508-754-1767 Fa.:508-754-1885 INSURED INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Co 22292 INSURER B: Arch Insurance compan Crowell COnstrUction, .Inc. - INSURER C: PO Box 309 So. Dennis MA 02660 INSURER D: COVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OFINSURANCE POLICY NUMBER ...�.....—____ _ GENERAL LIABILITY A X I COMMERCIAL GENERAL LIABILITY I ZHN7007141 CLAIMS MADE XX OCCUR GEN'L AGGREGATE LIMIT APPLIES PER POLICY • JECT I LOG AUTOMOBILE LIABILITY A ANYAUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS WX NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE TRETENTION S B KERS COMPENSATION AND LOYERS' LIABILITY PROPRIETOR/PARTNERIEXECUTNE CERIMEMBER EXCLUDED? -- -Ryes; descrbe andr SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I I Fax #508-778-5603 TE 0S/01/031 05/01/04 LIMITS EACH OCCURRENCE $100000C PREMISES Ea ocmaence $100000 MED EXP (Arty one Penton) $5000 PERSONAL d ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OPAGG $ 2000000 ARN7001142 05/01/03 05/01/04 Es aBIKEDcm EDSINGLE LIMB S (Ea BODILY INJURY (P$1000000 er Pm ) (Pw )RY 151000000 PROPERTY DAMAGE S500000 (Per accidwO AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC S AUTO ONLY: AGG i EACH OCCURRENCE S AGGREGATE t S S S IRWC100 000 TORY LIMITS ER 03/22/03 03/22/04 E.LEACHACCIDENT S EL DISEASE - EA EMPLOYE S E.L. DISEASE. POLICY LIMIT i Gatewood Homes 1600 Falmouth Road Suite 25 Centerville MA 02632 25 BY we CANCELLATION GA'j WC() SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE —LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPONTHE INSllRER ITS AGENTS OR r��Ry CERTIFICATE OF,LIABILITY INSURANCE DA=JMWofVYy,"508-398-b033 FAX SOS-760-1667 0A.l7led - American Insurance Agency LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 Atlantic AveONLYANp CONFERS NO RIGHTS UPON THE CERTIFICATE ALTER THE CoVPRAi-= A DOES NOT AMEND, EXTEND OR So Yarmouth ve 02664 _.._ _ ape o Custom Floors ::7INSURERS AFFORDING COVERAGE NAIC # 762 Falmouth Road NSuRQR^ Arbella Protection Ins Company Hyannis RA 02601 INSGPERe: Hartford INSURER C: INSURER D: INSURER 6: TNC POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO Tye INSURED NAMEDgBOVE FOR THE POLICY PERIOD WDICATEO. N0T4VITHSTANDIN ANY REOUIREMEN7 TERM OR CONDRION OF ANY CONTRACT OR OTHER OOCLMAENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAI e.,0.� •vocn...........__ DCLAIMS. GENERAL LIABILITY rw....MllU1rIUN LIMns 7500000373 12/13/2002 X COMMERCIAL GENERAL LIABILITY= 12/13/2003 EACHOCCURRENCE CLAIMS MADE D OCCUR AMAGE TO RENTED s A MED ExP (A" Y O e P�r6w) f PERSONAL S ACV INJURY f CM AGGREGATEpLRIMOI�TAPPLIES PER GENERAL AGGREGATE' f X POLICY JECT .LOC PRODUCTS -COMP/OF AGG s AUTOMOBILE LIAmU ANYAUTO COUSINED SINGLE LWTT ALL OWNED AUTOB Ise °FAO s SCHEDULED AUTOS BODILY "Amy NWEDAUTOS - f NON -OWNED AUTOS BODILY SLIMY (Pn aMcImt) _ GARAGE LIASrUTY PROPERTY DAMAGE (PCI ACdtlorl0 f ANYAUTO AUTO ONLY -EA ACCIOF,NT s OTHER THAN EA ACC f EXCESSAIMBRELLA LIABILITY - AUTO �Y' AGO i OCCUR Q CLAWS MADE EACH OCCURRENCE s DEDUCTIBLE I I I I� Is RETENTION 3 f WORKFAS CDNPENSATiON AND 08WCCKL1007 OS 25 2003 OS/25/2004 X EMPLOYERS• UABUTY I I WC STATU- OTH. B OFFICERMEMBER exACCLLfty, qWX� E El EACH ACCIDENT s SnAw E.L. DISEASE • G EMPLOYE s SPECIAL PROVISIONS b.,p. OTHER EL DISEASE. Evidence of Insurance for work performed within the Insured's scope of normal operations CANCELI SHOULD ANY OF THEABOVE OWCRIBED POUCM3 BE CANCELLED BEFORE THE EXPIPAPON DATE THEREOF, THE ISSUING NSURER WILL ENOCAVOR TO MAIL 10 DAYS WMTTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEPT, GateWOOd Homes.. BUT FAR LIRE TO MAIL SUCH NOTCE SHALL IMPOSE NO 00LICA7pN OR 1IA01Lm 1600 Falmouth Road Y25 Centerville, PIA 02632 OG ANY KING UPON THEINSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORtZ2p RESENTA 4CORD25(2001/O8) FAX: (508)778-5603 a` ®ACORD CORPORATION 1988 C ERT 2 P.T C A TE O F 2 N S URA N C E ------------ Issue date: 7/22/03 ------------------------------------------------------------------------------- Producer: This certificate is issued as a matter of information only and confers na rig thts upon the certificate holder. This certificate does not amend, SOUTHEASTERN INS AGCY ex ------ end or alter the coverage afforded by the policies below. 641 MAIN ST I- ------------------------------------------- HYANNIS MA 02601 COMPANIES AFFORDING COVERAGE ------_C_o`------------ ------------------------------ ----------- _ Code: Sub -code: _ I Co Ltr A: ARBELLA PROTECTION — -- -- --- Insured: - ----------------------- Co Ltr B: ARBELLA PROTECTION --- ----- ------------------------- - —---------- ----------- ------ RJ BEVILACOUA I -__---_—Co Ltr C_-_ P 0 BOX 628 ---------------------- - - ------------------------ FORESTDALE MA 02644 Co Ltr D: ARBELLA PROTECTION ------------------------------------ --------------------- I Co Ltr E: ""-_"'"-" COVERAGES This is to certif that policies of insurance listed below have been issued to the insured named above for the polio/ pperiod certificaienmayibesissuedgornmaregertefn�ttbaeinsorancedefforded any enpoliciof othedescribeduherelnits rebject to allcthehterms, exclusions, and conditions of such policies. Limits shorn may have been reduced by paid claims. ------------------------------------------------------------------------------------------------------------------------------ Co I I Polio Ltrl Type of Insurance r I - Policy I - ______________—_--__---I- Policy- number -effective-date-►expiration datel----_-- _All _limits -in thousands --- A 16ENERAL LIABILITY I 8500018147 I 7/15/03 I 7/15/04 (General aggregate: 2 000 ( If commercial general liability , Claims made [ J Occur I I I Products-comp/ops aggrey: rner's 8 contractor's Prot Personal/advertising in): I I (Each occurrence: 11000 I Fire damage: 100 -------------------------- (Medical expense: 5 ---------------------------------------------------------------------------------------------------- B IAUTOMOBILE LIABILITY I 86852400001 I 2/21/03 I 2121/04 I An auI (Combined I Alf ownetod autos I Single limit: 250/500 Scheduled autos II I ! Bodily inju y Hired autos i lio erperson):Non-owned autos dily injarr Garage liability I (Per accident): I "I"--- --- j I I - (Property damage: 500 ------------------------ EXCESS LIABILITY------------------------'------------ JJ ( I i Each I J Other than umbrella form Occurrence Aggregate -------------------------� __ _ _ _ D i ------- WORKER'SCCOOMPENSATION-_-_4127103--_ �w-4/27/04----IStatutar 1---------------------------- AND I 9088680403 I EMPLOYERS' LIABILITY I f00 Each accident) I I 500 (Disease policy limit) ---- OTHER ----------------------- 100. Disease -each emplayeel.. -------------------------------------------- ---- I --- --- ------- ----------- ------- ---------_-__-----------! ---- Description of operations/locations/vehicles/restrictions/special items: --�--�-- I —_____------------- CERTIFICATE HOLDER CANCELLATION IShould any of the above described policies be cancelled before the GATEWOOD HOMES expiration date thereof, the issuing companT rill endeavor to 1600 FALMOUTH RD STE 35 I mail 10 days written notice to the certificate holder named to the CENTERVILLE MA 02632 left, bat failure to mail such notice shall impose no obligation or _liability of day kind upon the company, its agents or representatives. ------------------------------ -------------------------------- I Authorized representative: ------------------------------------------------------I JOAN M MARTIN JA 4/89 --------------------------- r LtKTIFICATE OF LIABILITY INSURANCE OATS (MMRID/YyYY)/17103 Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOROMATIION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR n St. PO BOX 1990 ALTER THE COVERAGEAFFORDED BY THEPOLICIES BELOW. 02601 INSURERS AFFORDING COVERAGE Be INSURERA: Travelers Insurance Company NAIL # yside Electrical Contractors, Inc. 372 Yarmouth Road INSURER B: Guard Insurance Group Hyannis, MA 02601 INSURERc. THE POLICIES OF INSURANCE LISTED BECOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER MAY PERTAIN, DOCUMENT INDICATED. NOTWITHSTANDING THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR RI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED TERMS, PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH LTR NSR A TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION GENERAL LIABILITY DATE "'ADD DATE M/D 16801484A82ACOF03 X COMMERCIAL GENERAL LIABILITY 10/05/03 10/05/04 LIMITS EACH OCCURRENCE CLAIMS MADE O OCCUR S1 000 000 DAMAGE TO RENTED $300 000 ' MED EXP (Any one person) $5 000 X OCP PERSONAL &ADV INJURY S1000000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2000000 POLICY ECOT LOC A PRODUCTS - COMPIOR AGG S2 000 000 AUTOMOBILE LIABILITY 18102601W561IND03 ANY AUTO 10/05/03 10/05/04 COMBINEDANGLE LIMIT ALL OWNED AUTOS $1,000 000 , X SCHEDULED AUTOS - X HIRED AUTOS BODILY INJURY (Per Person) $ X NON -OWNED AUTOS BODILY INJURY X Drive Other Car KS . GARAGE LIABILITY PR PERTYDAMAGE ) $ ANYAUTO AUTO ONLY• EA ACCIDENT $ OTHER THAN EA ACC S EXCESSIUMBRELLA UABIUTY AUTO ONLY: AGG $ OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE $ 'DEDUCTIBLE RETENTION S S B WORKERS COMPENSATION AND BAWC436910 EMPLOYERS' LIABILITY 08H 8/03 s 08/18/04 ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDEDT WC STATU- PIRA OTHER DESCRIPTION OF OPERATK)NS /LOCATIONS / VEMCLis /EXCLUSIONS ADDEO BY ENDORME SE Operations performed by the NT/ SPECULL PROVISIONS named Insured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 of 2 #M31942 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURES TO Do So SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FAReTn2n AUTHORIZED 0 ACORD CORPORATION 1988 Tit\A/AI AC VAORAMITL1 Temp Permit No.: Applicant Name: Applicant Phone: Building Location: Owner's Name: Owner's Addres Owner's Telephone: (508) 778-9669 t Y77 REVIEWED BY: ✓1. WATER DEPARTMENT: - DATE: N/A: i/12. ENGINEERING DEPARTMENT: _ DATE: N/A:. 3. CONSERVATION: DATE.' N/A: j,114. HEALTH DEPARTMENT: DATE:, N/A: BUILDING DEPARTMENT: DATE: N/A: 6: FIRE DEPARTMENT: - DATE: NIA: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: �nJ. Old DATE: g9aJ +C Date Printed: 7/30/2004 OF ►� TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-075 Applicant Name: Frank Capra Applicant Phone: Building Location Owner's Name: Owner's Addres 5087789669 00121 CAMP ST # 114 Villages at Camp St., LLC 1600 Falmouth Road #25 . Cneterville 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: 7/20/2004 Issue Date: Expiration Date Comments: new construction: Map/Lot: 044.21 A .C// ZONING APPROVED F-I/ -oy REVIEWED BY: ✓1. WATER DEPARTMENT: DATE: N/A: 1✓2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: j,"4. HEALTH DEPARTMENT: DATE: N/A: V61BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 GA;rt .WOO D =1.1 O M E S = Rick How, 1600 Falmouth Road, Suite 25 p/508-778-966 Centerville, MA 02632 F/508-778.560 ispolt@bellotlontic.net 508- tc >001* fibbEt tom" enginEsIng core_ • i CONSVLiING T NGINRS - ga=ty S`ttect Tuaiton, IM& 02780 TeL (508) 822-6934 Fax (508) 8807 l z E-Mv1— ,-wlu�@tiobKts ngn-,.�,g.com CHNI AN'C R&M EUM (M CONSTRII O_ PROJECT: Mil Pond Village DATE: 9/16/04 W. Yarmouth, MA CLIENT: Gatewood Homes JOB NO.: 10980.010 CONTRACTOR: Client FIELD TIMENRAVEL TIME: EOUIPMENT WORKING • None 5 hours MEN WORKING: Rick Howe of Gatewood Homes ,I;. 'a; I3�' 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 on lots 113 to 115. I noted that the test areas were previously compacted with a vibratory plate. I performed a total of four compaction tests. One test failed on lot # 114. A retest was taken after re -compaction. All other tests passed the minimum 95% compaction according to 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 Faeundes Lab Technician SEP 2 7 2004 ry ,T tibbetts EngimEr ing corp. 716 CountjrStreet Tau:3onMA02780 CONSULTING ENGINEERS Tel. (509) 822-6934 Fax. (508) 990-7811 FietdDensity Test Resort - 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 SEP Tabulation Field Density Test Results Date: Test No. Proctor I.D. Req. % Obtained Meets Moisture DryN Max Dry Op&r un Caret. Canpaction Specs. Content P.C.F. Wt. PCF Moisture 911WZ004 i r 3 FD4260A -PR4252E 95 95.6 Yes 6.5 119.9 125.4 8.2 9/1W004 /Yy FD42608 PR4252 9 No 6.4 118.2 125.4 a2 9/16/2004 / FD4260C PR4252E_ 95 9L9J 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%. ` I= I L el. Paul Faaundes Watter,P. Galuske Laboratory Technician Laboratory Supervisor L! hre a h h %om tibbetts engiheemg Corp- CONSULTING ENGINEERS 716 County Street, TwAttonMA 02720 Tel. (J08) 822.6934 Fax. (308) 880-72tt RepoftofAggfegateWet-SkwwAne is fASTIYF£t36I �l Client:. Gatewood Homes Job No. 10980.010 1600 Falmouth Road, Suite 25 Date: OWM2 Centerville, MA 02632 Report No.: MA21268 Project: /�iq Pond Yrila Material: Location: Onsite Stockpile Specificatlons: Sampled By. P. Fagundes Date Sampled: 5MM Tested By: M. White Date Tested: 5f?/02 __--�-------------:�______- _--- --__ ---------- ANALYSIS RESULTS Sieve Size Weight Retained % Retained °% Passing (Grams) 11nch 0.00 0.0 100.0 1/21nch 27.20 1.4 98.6 No.4 31.08 1.6 97.0 No.10 45.97 2.4 94.7 No.20 285.35 14.6 80.0 No.40 773.28 39.8 40.4 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 -- Walter P. Galuska Laboratory Supervisor Sample Wt.(g) = 1951.86 Specification Gradation Limits Min. - Max. SIP 2 S 2004 3 M-White Laboratory Technician TIBBETTS ENGINEERING CORP. Grdph bf 8iev4 Analysis Results Usina AASWTO T27 & T11 100 90 80 70 60 50 40 30 20 10 0 .01 .1 Job No. 10380.010 Mill Porid Villog� Report No. MA2126B Date: 5/07/02 1 1 10 100 Grdin Size in Millimeters z PROPERTY ADDRESS: ALCULATION FO_ R PERMIT CO: OKI .TERA OF TION ONLY CLOSi OPEN •90 ••• NO �r of p TOWN OF YARMOUTH i Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-075 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 114 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road #25 Cneterville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: (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: 7/20/2004 Issue Date: Expiration Date Comments: new construction: Map/Lot: 044.21.1.0 1. WATER DEPARTMENT: DATE: N/AL 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: „ n A DATE: N/A: 4. HEALTH DEPARTMENT: DATE: d G% N/A:, 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: / �jt L vd r� t RECEIPT OF COPY: SIGNATURE OF APPLICANT: AUG 0 2 2004 DATE: Date Printed: 7/30/2004 u 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) 21.1C114 Street 121 Camp St., #114 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., LLC : 1600 Falmouth Rd. : Centerville, MA 02632 Water Department TOWN OF YARMOUTH � Building Department = Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-075 Applicant Name: Applicant Phone: Building Location Owner's Name: Owner's Addres Frank Capra 5087789669 00121 CAMP ST # 114 Villages at Camp St., LLC 1600 Falmouth Road #25 Cneterville Owner's Telephone: (508) 778-9669 REVIEWED BY: 1.` WATER_DEPARTMENT -' 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: MA 02632 (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: 7/20/2004 Issue Date: Expiration Date PLEASE NOTE SIGNATURE OF APPLICANT: Comments: Map/Lot: 044.21.1.0 new construction: DATE: �� /� N/A: —f — DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: Date Printed: 7/30/2004 <�2j• 1 PHpUSE D HERON Fp r ow r 27.0 LOT 113 5,732 S.F. 7 S fE S NOTESAEELING Leg R=1 05.00 _ Q PROPOSED 4" SEWER LATER z A PR P�SED I 5 , WA Ei SERVICE PROPOSED HOUSE (OSPREY) GW=150 LOT 11.4 13,753 S.F. AFFORDABLE Elm R=45-00 1 =50.08 IZ I , r HOUSE O CA W rn (PLOVER) 29.0 FF = FF=15 CTI 26.7`� LOT 115 3,510 S.F. 62.95' S81'47'10"W 71.93' S81'47'10"v► `t>{ OF M NOTE: p� ilu�il11RE1, CyG i * ® SEWER LATERAL SHALL BE ti SLEEVED IN ACCORDANCE GRAPHIC SCALE ' WITH TITLE V IF WITHIN SiER 1OFT. OF WATER MAIN. 20 10 0 20 "A1 u s NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: - (A) no person or persons, Including any municipal or other IN FEET 1 inch = 20 ft. public officials, may rely upon the Information contained herein; and (8) this plan remains the property of Holmes & McGrath. Inc. REVISED: 3-8-04 PLOT PLAN holmes and mcgrath, inc. OF 61g8S�OY OF LOT 114 PREPARED FOR civil ors engineers and land surveyors g y va�PX�N TISAONTOS MILL POND VILLAGE 362 gifford street "�1 IN falmouth, ma. 02540 IL a YARMOUTH, MA JOB NO: 201197 DRAWN: LMC FSS i0N SCALE: 1 =20 DATE: 5-1-03 DWG. NO.: A2534 CHECKED:—/&c Ole MAscheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck software version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 HEATING SYSTEM TYPE: Other DATE: 4-26-2004 DATE OF PLANS: 04/21/04 TITLE: The osprey PR03ECT INFORMATION: millpond village Camp Street Yarmouth, MA. COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Family, Detached (Non -Electric Resistance) Permit # Checked by/Date Required UA = 288 Your Home = 158 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 740 30.0 30.0 13 WALLS: Wood Frame, 16" O.C. 1700 15.0 15.0 75 GLAZING: windows or Doors 101 0.340 34 GLAZING: Windows or Doors 40 0.340 14 DOORS 40 0.086 3 FLOORS: over unconditioned space 740 19.0 19.0 19 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the -permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design conditions found in the code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310,ad 34.4. Bui 1 der/Designer_vL Date Massachusetts Energy code MAscheck Software version 2.01 Release 2 The osprey DATE: 4-26-2004 Bldg.1 Dept.l use I CEILINGS: [ ] I 1. R-30 + R-30 Comments/Location- WALLS: [ ] I 1. wood Frame, 16" O.C., R-15 + R-15 comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? C ] 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: C ] I 1. U-value: 0.086 comments/Location I FLOORS: [ ] I 1. over unconditioned Space, R-19 I comments/Location AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. when I installed in the building envelope, recessed lighting fixtures j 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 I gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] i Required on the warm -in -winter side of all non -vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating I. ) I. ) I. ) I and cooling equipment and service water heating equipment must be Provided. insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table 74.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HvAc system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 78004R 1310 and 34.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp. Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant PIPE SIZES (in.) TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: C) I Insulate circulating hot water pipes to the following levels (in.): I PIPE SIZES (in.) I NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------- CALL US DIRECT AT: Delivery (508) 477-5868 Sales (508) 477-6575 r' =�ANAMj CONTRACTOR DIVISION CONTRACTOR DIVISION Bowdoin Road, Mashpee, MA 02649 Mailing Address: P.O. Box V, Osterville, MA 02655 SOLD T0: HE 1133MbAIVE MILTON, MA 02186 SHIP TO: MILL POND VILLAGE OSPREY BUILDING FRAMING LUMBER PH#617-698-9383 CALL US DIRECT AT: Toll Free (800) 834-3132 FAX (508) 477-4279 ACCT-PRJ: 13297-M INVOICE #: 0310092428,59 DATE: 10/30/03 TIME: 09:42:28 SALES ID: HAOMI K DELIVERY: 11/28/03 ROUTE: QUOTE 1000-24 PAGE 1 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELLO SIGNS' ITEM QTY U/M DESCRIPTION U-PRC PER NET AMT QUOTE ID: OSPREY ECI EXPIRATION DATE - 11/28/03 PURCHASER: CORMICAN, BRIAN ALL SPL BC FRAMING LUMBER IS BASED ON DIRECT SHIPMENT TO SITE DELIVERY TRUCK MUST HAVE ACCESS TO SITE OR ADDITIONAL CHARGES WILL APPLY !! **MODULE A.1ST FLR - 10/30/03** SPL 829 EACH BC45012 1-3/411-7/8 1.860 EACH 1525.20 33/20' 5/18' 4/16' 2/3' LVL11 106 LNFT.1 3/4"X 11 7/8" LAMINATED BEAM 3.367 LNFT 356.90 4-20'52-10'11-6' SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SOLD 20' LENGTHS ONLY SHOLIS410 2 EACH SIMPS'DEL FACE MNT HNGR 9 1/2" 23.530 EACH 47.06 15/CTN SIUT11 14 EACH 1 3/4 X it 7/8 FACE MOUNT HANG 2.010 EACH 28.14 **MODULE A.1ST FLR TOTAL 82176.50** **MODULE B.2ND FLR - 10/30/03* SPL 894 EACH BC45012 1-3/411-7/8 1.860 EACH 1495.44 33/20' 9/16' LVL11 98 LNFT 1 3/4"X 11 7/8" LAMINATED API s'.367 LNFT 329.97 4-20152-9' SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SHM410 2 EACH 8IMPS DBL FACE MINT HNGR 9 1/2" 23.530 EACH 47.06 15/CTH SIUT11 7 EACH 1 3/4 X 11 7/8 FACE MOUNT HANG 2.010 EACH 14.07 Fax us your orders 24 hours a day US DIRECT AT: ___may dvery (508) 477-5868 CONTRACTOR DIVISION CONTRACTOR DIVISION Sales (508) 477-6575 Bowdoln Road, Mashpee, MA 02649 Mailing Address: P.O. Box V, Osterville, MA 02655 CALL US DIRECT AT: . Toll Free (800) 834-3132 FAX (508) 477-4279 SOLD TO: LAUNIE GROUP, LTD ACCT-PRJ: 13297-M 13 HEATHER DRIVE INVOICE n: 031009242859 , MA 218E 02186 DATE: 10/30/03 TIME: 09:42:28 SHIP TO: MILL POND VILLAGE SALES ID: HADMI Y. OSPREY BUILDING DELIVERY: 11/28/03 FRAMING LUMBER ATE: WOTE PH#617-698-9383 1000-24 PAGE 2 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELLO SIGNS ITEM OTY U/M DESCRIPTION U-PRC PER NET AMT SMIT411.88 1 EACH 3 9/16"X 11 7/8"TOP MCUNT HANG 3.M6 EACH 3.53. **MODULE E.20 FLR TOTAL $2109.27** SUB TOTAL 4285.77 MA 5.000% SALES TAX 214.29 TOTAL 4500.06 Fax us your orders 24 hours a day First Floor 1? • i,.r L.r e. O :lOgM001lvmm ....................._......... ............................................................................................ 0 5 ��- FhN ow . Aeaawry BoAWuN M�Ik 4NnuNElufM Produol m NI 7 �l1�..PTM M. Ig1p/10 S4tI NNM �V-4n�Im4wM W 114 w. lb M. IIIII/ N4.11-I.. N 1��CNhM4M "VAI 11)T.G 4M 1rmam Second Floor Framing Plan �r f..+e ow.� tmamw ae� wn So=W Flom FNmin BahfduN. NWO" 4ed Mark WIDOWPDMlfngth 1 i, II iTW04MV Nr , �e II l iT epf Nh Of N'.111TVIRIPAU"31Nfr fI e , 1T.I/iarmsaN1NN fr e n N i m SIR Yw�Yw Mum YIyw.Ylewrw�..�.YMr IM pj; Lul6YMOa1r.1pri1W17]a W One Id xaE a1NY aulq "paaal l I?wMEwn M xlal aCIMll".1d IpNnI IQ �-"RTf US, red gp /Mr.��wrrr�rwr u BOISE-. BC CALCO 20 D S1CT L , US Thursday, October 30, 2003 08:1, Single 11 718" BCI® 460s SP File Name: Tutorial Proto-2: Floor 1U 14 Job Name: Nil Pond -Osprey Bldg. Description: Address: 1600 Falmouth Rd. Unit 25 Specifier. Rick Lowe City, State, Zip: Centerville, Ma. Designer. Customer. Lounie CompaW_ ,Botella m ac. Code reports: NER 594, ICBO 5208 MISIX oV' r uc 81, 3-12' 387 Ibs U.97 Ibs DL 387 Ibs U. 97lbs DL General Data Version: US Imperial Member Type: Joist Number of Spans: 1 Left Cantilever. No Right Cantilever No Slope: 0112 OC Spacing: 12" Repetitive: Yes Construction Type: Glued Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCI®, SC RIM BOARD"', BC OSB RIM BOARDTM, BOISE GLULAMw, VERSA -LAM®, VERSA -RIM, VERSA -RIM PLUS®, VERSA-STRANDn', VERSA-STUDG, ALLJOISTO and AJSr" are trademarks of Boise Cascade Corporation. Total Horizontal Length - 1940 Load Summary ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf. Area Left 00-00-00 19404-00 live 40 psf 12" 100% Dead 10 psf 12- 90% Controls Summary Control Type Value %Allowable, Duration-- Load Case Span Location Moment 2335 ft4bs 56210 100gt�'- 2 1 - Internal Neg. Moment 0 ft-Ibs Was, 100% End Reaction 483 Ibs 33.3% 100% 2 1 -Left Total.Load Defl. L/519 (0.44n 462% 2 1 Live Load Dail. L/649 (0.357-) 73.9% 2 1 Max Deft. 0.447- 44.7% 2 1 Span / Depth 19.5 n/a 1 Notes Design meets Code minimum (L240) Total load deflection criteria. Design meets User specified (U480) Live bad deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 3-120. Minimum bearing length for 81 is 3.12'. Entered/Displayed Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing . /SON.SE- Single 11 7/81' BCI® 450s Sp Job Name: NMI Pond -Osprey Bldg. Address: 1600 Falmouth Rd. Unit 25 City, State, Zip: Centerville, Ma. Customer. Launie Code reports: NER 594, ICBO 5208 it/ ros UL General Data Version: US Imperial Member Type: Joist Number of Spans: 1 Left Cantilever. No Right Cantilever. No Slope: 0/12 OC Spacing: 12- Repetitive: Yes Construction Type: Glued Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 Psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a Particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood Products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if You have any questions, please call (800)232-0788 before beginning Product installation. BC CALC®, BC FRAMER®, BCI0 BC RIM BOARDT"', BC OSB RIM BOARD7"'BOISE GLULAMTM VERSA -LAM®, Vi_RSA-R►I0 , VERSA -RIM PLUS®, VERSASTRANDTm VERSASTUDO. ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. gage 1 of 1 BC CALC® 2003 DESIGN REPORT - US Thursday, October 30, 2003 o8:1 FileName: Tutorial Proto -2: Floor 2U 20 Description: — specifier. Rick Lowe Designer. Company: Botello Lumber Co. Inc. Misc: Total Horizontal L Load Summary ID Description Load Type Ref. S Standard Load Unf. Area Left Controls Summary Control Type Value Moment 2335f-4bs Neg. Moment 0 ft-ibs End Reaction 483 lbs Total Load Defl. L/519 (0.447") Live Load Dell. L/649 (0.35n Max Deft. 0.447- Span / Depth 19.5 B1, 1-3/4- 387 lbs LL 97 lbs DL Ith - 19-04-00 - Start 00-00-00 End Type 19-04-00 Lie Value OCS Dur. Dead 40 10I� 12' 100% 120 90% % Allowable Duration 56•2% Load Case Span Location n/a 100% 1000A 2 1-Internal 40.3% 462% 100% 2 1- Left 73.9% 1 44.70A 2 1 n/a 2 1 Notes ' 1 Design meets Code minimum (L 240) Total load deflection criteria. Design meets User specified (1-1480) Live load deflection criteria. Design meets arbitrary (1' Matdmum load deflection criteria. Minimum bearing length for So is 1-3/4-. Minimum bearing length for B7 is 1_3/4-. Entered/Di-Played Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing A m EFFlCIENCY ORACERREED L II ■■ L I ■ ama E V \ V Air Conditioning & Heating 92.6% AFUE MULTI -POSITION CONDENSING GASFURNACE GMNT SERIES UN x� WAkR��'`d$� S•N61EE�RfIISMi%IR1A1i1t 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 ik 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.eoodmamnfg.com PERFORMANCE RATINGS PW Model Number GMNT Natural Gas Input BTUH Natural Gas Output BTUH Propane Gas Input BTUH Propane Gas Output BTUH DOE AFUE I Temp. Rise 040-3 40,000 37,000 37,000 34,000 92.6 25-55 0503 60,000 55,000 55,000 51,000 92.6 35-65 080-4 80,000 73,500 73,000 73,000 926 35-65 100-4 100,000 1 iTciE—i 92,000 85,000 926 40-70 120.5 120,000 1 110,000 1 111,000 1 102,000 92.6 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA Model Number Motor Blower Vent' Dia. Combustion' Air Filter Size Ind Perm. / Disp. Electrical Ship Weight HP Spd. Dia. Width FlA Max Fuse 0403 1/3 3 10 6 Y 2' 290 / 580 52 15 170 060-3 113 3 10 6 2' 2' 2901580 52 15 180 080-4 1/2 3 10 8 3' 3' 385 / 770 7.8 15 205 100-4 1/2 3 10 10 3' 3' 385 / 770 1 7.8 15 225 120-5 3/4 3 11-1 10 3' 3' 480 / 960 92 15 265 -Note: Vent ano Combubtion tin uidmutGls play Valy UCVJ JJUJJI, UFVu VcIK ...... .. accompany the furnace. 28„ A 58� 4„ fig$..--��{{ 6" 6 47„ 4T 4 8 3 COMB. AIR INLET COMB. AIR INLET 128 GAS INLET 5 4 o'� 27" " LOW VOLTAGE ELEC. Il44 1$" Model GMNT A B Combustible Floor Base 0403 & 060-3 14' 12V2, SBM14 0804 17% 16' SBM17 1OD-4 21' 19IN SBM21 1205 24 % 23' SBM24 SS-312D GAS INLET ' `LOW VOLTAGE ' 8 1 ! ELEC. CLEARANCES FROM COMBUSTIBLE MATERIALS Sides Rear Front` Vent Top 1' 0' 3' 0' 1' Approved for line contact in the horizontal position. •36' clearance for serviceability recommended. 2 CASED (U) COIL APPLICATION OPTIONS Furnace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17 Y: 21' 24'/7 Coil Model Number Coil Width U-18 14' X U-29 14' X U30 17'/i X (1) X (2) U-31 14' X U-32 17'N X (1) X (2) U-35 W X U-36 17'/:' X (1) X (2) U-42 17'W X (1) X (2) U47 17'/2 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'/s X(1) X(2) U-62 21' X(1) X(2) (1) Using the factory installed bottom cabinet filler 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 CFM - NO FILTERS MODEL STATIC .1 .2 .3 .4 .5 .6 .7 .8 HI 1370 1315 1260 1200 1140 1070 1000 925 GMNT MED 1210 1170 1130 1085 1040 980 920 860 040-3 LOW 895 880 870 840 825 780 725 680 HI 1360 1300 1250 1190 1135 1065 1000 930 GMNT 060-3 MED 1200 1170 1130 1080 1035 975 925 880 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 1390 1360 1325 1270 1200 1125 HI 2010 1945 1875 1800 1715 1620 1510 1400 GMNT MED 1725 1700 1670 1615 1550 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 16 11545 1480 1415 120-5 LOW 1275 1215 1190 1145 1110 1 1055 985 925 Values indicated by shaded areas represent airflows that are too low for heating temperature rise. 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 if a part fails then the unit fails. Finally, every unit is run tested before it leaves the factory. Thafs why we know... There's No Better Quality. Visit our web site at www.goodmamnfe.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4. O R=105.00 L 121 71 „ so S&E S�F S 8" SDR-35 45 L.F. OTE C PROPOSED 4" SEWER LATERAL _49 R=1 45.00 I M� 8i L--50.08 w '36 PR PSED I PROPOS s' . WA E SERVICE `v HOUSE D (HERON 9. 14' FF - ) io 7' r 12 Ow - 27.0 N / m 15 i 3 20' PROPOSED 2g �I IZ HOUSE o 2 p PROPOSED O rn (PLOVER) 2 00• �! HOUSE r« O).W 9.0 „y ro (OSPREY) NIIA FF = 15 Co. GW 15 6.3' w_ LOT 113 F -12' . e I LOT 115 3 5,732 S.F. 6.3• = 19.5•. 39510 S.F. 62.95' LOT 114 I 13,753 S.F. CCL SBI-47110"w AFFORDABLE 58.31 71.93' S81.4701010w NOTE: OF SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE GRAPHIC SCALE / WITH TITLE V IF WITHIN I��1OFT. OF WATER MAIN. 7, ; 20 10 0 20 p. HaFCI;i`` l `' `-��`�'%r ��,>�,6`0�:�' NOTICE =---*-'' Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor ( IN FEET appears on this plan: (A) no person or persons, Including any municipal or other 1 inch = 20 M public officials, may rely upon the information contained herein; and (8) this plan remains the property of Holmes & McGrath. Inc. REVISED: 3-8-04 PLOT PLAN holmes and mcgrath, inc. OF PREPARED OI14 FOR civil engineers and land surveyors 'tH OF M4SSv MILL POND VILLAGE 362 gifford street o� °s TIMOTHYfd. N IN falmouth, ma. 02540 0 SANTOS No.45078 03 YARMOUTH MA JOB N0: 201197 DRAWN: LMC '0 9 0T SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2534 CHECKED: As •isle MILL POND VILLAGE CONDOMINIUM CAMP STREET, YARMOUTH, MASSACHUSETTS PURCHASE AND SALE AGREEMENT UNIT 114 OSPREY 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 12005. 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: Matthew Allen of 54 Rita Avenue, South Yarmouth, MA 02664 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 #114 OSPREY, 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. ~ \r G. The "Purchase Price" referred to in this Agreement is: One Hundred Twenty -Six Thousand and 00/100 Dollars ($126,000.00), which is calculated as follows: $126,000.00 (base price) + $ 0 (options and upgrades further described in paragraph I of this Agreement) PURCHASE PRICE: = $126,000.00 of which: $ 1.00 have been paid as a deposit as of this day, $ 0 have been paid previously, and $ 0 are to be paid at commencement of Unit construction $125,999.00 are to be paid at the time of the delivery of the deed in cash, or by certified, cashiers, treasurer's or bank checks. $126,000.00 TOTAL DUE H. The "Time for Performance" shall be at 10 a.m. on the 28th day of February, 2005, at the place referred to in paragraph 7 of 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: $2,312.00 GSDOCS-1282281.1 .2- -• C U : - Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Permit No. Occupancy and Fee Lev. 111991 (leave 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORKS ''' I` All workto be performed in accordance with the Mma huse= Electrical Code OaC), 527 CMR 12.001 J , MAY j 0 LEASEPRINTLVEXORTYPEALLINFORMA770A9 Date: S ld/o y� City or Town of: YARM UrH To the Inspector of Wires•By7_ By this application the undersigned gives notice of his or her intention to perform the electrical work described b ow, Location (Street & Number) MILL 'POND VILLAGE, 121 Camp St Bldg # Owner or Tenant Gatewood Homes/ Jeff Sollows Telephone No.508-7789669 Owner's Address 1600 Falmouth Rd., Suite 25, Centerville, Ma. 0263.2 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 ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Fire Alarm System (law voltage control panel) with h hackiM'batterv. centrally monitored. Comaleffmt ofthe following table may be iaaivedbv the Inmector nf*wires No of Recessed Fixtures No. of Cetls(Paddle) Fans o: of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimmingrooi d e d. Batte Unl�ts�cy g No. of Receptacle Outlets No. of Oil Burners FIRE. ALAR*S No. of Zones -1- No. of Switches No. of Gas Burners NO. o etectron. 7 InitiatingDevices No. of Ranges = _ _ No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers -. t ump Totals. um er. ' Tons o. o - oatam Detection/Aler-tin Devices 7 No. of Dishwashers SpacelArea Heating KW Local ❑ M nn�ion al ® Other No. of Dryers Heating Appliances KW SecuritySystems: .. No. of Devices orE ivalent o. of ater KW Heaters o. o o. of Si Ballasts Data Wiring: No. of Devices or uivalent No. Hydrumassage Bathtubs No. of Motors Total HP TZI—Rommunications .ring No. of Devices or Equivalent UT$Eli: ' INSURANCE COVERAGE: Unless waived the owner, no Attach adaittonat ratan ijdertre4 or as required by the Lwpeaar ofWirm by , 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. CHECK ONE: INSURANCE M BOND p OTHM O (Sl r> Estimated Value of Electrical Work $750.00 (When required by municipal policy,) (Fxpitahon ) Work to Start: S 0 S Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that th a infotanation on this application is true and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1178C Licensee: Jonas R Bielkevicius Signature �" LIC.NO. 499D enter ..11=pt - in LAne')- .02563 v WP z wz LNbulintvt;z WAlvzx:.i am aware that Me Licensee does required by law. By my signature below, I hereby waive this requirement Owner/Agent Signature, Telephone No. Bus. Tel. No: 508-833-0996 Alt. TeL No.;168-776-3347 act have the liabilityinsurance coverage normally I am the (check one) ❑ owner ❑ owner's agent PERMIT FEE. $ 40.00. 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 YARMOUTH (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) (OICE SSE iN�LY) Fee: $ L-M PERMIT NO. 'b5 — �,F Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her work described below. Location (Street & N Owner or 1 �L / 4rc %Ymd .?_14 C• Is this permit in conjunction with a building permit? 0 Yes [I No Purpose of Building, Utility Existing Service Amps / Volts OverheadD &',�71//// Telel (Check Appropriate I Authorization No._ Undgrd C3 to perform the electrical MAY 0 2 2005 New Service l lkJ Amps ,;2 !(Z /l�G Volts Overhead Undgrd OY No. of Meters_ Number of Feeders and Ampacity Location and Nature of Proposed electrical Cmmnletinn of the fnllnwine table may he waived by the In.snectnrofWires No. of Total Alfto- of Recessed Fixtures No. of Ceil.-Sus . Paddle Fans Transformers KVA 40�o. of Lighting Outlets No. of Hot Tubs Generators KVA L Above n- � No. of Emergency Lighting No. of Li htin Fixtures SwimmingPool md. rnd. Battery Units No. of Receptacle Outlets j� No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches .21 No. of Gas Burners o. ot Detection an Initiating Devices No. of Ranges er Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers b Heat Purn Totals: Num er — — Tons — K — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal Local 13 Connection Other No. of Dryers ry Heating Appliances KW g pp Security Systems: No. of Devtces or Equilivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent No. H dromassa a Bathtubs y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or uivalent Attach aaattional aetatl if aestrea, or as requtrea by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. r �/J CHECK ONE: INSURANCE � BOND[] OTHERC] (Specify:) Cf��„!iG a (Expifation Date) Estimated Value of Electrical Work � ,� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the ns and penalf s of perjury, that the information on this application is true and completg� NAME- D��17 G iGl� l LIC. NO. c 3� 3 A � see:_✓tne Signature LIC. NO. (If applicable, enter "exempt' in the license 4umber line.) I Bus. Tel. No.: j 6iS y/i 76: Address: �yS�Crcv.� 2 a ��/% 4hz;e� Alt. Tel. No.: 5'd c206 "741 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. 0 Owner/Agent Signature Telephone N [Rev. 04/00] OF r49 F3a .4 YAiT�TACHEESE 41m o G TOWN OF YARMOUTH /1 Fee: tPER BuildNQ in% `1 AT: Location v` I New d Renovation ❑ Plane Riihmittpd Yes ❑ No ❑ APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) Date 20 v � Owner's Name Type of Occupancy_ Replacement ❑ Z Z CD W Z Z 2 > fA .1 a p? M H W to H V Q 0: N Z Q cn O Z Z a Z Q F' x V Z 2 m M W Q W } ¢O � F a y G Q �F- !A O oat O o. of � LL W= W O Q F = W 0= fA a Z N 3 J y- to a OC 0 Q y- w D: Lu LL Y W It 65a F a Q= y y a Q p Q 0 0 rA Q Z Ot 2 S CC f- Q O O V Q S F- U` �G J m N O a J 2 H N LL (7 7 G Q 3 2 m O SUB-BSMT. BASEMENT 1ST FLOOR I 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Address Check One: ❑ Corp. ❑ip Firm/Company Business Telephone T( � t 0( 15 J b 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 LJ bona u 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 requirement. C Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 75!`d 7 License Nuenber Type: Master❑ Journeyman