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HomeMy WebLinkAbout121 Camp St #120 Building PermitsCommonwealth of Massachusetts Official Use Only Department of Fire Services PermitNo.S —05—505 u,p BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 Qeave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC 527 CMR 12.00 `C (PLEASE PRINT IN INK OR TYPE ALL INFO��R�MMATION) Date: City or Town of: Bede To the Inspector of Tres: CDBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. No Location (Street & Number) �1r+,O S' .C/ ZZ Parcel ti Owner or Tenant Telephone No. '77�—%G ✓✓✓ "' �iY ll'LG J^Z - Owner's Address 1 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters / New Service 5L1) Amps /7,12/ ? Volts Overhead ❑ Undgrd Q/ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Z O E __r_.e ___ _e.c_e_n...... --.-Ly- ...... 0.a wnivo,t by tho tnCnertnr of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans o. o Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures bove n- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Batte Units No. of Receptacle Outlets Q No. of Oil Burners FIRE ALARMS No. of Zones o. o Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers ePump t Pu p um er ons o. o e - ontame Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW unicipal Other Local ❑ Connection ❑ Heating Appliances KW Security Systems: Devices Equivalent No. of Dryers No. of or o. o ater KW Heaters °' ° Ballasts Si Datallo. of Devices or Equivalent Te ecommumcationsWiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or E uivalent OTHER: by tho rnenortnrnf Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ElOTHER ❑ (Specify:)/7.770A L � �f� �) (Expiration Date) Estimated Value of Elec acal Work: �� ODD (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Src7i �n��r LIC. Licensee: sly Signature LIC. NO.: 3D Z6�1= (If applicable, enter "exem t' in the lice se number line.) IV Bus. Tel. No.. Address: /7�/2�1�.�i✓a�/�� �1,�n.�e�i'-cam 4ZGf/f Alt. Tel. No fd� S 3'�d 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 I PERMIT FEE: $ Signature Telephone No. , Commonwealth of Massachusetts """ a' "" ""'Y Permit No. EC5- ;2 VDepartment of Fire ServicesOccupancyand Fee Checked /J& BOARD OF FIRE PREVENTION REGULATIONS . iv991 veblank /, �F APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORIV'//� All work to be performed in accordance with the Massachusetts Electrical Code (UEG), 527 CUR 12 00 (PLWEPRMT)NENWORTYPEALLWFORMA770A9 Date: City or Town of: YAPMOUPH To the Inspector of Whl# s By this application the undersigned gives notice of his or her intention to perform the electrical work below. <�00Q Location (Street & Number) MIM POND VILLAGE, Came Street p i OwnerorTenant Gatewood Homes/ Jeff Sollows Telephone No.508-7 66 Owner's Address 1600 Fal mutts 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. Fasting Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woric Fire Alarm System ( low voltage control panel) w; h ba kim battery- centrally monitored • _ n_—_f_.a..:...l.L�l I1.,..d......,T.l.....,.. lvim:va}7•hv ile<lrzmorfnr ni•r�isne No. of Recessed Fixtures No. of Cel1Su .( (Paddle) Fans sP• � f Total Transformers I{VA Transformers No. of Lighting Outlets No. of Hot Tubs aerator's KVA No. of Lighting Fixtures Ab ove Swimming Pool d. . ❑ d. ❑ o. o ergeacy g Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE. AT•ARMc No. of Zones —1— No. of Switches No. of Comas Burners o. o etection.an 7 Initiatia Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Totalsp ' um er. ors Dete0. ction/Alerting Devices 7 No. of Dishwashers SpacelAres.Heating Local [3 Municipal n�®OtherCnion No. of Dryers ry Heating Appliances , Security ystems: No. of Devices orEquivalent o. o -ter KW Heaters o. o o• U Signs Ballasts Data Wiring: No. of Devices or F Apivalent Na H dromassa Bathtubs y ge No. of Motors Total HP Telecommunications Devi es o irzag: No. of Devices or uivalent OTHER: INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" .coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify.) #-ahon to Estimated Value of Electrical Wode $750.00 required by municipal policy.) Work to Start_ Inspections to be requested ' i accordance with NEC Rule 10, and upon completion. I cerkfy, under the pains and penalties of perjury, that the inf imadon on this application is true and eomplde FIRM NAME: Baltic Security, Inc LIC. NO.- 1178C Licensee: Jonas R Bielkevicius : 499D Signature LIC. NO �� (IfaNU=bk, enter "emnPt"in the Geeuenwnbe.lme Bus. Tel.No.• 508-833- 9996 Address: PO Box 1609. Sandw"-T. ma 02563 Alt. TeL No.: 508�6-3347 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 No. TOWN 0 APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By Fee: $ �� PERMIT NO. C — 05— 1 9 Date Building ' 2 ' C ? S 7— AT: Location New1Y Plans Submitted Renovation ❑ Yes ❑ No �k Replacement ❑ Owner'$ Name 64T AT 1%e? 5T Type of Occupancy_, F0%M e 141 6S W L� Y N L N W p = Z Lu Q �' Z O W C a Z~ Z t- > W `l x OO> O W x cc Z Z=WW m Z u_ O W JW9 O x a- > LL ?i J 0 W I. O X x 0 0 x O O C7 V tr > 0_ F- SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Nam UGTS" (.� /, x, tTE� Address 19 G 14A.4 6 S-r Business Telephone J 0 K-7 :3 7 r 3 6 914 Check One: ❑ Corp. ❑ Partnership e Firm/Company Name of Licensed Plumber oar :S:©y\ N L A N CS INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes Er" No ❑ If you have checked yes, please indicate t e type of coverage by checking the appropriate box. A liability insurance policy 2 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 1 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 a 1) , 4, 2'. Signature o Licensed Plumber or Gasfitter Z! S E0' License Number Tvov i IrF;MQF:- OF y APPLICATION FOR PERMIT TO DO PLUMBING 3? q9�o TOWN OF YARMOUTH � (OFFICE USE ONLY) x EIATTACHEESE By �A1N Fee: 6 PERMIT NO. r-6s Date 20 Q Building Owner's ce)) AT. Location � Name Type of Occupancy •-f / � 44 /y New R ovation El Replacement El Plans Submitted Yes No ❑ z z Z Y z Fa^ z > to W w Y -1 cn a V 14 Z O a cn ¢ oZN J fn W y y Wm = c=iM N a to a.a LLzzza a 3 x O Z _ W a W ¢ Q W Z p Cl) Z O d U. W S a 2 3 O Z 2 Y M O F- a Y a W LL Y W F' a V> F O S in a �' 0 u! a I•- Z O O rn a Z Z cc W F a O o V a x I- Y a -j a m x rn G O a J 0 S a-j-j F rn U- C7 M O C cc a it m 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Address Business Telephone One: Corp. �/J ❑ Partnership Fir ompany s� Name of Licensed Plumber M' INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes 2�'No ❑ If you have checked YES, please indicate the type of coverage by the the appropriate box. A liability insurance policy Other type of indemnity ❑ . ( Bond ❑ j OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of,! I'; the Mass. General Laws, and that my signature on this permit application waives this requirement. �i Check on Owner ❑ Agent $ PP 00 1 7 2q ' j Signature of Owner or Owner's Agent f L "L�S � �\/�� r/ /I' I hereby certify that all of the details and information I have submitted gna, a of I (or entered) in above application are true and accurate to the best of Plumb 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 . License Nt Chapter 142 of the General Laws. Type: Master ❑ Journeymary0� 04 4\ ' 1b \ . Q° •y �S- �\ h EXISTING FOUNDATION LOT 119 \ LOT 121 \sso. os, LOT 120 N 20'WIDE WATER '•� °' MAIN EASEMENT • 1 75.60' 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. 72� DATE REGISTERED P FESStONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) 1 inch = 20 fL TOWN OF YARMOUTH 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. DATE GISTERED PRO SI NAL LAND SURVEYOR NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this 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 & McGrath, Inc. AS —BUILT PLAN holmes and me rath, inc. OF OF LOT 120 civil engineers and lad surveyors MgCy PREPARED FOR 362 gifford street MI e. MILL POND VILLAGE Falmouth, ma. 02540 hto p" I N y No. �9ve boa YARMOUTH, MA JOB No: 201197 DRAWN: LMC SCALE: 1 "=20' DATE: 9-03-04 DWG. NO.: A2528A CHECKED• OF ,� TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO B=o5-244 _ _ _ - _ _ __ PERMIT - --- 44 ISSUE DATE ; - 8/17/2004 _ ; PROPOSE _ _ _ _ --------- JOB WEATHER CARD APPLICANT Frank Capra � --------------------- PERMITTO 'New Construction_ ; AT (LOCATION) 00121CAMP ST # 120 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C120 BUILDING IS TO BE: CONST LOT SIZE 5-BJ USE GROUP new construction: 3 baths, 2 bedrooms, 1 familyroom/diningroom, 1 kitchen, 1 livingroom as per REMARKS plans dated 08106104. AREA (SO FT) EST COST ($ I$154,080.00 PERMIT FEE ($) 1$587.00 OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road, # 25 Centerville I MA 02632 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date 23 w CERTIFICATE of OCCUPANCY_' Depar"ental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks BUILDING LvS =a PLUMBING/GAS Z f ELECTRICAL ENGINEERING OTHER 1 o Da TIIIea In Uy BHUn UrviblUil niUicawU nvIwu u�I, wn.N�o.,..,, ... — 5 vS-r TOWN OF YARMOUTH Building Department BUILDING - .: (508� 398-2231 ext.261 PERMIT NO 6-05-244 _ _ _ - - - - - PERMIT ISSUE DATE ;_ 8/17/2004 _ ; PR OSED _ - APPLICANT ,Frank Capra JOB WEATHER CARD ------------------- ---- PERMIT TO ; New Construction ' AT (LOCATION) 1001211CAMPST#120 STRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C120 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE 0 CONTRACTOR new construction: 3 baths, 2 bedrooms, 1 familyroom/diningroom, 1 kitchen, 1 livingroom as per LICENSE 012430 REMARKS plans dated 08/06/04. Capra, Frank 1600 Falmouth Road #25 AREA (SQ FT) EST COST ($ $154,080.00 PERMIT FEE ($) $587.00 Centerville MA 02632 OWNER lVillages at Camp St., LLC BUILDING DEPT BY 5087789669 ADDRESS 1600 Falmouth Road, # 25 Centerville I MA 102632 INSPECTION RECORD FIELD,COPY Date Note Progress - Corrections and Remarks Inspector aa�v CIO z� a !' of YAk ONE & TWO FAMILY ONLY - BUILDING PERMIT :O APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING * �• y Town of Yarmouth Building Department 1146 Route 28 '- Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508).398-0836 Mce tJse On! Fx i Planning board Infocmatiort Plan 7ypB Assessors Deparlmentlnfomiat<on � ) r ; k a x3 �. � �* 1 �� Permlt�M1lo atek tJr rr t`^' � >•x' r, k xk �tk x 'i C ra> �s ^>' s ' y, perro ir�+ y r _3'.,Nat .,r -tc .c� ���C� w '" 'sz'f`r''3 ,s .•`. Clt' ee t trr�, t R { g `�K r f'C 1 a Properl�ri7}mensrOnsi S: y � h4.� Y y5 Ed Deposit RecYd.; $r r Oate v, -".c IamJVis' � a � z� xr;4t � � { r � a � �,�a, � � � s ;, �r;� ;; � ,° ��� s• r a a u 5 ;� yx 4 za YY i;"e zx-.v `kor T y�" ::fir wx y.. x Yz..� Lot Akeagff r 1 ronta'�e tN�3rDuest it VAh@i try k t y. ,sS'tl '.0 1 4!V 'i;i •�..-�. c ' ..._ 't.: l � F Y S'yy , ..'.` i. X. Yt' i'S ^�z Ths_S�ction%r , 4 F 1 2' r {.U. 6uildin 01.60 mb n Y _ ,• _ nx t4 Certificate of Occupancy 'r 1e� . .� }, t =. 9'tif F•a "'A..t ✓ ,.�{r r8` •. v"FN�.>t- Signature K .rE z f&--0(t�cial Datd ` r s . t> ,y Section 1 v Site"Information:: Use Group: R 4 Type: 5 B 1.1 Property Address: 1.2 Zoning Information: a 54 I° ;L� o t)--o I Pafr_S1 ;L- 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) 'I 5 F]oodZone lnformrati6q Public Private n, SectiortA2 `Prope y,,UwrrerstiipfAuthnnzedAgcnt 2.1 Owneaf Record: / / N me Mailing Address Ca y. (- V � /� 02 f �printk Ir� , _ (� Signature VTelephon 2.2 huthorizej Agent:L / p, ^ 01 � L/ 0 0 Nam font) (` R Mailing Address - j 0 6 nature Telephone Fax Section,�k�v.CQristructrbn�Secsrlces: � f � � �r 3.1 Licensed Construction Supervisor. �l 3 Not Applicable ❑ 1 yL I („✓ `tom a License Number o v1 O ` y 0 Address Expiration Date �+ �7 •-� Si ature ephone J ,,,, �''� - 3 2=Regtstered�ome;li�proverrtent>,CQrr�gtor:� Company Name • ,}� Not Applicable ❑ License Number •� - - Address Expiration Date Signature Telephone AV "1 e--Ml 9- 15-99 1 of 2 OVER 5ecuan 4�vyorxersi Ciompensatort.tnsulance Aftjciav)f (14(G L Cw152 u�2aG, 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 .......... i New Construction [T i No. of Bedrooms i No. of Bathronm-c-c1 6cisting Bldg. ❑ Repair(s) ❑ I Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building O 0 2. Electrical Za 3. Plumbing / Gas 43 ,.'7 --.v 4. Mechanical (HVAC) y„ -'� 5. Fire Protection 5-0 6.Total=(1+2+3+4+5) 8S 0 7. Total Square Ft. (new houses & addi ions) ,00 Q Check Below ❑ Conservation -Commission Fling (if applicable) ❑ Old Kings Highway& Historical Commission approval (if applicable) asowner of the subject property hereby authorize 0 d -e (_A4r to act on m beh , in all matters elative to work authorized by this building permit ppl'cation. �+-o signature of Owner Date 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 p�enalti1es of perjury. Print na e A 4Z'D Sighatur of Owner/Agent . 9-15.99 2of2 Date t u TOWN OF YARMOUTH T BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: Job Location: I 1 LUA Numb.erg � � Owner of Property: \ ` Construction Supervisor: f ( Name Address: / p Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures 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 No ❑ If you have checked M, please indicate the type coverage by checking the appropriate box. A liability insurance policy 31*� Other type of indemnity ❑ Bond ❑ OWNER'S INSU A E WAIVER: I am aware that the licensee does not have the insurance coverage required by Chap2 oiss. ene,nitws, and that my signature on this permit application waives this requirement. Si a of Owner or Owners Agent Owner Agent Signature: Building Official Approval: a The Commonwealth of Massachusetts Department of Industrial Accidents olflce afINFOS 1pSMS 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit cit% (Q l lk- , yv1�14 CaA7z _k�__ � �oX-'7 7 V-3 IL (oH I am a homeowner performing all work myself. 0 1 am a sole proprietor an.1 ha%e no one corking in any capacity ❑ I am an employer pro%iding workers' compensation for my employees working on this job. company name: address, city: nhone N, insurance co. noliev q am a sole proprietor. general contractor, or homeowner (circle one) and have hired the contractors listed below %%ho hase city: phone N- insurance co.. policy 0 company name: insurance co. nojjhr # a Failure to secure coverage as required under Section 25A of MGL I52 can lead to the imposition of erimlul penalties of a fine up to 51,500.0o and/or_ one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a floe of3100.00 a day against me. I anderstand'that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby cerrp* -=der th pains a enaltles ojperjury that the information provided above is vue and fro d k Signature arc X A Print name official use only do not %rite in this area to be completed by city or town of icial city or town: YnRrsOUT$ _ permit/license p nBuiiding Department pl.lcensing Board check if immediate response is required 261 E3Seleetmen's Omee Health Department contact person: phone p: _ (SOS) 398-2231 eat. riOther. ... ..� .. i,A. f TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRICAL GAS PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be a conducted at 1; ` p Work Ad4ress- is to be disposed of at the following location: �(�►'�� `� `�'�� �� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Ax7 1W Signatu of Applicant Date Permit No. •• .I �� �O�IWK09rUJ2QL[/L 6�✓'4CKLQC/tUdClyd p{ BOARD OF BUILDING REGULATIONS 'ILicense: CONSTRUCTION SUPERVISOR Number: CS 012430 �a Birthdate: 06/16/1940 Expires: 06/16/2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN.� CENTERVILLE, MA 02632 Administrator 00 - 35.000 d enclosed space (MGL CA 13 S.60L) 1 A - Masonryonly 1 G -1 & 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of itus license. DIG SAFE CALL CENTER: (888) 344-7233 CALL US DIRECT AT: GALL US DIRECT AT: ��� -----y CONTRACTOR DIVISION Toll Free (800) 834-3132 Delivery (508) 477-5868 CONTRACTOR DIVISION FAX (508) 477-4279 Sales (508) 477-6575 Bowdoin Road, Mashpee, MA 02649 Mailing Address: P.O. Box V, Osterville, MA 02655 SOLD TO: LAUNIE GROUP LTD NVOICE #: 13'1'37-00@ 13 HEATHER DRIVE INVOICE : 031@@9242&i9 MI.LTON, MA DATE: 10/30/03 02186 TIME: 09:42.28 SHIP TO. MILL POND VILLAGE SALES ID: NAOMI OSPREY BUILDING DELIVERY: : 11/28/03 FRAMING LUMBER ROUTE: GUOTE PH#617-698-9383 1000-24 PAGE 1 - �RTE 3 NORTH - TO EXIT 1 RIGHT GILT OFF EXIT - AT LIGNT5 TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTQLO SIGNS - ITEM OTY U/M DESCRIPTION U-FRC PER NET AMT -- QUOTE ID: OSPREY BCI EXPIRATION DATE - 11/28/03 PURCHASER: CXIRMICAN, BRIAN ALL SPL BC FRAMING LUMBER IS BASED ON DIRECT SHIPMENT TO SITE DELIVERY TRuq: MUST HAVE ACCESS TO SITE OR ADDITIONAL CHARGES WILL APPLY ! ! **MODULE A.1ST FLR - 10/30/03** SPL S20 EACH EC45012 1-3/4X11-7/8 1.860 EACH 1525.20 33/20' 5/18, 4/16' 2/3' 3.367 LNFT 356.90 LVL11 106 LNFT 1 3/4"X 11 7/8" LAMINATED BEAM SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SOLD 20' LENGTHS MLY SHGUS410 2 EACH SIMPS DBL FACE MNT HNGR 9 1/2" 23.530 EACH 47.@6 15/CTN SIUT11 14 EACH 1 3/4 X 11 7/8 FACE MOUNT HANG 2.010 EACH 28.14 **MODULE A.1ST FLR TOTAL $2175.50** **MODULE B.20 FLR - 10/30/03** SPL 804 EACH EC45012 1-3/4X11-7/8 1.860 EACH 1495.44 33/20' 9/16' LVL11 98 LNFT 1 3/4"X 11 7/8" LAMINATED BEAM 3.367 LNFT 329.97 4-20',2-9' SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SH61G410 2 EACH SIMPS DBL FACE MNT HNGR 9 1/2" 23.530 EACH 47.06 15/CTN 5IUT11 7 EACH 1 3/4 X 11 7/8 FACE MOUNT HANG 2.010 EACH 14.07 Fax us your orders 24 hours a day US DIRECT AT: �dvery (508) 477-5868 Sales (508) 477-6575 J.AFY6 CONTRACTOR DIVISION O' CONTRACTOR DIVISION Bowdoin Road, Mashpee, MA 02649 Mailing Address: P.O. Box V, Osterville, MA 02655 SOLD TO: LAUNIE GROUP, LTD 13 HEATHER DRIVE MILTON, MA 02186 SHIP TO: MILL POND VILLAGE OSPREY BUILDING FRAMING LUMBER PH#617-698-9383 CALL US DIRECT AT: Toll Free (800) 834-3132 FAX (508) 477-4279 ACCT-PRJ: 13297-900 INVOICE #: 031009242859 DATE: 10/30/03 TIME: 09:42:28 SALES ID: 9140MI K DELIVERY: 11/28/03 ROUTE. [QUOTE 1000-24 PAGE 2 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELL0 SIGNS ITEM OTY U/M DESCRIPTION U-PRC PER NET AMT SMIT411.88 1 EACH 3 9/16"X 11 7/8"TOP MCUNT HAM 3.530 EACH **MODULE B.2HD FLR TOTAL #2109.27** 3.53. SUB TOTAL 4285.77 MA 5.000% SALES TAX 214.29 TOTAL 4NO.06 Fax us your orders 24 hours a day First Floor ..... nN: .ONO.1W1►WN0 .................................. FWFbW A�sny edule M.1k1CRV1Memfi UW Vmdud Dwm"- . "1 12 AiPNObMTMM• Iquefl0 1Vif►INNMV-lfN hN NeNI q N fef Oypi}iMM ORII frif141NMd01CNhN NNN Fkwlal IIITOutja Second Floor Framing Plan d?-1.0 „e od.:lPfPfew 0:02Md second Fleur ' Framing Schedule -Nemlmdfed Marls Dy Dseorptl M lano II nrww 0 v !PP f 0 111bets Nb OF I!P i IYT 11/TKIINN 31008F f!P � f 1Lf.111TV01l0ApM071000 !P e n I'e 11 iT VEIIMJIMMw OTP N m VJI f- VNrwaNa M.Y NWY \WNMwwMMw YIYI W Y.Y1YM "A .1 Rq NYY pM<M a 1?oauown Rao re a Rdl..la awtlapYnR y Ns.�.. e1W lw4N C�S�re� I a BC CALC®206T MS16W-A"_ ;U „"U$. Thursday, October 30, 2003 08:1, Single 11 7/8" BCI® 450s SP File Name: Tutorial Proto -2 : Floor 1U 14 Job Name: Mill Pond -Osprey Bldg. Description: Address: 1600 Falmouth Rd. Unit 25 Specifier. Rick Lowe City, State, Zip: Centerville, Me. Designer. Customer. Launie CompaKrr� _Boteltatam >aaac. Code reports: NER 594, ICBO 5208 ou, r IIC 61, 3 12" 387 Ibs LL 97lbs DL 387 Ibs LL 97 Ibs DL 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 i product installation. BC CALC®, BC FRAMER®, BCI®, BC RIM BOARD"', BC OSB RIM BOARD", BOISE GLULAMTM, VERSA -LAM®, VERSA -RPM, VERSA -RIM PLUS®, VERSA-STRANDTM, VERSA-0TUD®, AL LJOIST® and AJSTM are trademarks of Boise Cascade Corporation. Total Horizontal Length-19-04-00 Load Summary ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf. Area Left 00-00-DO 19-04-00 Live 40 psf 12" 100% Dead 10 psf 12" 90% Controls Summary Control Type Value %A11dwable, Duroan_.,,. Load Case Span Location Moment 2335 ft4bs 56.2% 1011 2 1 - Internal Neg. Moment 0 ft4bs rr/a- 100% End Reaction 483 lbs 33.3% 100% 2 1- Left Total Load Dell. L/519 (0,447") 46.2% 2 1 Live Load Deft. Li849 (0.357) 73.9% 2 1 Max Defl. 0.44r 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 (L/480) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 3-1/20. Minimum bearing length for B1 is 3-12". Entered/Displayed Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing OSt�rej Y Single 11 7/8" BCI® 450s SP Job Name: M71 Pond -Osprey Bldg. Address: 1600 Falmouth Rd. Unit 25 City. State, Zip: Centerville, Ma. Customer. Launie . Code reports' NER 594, ICBO 5208 a/ lbs DL 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 FRAMERS, BCI®, BC RIM BOARD TM, BC OSB RIM BOARDTM BOISE GLULAMTM VERSA -LAME, VERSA -RIM®,, VERSA -RIM PLUS®, VERSA-STRAND7u VERSA-STUDV,ALLJOIST®and AJSTM are trademarks of Boise Cascade Corporation. Sage 1 of 1 BC CALC® 2003 DESIGN REPORT - US Thursday, October 30,'2003 08:1 Fle Name: Tutorial Proto -2: Floor Z- 20 Description: — Specifier. Rick Lowe Designer. Company: Botello Lumber Co. Inc. Misc: Total Horizontal Length-19-04-00 Load Summary ID Description Load Type S Standard Load Unff, Area Controls Summary Control Type Value Moment 2335 ft-Ibs Neg. Moment 0 ft-Ibs End Reaction 483 Ibs Total Load Defl. L/519 (0.447-) Live Load Defl. L/649 (0.357-) Max Defl. 0_447.. Span / Depth 19.5 B1, 1-3/4" 387 Ibs LL 97 Ibs DL Left Start 00 00-00 End Type 19-04 00 Live Value OCS Dur. Dead 40 psf 10 psf 12" 100% 12" 90% % Allowable Duration 2% Load Case Span Location rr/a 100% 100% 2 1 - Internal 40.3% 462% 100% 2 1 -Left 73.9% 2 1 44.7% 2 1 n/a 2 1 1 Notes ' Design meets Code minimum (L240) Total load deflection criteria. Design meets User specified (L/480) Live load deflection criteria. Design meets arbitrary (I-) Mabmum load deflection criteria. Minimum Bearing length for BO is 1-3/4". Minimum bearing length for B1 is 1-3/4". Entered/Displayed Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing "' .11. 1 -T"Cl. L mL. i J I J 1 5� 564 7272 P.01i01 Is RIDER. RISK SPECIALISTS HOLD INSURANCE AGENCY, INC. ALTO P.O.Bm 115 CATAUMET MA 02534-0115 COMPANY asuaED A MONUMENT INSULATION, INC. COMPANY 223 COUNTY ROAD BOURNE, MA 02532"^" THIS IS TO C._. __..._ EATIFYTHATTHEPOUCIE6Ol 1NSUWWCE r w" ~ 4 INDICATED. NO U13TED BELOW HAVE ee•o TWITHSTANDING ANY REOUISIEMENT, TEAM OR CONDITION OF M SUED TO THE isuRip NAMED AB pp""". """ "`". ^• CERTIFICATE MAY SE CONDITSSUEDIONS OR MAY PERTAMt THE;NSLIRMCE AFFORDED BY THe POUCIE4 DESCW9ED HEAEN ISSUE FOR �. p�� ANY CONTRACT OR OTHEA DOCUMENT WITH RESPECT TO WHICH = D(CUU310NS AND CONDITIONS OF SUCH FOUCIE& UMTTB SHOWN MAY HAVE SEEN REDUCED BY PAID CIAIMS, BJECT TO ALL THE TERM3, ME Df uroU1GMCF PDUCY NUMBEA Doha gym" . GENERAL LlgOIUTY fra;j •••e'Mc.'9aAL DENFsiAL LlASE.ITY . CIA7M$ MADE ®OCCUR ' A "'SICGNTR�CTORSPROT CL223S745 i ANYAVTO ALL OWNED AUTOS SCliEIAED AUTL7.S N67EG AUTCS NCN-�AUTQS, ANY'AWO- m6 UABi nr UM&gaLA rcRM MrEMSLTM AND LuawTr PCL I WC 782 61 72 GATE'+7OOD HOMES, INC 1600 FALMOUTH ROAD 125 CENTERVILLE, MA 02632 508 778-5603 8/23/03 18/23/04 CDMBE�Im SINGLE UaT E POMY NJLW IPr punom E rw t PROPERTY DAMAGE... AUTO ONIr. FAAST 9 s s 9/5/03 I9/5/04 MOULD ANY Of THE ABOVE "SCpBEp .......... POLICES BE C+LLICELIJ<D SQOgE Mr Elid/RATION DATE TMEAEDf. THE M=IMG COMPAMY Wai EHDFAVOO TG yAry ID_ OAT= MRITTEB NOTICE 7D THE CENTIF=TE HOMM NAimrTo-IW BUT FAILVRE DAD MA11 NOTICE SHALL D OSUDA TOTAL P.01 PRODUCER CERTIFICATE OF-. IlVS. �IJRAI�TCE ,Passaro Leverone & Buckley Insurance Agency Inc P 0 Box 160 Dennisport, MA 02639 TBE �.EB' COVERAGE AFFORDID BuY COMPANIES AFFORDING COVERAGE INSURED Patrick K Orcutt dba P & S Concrete C A A.I.M. Mutual Insurance Co 37 Ladys Slipper Lane Mashpee, MA 02649 L L >S TO CERTIFY THAT THE POLICIES Q INSURANCE LISTED BELOW HAVE BEEN LSSUE I TO THE INSURED N MED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER D CERTIFICATE MAY BE LSSUED OR MAY PERTAIN, THE IIJSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY D DAVE BEEN REDUCED D PAID CLAIMS. HE WITH RESPECTT0 WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, TYPE OF IIJS(lRANCE POLICY NUMBER POLICY EFFECTIVE YY) "+ENERAL Ltwnrt mr POLICY ElT Uno DATE(MM/DDNY) DATE(MM/DD/ll 'LDIE= MMERCIAL GENERAL LIABILITY ::]cLAIMS MADE NER'S & CONTRACTOR'S PROT. LE I.IARUX" AUTO OWNED AUTOS 2OULED AUTOS D AUTOS OWNEU6AUTOS ,GE LIABILITY acESS LLAI'UXry MBRELLA FORM �TFIER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS• LIABRITY A ITHE PROPRIETOR/ GatewoodS Homes 1600 Falmouth Road Centerville, MA 02632 6006181012003 110/71 /2003 110/21 /2004 ERAL AGGREGATE S 9;U COMP/OP AGG. S TONAL & ADV. INJURY S IOCCURRENCE S DAMAGE (Any one fire) S EXPENSE (Any ooe person) S Ls INED SINGLE )LLY IN Person) S ILY INJURY accident) S ?ERTY DAMAGE S i OCCURRENCE S LEGATE S WC STATU- X OTH- s SEASE—POLI LIMIT S >EASE —EA EMPLOYEE S SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EX21RATION DATE THEREOF TIM ISSUING MAIL COMPANY WILL ENDEAVOR TO LEFT' MAIL10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE UT FAILURE TO MAIL SUCH NOTICE SHALL WOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESFN'reTnav .a AC.aRDM, CERTIFICATE OF LIABILITY INSURANCE OATE Paaq on', vRODucER 08/08/2003 ' JOACIRA-pigs. 5Ct8 672 2987 THIS CERTIFICATE IS ISSUED AS A MATTER OF WFORMA7ION DIAS INSURANCE ONLY qND CONFERS NO RIGHT$ UPON 'THE CERTIFICATE Hdl:ppt� FHt� EER-Fii'IEg7•E DDES- NOz AAdENI;. EXIEHQ OR 535 BRAYTON AVE ALTER THE COVERAGE AFFORDED 8Y THE POLICIES Si FALL RIVER. MA 02721 a$UREn INSURERS AFFORDING COVERAGE JOEL FERREIRA OEALMEIDq EIs1lRERA: GRANITE STATE INSURANCE COMPLINY y�y94 48�5 DBA EJJA CONSTRUCTION HwRERe; NAUTTCUSIIVSURPNCE COMPANY { NE27580fr 50 PICKERING ST. APT 17 wsURERC; —t ---- FALL RIVER, MA 02720 E+sURERa. ---- COVERAGES INSL+RER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN i53VED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD INDICATE �. NOTWITFISTANDING AKY..REOUIREMEN'f, TE1TM OR CONDITION OP ANY CCNTRACT OR OTN MAY PERTAIN, THE INSURANCE AFFORD BY THE POLICIES DESCRIBE 6R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PDLtCIE3.AOGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY vgID LE,gRIEIs!¢SHBJE$T TOI THE'TERMS• EXCLUSIONS.ANG CDNpITLQNI OP guOR sR oc• CH EOUl'NVIII PO EFFECTMC POUCYEAPIRA'ION •� GENERAL L46IUTT L9lITS X COSNtmCTALOtwx= LWBR.ITY NC27580E CACT OCCURRCNCE ( r,WQ'0.OD- 06/26I2003 06/26/2004 EauEN_1 100,0�0 eu1MSMAPS oecuR - I MEO EiP(Any atlOMM)--ITT-�-���o- I PERSONAL E A0v?WuN1' I3 1�0� f.,FN,LACCREGATELUNTAPPLIESPER: CENQUIE41SWWGATE {} 2,000,.00� POLICr PRO' LOC PRODUCTS, CO APAPh..G is 2 D00 000 AUTOMOBU VARUTY ANY AUTO P COL+EwcO UNO:B u:rT II j ALL OWNEDAUTOS (E*0e6euR� ) 3CHFDLA.EDAVT05 �� WURV HII= •�� i �REQALROS - �--- • l NONrOWNEDAUTO$ r EOO,LYIWURY IIre+aauxl i GARAGEWBR.ITT _.. - PPYrPROPERDAMAGE I ANY AUTO ADTo i I nNcnE:raccmel•r t CXCESSR7MERn e • LUBOTTER THAN Ul.f'^, SS R,RY _ AUTOONLY: `— j OCCUR CLAIMS uaae I EACHOCCURRENCE I� AOOREGATC DEDUCTIBLE-- RETENTION S . S AOEWNNFOFlVPRLCNOGYRE&RCSEO'TLYOIARRBEryINLEKRAYT(ONAD WC LCdLTVE WC ST_JF..TRPDY07 NI I _—••—_— eI e.......,.,..,.._ ALDYOOFTHE ABOVE ossCRagO p.Ajc3 ag GATEWOOD HOMES Ta THgBF. wCANCE�9EFOE . EXMRTg91_ izURRWILLEHOCAVOTO4ML DAYS WMMU 1600 FALMOUTH RD. NOTIecTCTTcccRr6 CATrNotDEIrNAMEUTo THE LEFT, iwx CENTER VILLE. MA 02632 IMP031 WO 06WATION OR UABIUTY oP ANY Rw0 UroN TME WOUJI ITE AGENTS cR REPRESENTA,'W.., AVTNOR¢CDR CgENTA TM CERTIFICATE OF LIABILITY PRODUCER INSURANCE Dowling & O' Neil Insurance THIS CERTIFICATE IS ISSUED AS A MqR Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE HOLDER THIS CERTIFICATE DOES NOTAM 222 West Main St. PO Box 1990 ALTER THE COE VERAGE AFFORDED BY THE I Hyannis, MA 02601 Gutter Pro Enterprises, Inc. P.O. Box .1197 Plymouth, MA 02362 INSURERS AFFORDING COVERAGE wsURERA: Travelers Insurance Co NSURER B: Guard fnsurance Groun DATE (MwDD/yyy 11/14/03 YFORMATION ITIFICATE EXTEND OR CIES BELOW, NAIC it THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO ANY REpUIREMENT, 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 D SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY T�TI"ISTANDING LTR NSR TYPE OF INSURANCE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION A GENERAL LIABILRI 1680459H3118TCT03 DATE MM�D DATE MM pp X COMMERCIAL GENERAL UABJUTY 11/07/03 1 //0710 EACH OCCURRENCE LIMITS CLAIMS. MADE DAMAGE TO_RENTEp $1000000 X _OCCUR LIMIT I UMDBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS MON-OWNED AUTOS �+AKAGE LIABILITY ANY AUTO IXCESS/UMBRELLq LIABIIJTY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S . B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PRTNERIEXECuTIVE OFFICER/MEMBER EXCLUDED? H Yes. describe under SPECIAL PROVISIONS below OTHER ACV (Ea OMBIaccidentSINGLE LIMIT S BODILY INJURY (Perpesan) S BODILY INJURY (Per acaidenU S (Per a tPROPERTY DAMAGE $ AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY: 11/07/03 11/07/04 _WCSTATU ,,,u s DESCRIPTIONOF perfo11 rmed /LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDCRSEMENT/SPECUIL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #32273 --• -•�. �r me ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL DCPIRATTON NOTICE TO THE CERTIFICATE HOLDER �nNAMED TO THE LEFT, BUT FAILURETO AYSOWw�N SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, REPRESENTATIVES ITS AGENTS OR AUTHORIZED REPRFCevr....•� 9 ACORD CORPO91N0�RA7788 LtKTIFICATE OF LIABILITY IN PRODUCER DATE (MWDD/yyyy) SURANCE Dowling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOROMATION 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 INSURERS AFFORDING COVERAGE Bayside Electrical Contractors, Inc. INSURERA: Travelers Insurance Company NAIL # 372 Yarmouth Road INSURER B: Guard Insurance Group Hyannis, MA 02601 INSURER C. THE POLICIES OF INSURANCE LISTED BELOW HAyE BEEN ISSUED TO THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER MAY PERTAIN. THE INSURANCE AFFORDED INSURED NAMED ggpyE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR BY T}IE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS MAY POLICIES. AGGREGATE LIMITS SHOWN MAY HgVE BEEN REDUCED BY PAID CLAIMS. BE ISSUED LTR NSR TYPE OF INSURANCE AND OF SUCH A GENERAL LIABILITY PODGY NUMBER 16801484A82ACOF03 POLICY EFFECTVE POLICY EXPIRATION DATE MIDD DATE MMID LIMITS X COMMERCIAL GENERAL LIABILITY 10/05/03 10/D5/04 EACH OCCURRENCE CLAIMS MADE O OCCUR $1 000 000 DAMAGE TO RENTED $300 000 X OCP MED EXP (Any one person) $5 000 GEN'L AGGREGATE LIMIT APPLIES PERSONAL S ADV INJURY $1 000000 PER: POLICY um AGGREGATE $2 000 000 LOC A PRODUCTS. COMPIOP AGG $2 000 000 AUTOMOBILE UAB°-rT18102601W5611ND03 ANY AUTO 10/05/03 10/05/04 ALL OWNED AUTOS (COMBIINNE�D INGLE LIMB $1 ()() ,OUD 0 X SCHEDULED AUTOS X HIRED AUTOS (Per pe sIon) s X NON-0WNEDAUTOS X Drive Other Car BODILY INJURY ' (PeracddenqPROPERs GARAGE LL4BILf LIABILITY ' GE. $ ANYAUTO AUTO ONLY. EA ACCIDENT $ EXCESS/UMBRELLA LIABILITY OTHER THAN EA ACC $ AUTO ONLY: OCCUR CLAIMS MADE AGG s EACH OCCURRENCE s AGGREGATE - $ "DEDUCTIBLE RETENTION It S B WORKERS COMPENSAAON AND EMPLOYERS- LIABILITY s 08N8/03 s ANY ANY PROPRIETORIPARTNER/EXECUrVE 08/18/04WC STATU-oTH. OFFICER/MEMBER EXCLUDED? OTHER DESCRIPTION OF OPERATONS /LOCATIONS /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 ACORD 25 (2001/08) 1 of 2 #M31942 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK)N DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL DAYS N IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND REPRESENTATIVES. UPON THE INSURER, ITS AGENTS OR AUTHORED REPRESENTATIVE 0 ACORD CORPORA PROPERTY ADDRESS; :ALCULATION FOR PT COST AD10 OF 0' `� �,,,.,/ t, 73I 2S6%, rr ALTERATIONS BATH BED CER f' CON DEC DEC DEM SHED =1CATEOF !R ROO OPEN IDATION ONLY AGE NO. OF BAYS ,T ROOM IEN _=; SUN ROOM Lo*jE SW A�NG POOL A NO I of 1,� TOWN OF YARMOUTH Building Department Town Hall air e°� Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-081 Applicant Name: Applicant Phone: Building Location: Frank Capra 5087789669 00121 CAMP ST # 120 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: 7/20/2004 Issue Date: Expiration Date Comments: new construction: Map/Lot: 044.21.1.0 /0Q Owner's Name: Villages at Camp St., LLC ZONING APPROVED Owner's Addres 1600 Falmouth Road, # 25 Centerville ' MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: WATER DEPARTMENT: ENGINEERING DEPARTMENT: DATE: N/A: DATE: N/A: �-3. CONSERVATION: DATE: N/A: V' 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: DATE: N/A: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: L. DATE: Date Printed: 7/30/2004 OF TOWN OF YARMOUTH •d`Building Department Town Hall 1+)4, Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-081 Applicant Name: Applicant Phone: Building Location: Owner's Name: Owner's Addres Frank Capra 5087789669 00121 CAMP ST # 120 Villages at Camp St., LLC 1600 Falmouth Road, # 25 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: 7/20/2004 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 /H new construction: Centerville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: EHEAQ7jQEPT. 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: /C 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 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) 21.1C120 Street 121 Camp St., #120 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 armout Water Department r6& TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT - TRANSMITTAL Temp Permit No.: T-05-081 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 120 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road, # 25 Centerville MA 02632 ' Owner's Telephone: (508) 778-9669 REVIEWED BY: 1. WATER DEPARTMENT:,- 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: 7/20/2004 Issue Date: Expiration Date PLEASE NOTE SIGNATURE OF APPLICANT: Comments: new construction: DATE: O'Cf N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: 044.21.1.C10)V Date Printed: 7/30/2004 if ;4 0 Dc 20 10 0 .� 43 ' Qomo LSP� ' /L • I I s LOT 120 51431 S.F. 20 N 'WIDE WATER �, MAIN EASEMENT (+VIA 75 60 LOT 119 5,082 S.F. AFFORDABLE GRAPHIC SC P411 ( IN FEET ) 1 inch = 20 ft. PLOT PLAN OF LOT 120 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1 "=20' DATE: 5-1-03 S81'36'50"W \ Qc) NOTE® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 1 OFT. OF WATER MAIN. 60 NOTICE Unless and until such time as r 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 REVISED: 3-8-04 (8) this plan remains the property of Holmes do McGrath, Inc. REVISED: 2-19-04 holmes and mcgrath, inc. �P`ZN OF d1gSSq civil engineers and land surveyors 362 gifford street TIMOTH S � SANTO—+ falmouth, ma. 02540 0 _N ..IVI a o- JOB NO: 201197 DRAWN: LMC DWG. NO.: A2528 CHECKED: -fA OQ �G �� \ O� � ' QQ`p�OJ Q�Q �ry0 • �2\ Jsy R 0(i F 1. FG4 ti \ LOT 120 \ . �Fi 8s 5,431 S.F. \ oe \5 RZ ems . 20'WIDE WATER Q��o�\P oo ,I �, ,S. sr•\CoMAIN EASEMENT 60' 75 S81-36'50"W 0.78 /rye s�,9• LOT 119 o 616 5 082 S.F. N AFFORDABLE JO OF bfgsfA NOTE• s``P�1N MI BHAEL �. SEWER LATERAL SHALL BE S M )THE SLEEVED IN ACCORDANCE GRAPHIC SCALE Fs T WITH TITLE V IF WITHIN s 1OFT. OF WATER MAIN. S��bAI LAN ' 20 10 0 20 NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: ( IN FEET) (A) no person or persons. Including any municipal or other public officials, may rely upon the Information contained herein; and I inch = 20 M REVISED' 3-8-04 (8) this plan remains the property of Holmes & McGrath. Inc. REVISED: 2-19-04 PLOT PLAN hoimes and mcgrath, inc. AAAA jH of OF LOT 120 civil engineers and land surveyors PREPARED FOR 362 gifford street ° TlSANTOSM MILL POND VILLAGE Falmouth, ma. 02540 U N°.4SO78 IVIL IN o. ^IST YARMOUTH, MA JOB NO: 201197 DRAWN: LMC t SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2528 CHECKED:As 2 9 ee-�. oe .yti• \ G� v \ V• �9 I A d a, LOT 119 0 00 5 082 S.F. N '13iN F AFFORDABLE o GRAPHIC SCALE 20 10 0 20 ( IN FEET ) 1 inch = 20 ft. PLOT PLAN OF LOT 120 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1 "=20' DATE: 5-1-03 MNh 44 3 0 i v �sso. s LOT 120 . 5, 431 S.F. gn'unnF wnTPR . 8' � S81'36'S0"W NOTICE ZN OF 4t4f`4 � NOTE: MICHAEI s. SEWER LATERAL SHALL BE m SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN Isr 10FT. OF WATER MAIN. Unless and until such time as the original (red) stamp of the responsible Processional Engineer, or Professional Land Surveyor appears on this pion: (A) no person or persons, Including any municipal or other public officials, may rely upon the Information contained herein; and REVISED: 3-8-04 (B) tss his plan remains the property of Holmes ar McGrath, Inc. REVISED: 2-19-04 hoimes and mcgrath, inc. civil engineers and land surveyors 9c� 362 gifford street nrsotHvM. yam. 0 SANros falmouth, ma. 02540 � no. aso;e P. Civll JOB N0: 201197 DRAWN: LMC DWG. NO.: A2528 CHECKED: ?i, MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck software version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other CNon-Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Sandpiper PROJECT INFORMATION: Mill Pond village 1600 Falmouth Road unit #25 Centerville, MA. 02632 COMPANY INFORMATION: Northside Design ASSOC. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES I I I I Permit # I i I I Checked by/Date I I I Required UA = 223 Your Home = 138 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA -------------------- CEILINGS _. ------------------------------------- 845 30.0 30.0 14 62 WALLS: wood Frame, 16" O.C. 1415 15.0 15.0 0.340 GLAZING: windows or Doors 93 80 0.340 27-: GLAZING: windows or Doors 40 0.086 3 DOORS 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 34.4. Builder/Designer Date I F Massachusetts Energy Code MAscheck software version The sandpiper DATE: 4-21-P004 Bldg_1 Dept.1 use I I [] I I I I [] [] CEILINGS: 1. R-30 + R-30 Comments/Locati WALLS: 1. wood Frame, 16" Comments/Locati 2.01 Release 2 O.C., R-15 + R-15 INDQWS AND GLASS DOORS: 1. U-value: 0.T4 or windows without labeled u-values, describe features: Panes Frame TypP Thermal Break? [ ] Yes [ ] No 2. -value: 0.34 or windows without labeled U-values, describe features: Panes Frame Type Thermal Break? [ ] Yes [ ] No omments/Location 1. 0-value: 0.086 AIR EAKAGE: 7oi ts, penetrations, and all other such openings in the building env lope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures shall. meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/S) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Re uired on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating anc 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. h " I DUCT INSULATION: [ ] I Ducts shall be insulated per Table 74.4.7.1. DUCT CONSTRUCTION: C ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [) I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and 74.4. SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.): I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4 I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I LOW temperature 120-200 0.5 1.0 1.0 1.5 I steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 i CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.): I PIPE SIZES (in.) 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 I ----NOTES TO FIELD (Building Department Use Only)------------------------- •EFRCIENCY RAMNO L I■ L I. To GCERanFWMa \ V \ V Air Conditioning & Heating 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GMNT SERIES Description / Application • All models design certified by ITS to be in compliance with ANSI Z21.47 and CAN/CGA 2.3 (Canada) safety standards • Completely assembled, factory run -tested furnace, for heating or combination heating/ cooling application • For utility room, closet, alcove, basement or attic application • Vertical or horizontal venting with 2" PVC for 40k, 60k, and 3" PVC for 80k, 100k and 120k • Capable of multi -position installation — upflow, downflow or horizontal • For direct vent (2 pipe) or non -direct vent (1 pipe) installations Construction • Heavy gauge, reinforced, wrap -around insulated steel cabinet with durable baked enamel finish • Tubular heat exchanger (Primary) • Bottom or side air inlet • Aluminized steel inshot burners • Convenient left or right hand connection for gas, electric service, combustion air and vent • Removable solid bottom block -off Standard Equipment • Energy saving PSC, multi -speed, direct drive blower motors • Quiet operating, sound isolated blower assembly • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Integrated furnace control with diagnostics • Blower door safety switch • Energy saving Hot Surface Ignition system • Multiple flame roll -out switches • Outlet air limit switch • Pressure switch for proof of air • Complies with California NOX Standards • Completely insulated cabinet • Corrosion resistant 294C secondary heat exchanger that extracts energy from the gas and converts it to usable heat • Quiet, corrosion resistant plastic induced blower assembly • Drain kit contains vent screens, drain trap, hoses & clamps Optional Equipment • L. P. Conversion Kit (LPT-01) • Concentric Vent Kit (CVK-00) As an Energy Star Partner, Goodman Mfg. Co., LP., 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 PERFORMANCE RATINGS Model Number GMNT Natural Gas Input BTUH Natural Gas Output BTUH Propane Gas Input BTUH Propane Gas Output BTUH DOE AFUE Temp. Rise 040-3 40,000 37,000 37,000 34,000 92.6 25-65 060-3 60,000 55,000 55,000 51,000 92.6 35-65 0804 80,000 73.500 73,000 73,000 92.6 35-65 1004 100,000 92,000 92,000 1 85,000 1 92.6 40-70 1205 120,000 110,000 111,000 102,000 1 92.6 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA Electrical rharar prktirc 11_-ri/1/Rn C:ac caviro rnnnortinn 1/_• CDT Model Number Motor Blower Vent* Dia. Combustion* Air FilterSizeln Perm. / Disp. Electrical Ship Weight Hp Spd. Dia. Width FLA Max Fuse 040-3 1/3 1 3 10 6 2' 2' 290 / 580 52 15 170 0603 1/3 3 10 6 Y 2' 290 / 580 52 15 180 0804 12 3 10 8 3' 3' 385 / 770 7.8 15 205 1004 12 3 10 10 3' 3' 385 / 770 7.8 15 225 120 5 3/4 3 11 10 1 3' 1 3' 480 / 960 92 15 265 .-..•..• .................... o.. M.o,I1c4c1a 11Iar vary UUFVJluuIy UPUII VU1IL IBll9[n. l,nemwnn Instructions, wnicn accompany the furnace. s" 3„ 5„ 28„ A 58 4 �198 4$ �B� 48„ Ilj'.— 4 T 4 I� I q" 8, COMB. AIR INLET GASINLET t-15 � I 27" LOW VOLTAGE I 44 " I ELEC. 101 Model GMNT A B Combustible Floor Base 0403 & 060-3 140 12 W SBM14 0804 17 % 16, 513M17 100-4 21' 19'/i SBM21 1205 24 % 23' SBM24 SS-312D i 12$" COMB. AIR INLET i I i i i i ' GAS INLET i r i „ I •P9 ' k — U VENT 20g" `LOW VOLTAGE ELEC. CLEARANCES FROM COMBUSTIBLE MATERIALS 1' 0' 3' 0' 1' Sides Rear Front Vent To Approved for line contact in the horizontal position *36" clearance for serviceability recommended. 2 r . CASED (U) COIL. APPLICATION OPTIONS ct Furnace Model GMNT00-3 & Number GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'W 21• 24Y2" 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 17Ya' X(1) X(2) U-35 14• X U-36 17Y2' X(1) X(2) U-42 17 W X (1) X (2) U-47 17 X U-49 21' X (1) X(2) U-59 21' X(1) X(2) U-60 241/2" X(.1) X(2) U-61 24'/s X(1) X(2) U-62 21' X (1) X (2) (1) Lein th f g e a o,y na istlled 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 .1 .2 .3 .4 .5 .6 .7 .8 GMNT1370 ESTATIC 1315 1260 1200 1140 1070 1000 925 040-3 1210 1170 1130 1085 1040 980 920860 895 880 870 840 825 780 725 680 GMNT HI 1360 1300 1250 1190 1135 1065 1000 930 060-3 MED 1200 1170 1130 1080 1035 975 925 880 LOW 910 895 885 855 835 790 750 700 GMNT HI 1865 1800 1735 1660 1590 1510 1415 1320 080-4 MED 1690 1645 1600 1545 1485 1410 1345 1245 LOW 1450 1400 1390 1360 1325 1270 1200 1125 GMNT HI 2010 1945 1875 1800 1715 1620 1510 1400 1 00-4 MED 1725 1700 1670 1615 1550 1475 1375 1275 LOW 1430 1390 1350 1315 1285 1245 1160 1070 GMNT HI 2360 2325 2300 2170 2125 2045 1945 1850 120-5 MED 1815 1750 1710 1660 1600 1545 1460 1415 LOW 1275 1215 1190 1145 1110 1055 985 925 VaIUeS Iz1dIC21E(1 by .Charlarl arose rnnromn{ ��si....... a...a ..__ .__ _.__ j," . .... aJ' II VVQ U 10L a1 V iw ww toF 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 Quality. Visit our web site at www.goodmamnfg.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. F- 05 - 50b - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 425 [Rev. 11/991(leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: BAvIlWe To the Inspector of Wires: oBy this application the undersigned gives notice of 's or her intention to performtrical work described below. Location (Street & Number) 12,1 441me`— ?-� Parcel f Owner or Tenant ' Telephone No. 772-7!24/ 9— > Owner's Address J�•a Oz� z 3 o z Is this permit in conjunction with a building permit? Yes ❑�No ❑ (Check Appropriate Box) _-_ Purpose of Building Utility Authorization No��_ --.. '—'-- No. of Meters Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service � Amps /ZOVolts Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wniund by the Insnector of Wires. l.Unf fCftV/f.. ...c ...w..... - — -- - 0 No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans 0.0 Transformers - KVA' No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above n- Swimming Pool rnd. ❑ and ❑ o. o mergency Lighting Batte Units le O No. of Receptacutlets No. of Oil Burners FIRE ALARMS No. of Zones o. o etection and No. of Switches No. of Gas Burners Init 1 ' 1 n Devices No. of Ranges No. of Air Cond. .I o-tta No. of Alerting Devices No. of Waste Disposers eat Pump um er onsons o. of Self-Contame Detection/Alertin Devices Space/Area Heating KW Local ❑ umcipa ElOther Connection No. of Dishwashers Heating Appliances KW g p Security Systems: No. of Devices or Eauivalent No. of Dryers o. of Water o. o o. o Data Wiring: KW Si Ballasts No. of Devices or E uivalent Heaters elecommunications irmg: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: renuirod by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) Z (Expiration Date) Estimated Value of Electrical Work: & (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion. I certify, under the p ' s and penalties of perjury, that the information on this application is true and complete. TIC - NO: FIRM NI Licensee: OWNER'S IN5 required by law. Owner/Agent Signature _ Signature pG� aJ/i "exempt" in the license number line.) Bus. Tel. No.* 7 Alt. Tel. No. f� JRANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Telephone No. PERMIT FEE: $