Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
121 Camp St #124 Building Permits
TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 Fax 508-398-0836 Z4— 3 December 1, 2006 Gatewood Homes Mr. Jeffrey Sollows 1600 Falmouth Road, Suite 25 Centerville, MA 02632 . Re: Villages at Camp Street Unit No. 124 Dear Mr. Sollows: This is to serve as a follow-up to my November 3, 2006 letter concerning a non -compliant front setback for unit 124. I had ordered you to take appropriate action to abate this situation. However, as of this date I have not received a response. Accordingly, I will expect your response within five (5) days of receipt of this letter. Failure to do so will result in appropriate enforcement action which will include the issuance of tickets with fines ofup to three (300) hundred dollars per day. Very truly, James D. Brandolini, C. B.O. Building Commissioner cc: Board of Appeals CERTIFIED MAIL S Po tal ServiceTM; '.;;;: �RTIFIED�IUTAIL,M"�RECEIP�T�'�� t (Domestic Mail Only; No%nsxurance Coverage Prov/ded) �" • 1i For delivery fnrormatlonbtct*......_�_,. i I r C C C C u rr C s C7 C7 r� Certified Mail Provides: fewmed)Z=,i rf�ULodsd ■ A mailing receipt ■ A unique identifier for your ma7plece for two years ■ A record of delivery kept by the Postal Service important Reminders: First -Class Malta or Priority Mail®. ■ Certified Mail may ONLY be for any class nt international mail. ■ Certified Mail is not available for arty Certified Mail. For ■ NO INSURANCE �iderr Insured or RegE IS istered Mall - valuables, please p yY requested to provide proof of service, Prate cellcable post 9 to coverrtthe ■ For an additional fee, a Return Receipt ma a req delivery. To obtain Return Receipt To ales waiver for Receipt (PS Form 3811) to the article and a stmark your Certified Mail receipt is fee. Endorse mailpiece,"Return Receipt Requested �uirecdate return receipt, a USPS®po restdCted to the addressee or ■ For an additional fee, delivery may with the addressee's auModzed a ent. Advise the clerk or mark the mar piece endorsement "Restrict2T)elivery'• is desired, please present the arts- N if a at stm rk on the or p postmarking. gI�f a Postmark on the Certrtied Mar( receipt theis npost ot needed, detach and affi px label with postage and mail. intern t access to delivery inform lion istnot available It When on Maii4airy. addressed to APOs and HOs. 9M 3a1 Ol d l3A d0 dO11Y U3N 3 d A. ■ Complete Items 1, 2, and 3. Also complete Item 41f Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Gatewood Homes Mr. Jeffrey Sollows 1600 Falmouth Road, Suite 25 Centerville, MA 02632 A. X B. C. ❑ Agent "- .d-±Lt'et I D. Is delivery address different from Rem 1? ❑ e! If vFe ante, delivery address below: ❑ No ✓ all ❑ E*ress Man �..-„�....../ ❑ Return Receipt for Merchandise ❑ Insured Mall ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Y83 2. Article Number 7004 0750 0002 3562 8720 j rrransfer from service lobe Ps Form 3811, February 2004 Domestic Return Receipt 10259S-02.M.1540 UNITED STATE M �MLQE 11-TA 1725 (35 Q1=C- Pr41. • Sender: Please print your name, address, and ZIP+4 in this box • Town of Yarmouth Building Dept 1146 Route 28 South Yarmouth, MA 02664 TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 eat. 261 Fax 508-398-0836 r December 1, 2006 Gatewood Homes Mr. Jeffrey Sollows 1600 Falmouth Road, Suite 25 Centerville, MA 02632 Re: Villages at Camp Street Unit No. 124 Dear Mr. Sollows: This is to serve as a follow-up to my November 3, 2006 letter concerning a non -compliant front setback for unit 124. I had ordered you to take appropriate action to abate this situation. However, as of this date I have not received a response. Accordingly, I will expect your response within five (5) days of receipt of this letter. Failure to do so will result in appropriate enforcement action which will include the issuance oftickets with fines ofup to three (300) hundred dollars per day. V truly, amen D. Brandolini, C. B.O. Building Commissioner cc: Board of Appeals CERTIFIED MAIL e US -Fos ervic .ICEf,IFIE MAILTM.RECEIP,�T DomeVlc Mail Only; No Insurance Coverage Provided) ru m Paste $ ru O COMW Fee o Postrn" O Retam Radept Fee (Entlorsamant Requtretl) Here 0 N(ERntlorseme�a equlre� O TOW Postage & Feas I $ O Swa To 17 or POBazNo. 11rim., aa44meRp�p'�P Certified Mail Provides: (aeienay) 30OZ b'yi 0096 W+oi se ■ A mailing receipt ■ A unique Identifier for your mallpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mall may ONLY be combined with First -Class Mail® or Priority Mall®. ■ Certified Mail is not available for any Gass of International mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Retum Receipt ma be requested to rovide proof of Receipdeliveptt (PS Form 38 1) tin Return o thheelpt aartic and nd add appliccable postage to covRer the fee. Endorse mailpieca "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized aunt. Advise the clerk or mark the mailpiece with the endorsement 'RestrictedDelivery'. ■ If a postmark on the Certified Mail recelpt Is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail. receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. ete , and I Also Com 4I ifRestricted2Del very scomplete desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mamlpiece, or on the front if space permits. 1. Faticle Addressed to: _ . — �i Gatewood Homes Mr. Jeffrey SollOws 1600 Falmouth Road, Suite 25 Centerville, MA 026325 2. Article Number i (Transfer from servia PS Form 3811, February 2004 ❑ Agent B. Received by ( Printed Name% I C. Date of Delivery f Jf D. Is delivery address erent from stern t Yes f YES enter delivery address below: ❑ No jI ❑ Express Mail �a ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7004 0750 0002 3562-8485 Domestic Return Rect 1pt-- j ms9s02-M-1540 iPC coo MA 025— UNITED STATES POSTAL SERVICE 10' NC. V'2006 pf.4 s ... s o. • Sender. Please print your name, address, and ZIP+4 in this box • Tows OfYmuth Bufding Dept 1146 Route 28 SoLMYartnouth,MA 02664 ,11II11I TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 Fax 508-39&0836 November 3, 2006 Gatewood Homes W. Jeffrey Sollows 1600 Falmouth Road, Suite 25 Centerville, MA 02632 Re: Villages Camp St. 121 Camp Street Unit #124 Dear Mr. Sollows: Please be advised that I have reviewed the Condominium Site "As -built Plans" for Phases 1, 2, 3' and 4, submitted to this Department on October 31, 2006, with revision dates of September 8, 2006. These plans reflect the notation " added existing pavement". During my review I note that the front setback of unit 124 depicted on the Phase 1 As -built Revision, reflects "27.8 feet" from the edge of pavement. This is 2.2 feet less tl ian the thirty (30) feet required by the Board of Appeals conditioned in Petition 3546. The individual as -build plan dated July 5, 2004 depicted 30.4 feet from the "proposed pavement". Accordingly, based on this discrepancy, you are hereby ordered to fib, a request for reliefwith the Board or effect the alteration of the pavement so that the 30 foot minimum set back is compliant. 3randolini, C.B.O. �omnnissioner JB/js cc: Board of Appeals : - Commonwealth of Massachusetts umcm use 1aLy t Permit No. 'T-" os a 3 b 4 Department of Fire Services Occupancy and Fee Checked (!� BOARD OF FIRE PREVENTION REGULATIONS .11/991 veblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOK C� U All worirto be performed in &=da= with the Massachusetts Electrical code (MEC), 527 t.MR 12.iO O ��6a D . (PLEASE rRINT IV lVK OR TY?EALL IVFIRMATI NJ Date: f e 7 2004 City or Town of: YARM UrH To the Inspector of Wird3 By this application the undersigned gives notice of his or her intention to perform the electrical work des�n�eti¢p • Location (Street & MILT, POND V= AGE, Camp Street Owner or Tenant Gatewood Homes/ Jeff Sollows Telephone No. 508-77896 69 Owner's Address 1600 Fallmutn 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 (low voltage control panel) with ba k,M battery centrally monitored. r^ mnletin� ofthe &ftawinrtable maybeitaivedbythe InsvectorofWires- No. of Recessed Fixtures No. of Ceil-Susp. (Paddle) Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fiztares Swimming Pool d a . ❑ rnd. No. ot Laghting BatteryUnits No. of Receptacle Outlets No. of Oil Burners FIRE. ALARMc No. of Zones —1— No. of Switches No. of Gas Burners No. o etectioa. 7 InitiatingDevivi ces No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposersed Heat Pump•umber ors Dtection/AlrteDevices 7 eeiotals No. of Dishwashers Space/Area Heating KW Local 0 fvl nn�ion ® Other • Na. of Dryers .. Heating Appliances �' ecunty ystems: No. of Devices orE ivalent No. of Water KW Heaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or uivalent Na H dromassa a Bathtubs y g No. of Motors Total HP o iuival Te eco . of No. of Devices or Equivalent OTBEI2: . .attach a=uonai aaxi rI aestre4 or as requirea ay we intpecror cl 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 ❑ OTBER ❑ (Specify.) (Expiration Estimated Value of Electrical Work $750.00 (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10, and upon completion. Ica*, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1178C Licensee: Jonas R Bielkevicius Signature LIC. NO.• 499D {Ijapplicvble, enter "exempt"in the lieerue.nwn/ieline� Bus TeL No: 508-833-0996 Addreu: PO Box .3;609 Sandwic. , . °'c�u 02563 AIL TcL No.: 5087 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. Slgnature, Telephone Na. OF yq9 00 �Or- MATfACHEESE C �Q TOWN OF YARMOUTH UNI7 /2 v APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By Q Fee: PERMIT NO. Q ` —05 Date Building Owner's AT. Location �'�� � Name_ Type of Occupancy New F�enovation ❑ Replacement El AL. n Z Z Z Y ~ W W W N J fN } O F N Z O(a O. cc U1 O Z Z Q tr W N F = U y Q Cl) O LL Z Z a _Z ?� 7 X J rA W 0 CO W S to 2 2 Q W F- rA fn Y Z cc G 0. Q Cl) Z Q M d Q D: IL V Z � O cc W y J G C F U 1 F O= a. O N F Z O O y Z Z W F O U S J J F C Q M m O Y m y p G 3 2 (n U. (9 7 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: / **%�h AJ Installing ComparlY Name ❑ Corp. Address ;�Firr a rship Of/T Business Telephone Name of Licensed Plumber m��p�(N70�°ar,�s INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes No ❑ If you have checked YES, please indicate the type of coverage by cking the appropriate box. ;I �? i 1 1. A liability insurance policy Other type of indemnity ❑ ; ;i Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by C 'SErrj4j 1004 V the Mass. General Laws, and that my signature on this permit application waives this requirement.j��y Check on OvAler ❑ AgeAt [Ell " T. Signature ofOwnerorOwner'sAgent 1 hereby certify that all of the details and Information I have submitted Si nat e o Lic nsed (or entered) in above application are true and accurate to the best of Plumber my knowledge and that all plumbing work and Installations performed under Permit issued for this application will be in compliance with all S7z pertinent provisions of the Massachusetts State Plumbing Code and icense Number Chapter 142 of the General Laws. Type: Master ❑ Journeyman TOWN OF YARMOUTH Building S AT: Location o—�- /Z New EX PlvnsSubmitted Renovation ❑ Yes ❑ No t' APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By Fee: $ PERMIT NO. G —0 S �b Date Replacement ❑ Owner'g ''////� -- Namel/(NK�"3' AT r"i9f 5;1, Type of Occupancy 2!F0% f e lf ca Y uW 2 w W O U m~ _ U) a w ¢� Z O O F m W f O 0.O >� l�U W N Cn J 2 = 2W W =¢ CAI 2 � Z Z c O > Z o ♦- Z ¢-J ow>¢ FN W x • a w ¢ am �cc > c °�x oW o s x : c cc a SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company (�M ny Name-1-�UGTS 1,1 ITe--D O Address I C i4As 6 S 4)—f,t NNIS MA e) z- &6 1 B' T I h 50 F-9 3 7-36 9 4 Check One: ❑ Corp. El Partnership Lf Firm/Company usmess a ep one _ Name of Licensed Plumber or INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes frNo ❑ FEB 2 4 2005 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 ❑ B ❑ Y OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage require y 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 21 S 13s License Number TVDF 11P=M4ZG- Of No I 0 0,N w tr \ 20.0- 07 cn rccoo 12.0 EXISTING N0 I FOUNDATION it 33. 13.7 n' tP �4./ I LOT 124 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 ARE . L•' V� REGISTERED PROFESSIONAL LAND SURVEYOR K GRAPHIC SCALE ( IN FEET ) 1 inch = 20 ft. AS —BUILT PLAN OF LOT 124 PREPARED FOR MILL POND VILLAGE IN NS 35,.E—i-N' �I • T o, 15X-4 33.0, 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. 9ATE REGISTERED PROFLSSIONAL 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 Informatlon contained herein; and (8) this plan remains the property of Holmes do McGrath. Inc. holmes and mcgrath, inc. civil engineers and land surveyors 362 gifford street falmouth, ma. 02540 YARMOU IN, MA I JOB NO: 201197 DRAWN: SCALE: 1 "=20' DATE: 7-05-04 DWG. NO.: A2508A CHECKE Ll IL OF r� TOWN OF YARMOUTH Building Department BUILDING ,r (508) 398 xt.261 PERMIT NO 6-04-1402_ PERMIT _ 4... ISSUE DATE ; 6/14/2004 _ ; PROPOSE US - - - - APPLICANT Frank Capra JOB WEATHER CARD P;:QU1T Tn ' Nww Cnnstruction ' AT (LOCATION) 00121CAMP ST # 124 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1044.21A.C124 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction: 2 baths, 3 bedrooms, 1 kitchen, 1 laundryroom, 1 livingroom as per plans REMARKS dated 03/31/04 and BOA # 3546. AREA (SQ FT) EST COST ($ 1$117,024.00 PERMIT FEE ($) I$427.U0 OWNER lVillages at Camp St., LLC UILDING D PT BY ADDRESS 1600 Falmouth Road # 25 Centerville MA 02632 _Cs'� CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 MA 02632 Certificate Issue Date _L7?4,,Z20 —CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Ap oved By Remarks BUILDING -ZZ' PLUMBING/GAS 10,6S ELECTRICAL ENGINEERING OTHER f-/2E <i T �im�L 3l� Tj cb To be filled in by each division indicated heron upon completion or its final Inspection. r r� TOWN OF YARMOUTH Building Department BUILDING - ----•' (508) 398-2231 ext.261 } PERMIT NO 6-04-1402_ PERMIT ore ISSUE DATE ; _ 6/14/2004 _ ; PROPOSED USE _ _ _ _ _ _ _ _ . _ , pra ----------------------' APPLICANT Frank Ca ----------------------------- JOB WEATHER CARD PERMIT TO New Construction ' AT (LOCATION) 1001121CAMPST#1124 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C124 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R 4 LOT SIZE new construction: 2 baths, 3 bedrooms, 1 kitchen, 1 laundryroom, 1 livingroom as per plans REMARKS dated 03/31/04 and BOA # 3546. AREA (SQ FT) EST COST ($ $117,024.00 I PERMIT FEE ($) 1$427.00 OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road # 25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector D v y " — d T ifiaitL Jzi Z�'0-C�Q1L / icet� (/ .l.G��' l r TOWN OF YARNFOOH Building Department Town Hall Yarmouth, MA 02664 (508) 398.2231 ext.261 dwe BBUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: Applicant Name: T-04-443 Frank Capra Location: 00121 CAMP ST # 124 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.: 614 Net Owed: ($50.00) Application Date: 3/8/2004 Issue Date: Expiration Date Comments: 4-1 y a-/. new construction: This is NOT a building permit. Application subject to plan review. Contact Building Department for permit status. Official Building Permit will be issued upon plan review completion, approval, and complete payment of Net Owed on Permit Fee. 1k A er( Date Printed: 3/15/2004 ti o� YAR ONE, & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department \ „...,,C„«s 4 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 2.1 Owne�aof Record: N me Sprintk kk L Signature 2. uthorize Agent: G O Name (print) La, 14o. F Mailing Address C c>, sue_ .v' v T V- 0 fro---) Gr- vi C v2 z_ '?/ ? 3.1 Licensed Construction Supervisor: �PR v o Not Applicable ❑ License Number O � \YVIO✓`1� O ddre Expiration Date Signature Telephone b " h -0 3.2 Registered Home,Improvement. Contractor: Company Name Not Applicable Cl License Number Address Expiration Date Signature Telephone 9 - 15 - 99 1 of 2 OVER ..v,..vy vvu,,pscu�auu�{ ,twttlaul.G ru nuAV�l tM.0 L. �, ]bZ Z GZ*U (b). 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 .......... ur^ P.CfiOR _t'i.=• f'}aSrr'intinn nf`PrririnccN lhln'r4 lrhorir �n'snnGn�f.�c1' New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Sp eci fy: Brief Description of Proposed Work: i In ; ln.` ! Vn y 1 Q Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building j 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1+2+3+4+5) "? 0 7. Total Square Ft. (new houses&additions) M I Check Below I ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) as;,owner of the subject property hereby authorize 12120 Y=U L-0to act on m ben , in all matters elative to work authorized by this building permit dppation. r CL T — 0 Signature of Owner Date Section 7b = OWrier/Authorized Agent Declaration 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. Fe -A Print nam L Signature of Owner/Agent 12 -3 , Date . V r 9-15-99 2of2 k .--, uyy'qi� PLEASE PRINT: Job Location: Owner of Construct Address: TOWN.OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM 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 E No ❑ If you have checked yes, please indicate the type 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 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: of Owner or Owner's Owner ❑ Agent )G3a- Signature: Building Official Approval: The Commonwealth ofMassachusetts Department of Industrial Accidents OlAce o/leyest/Ou/iss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit t:it, [ kL gQ-ry ,& I l k. 63-.)- nhpne 0 -"7 7 M C 0 I am a homeowner performing all work myself. I am a sole proprietor and ha%e no one working in any capacity I am an employer pro% iding workers' compensation for my employees working on this job. company name - address, city: phoneN• insurance co. policy 0 am a sole proprietor. general contractor. or homeowner (circle onel and have hired the contractors listed below %oho ha%e city phone Of, insurance co. policy 0 company name: Failure to secure coverage as required under Section 25A of MGL 152 eau lead to the imposition of criminal penalties of a foe up to S1.500.00 aadfor one years' imprisonment as well as civil penaidee is the form of a STOP WORK ORDER and a Ape of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Omer of Investigations of the DIA for coverage verification. I do hereby cerrif nder the pains and nalties of perjury that the information provided above is true and correct O k Signature--ir�rc�f?� � ��. �- Date /� � 2 /� � Print name omcial use only do not write in this area to be completed by city or town official city or town: YnxlKaoT$ _ permitAieense 0 nBuilding Department pl.fcensiag Board l] check if immediate response is required 261 OSelectmen's Omer E31-fealth Department contact person: phone it: _ (508) 398-2231 eat. riOther ... .y .t 1141 i t _ .••.:w' �� TOO'IIYNt61lIOBQL[IL � JC�a:>,aciu�aeCG BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate:06/16/1940 Expires: 06/16/2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN— CENTERVILLE, MA 02632 Administrator 00 - 35,000 d enclosed space (MGL C.112 S.601.) to - Masonryonly 1 G -1 8 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 TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 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�th[e proposed work/demolition to be conducted at 1 ` C4 1/4p J - Work AdAress is to be disposed of at the following location: ►N Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111. Section 150A. /8 Date Permit No. H' ,a UtK I INNATE of LIABILITY INSURANCE oii j2 0 a PRODUCER ,000994-9688 FAX (508) 991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 414 COUNTY STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW BEDFORD, MA 02740 INSURERS AFFORDING COVERAGE wsuREn Frank Capra -INSURER A: Providence Mutual PO Box 664 INSURERS: OneBeacon West`Hyannisport, MA 02672 -" ;: .: INSURER Continental Casualty. Co....-* .._.. .. ... _._. INSURERD:f_ ... :. . CntlFoarCc INSURERS 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER CPP0053131 00 POUC EFFECTNE 12/13/2002 POL CY PI TION 12/13/2003 LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 FIRE DAMAGE (Any one fire) s 50,001 A CLAIMS MADE FX OCCUR MED EXP (Any one person) S 5 000 PERSONAL & ADV INJURY S 1,000,00( GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.00( PRODUCTS. COMP/OP AGG $ 2,000,00( POLICY pE� LOC COMBINED SINGLE LIMB Ire accident) AUTOMOBILE LIABILITY ANY AUTO BXE48125 02/14/2003 02/14/2004 S ALL OWNED AUTOS BODILY INJURY (Per person) $ 250000 r B X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accideng $ 500,000 NON -OWNED AUTOS PROPERTY DAMAGE Per accident, _.. $ 100 .000 LIABILITY " .. ... . S AUTO " #EXCESS -- '." ... -AUTO.ONLY..EA ACCIDENT. _ OTHERTHAN '. EA ACC AUTO ONLY: AGO s ' LIABILITY -,,..EACH t .. ... ... S CLAIMS MADE OCCURRENCEUR AGGREGATE S S DEDUCTIBLE s RETENTION $ TORY LIMBS ER s C WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY S59UB861X75160303/22/2003 03/22/2004 - E.L. EACH ACCIDENT $ 500,000 EL DISEASE -EA EMPLOYE $ SOO,000 OTHER E.L. D18EASE• POUpY LIMN $ 500 �000 DESCRIPTION OF OPERATIONSR.00ATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER Gatewood Homes Inc 1600 Falmouth Road Ste 25 Centerville, MA 02632 CANCELLATION 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 i"I�VVI \LJTa IrGK Ir-�L,q t OF LIABILITY INSURANCE °^(M°°/°°IY'''''") e PRODUCER 1OI17/03 Dowling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NO RIGHTS UPON THE CERTIFICATE Agency% Inc. HOLDER. THIS CERONLY AND TIFICATE ATE DOES NOT MEND, EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE kNAIC INSURED Bayside Electrical Contractors, Inc. I"!T nsurance Company 372 Yarmouth Road Irance GroupHyannis, MA 02601 INININ 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 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 OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DONY DAT9 (MWDDIYYI LIMITS A GENERALUABILITY 16801484A82ACOF03 - 10/05/03 10/05/04 EAcrloccuRRENCE f X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1 O0O OOO CLAIMS MADE a OCCUR $30Q 000 MED EXP (Anv nna .ham% I « nnn X OCP PERSONAL & ADV INJURY $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: f2 000 000 GENERAL AGGREGATE ICY JEO LOC PRODUCTS. COMP/OP AGO 10/05/04 COMBINEeDtSINGLE LIMB f2 000 000 ABILE LIABILITY AUTO OWNED AUTOS 18102601 W5611ND03 10/05/03 f1,000,000 SCHEDULED AUTOS - D AUTOS BODILY INJURY (Per Person) f -OWNED AUTOS e Other Car rLIABIUTy BODILY INJURY (Per accident) f PROPERTY DAMAGEIABILITY(Per acddenQf f UTOAUTO ONLY• EA ACCIDENT MBRELLA LIABILITYEACH OTHER THAN EA ACC AUTO ONLY:AGG f f f R CLAIMS MADE OCCURRENCE AGGREGATE f EDUCTIBLE f ETENTION f 08/18/04 WC STATU- OTH- f f B6910 OMPENSATION AND ' LIABILITY tPROPRIETORIPARTNEPJEXE 08/18/03 MTOR/EXCLUDED? CUTNE MBER EXCLUDED?e FBAWC43- FR E.L. EACH ACCIDENT s100 000 under VISIONS below E.LDISEASE.EAEMPLOYE f100,000 OTHER E.L. DISEASF. Pnt-P,, nur eKln nnn DESCRIPTION OF OPERATIONS / 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 EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES1: reeve ACORD CORPORATION 1988 s_:ki:k-0-*V = F 2 CATE OF' --+------------------------------------------ Producer: SOUTHEASTERN INS AGCY 641 MAIN ST HYANNIS MA 02601 ----- Code------------------------- Sub code: Insured: RJ BEVILACOUA P 0 BOX 629 FORESTDALE MA 02644 2 NSURANCE Issue date; 7/22/03 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. ---------------------------------------------------------------------- ---------- COMPANIES AFFORDING COVERAGE ------------------- I Co Ltr A: ARBELLA PROTECTION --------- — — ----------------------- Co —Ltr —B; ARBELLA PROTECTION ———--- --- -- --- -- — --— ----- — — — -- ---------Co---Ltr-------C: =--------------------- -------- Co Ltr D: ARBELLA PROTECTION — ----------------------- I Co Ltr E: COVERAGES This is to certify that 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 perteint 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 I I I Polic Polic I Ltrl Type of Insurance I Policy number leffectiveydate lex iration datel All limits' in thousands ----------------- -------------------------------------------------- A IENERAL LIABILITY i 8500018147 I 7/15/03 I 7/15/04 (General aggregate: 21000 Commercial general liability [ Claims made Personal/adverapps sing � [) Occur Personnl/ednertlsing inl. l�wner s 8 contractors Prot I l l Each occurrence: 1 000 (Fire damage: 160 Medical expense: 5 B (AUTOMOBILE LIABILITY I OGGS2400001 I 2/21/03 1 2/21/04 ICombined Any auto Single limit. 250/500 l All owned autos Scheduled autos l I IlPer person): Hired autos bodily injury l Non —owned autos I I I (Per, accident): Garage liability -- --------------------------------------- ---------------- I--- I Property damage: 500 l — I.XIESS LIABILITY I Other than umbrella form l D I WORKER'SACOMPENSATION I 9089680403 l EMPLOYERS' LIABILITY l ------------------------------------ ------ OTHER I I Each Occurrence Aggregate 4/27103 I 4/27/04 (Statutory I ----------------------------- DO (Each accident) l l 500 EDisease—policy limit) 100. Disease —each emp_Loy_ee.�.. Description of operations/locations/vehicles/restrictions/special items: CERTIFICATE HOLDER GATENOOD HOMES 1600 FALMOUTH RD STE 35 CENTERVILLE MA 01632 CANCELLATION 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: JOAN M MARTIN JA 4189 ^srvr�L VtK FIFICATE OF, LIABILITY INSURANCE =E(,MWM0,ON"V PRODUCER S08-1398-6033 FAX SOS-760-1667 Allied American Insurance Agency LLC ONLYANDCONE RS NO RIEGHTS u ON THE CERTIFOICA7E ION ;'Atlantic Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR So Yarmouth MA 02664 ALTER THE COVERAGE AFFnRnrn ov vu� IZ— OINSURER AFFORDING COVERAGE NAIC it ape o Custom Floors 762 Falmouth Road rbel a Protection Ins Company Hyannis MA 02601 artford THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABONE; FOR THE POIK;Y PERIOD INDICATED. NOTWITHSTANDIry ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MqY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM$. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLg1M$, 7�:H"`A TYPEOF INSURANCE 'POLICY E F TIME POLICY EXPIRA710NGENERAL LIABILITY 7S00000371 12/13/20OZ 12/13/2003 EACH OCCURRENCE LIMIT$ X COMMERCIAL GENEML LIABLRV f 1 DOD, D(IMS MADE D OCWn DAMAGE TO RENTED fS0,0LMED EXP (An ane P.ROPI $ S _ n° CENL AGGREGATE LIRRMITAPPLIE9 PEF X POLICY jPFT LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS ' SCHEDULED AUTO$ 41REDAUTOS NON -OWNED AUTOS AGE LIABILITY ANY AUTO ENCESSA)MBRELLA UABIUTY OCCUR O CLAIMS MADE OEOUCnaLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 8 ANY PROPRIETOPJPARTN901EXECLMWL OFFICI:WMEMBER EXCLUDED? PERSONAL 4 ADV INJURY S GENERAL AGGREGATE S PRODUCTS -COMI AGG S ' COMBINED SINGLE LIMIT S fGa aeUea�q BODILY INJURY " S (PW Panora) BODILY INJURY S (PN acPdany �W PERTY OAMAGE S I AUTO ONLY • EA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY; AGO S EACH OCCURRENCE S AGGREGATE S S f ADDEO BY ENDORSEMENT/SPECIAL EACH ACCIDENT IS DISEASE•ML Evidence of Insurance for work performed within the Insured's scope of normal operations E LD C C SHOULD ANY OF THE ABOVE DESCRIBED POLICIE'J BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFCATE HOLDER NAMED TO THE LEFT, GateWOOd Homes.. BU7 FAILURE TO MAIL SUCH NOTCE SHA4.IMPOEE NO OBUCATION OR 1140LITv Cent Falmouth Road k25 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPR113ENTATI Centerville, MA 02632 AUTHORIZED RESENTATIv 4CORD20(2001/08) FAX: (508)778-5603 ®ACORD CORPORATION 1988 c AGORD CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE(MMIODNYYY) CROWC50 07 25 03 PRODUCER < < THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sullivan, Garrity & Donnelly ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 508-754-1767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 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 INSURED Crowell Construction, Inc. PO Box 309 So. Dennis MA 02660 COVERAGER INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Co 2225 INSURER B: Arch Insurance Company INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POUCYNUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR ZHN7007141 05/01/03 05/01/04 EACH OCCURRENCE $1000000 PREMISES Eaoccurence $100000 MED EXP (Any one person) $ 50 00 PERSONAL 6 ADV INJURY $1000000 GENERAL AGGREGATE S 2000000 GEN'L AGGREGATE LIMIT APPLIES PER 17 POLICY ,PRO LOC JECT PRODUCTS-COMP/OP AGO $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS AEN7001142 - � � 05/01/03 05/01/04 COMBINED SINGLE LIMIT (Es accident $ BODILY INJURY (Per parson) $1DDD00D X X BODILY acrid ril) (Par acddenl) $1000000 X PROPERTY DAMAGE (Per axident 5500000 GARAGE LIABILITY ANYAUTO 0 AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGO $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE S AGGREGATE $ S S $ B - WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTR/E OFFICER/MEMBER EXCLUDED? B yes; describe under SPECIALPROVISIONS be1 w IRWCIOOIOO 03/22/03 03/22/04 -TORY LIMBS ER ' E.LEACHACCIDENT $SOOOOO E.L. DISEASE - EA EMPLOYEE s500000 — E.L. DISEASE. POLICY LIMIT S 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Fax #508-778-5603 GAT ,WOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Gatewood Homes 1600 Falmouth Road Suite 25 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Centerville MA 02632 REPRESENTATIVES. A ED R RESENTATI •--• -- -- I--- - --, W AL.UKU L.UKF'UKA I IUN TUtl �TM CERTIFICATE OF LIABILITY INSURANCE =(M=Wrnyy-y PRODUCER . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowli ,g & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West MaISt PO B 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ ' n ox Hyannis, MA 02601 INSURED Gutter Pro Enterprises, Inc. P.O. Box 1197 Plymouth, MA 02362 COVFRArFS INSURERS AFFORDING COVERAGE INSURERA: Travelers Insurance Co INSURERB: Guard Insurance Grour INSURER C: INSURER D: INSURER E: NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE 1MM/DDrM LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS. MADE � OCCUR 1680459H3118TCT03 11/07/03 11/07/04 EACH OCCURRENCE E1 000 000 X DAMAGE TO RENTED $300,000 MED EXP (Anyone person) E5 000 PERSONAL INJURY E1 000 000 GENERAL AGGREGATE S2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY jE T LOC PRODUCTS -COMP/OP AGG E2 OOO OOO AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS . COMBINED SINGLE LIMIT (Ea accident) E BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ , PROPERTY DAMAGE (Per accdent) E GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT E OTHER THAN EAACC AUTO ONLY: qGG $ E B EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S WORKER$ SCOMPBILITY NAND EMPLOYERS' EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER GUWC440685 11/07/03 � 11/07/04 EACH OCCURRENCE $ AGGREGATE S E $ WC LIMIT F M E.L. EACH ACCIDENT $100 000 E.L. DISEASE - EA EMPLOYE $100,000 E.L. DISEASE - POLICY LIMIT 3500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. CERTIFICATE HnI nFa_- Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #32273 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1.0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED LS1 G ACORD CORPORATInti 19RR ,.A,.11v., 10.11 r.,LS aU67900249 GOLDMAN ASSOC w'v1 ACORMCERTIFICATE LIABILITY TAVAN50 11 17 03 L;OI.DS iA1t i ABBCCIP.TES IT:6DRANCI; T+= iCATe1S.mSuElp t4AMATTERAFMi..ORiaA�- ooLmTClitL 3EdVICZS INC. ONLY AND CONFERS NO RIJqKT3 UPON THE CERTFICATE HOLDER THIS CERTIFICATE 933 ALMOOTH RD. HYANNIS NA 02601 NOT AMEND, EXTEND OR ALTER THE_COYERAGE AFFORDED-6Y.THE POLICt &BELcw .. 2140na.508-775-6020 Faa:502-790-0249 .... wM pN2URERaAFFORMNO ;E _WAICa mr,Wnw CCbMRCE INSURANCE CO 1177-AA iuwaeeg ZIIiiICH..IN CCatiiFdNY_ ._ .u1SU ERQ ROD[O:Y TAV]1ti0 DBA blECHANICAL SYSTEMS. 110 FOLDER LAM A• SARNSTAME NX 0266o COVER-Aam iSLRFRE: TW-FOL MSOFl IAA XLAZF9 PELOW"Me PC A464l.T.D70 nm*AL= MAN= AM& FOR Vg POUCT PV=*cCJ17w AAIDPY` ANYFMCLOMkiDa.T�-IWCRCONCrnaNOFAWCUNrRALTOROTWEltu vwml FSFECi70WF TmcaarmTEMAY MWADOR NAY rFxrAKM.raLAinNCEAR'ORDEDtifTF�PCLJC�6CELC1d9ED.MER1wVjW cr'TOAa1TNe7ERaa,ore[soenAPO WSLACH DMM&AGOAEWTELUMSC %kV'WWERRMNRMXXSMsYPA13aR* 6, L7R 7795 Cf 73TRA�.$^ R'7JCY NlII®6T •yT DATE uwm A Ot]1FitILLLlA9U1Y XCOIBSEFT.xGCTAWALuvwlry 'C AAM NAM Ra O=m WLS172 11/21/03 11/21/04 - arnlRLi&uCE $1000000 _was -�'�'-�__. i 50000 EXPV" +P ! i5000 oNALAACV DLBJW $1000000 AGOW"'M s'zaaaDaD-' GIMAQGAE 17C LM"APPtJW PFJt aary� wc GONPp9AG0 $2oc0000 ALnVVC=LJffffJff AWADTO ALLOWNMAUTDs saacLLcmAtrms LmErwlos Now0whWMi7as.. - swmzu ar y sal s YIai1RY �b i .._� Qmw -0 E . GARAGE UMILM AdYAIlTO. ' Alp700NLY-EAAGCLQlr fiyV,E FaAee f LIA6L,LTYOr.1CT.R �C1A86WOE VEDUMME r�:arr_w s MY PRoFmntW^RrW-PADTJ=JfhF-.i727S -i S4B03 05/03/03 05/03/04 F�r' V.�Ci.W a52GFSn NOF OP--UTWM JLWAT=mjvBR:L&AL g=LU&W& ALTOEOr E?lOarf jaPTs1ALiRwssias CERTIFICATE HOLDER ....-.. ____. C-A=WOOD Howes INC FAX 508-772-5603 1600 FAiMOOTH ROAD- CENTSRVILLB MA 02632 LLUEMMEOF, ACOiE m omim?70N EN=VORTDYAL 10 DATS"RITToi mxuRER LTSA00m CR �C. RD. CERTIFICATE OF LIABLUTY INSURANCE ' PRDDuceR _ 508 672 2997 THIS CERTIFICATE IS ISSU JOAO-M-01AS. ONLY AND CONFERS NO DIAS INSURANCE HOLDER: THts CE-RTIf16A1 535 BRAYTON AVE ALTER THE COVERAGE AP FALL RIVER, MA 02721 'INSURERS AFFORDING COVE. NlVREO —� JOEL FERREIRA DEALMMOA EISURERA: GRANITE STATE IN; DSA EJJA CANS I RUCTION WSURER E; NAUTrEWIIVSCiRAh 50 PICKERING ST. APT 17 INSU ERC: lFALL RIVER, MA 02720 NSURER0: P+SURER F. COV9RAI:FV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY AITY..RE0111REMENT. TERM OR CONDITION OF ANY CCNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED -HEREIN -IS SUBjECT TO AL! TFFET£RMS, E POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RHDUCED BY PAID CLAIMS. q w PO EFF[CTIYE POLICY EIPIgATION N!OLII�'NVMBER 7T Tk(7 UC MFitCUALGtY+ERALL1AELm NC27580E Cfi/2fi/2CO3 Ofi/262004 PRE CLAWSMADS []OCCUR A,Pn MA DATE (MIAIDDIYYYI) 08 8=03 INFORMATION CERTIFICATE 5- EXTEND. QR BE tSSUED OR BLNS Of, SUCH ANY "TO f (cE0=4OSnl),NOLauLuT � (Ea aeertaI ' ALL OWNEDAUTOS j 6O0&YIWVRY If IPvOenm) 1 jSCHEBULEDAVMS -AM AUTOS —� _-- �EOMLYIWVRY 110""EOAUTOS f 1 f IPv aac:emq Irt PROPFRTY GARAGE LIABILITY a AUTOUNtri ExACCtDEI+T S. ANYAUTO I ( OrKER HT LYN EA � CC eXCESSNMERELLA LIABILITYEACHOCCURRENCE i.s J OCCUR 0 CLAIMS MADE ._ AGGREGATE If 1 1 D©UCTfBLE — -- I�RETf]ATWN WOg0(GRiGOMRENBATLONAH9 EIAPLOYERSIDAEE.ITY IL WC STATiiS �R W`- d�;685' r Tt10$/03' 1{�6/( RV LIMITS _ R IAN+nROVRIETOR/DARTNERYcXECLTIVE I EL OEACNACCIOENT Is PPICGRA,EMBER G%CLUOE07 I PYISAnvlla unCOl E-L dGEASi.EA Eun Wee a Lrtnn nnn GATEWOOD HOMES 1600 FALMOUTH RD. CENTER VILLE. MA 02632 25 SKOULD ANY OFTHE ABOVE DeSCRIeEO POLsc1 BE CAMCELIED-QCFOIW THE IApr,*neA DATE 7NERSOF, THE "UING INSURER WILL ENOCAVOR TO MAR 10 DAYS WRITTEN NDTICETG TT/E'CERTa10ATr NOtEIER'WM1DT0 THE LEFT, INLL PA411NETn nn �n �,. IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON rNE WBUMIt, IT} AGENTS DR UTHORIZED R��EEIMATI� i�T41i CERTIFICATE OF INS CE PRODUCER Passaro Leverone & Buckley Insurance Agency Inc P 0 Box 160 Dennisport, MA 02639 INSURED Patrick K Orcutt 6a P & S Concrete 37 Ladys Slipper Lane Mashpee, MA 02649 DATE Ytrc�i 7 COMPANIES AFFORDING COVERAGE A A.I.M. Mutual Insurance Co THE COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMEN TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEFrTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co L TYPE OF INSURANCE POLICY NUMBER POLICY. EFFECrIVE POLICY EXPIRATIO DATE(MM/DD/YY) DATE(MM/DD/YY) ITS GENERAL LIABILITY ' OMMERCIAL GENERAL LABILITY ENERALAGGAEGATE $ PRODUCTSCOMP/OP AGG. S IMADE� WNER'S & CONTRACTOR'S PRO T. PERSONAL & AOV. INJURY S EACH OCCURRENCE S FIRE DAMAGE (Airy ow fim) S UTOMOBILE LIABIITY MED. EXPENSE (Any one Person) S I Y AUTO MBINED SINGLE LIMIT S ALL OWNED AUTOS EDUCED AUTOS BODILY INJURY S ��) IRED AUTOS NON-OWNEErAUTGS BODILYINIURY S 3=idem) ARAGE LIABILITY PROPERTY DAMAGE S . CESS LIABILITY MBRELLA FORM CS H OCCURRENCE CGREGATE S THAN UMBRELLA FORM WORKER'S COMPENSATIONAND EMPLOYERS'LIABILIY WC STATV- �r OTH- 6006181012003 A THE PROPRIETOR/ T 10/21/2004 $ PARTNERS/EXECUnVE RINCL OFFICERS ARE: 110/7112003 EL DISEASE—POLI LIMB S 1'000000 EX 10TI;ER I EL DISEASE —EA EMPLOYFE S 1 Inn Inn 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 /q 1 554 72'72 P. 01 '-01 PRODUCER . •"••• ' RIDER.RISK SPECIALISTS INSURANCE AGENCY, INC. P.O.BOX 115 CATAUMET, MA 02534-0115 AasuaED MONUMENT INSULATION, INC. 223 COUNTY ROAD BOURNE, MA 02532 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CO CERTWtCATE MAY BE ISSUED OR MAY PERTAIN• THE INSUR ANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L1M�HOM M` TYPE of INSURANCE 67R - POUGY MUMBEN GENERAL UABUJTY X COWAEACA GIDEP�AL UASILI Y • CAMS MAW Lam OCCUR A .w, CWNEWS B CONTRACTORS PROT CLI 2 35745 AMMODILF IUABILM ANY AUTO ALL OWNM AuMS SCHEXLED AUTbS MaRED AUTOS NONCIYA W AUTOS • MMEW LIABILITY UMBRELLA FCM4 OTHER THAN UMBRELLA FC MORKM COMPENSATION AND EMPLOYERS•uAWLITY R !r PROPIUEMFV Fy I ML I WC 782 61 72 GATEWOOD EOMES,INC 1600 FALMOUTH ROAD 125 CENTERVILLE, MA 02632 508 778-5603 NO 110 COMPANY A US LIABILITY INSIIRANCE COMPA)PI CDMPANY 8 A_1xaERICAN HOME INsuRmCE co LAM/ANY C xAwANY D HAVE Eiii jSUED TO THE INSURED NAMED ABOVE FOR %> DN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI iRDED BY THE POUCIES DESCRIBED' HEREIN IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. POLICY WWC71VE POLRCY WIA47M n"KMM/DD/YD I OATEOAKO IM L•CI PR3SO A ADV 8/23/03 8/23/04 EAO•IOCCWn4 ueno� �.�o'Is COMBINp SINGLE WAR E LPmcvG BODLYINWFrf PROPERTY DALZ S AUTO ONLY • EA AC=947 13 3 9/5/03 19/5/04 SHOULD ANY Or THE ADM DEsCNRsm rC=EB BE CANCELLED BOOFM�TRE- EIRI1IRATION DATE THEREOF. THE M=WC COMPANY WILL ENDEAVOR To MAIL 10 DATE WRITTEN NOTICE To THE CUMnCGTE HOLM IFAMEWTO-13W tr 0lR rMC11RE;7D MAR . NODCE BNALL Ni NO OSUO1171OII OR UASN7Y TOTFL P.01 • r.UI ACDRDI. CERTIFICATE IFICATE OF LIABILITY INSURANCE DATE IMMIOD/YT) PAODUC A THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 23CSi:e:. Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.. HOLDER. THIS CERTIFICATE DOES NOT AMEND, ExTEND OR 749 main Street, Suite#u ALTER THE COVERAGE AFFORDED 9Y THE POLICSPS BELOW. Oaterville, Ma. 02655 5Q��0_ 9911 INSURERS AFFORDING COVERAGE MSURED CASPOrpoa Ovarhead Doors INSURER A' q INSURER Sox 517 INSURER a East Falmouth, MA 02536 INSURER D.- I INSURER E: rnvenwn�c _ THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEO. NOTWITHSTANDING - ANY REOVIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH INSR tjR TYPE OF MSURANCF POLICY NUMBER Q;T! �EW�ECTNE POLICY EXPIRA ION ' GENERAL LIABILITY A (MIND LBAITB COMMERCIAL OENERAL UABILI I Yo-aa- EACH OCCURRENCE S CLAIMS500AO MADE ��OCCUR FINEDAMAOF.I qy All = A MED EXP (Airy anP prsenl S :2248352 05/28/03 05/28/04 PERSONAL A.ADVINJURY E ' 00 L AGGREOAI E LIMIT AJTDtB PER GENERAL AGGREGATE S 1 POLICY JPERO• L(JG PRODUCTS • COMP OP AGO S Q ^ ^ ^ ^ ^ AUTOMOBILE LIABILITT ANY AU10 LIMITICOM51NED SINGLE LT S ALL OWNED AUTOS SCHEOULFO AUTOS ILOOILY INJURY S NIRCD AUTOS IP.r 0M ) N6N-0WNEDAUI05- BODILY INJURY jP.r .e4MIH) S PROPERTY DAMAGE (PyN w1dam) S GARAGE LIABILITY AU TOONLY.EAAOCIOENT S EA ACC S _ EXCESStttBRfTy- AUTO ONLY' AOO S OCCUR C CLANS MADE F.ACHOCCURRENCE S AOOREGATE S OEOUCTIOLL ��... S - H€rcunnu �_ S WORKERS COMPENSATION AND E EMPLOYERS• LIABILITY PA&351- TORY LIMITS ER _ _02122103 02/22/04 A E.L.EACHA000ENT s500.000, _ ELL EMPLOY S O,. OTHER E.L. DISEASE • POLICY LSRT S DESCRIPTION OF OPERATMNYLOCATIONv,1vzh CLESfEXGLU31MS ADDED BY ENDORSE MENlgPE0U1, PRpyIpONS Gateway Hmas 1600 rmaQutri -Toad-, Suite 257ti Centerville, MA 02632 776 5603 ACORD 25 S (7197) DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOYICETO-THE�ERT7FICAT6-HOLDE 60 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS GR ACORD COP.DORATIDN TBaB A RDr CERTIFICATE OF LIABILITY INSURANCE 7/181""°°"'"'' 07/18/03 ;WbDUCER , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION D wlin & O' Neil Insurance ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE � 4 g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agenc , Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. -PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER a: Hanover Ins. Company Busy Bee, Inc... INSURER B: Safety Insurance Company . P.O. Box 50 . INSURERC: Associated Employers Insurance Compa East Sandwich, MA 02537 INsuRERO: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ' ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDNY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ----].CLAIMS MADE a OCCUR X PD Ded:250 OHN643998501 06/14/03 - - 06/14/04 EACH OCCURRENCE s1000000 DAMAGE TO RENTEDPREMISES (Ea 0=rrence) S300OOO MED EXP (Any one pmm) $15 000 PERSONAL d ADV INJURY 51 0OO 000 GENERAL AGGREGATE s2 OOO 0-0-0 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JEtT LOD PRODUCTS-COMP/OP AGO s2000000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 3175394 01/14/03 - ' 01/14104 COMBINED SINGLE LIMIT (Ea awidenl) = BODILY INJURY (Perpemm) $100,000 X X POerattiden)DILY RY 000,000 X PROPERTY DAMAGE '(Per acdtlen) $100,000 - GARAGE LIABILITY ANY AUTO -" AUTO ONLY -EA ACCIDENT $ OTHER THAN - EA ACC AUTO ONLY: ` AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE' ' RETENTION S - EACH OCCURRENCE $ AGGREGATE $ s $ $, C WORKERS COMPENSATION AND EMPLOYERS'UABIUTY ANY PROPRIETOR/PARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? tl yes, describe under SPECIAL PROVISIONS below WCC5002932012003 06/27/03 06/27/04 - WC ORY LIMITS I - oTR- E.L. EACH ACCIDENT S100,000 E.L. DISEASE - EA EMPLOYE $100,000 E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. i TE Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 of 2 #30822 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 0 ACORD CORPORATION 1988 PROPERTY ADDRESS: 1. - % el Aew :ALCULATlON FOR PERAIT COST TYPE OF R, g6z, Z90.7a ADDITION IS-, AI-rERArloNs BED ROOM CERTIFICATE OF DECK WITH ROOF DEMOLITION t-OUNDATION ONLY GARAGE NO.OF BAYS GREAT ROOM KITCHEN LAUNDRY ROOM LIVING ROOM MUD ROOM OPEN SHED STORAGE AREA SUN ROOD I4EATED SUN ROOM UNHEAT SWMUMNG POOL AE 04/27/2004 08:41 5083625269 NORTHSIDE DESIGN PAGE 04 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck software version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HDO: 6137 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 4-26-2004 or 2 Family, Detached other (Non -Electric Resistance) DATE OF PLANS: 04/21/04 TITLE: The Plover PROJECT INFORMATION: Mill Pond village Camp Street Yarmouth, MA. COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 278 Your Home = 154 I I I I Permit I I I Checked by/Date I I Area or cavity Cont. Glazing/Door Perimeter R-value R-value U-value uA CEILINGS 823 30.0 ---- ------------------- 30.0 14 WALLS: wood Frame, 16" O.C. 1588 15.0 15.0 70 GLAZING: windows or Doors 97 0.340 33 GLAZING: windows or Doors 40 0.340 14 DOORS 20 0.086 2 FLOORS: Over Unconditioned space 823 19.0 19.0 21 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_ 01 yy 3 TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: /,g( _/( -514 /, Proposed Improvement: Applicant:_ Address: F1 No: Lot NALI C/4I 9;7? sbal� DoT d j2 ---7-7—r— The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following applicable departments, RESIDENTIAL AND/OR COMMER IAL B >n DIN WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION. Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ---------------- -------------- REVIEWED BY: 1/L WATER DEPARTMENT: DATE: - - N/A L-4. ENGINEERING DEPARTMENT: DATE: N/A 3. CONSERVATION: DATE: N/A: ✓4. HEALTH DEPARTMENT: � y Q � -D DATE. --0 N/A INDUSTRIAI AND/OR COMMERCLAL PERMITS S. WIRING INSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 9. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: White copy Bur7dmg Dept - Pmk copy - Water Dept. - Yellow Copy - Health DTL - Pink Copy - Engineering DML Goldenrod- Fire DeptCOnyQvatio « r I TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : Mar 18, 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) 21.1C124 Street 121 CAMP ST #124 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 STREET : FRANK CAPRA : 1600 FALMOUTH RD #25 : CENTERVILLE, MA 02632 Ya outh r Department Aft to Building Site Location: Proposed Improvement: 3 L1q TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET No: %_Lot NOV / e ,? Applicant: Address: /rfr7 T, �-ir„ ,%f 'S� �` ? �.%, .mot✓�'C TeI.No.: r l���E� Date Filed: S� u The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following applicable departments. RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ------------------------------------------------------- ----------------------------------------------------------------------- REVIEWED BY: Vf. WATER DEPARTMENT: DATE:4 4 N/A: V1. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: ✓4. HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCW. PERMITS S. WIRING INSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR: 7. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: M-31�-��1►Li� SIGNATURE OF APPLICANT: DATE: White copy -RuddmgDVL - Pint copy -Water Dept. - Yellow Copy-HeakhDept - Ph*Cory -Engfiweri De - Goldenrod - Fire DeptConservadoo 44 • EFFICIENCY • • • • RATING OiTE CERTIFIED - Air Conditioning & Heating ama � C FISTED 92.6% AFUE MULTI -POSITION CONDENSING GAS FURNACE GMNT SERIES ED -����L� i��'s�e�nr� rys;w� Yrwpkw7.CTy--y.. SrTsleEurtxSwrcWAt>rrat 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., L.P., has determined that this product meets the Energy Star guidelines for energy efficiency Information contained herein is subject to change without notice. Made in the USA by: Goodman Manufacturing Company, L.P. SS-312D 2550 North Loop West, Suite 400 - Houston, Texas 77092 GMNT Series 10/01 www.goodmamnf,e.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 25-55 060-3 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 85,000 926 40-70 12M 120,000 110,000 111,000 102.000 926 40-70 „ BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA CICIiU IGdI VI141 Model Number pVac1lJuw ..w Motor . vv v..a. w...�.. Blower _�••••---•_-- Vent* Dia. -- - - - Combustion* Air Filter Size In Perm. / Disp. Electrical Ship Weight HP Spd. Dia. Width FLA Max Fuse 040-3 113 3 10 6 2' 2' 2901580 5.2 15 170 0603 1/3 3 10 6 2' 2' 2901580 5.2 15 180 0804 1/2 3 10 1 8 3' 3' 385 / 770 7.8 15 205 100-4 1/2 3 10 1 10 1 3' 3' 1 385 / 770 i 7.8 15 225 120 5 3/4 3 11 10 3' 3' 480 / 960 9.2 15 265 'Note: Vent ana COMDUSOon air wamelcls may vary uvpullullly accompany the furnace. 28" A 5" 4" �195.. 6" 48,, 4 $ 48' 6� 8 4 T FL- F �� i 8, COMB. AIR INLET GAS INLET 51 •, VENT .4 LOW VOLTAGE 4" i ELEC. 101,. i 4 i iI Model GMNT A B Combustible Floor Base 0403 & 060-3 1 r 12'W SBM14 080-4 17'/: 16- SBM17 1004 2V 19'/z SBM21 1205 24 % 23' SBM24 SS-312D 123 COMB. AIR INLET 8 i i i i i �• GASINLET i i i i " _ U VENT 20$„ l LOW VOLTAGE CLEARANCES FROM COMBUSTIBLE MATERIALS Sides Rear Front* Vent Top 1' 0' 3' 0' 1' Approved for line contact in the horizontal position. *36" clearance for serviceability recommended. 2 tASED (U) COIL APPLICATION OPTIONS Furnace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'/i 21' 24'/:" Coil Model Number Coil Width U-18 14' x U-29 14" x U-30 17Y2* x(1) X(2) U-31 14' X U32 17'W X(1) X(2) U-35 14" X U.36 17Y:' X(1) X(2) U-42 17'/1" X(1) X(2) U-47 17 V X U-49 21" X(1) X(2) U-59 21" X(1) X(2) U-60 24 '/" X(1) X(2) U31 24'/2" X(1) X(2) U32 21" x(1) X(2) (i) using the tactory mstalletl 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 IVIED 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 IVIED 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 IVIED 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 100-4 IVIED 1725 1700 1670 1615 1550 1475 1375 1275 LOW 1430 1390 1350 1315 1285 1245 1160 1070 HI 2360 2325 2300 2170 2125 W45 1945 1850 GMNT 120-5 IVIED 181 1 1750 1710 1660 1 1600 1545 1480 1415 LOW 1275 1215 1190 1145 1110 1055 985 925 nluiwtcu uy snaucu weds ieptesent airnuws inai are 10010W Tor neating temperature rise. SS-312D r, . A 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.¢oodmamnfiz.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4 i I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I MAScheck Software Version 2.01 Release 2 I I I I CITY: Barnstable STATE: Massachusetts HOD: 6137 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 6-20-2002 TITLE: The Plover or 2 Family, Detached Other (Non -Electric Resistance) PROJECT INFORMATION: Mill Pond Villages 1600 Falmouth Rd. Unit 25 Centerville, MA. 02632 COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Permit # Checked by/Date Required UA = 235 Your Home'= 127 Area or Cavity Cont. Glazing/Door. Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 802 30.0 30.0 14 WALLS: Wood Frame, 16" O.C. 1588 15.0 15.0 70 GLAZING: Windows or Doors 129 0.320 41 DOORS 20 0.086 2 ---------------------------------------------------------------------•--------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% Of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Plover DATE: 6-20-2002 Bldg. Dept. Use I CEILINGS: [ ] 1. R-30 + R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.32 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.086 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 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: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified go 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. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] 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: [ ] ( 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. i 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 J4.4. I 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 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 I refrigerant below 40 1.0 1.0 1.5 1.5 I CIRCULATING HOT WATER SYSTEMS: L l I Insulate circulating hot water pipes to the following levels (in.): I 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+" 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)------------------------- ME0TIPLI _ 1eW S Direct -Vent Gas Fireplaces !�1�71VII EENND% MPD3328 MPD3530 MPD4035 33' fireplace w/opt. flush face 35' fireplace w/brushed stainless 40' fireplace w/polished brass louver and door trim trim arch door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or polished brass or brushed stainless trim options. Pqn�■* 4i1,1i�opI. Standard Features Louvered face design • Charred split oak gas log set • Deluxe pan burner for big yellow flames and glowing embers • Charcoal black exterior powder coat finish • Realistic brickaded interior panels • Combo top/rear direct -vent outlets (except 3328 models, which have either a top or rear outlet) • Hi/Lo flame operation • Pre -wired for wall switch Options • Choice of standing pilot (works in a (p ower failure) or pilotless electronic intermittent) ignition • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) • Wireless remote controls • Blower kits (including a temperature control version) • Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) All Merit Plus Series direct -vent gas fireplaces utilize either a Secure Vent (rigid) or Secure Flex (flexible 4.5" inner/7.5" outer coaxial venting system, include a 20-year limited warranty. Note: Due to Lennox' ongoing commitment to quality, all specifications, ratings and dimensions are subject to change without notice. Local conditions, such as elevation, wind vent configu- ration and choice of fuel will affect the overall appearance of the fire. Warnock Hersey U20006711) Warnock Hersey SAME C�US -• u ro usw 7a5078M Rcv.2 %M �lmnm HorM Piod¢¢2UN 111 The first two model number digits - indicate frame width, the last two digits indicate glass width. All are A.EU.E.-rated high efficiency vented gas fireplace heaters, certified under ANSI Z21.88 and CSA 2.33-M99. MPD3530 MPD3328 DIMENSIONS (Rear vent model shown) 3328 MODELS (This model comes as a top or rear vent only) C B B 7-1n" 41n" Front Face Top 35,40 & 45 MODELS (These models come with a top and rea Right Side Front Face Top Right Side FIREPLACE & FRAMING DIMENSIONS is 301/8 17 27'/2 3530 351/8 321/8 19 29t/2 351/8 2111A6 24%8 12%6 351/4 351/4 16 4035 401/8 371/8 24 341/2 401/8 2611h6 29%8 141SA6 401/4 401/4 16 4540 401/s 371/8 24 391/2 451/8 2611A6 34N 17%6 451/4 401/4 16 332ST NG 17 500 45 EFFIC]ENCY6% 64 ME 62 3328T LP 17,500 49 66 64 3328R NG 17 500 53 63 61 3328R LP 17,500 55 66 64 3530 NG 20,000 53 64 62 3530 LP 20,000 55 62 60 4035 NG 27,000 59 69 67 4035 LP 27,000 60 69 67 4540 NG 29,000 59 69 67 4540 LP 29,000 59 69 67 'Intermittent ignition systems Look for the EnerGulde Gas Fireplace Energy Efficiency Rating In this brochure V sit u s at www.Lenno) I earthProducts.com TYPICAL ROOM APPLICATIONS VERTICAL SEE BELOW NOTE 20 10 0 DEp W P V' M PAN ;rn rn 0 GRAPHIC SCALE ( IN FEET ) 1 inch = 20 ft_ . 5 -7p, R�1p•p0 \nI APR 2 3 2004 BUILDING DE.PT. By -7p 17� N-,5.�9r2�°E \ 47 LOT 124 I 4,478 t S.F. P �P J-pVER) _ o GW 3A ti_ SEAR LpTERAI' o Ng1'35; E� 69 66 LOT 123 3,787 f S.F. NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 60 Unless and until such time as 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 do McGrath. Inc PLOT PLAN holmes and mcgrath, inc. OF LOT 124 civil engineers and land surveyors PREPARED FOR 362 gifford street MILL POND VILLAGE Falmouth, ma. 02540 IN YARMOUTH, MA JOB No: 201197 DRAWN: LMC SCALE: 1"=20' DATE: 1-22-03 DWG. NO.: A2508 CHECKED:ft% OF TIMOTHYM. SANTOS No.45078 w CIVIL _ Ab NOTE BELOW 0 M�N PEER PRpPp55�RN�CE W PEER ro ?42: \ 1 p, R �p'pO N�5•49,21„B 4 LOT 124 4,478 f S.F. W VAOUSE W ro P (PCOVU I N N • O 0 0 ao �I j 0 `/ % rn 14! 1 26 N cD t, O � OSED o rn _PROP RAC I m W S SEWER LAB o � Ng1'35�; 69.66 LOT 123 rn 3,787 t S.F. 15'� v o s Z 1.0 .33' S R LATERAL SHALL BE II MAR � � UWSL DIN WITH TITLE V IWITHIN ACCORDANCE F GRAPHIC SCALE OF WATER MAIN. 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 1 inch = 20 M (B) this plan remains the property of Holmes & McGrath, Inc. PLOT PLAN holmes and mcgrath, inc. LOT 124 civil engineers and land surveyors PREPARED FOR • �-> 362 gifford street ."/ �TlI,'-) r, w MILL POND VILLAGE K1 falmouth, ma. 02540 ;��� 1 IN .e / YARMOUTH, MA f %"Y JOB N0: 201197 DRAWN: LMC �a:.'��= ✓�1? SCALE: 1 "=20' DATE: 1-22-03 DWG. NO.: A2508 CHECKED: ordu. TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 eat. 261 Fax 508-398-0836 May 30, 2007 Gatewood Homes Mr. Jeffrey Sollows 1600 Falmouth Road, Suite 25 Centerville, MA 02632 Re: Villages at Camp Street Unit No. 124 Dear Mr. Sollows: On December 1, 2006 I sent you a letter concerning a non -compliant front set back for Unit 124. You had advised me that the asphalt would be cut in the spring to create a compliant set back. As of this date, I have not heard from you as to the status of this. It is imperative that this matter be resolved immediately. Please contact me as soon as possible. Very truly yours, )))J /n A-�A�r ames D. Brandolini, C.B.O. Building Commissioner JB/js cc: Board of Appeals