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HomeMy WebLinkAbout121 Camp St #121 Building PermitsAPPLICATION FOR PERMIT TO DO PLUMBING OF r49 _ x MAMT EESE m0 /7Z 60 y TOWN OF YARMOUTH !'r 121 (OFFICE USE ONLY) Fee: $ - 66 PERMIT NO. P- b5 16 n Date Building Irl w A� Owner's AT: Location , V' Name — Type of occupancy�� New vation ❑ Replacement ❑ r-KL la �UU,,,,..G. ZCn Z 1 Z Y. FQ- > N L1b w Y dX Q to W a �' r z O z z cc a cc YC� p ul H U M Y¢ cn LL¢ a Q 3 OL X Zm= O y Q W¢ N Q in J z to o Q � m J Z cc C a o LL Ii M w W x O ~ W 3 3 o O z= 3 Y a X p r Q X Q W LL Y W o y y a F z o o Q¢¢¢ a o 2 a m 0 Y J m N G C J �i 2 F rA ILL O 7 C Q SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Comps Name Check One: ❑ Corp. Address 45 1 / y X— /., �? ❑ Partn ship r/a FIR/Comparw- Business Telephone ��71 !;= Name of Licensed PlumbeV51 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes Id No ❑ If you have checked YES, please indicate the type of coverage by c king the appropriate box. F2162q in / to =o, w A liability insurance policy Other type of indemnity ❑ /SlOWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerageed b Chapter 1�2 o the Mass. General Laws, and that my signature on this permit application waives this requirement. !U ii SEV 1 'I 2004 U Check on O r ❑ Pg t G D_"T. SignatureotOwner orOwner'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. T� Sign re of Licensed Plumber License Number Type: Master ❑ Journeyman TOWN 0 YkRMOUjTM MAY 0 5 2005 D By ��--f : To) APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) 13 m Fee: $ -6 PERMIT NO. 5 - Date Building AT: LocationZ— New IX Plane RijhrnittP.d Renovation ❑ Yes ❑ No Q' Replacement ❑ Namer/%.GfHK-E Type of Occupancy �� & IF q� Y W o v Z Cn M ac = to w C7 w J y ¢ W y m Z s F. N azaC m w W a a = W z o O rn o. oki j w w cn W z Q= CO Lu W t- W V= N °� Z Q W =r Q z 1- F W N m Z O Z W 0 = . CL S O a= U.� � C CS J U � > G o !— O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) � Installing Company Name-1-�UGTS V /�i�l L+� tTE17 Address 19 C114As 6 S 6 S 4 Business Telephone s0 9--7 3%--3 Check One: ❑ Corp. ❑0Partnership — Cf Firm/Company Name of Licensed Plumber or er S:c A N 'AD L—^ N INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes �No ❑ If you have checked yes, please indicate t e type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 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 Signature o Licensed Plumber or Gasfitter License Number T og: 1 lr GNCF. I CERTIFY THAT THE FOUNDATION IS \` .0. LOCATED ON THE ASTHAT ITS LOCATIONOCONFO MSWTO THE ,?��5� MINIMUM SETBACK REQUIREMENTS OF \ THE 40B SPECIAL PERMIT. Bra 01/ DA REGIS RED PROFESSIONAL ND SURVEYOR 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. "�//, Z't4' A,, D� RECAfERED ROFESSIONAL LAND SURVEYOR GRAPHIC SCALE 20 10 0 20 ( IN FEET ) 1 inch = 20 fL \ LOT 120 \ �N N0 LOT 122 N �m 117, 9g.S224j3\W I --_--50.2=--- I LOT 121 I ! IN 6 1 �� 7Nn�l ;O co00 WIP_ L AUG 2004 Ir" \ \ • 39, \ r S81'36'50"W TOWN OF FALMOUTH NOTICE 60 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 & McGrath, Inc. AS —BUILT PLAN holmes and mcgrath, inc. OFMAso OF LOT 121 civil engineers and land surveyors �o�s' MARY `y��, PREPARED FOR 362 gifford street ELLEN N I STREETER MILL POND VILLAGE falmouth, ma. 02540 < No.29291 IN ° 0 YARMOUTH, MA JOB No: 201197 DRAWN: LMC �fss� • as°Q SCALE: 1 "=20' DATE: 8-26-04 DWG. NO.: A2527A CHECKED: tF , TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 ►= PERMIT NO 6-05-245 _ PERMIT w ISSUE DATE : _ 8/17/2004 _ ; PROPOSED U E _ _ _ - - - - _ APPLICANT Frank Capra , ----- - - - -------- -� JOB WEATHER CARD _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ --- - � PERMIT TO ;New-Consons truction ; AT (LOCATION) 100121CAMPST#121 I ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21 A.C121 BUILDING IS TO BE: CONS T TYPE 5-B USE GROUP R-4 LOT SIZE F= I CONTRACTOR new construction: 1 bath, 2 bedrooms, 1 kitchen, 1 laundryroom as per plans dated 08/09/04. REMARKS kREA (SO FT) EST COST ($ $105,024.00 PERMIT FEE OWNER lVillages at Camp St.,LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road, # 25 0— / _ LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Centerville I MA 102632 Certificate Issue Date a r CERTIFICATE of OCCUPANCY: npnar entml a nnroval for Certificate of Occupancy and Compliance Inspector Data* Permit Number Approved By Remarks BUILDING r%j%''0 /3vS- Z.�/S' !P 710 �eS-ZY . e L o •..-..r PLUMBING/GAS ELECTRICAL ENGINEERING OTHER ff,,04 D TOWN OFYARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO _B-057245 _ - " - " - - " - PERMIT ISSUE DATE ; _ 8/17/2004 _ ; PROPOSED USE _ _ _ _ _ _ _ _ _ _ APPLICANT Frank Capra _ _ -------- JOB WEATHER CARD ---------- ------------ - " ' oC0\AIT T(1 Now f:nnCtNCtIOn AT (LOCATION) 100121CAMP ST # 121 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C121 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction: 1 bath, 2 bedrooms, 1 kitchen, 1 laundryroom as per plans dated 08109/04. REMARKS AREA (SO FT) EST COST ($ I$lub,uza.uu I rammi i roc %wi Iw,,....• - OWNER lVillages at Camp St.,LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road, # 25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE F775J2430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY ..M rl.. . - _ ,, PZ WN A r i ��% - -.. TOWN OF YARMOUTH-Build' rt2 Department '�D1�� (508) 398-2231 ext261 PERMIT NO ... - ., _ _B-oS-zas _ ' PERMIT ISSUE DATE 8(17M"4 - PROPOSED USE - - - - - - 'T APPLICANT F�ankcapr......... . . . : . ::. . . : JOB WEATHER CARD PERMIT TO ; New Consh ctlon ' AT (LOCATION) 00121 GAMP,Q N 121 ' ZONING DISTRI R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044:21.1.C121 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE u new t�nstructiorr. 1 path, 2 bedrooms, 1 kitchen, 1 laund .CONTRACTOR REMARKS Wom as Per Plans dated MM104. FENSE 012430 AREA (SO FT) EST COST (S s105,024.00 PERMIT FEE ($) $383.00 1800 Falnroutll Road M25 OWNER VUlages at Camp SL,LLC Centerville MA 02632 ADDRESS 1600 Falmouth Road, k 25 BUILDING DEPT BY 60877896M Cemervllle I MA 02632 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED LINGER THE BUILDING ODDE, MUST BE APPROVED BY THE JURISDICTION. STREET A ALLEY GRADES MI WELL N DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBUJC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE OONDTTKxVS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1) FOUNDATIONS OR ' JO�BANDTP�D�KEPTPOSTED N W SEPARAHERE TE TE FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL IL SEPARATE FORELEC ARE FINAL INSPECTION HAS BEEN MADE. REQUIRED FOR ELECTRICAL MEMBERS (READY FOR LATH OR FINISH WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBING/GASAND COVERING) 3) FINAL INSPECTION BEFORE OOCC�EDUITILFINIAL INSPECTION HAS MECHANICAL INSTALLATIONS. OCCUPANCY 4) REFER TO DETAILED INSPECTION BEEN MADE, SCHEDULE I0-gov 6� �W�91A LE i 6 �r�,4iwv 1 t� WORK SHALL N07 PROCEED FAOVF RMIT Wlt l BECOME NULL AND VOID IF v UNTIL THE INSPECTOR HAS NSTRUCTION WORK IS NOT STARTED WITHIN SIX INSPECTIONS INDICATED ON THIS CARD APPROVED THE VARIOUS NTHS OF DATE THE PERMIT 13 ISSUED AS NOTED OCAN BE R WRITTEN NOGTEIFlFORCATION TELEPHONE STAGES OF CONSTRUCTION OF'1'H1I ONE & TWO FAMILY ONLY - BUILDING PERMIT - p APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING s 0 Town of Yarmouth Building Department F. „ATV C„°Es 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 Office Use Only;" Planning Board Information Assessors Department information E Plan Type M Permit No ate �: Permit Fee $�d�• Endorsement Date ;' Old New E ` Deposit Rec'd $ ( Dat Recording Date 1 4 Properly Dimensions Plan No_' Net Due $33-�x / '- r- " `' LotAjea(sf) Frontage{ft) Lot Coverage B6i1din 'Per` , i ' um er Date, Issued � r Certficate of Occupancy" Signature . ,; _i is �- is not = `requved . . BUildingOffi , e t.Date _ . _ - Section 1=� Site nformation.? Use Group: R-4 Type: 5-B 1.1 Property Address: _ 1.2 Zoning Information: - - Zoning District Proposed Use L.o ZL 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) 1'5Fl6od Zoneanformation. , Comments Public Private ;Zone.• LL, BFE re' -Section 2'= Property Ownership/Authorized Agent' 2.1 \1 ner-, t a lls Record: M [1.L (ov [ v N me Pritk > Mailing Address U4,, ( Vf t ke:r`� I t / oa- t — Signature Telephone 2.2 uthoOrizOecf Agent: n / � �Q O1 � L/ 0 O � mL 5 Name (print) Mailing Address f 6 j01 OS'%�l3'�lG� g'T S' na eiephone , , Section 3 - Construction Services`- 3.1 Licensed Constructionsr Supervisor. Not e ❑ 1r� I t &��� rt-C!_577 License Number ` o ✓r, O ylr\ L 0 ddress Expiration Date � Cyo�7 v h —, / 6 — O Si nature Te ephone VA 3:2 RegisteredHome trnproJement: Con r c O-Ei. I Company Name � Not Applicable ❑ 'lS Q� 4 License Number 1I u Address CEPT Expiration Date gU1LD1NG Signature Ian h-,j Fm 9-15-99 1 of 2 OVER Workers Compensation Insurance affidavitin6st be completed and submitted with this application. to provide this affidavit will result in the denia2f the issuance of the building permit. Signed Affidavit Attached Yes .......... No .......... K • Failu a a. Y New Construction Lff' I No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: t iV-� , V"_ If f In Vl Item I Estimated Cost (Dollars) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1 +2+3+4+5) 7. Total Square Ft. (new houses & additions) �o Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) I, A] IL ll A-Ir',01 J�::E d C.-`t a5owner of the subject property hereby authorize �'" �` -eAb" CO3r to act on m beh , in all matters elative to work authorized by this building permit ppl'cation. a-4_03 Signature of Owner Date VA_rT^A_i/ 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. [All i Print na e _ Signatur of Owner/Agent 9-15-99 2of2 q- `3 Date U f k TOWN. OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT. Job Location: _ Owner of Property: Construction Super (� 100 Address: Licensed Designee: (If other than Supervisor) Name L� M 2.15 Responsibility of each license holder: M License No. 40 6-1A A 0363- 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 E No ❑ If you have checked ye, please indicate the type coverage by checking the appropriate box. A liability insurance policy a--� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the Chapter 152 of the,,,Mass. q eral Laws, and jmy sy of Owner or Sce see does not have the insurance coverage required by ure permit application waives this requirement. Check one: y Owner P/ Agent Signature: Building Official Approval: The Commonwealth of Massachusetts Department of Industrial Accidents ofOeo of /srestfffstfess 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit 0'0 f 6,� I`� SU t 9-- ctt= v Q Zvi a632- i,nn ne M moo$= ? 7 L �q I am a homeowner performing all work myself. C3 I am a sole proprietor _rJ ha%e no one working in any capacity 0 1 am an employer pro% iding workers' compensation for my employees working on this job. name:company •tddress• cif .hone tt• nnliev !r Egell am a sole proprietor. general contractor. or homeowner (circle orrel and have hired the contractors listed below %%ho ha%e city phone fs• insur�nec co policy 0 companyname: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erimiaal penalties of a 011e op. to SI WAo and/or. one years' imprisonment as well as etvil penalties is the form of a STOP WORK ORDER and a Ilse 01111011.00 a day against me. I andentasd'that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage veri8eadoo. I do hereby c if} and the r a paraitiet ojperjury that the information provided about is rave and a ct k Signature Print name official use onIV do not w rite in this area to be completed by city or torn oafeial 0 city or town: YARr OUM _ pereol"Cense p n8uilding Department pUcensiog Rated Q cheek if immediate response is required 261 C3Scleetmen's Office �Healtb Department contact person: phone It: — t SU8) 398�2231 eat: -Other_ TOWN BUILDING O F Y A R M O U T H ELECTRICAL 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT 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 c conducted at 1 go `� ' Work Adaress is to be disposed of at the following location: ! nWrNS� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signatw of Applicant Date Permit No. � •• i .••�•� ✓%e ioo�iiinoluvea� a`.�l �awaciutaead BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate: 06/16/1940 Expires: 0W1612004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN CENTERVILLE, MA 02632 Administrator a 00 - 35.000 d enclosed space (MGL C.112 S.60L) to - Masonry only 1 G -1 & 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 7271 A CORD w .. -.. arerv•-w,>..e,.,.a<:.:... r ... .a .t•.:a::...q.saw«�.....•..«...:_,.......,,. ,y..ir,'i iy's`.iF'�1 h>t:a�.'a+n a..-,«�.'h�„ °.pylryl- 5 03 PaoouPRODUCERk*ru . 1a�Y[ t THIS CERTIFICATE >5 ISSUED AS A MATTER OF INFoft#Anon i ONLY AND COMFEF� NO RIGHTS UPON THE- CERTIFICATE RIDER. RISK SPECIALISTS HOLDER THIS CERTIFCATE DOES NOT AMEND, E7C7END OR ALTER THS COVERAGE AFPONDED 8Y THE FOLICIeB 6FLOW. INSURANCE AGENCY, INC. P.O-BOX 115 COMPArmsAFFORDINGCOVEAAGE CATAUMET MA 02534-0115 cOMPANr MmuRED A US LIABILITY INSURANCE COMPA3lY MONUMENT INSULATION, INC. � AMERICAN HOME INSURANCE COMPANY 223 COUNTY ROAD BOURNE, MA 02532 mMcANr COMPANY D ?1�;,:?!�v,�w.r.��: iy �:.,�•'!r'•�.�.cv!<u DADA....-:�..:1 M..: t,.':.N�n,M',��'. .. .ti�F� Ytc .'4rn al..... F. �. WDICATED. NOTWTTH6TANDING ANY REpUIF7EMENT, TEpuAA p CONDITION OF ANYCONTpgCT OR OTHFA DOCUMEM Nrti}i RESPECT TO WHICH CERmfICATE MAY BE (93UED CR MAY CERTAp1• THE INSL'RANC£ AFFORCED BY TM: POLlClE3 oEaCralafTr Weaelu le ci i� ,r..,• t....... ,� - - - —1(� v .+,-s w onvwn WAr MVE 6EEN REDUCED BY PAID Lcrn TTPcofwoummce I :. Pouc7Mureta M Wo m 'IE04 crr GENERAL LLWLgy . X MWA"C1ALQD0t4.LLWXjTY OENPAALAWRE ATE Isi 000,000 awMswW®ocam Paowcts•mMPOPAcc s500 000 A OWMeas&=mvCTO"PROT CL1135745 PEFFaNALaADVWJURY 500 000 8/23/03 8/23/04 fs5uu 000 FIRE OAMAGElAnywwa* $50 000 AUTOMOBILE UABNM wr 'b:eon)' $5 000 AWA= COMBW®SWGLELBAR I ALLOWNEDAUMS sMEXALmAurzs E MREO A TC8 iVOWa EOAutos — s . PROPERTY DAVAGC ! , .• '��`�lTA81UTY .. . AWAUTO• - AUTOONLY•EAAMOD4, ; • OnieR THAN ALITOONLT +*+ter..-•. ;•••• EACH ACCCEHT i� Fans LNBMr A TF a UABPB.LA FCRM EACH CCCLTWt9NC9• OTHER THAN UMBRELLA FOAM ASOREGATE b . WORKM COMPENSATH MARO m . Y H TrPPFOPF TOW X wa TA1C 782 Si 72 PARiN8RGADE1Unffl EL EACH ACCCENT 0100 000 9/5/03 9/5/04 orrtCOs ARE: E=L eLdseAw-pm=LwT $500 000 OTHER EL UWASE. EA ELPL--- slOO.000 -DEECWlpO1 OF OFEPATANMAN, CAT}ORR/ypuC1�9PF�lA1 (T b - r 4rxA• xI -• ••`.....'.."" "�' .n `_'ti.+ u�x..c�.��•:'_ks.�vr�k'4u� 4uc,/"'•"Fa4?N!Y `0�� j. � ---N. .... IY'\il µ �,.. ... GATETWOOD HOMES INC vu.+"�.. MOULD AMY OF THE ABOVE DEbaveED roMEE BE COMEUM REFORM TRE' T 1600 FALMOUTH ROAD 1 25 EERIRATIft DATE THEREOF, THE =VWC COMPAW WILL EMOPAVOR To RM CENTERALMOU MA 02632 10— DAYS WRITFER NOME To TwE coffWrATE HOLDER MARIFD-TO-nWL"T' 508 778-5603 BUT FAItsiRe.r.D rAR s NOTICE MULLRTPSftE Ma OBUCATM OR UAWUW - OFa'AMiG-Ip11Cn::eFO CG OR ;lmmEMiATm= (�w r M,O �"k'wc'. .-:wd.-. .� 'e.: ui�.i..�.:F .:. ✓N Sae.'. :'..:. ,%-1 w:w •.rw..�.Y `C y t TOTAL P.01 CERTIFICATE OF IINSURA, ICE PRODbCER THIS CERTIFICATE IS ISSUED AS I Passaro Leverone & Buckley coxFERs No RIGHTS UPox T>� c Insurance Agency Inc P 0 Box 160 Dennisport, MA 02639 INSURE Patrick K Orcutt 6a P & S Concrete 37 Ladys Slipper Lane Mashpee, MA 02649 DATE THE BY COMPANIES AFFORDING COVERAGE A A.I.M. Mutual Insurance Co COVERAGES THESIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECI'TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECITVE POLICY EXMRATIO - DATE(MM/DD/YY) DATE(MMIDDAM LIMITS GENERAL LIABILITY ENERAL AGGREGATE $ OMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGC. S 1MS MADEI L7C )WNER'S & CONTRACTOR'S PROT. LE LIABILITY AUTO OWNED AUTOS :DULED AUTOS D AUTOS )NAL & AOV. INJURY S OCCURRENCE S )AMAGE (Airy ate fire) S EXPENSE (AM a person) S INED SINGLE S Y INJURY ,�) S Y INJURY r~% S ARAGE LIABILITY PROPERTY DAMAGE S . CESS LIABILITY CH OCCURRENCE S MBRELLA FORM CGREGATE S THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' L ABILITY WC SIATU- `s OTH- `� THE PROPRIETOR/ 6006181012003 10/21/2003 1021/20D4 S PARTNERSIEXECUfIVE IN0. REXCI EL DISEASE -POLICY LIMIT S OFFICERS ARE: jOTIDSR I EL DISEASE -EA EMPLOYEE S 6Ti Gatewoods Homes 1600 Falmouth Road Centerville, MA 02632 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 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _�7 'AC.O . CERTIFICATE OF LIABILITY INSURANCE DATE FawoOtTYYY) asroarzao3 r DUCER 5W 672.2997 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOAO-M-OIAS• ONLY AND CONFERS NO RIGHTS UPON 'THE CERTIFICATE OUI,S INSURANCE HCt0ER: T-H1$' EER`TW4CATE DOES- NOz AMENQ EXiENQ OR 535 BRAYTON AVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FALL RIVER. MA 02721 INSURERS AFFORDING COVERAGE �NAAICr aaDREo PISURERA: GRANITE STATE INSURANCE COMPEtNY 1 WC 494-48-&: JOEL FERREIRA OEALMEIDA EISU"R 5: NAUTIEC)SnySCJRANCE COMPANY N@ i DBA EJJA CONSTRUCTION 275806 _. 60-PICKOING ST. APT 17 EISIIRERc: FALL RIVER, MA 02720 INSURER°: M+SURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATE D. NOTWITHSTANDING AW-REQUIREMENT. TeRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO?tERE"KItI95HBJEET TO ALL THE -TERMS. EXC L=ONS.ANO CQNDITtON3 OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAV E BEEN REDUCED BY PAID CLAIMS. 1R oo• PO EPF-CTIYC POUCY EAPIMTION ' 'Q � - - WU!7NUMBER LPAITS GENERAL UABRATY 'EACHOCCURRCNCE L T,QOL%000" iX CAMMFRLUU.0t:IEAALUADILTtY NC27580E 0&26t2003 0612&2004 y oeeun�coL 100,000 ' CIPIMSAVIO6 OCCUR I MED EXP(MrPne OaNal) II-S 5;060- IPERSONAL S AUV IN.tuM'_ IS T,D00,000 OEMFACAGGREGATE• �} _ Z,000.OpD. {-ENIACCRE dTEULRAPPLIESPER: pRODUCT3.CowPpPh:`G .S ZOOOOOO j j I PDL�. n n LOG DMO8C.E UAORM ANr AUTO ALLOMEDAUTOS SCHEDIAEDAVTOS +UR© AUTOS NONIOY.TIEOAUTOs AGE UABRMT ANYAUTO COl =&HOLE UUT is {ER aecaanl) RODK.Y --� QOO&(pw",Sm) 1 EOOgYIWURY (Pp-LMAN PROPERTYOAMAGE 7 9Na,-eEule) I AUTO'OMYTEAaCC*eIT s AUTOONLY: vmO Ua.CC I S. NtYt —r I J OCCUR L,J cLmms MADE —I DExsnece— ! REtFJ!TION S 1 AOOREGA .. ._ �--- S w0/11RRiCOMRENEATIONAND EMPLOVERYUAatUTY AWPIZOPRIETORNAATNj6EmeECLTIVE O/PICGRA+EI+EER EYCLUOEOT WC' 4g¢A$-W' Y!CSIAi U•. XK, i.F/D$IO3' 1�aM4 RV MtTS _ R ELEACHACCEIFNT $ T;008;66f} S i000,0 MaMM~ SPECUI.NOVIsaNE ww OTNER i1.INSCASS•EASNPL:T'fiF I CL OISEASEI POCIGYL WT 7 1-,000:E00- GATEWOOD HOMES ISM FALMOUTH RD. CENTER VILLE. MA 02632 EHOULDANY OF THE AXQVE 0"CRMED POLICN•j Ge CANC6YE7KPORITHE r DATE THEREOF. THE ISSUING 1117URER WR1 ENOCAVOR TO MAIL 10 DAYS WRITTEN NOTfCSTa"W C"MCATTHOLDEIIMAMED70 THE LEFT, IK= A A=T^ D^ _%K" L EIPOSC NO OBLIGATION OR UABWTY OF ANY KM UPON TNe INLURER, Rs AGENTS OR —ASa/C. «,a..vv iu.11 rA& 5087900249 GOLMAN ASSOC 4LOP.D. CERTIFICATE OF LIABILITY ITY IIyS!lRA CE OOLD2i*S! s ASSCCIAM nwupANcs TM Is. FINA:7CIAI. 88it•72CE8 INC. ONLY AND CONFM 1 933 FALMCU R RD. HOLDER. TM8 CERTIF aYAlarts >!A 02601 ALTER THE-CQYEdW Phona:5O9-775-6010 Faz;50S-790-02G9 p�gLRFRs; C NG RODNEY TAVANO DSA W-CRAMICAL SYS;SMS. 110 HOLDER I.&NE W BAWSTAaLE MA 02660 WSiRE i G Q01 oATf... s THE FOUOESOFMURAIMLWMLMDwHAVE Ma'4 =TOTHE7 XtW�AMAMMFOR TliM=PERI=lmmTm ANY REO-WJMW TOW RCM4XTai OFAW CW RWT OR aniSt OO�ADITWT";MSPECr7O M1 WMaa CEn*=TE►NY E&JED FATFYRTAKTW-MA t=ARVFWWLie TL$PCLI=OE= HExpt6A$A:CTTOALL THETERlO•FJQLSpItl AtDOR POUCgE,AOOREWT£l,YTS 810MYNM►YMAIlEt47lRIDLL®ur PAno-pa . CFStJ61 LTA TYF@G^W POIJCTA{lii6t ayl des Lam GUMMLLLAOLAY A X Commam ce•mamu mmr AL8172 Il/21/03 it/21/Od ctArwes wPE ®aar�t OCCURRENCE `cF a $1000000 350000 E7w Var . prtml s 5000 oIw AA[Wwjjw 81000000 GZ77TLAC�, r�tTEtJTGTAM1 PER A00MCATE 4 2000000" Aa.�.• � tf7C -COmr/ pA0O $2000000 AUTCW*=LJA=M ANYADTO WED SNC,[EIMf = ALLCWFTEDAH05 ECHEDu=4n - - T PAAttY _ HRFDAUT09 V�+�1 RLa�cwT�ALr,Ds r:aAARr s GARAGE LU9'l1TY AHY NRO. OgVLY.EAACCIXW j Tytyt EAACC f .EItA ttnBA.L1Y mr AGO i oOQR FIClAMMAM f :¢ i LYnJCTaP I Ttf7e^hiTrit s s 00?CS3ATY.KlA70 s $TY 0727EA34903 05/03/03 05/03/04 TCRY Lxrrs fq EAt7tAC4MmtT s 100000 . D'�oua'nd',bm� a t FasE-eAma°toTel a 100000 anuist -FOL10YtALTT s 500000 okscmwnok OF t�ixamtvEMCL r.3 acurps �A ffvets�a�triaFEcuLFiaoova+ota GAT£f10Q I� IP q J ALY01 DATET *MW. cpZZWOOD Hams nx PAX 508-778-5603 1600 F711MOTE ROAD.. CENTSRViLLE MA 02632 IRTONAC. 10 OAT3 Ngl1TLR LErr.tATTFAXAMT000!V W9" Oat TlE tILAOMM R cuu I I �rcr TM CERTIFICATE OF LIABILITY INSURANCE rc PRODUCER DATE( OD/ ATE (MMYYY Dowling 8. O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO ER. THIS CERTIFICADOES222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDEDNBOY THEEPOLICEIES BELOW. Hyannis, MA 02601 Gutter Pro Enterprises, Inc. P.O. Box .1197 Plymouth, MA 02362 INSURERS AFFORDING COVERAGE INSURERA: Travelers Insurance Co INSURERS: Guard InSUrnnrn r:rr".n NAIC # INSURER D: U V CKAG ES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED'TII THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM NC CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 HAVE BEEN REDUCED BY PAID CLAIMS. A SGENERAL UABILRY1680459H3118TCT03MMERCIAL GENERAL LIABILITY CLAws.MADE F-R OCCUR PER -- ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS MIRED AUTOS NON -OWNED AUTOS rCOMPENSATTON LIABILITY AUTO NMBRELLA LIABILIry UR CLAIMS MADE UCTIBLE ENTION SB WORPENSATTON ANDEMPLUISILITYANY OR/PARTNER/EXECUTNEOFFICER EXCLUDED?SPECcibebNS bHan OTHER 11/07/03 111/07/04 EAcHoccul DAMAGE TO R I MED EXP (An PERSONAL& 11/07/03I 11/07/04 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 Of 2 #32273 �COMBINED �ISINGLE LIMIT S BODILY INJURY (Perpersm) _ S BODILYmtlenINJURY (Perary S PROP DAMAGE S OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCIIRocure dMU LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR, E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO Do SD SHALL DAYS N �E NO OBLIGATION OR LIABILITY OF ANY IgND UPON THE INSURER, ITS AGENTS OR ISENTATIVES. 0 ACORD CORPORATION 1988 A-GUIN CERTIFICATE OF LIABILITY INSURANCE 7/22/2003 07/22/2003 PROquCEK (508) 994-9688 FAX (508) 991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW BEDFORD, MA 02740 INSURERS AFFORDING COVERAGE 1-9 MIA aOIJFM - JNSURERA: ProVTgence Mutual. _ PO Box 664 INSURER8: OneBeacon West Hyannisport, MA 02672 INSURER Continental Casualty. Co_:.., INSURER D:__ - .:.... .. _. _ . . .... .. _ ...._ . _ ._. INSURER E .. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ' ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR T TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CPPOO53131 00 12/13/2002 12/13/2003 EACH occuRRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any pro fire) S 50,000 MED EXP (Any one person) S 5,000 CLAIMS MADE O OCCUR A PERSONAL 3 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 POLICY - jpUor LOC AUTOMOBILE LIABILITY CBXE48125 02/14/2003 02/14/2004 COMBINED SINGLE LIMIT $ ANY AUTO (Ea aeddent) ALL OWNED AUTOS X BODILY INJURY S B SCHEDULED AUTOS (Per person) 250,000 HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS - .. .. . . _ (Per accident) 500,000 PROPERTY DAMAGE . ... S .. .... _(Per accident) .. ._ . ... 1Oq,,OOO GARAGE LIABILITY _ _ .,_ -AUTO-ONLY-EA ACCIDENT. S ANY AUTO - _ . _. ... OTHER THAN EA ACC S . AUTO ONLY: AGG S EXCESS LIABILITY - EACH OCCURRENCE S. OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND 5SS9UB861X7516O3 03/22/2003 03/22/2004 1 I I EMPLOYER5 LULBILITY TORYLA,,% E2 EL EACH ACCIDENT S Soo, OOO C EL DISEASE - EA EMPLOYEE $ 500,000 EL l)IbEAS�'-POLICY LIMN r - 500`000 OTHER DESCRIPTION OF OPERATIONSA.00ATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS raerrvrnw� uMr e.�M _ _ _ _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gatewood Homes Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Falmouth Road Ste 25 Centerville, MA 02632 OF NTHE COMtnZf AG S R %EPREWATIVEs, AUTHORIZED RaFRZIIEWATFVE f_ ACORO 25 C 171471 `tlMVwI VWR w Vw 11V1\ 1000 ACII CERTIFICATE OF LIABILITY INSURANCE OPID A DATE DATE(MMMD/YYY1) PROD�ICER' CROWC50 07 25 03 Sullivan, Garrity 6 Donnelly THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IFICATE 108Institute HOLDER. THIS CERTIFICATE DOES NOT AMENDIFERS NO RIGHTS UPON THE , OR 10 Institute Rd - PO Box 15010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester MA 01615-0010 Phone:508-754-1767 Fax:508-754-1885 Crowell Construction, Inc. PO Box 309 So. Dennis MA 02660 INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Hanover Insurance Co 22292 INSURER B: Arch Insurance Co m an INSURER C: INSURER D., COVERAGES nsuRER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POUCYNUMBER X GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY ZHN7007141 CLAIMS MADE FX OCCUR �Mt TE LIMIT APPLIES PER: POLICY . 'JE :PRO- LOC AUTOMOBILE LIABILITY A ANY AUTO AMT7001142 ALL OWNED AUTOS X SCHEDULED AUTOS i. X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESSIUM13RELLA LIABILITY OCCUR F-ICLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND B EMPLOYERS, LIABILITY ANY PROPRIETORIPARTNERIEXECUrIVE OFFICERIMEMBER EXCLUDED? — Kyy�ec; deaaDe ender SPEC]AL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I Fax #508-778-5603 CERTIFICATE HOLDER 05/01/031 05/01/04 LIMITS EACH OCCURRENCE $100000 PREMISES Ea ocm,e $100000 MED EXP (Arty one parson) $5000 PERSONAL S ADV INJURY $100000� GENERAL AGGREGATE S 2000001 PRODUCTS-COMP/OP AGG $2000001 05/01/03 I 05/01/04 I COMBINED (E9 accidwt) SINGLE LIMIT BODILY INJURY (Pow Person) BODILY (Pff aaccideV)RY PROPERTY DAMAGE (Per accident) AUTO ONLY. —� OTHER THAN AUTO ONLY: EACH OCCURRENCE AGGREGATE S $1000000 $1000000 $ 500000 ]DENT 13 EA ACC S AGG S S S S S IRWCIOOSOO TORY LIMITS ER 03/22/03 03/22/04 E.LEACHACCIDENT $ 50000C ` EL DISC EASE. EAEMYLOYE 1500000 E.L. DISEASE. POLICY LIMIT S 500000 CANCELLATION GATEWOO I SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATIC Gatewood Homes DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .10 DAYS WRITTEN 1600 Falmouth Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE —LEFT, BUT FAILURE TO DO SO SHALL Suite 25 IMPOSE NO OBUGATION OR LIABILITY OF ANY KINDUPON THE INSURER Centerville MA 02632 bon ... __ ITS AGENTS OR 1 r��ny CERTIFICATE OFIIAB(LITY INSURANCE . PROOUCER 508-398-6033 FAX SOS-760-1667 Al]ied-American Insurance Agency LLC THIS-CERTfFLggEISISWEDASA MAT 1 Atlantic Ave ONLYAND CONFERS NO RIGHTS UPON HOLDER. THIS CERTIFICATE DOES NOT So Yarmouth NA 02664 ALTER THE CnVFwncr A«.. , __ __ _ pe o Custom Floors INSURERS AFFORDING COVERAGE 762 Falmouth Road INSVRERA Arbella Protection I Hyannis NA 02601 INSURER of Hartford WSURER C: INSURER D: Lce� INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 7111 ANY REpUtREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER OO URED MAY PERTAIN, THE INSURANCE AFFORDED 0Y THE POLICIES DESCRIBED HEREIN 1, POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR On TYPE OF INSURANCE POLICY NUMBER POLICY EI GENERAL L 7S00000373 12/13J X COMMERRCCIAALL GENERAL LIABILITY CLAIMSMADE O OCCUR A CEN%AGGRGwTE LNAIrAPPLIES PER: Xt °oLIcY n j°sPr n-LOC A OMOmLE LIABILITY ANYAUTO ALL DWNED AUTOS - SCiIEW 0AUTOS I HBIEOAUTOS NoZWNEDAUTOS GARAGE LIABILITY I ANY AUTO OCCUR U CLAIMS MADE . DEOUCrIBLE RETENTION s WORKER�CDMPTNSATION AND EMFLOYBKJTY H ANYPRORJPARTNERexscvrryEOFFICERR EXCLUDED? iOVE FOR THE POLICY tUPETO CH Tkj� 0 ALL THE TERMS. E EACH OCCURRENCE T1 DAMAGE TO RENTEDqR MED EW (Any one PFIFPERSONu A Aw E+JlGENEWIL AGGREW7EPRODUCTS•COMP)OP CO"DINED SINGLE LIMIT (Ea Ferment( S BODILY INJURY (Per,FIFFA) - T BODILY INJURY (Pw-wdeny S 'PROS RTY DAMAGE T AUTO ONLY • EA ACCIDF,Hr s OTHER THAN EA ACC T AUTO ONLY: AGO S EACH OCCURRENCE S AGGREGATE e s s D E.L Evidence of Insurance for work performed within the Insured's scope of normal operations DATE (MbYODMlriI o7/z1/2003 (FORMATION IF ,CATE XTENO OR =IE3 @ELOW. NAIC # D OR OF SUCH S � w CANcEi SHOULD ART OF THE ABOVE OESCRNIED POUcrE3 Be CANCELLED BEFORE THE OIPMIATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTWCATE HOLDER NAMED TO THE LEFT, GateWOOd Homes.- HUT FAILURE 70 MAIL S 1600 Falmouth Road Y2S SUCH NOTICE SHALL IMPOS¢ NO OBUOATION OR LIABILITY Centerville, NA 02632 OF ANY 'ONO UPON THE INSURER, IT3AGENTS OR REPRRSENTATrve� AUTH=ZEP REGENTA %CORD 25 (2001l08) FAX: (508) 778-5603 �' ®ACORO CORPORATION 1988 C EMl = F 2 C A TE O F = N S UR ANC E Producer: SOUTHEASTERN INS AGCY 641 MAIN ST HYANNIS MA 02601 Code: ------------------------- Insured: RI BEVILACOUA P 0 BOX 628 FORESTDALE MA 02644 COVERAGES Sub —code: Issue date: 7/22/03 no'ricghts'ufontthescertificateeholder. Thisncertificatendoesnnotoamend, extend or alter the coverage afforded by the policies below. ----- --------------------------------------- ------------ --------- COMPANIES AFFORDING COVERAGE Y Co Ltr A: ARBELLA PROTECTION Co Ltr B: ARBELLA PROTECTION ----------------------------- Co Ltr C: ------------------------------- Co Ltr D: ARBELLA PROTECTION Co Ltr E: This is to certifp that policies of insurance listed below have been issued to the insured named above for the polic Period indicated, notwithstanding any requirement, term or condition of any contract or other document certificate may, be issued or may pertains exclusions, and conditions of such the insurance afforded by the Limits with respect to vhicn this policies described herein is subject to all the terms, policies. —------------------------------------------------------------------------------------- shorn may have been reduced by paid claims. Cc Type of Insurance I ---------------=-------------------------------------------------------e Policynumber ►effectineydate - - --------- soration lax iration dotal All limits in thousands miss in A I I ENERAL LIABILITY l Commercial general liability 8500018147 l 7/15/03 ----------- thousands -- l 7/15/04 lGeneral aggregate: 11000 [ Claims made [ ] Occur vner's 8 contractor's pro t Products—camp/ops aggre$: I (Personal/advertising NJ: Each occurrence: 11000 I lFire damage: f00 ------------ __------- __—__ Medical expense: 5 B (AUTOMOBILE 1 LIABILITY An auto I 852400001 i 2/11/03 "--_"—_"—__"—"—_"--_--------�-- I 2/11/04 (Combined Single limit: Al owned autos l 9 250/500 Scheduled autos Hired autos l I Bodily injury j(eer pars, 1Bodily Non—ovned autos l Garage liability I I injury (Per accident): l 1 I I ----------------—�____---------------------- 1 Property damage: 500 j IEXCESS LIABILITY ----- ------ ([j i I Each I I I[ ] Other than umbrella form l Occurrence Aggregate D l WORKER'S A(N'.ODMPENSAiION I 9088680403 I 4/27/03 I 4/27/04 IStetutor ---------------------------- 5 EMPLOYERS' LIABILITY 0I(Each accident) _ — I I I I 500 (Disease —policy limit) ----------------___ 100. Disease —each emplayeel.. --------------------------------------------------------------------------------------------------- OTHER ---------- ------ —-------- ------- —----------- — ---------- I I ____ Description of operations/locations/vehicles/restrictions/special items: ---------------- ----- — ---- M_ CERTIFICATE HOLDER CANCELLATION I Should any of the above described policies be cancelled before the GATEWOOD HOMES expiration date thereof, the issniny companT will endeavor to 1600 FALMOUTH RD STE 35 l mail 10 days written notice to the certificate holder named to the CENTERVILLE MA 01632 left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. ----------------------------- --------------------- lAuthorized representative: -------------------------------------------------------I JOAN M MARTIN JA 4/89----- --------- --------------------------_---__---- LtKTIFICATE OF LIABILITY INSURANCE PRODUCER 101 DATE (MM/DD/yyyY) Dowling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE C INFORMA HOLDER. THIS CERTIFlCATE DOES NOTAMEND, EXTEND OR RTIFICATE 222 West Main St. 1 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 INsuRERe: Guard Insurance Group Hyannis, MA 02601 INStIRFG INSURER D: COVERAGES INSURER E. THE POLICIES OF INSURANCE LISTED BECOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI E4= ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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 HAVE BEEN REDUCED BY PAID CLAIMS. WITH RESPECT TO WHICH THIS CERTIFlCATE MAY BE ISSUED A DING LTR NSR TYPE OF INSURANCE A I GENERAL LIABILITY POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION DATE TMMm _ A l tNERAL LIABILITY CLAIMS MADE a OCCUR xJ OCP GEN'L AGGREGATE LIMITAPPLIFS vca. ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car AGE LIABILITY ANY AUTO tb3/UMBREILA uABILny OCCUR CLAIMS MADE B WORKERS COMPENSATION AND EMPLOYERS' UABILTTY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? OTHER 10/05/03 10/05/04 02601 W5611ND03 10/05/03 10/05/04 0 08/18/03 08/18/04 DESCRIPTION OF OpERATONS /LOCATIONS / VEMCLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECULL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. ACORD IluvT,De) 1 of 2 UANGELLATION MED a COMBINED SINGLE LIMIT (Ea ecddwl $1,000,000 BODILY INJURY (Pwpemm) S BODILY INJURY (Per acddenq s PROPS UDAMAGE $ OTHER THAN AUTO ONLY: Gatewood Homes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 Falmouth Road Suite 25 DATE THEREOF,T})a ISSUING INSURER WILL ENDEAVOR TO MAIL BEFORE THE EXPIRATION Centerville, MA 02632 NOTICE TO THECERTIflCATEHOLD —1!L DAYS WRITTEN ER NAMED TO THE �� BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF APIY/AND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUTHORRED REPRESENTetn2 #M31942 ACORD CORPORA�y 8 A RDTM 'CERTIFICATE OF • CER LIABILITY INSURANCE DATE (MM/ODryyyy) Dowlln� & O'Neil Insurance ' 118103 THIS CERTIFICATE IS ISSUED AS A Agency, Inc. 222 West MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Main St..PO Box1990 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Hyannis, MA 02601 BY THE POLICIES BELOW. INSURED INSURERS AFFORDING COVERAGE Busy Bee, Inc... INSURERn: Hanover Ins. Company NAIL # P.O. Box 50 . INSURER B: Safety Insurance Company East Sandwich, MA 02537 . . IN RC: Associated Employers Insurance Comp INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ACT O TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT MAY PERTAIN. THE INSURANCE AFFORDED BY ' TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS LTR NSR TYPE OF INSURANCE A GENERAL LIABILITY PODGY NUMBER OF SUCH POLICY EFFECTIVE POLICY I EXPRATION DATE MM/D OHN643998501 X COMMERCIAL GENERAL LIABILITY DA MMA7D/YY LIMITS06/14/03 06H4/04 EACH OCCURRENCE CLAIMS MADE a OCCUR $1 OOO OOO DAMAGE TO RENTED X PD Ded:250 n $300 000 MED EXP (Any one person) - $15 000 GEML AGGREGATE LIMB APPLIES PER: PERSONAL d ADV INJURY $1 000 000 GENERAL AGGREGATE POLICY PRO' JEC7 LOC B S2 000 000 PRODUCTS • COMP/OP AGO S2 000 O00 AUTOMOBILE LIABILITY 3175394 ANY AUTO 01/14/03 01/14/04 ALL OWNED AUTOS' COM( a aBINEDlj a'IGLE LIMB S X SCHEDULED AUTOS X HIRED AUTOS BODILY (Per (Per $100 000 , X NON-0WNED AUTOS " ... BODILY INJURY. (Per aeddenp S300,000 GARAGE DA&CITY PROPERTYDAMAGE " � "(Per accident .. $1 OO,000 " ANY AUTO OCCUR u CLAIMS MADE M ETENTION S t06/27/03 OMPENSATION AND WCC5002932012003LIABILITY 06/27/04 ANY BER EEXCLUDEDD? ECUTNE underVISIONS below DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Operations performed by the named in subject to l and exclusions. Policy conditions Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #30822 OTHER THAN EA ACC S AUTO ONLY: AGG S EACH OCCURRENCE . S SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BUi FAILURE 7p p0 SO SHALLN IMPOSE NO OBLIGATION OR LIABILITY OF AM1Y KIND UPON THE INSURER n5 AGENTS OR I RE PRESENTATP/Eg, AUTHORIZED REPREScwnw....� ACORD CORPORATION 8 {' ACDRD. CER i IFIC • i TE OF LIABILITY INSUI THIS C-PRTIi DSCShea Insurance Agency, Inc. ONLY AND 749.Main Street, Suite#n Oatervills, Na. 02655 509---420-901.1 _ ISURED Caspersoa Overhead- Doors Box 517 East Falmouth, AMA 02536 A MATTER OF TS UPON TH .S NOT AMEN INSURERS AFFORDING COVERAGE _Wa11RER @�Y�ruc,ry INSURER L, ;Zara D NSUAFR F CATE IMMJ WM THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUFIED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSFAN©ING. ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR T TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EX/IRA GENERAL LULOR Y DATE Mwn A. MM, LIMITS COMLQACIALDENERALLIABaILY EACH OCCURRENCE S CLAIMS MADE LXI OCCUR FIRED one Mel 2500.000. A MED EXP (ANY aaa Pawl) f xss48352 05/28/03 05/29/04 PLASONALa.wvINJURY s 000 DENT AGGREGAI E LIMIT AMLFtS PER: GENERAL AGGREGATE 11 POLIO! PRODUCTS • CCWPiDP AGO f JE LOC 006,000 LUfOM08lLS LIMifJry �-L00Y 1. �eewwSINGLE UNIT ) f ALL OWNED AUTOS SCHEDUL FD AUTOS eL7DiY INJURY 1aRC0 AUTOS - Mar 0a ) f NON -OWNED AU70S- UODT_Y INJURY- - (P•r.ca4&%) f PROPtRTY DAMAGE DAMAGE LIABILITY (Ps' salaam) f - AUTO ONLY. EA ACCX)ENT S EA ACC f -� EXCE!?tIABItiFY- - ALRQ ONLY: AGO S . OCCUR - CLAIMS MADE EACH OCCLNiRENCF f ADGREGATE f OtDUCTIDLC ' HELENLOGL S__ _ - WORKfle COMPENSATION AND S EMPLOYERS LIABILITY TMY Q7 p.. A TORY LIMITS 02/22/03 02/22/04 ELEACHACCIDENT EL DISEASE. fa540.000• OTHER E.L. DISEASE • POLICY LIMIT a Gateway Romea 1600 FAUwuth R-oad-, Suite 25X Centerville, MA 02632 778 5603 ACORD?S.S (7/97) DATE TNEREOP. THE MSUNO INSURER WS,L ENDEAVOR TO MAR �_ DAYS YV` gmEry NOTIOE-TO-TNEGE IMPOSE NO OBLIGATION OR UAMUry OF ANY KIND UPON THE INSUq R E aNALI RFFMeeew.....__ E% a AGENTS OR O ACORD j 9FF1CF�.53$�OIVI.�( tt /vZ / N :�ticl�Yc - PROPERTY ADnREss•. ALCULATION FOR PERMIT COST:; TYPE OF ROOM ETC ADDITION r 3 �3 ALTERATIONS NO BATH � BED ROOM z CERTIFICATE OF OCCUPANCY DECK WITH ROOF DEMOLITION DEN 0; DINING ROOM C FAMILY ROOM FIREPLACE: FOUNDATION ONLY GARAGE NO. OF BAYS GREAT ROOM KITCHEN 33 3. LAUNDRY ROOM LIVING ROOM _ MUDROOM OFFICE PORCH CLOSED PORCH OPEN _ STORAGE AREA - -SUN ROOM HEATED SUN ROOM UNHEATED SWINOVIING POOL AB`CRE ^_ SWIMMING POOL INGROi WINDOW REPLACEMENT Of �.� TOWN OF YARMOUTH. Building Department Town Hall Yarmouth, MA 02664 e (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-082 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 121 Owner's Name: Villages at Camp St.,LLC Owner's Addres 1600 Falmouth Road, # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $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 / new construction: ZONING APPROVED _ 3 REVIEWED BY: ✓1. WATER DEPARTMENT: DATE: N/A: ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: f. HEALTH DEPARTMENT: DATE: N/A: I/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 Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-082 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 121 Owner's Name: Villages at Camp St.,LLC Owner's Addres 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: new construction: Map/Lot: 044.21.1.0 / Centerville MA 02632 Owner's Telephone: (508) 778-9669 HEALTH DEPT. REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: D /L G 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 w 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) 21.1C121 Street 121 Camp St., #121 as shown on Assessors sheet/map # 44 Issuance of this Letter of Availability is subject to the following provisions/restrictions. (1) The property owner agrees to comply with all Federal, State, and Local Laws, Rules and Regulations as they pertain to the use of the Public water Supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owners expense, the installation of water mains and appurtenant items to meet water demand requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue. I have read and understand the provisions/restrictions of this Letter of Water Availability. Owner (Sign) Reference villages at Camp St., LL 1600 Falmouth Rd. Centerville, MA 02632 TOWN OF YARMOUTH 9 Building Department = Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 R 13UILDING PERMIT 1.1 TRANSMITTAL Temp Permit No.: T-05-082 (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 Applicant Name: Frank Capra Comments: Map/Lot: 044.21.1.0 /d Applicant Phone: 5087789669 new construction: Building Location: 00121 CAMP ST # 121 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: 77 �. WATER, DEPARTMENT., __ - DATE: S 62 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 V• J I I / I 47 F' aCO !y 00 4 11 Y o v \sS0• QQ-°eZ�JQQ��'ll I 1��1�•a 5 V 1,` 8 \ AIZ . 99,'S W ' LOT 120 . °• 59431 S.F. F 20'WIDE WATER MAIN EASEMENT 0 LOT 121 9,406 S.F. "--y ILE n.NOTE: ® SEWER LATERAL SHALL BE n AUu 0 200�+ � SLEEVED IN ACCORDANCE GRAPHIC SCALE WITH TITLE V IF WITHIN Yarmouth Wa'Ln-f Dept. _ 1 OFT. OF WATER MAIN. ( IN FEET ) 1 inch = 20 M 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. PLOT PLAN t" OF "\ holmes and mcgrath, inc. ,".v�P- OF LOT 121 civil engineers and land surveyors TiMOTHrM. ym PREPARED FOR 362 gifford street a U No: G 078 y MILL POND VILLAGE 4 q CIVIL > falmouth, ma. 02540 IN �9�F 9Fc/STeP�� .; YARMOUTH, MA F , JOB NO: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 5-1-03 DWG. NO.: A2527 CHECKED: TAD • 65� 0 3- Q� \ 4Y Cli,T N ro \ -•22 41 ft 00 O yo� o oo = o I `3,• ^ 1 �\ s,�• LOT 121 9 406 S.F. I 70 1 Qp 0. J 2 %K 06, I � 6, :I LOT 120 5, 431 S.F. I �\ N 20'WIDE WATER \S. sA•� MAIN EASEMENT 75.60' 6' S0"W 1N Of qf\q NOTE: 11CHAEL `y ; ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE 4 WITH TITLE V IF WITHIN GRAPHIC SCALE ��� e,�a LOFT. OF WATER MAIN. S� NAl SJ NOTICE 20 10 0 20 :' Unless and unto such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons. Including any municipal or other ( IN FEET) public officials, may rely upon the Information contained herein; and I inch = 20 M (8) this plan remains the property of Holmes x McGrath, Inc. PLOT PLAN holmes and mcgrath, inc.`'-' OF LOT 121 civil engineers and land surveyors y TINOTHY%A SANT-S PREPARED FOR 362 gifford street ` No. v.0 8 N MILL POND VILLAGE falmouth, ma. 02540 M 9� o. crsTE� >>> IN w\Fssror, ENS YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SCALE: 1 "=20' DATE: 5-1-03 DWG. NO.: A2527 CHECKED: air �o OeGJy� �. • QQ��O oQ�Q �O G� �\ \S. l a Ro. A \ I \ \9 S\ rV to LOT 120 . 59431 S.F. \ 20'WIDE WATER MAIN EASEMENT GRAPHIC SCALE 10 0 20 ( IN FEET ) 1 inch = 20 M 8 3 '50„W O' OF NOTE: ,tggs SEWER LATERAL SHALL BE s SLEEVED IN ACCORDANCE s WITH TITLE V IF WITHIN 78 1OFT. OF WATER MAIN. rl SJ@ NOTICE L 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. y"- PLOT PLAN holmes and mcgrath, 'Inc. �sr.°` A14 OF LOT 121 civil engineers and land surveyors PREPARED FOR 362 gifford street + ti4'oriw_M. + �; �A�NTCJ f� MILL POND VILLAGE ; P16 4"OM IN falmouth, ma. 02540 CIVIL YARMOUTH, MAJOB FF^� N SCALE: 1"=20' DATE: 5-1-03 WC•O•?A2527 CHECKED: -YA/& 4 w MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck software version 2.01 Release 2 CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 5-3-2004 DATE OF PLANS: 05/03/04 TITLE: The Swan PROJECT INFORMATION: Mill Pond Village Camp Street Yarmouth, MA. COMPANY INFORMATION: Northside Design ASSOC. 141 Main Street Yarmouth Port, MA. 62675 COMPLIANCE: PASSES Required UA = 229 Your Home = 125 Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-value R-Value U-Value UA CEILINGS 1112 30.0 30.0 19 WALLS: wood Frame, 16" D.C. 1048 15.0 15.0 46 GLAZING: Windows or Doors 86 0.340 29 DOORS 40 0.086 3 FLOORS: over unconditioned space 1112 19.0 19.0 28 -------------------------------------------------'------------------------------ 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 aAd'34,1 , ,fr Builder/Designerz 4ZZZZ �� Dates'-13 /D N J Massachusetts Energy code MAscheck software version 2.01 Release 2 The swan DATE: 5-3-2004 Bldg. Dept. use [] [] I I I [] [] [] :EILINGS: 1. R-30 + R-30 Comments/Locati VALLS: 1. wood Frame, 16" O.C.,..R-15 + R-15 comments/Location UNDOWS AND GLASS DOORS: 1. u-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. u-value: 0.086 Comments/Locati FLOORS: 1. over unconditioned space, R-19 comments/Location AIR LEAKAGE: joints, penetrations, and all other such openings in the building envelope that are sources of air.leakage must be sealed. when installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type is rated, manufactured with no penetrations between the inside of the.recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing u-values must be clearly marked on the building plans or specifications. j I,DUCT INSULATION: [ ] IDucts shall be insulated per Table 34.4.7.1. [] I I C] C] C] DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and 34.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require.a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 .. refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)---------------- m EFFlCIENCY CERnTFlED L I _ L I _ ama C V ` V � Air Conditioning & Heating eesTEo ® �esTEa 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GMNT SERIES le S•talEEwneseAtcltlue Noce 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 bumers • 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.goodmanmfe.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 25-55 0603 60,000 55,000 55,000 51,000 92.6 35-65 OBOE 80,000 73,500 73,000 73,000 92.6 35-65 100-4 100,000 1 92,000 85,000 92.6 40-70 1205 120,000 110,000 111,000 1 102,000 92.6 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA __ .. ..�u.ww �__ ___ :__ __--..a:.— 1/• CDT CIGVUIIAI \r1101 Model Number C.V.411JNw • ,w Motor ..vim vry --. Blower Vent' Dia. Combustion' Air Filter Size In Perm. / Disp. Electrical Ship Weight HP Spd. Dia. Width FLA Max Fuse 0403 1/3 3 10 6 2' 2' 290 / 580 5.2 15 1 170 0603 113 3 10 6 2' 7 290 / 580 52 15 180 080-4 1/2 3 10 8 T 3' 385 / 770 7.8 15 205 100-4 12 3 10 10 3' 3' 385 / 770 7.8 15 225 120-5 314 3 11 10 3' 3' 480 / 960 9.2 15 265 Note: Vent an0 COm DUStion alr OIame[ers rndy vary ueNe11U1111U uµiu YG111 Icllyul. accompany the furnace. 28" A 58.. 4" 198„ 6" B 42" 4$„ 8 ^� 4 4 I 4„ � 8 � COMB. AIR INLET 1 - 120" i COMB. AIR INLET GAS INLET 51" 4 VENT O I 1 27" 4" LOW VOLTAGE i ELEC. 104" Model GMNT A B Combustible Floor Base 0403 & 0603 1 r 12 % SBM14 080-4 171% 16' SBM17 100-4 21' 191/z' SBM21 120-5 24 %, 23' SBM24 SS-312D GAS INLET 2 liON �LOWVOLTAGE ELEC. CLEARANCES FROM COMBUSTIBLE MATERIALS Sides Rear Front' Vent To 1' 0' 3' 0' 1' Approved for line contact in the horizontal position. *36" clearance for serviceability recommended. 2 CASED (U) COIL APPLICATION OPTIONS Furnace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14• 17Y20 21' 24'W Coil Model Number Coil Width U-18 1 14' X U-29 14', X U-30 17'/' X(1) X(2) U-31 14' X U-32 171/T X (1) X (2) U-35 14" X U-36 171/2" X (1) X (2) U-42 17'/' X (1) X (2) U-47 17'/' X U-49 21' X(1) X(2) U-59 21' X (1) X(2) U-60 24'/z' X(.1) X(2) U-61 24Y2' X(1) X(2) U�2 21' X(1) X(2) (1) Using the factory installed bottom cabinet filler plates (2) Discard bottom cabinet filler plates Due to the rating mix/match of various coils with outdoor units it is important to match the furnace air flow for the total system capacity. Refer to furnace, heat pump and/or condensing unit specification sheets. AIRFLOW DATA CFM - NO FILTERS MODEL STATIC .1 .2 .3 .4 .5 .6 .7 .8 HI 1370 1315 1260 1200 1140 1070 1000 925 GMNT 040-3 MED 1210 1170 1130 1085 1040 980 920 860 LOW 895 880 870 840 825 780 725 680 HI 1360 1300 1250 1190 1135 1065 1000 930 GMNT 060-3 MED 1200 1170 1130 1080 1035 975 925 880 LOW 910 895 885 855 835 790 750 700 HI 1865 1800 1735 1660 1590 1510 1415 1320 GMNT 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 1700 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 17 1110LOW 1055 985 925 Values indicated by shaded areas represent airflows that are too low for heating temperature rise. SS-312D 3 NOTE: SPECIFICATIONS AND PERFORMANCE DATA LISTED HEREIN ARE SUBJECT TO CHANGE WITHOUT NOTICE Quality Makes the Difference! All of our systems are designed and manufactured with the same high quality standards regardless of size or efficiency. Our designs virtually eliminate the most frequent causes of product failure. They are simple to service and forgiving to operate. We use the highest quality materials and components available because if a part fails then the unit fails. Finally, every unit is run tested before it leaves the factory. Thats 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 i �BoiSE- BC CALL® 2003 DESIGN REPORT - US Thursday, August 19, 200414:47 Double 1 3/4" x 11 7/8" VERSA -LAM® 3100 SP File Name: Gatewood Homes_Swan.BCC : SH01 Job Name: The Swan Description: VALLEY #1 Address: off Camp Street Specifier. City, State, Zip: Yarmouth, MA � Designer: Joe Madera Customer. Gatewood Homes YYY Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512, NER 629 Misc: MILL POND VILLAGE A 5.5 12 d = 12-06-00 o = 00-06-00 General Data Version: US Imperial Member Type: Simple Hip Number of Spans: 2 Left Cantilever: Yes Right Cantilever. No Rafter Slope: 7.8/12 Live Load: 25 psf Dead Load: 15 psf Partition Load: 0 psf Duration: 115 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 CALCO, BC FRAMER®, BCI®, BC RIM BOARD'"', BC OSB RIM BOARD*"', BOISE GLULAMw, VERSA -LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA-STRANDTm, VERSA -STUD®, ALLJOISTO and AJST" are trademarks of Boise Cascade Corporation. .i Page 1 of 1 704 Ibs LL 678 Ibs DL 17-08-02 Total Horizontal Length-18-04-10 B2 1327 Ibs LL 1159lbs DL Load Summary ID Description Load Type Ref. Start End Type Value n/a Dur. S Standard Load Simple Hip Left 00-00-00 18-04-10 Live 25 psf n/a 115% Dead 15 psf n/a 90% Controls Summary Control Type Value % Allowable Duration Load Case Span Location Moment 8685 ft-Ibs 35.5% 115% 5 2 - Internal Neg. Moment -4 ft-Ibs n/a 90% 1 1 - Right End Shear 2089 Ibs 22.6% 115% 2 2 - Right Cont. Shear 1327 Ibs 14.4% 115% 2 2 - Left Total Load Defl. U393 (0.595") 45.8% 5 2 Live Load Deft. L/746 (0.313") 32.2% 5 2 Total Neg. Defl.-0.072" 9.5% 5 1 -Right Support Slope and Cut Length End Condition Slope Facia Depth Horiz. LengtlProduct Length Plumb Cut with Hanger to dbl. top plate 7.8/12 13-1/8" 18-04-10 20-08-04 Notes Design meets Code minimum (U180) Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Minimum bearing length for B1 is 3". Minimum bearing length for B2 is 1-1/2". Entered/Displayed Horizontal Span Length(s) = Clear Span + 112 min. end bearing + 1/2 intermediate bearing Connection Diagram Bolts are assumed to be Grade 5 or higher. Member has no side loads. Connectors are: 1/2 in. Staggered Through Bolt a=2" b = 2-1/2" c = 7-7/8" d = 24" BOISE' BC CALC® 2003 DESIGN REPORT - US Thursday, August 19, 200414:47 Double 1 3/4" X 11 7/8" VERSA-LAM(g) 3100 SP File Name: Gatewood Homes Swan.BCC : RB03 Job Name: The Swan Description: VALLEY #2 Address: off Camp Street Specifier. City, State, Zip: Yarmouth, MA Designer. Joe Madera Customer. Gatewood Homes Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512, NER 629 Misc: MILL POND VILLAGE 12 BO 3259 Ibs LL 2330 Ibs DL General Data Version: US Imperial Member Type: Roof Beam Number of Spans: 1 Left Cantilever. No Right Cantilever: No Slope: 0/12 Tributary: 01-00-00 Live Load: 25 psf Dead Load: 15 psf Partition Load: 0 psf Duration: 115 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCI®, BC RIM BOARDTm, BC OSB RIM BOARDTm, BOISE GLULAMTm, VERSA -LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA-STRANDw, VERSA -STUD®, ALLJOISTO and AJST are trademarks of Boise Cascade Corporation. 4 .aE r e v Y .� 1. f Total Horizontal Length-14-00-00 Load Summary ID Description Load Type Ref. Start End S Standard Load Unf. Area Left 00-00-00 14-00-00 Conc. Pt. Trapezoidal Controls Summary Control Type Value Moment 11158 ft-Ibs Neg. Moment 0 ft-Ibs End Shear 5520 Ibs Total Load Defl. U397 (0.424") Live Load Defl. U664 (0.253") Max Defl. 0.424" Left 01-06-00 01-06-00 Left 00-00-00 14-00-00 00-00-00 14-00-00 B1 2015lbs LL 1299 Ibs DL Type Value Trib. our. Live 25 psf 01-00-00 115% Dead 15psf 01-00-00 90% Live 2579lbs n/a 115% Dead 1891lbs n/a 90% Live 0 plf n/a 115% Live 335 plf We 115% Dead 0 plf n/a 90% Dead 195 plf n/a 90% % Allowable Duration Load Case Span Location 45.6% 115% 2 1 - Internal n/a 100% 59.7% 115% 2 1 -Left 45.4% 2 1 36.1% 2 1 42.4% 2 1 Notes Design meets Code minimum (U180) Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 1-7/8". Minimum bearing length for B1 is 1-1/2". Member Slope = 0, consider drainage. Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 112 intermediate bearing Connection Diagram Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are: 16d Sinker Nails a=2" b=3" c = 7-7/8" d=12" Page 1 of 1 BOISE- BC CALM) 2003 DESIGN REPORT - US Thursday, August 19, 200414:47 Triple 1 3/4" x 16" VERSA-LAM(g) 3100 SP File Name: Gatewood Homes_Swan.BCC : RB02 Job Name: The Swan Description: RIDGE #2 Address: off Camp Street Specifier. City, State, Zip: Yarmouth, MA Designer. Joe Madera Customer: Gatewood Homes Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512, NER 629 Misc: MILL POND VILLAGE 1__10 12 BO 5159lbs LL 3551 Ibs DL General Data Version: US Imperial Member Type: Roof Beam Number of Spans: 1 Left Cantilever. No Right Cantilever. No Slope: 0/12 Tributary: 14-00-00 Live Load: 25 psf Dead Load: 15 psf Partition Load: 0 psf Duration: 115 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 CALCO, BC FRAMER®, BCI®, BC RIM BOARDw, BC OSB RIM BOARDTm, BOISE GLULAMTm, VERSA -LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA-STRANDTm, VERSA-STUDO,ALLJOIST®and AJST are trademarks of Boise Cascade Corporation. 0, f Total Horizontal Length - 16-06-00 Load Summary ID Description Load Type Ref. Start End S Standard Load Unf. Area Left 00-00-00 16-06-00 Conc. Pt. Controls Summary Control Type Value Moment 36291 ft-Ibs Neg. Moment 0 ft-Ibs End Shear 7932 Ibs Total Load Defl. U418 (0.474'1 Live Load Defl. U705 (0.281") Max Defl. 0.474" Left 05-00-00 05-00-00 131 3875 Ibs LL 2633 Ibs DL Type Value Trib. Dur. Live 25 psf 14-00-00 115% Dead 15 psf 14-00-00 90% Live 3259lbs n/a 115% Dead 2330lbs n/a 90% % Allowable Duration 56.3% 115% n/a 100% 42.5% 115% 43.1 % 34.0% 47.4% Load Case Span Location 2 1 - Internal 1 -Left 1 1 1 Notes Design meets Code minimum (U180) Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 2". Minimum bearing length for B1 is 1-1/2". Member Slope = 0, consider drainage. Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram Nailing schedule applies to both sides of the member. Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are: 16d Sinker Nails a=2" b=3" c=6" d=12" e=3" Page 1 of 1 BO1SW BC CALC® 2003 DESIGN REPORT - US Thursday, August 19, 200414:47 Double 1 3/4" x 11 7/8" VERSA-LAM(g) 3100 SP File Name: Gatewood Homes Swan.BCC : RB01 Job Name: The Swan Description: RIDGE #1 Address: off Camp Street Specifier. City, State, Zip: Yarmouth, MA— Designer. Joe Madera Customer. Gatewood Homes Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512, NER 629 Misc: MILL POND VILLAGE �o 12 BO 1875 Ibs LL 1213 Ibs DL General Data Version: US Imperial Member Type: Roof Beam Number of Spans: 1 Left Cantilever. No Right Cantilever. No Slope: 0112 Tributary: 10-00-00 Live Load: 25 psf Dead Load: 15 psf Partition Load: 0 psf Duration: 115 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCIO, BC RIM BOARDT , BC OSB RIM BOARDT"', BOISE GLULAMT'", VERSA -LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA-STRANDw, VERSA -STUD®, ALLJOISTO and AJST"' are trademarks of Boise Cascade Corporation. Standard Load - 25 psf 115 psf Tributary 10.00-00 Total Horizontal Length - 15-00-00 Load Summary ID Description Load Type Ref. Start End Type S Standard Load Unf. Area Left 00-00-00 15-00-00 Live Dead Controls Summary Control Type Value Moment 11579 ft-Ibs Neg. Moment 0 ft-Ibs End Shear 2680 Ibs Total Load Defl. U375 (0.48") Live Load Defl. U617 (0.292") Max Defl. 0.48" % Allowable Duration 47.3% 115% n/a 100% 29.0% 115% 48.0% 38.9% 48.0% 131 1875 Ibs LL 1213 Ibs DL Value Trib. Dur. 25 psf 10-00-00 115% 15 psf 10-00-00 90% Load Case Span Location 2 1 - Internal 1 - Left 1 1 1 Notes Design meets Code minimum (U180) Total load deflection criteria. . Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for 131 is 1-1/2". Member Slope = 0, consider drainage. Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram Member has no side loads. Connectors are: 16d Sinker Nails a=2" b=3" c = 7-7/8" d=12" Page 1 of 1 "" " - Commonwealth of Massachusetts '"""` Permit No. Department of Fire ServicesOccupancy and Fee Checb-.d " BOARD OF FIRE PREVENTION REGULATIONS 1L99j veb ~ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOE Gul-fm, All wocicto be peffb®ed in acoordaucewiththe Massachusetts Electrical Code (hMC), 527 CMR 12LEASE PRINTW INK OR TYPE ALL INFORMATION)Date: YAPMLU'H To the Inspector of WWCity or Town of: res: By this application the undersigned gives notice of his or her intention to perform the electrical wort a ed below.� yt7 Location (Street & Number) MILL POND vnLAGE, Camp Street Owner or Tenant Gatewood Scares/ Jeff Sollows Telephone No. 508-778966 Owner's Address 1600 Falmouth Rd-, Suite 25, Centerville, Ma. 0263.2 Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woric Fire Alarm System (law voltage control panel) with backim"baitery, , centrally mon; toyed • _�.t_f_tt_.__—.ALL .... R� .a77•L.. da lnmerfnrn(Wr.ve No. of Recessed Fixtures No. of Cell.-Sasp. (Paddle) Fans o. of TOW Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool d e . ❑ d. ❑ ITUMWE—mergg Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones -1- No. of Switches No. of Gas Burners o. o Detectionand 7 Initiating Devices No of Ranges No. of Air Coud. Tons No. of Alerting Devices No. of Waste DisposersEl Totalp ' um a, ohs Detection/AlertingDevices 7 No. of Dishwashers Space/Area Heating KW Local 0 Conn�ion ®lu Other No. of Dryers Heating Appliances eatiances r Security m ty ystes: No. of Devices brEquivalent o. of Water KV Heaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or Eauivalent Na Hydromassage Bathtubs No. of Motors Total HP irrug: eco . of DeV ces or No. of Devices or E uivalent OTHER: INSURANCE COVERAGE: Unless waived by the owner, no permit for the peiformanc a 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 font, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify-)tpiatioa to Estimated Value of Electrical Wodc $750.00 required by municipal policy.) Work to Stalt: Inspections to be requested ' i accordance with MEC Rule 10, and upon completion. I cc*, under the pains and penalties of perjury, that the inf imation on this application is true and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1178C Licensee: Jonas R Bielkevicius Signature . LIC. NO.: 499D (lfap h=ble, enter "exempt" in the &-ewemrmbe . Bus. Tel. No: 508-833-0996 Address: 1?0 'Box .9 609 Sandwlc 02563 Alt, Td. No.• 508508� 776 33 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 Signaturi. Telephone No.