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121 Camp St #119 Building Permits
- Commonwealth of Massachusetts • Permit No. Department of Fire Services < Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS gtev.11/99j veblank - ~ ~ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WK K All workto be pedotmed in sc=da= with the Msssarhnsetts Electrical Cade @M 527 CMR 1 (PLEASEPRINTININKORYTPEALLMFORMATIONJ Date: City or Town of: YARMOUTH To the Inspector of .i� By this application the undersigned gives notice of his or her intention to peiform the electrical workIQ7 ed Location (Street & Number) M LL -POND VILLAGE, Camp Street LU T below. Owner or Tenant Gatewood Homes/ Jeff Sollows Telephone No. 508-778 69 Owner's Address 1600 Faltmuth Rd., Suite 25, Centerville, Ma. 0263.2 Is this permit in conjunction with a building permit? Yes ] 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 Anpacky Location and Nature ofPruposed Electrical Woric Fire Alarm System (l(yw voltage control panel) with h baylp battery,'centrally monitored ---- - n_—_1_.:,.:. ..hi,� /:.il.....:..s n.11......,, Iv ia�iva}1•In, the 7arn¢eter nili�i,ec No. of Recessed Fixtures No. of Cel-Su (Paddle) Fans sP• o: o Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Futures Above - Swimming Pool d. . ❑ d. ❑ o. o ergency g BatteryUnits No. of Receptacle Outlets No. of Oil Burners FIRE.ALARMS No. of Zones —l—' No. of Switches No. of Gas Burners o. o etectr 7 Initiatia DeviDevi ces No. of Ranges No. of Air Cand. Tons No. of Alerting Devices No. of Waste Disposers Totals: um er. Tons Det No.oec:tion/Alertin aDevices 7 No. of Dishwashers Space/Arta Heating KW al ®Other Local No. of Dryers Heating Appliances KW yConn�ion Security o of of -Devices brEquivalent o. of Water KW Heaters o. o Ballasts Si Data Wiring: No. of Dein vices or uivalent ,No. H dromassa Bathtubs y ge No. of Motors Total HP ecomfDe%ruRci tions ruing: No. of Devices or Eauivalcnt OTHER: fllWCll aaOJQ4,Wf(tB[QI{IJaCSJtLQ.w QS ,LrfW(W 4y Y.c /.urn.w.y.... c.. INSURANCE COVERAGE: Unless waived by the owner, no.permit for the performa*+ce, 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 ® BOND ❑ OTIM ❑ (Specify-) (EViration Estimated Value of Electrical Work $750. 00 required by municipal policy.) Work to Start: Inspections to be requested ' i accordance with NIEC Rule 10, and upon completion. I certify, under the pains and penalties ofpe1lury, that the inf hnadon on this application is true and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1499D Licensee: Jonas R Bielkevicius Signature LIC. No. 499D (Ifapptiaible, ente - "==pt" in the license mrmb Wu))� 02563 Bus. Tel. No.• 508-833-0996 Address: PO 'Box .�609. SandwicCr I�7a. Alt. Tel No • 508 7 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 PERMIT FEE: $ 40.00 Signature, Telephone Na. TOWN OFijYA MR ObTW i ('I D APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By Fee: $ 32•� PERMIT NO. CT— C 3 — Building S� AT Location 1/2/ iy New LY Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No Y Date S '-' � v � Owner Name Type of Occupancy l ` b Cn N Y Cn n�� Vl C` W W c O U CO IN_- = rA (L rA 1 Z m 2 a ~ w Q W D Z N 0. O 2> f W ` W w Z W Z Q= W W W O O; LL G F. V = 2 Z Q W J J Q 2 F- y N m Z O ~ Z¢ J. O y W S Ix 4 J a H 0 M 2 0 a 2 1�i 7 O a V tr > o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Nam 0AJ1q nt Address Check One: ❑ Corp. ❑ Partnership D-firm/Company Business Telephone ,�[�� Z,," � Name of Licensed Plumber or Gasfitter " " ` V 0 A INSURANCE COVERAGE: Check O I have a current liability insurance policy or its substantial equivalent. Yes No ❑ If you have checked yes, please indicat pe of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. /,� eck O�-) Owasr Ld / AaeA ❑ 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. Signature of'Lieeasdd Plumber or Gasfitter License Number TYPE LICENSE: lumber El Gasfitter 0 Master Journeyman MILL POND VILLAGE CONDOMINIUM CAMP STREET, YARMOUTH, MASSACHUSETTS PURCHASE AND SALE AGREEMENT UNIT 119 MALLARD 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: Marianne Mann of 32 Camp Street, West Yarmouth, MA 02673 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 #119 MALLARD, as such is further shown on the plans attached hereto as Exhibit A, which plans include a unit floor plan (Exhibit A-1) and a Designated Use Easement Area showing the Unit's Maintenance Easement Area and Exclusive Use Easement Area (Exhibit A-2). F. The "Percentage Interest" in the Common Areas referred to in paragraph 2 of this Agreement will be determined upon the completion of the phasing in of the Phase of the Condominium containing said Unit and will be so determined in accordance with the provisions of the Master Deed described herein. See also paragraph 27 of this Agreement. G. The "Purchase Price" referred to in this Agreement is: One Hundred Twenty -Eight j N& Thousand and 00/100 Dollars ($128,000.00), which is calculated as follows: $128,000.00 (base price) + $ 0 (options and upgrades further described in paragraph I of this Agreement) PURCHASE PRICE: = $128,000.00 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 $127,999.00 are to be paid at the time of the delivery of the deed in cash, or by certified, cashiers, treasurer's or bank checks. $128,000.00 TOTAL DUE H. The "Time for Performance" shall be at 12 p.m. on the 30th day of March, 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: $2,349.00 GSDOCS-1282281-1 -2. EXISTING FOUNDATION r • i r r� i_ 1'S r) .0:�; fly/ 'J J1 S P 14 L. 1 �i i 5 -1 cJILDI`I" L_ By �--,LOT 118 I CERTIFY THAT THE FOUNDATION IS LOCATED IN FLOOD PLAIN ZONE C AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 250015 0005D AND THAT FLOOD PLAIN ZONE C IS NOT A SPECIAL FLOOD HAZARD AREA. REGISTER D P FESSIONAL LAND SURVEYOR GRAPHIC SCALE 20 10 0 20 ( IN FEET ) 1 inch = 20 fL LOT 119 EXISTING 7 ^ n FOUNDATION /fI �� frvi LOT 120 78, 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. I 9 9 oY t e a_ DATE REGISTERED PROFESSIONAL LAND SURVEYOR 0 0 0 0 60 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 public officials, may rely upon the Information contained herein; and (B) this plan remains the property of Holmes d: McGrath, Inc. AS —BUILT PLAN holmes and mcgrath, inc. N" of Mq. OF LOT 119 civil engineers and land surveyors o�� Mlet`y� PREPARED FOR 362 gifford street B' MILL POND VILLAGE IN falmouth, ma. 02540 $ _ YARMOUTH, MA JOB NO: 201197 DRAWN: LMCxl SCALE: 1"=20' DATE: 9-09-04 DWG. NO.: A2529A CHECKED;/l�''GI �rT OF �� TOWN OF YARMOUTH Building Department BUILDING ,r (508) 39k t.261 PERMIT NO _ :B-05-2 _ PERMIT K ISSUE DATE : _ 8/17/2004 _ ; PROPOSE _ _ _ _ _ _ APPLICANT Frank Capra ----------- JOB WEATHERCARD ------------------------------ PERMIT TO ' New Construction ' AT (LOCATION) 100121CAMPST#1119 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C119 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R•4 LOT SIZE I CONTRACTOR new construction: 2 baths, 3 bedrooms, 1 kitchen/diningroom, 1 livingroom as per plans dated REMARKS 08/O6/04. AREA (SO FT) EST COST ($ $106,750.00 I PERMIT FEE ($) 1$0.00 OWNER lVillages at Camp St., LLC DING DEPT BY ADDRESS 1600 Falmouth Road, # 119 r.....e..,meI nee Ingrz,49 LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date�a o v CERTIFICATE of OCCUPANCY Depar ental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks BUILDINGgas-- o! r/ PLUMBING/GAS U ELECTRICAL /'► ENGINEERING OTHERPea AU22rz . /2 G iS .0 10 De TweD in Dy eacn oiwsion naicaiea nerean uPUn wi uN1nuUn W, „� 1111a1 ,,,JF/O LIWI,. 1 r- OF P TOWN OF YARMOUTH Building Department (508) 398-2231 ext.261 BUILDING ►- PERMIT NO B-05-243 _ PERMIT ISSUE DATE ; _ 8/17/2004 _ ; PROPOSED USE - _ _ _ _ _ . _ _ _ APPLICANT _Frank Capra - - - - - - - - - - - - - - JOB WEATHER CARD PERMIT TO ' New Construction ' AT (LOCATION) 100121CAMPST#1119 I ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C119 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE O CONTRACTOR new construction: 2 baths, 3 bedrooms, 1 kitchen/diningroom, 1 livingroom as per plans dated REMARKS 08/06104. AREA (SO FT) EST. COST ($ $106,750.00 PERMIT FEE ($) $0.00 OWNER IVillages at Camp St., LLC I BUILDING DEPT BY ADDRESS 11600 Falmouth Road, # 119 Centerville I MA 102632 INSPECTION RECORD LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY ..Note Progress 717A, Y f Page 1 of 1 Cipro, Linda From: Kelleher, Robert Sent: Wednesday, June 15, 200512:19 PM To: Cipro, Linda Subject: OP's did OP's at: 121 Camp st units 119 and 121 9 W. Great Western Rd 6/15/2005 oF'YgR� ONE & TWO FAMILY ONLY - BUILDING PERMIT O APPLICATION TO CONSTRUCT, REPAIR, RENOVAtt OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department MA..GMEE 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508).398-0836 4 Office Use Only n K ' °Planning Board Information Assessors 6epartment Information t I i 5 a p ry�'r �F� (} rq! Pl an Type' ri F`i o tz` ) ?fix MB�'fl't'g�E' u LOi =5�t•.•4rY A. p<wSxJ Ot%{ p initi�i0�?�?�F!�'JF t r �} 3 $-+ £ t �f xQdi�r.�emeQl mil+ . Date. 9. �7•}F � e j i k +1 3sa 4 t w. F ( �2 j. 1 Permlt) ee „s > u wf u � F��'E„�� �- � -,�' Resnrd�pgRate•�, a�� ,�,u r, `,, �� °°,�q �.��..-.�, �s;�.-� � t �.:: s ,v�`t r�>, �Dt:poslCRec'd '% Property Dunensions ' $ u r�. � 1 st.� e �r�{.,, sK r :_ a3•' r t r . r .�Eidn.MO -i . ru?- �� �' i t.F.x� s t ro _ } � r _ =P1etD e3s° $ s= a 1, } "" { a a w� L.` uns v` x (2 Ot¢er aLotArea(sfl Frontage(tt LOfCPVerage r r orbfftce Use:Onfyi .- Boi(di E?ermitNU -n dr � a�''st T� � ?.tTA ° � t 's Date IQP��d ; �'d �+S ,. .' n n as i . S� sa ✓' t � C3cCupaoc-y Signatt:ire .�.,3�Y ♦��M Sulyd'm AffFcraC�� Secttonit Slte:(rtforrrTatiar Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: k a`�Z- Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. c. 40. S 54) S F)oo -2 a fofomra Srf: , * n Comments Public S _� 3.t z ., 3 , a -+ ..., n k,>f"t '' g2 s+. °Y ,� vxt M ^6 �" ���' Private �aZorae.� �.°°^�^�'� tBF"���' ^`:c,?'� �'� =x ham, �,�� _�. �`�t �:Sectior}? PrapertytOwnershlp"tAuthonzed"Agent. 2.1 Ow% a o�f Record: !� l �L /6 �v ^ \\ +(,PLC LJA ' 4. N meme(p� Mailing Address Cet-, rvW P L 64,,7 Signature r Telephone 2.2 utho rrizel Agent: GO1M�S 00 ✓ tAJ1 r Na (print (` Mailing Address /tea, a 9, nature Telephone Fax Secbot=3Corisirucfion=5eruW 3.1 Licensed Construction Supervisor. Not Applicable ❑ " P DL License Number /1 / �, , ( a' O , u ✓�� It O ddress crero-- 7 Expiration Date k7 O Sign tore ephone 3 2 Registered.Flor�le ltj�aueniertCantraetor` = r r: n Company Name �S ``iLjI Not Applicable ❑ Address r — License Number BUILDING DEPT. Expiration Date Signature Tel I— L-ml 1 of 2 OVER r • � S&T6!L% , ilslorkers'`Compen"sat pTt°(nsurancp fifidaYlw--G i' ,) 2 S fiSC;(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 .......... Secticrn,Descnptronloi prbposeciWorlFchectt att app(tceble} New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ I Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: I►� lieV� f to �� Vt �Secfion.6`Est'tmated-:Caristriicton Gosts Item Estimated Cost (Dollars) to be completed by permit applicant Check Below Conservation-Commission Fling (if applicable) ❑ Old Kings Highway& Historical Commission approval (if applicable) 1. Building �%-D- 2. Electrical o 3. Plumbing / Gas `7 3 4. Mechanical (HVAC) c("�� 5. Fire Protection c{ 6. Total = (1 + 2 + 3 + 4 + 5) `o (o ►7�0 7. Total Square Ft. (new houses & additions) "Z I 0 hereby authorize "L2 -- m beh , in all matters elative to work authorized by this building permit r Signature of owner of the subject property r,1 II'cation. Date to act on v f I eu-N-i �p , 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. LN,l a FeAnf- Print narrA Signature f Owner/Agent . Date U u 9-15-99 2 of 2 0 °`A� TOWN. OF YARMOUTH - BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: %/^� Job Location: 1 0- Gak S`� yGCS /vL" Num`b�r Street Village Owner of Property: �/ � I S�, LL G Construction Supervisor: (%�� a 669 Name License No. �P%hone No. / Address: o k4P "+ a-� �/1 ✓� U2 i�1 A oa G 3a T Licensed Designee: (If other than Supervisor) Name License No. 2.15 Responsibility of each license holder: 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 licenseewho shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or anyother section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No If you have checked yet, please indicate the type coverage by checking the appropriate box.' A liability insurance policy 30-� Other type of indemnity ❑ Bond OWNER'S NSURANCE WAIVER: I am aware at the licensee does not have the insurance coverage required by Chap 2 ass. General s, an t my signature on this permit application waives this requirement. Check one: n e Owner or Agent Owne Agent Signature: Building Official Approval: k SN O The Commonwealth of Massachusetts Department of Industrial Accidents 9XCO4V/1ev9sflpulias 600 Washington Street Boston, Mass. 02111 Workers' Comnensatinn Incne>.. AfrSd-A. city ( it � k- N/69 J� phoneN,<6 7 7 & / 6 0 ❑ I am a homeowner pertormmg all work myself. ❑ (. 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. comnam• name - address, city- phone q insurance co.IRAI policy p am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below who hase the following worker' compensation polices: city: phone q insurance co.. policy 0 company name: address• Failure to secure coverage as required under Section 25A of MGL 152 can lead to the isapwidoa of criminal penalties of a Bne op.to SI.M.00 n— ape yeah' imprisonment a well is civil peaalded is the form of a STOP WORK ORDER and a fine Of3100.00 a day against me. I andentaad that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriBcadoa. t do hereby cerrrfy:xnder the parrs and Print name of perjury that the information provided above is true and co ct/ � mate X���,,Z�_.c^a'� �• CA, Phone 0 T official use onh do not w rite in this area to be completed by city or town olfleial city or town: YARMODTIL permittlicense p nBuilding Department check if immediate response i]Lieeasing Board ❑ ponse is required contact person: 261 ❑Selectmen's Omce phoncM;_ (508) 398�2231 eat. ❑Health Department r1Other ..-. ..." TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELEcnuCAL GAS PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 1 t p Work Ad4ress is to be disposed of at the following location: 7ro-(e: ► l/1� �( l d l` Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of pplicant Permit No. Date "I �/18 iOdlILIROftLJB6LLIb O�✓!'LWdE� a BOARD OF BUILDING REGULATIONS jLicense: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate: 06/1611940 Expires: 06/16/2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN„r CENTERVILLE, MA 02632 Administrator 00 - 35,000 d enclosed space (MGL CA 12 S.60L) 1A - Masonry only 1 G -1 S 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(MMIDDNYYY) DucER 07/18/03 Dowling & O'Neil Insurance' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Agency, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y 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 INSURED INSURERS AFFORDING COVERAGE NAIC # Busy Bee, Inc... INSURERA: Hanover Ins. Company P.O. Box 50 . INSURER B: Safety Insurance Company . . East Sandwich, MA 02537 INsuRERC: Associated Employers Insurance Compa COVERAGES THE POLICIFR nw IMci IDAKIrC ,�r�.. .. �... INSURER INSURER ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT NAMED ABOVE TO WHICH THIS CY CERTIFIICA E MAY BE ISSUED OR DING 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. .TR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION A I I GENERAL LIABILITY IDATE MM/D DATE JMMIDD LIMITS �.�mmer<GwL GENERAL LIABILITY ]"CLAIMS MADE f X1 OCCUR PD Ded:250 L AGGREGATE LIMIT APPLIES PER B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON-0WNEDAUTOS GARAGE LIABILITY 7 ANY AUTO EXCESSAIMBRELLA LIABILITY OCCUR CLAIMS MADE C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below OTHER 2003 06/14/03 06/14/04 01114/03 101/14/04 06/27/03 06/27/04 DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDO11 RSEMENif 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 (2001108) 1 of 2 #30822 MED d ADV COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY .J� (Per person) BODILY INJURY. (Per acddmt) OTHER TNAN EA AUTO ONLY: .EA S $100,000 000,000 $100,000 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 OFANY KIND UPON THE INSURER, ITS AGENTS OR RE PRESENTATNES. AUTHORIZED REPRESFNremrc 0 ACORD CORPORATION 1988 ACORD- CERTIFICATE OF LIABILITY INSURANCE P O1 oar. tMMroarrn FADOUCER MCShaa Insurance Agency, Inc. THIS CERTIFICATE IS IS8UEO AS A MATTER OF t ONLY AND CONFERS NO RIGHTS UPON NFORk!ATION THE CERTIFICATE.. 749. Main Street, Suite68 HOLDER THIS CERTIFICATE DOES NOT AMEND, E](TEND OR ALTER THE COVERAGE AFFORDED -OLICZES Oetarvills, Ma. 02655 BY THEBELOW. INSURERS AFFORDING COVERAGE F+suge�'Z��l Cnaperaoa overhead Doors NsuRERA uaySan(. anae ,•,,.1 2nr_C BOX S17 SLSURER Ik 'Q-��• East Falmouth, MA 02536 WSURrRC! Nsuacan COVERAGES DrstlRER E: THE POLICIES OC INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSFANOWG_ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MAY PERTAIN, WITH RESPECT TO WHICH THIS CERTIFICATE MAY 6E ISSUED ()a THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HERE W IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID wT R TYPE OF INSURANCE POLICY NUMSER CLAIMS. OF SUCH POLICY EFFECTNE POLICY EXMRA K) GENERAL LIABILITY GATE M A M LDMTS COMMERCIAL GENERAL UASIUIY EACH OCCURRENCE i CLAIMS MADE LAI OCCUR FWEDAMAGEf N,s irll iSDo. DDo JL — w?P48352 MEDEXP(AAYOMPFsu! 05/28/03 OS/28/04 PER a.ADyrwRY i aa,� s 0 OFN L AGGREUM E LIMIT MTLit§ PER GENERK AGGREGATE i POLICY PRO.. LOG PROOUCT�'J=/DP AGO I O' AUTOMOBILE LL{DILRY ANv AVI O COMBINED SINGLE LBST ALLOWNEDAUTOS i SCHEOUI FO AUTOS iKa WRCD AUTOS {pw PN DNion) i pf NON -OWNED AUIOr QODLY ' 4wRY (P i PROPERTY PROPERTY DAMAGE S GARAGE LIABILITY (PerPnsf S '!UTOONIY • EA AP.CIOENT S FA ACC S [SCESS-t/ABRITY- AUTO ONLY: AGO i _ OCCUR CLAIMS MADE FACT{ OCCURRENC£ AGGREGATE i OEOUCTIGU: WORKERS COMPEN AND iMPLoreRs LnBILrrY ry PAS33� A _ TORY UMTTS ER 02/ZZf03 02/22/04 E.L.EACHAccmENr i OTHER EL. EL DISEASE. EA EMPLOYE i01. L"T iCAA FlAn Gatsway HCmea 1600 Falmutf Lraad- suite 2S7r r Centeville, MA 0]632 778 5603 ACORO 25.9 (7M7) DATE THEREOF. THE - _ _ _ _. - - .wc.rnas+Ie FiRIRATK7 EiAv INSURER WILLNOYIEETOaf1E{,ERilflOATS..NOf,pE ENOEAYOR TO MAX 10 DAYS WRITTEN Se"OBE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THEW W SHALL SURER, ITS AGENTS OR 0 ACORD CORPORATION 1988 ••••.+�� xCl. I Pv_IJ I RIDER. RISK SPECIALISTS ONLY AND coN�p$' p T411S CERiIFIC INSIIRANCr AGENCYOLDER . INC INC. ALTEA THE COVERAGfi P • 0 • $O% 115 , COMPANIES C ITAUMET MA 02534-0115 CD1 pmy IaADaE� US LIABILIT7. MONUMENT INSULATION, INC. C BnNY 223 COUNTY ROAD AMERICAN HOP BOURNE, MA 02532 CDWAW c THIS IS TO CERTIFY THAT THE POLICIES OF��'` r :^ INDICATED, NO WjUW"CE LISTED BELOW NOTWITHSTANDING ANY REOUIREM HAVE BEEN 1SSUED TO R CEAITF�TE MAY BE ISSUED OR MAY t ERT: ANY CONTRACTOR OCCLUSIONS THE INS iM1R COAFFO por. OTHFp DO AND CONDITIONS OF SUCH P BY THe POLCES R OUCIES. OMITS SHOWN MAY HAVE BE�I REDUCED LA TTPeorUDiURWCE BY PAID tU1�jAd POULryNUreEB o'.NEAAI. UABRM roucr DATE (YlUp pDATE X GENS;k UASMM WOfIDD . M CLAMS rHpE ®III G A ownEgSs CO. On CL2235745 Fq In e/23/03 8/23/04 1 EA AUTONoBae UgnM JAWAvM ALL0VJhWALJID9 SCl4EDULWAUJjS ANY-AU7D- a== UABIUTT UMBIMIA FCM/ onleA THAN Laws ElLA FC WORXIM C OMPENUTM AIM N--IWC 782 61 72 GATEWOOD HOMES,INC 1600 FALMOUTH ROAD J25 CENTERVILLE, MA 02632 508 778-5603 9/5/03 19/5/04 1 554 7272 P.91i©1 f mmw= rr AuQVE FOR THE POLICY pEn= T WITH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS. CYTma"m awLE LANT s BCOILYKAIRY (?W D/ E �ywJJpv xdrxA s PROISM DAMAGC .. s AUTD DW.Y. EA ACCIprj,R s AIiDIDB ANY OF THE ABOYE DoclooED gponiit O�IfTAflON DATE TN E'oUG(� BE CANCELLFp BatPDME T� •� �7 Gftp. THE I mum COWAW WML IDIDEAYOB To MAX BUT P oAri MWTIpI NOTICE To THE CUMMATE HOLM BAUEB-TO'TpS��- BUT rvcunE;To rAa.� OFy�AA1;: A71m�alinrtia.r T=.'_E" LLa No OBUOATIOM OB UAgam TOTAL P.01 CERTIFICATE OF SUACE PRODUCER Passaro Leverone & Buckley Insurance Agency Inc P O Box 160 Dennisport, MA 02639 DATE COMPANIES AFFORDING COVERAGE INSURED Patrick K Orcutt 6a P & S Concrete eRWY A A.I.M. Mutual Insurance Co 37 Ladys Slipper Lane Mashpee, MA 02649 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE I JSTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWiTAS TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE IN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LAyTSSLTI AFFORDED BY TEE POLICIES MAY HAVE BEEN REDUCED B OTH DEPAM SCRIBED NTH RESPECTTO WHICH THIS HEREIN IS SUBJECT' TO ALL THE TERMS. :o TYPE OF INSURANCE POLICY POL[CY NUMEER EFFECTTYH POLICY EXPIItATTO -GENERAL LLLBII.)'ry DAl'R(uu win(MM/DD/YY)� LJMrl•S 4MERCIAL GENERAL LIABILITY DMAIMS MADE-^Cuz 'FITS do CONTRACTOR'S PROT. :E LIABILITy AUTO JWNEDAUTOS DULED A UTOS )AUTOS )WNED`AUTOS GE LIABILIY LESS LiABILITy MBRELLA FORM H7:R THAN UMBRELLA FORM WORKER'S COMPENSATIONAND EMPLOYERS• LIABRJTY A THE PROPRIETOR/ r�__ OF Gatewoods Homes 1600 Falmouth Road Centerville, MA 02,632 ERALAGGREGATE S DUCTS-COMP/OP ACC. S TONAL& ADV. INJURY S I OCCURRENCE S DAMAGE(Any One fife) S EXPENSE (My orc P�+san) S TINED SINGLE S Y INJURY wnl S Y INJURY S MUFERTY DAMAGE I S IGOCCURRENCE CS S 6006181012003 110212003 10212004 IM x V S EL DISEASE—POLI LIMIT S EL DISEASE —EA EMPLOYEE S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE EXPIRATION DATE THEREOF. THE ISSUING COMPANY CANCELLED BEFORE THE MAIL 10 DAYS WRTITEN NOTICE TO THE WILL ENDEAVOR TO LEFT, BUT FAILURE TO MAIL SUCH NOTICE CERTIFICATE HOLDER NAMED TO THE LIABILITY SHALL IMPOSE NO OBLIGATION OR OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. Aft CERTIFICATE F LIABILITY INSURANCE PROCKCEA JOAO A4 p1A$. 508 672 DIAS 2997 THIS CERTIFICATE is ISSUED AS A MATTER O ONLY AND CONFERS INSURANCE 535 NO RIGHTS UPON O'ER' HOLDER THIS EERTiH6ATE DaES- @RAYTON AVE NOz AdIE! ALTER THE COVELAFORDED BY FALL RIVER. MA D2721 THE P( — asuRED INSURERS AFFORDIRAGE JOEL FERR£IRA DEALMEIDA a,waERA: GRANITE SURANCE COMPL— DBA EJJA COPiSTRUCTION PISURER8; NAUTTCfJSCE COMPANY- 50'PICXERING ST. APT 17 E,st1RERC RNER, MA 0272D INSURERO ,FALL COVERAGES wsuRERE: �� THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEn ISSUED 70 THE INSURED NAMED A00VE FOR THE POLICY vER100 MAYPEDSL@EMEN'r, TlJTM OR coNOiTNJN OR ANY CCNTRACT MAY INDICATE �. NC OR OTWER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA PERTAIN. THE INSURANCE AFFORDED HY 774E POLICIES OESCRteI: POLICIES AGGREGATE LIMITS SHOWN uqv HAVESEENREDUCCDBY RIEfu151S 9H8JEET TO•ALL. SHEr•TERMS Jq vg10 EXCLUSIONS.ANII CONI x P.OLPa'NUMEER GENERALLIAOILDY TO EPFECTNt ►OUCY WIRATION •— — X COMMERCtALOtwrRALWSR,rrY NC27580E . CIAIMSMADG13 OCCUR . LBlln 0&2612003 06/26/2004 'tACH OCCURRCNCE P 0=0" c_eZ f �' MED E.TP(Any eAe oaf"") i f I _ PERSONAL E AUv IN.,UM' I f f.GN'tA GGREvATE LNe{TAPPLIGS PCR; [AGGREGATE• 3- PRO. IOC Pg000CT3. COMP.OP A:•G f j AUTOMOBILE LN1ELL" I ANY AUTO f GD GNCi6lsaT ' ALLOWnEOAUTOg fee a lEa etieanq I f SCNEDULEDAur08 9001LYIMIURY wAM AUros �) I RCK'O"EOAUTOS __ I• T- 800wv,wURr I Ia.«•Pon.ml _ GARAGE LLILRIT' __ PROPERTY DAMAGE IPW:=-6-'Ri i f ANYAUTO I AUTODNLri GA•ACCtl)E1+T $ � q(CEssRPAeRCll4 LLt91yTY OTHER THAN . CAACC f _ AUTOONLV; J 0"UR LfCWMS MADE EACH OCCURRENCEDEDUCTMe I L, j_A.O,GREG�nTE S • � _I • ! RETENTWII 1 (—,r 1 R'BRNCRaCONPENEATlONAM i EMPLOYERS'LWLLI[Y wC• 494%48-$g' — f WCa�Aiiei Np AHYPROPR,etORNARTNERIEXECLi1VE OwyarsTtC,GR.YEMaWe CfCLU0E0T Tt/08/0 1B(�, RY 5 =ISSlola EL EACHACCXXNT 1 SPED GM OTHER c-L. D'CQACG. EA aMPL;YVGG 1 PATE Pal Y on YTI 081082a03 OPSUCH CROULD ANY OPTHr A80vc"SCARIED POLWWy QE CANCE:IED'tLFORlT"C DATE TWEZ. fOF, TNr ISCUD,G INSURER WR1 3 WW MX GATEWOOD HOMES ENOEAYPR TO MAIL 10 DAYS TYR,TTEN NOTICi'T?TNE'CERTs�CA• "*I;DER-NAMED TO THE LER, INFL [Ac,Ugt tO.On 1500 FALMDi1TH AD. IMPOSE No oeucAT10N OR UAEtUrY OR ANY RPLD UPON ElsURER rtJ AGEN7d OR CENTER VILLE, MA 02632 THE _ rAA 508T900249 GOiA6L-1N ASSOC *-OP-D s � T ITHIS GiTt.tS.INC. Y ANFERSI ECERTIF RF--' 506-790-0249 RRMa RODNEY SAV7,m SySTZM 114 p� .&M Ti RAM't'TAME Mh 02668 a =c1-r�sac p�p�uCE taTID E�.OW FMv£ MYCIA�tENf. rrA11OR [dpfpAOFIJrr OROTHM PJCURED NN�¢D /�ppNE FOR t1q:'g1Y pEgpp R1oc'�ULQ. FOU�EAAOOREOA MaO%W WAY M F*JMcE � ,� ALL ,�WGITmcEln MY B&VEDOR YEEmM14M(1®Hr FA60.A&M 7E7A6•E$1601L1MD ems: A I PTD� WM fX RL8172 CLAM M � �T I 1 we AJ.OWNwAmca GDGVnt=Aurm Ngm&m;o ANYAtlTO. ��'BLf LLI�jM 0=.Vt CKABBYAm Af't�itlx � CbP?�SaM1T..^'�AND ANY �+TY RMAm-Mt—Rv=unw-. GAMOM Hf4-g LAIC PAX SOB-772-5603 2 600 FAlmmg. Rpm.. CEXTBRV== Mh 02632 1727W4903 11/21/03 1 11/21/04 05/03/03 1 0S/03/04 6A2211CO" I 3110MD Aq}OF;m "ATE WMtEOF. TM � of ate... s nd 10 DAn WOrra nFAUME70C WSKItt NWfiWR n&A*MM 0R �= w CERTIFICATE OF LIABILITY INSURANCE --- DATE (MMM PRODU ER �y Dowling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS AMA 11/14/03 Agency, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFIC �TION Hyannis, West Main St. 1 Box 1990 HOLDER- THIS ALTER THE COVERAGE CERTIFICATE BDOES OYTTAjiEEPOucIFs ae EXTEND O . Hyannis, MA 02601 Gutter Pro Enterprises, Inc. P.O. Box.1197 Plymouth, MA 02362 INSURERS AFFORDING COVERAGE INSURERA Travelers Insurance COMnnm, NAIL # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR MAY PERTAIN, THE INSURANCE POLICY PERIOD INDICATED, NOTWITHSTANDING AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ALL THE TERMS, CWMS. LTR NSR TYPE OF INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH A - GENERAL LIABILITY POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 168045SH3118TCT03 DAB wnn DATE MM DD X COMMERCIAL GENERAL LIABIUTy - 11/07/03 11/07/04 EACH LIMITS OCCURRENCE CLAIMS MADE a]000 OCCUR s1 000 DARMAGE i0 RENTED $300 000 MED EXP (MY we Person) S5 000 GEN'L AGGREGATE LIMIT APPLIES PER PERSONAL A AOV INJURY 51 000 000 POLICY F1 IECTT LOC GENERAL AGGREGATE $2 000 00O AUTOMOBILE LIABILITY PRODUCTS - COMP/OP AGG s2 000 000 ANY AUTO . ALL OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) S SCHEDULED AUTOS HIRED AUTOS • BODILY INJURY (Perpersm) S NON-OWNEDAUTOS . - BODILY INJURY (Perwddent) S GARAGE LIABILITY (Per accident) PROPERTY DAMAGE $ ANY AUTO . AUTO ONLY -EA ACCIDENT S EXCESSIUMBRELLA LIABILITY AUTO ONLY; OTHER THAN EAACC S OCCUR CLAIMS MADE AGG S EACH OCCURRENCE $ DEDUCTIBLE AGGREGATE S RETENTION S S B WORKERS COMPENSATION AND EMPLOYERS' UgBIUTY GUWC440685 $ 11/07/03 ANY PROPRIETORIPARTNERLEXECUnyE OFFICERIMEMBER EXCLUDED? $ 11/07/04 WC STATU. OTH- If Yes. descObe under SPECIAL PROVISIONS pelm E.L. EACH ACCIDENT $100,000 OTHER _ E.L. DISEASE. ce e...,...._ _...—___ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by' y 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 #32273 �NoULD 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 �— DAYS WRITTEN IMPOSE No OBLIGATION OR LIABILITY OF �� BUT FAILURE To DO So SHALL ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESerurw•..... LS1—'—�,0 CORD CORPORATION 1988 H-(;UKUTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMOOfyy) PRODUCER (508) )94-9688 FAX (508) 991- 5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 414 COUN2/2003 RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE COUNTY STREET HOLDER: THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NEW BEDFORD, MA 02740 ALTER THE COVERAGE AFFORDED BY THE Pnl Iclee or, ..... PO Box 664 fINSIURER RERA Providence Mutual, West Hyannisport, MA 02672 S OneBeacon RER V. Continental Casualt ..CoERD:—_ER 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 yyITH RESPECT TO WHICH THIS CERTIFlCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, IXS CERTNS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE POLICY NUMBER POLIC EFFECTIVE POLICY PI TION GENERAL LIABILITY PPOO53131 00 12/13/2002 12/13/2003 EACH OCCURRENCE LIMITS X COMMERCIAL GENERAL LIABILITY S 1, 000 , 00 CLAIMS MADE 1 I A OCCUR FIRE DAMAGE (Any one flro) $ 50,00 GENL AGGREGATE LIMIT APPLIES PER; 11111111 POLICY PRO. LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS B X SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS "GARAGE LIABILITY ANYAUTO EXCESS LIABILITY. _ OCCUR O CLAIMS MADE DEDUCTIBLE RETENTION s WORKERS COMPENSATION AND S! EMPLOYERS LIA&UTM C CERTIFICATE HOLDER Catewood Homes Inc 1600 Falmouth Road Ste 25 Centerville, MA 02632 APED EXP (Any one person) $ PERSONAL & ADV MJURY $ GENERAL AGGREGATE $ 2 , OOOy OO PRODUCTS _ COMP/OP AGG $ 2, 000, 001 5 02/14/2003 02/14/2004 COMBINED SINGLE LIMIT S ' (Ea aoddenq . (BPODIv BODILY IW RY s 250,00( .... BODILY INJURY . (Per accidenq i . 500,OOC .. _�. PROPERTY DAMAGE - . 10 .000 .AUTO.ONLY-EAACCmENT. OTHER THAN EA ACC I AUTO ONLY. AGO S ' EACH OCCURRENCE S. AGGREGATE s S S K751603 03/22/2003 03/22/2004 s TORY LIMITS ER EL EACH ACCIDENT $ 500,000 _ F-L DISEASE. EA EMPLOY S 500,000 LL TASEASR. POLICYUMN f .. Snn--Tfnn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ACER CORD_ CERTIFICATE OF LIABILITY INSURANCE OPfD A DATE (MM/DDnYm PRODU Sullivan, Garrity 6 Donnelly THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 03 50 508-754-1767 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 Institute Rd - PO Box 15010 HOLDER THIS CERTIFICATE DOES NOT AMEND Worcester MA 01615-0010 ALTER THE COVERAGE AFFORDED BY THE POLEICIES BELOW. Phone:508-754-1767 Fax:508-754-1885 INSURED INSURERS AFFORDING COVERAGE A NAIC # INSURER Hanover Insurance Co INSURER B: Arch Insurance r- an 22292 PO Crowell Construction, .Inc. wsuR2 So- BDenox nis 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 PERTAIN. HE I TERM OR CONDITION OF ANY CpNTRACT OR OTHER DOCUMENT NTH 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. .TR NSR TYPE OF INSURANCE POUCYNUMBER v GENERAL LIABILITY ------- - - A X COMMERCIAL GENERAL LIABILITY ZHN7007141 CLAIMS MADE FX OCCUR c" pALit KtGATE LIMITAPP.LIES PER: POLICY-'J1.ECOT LOC AUTOMOBILE LIABILITY A ANYAUTO AEN7001142 ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE IRWCIOOl OO OFFICERMIEMBER EXCLUDED9 Fax #508-778-56031. IIONSIVEHICLESI CERTIFICATE HOLDER --'- --'uwTi LIMITS EACH OCCURRENCE 05/01/03 OS/Ol/04 S 100000( PREMISES Eaa,,u,, e $100000 MED EXP (Any one peracn) S SOOO PERSONAL 3 ADV INJURY $1000000 GENERAL AGGREGATE $2000000 PRODUCTS - COMP/OP AGG $2000000 COMBINED 05/01/03 05/01/04 (Ea acddwI'INGLE LIMITBODI s PwpL )URY $1000000 BODILY PwaaCddent)RY $1000000 (PAP MDAMAGE s 500000 AUTO ONLY . EA ACCIDENT S OTHER THAN EAACC S AUTO ONLY; AGG S EACH OCCURRENCE S AGGREGATE S S S 03/22:I-:: 2/04 E.LEACHACCIDENT ER SSOOOOO EL DISEASE-E4EMPLOYE SSOOOQQ EL DISEASE. POLICY LIMIT SSO0000 CANCE!_LATION GAMWOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Gatewood Homes DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .1 O 1600 Falmouth Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TODAYS pRI TEN Suite IS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSUR CenteALL rville MA 02632 ER. ITS AGENTS OR REPRESENTAmirc �"�� CERTIFICATE OF LIABILITY INSU PRDDIJCER sos-39a-6o33 RANCE FA�S07C7,10 -1667 Allied -American Insurance AgenTHISCERTIFICATEtSISSDEDASA 1 Atlantic Ave ONLY AND CONFERS NO RIGHTS U So Yarmouth MA 02664 HOLDER. T}IIS CERTIFICATE nnce 762 Falmouth Road Hyannis NA OZ601 INSURERS AFFORDING COVERAGE *SURER,- Arbe la Protection Ii INSURER B: Ha wY fw...I UK A S INSURER THY POLICIES OF T, TERM LISTED BELOW HAVE BEEN ISSUED TO T ANY REDUIREMENT TERM OR CONDITION OF ANY CpNTRACT OR OTHER DOCUMENT 4' MAY PERTAIN, T11E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU POLICIES. AGGREGATE LIMITS SHOyyry MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR p TYPE OPIMSURANCfi GENERAL LIABILITY POLICY NUMBER POLICY EFFEI X CAL GENEPAL LIABILITY 7S00000373 12/13/Z( A CLAIMS MADE ) OCCUR rCEML AGGRErG'ATTELGArAPIPUEs PER: X 'IIp I 1FELT AUTOMOBILE L IAB.. ANYAUTO ALL OYMEp AU700 SCHEDULED AUTOS HIRED AUTOS ,MON-OWNEDAUTOS AGE LIABILITY ANYAUTO EXCES&UMBRELLA LLLBBJ" OCCUR 0 CLAIMS MADE . OEOUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B ANY PROPRI TOPJDAR7NERIFXECUTj a OFFICrRlMEMBER EXCLUDED' 9 In 1 nt POLICY PERIOD TO WHICH cERTIF THE TERMS.HIS EXCL SIO LILFACN OCCURRENCEfAMAG! PRITO RENTEDMED (Awy py P�IiOn)PERSONAL 4ADV INJURYGENERAL AGGREGATEPRODUCTS-COMPIOPAG N�=%RTMAEAAcc eenj *GEE LIMIT go f Y INJURY d") f *JURY denl) fPROd mMMAGE fNLY-EA ACCWENT fTHAN EA ACC fy. AGO fCCURRENCfi f47E f El Evidence of Insurance for work performed within the Insured's scope of normal operations Gatewood Homes.. 1600 Falmouth Road y2S Centerville, NA 02632 4CORD 25 (20011os) FAX; (SO8177; f f DATE (MMmOA'yYY) 07/21/')nnD NAIC # 1 SHOVED ANY OF THE ABOVE DESCgreED POLICIES 86 c ELPIRATIO #DATE THEREOf, THE ISb CANCELLED BEFORE THE 1 OATS LmNG INSURER ENDEAVOR 70 MAN. WRITTEN NOTICE TO THE CERTIRCATC HOLDER NAMED TO THE LEFT, BUT FAILURE To MAIL SUCH NOSHALL IMPOSE ND OBLNJATION OR LIABILITY OF ANY HIND LIPOH TIIB INSUAETI TICEE AOENTS p AUTHORIZED RESENTA (� RREPRSSENTA'I'AIES. S603 D OR OF SUCH ®ACORD CORPORATION 1988 S CERT 2 F 2 CATE OF Prodacer: SOUTHEASTERN INS AGCY 641 MAIN ST HYANNIS MA 02601 Code: ------------ Insured: RJ BEVILACQUA FORESTDALEB MA 02644 2NSL7RANCE Issue date: 7/22/03 noIrigchts�cp�octthescert�ficeteaholder. ThisncertificatendoesnDotoamend, extend or alter -the coverage afforded by the policies below. -----------UUNNANIES AFFORDING COVERAGE -------------------------- Sub -code; _ I________ Co Ltr A;___ ARBELLA PROTECTION Co Ltr B; ARBELLA PROTECTION 6oUrL_ " Ltr 0: ARBELLA PROTECTION -------------------------------- Co Ltr E: COVERAGES ---------------- This is to certify that policies of insurance listed below he been issued to the insured named above for indicated notwithstanding any requirement, term or condition and 6e of any contract issued or may PPertains the insurance afforded by the exclusions, ezclusia--- and conditions of such policies. the policy period or other document with respect to which this res policies described Limits shorn may have been l----------------------- ° - --------------- herein is subject to all the terms, reduced b paid Claims. - Ltrl Type of losurance I Policy number IeffePolicydate --A--L------------------ ----------------__------_---_--_-- I Policy - lexpiration A 16ENERAL LIABILITY ------_""-_""-"---ffecti-___ A ►GENERAL-------------- date► is in thousands I� Commercial general liability I 8500018147 I 7/15/03 Claims made I ---------— q —fie---al aggregate! I �(0 (] soccurPro I I rner's 8 contractor's Prot I 2,000 I (Products-comp/ops aggreg; Personal/advertising in1: I ------- -------------------- I I -"-""-"--"'--------------- I Each occurrence: 1,000 Fire damage: IMedical B ►AUTOMOBILE LIABILITY -'------------ ______ I An auto I 86851400001 2/21/03 expense: 500 ______________________ ---""""-"" --"-----"'-------- Alt owned autos I i 1 2/21/04 ►Combined IScheduled autos J Hired aotas Single limit: 250/500 I (Bodily injory I Non -owned autos I I I per Person): I Garage liability I I °dill injury l (Per --------------------I accident): -----""""" XCESS LIABILITY -------""-"-__"'—I' - ] - Property damage: 500 I ] Other than umbrella form I ""--W Each I I ------- ' ---------------- I - I 9088680403 I 4/27/03 I IEMPLOYERS'ULIABILITY IStatutor '---- ------ —------------ —' -"---"'-"-- - I I I IOTHER ""---'-'t--'-------------- "0I__________________—__--__--- I JDEochaccident) sease-policy limit) f00- I------------------------------------- I � Diseds.e-each emplal-eel.. I Description of operations/locations/vehicles/restrictions/special I items: CERTIFICATE HOLDER 1600WFALMOUTH RD STE 35 CENTERVILLE MA 02632 4189 CANCELLATION Shoeftuld all of the above described policies be cancelled before the expiration date thereof, the issuing company II endeavor to mail f0 days written notice to the certificate holder named to the liability-of-anretindto mupon ail s the comuch panyshgts agents or representatives. Authorized representative: — — -__ JOAN M MARTIN_ - JA rTa�tJ/TuTM C:tKTIFICATE OF LIABILITY INSURANCE �, PRODUCER DATE (MMID Dowling O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM/17/03 ATION ` Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE F INFORMA HOLDER. THRTIFICATE IS CERTIFICATE DOES NOTAMEND, EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Hyannis, MA 02601 INSURED INSURERS AFFORDING COVERAGE Bayside Electrical Contractors, Inc. INSURERA: Travelers Insurance Company NAIC # 372 Yarmouth Road INSURERBt Guard Insurance Group Hyannis, MA 02601 INSURER C; THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO ANY REQUIREMENT, TERM OR CONDITION OF ANY CO MAY PERTAIN, T'HE INSURANCE NTRACT OR OTHER THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NO POLICIES. AGGREGATE LIMBS SHOWN TWITHSTANDING DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS MAY HAVE BEEN REDUCED BY PAID LTR NSR TYPE OF INSURANCE CLAIMS. AND CONDITIONS OF SUCH A GENERAL LIABILITY POLICY NUMBER 16801484A82ACOF03 POLICY EFFECTIVE POLICY EXPIRATION D DATE M/DD LIMITS X COMMERCIAL GENERAL LIABLLITY 10/05/03 10/05/04 EACH OCCURRENCE CLAIMS MADE X OCCUR $1 000 000 DAMAGE TO RENTED :300 000 ' X OCP MED EXP (Any ws person) $5 000 GEN'L AGGREGATE LIMIT APPLIES PER; PERSONALaADVINJURy 31 0000U0 POLICY PR0. GENERAL AGGREGATE $2 DUD 0oo JECT LOC A AUTOMOBILE LIABILITY PRODUCTS.COMP/OPAGG $2 DOD OOD 18102601 W5611ND03 nNYAuro 10/05/03 10/05/04 ALL OWNED AUTOS COMBINED SINGLE LIMB $1 ODD DDO SCHEDULED AUTOS X HIRED AUTOS BODILY ODI sINJURY S X NON-0OWNED , X Drive Other Car zm- (Paa�INJURY s GARAGE LIABILITY - PROPERTY PE DAMAGE S ) ANY AUTO AUTO ONLY. EA ACCIDENT $ D(CESS/UMBRELLA LIABILITY OTHER THAN EA ACC $ AUTO ONLY. OCCUR CLAIMS IMS MADE S EACH OCCURRENCE S 'DEDUCTIBLE AGGREGATE _ S RETENTION S S B WORKERS COMPENSAVON AND EMPLOYERS- LULBILTTy BAWC436910 $ 08/18/03 S ANY PROPRIETOR/PARTNERIEXECVTNE OFFICERIMEMBER EXCLUDED? 08H8I04 WC STATLL OTH, OTHER DESCRIPTION /LOCATIONS Operationss /VEHICLES / EXCLUSIONS ADDED BY E and exclusions.NDORSEMENT/ SPECIAL ns. e - perf rmd by the named Insured subject to policy conditions PROVISIONS L,ANCELLATION Gatewood Homes SHOULD ANY OF THE ABOVE DESCwBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1600 Falmouth Road Suite 25 DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR To MAIL Centerville, MA 02632 NL THE CERTIFlCATE HOLDER NAMED TO THE L EF rg�FAIL�UR�E Tb DO SO SHALLDAYS NIMOBLIGATION OR LIABILTrY OFANY MNO UPON THE INSURATIVES. RER ITS AGENTS OR AD REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M31942 . 0 ACORD CORPORATION 1 8 PROPERTY ADDRESS: ,ALCULATIoN FOR PERMIT -s AE BM 14 0oo � /al.3 . �/ylm&d TYPE OF RQt ETC NO iATFIO OF DEN [DIN WdROOM FAMILY ROOM FIREPLACE FOUNDATION ONLY GARAGE NO.OF BAYS GREAT RO M KITCHEN LAUNDRY ROOM LIVING ROOM MUD ROOM�� SHED OPEN of �TOWN OF YARMOUTH Building Department = Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-080 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 119 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road, # 119 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 7/20/2004 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1 new construction: ZONING APPROVED REVIEWED BY: Vf WATER DEPARTMENT: DATE: N/A: /2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: ;/4,HEALTH DEPARTMENT: DATE: N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 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 S. 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) 21.1C119 Street 121 Camp St., #119 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. Reference : villages at Camp St., LL : 1600 Falmouth Rd. : Centerville, MA 02632 Owner (Sign) OF Y� F Temp Permit No.: Applicant Name: Applicant Phone: Building Location: TOWN OF YARMOUTH Building Department Town Hall - Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-05-080 Frank Capra 5087789669 00121 CAMP ST # 119 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road, # 119 Centerville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 7/20/2004 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction: DATE: �6 z N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: Date Printed: 7/30/2004 • O 15 c I' bK �r `� \ LOT 5, 43' 0 �6 Q t`hce 0 o I ti 6; 20'WIDE WAl `�W 13 II j Ap, "\ MAIN EASEM 75.6 0.7a yti O C3 e°C�3 ELo of ,� `Lo ti9h %P,9. LOT 119 0 U. 5,082 S.F. N y h. V3�\` AFFORDABLE \ s Dr �' ' rn ; JUI \ {, e u L By is \ 0 J \ \ LOT 118 \ 7,7 - �v I'�� fw D NOTE: SEWER LATERAL SHALL BE AUG 0 2 2004 SLEEVED IN ACCORDANCE GRAPHIC SCALE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 20 10 0 20 Yarmouth �'ds`a Dept. — N0 TIC Unless and until such time as the original (red) stomp of the responsible Professional Engineer, or Professional Land Surveyor -" - appears an this plan: �. FEET (A) no person or persons, Including any municipal a other public officials, may rely upon the information contained herein; and 1 inch = 20 1t (8) this plan remains the property of Holmes dr McGrath. Inc. PLOT PLAN holmes and mcgrath, inc. OF LOT 119 �P�tH °f "'ASS PREPARED FOR civil engineers and land surveyors MILL POND VILLAGE 362 gifford street TIMOTHYM. -SANTOS"'+ IN falmouth, ma. 02540 R No.45078 CIVIL YARMOUTH, MA JOB NO: 201197 DRAWN: LMC 9��9Fa/STEA�G����� SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2529 CHECKED:Tius Sior i OF V TOWN OF YARMOUTH i Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-080 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 119 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road, # 119 Centerville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: 1. WATER DEPARTMENT: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 7/20/2004 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction: DATE: 12IE@120W190 N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: 5. BUILDING DEPARTMENT' DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: 3 Br j � RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 h 20 10 0 0 Q.O OJ �Q O Q 2 Op Q LOT 59434 ,\ N 20'WIDE WAl Q �Py *15°y III �' , j A R"� MAIN EASEM L o O" I ° OS1 75.6 Ln LOT 119 00 1L �,r �- 5,082 S.F. N 4 AFFORDABLE o • s CO rn 01 \ o 0 0 0 t LOT 11 7,716 S GRAPHIC SCALE " M s N& Il NOTE: :HAEL qC��4. ® SEWER LATERAL SHALL BE B AT SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN rs LOFT. OF WATER MAIN. AUµ p IC r r 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 public(o)ficials,, may or upon thIncluding inf rmationn contained he herein; i inch = 20 it. (8) this plan remains the property of Holmes x McGrath. Inc. REVISED: 3-8-04 PLOT PLAN holmes and mcgrath, inc. I of 41A s OF LOT 119 civil engineers and land surveyors o`'`a+ ns PREPARED FOR c TIN'. THYM. MILL POND VILLAGE 362 gifford street o SANTOS IN falmouth, ma. 02540 V he IL YARMOUTH, MA JOB°F<fSTE��� NO: 201197 DRAWN: LMC �'ss SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2529 CHECKED:Tii1 rtF' 10 b1 1\5 (p OJ �Q O OQ ,yry I' F Vi Q���P�yP,y00 lIl ito. 0.7e �P 0 LOT 119 0 5,082 S.F. w /\c0 AFFORDABLE 0 s CO rn :P rn '\ o 0 0 .\ o LOT 11 7,716 S, GRAPHIC SCALE ( IN FEET ) 1 inch = 20 ft. cJOs S\ LOT 5, 43' 20'WIDE WAl MAIN EASEM 75.6 OF Mq 9tl, 1 1 NOTE: 'EL ys� SEWER LATERAL SHALL BE ,R SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 0 IC 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 public officials, may rely upon the information contained herein; and (8) this plan remains the property of Holmes k McGrath, Inc. PLOT PLAN OF 1,t� s OF LOT 119 holmes and mcgrath, inc. a PREPARED FOR civil engineers and land surveyors T,Voriivv. 362 gifford street savros MILL POND VILLAGE NO No.4,078 , IN falmouth, ma. 02540 A s CIV;L YARMOUTH, MA JOB NO: 201197 DRAWN: LMC Fc SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2529 CHECKED:Tius rh .t MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HOD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-16-2004 DATE OF PLANS: 04/16/04 PROJECT INFORMATION: Mill Pond Village 1600 Falmouth Road Unit 25 Centerville, MA. COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES HOUSE MODEL: MALLARD Permit # I I Checked by/Date I I Required UA = 245 Your Home = 140 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA -------------------------------------------------------------------------------- CEILINGS 865 30.0 30.0 15 WALLS: Wood Frame, 16' O.C. 1631 15.0 15.0 72 GLAZING: Windows or Doors 109 0.340 37 GLAZING: Windows or Doors 40 0.340 14 DOORS 20 0.086 2 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy_ Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer. Date rj Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 DATE: 4-16-2004 Bldg.l Dept.l Use I CEILINGS: ( l I 1. R-30 + R-30 Comments/Location I WALLS: [ ] I I. Wood Frame, 16. O.C., R-15 + R-15 Comments/Location I WINDOWS AND GLASS DOORS: I. U-value: 0.34 For windows without labeled U-values, describe features: I # 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 I DOORS: 1. U-value: 0.086 Comments/Location AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or. gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no I 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. I VAPOR RETARDER: ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: } I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating 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. 0 EFFICIENCY • . RATING CERTIFIED AirConditioning & Heating aina E k EL tsre. �tlsrev n 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GALWSERZES WWsaY � P,nuelca -91i�oeryry�" �ffEri�p,E,.s.�sty � wARnANrd `�' SWec1[FrmlS•Ya•Ataax Description / Application • All models design certified by ITS to be in compliance with ANSI 7-21.47 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 0 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 29-4C 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. eoodmanmfe.com ococnouANIrF RATINGS Model Natural Gas Natural Gas Propane Gas E Temp. Rise Number Input Output Input UE GMNT BTUH BTUH BTUH 040-3 40 000 37 000 37,000.6 W85,00O4 25 - 55 060-3 60,000 55,000 55,0006 35-65 080.4 80 000 73,500 73,0002.6 35 - 65 100� 100,000 92000 92,00026 926 40-70 40-70 120-5 120,000 110,000 111,000 102,000 F EFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA VAILABLE FROM YOUR RETAILER. SPECIFICATION DATA Electrical characteristicsel 11��/ lower�rV'Vent* a. Combustion` Air Filter Size In Perm. / Disp. Electrical Ship Weight NumbDi FLA Max Fuse . Width W310 6 8 10 Z. 2' 3' 3'385/ 3' 2' Y 3'385 3' 290 / 580 290 / 580 / 770 770 4801960 ..onr IPnnth Check 5.2 7.8 7.8 9.2 with 15 15 15 15 instructions, 170 180 --- 205100d 265 which 04036 0603 080-4 120 510 'NOLe: Ven[ [Qlu LAM WuQuwn cal -I _ accompany the furnace. 28" �198..� 4" 4$" 4 T 8" COMB. AIR INLET - GAS INLET - 5 ill 4• VENT 27" LOW VOLTAGE 4" i ELEC. 101" i 4 18" �. Model GMNT A B Combustible Floor Base 0403 & 060-3 14' 12'/:' SBM14 080-4 17 % 16' SBM17 100-4 21' 19IN SBM21 120-5 24 % 23' SBM24 SS-312D 58" 47.. 8 4I i 128" i COMB. AIR INLET i GASINLET PV 0 VENT 'EJ ix- LOW VOLTAGE MA 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 . .= 1 CASED (U) COIL APPLICATION OPTIONS Furnace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'/:' 21' 24'/:' Coil Model Number Coil Width U-18 14' X U-29 14' X U-30 17'/,' X (1) X (2) U-31 14' X U-32 17'� X (1) X (2) U-35 14' X U-36 17'YT X (1) X (2) U-42 17'/' X (1) X (2) U-47 17'/i X U-49 21' X (1) X(2) U-59 21' X (1) X(2) U-60 24W X(.1) X(2) U-61 24Yi 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 miximatch 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 040-3 MED 1210 1170 1130 1085 1040 980 920 860 LOW 895 980 870 840 825 780 725 680 HI 1360 1300 1250 1190 1135 1085 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 080-4 MED 1690 1645 1600 1545 1485 1410 1345 1245 LOW 1450 1400 1390 1360 1325 1270 1200 1125 HI 2010 1945 1875 1800 1715 1620 1510 1400 GMNT 100-4 MED 1725 170.0 1670 1615 1550 1475 1375 1275 LOW 1430 1390 1350 1315 1285 1245 1160 1070 HI 2360 2325 2300 2170 2125 2045 1945 1850 GMNT 120-5 MED 1815 1750 1710 1660 1600 1545 1480 1415 LOW 1275 1215 1190 1145 1110 1055 985 925 values inaicateo oy snaded 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. That's why we know... There's No Better Qualify. Visit our web site at www.t oodmanmf¢.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 TOWN OF YARMOUTH (OFFICE USE ONLY) By 1Mn- - C��15(� ( Fee: $ PERMIT NO. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform—eh� 'etectri6al work described below. Location (Street&Number) 4VII�� Owner or Tenant Owner's h No. Is this permit in conjunction with a building permit? M Yes C3 No (Check Appropriate Box) Purpose of Building doA Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd Q No. of Meters New Service /OD Amps lad /a �D Volts Overhead Undgrd C9 No. of Meters Number of Feeders and Location and Nature of Proposed electrical Work: Cmmnletinn of the followin a table may be waived by the Inspector of Wires No. of Total No. of Recessed Fixtures b No. of Ceil.-Sus . Paddle Fans Transformers KVA No. of Lighting Outlets % 12 No. of Hot Tubs Generators KVA �7Ab ove n- No. of Emergency Lighting No. of Lighting Fixtures !i SwimmingPool md. rnd. Battery Units No. of Receptacle Outlets `pl No. of Oil Burners FIRE ALARMS —of No. of Zones NE Detection an No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat Pump um er — — Tons— — W — No. of Self -Contained No. of Waste Disposers Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal Local C3 Connection Other No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equipvalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or uivalent Attaen aaatrionat aerate q aesirea, or as requirea uy rue rrupector UJ rnrua. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BONDC OTHERC] (Specify:) 3� O� (Ex ¢aeon ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC ule 10, and upon completion. hf �#i I certify, under the pains and penalties of perjury, that the information on tVpplics true and complete. O 121,03 (If the OWNER'S INSURANCE WAIVER: I am aware that the Licensee does'h below, I hereby waive this requirement. I am the (check one) owner Owner/Agent Signature [Rev. 04/001 LIC. NO. 0 LIC. NO. Bus. Tel. No.: 696 - a A 5 `3 J Alt. Tel. No.: have the liability insurance coverage normally required by law. By my signature owner's agent. Telephone No.