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121 Camp St #129 Building Permits
TOWN OF YARMOUTH WA Building AT: Location AUG 2 2 2005 D APPLICATION FOR PERMIT TO DO PLUMBING � (OFFICE USE ONLY) By�r�, l f-f . Fee: $1 [)�i I ai Ulk alao1 PERMIT NO. 1 =Vb— Owner's Name_ Type of Occupancy Ne R ation ❑ Replacement ❑ Plans Submitted Yes No ❑ �110 z Z Z J rA Q V Z Q Z � O 0 rA W M W O y W N= F C> Y S a LL x d f� () �l L�dS v Z 2 y M¢ W w w¢ y z c Q m z Q M a a Q M of u_ ` 111 N M J O G n 0= a 7 F Z O O rA Z Z w F O U 2 I✓ Y J m W 0 0 J S H N LL G Q oC m 0 C7 7 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Check One: ❑ Corp. Address 2-� f -IK/ /n /V 0tz—!J ❑ Partn y'y[[ Fir ompar Business Telephone % 7 q T % ZS ame of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check on Owner WAgent Signature of Owner or Owner's I hereby certify that all of the details and information I have submitted Signature o icen ed (or entered) in above application are true and accurate to the best of Plu er 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 the General Laws. License Number of Type: Master Journeyman FILE COPY K• -LOT -129 N1 w, !n EXISTING �OO0 FOUNDATION moo' 0. ro- LOT 130 `•� S 6� 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 DATE REG} TERED PROFESSIONAL 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 Informdtion contained herein; and (B) this plan remains the property of Holmes & McGrath, Inc LOT 128 EXISTING FOUNDATION +' 54 got • ►� . 9 42 E p C�C�C�Od� JUN 1 q 2005 D I CERTIFY TF(AT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMEN F THE 40B SPECI P MATIE REG RED PROFESSIONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) 1 inch = 20 M AS —BUILT PLAN holmes and mcgrath, Inc. OFf4A qc. OF LOT 129 civil engineers and land surveyors ' yes PREPARED FOR 362 gifford street 0 MA MILL POND VILLAGE STREETER IN falmouth, ma. 02540 No129291 STEP� YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SSp NOSJ SCALE: 1"=20' DATE: 6-10-05 DWG. NO.: A2516A CHECKED COMPLAINT FORM OCT 2 0 005 EUILD56G D-?T. E;_ To:—`Bwldmg Commissio'ner/Zoning Enforcement Town of Yarmouth 1146 Route 28 South Yarmouth, MA 02664 Dear Sir. DATE: o as o Y-- Officer This is a formal request for enforcement of an alleged violation of the Town of Yarmouth Zoning Bylaws. Please notify me of any a ' n-om us o a , in w Ilowinc are the fads in the case: 121.1 S 2� Property address of alleged viol 'on Property owner's name(s) 1 11 G.sr% Property owner's mailing G OP-- -7 7.*'-fW i 17/a Y Alleged violation is of Zoning Bylaw Section A) SZV--2�,. -X. 6P66e Date(s) of alleged violation(s) e'v Name of person(s) filing complaint 4` 2,,v,�0 (- �aZ4,l� t c1L Mailing address of complainant 0, /, o V /0 Home Phone(-- l;'' �S =mod JJ Work Phon��SO 77 1 qualify as an "aggrieved party' and do believe that the above facts are true. I understand if it is necessary for the Town of Yarmouth to institute legal action in the courts, I hereby agree to testify as a witness on behalf of the Town of Yarmouth, Massachusetts. Signature(s) of Complainant(s) - aF TOWN OF YARMOUTH Buildirg�Department BUILDING - - - - - _ Vit) 398-2231 ext.261 ►; PERMIT NO 8.45.,036_ = - - - - - PERMIT ISSUE DATE ; - 3/10/2005 _ ; PROPOSED USE ; ----------------- APPLICANT Frank Capra ------------------- ----- JOB WEATHER CARD - ------------ PERMIT TO New Construction ' AT (LOCATION) 100121CAMPST#129 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 144.21A.C129 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE new construction - Affordable Unit: 3 baths, 2 bedrooms, 1 familyroom/dining room, 1 kitchen, 1 REMARKS livingroom as per plans dated 03/02/05 and BOA # 3546. AREA (SO FT) EST COST ($ $1.' OWNER IVillages @ Camp St., LLC ADDRESS 11600 Falmouth Road # 25 Cnnterville MA 02632 PERMIT FEE ($) 1$0.00 .DING DEPT BY CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date �,,,,,[, 22 a o OL' 1" -CERTIFICATE"of-OCCUPANCY-`p Departmental Approval for Certificate of Occupancy and Compliance Insnectnr Date Permit Number ADDroved By Remarks BUILDING PLUMBINGIGAS L ELECTRICAL ENGINEERING HEALTH �� u C� (�VV\ FIRE // WATER To be filled in by each division indicated hereon upon completion of its final Inspection. ,� • TOWN OF YARMOUTH R ild'in`g Department BUILDING + _ _ - - - - , (408) 398-2231 ext.261 r - PERMIT NO B-05-1036 _ - - _ - - - - PERMIT ISSUE DATE ; _ 3/10/2005 _ ; PROPOSED U APPLICANT -Frank Capra - - - - - - - - JOB WEATHER CARD -------------- PERMIT TO ' New Construction ' AT (LOCATION) 1001211CAMPST#129 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK LOT SIZE .1.C129 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 new construction - Affordable Unit: 3 baths, 2 bedrooms, 1 familyroom/dining room, 1 kitchen, 1 REMARKS livingroom as per plans dated 03/02/05 and BOA # 3546. AREA (SQ FT) EST COST ($ [$154,080.00 I PERMIT FEE ($) 1$0.00 OWNER IVillages @ Camp St., LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road # 25 e 02632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector TOWN OF YARMOUTH BuRd)ng Depad"nt PERMIT NO _ - - - . ' 8.052036------- PERMIT ISSUE DATE : _ - - - - 005 - ; PROPOSED USE APPLICANT •Frank Capra JOB WEATHER CARD PERMIT TO' ' New-Corlstrustlon IAT (LOCATION) 100121CAMPST#129 ZONING DISTRICTEE Bldg. Type: lReSidentiall I SUBDIVISION MAP LOT BLOCK LOT SIZE O BUILDING IS TO BE: CONST TYPE 5-B I USE GROUP new constnlction - Affordable Unit 3 baths, 2 bedrooms. 1 familyroom/dining room, 1 kitdren, 1 REMARKS livingroom as per plans dated 03WO5 and BOA # 3546. AREA (SO FT) EST COST ($ $154,080.00 PERMIT FEE OWNER Villages ®Camp St, LLC ADDRESS 11WO Falmouth Road # 25 Centerville1 MA 102M2 BUILDING DEPT BY CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 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 UNDER THE BUILDING CODE. MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1) FOUNDATIONS OR FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL MEMBERS (READY FOR LATH OR FINISH COVERING) 3) FINAL INSPECTION BEFORE OCCUPANCY 4) REFER TO DETAILED INSPECTION SCHEDULE POST THIS CARD S 3 APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE PERMITS ARE JOB AND THIS CARD KEPT POSTED UNTIL REQUIRED FOR ELECTRICAL FINAL INSPECTION HAS BEEN MADE. AND PLUMBIWHERE A CERTIFICATE OF OCCUPANCY IS MECHANICAL INSTALLATIONS. MECHANICAL I REQUIRED, SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. IT IS 3 14/ `s W c i. . 5 61/� WORK SHALL NOT PROCEED JPERMIT WILL BECOME NULL AND VOID IF UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WfTHIN SIX APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED STAGES OF CONSTRUCTION Annve FROM STREET lip t3GUJOS, rIt, 14/oir r-q= Ord N V vsr Q INSPECTIONS INDICATED ON THIS CARD CAN BE ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. J Temp Permit No. TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-05-417 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST ''- Owner's Name: Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Cneterville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 2/14/2005 Issue Date: Expiration Date Comments: Map/Lot: 44.21A.C21 new construction - Affordable Unit: ZONING APPROVED ,- 3-og,0r REVIEWED BY: v11. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: HEALTH DEPARTMENT: DATE: N/A: 79* 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 2/16/2005 rt I i OF Yq�� O _ y MATTIK NECS 4°wE..5asw9 /.A� ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department 1146 Route 28 • Yarmouth, MA 02664-4492 q11 Tel: (508) 398-2231 x261 • Fax: (508).398-0836 > `,t fficellse�nfy r *_' �fanrnntg,Board fry€ormatton " aAssessorsSDeparimentnformahon " *` r g =5J 5 '14•S` ,ic ��' � U 1sS t+ yy , Y '1 t �� �� S i r i t � yf i t s S XY �S f f 3 t( P 1� kE Endorsement Date SI , p , I/ T �f F , Y iI iyN^v b N.T 5 Yi.I fN.t k C�rd�rg �atPi 2M3. G. WqS�' 'h M iS9 '� f Trj i,{ x N 5.1 Property fl+merastons f °T)eposlt Rec d Da 'r k f 35 . t FIan.NO s r' ''`r '` ��o�i F° w - + �(tle4Dlle,t; r a 4- Buildiif 3 '' Pe imrNurriber` rd [ it,F re't# l#Ifizcnate ofO' ccu>p, r ; Signature, a M r '; ,,F n r -.. u-- = r r Budd Off+C+al Date n>> a is r is not x fe u+red # C r 4 n _ _ Section j Stte<`lpforatiation;' Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: , a 1 _, _ S I° �� F _ _ Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. c. 40. S 54) 1'5 FioodZvne trafomrat�on : f , `,orriments rG N ` r i � Z S� S } �1 a'i.M1`Ft C Y 2+ME Jk ..n(vr +'C 5r., 1 i e 'CMf' C`$ { Y 4'•} 1, t Y Public Private,Zone L.ss ,�'_..,__� ectfons2 ,`Property Ownerstiip�"o,rized Age f Reoord: 2.1 Ow"* If ��•.,� S�- A0v u \l 8 F:.( L N me [eprintk t > Mailing Address l � _ Signature Telephone 2.2 utho�rizoed Agent: l y►1 L S 0011 -�. O [ s LX h N Name ( ' t) f AM. a Mailing Address Fax -Section`3x `Gritissructrora.SefYlCes 3.1 Licensed Construction Supervisor. pplicableU❑ 05 Licen a Number Al., (( 3a Uut \ o✓� ✓1 O ddre Expiration Date Si a ure Telephone _* �.2 D Y' B 2:;Registe'reii.}ome mprovsinerit Don; toc:' Company Name Not Applicable ❑ License Number Address Expiration Date Signature Telephone MA bm 9- 15-99 1 oft OVER Lt LIM Section"4" WWotkers':Compen"satb'n lnsurandeAffidavit(M.G.L, Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes .......... No .......... Sectiota'� :4Description"ofi Proposed Igor ` eck"ait"appllcable) New Construction No. of Bedroo s , No. of Bathroo s Existing Bldg. ❑ I Repair(s) ❑ I Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type WF�_— Demolition Other Specify: Brief Description of Pro osed Work: rA r Sectlo h 6`= Estimated Constnactiari",Costs Item Estimated Cost (Dollars) to be completed by permit applicant Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) 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) Section 7a Owner Authdrizatior Owner'`entorCo "t�actorAppltesfor.Buildin sA "To be Completed When ' Pemiii 1, 'N 0.y7s, hereby authorize &a Woo tMQS 1 awt<fer of the subject property rack to act on ok, -mylbehall. in all m relatiPt6worthorized by this building permit application. Sign r of Own r Date S elctidn7b�7OWner/kuftrii zed'Ag , 6nt DeAdiration 1, as Owner/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. IMP Prinr,name S n re of er gent Date WER 9-15-99 2of2 k TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: Job Location: _ Owner of Property: J- I G l.t„ n S+ Construction Supervisor: Address: Op Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: License No. DD63 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 Anylicensee 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 FE( No ❑ If you have checked yam, please indicate the type coverage by checking the appropriate box.' A liability insurance policy a.7oo� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCEWAIVER: am aware that the licensee does not have the insurance coverage required by Chapter1f2—of the Ma ener ws, and that my signature on this permit application waives this requirement. Cone: Signature of Owner or Owner's Agent Owner he Age Signature: Building Official Approval: The Commonwealth of Massachusetts Department of Industrial Accidents OfAee offsrestfpstlsss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name Gl Q 11.)yJ A IA.,,e /I fl — location- /A0'0 F-A 1036y—M ,L&.. SV`l4—C g4 citN l snl! ,/ V e l l� If/l-M &T 6�j�- phone 0 1 am a homeowner performing allork m} wself. I_am a sole proprietor _r.d hs,.e no one working in any capacity C3 I am an employer pro% iding workers' compensation for my employees working on this job. company name - address: city: nhone+t insurance co. policy to am a sole proprietor. general contractor. or homeowner (circle onei and have hired the contractors listed below who ha%e iKta insurance co.. Folic• 0 comoanv name - address: city pissne u rauure insecure coverage as required underSeetion 25A of MCL 152 ran seed to the imposition oteriminat penalties of a fine up.to s1400 00 and/or one yean' imprisonment as well as civil penalties; in the form of a STOP WORK ORDER and a fine ofSI00.00 a day against me. i andentand'that a copy of this statement may be forwarded to the Office of investigations of the DU for coverage verification. l do -hereby cerrif•_ n er the pains and penalties ury that the information provided above is out and Yrrccz k Signature ( ate Print name (`f1—tom k one ti of 621 use onh' do not ..rite in this area to be completed by city or town official city or town: YA oIIT$ _ .permitflieense tl M Building Department cheek if immediate response is required Licensing Board contact person:261 0selectmen's Office ❑Hcatch Department phone a: _ (508) 398— 231 est. rJOther TOWN OF YARMOUTH CRIcAL 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451 GAS Telephone (508) 398-2231, Ext. 261 - Fax (508) 398-2365 PLUMBING SIGNS BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at` 5+. Work Ad4ress is to be disposed of at the following location: �L-�r� t( Yam/ N � 6� (` Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. dt�� , Signature of Applicant Date' Permit No. BOARD OF BUILDING -REGULATIONS License CONSTRUCTION SUPERVISOR Numbes,� 012430 B6I2940 Expt[es 06F16l2t10fi:' Tr. no 25926 m Restn�ted --.0� „v FRANK G,' CAPF ' 40 COP.PER CN CENTERVILLE, MA &63i� Commissioner 7. s!j 00 - 35,000 cf enclosed space - '� (MGL C.112 S.601-1' 1A - Masonry only i 1G. =1- & ZFamily Homes Failure to possess a'current.edition of the i( Massachusetts State.Building.Code is cause for revocation of this license. . 1 .I DIG SAFE CALL CENTER: (888) 344-7233 i 7 tlti/bLJ/'Ltltl4 tlJ:1 / —tlt f-j f/ -of 14 JU 1Y I RUwLGT r-H Q Ui' UA L • . T Y PATE PN IY D0114 ... ►� CERTIFICATE OF LIABILITY INSURANCE 08/081204 978-394 2253 DIRECT THIS CERTIFICATE IS ISSUED AS /L MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTfFt�-_3CTE"" ATLANTIC INSURANCE GROUP, INC. HOLDER. THIS CERTiFAAET�DOD 60 THE POlIC1ES SLOW. AIP.LLC ALTER THE COVER 46 365 BOSTON POST ROAD PMS 203 INSURERS AFFORDING COVERAGE SUDBURY,MA 01776 &MA - ...... RINE.-_.- .._.. _._. _.-. .. _. ---- •-- ..__. _.. INSURER B: MA WORKERS COMP..... CH.9RD :._-,• __. _ GATEWOOD HOMES INC. INSURER C: 1600 FALOMOUTH ROAD I INsuaER o: — ~ — --- ---• — ' —'- -- CENTERVILLE MA 02632 INsuaca E, -- •— --• •• —•• COVERAGES ANY THE POLICIES OF INSURANCE E LISTED ON Of ANY EBEEN NTRACT OROOTHER DOTHE CUMENT WITH RESPECT TO WHICH THE OCERTIFICATE MAY B ISSUENG OCH -- . .. Ue weI IOAMCF AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITION$ OF SUCH OLICIE.S. AGGREGATE LIMITS _ -- y�eATIOR un_rs R3 ►OuCyNUMoE� I EACH OCCURRENCE _TP OENERALLIABLITY I 72 LPE 691943 a/29/a4 4129/05 EDAMAGEIAPYunPfn: — •-- A Ixl CCMMERCLLLGENERAL UAEMTY MCI) (MY onfon)_EPAr S 10000 -_ CLARNS MADE X I OCCUR _E%P pERSDUAL A ADI INJURY f 1001= .._. _ _ GENERALAGGREC>TE S---_2000OOa I__.. ._ PRODUCTS•COMPAPAG7 S 1 000 LGCN1. AGGREGATE LIMIT ApPLIEs PER: POLICY .• PRO•. ;LOG COMBINED SINGLE LIMIT E ) AUTOM7EILE LIANRIT7 �` I ANY AUTO- r . I AOWNED AUTOS L I I I BODILY INJURY (Pwpeom) j ._.-...... iSCNEOULEDAUT06 I ._.. _. _... _ ._.. ..—._ . AUTOS 4IRED I � I BODILY INAIRY IPM xoDenO j NCN.OVrHED AUTOS PROPERTY DAAG i (Per Kddgnk) LY.MCoe.I AUTO ONLY I f _-- UABKJW •• EA A TCC DTNER THAN f—.•• ---• — AY AUTO 1 AUTO ONLY: AGu i f EACH CE fOCU EXCESS LMBUY ~ I . .... GRE1— AGEGA ... E L-_GLAUuMAD 'IOCCUR I , OEDUCTIDIE E _-- F•_, E RETENTION f WORKERS COMPENSATION ANO I POLICY UPDATE NUMBER TB B/4/04 6/d/05 TQRY LIMI 8. — GN I I s ou - B I EMI lovERE' LIABILm E.L EACN ACCIDENT 500000 E.L OISEA6t-CJ EMPIOYE --.A5 f f E.L DISEASE. POUCY LILVT f . OTHER I I DESCRWTION OF OpERATIONEILOCATIONSNEMCLE3IE7rCLLf10NS ADDED By ENDORSEMENTISPECIAL PROVISIONS PROJECT-: MILL POND VILLAGE (VILLAGES AT CAMP ST. LLC - DBA) CERTIFICATE HOLDER X I ADDITIONAL INSURED• INSURER LETTER: CANCELLATION SRO" ANY OFTNEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TILE EXPIRATION DATE TNEAEOp. THE ISSUING NSUAER WILL ENDEAVOR TO MAIL 60 DAYS WRITTEN NOTICE TO THE CEgTCICATE NOL MED 10 THE LEFT, BUT FAILURE TC• DO SO SMALL TOWN OF YARMOUTH MPOS! NO OBLIGATION OR RJTY F ANY KIND UPON THE INSURER, IS AGENTS OR BUILDING DEPARTMENT RCMUSENTA ADTNORIZED R s ITT ACORD2E-S(7197) v �T� - - - ----- - [ Ar---R_—+u CE RT . IFIVTOF LIABILITYINSURANCE. OATS (MfvIIDO/YY) 0547-04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BaAEmdA a>7mll InsLm rm ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Dac 337 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW M Pn-us, P4k 02W INSURERS AFFORDING COVERAGE INSURED INSURER AM-erTS Pddame MThpl-glm -Tm. (b. 1$aaCd[7 Fi1Zi 1CI1 Cb.aL , l. j`INSURERS: sm;Em $LpaLL17 $t qj t ty 43 Fhim—Tr$ I` i INSURER C: t pnrillF,� NYC 02632 .-... INSURER D:---. -- _ I INSURER E: CC)VFR C(IFQ 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 OF MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCF POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ . I........ -__. .. _ _. ._.__._. _ ... ..... _. _.—.__.. .__. ... INSR i POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - LTR : TYPE OF INSURANCE I DATE MM/DD/YY DATE MM/DO/VY OMITS GENERAL LIABILITY j COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE I S t!t CLAIMS MADE ixK!OCCUR II FIFE DAMAGE (Any one Tire) ' _S_ R I MED EXP (Any one person) $ 5 OW . .... I PERSONAL I ONAL & ADV INJURY.. j $- ' GEN'L AGGREGATE LIMIT APPLIES PER: r�r��(� I 11r�Nl.t�J 04 I GENERAL AGGREGATE ' $-2�00p/C00. 1 0-05--04 r_pROOUCTS • COMP/OP AGG IS 2R000, 000 I POLICY i I F o- ' LOC _ .._ AUTOMOBILE LIABILITY I I I I COMBINED SINGLE LIMIT ANY AUTO I I I (Ea accident) $ ALL OWNED AUTOS i I 1 SCHEDULED AUTOS I - I I ------- - -_ BODILY INJURY I + (Per person) ` $ ' I HIRED AUTOS � i I '— I j NON -OWNED AUTOS i BODILY INJURY (Per accwent) II PROPERTY DAMAGE (Per amcient) ' $ GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT I S I ANY AUTO ( I .I- • I OTHER THAN EA.ACC I $ - - - - •- AUTO ONLY: AGG : $— I EXCESS LIABILITY EACH OCCURRENCE $ :OCCUR L 1 CLAIMS MADE - i I AGGREGATE IS DEDUCTIBLE - ----I - •- - -- -- RETENTION $ j WORKERS COMPENSATION AND I EMPLOYERS'UABILITY I WC STATU-$ I ER �. TORT LIMIT I - I 04-01-04 O4-Ol-OS �ELEACHACCIDENT (EL DISEASE • EA EMPLOYEE,' $_ B I I Fm omeo I I E.L. DISEASE -POLICY LIMIT j $ 5�0, 000 OTHER I I I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: C•ANCFI I GTION .ft—, •�• ill 0. •11 IN I• �r.• f ■- w f- Ir - 1bZh FVL' 500.778.5603 ACORD 25-S (71971 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRffTEf NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALI IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS Of 0 ACORD CORPORATION 198 -4' ACORD- CERTIFICATE OF LIABILITY INSURANCE Eco =DAM Dowling & O'Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St. PO Box 1990 kALTER THE COVERAGEAFFORDED BY THE POLICIES BELOW, Hyannis, MA 02601 Assurance Construction, Inc. All Assurance Excavation, Inc. 550 Willow Street West Yarmouth, MA 02673 INSURERS AFFORDING COVERAGE INSURERA: Nautilus Insurance Con INSURER B: INSURER C: NAIC # OVERAGES INSURER E: THE POLfCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEP.100 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED A MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFOR SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R NSR TYPE OF INSURANCE .. --- — A GENERAL LIABILITY X COMMERCIAL GENERAL UABILITY CLAIMS MADE a OCCUR X BI/PD Ded:1 000 LIMIT APPLIES PER OMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE UABIUTY ANY AUTO EXCESS/UMBRELLA UABILITY OCCUR CLAIMS MADE DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' UABIUTY _ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? OTHER 09/08/04 DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS AD DED BY ENDORSEMENT/ SPECIAPR L ONSIDNS subject to policy conditions Operations performed by the named insured and exclusions. - Gatewood Homes, Inc. Attn Paula 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001/08) 1 of 2 #35194 CO aBINED SINGLE LIMB $ I BODILY INJURY (Per person) E BODILY INJURY (Per axiderd) E PROPERTY DAMAGE (Per acddliii S OTHER THAN AUTO ONLY: S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRTrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR JV ---->© ACORD CORPORATION 1988 Pax Server s� t CATA PRODUCER.-.:::r..n...n:::.:.:..................:.:........r..: a::z:'.�::::.ii%•.�;I y.;.:::�.y..;...,:... THIS CERTIFICATE IS ISSUED AS A MA EMPLOYERS INS GROUP-INC ONLY. AND CONFERS NO RIGHTS OF 281 MAIN ST HOLDER. THIS CERTIFICATE DOES.NC STE 5 ALTER THE COVERAGE AFFORDED BYTH FITCHBURG MA 01420 - COMPANIES AFFnanIMr_ nnl INS" R A R( COMPANY RESOURCE MANAGEMENT INC B 281 MAIN STREET SUITE 5 FITCHBURG MA 01420 COMPANY COMPANY 40 D TFBS IS.TO.CFATIFY THAT THE POLICIES OF INSURANCE `LISTED BELOW • "'u"Y'`""'"'= BVDICATED, NOTWITHSTANDING ANY REOUIREMENT, NAMED A13OVVET F69 TIT `ICONTR�AC TERM OR CONDITION OF ANY CERTIFICATE MAY BE OR OTHERRDOCUME WITH OR MAY PERTAIN, THE INSURANCE TOOW CH CONDITIONS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TE C O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION MM( DATE (DD.YY) DATE (MM,ODWY) LIMITS GENERAL UABIUTY - COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE S CLAIMSMApE=OCCU0. PRODUCTS-COMPIOP AGG. S -OWNERS 8 CONTRACTORS PfiOT. - PERSONAL 8 ADV. INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S AUTOMOBILE LIABILITY MED. EXPENSE(Any one person) S ANY AUTO COMBINED SINGLE AL OWNED AUTOS LIMIT S SCHEDULED AUTOS BODILY INJURY (Per Person) S � HIREDAUTOS ' • NON -OWNED AUTOS BODILY INJURY (Pr Accident) S - PS PROPERTY DAMAGE GARAGELIABILITY = ANYAUTO AUTO ONLY • EA ACCIDENT S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYERS LIABILITY THE PROPRIETOR/ INCL PARTNERS'E7(ECUT1VE li "'I OFFICERS ARE: EXCL (LIB-967X499-9-03) I 11-20-03 1 11-20-04 AGGREGATE Is EACH OCCURRENCE S =REGATE S EACH ACCIDENT S 100 000 DISEASE —POLICY LIMIT S 50 0000 DISEASE —EACH EMPLOYEE S 100, 000 COVERS EMPLYS LEASED TO ASSURANGB--EXCAVA TORS 530-WILLOW ST W YARMOUTH MA 02673 THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ERTIFIGA:iiOLp `Y `.vn_3.nv:` n4..<v,. i.v.rn ,:. S.Srv.-..�L vn'3 • -. :. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GA.TEWOOD HOMES, INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATT : PAULA . 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLD. 1600 FALMOUTH ROAD —SUITE¢ 25 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR CENTERVILLE MA 02632 UABIUTYOFANYKIND UPON THE COMPANY, ITS AGENTSOR REPRESENTATIVES AUVROLTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNyyy) PRODUCER (Sgg)997_6061 FAX {508)991-3283 - 08/02/2004 THIS CERTIFICATE IS ISSUED AS.A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 662 State' Rd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, P.O. Box '79398 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE INSURED R ] Bevi Iacqua Construction NAIL # PO 'Box 628 INSURER A: Arhelld Protection Insurance Forestdale, MA 02644 INSURER B: INSURERC: INSURER D: INSURER E: THE POLICIES nF INSI IPANCE I STIED or, ...., , ---- ..__..__ _ D NAMED ABOVE THE POLICY PERIOD INDICATED. NOTW ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RES ECTOTO WHICH THIS CERTIFICATE MAY BE ISSUED OR STANDINI 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. NSR DD'rGENERALUABfLrTy SURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER 8S00018147 07/15/2004 - 07/15/2005 EACH OCCURRENCEuMITSSENERAL LMILITY 1, 000 , n( DAMAGE TO RENTEDESO,O( DE O OCCURA nrm MEDEXP(Anyoneperson) $ 5,0( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS A X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO' EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RE7ENTION S eANY COMPENSATION AND S' LIABILITY RIETOR/PARTNEPoFXECUTNE EMBER EXCLUDED? OTHER PERSONAL& ADV INJURY S 1 GENERAL AGGREGATE S 2 PRODUCTS -COMPIOP AGG S 2 •��+����r.rvvi "Iell"U4 UZIZ1/2005 COMBINED SINGLE LIMIT (Ea acdden[) S - BODILY INJURY (Per person) $ BODILY INJURY (PeraWdWt) $ PROPERTY DAMAGE (Per accident) E • AUTO ONLY - EA ACCIDENT S ' OTHER THAN EA ACC $ AUTO ONLY: - AGG S ' EACH OCCURRENCE $ AGGREGATE $ S S )088680402 04/27/2004 04/27/2005 X WC STATU- OTH- $ E.L EACH ACCIDENT S EL DISEASE -EA EMPLOYE S EL DISEASE - POLICY LIMIT $ OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS any and all operations performed during the policy period. Gatewood Homes Inc. 1600 Falmouth Rd Ste 25 Centerville, MA 02632 100 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORDn CERTIFICATE OF LIABILITY INSURANCEI:;]).,A:TE (MNUOD/Yl) PRODUCER 09/2004 (508) 994-9688 FAX (508) 991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IIUTKOWSTCI & 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 INSURER A: Providence Mutual PO Box 664 INSURER OrieBeacon West.Hyannisport, MA 02672 INSURERContinental Casualty Co .. _... .. .. INSURE - - COVERAGES - MSURE THE Pnl ICIPs nD ]MCI IDnunv I 11r1.. ,,........ . NSURED AMED ABOVE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER (DOCUMENT WITH RESPECOT TO WHICH THIS PERIODR THE POLICY RTIFICATE MAY BE SS ED OR DING MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR T TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DA MMIDD D MIDD LIMITS GENERAL LIABILITY PPOO53131 O1 12/13/2003 12/13/2004 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY 1 r U00 , 0( FIR DAMAGE (Any one fire) $ 50,0( CLAMS MADE X OCCUR A MED EXP (Any one person) $ 5,0( PERSONAL & ADV INJURY S j QQQ Q( GENERAL AGGREGATE S 2 , OOO , O( GEN'L AGGREGATE UMIT APPLIES PER: ��, JECaT LOCA PRODUCTS-COMP/OP AGG S 2 r OQQ • QC AUTOM081LE LUIBILTTY ANY AUTO ALL OWNED AUTOS B X SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY I ANY AUTO OCCUR u CLAIMS MADE DEDUCTIBLE RETENTION S - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C p nULUCK - — ' ---- COMBINeDqSGLE UMM $ (Eaao(d - BODILY INJURY $ - (Per Person) 250,OQ BODILY INJURY $ - (Per accidenj 500,00 .. _.... ___.... _. - PROPERTYDAMAGE $ (Per acddenq 100 00 ' AUTO ONLY - EA ACCIDENT S . .. - OTHER THAN EA ACC S ' AUTO ONLY: AGO $ • EACH OCCURRENCE $ AGGREGATE $ f 59UB861X751604 $ 03/22/2004 03/22/2005 ° TORV LIMITS ER EL EACH ACCIDENT 5 500 , OO( . EL DISEASE. EA EMPLOY S 500 , 00( _ EL DISEASE -POLICY UMI* S 500.001 .ESIEXCLUSIONS ADDED BY ENDORSEMENTISPECWL PROVISIONS Gatewood Homes Inc 1600 Falmouth Rd Ste 25 Centerville, MA 02601 25S (7l97) FAX; (508) 778-5603 LETTER CANCELLATION 5NOULD 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 �QBQ CERTIFICATE Or LIABILITY INSURANCE =(MjjMM,(.)r r' PRODUCER ,508-398-6033 FAX 508-760-1667 Eastern Insurance GroupLLt JURHCR IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 Atlantic Ave LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR So Yarmouth MA 02664 TER H COVERAGE AFFORDED 8Y THE POLICIES BELOW. RERS AFFORDING COVERAGE NAIC I IN9ugED Cape Cod Custom F oors 762 Falmouth Road RA: Arbella Protection Ins CompanHyannis MA 02601'RB: Hartfordy R 0E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAABOPOLICY PERI00 INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT r MED ESVE FOR THE OTHER DOCUMENT WITH RPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBT T JECO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR OD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLL Y EXPIRATION GENERAL LIABILITY 7S00000373 22/13/2003 12/13/2004 EACHOCCLRREHCE UMITS X COMMERCW.GENERALLIABILITY $ I,O�O,QC CLAIMS LIAOE DAMAG£ TO RENTED X OCCUR S 50.0C A MED ExP (a y arse person) S S 00 PERSONAL a ADV INJURY $ 1 nnn nn GENT. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S X POLICY PRO' JECT LOC PROOUCTS-COMP'OPAGG i AUTOMOBILE LIABILITY ANYAUTO Co"Ell SINGLE LIMIT ALL OWNED AUTOS 114 = SC14EDVLED AUTOS BODILY INJURY HIRED AUTOS (Pa Pm ) $ NON -OWNED AUTOS BODILY INJURY (Per+r��denG S PROPERTY DAMAGE GARAGE LIABILITY - (Per AG6deN) S ANY AUTO AUTO ONLY. EA ACCIDENT S OTHER THAN EAACC S rKCEESNMBRELLA LIABILITY AUTO ONLY: AGO S OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE - S RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 08WECKLI007 05/25/2004 05 25 200S / WC STATU. 1 8 ANY PROPRIETOWPARTNE;RIEXECUTIVE X OTH• OyFFFIvICEWMEMBER EXCLUDED? EEACH ACDENT C Unaer.L SPECIAL $ PROVISION-i F1. DISEASE. EA EMPI e L of Insurance for work performed within the Insured's scope•of normal operations Gatewood Homes 1600 Falmouth Road #25 Centerville, MA OZ632 ACORD 25 (2001/08) FAX: t-7s_ 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN6ELLXV-BEPCRE7pe-_. EXPIRATION DATE THEREOF. THE III INSURER WALL ENDEAVOR TO MAIL IU DAYS WRITTEN NOTICE TO THE CERTIl NOLDER NAIAEala n� BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY mACORD CORPORATION 1988 ACORQ... CERTIFICATE OF LIABILITY INSURANCE DA�`MAAIDD"� 8/2/2004 PRODUCEh THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance.Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 749 Main Street, Suite#H HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVFRAGF AFFORTTFTf RV TW= DnI IPICC DCI n.., Osterville," Ma. 02655 508-420-9011 INSURED Casperson Overhead Doors Box 517 East Falmouth, MA 02536 1508-563-5633 COVFRAnFS INSURERS AFFORDING COVERAGE INSURERA: Worcester Insurance INSURERS: National Granae INSURER INSURER 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSft 'L LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE (MR LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMSMADE OX OCCUR CB 2J1973 05/28/04 05/28/05 EACH OCCURRENCE S 1 000,000 X PREMISES Ea ocwrence S SOO OOO MEDEXP(An,,wepersan) $ 10OOO PERSONALBADVINJURY s 1,000,000 GENERAL AGGREGATE I; Z OOO 00O GENT. AGGREGATE LIMIT APPLIESLOC POLICY PECT LOC PRODUCTS-COMP/OPAGG S Z OOO OOO AUTOMOBILE LIABILITY ANYAUTO ALLOWNEO AUTOS SCHEDULED AUTOS HIRED AUTOS -0 NONWNFJ7 AUTOS - - COMBINED SINGLE LIMB (Ea accident) S BODILYINI) (Per on pars) $ BODILcid JY (Peracadent)q S PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANYAUTO - AUTO ONLY-EAACCIDENT $ OTHERTHAN �"°`� AUTOONLY: AGG $ $ EXCESSAIMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE S AGGREGATE $ S S S B WORKERS COMPENSATIONAND EMPLOYERS LIABILITY ANY FROPRIETORIPARTNERIEXECUTNE OFFICEMMEMBER EXCLUDED? Ifyyes,descdbeunder SPECIAL PROVISIONS below OTHEREL CP48352 02/22/04 - 02/22/05 A X TORYLIMITS - ER EL EACH ACCIDENT s 500 000 EL DISEASE - EA EMPLOYE S 5OO OOO DISEASE -POLICY LIMB S 500000 DESCRIPTION OFOPERATIONS/ LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Gatewood Homes, Inc. 1600 Falmouth Rd., Ste. 25 Centerville, MA 02632 ACORD25(2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 3E CANCELLED BEFORE THE EXPIRATIOP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 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 C ACORD CORPORATION 1988 ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDO/YYYY PRODUCER (508) 790-1919 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LHannis iper Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE terprise Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE -COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS�AFFORDING COVERAGE NAIC # RY PAINTING AND DRYWALL INC INSURERA: Zu=ich Small Construction CENTURY PAINTI INSURER a PO BOX 2903 INSURER C: HYANNIS INSURER D: MA 02601-7903 S COVERAGES INSURER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISNOTSUNOTWITHSTANDINGTHSTANDING AM ED OR MAY PERTAIN NOTWITHSTANDING THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IXCLUSIONS ANC INSR DO'L LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY _ DATE MMIDD/YY) OATE(MMIDD/YY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED CLAIMS MADE PREMISES aO urrence$ 300,00 OCCUR SCp034309873 12/18/2002 12/18/2 003 MED EXP An One rsan S . 10,00 PERSONAL 3 ADV INJURY S 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,00 POUCY JEC LOC PRCDUCiS-COMP/OPAGG S 2,000,00 AUTOMOBILE LIABILITY / / / / ANYAUTO COMBINED SINGLE LIMIT (Ea acciderp S ALL OWNED AUTOS / / / / SCHEDULED AUTOS BODILY INJLRY (Per person) - S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE - GARAGE LWBILRY (Per acident) - S ANY AUTO AUTO ONLY -EA ACCIDENT' S " OTHER THAN EA ACC S EXCESSNMBRELLA LIABILITY AUTO ONLY: AGG S OCCUR CLAIMS MADE / / EACHOCCURRENCE S AGGREGATE S DEDUCTIBLE" / / / / $ RETENTION S $ WORKERON AND S EMPLOYERS' LIABILITY _ / / / / WC STA U- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE. TORY LIMITS ER OFFICERMIEMBER EXCLUDED? EL EACH ACCIDENT S If yea, describe under SPECI RO AL PVSIONS belovi EL DISEASE- EA EMPLOYE S OTHER E.L DISEASE- POUCY UMrT S / / / DESCRIPTION OF OPERATONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS PAINTING 6 DRYWALL CERTIFICATE HOLDER ( ) CANCELLATION _ (508) 778-5603 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL GATEWOOD HOMES — 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1600 FALMOUTH RD SUITE 25 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE URER, ITS AGENTS OR R NTATNES. CENTERVILLE AUTH R¢ED REPRESENT NE MA 02632— ACORD 25 (2001/08) I_n; INS025 (GtGB).Gs ELECTRONIC © ORD CORPORATION 1981 LASER RMS, C. -(800)327-0545 Page 1 of; A4c© C�RTI ICAT Op tt�`►�s�tt i Y P, a €Z��i fC� �RJ PRODUCER _ Sullivan, Garrity & Donnelly THIS CERTIFICATE IS ISSUEDASAMAT ' 508-e754-1767 ONLYAND CONFEItS NO RIGHTS UPON 10 Institute Rd po Sox 15010 HOLDER. THIS CEI TWICATE DOES NOT Worcester MA 01615-0010 ALTER THE COVEFACEA.IFORDEDBY' Phone:SDS-754-1767 Fax:50B-754-1885 INSURED INSURERS_AFFORDII IG COVERAGE INSURER n; Hanover Ins_-- Trance C INSURER B; Arch in uran Oe COLOR Crowell Conatruction, Inc. wsuRERc: SO.8Denn0 a MA 02660 INSURER 0: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERF D RIDICATED. NOTNITHSrnI MAY PERTAIN, REQUIREMENTTERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WNICFI THIS CEF' rIFF:ATE MAY BE ISSUED OR . AG THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAN, POLICIES. SVPJEC7 TO ALL THE TERMS, E%CLLM.< ON) AND CONDITIONS OF y, GENERAL LIABILITY AI ]C I COMMERCIAL GCNERAL LIABILITY ZHN7007141 CLAIMS MADE ® OCCUR GEN'L AGGREGATE LIMIT APPLIES PEP POLICY n JECT 1 1 LOC A ANY AUTO ALL OWNEDAUTOS X SCHEOLf-EDALITOS X HIRED AUTOS .T NON -OWNED AUTOS P AGE LIABILITY ANY AUTO EXCESWUMRRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION j WORKERS COMPENSATION AND B EMPLOYERS, LIABILITY ANY PROPRIETOWPARTNERIEYECUTArE OFFICERAIEMBER EXCLUOEDT Syyee4AL PROVISIONS BPEC(AL PROVISIONS bola. I OTHER 05/01/04 OS/ I1/05 PREMISS E M 20 E)(➢1M PERSONALa GENERAL AO OR Narc.>u_. 22292 LIMITS f1000000 o s 100000 I 3 5000 Y f1000000 s 20UO1TQIT nG azODDeeD ABN7001142 05/01/04 05/ 2,103 coeeBIN19ni) Iuar f 1.. BODILY INJURY (Per PmPA) j S 1000000 �� �a�) INJIURY i f 1000000 E DAMl.G1 f 500000 ) . EA.IdCIIR77T f N , E'I ACC s : `.-A30 s RRFJICE f 3 _ f f TXWCI00100 I 03/22/04I 03/:2/OS E.LEACHACC2ENT -MY s500000 E.L DISEASE -EA EMPL()Y- 3500000 • E.LDISEASE•POLIC'rOMIT S 500000 -na�ca r "'LublvNb ADDED By ENDORSEMI As per policy forma, conditions and exclusions. GATIDFQQ SHOULD ANY OF THE ABOt iDFSCRRIED POLICIES BE CANCE[LLrD BEFORE-THE-"e....-.. DATE THEREOF. . THE LS9UII:3 P+EURER WILL ENDEAVOR TO 1.1g.L 10 DAYS WRITTEN Gatewood Homes, _ 2600 Falmouth Road NOTICE TO THE CERy1PICA'I'"012R NAMED TO THE LEFT. INT( FAIIURETeeaenvwml Suite 25 IMPOSE NO OBLIGATION OF' LIA3R.RY OF ANY KIND UPON TIa.E OJ3URER. ITS AGENTS OR Centerville MA 02632 REPRESENTATIVES. ACORD Amity CERTIFICATE OF LIABILITY INSURANCE 7 DATE(MMIDD/YYM PRODUCER 0$/04/2004 MARK SYLVIA INSURANCE AGENCY 508 428-0440 ONLYCANDFCONFERS1. SNOERIGH S DAS MUPON THE ICERTIFICATE 969 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR OSTERVILLE MA 02655 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOWR INSURED INSURERS AFFORDING COVERAGE PETER J. GOVONI INSURERA: FARM FAMILY CASUALTY INSURANCE DBA P. GOVONI LAND SERVICES INSURER B: 20 OPEN TRAIL RD. INSURER C: SANDWICH, MA 02563 INSURER M 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH JSR D' TR OF INSURA 9CE POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRATIOMIDN j GENERAL LIABILITY IDATE LIMITS A I x I COMMERCIALGENERALLIABILITY 2001L6202 EACH OCCURRENCE S 1,OOD,000 �— OS/31/2004 05/31/2005 PREMISES Eaoecuvence S �( I CLAIMS MADE I OCCUR li----I� MED. EXP(Anyone person) Is 5.000 NI'LAGGREGATE UMITAPPLIES PER: I POLICY n PR0 n LOC "OMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS ' NON)OWNED AUTOS AGE LIABILITY ANYAUTO L CLAIMS MADETIBLE ION S A IWORKERS COMPENSATION AND EMPLOYERS UABIUTY. TO BE ISSUED ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMSER EXCLUDED? tt yea, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS /LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMED LOGGING AND LUMBERING, TREE PRUNING, STREET CLEANING IReI GATEWOOD HOMES, INC. 1600 FALMOUTH ROAD #25 CENTERVILLE, MA 02632 %V COMBINED SINGLE LIMIT (Ea accident) S BODILYINJURY (Perpersen) S . BODILY INJURY. ' vaccideng .PROPERTYDAMAGE .. (Pvaccident) S .._."_-.... . ' AUTO ONLY iEA ACCIDENT E;'s. OTHERTHAN EAACC E ' AUTOONLY: AGG S it •.::: +. EACH OCCURRENCE S 07/04/2004 I 07/04/2005 W . ANL:tLLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF-ANY'R1Np-ypON-THHNSffRER,.,tTy-peEH73 OR REPRESENTATIVES. I - �+.•..,, i ...:::::.......::::......::: DATE ryy) PRODUCER.�::::n..,nm.:::.:,:;:::i::.,n.>:._....n...:.:.<.:::4:;::::;�> :.::::::.:..:::::::.....:.:i:,.;:i:,;:.:<:<.;:.�.;:.;::.;;:..<.;;:.:i.;::::.>:..:::n,..�n,.,:>i:i,>:>;;:<:_;:::,.08 03 04 OF I TITHE FCONFERS HAROLD H WILL ONLY AND NOERIGHTS UPON' INSURANCE AGENCY CEFiTIFI AOTII 81 BASSETT LANE HOLDER. THIS CERTIFICATE OES NOT AMEND, EXTEND OF DTHE ALTER COVERAGE AFFORDED BY THE POLICIES BELOW HYANNI S COMPANIES AFFORDING COVERAGE MA 0 2 6 01- (508) 775=3366 COMPANY . ( ) - A MERCHANTS INS CO OF MA INSURED STEPHEN M CHILDS COMPANY B 145 CAMMETT ROAD COMPANY C MARSTONS MILLS MA 02648- COMPANY (508) - D GO . VE: vaY.4n4R:.4:::O:::ii •::.� 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER '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, IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) ' LIMITS A GENERAL LIABILITY - GENERAL AGGREGATIr ' s 6 0 0 0 O O X COMMERCIAL GENERAL LIABILITY CCP8567749 04/28/04. 04/28/05 PRODUCTS. COMP/Op AGG s600000 CLAIMS MADE OCCUR PERSONAL & ALN INJURY s 3 0 0 0 0 0 OWNER'S & CONTRACTORS PROT EACH OCCURRENCE • s3 0 0 0 0 0 cy-ury vim we/ MED EXP (Any one person) a $5 0 0 0 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS _ / / _ / / COMBINED SINGLE LIMIT s BODILY INJURY (Per person) $ BODILY INJURY (Per accident s ROPERTY DAMAGE $ GARAGE LIABILITY ANY '4LITO - AUTO ONLY -EA ACCIDENT I $ OTHER THAN AUTO ONLY: EACH ACCIDENT I $ AGGREGATE s EXCESS LIABILITY UMRRELLA FORM _ OTHER THAN UMBRELLA FORM / / EACH OCCURRENCE - $ AGGREGATE $ s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOFV INCL PARTNERSIDECUTIVE OFFICERS ARE . EXCL WC STATLL OTH- RY MI R -- . . ._.__ .....__..� EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE • EA EMPLOYEE S ITEMS ELECTRICAL WIRING Gatewood Homes Inc. 1600 Falmouth Road Ste 25 Centerville MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 20 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 A - -- x CER�`lIFICATE-'' OF byI�TS *: { �*«.gig t" P� rrX LSSUE DATE (h9N/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Harold H Williams Ins Agcy Inc DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 81 Bassett Lane Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE INSURED Stephen M. Childs 145 Cammett Road COMPANY A A.I.M. Mutual Insurance Co Marstons Mills, MA 02648 COQERA`CtS ^--v"' fi+ 1 4e-+'-; «'a` k.., a..c. ' 'I s.%M`C ^�.z'Y' 61-. s Y",t 5_., xS d 1 4. e='`, .ie '*%P k,xy?+:� y '% •`S'<.-,iiyas 'iiy-ii`' '. 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECrTO 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 LIE TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTTVE DAT'E(MM/DD/YY) POLICY ENPIRATIOD DAT'E(MM/DD/YY) LIMITS . GENERAL LIARaXrY GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGO. S COMMERCIAL GENERAL LIABILITY S MADF�CCUR PERSONAL & ADV. INJURY S EACH OCCURRENCE S OWNER'S & CONTRACTOR'S PROT. DAMAGE (Any ore fire) S .FIRE ED. EXPENSE (Airy ore person) S AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB S BODILY INJURY e Per P) $ ALL OWNED AUTOS CHEDUED AUTOS L - BODILY INJURY (Per=idem) S HIRED AUTOS ON -OWNED AUTOS GARAGE LIABI.ITY PROPERTY DAMAGE S 18 EACH OCCURRENCE S AGGREGATE S 7MBRETFORM HER THAN UMBRELLA FORM '"`''�:.,s",..•. a>-^r {� .X -"-x';"',p'sav<' „„"' " 's4 A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE OFFICERS ARE: X EXCL 7015793012003 12/13/2003 12/13/2004 WC STATU- OTH--a'�-� GRYER r,'e w w..>s.IF S� EL DISEAS — LI LIMIT S 500,000 EL DISEASE —EA EMPLO-EE $ 100000 OTHER DESCRIPTION OF OPERATIONSa OGITIONSh'EBICLMSPECI&L ITEMS :- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GATEWOOD HOMES, INC. 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 1600 FALMOUTH ROAD, SUITE 25 �F LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR 's.. REPRESENTATIVES. y; AUTHORIZED REPRESENTATIVE CENTERVILLE, MA 02632 _ -.. ' i '3 W . uX x ..i. _ R A ., w __ •n vv..LaL:.3.. X .. .o e.S Y ti • "- i KYYyse"T` P .y ..W ... � ... .. -'i _ - Y v: 'Yc_ S ACORN.. CERTIFICATE OF LIABILITY McShea Insurance Agency, Inc. 749 Main Street, Suite#H Osterville, Ma. 02655 508-420-9011 Casperson Overhead Doors Box 517 East Falmouth, MA 02536 508-563-5633 N S U RAN GE DATE(MM/DD/YYM 8/2/2004 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 RF1 nW INSURERS AFFORDING COVERAGE INSURER A. Worcester. Insurance Company _INSURER B: National Grange Mutual 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 MAYHAVE BEEN REDUCED BY PAID rl AIMc IRSR LTR D•L _RD TYPE FINSURANCE - - -- -- POLICY NUMBER ---- POO'LLI �EFFECTIVE POLICY DATE PIIp?ION LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000 00 X COMMERCIAL GENERAL LIABILITY PREMISES Eit a occurence E 1OO OO CLAIMSMADE OX OCCUR ACB MEDEXP(Anyoneperson) S 10 00 2J1973 05/28/04 05/28/05 PFRSONALBADVINJURY E 1 000 00� GENERAL AGGREGATE S 2,000 001 GENL AGGREGATE LIMIT APPLIES PER , R PRODUCTS-COMP/OPAGG S 2 OOO 001 POLICY JECT LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT S (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS " BODLYINJURY E (Per person) HIRED AUTOS NON-OWNEDAUTOS BODILYINJURY E (Peraccident) PROPERTY DAMAGE E (Peractldent) GAFAGE ILITY AUTO ONLY -EA ACCIDENT S ANYAUTNYAUTO OTHERTHAN EAACC S AUTOONLY: - AGG E EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMSMADE AGGREGATE $ DEDUCTIBLE - E RETENTION S $ WORKERS COMPENSATIONAND $ y,/ A EMPLOYERS'UABILITY- X TORYLIMITS ER ANY PROPRIETORIPARTNER/DmCUrE CP48352 02/22/04 02/22/05 E.L. EACH ACCIDENT B OFFK.c'^R/MEMBER EXCLUDED? E 500 000 tfyes,descdbeunder E.L. DISEASE - EA EMPLO $ 500 OOO SPECIAL PROVISIONS below OTHER EL DISEASE -POLICY LIMIT E SOO 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Gatewood Homes, Inc. 1600 Falmouth Rd., Ste. 25 Centerville, MA 02632 ACORD25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAno 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 OACORD CORPORATION 1988 J Go Q M CERTIFICATE OF LIABILITY INSURANCE DATE(MMpDYYyy) OS/02/2004 pFDUClR (781)431-9800 ,FAX (781)431-0222 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Coch�• & Porter Insurance Agency, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE ane ND OR CIO Renaissance Alliance Ins. ALTER THE COVERAGE AFFORDED BHOLDER. THIS CERTIFICATE DOES OYTT E POLICIES OW. 981 Worcester Street Wellesley, MA 02482 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: OneBeacon American. Ins. Co. 20621 Cape Cod Ready Mix, Inc. INSURERS: Commerce Insurance Company 34754 300 Cranberry Highway INsuRERc: Zimmerman Specialty Insurance ZSI001 Orleans, MA 0263S INSURERD: INSURER E` OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICIES. AGG THE EGATE LIINSUMITS S OWN MAYAFFORDED BHAVE BEEN EDUCED BY PAID CLAIMS. Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH INSR DD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDfM POLICY EXPIRATION DATE (MMIDDfYYI 01/01/2005 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Q OCCUR CBR817036 01/01/2004 EACH OCCURRENCE $ 1,000,001 DAMAGE 70 RENTED S 100,00 MED EXP ulny one person) $ 5,00 PERSONA: & ADV INJURY $ 11000 , 00( GENERALAGGREGATE $ 2,000,00( GEWL AGGREGATE LIMIT APPLIES PER: POLICY JE LOC PRODUCTS -COMPIOPAGG S 2,000,00( B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS XY9014 ' 01/01/2004 01/01/2005 COMBINED SINGLE LIMB (Ea accident) S 1,000,00( BODILY INJURY (Per Person) $ X X BODILY INJURY (Peraccidenrt) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONL'f - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S S C EXCESSIUMBRELLA LIABILITY X OCCUR CLNIMS MADE DEDUCTIBLE RETENTION S BE9744481 01/01/2004 01/01/2005 EACH OCCURRENCE is 1, 000, 000 AGGREGATE S 11000,000 SIR s 10,000 S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PP.OPRIETORIPA.RTNER'EXECJTIVE OFFICERIMEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- E.L. EACH ACCIDENT S El DISEASE - EA EMPLOYE $ F—L DISEASE -POLICY LIMIT $ orHER DESCRIPTION OF OPERATIONS I LOCATICNS I VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Gatewood Homes, Inc. 1600 Falmouth Rd. Suite 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL GCSE NO C AA C R LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS CR REPRESENT AUTHORIZED REPRESENTATIVE ,, 25 (2001/08) Z%yOA40RD CORPORATION 1988 Ac:)RQ CERTIFICATE OF LIABILITY INSURANCEA]DA110E DOUCE,,�4 The Fel a"t iberg Company ONLYIS C AND CONFERS NO RIGHTS �UPONRTHE I CERTIFICATE 222 Milliken Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 3220 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fall River, MA 02722 INSURERS AFFORDING COVERAGE INSURED INSURER A Cape Cod Ready Mix Inc. Construction Industries Compensation PO Box 399 INSURER B: - -- Orleans, MA 02653 INSURER C: INSURER D: i COVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINC ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED Of MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLIO EX) DATE PIRATION Drfy LIMITS GENERAL LIABILITY CLAIMS MADE I I OCCUR GENL AGGREGATE LIM ITAPPL^IES PER: POLI-CY JET I I LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY ' OCCUR CLAIMS MADE DEDUCTIBLE RETENTION - S A I WORKERS COMPENSATION AND WCOOO9ZS4 i EMPLOYERS'LIABILITY OTHER EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) S 161ED EXP (Any one person) $ PERSONAL& ADV INJURY S GENERAL AGGREGATE $ PRODUCTS-MEea,Ytc ens (WMBaBIINdEI) SINGLE UMIT E EEBIODILYURY S URYt) $ PROP£RTYDAMAGE Is (Peraccident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S AUTO ONLY: AGG IS S S 01/01/014 01/01/05 x WCSTATU. OTHFR - EL EACH ACCIDENT $500 000 E.L DISCAS E -EA EMPLOYEE' ESOO,000 EL DISEASE POLICY LIMIT 5500 OOO DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Gatewood Homes Inc. 1600 Falmouth Road Suite 25 Centerville, MA 02632 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -In DAYS WRITTEN NOTICE TO THE CERTIFICATE H OLDER NAM ED TO THE LEFT, B UT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR ACORD 25-S (7/91)1 oft _ #S61300/M55627 CL3 0 ACORD CORPORATION 1988 Aua-03-04 02:42am from-AIG 873-316-6003 T-2iD P.002/002 F-481 u �'T^'.. °'rl': '±'y_. �'1�}'• '�.i�i.- ..yl+t-t:;:+,�'.;'` .•5 5•'v`:.y .5y�.- .w c. OI9:.({+1,•••6. 15. �..+ W:.'1..1 R,•1,R F'Ir INS �,: � :Q PRODUCER o •.:.,.. •.._+p ;:,: ";; ` I �: • °+� 1:: THIS CERT1I ICATE 15 ISSUED AS A MATTER OF INFORMATION Dias Ins Agency Inc ONLY AND ( ONFERS NO RIGHTS UPON THE CERTIFICATE 535 Brayton Avenue HOLDER. TF IS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Fall River, MA 02721 .:OVERAGE AFFORDED BY THE POLICIES BEEpWc- INSURED COMPANY A GRANITESTATEF D INSURANORDING CE COMPANY Ej a Carpentry Inc 100 West Main Street, St 10 Hyannis, MA 02601 IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED :ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANY REOL REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY S i ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED THE... POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. E :CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PROPRIETow O E)kCL D 1 C Oey. CERTIFICATE HOLDER GATEW000 HOMES 1600 GALMOUTH ROAD. SUITE 25 CENTERVILLE. MA 02632 7/24/2004. ' 7/24/2005 ACCIDENT SE POLICY LIMIT SHOULDANY OP THE ABC /E DESCRIBED POLICIES Be CANCELLED BEFORE THE E7,PIf "ON DATE THERE )F, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL M DAYS W RITrEN NOTICE T • THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAL SUCH N )TICE SHALL IMPOSE NO OBLIGATION OR UABLrTY OF ANY KIND UPON THE COL 'ANY, ITS AGENTS OR REPRESrWATMES. AUTHORIZED REPRI S69- �ENT�ATI�VE — Cf y`_y -•T v V. L4. V� 1V. YV 1'!Ll JVOI.iV UG4SJ IJULDN.Vl ASSUC Idol Ong TIFiC � ;� LIABILITY INSURANCE OSR DATE„�y"w K& OS 23 04 ^iti13CERi1€iCAY£-IS�,SaU6t�AS 6y4#FBE CF1lF Of4l�l�T�gpt- GOLDMAN >F A390CL3133 I23SIISANCB ONLY fa!4 CONFERS NO RIGHTS llPQM THE CFRTIJATE FINANCIAL 83L2VICRS INC. HOLDER THIS CERTO 1CATE DOES N_OTAAAEND. EXTEND OR. 933 9 T•1a�T�cu �. ALT€P-TH%' COViRAGE-PFFe�i�IsY-T;� _ ico ec. �... ffa=wIS = 02601 ` Phone t508_775m60.10 P=:50ST790-0249 A SURERRSAFFGR^ONGCIIV'ERAGE fRAIC.L. WSGREn ------ INSURERA: ESSET INSURANCE m iNSU-n2R e: AIM Sa=AL INStrLANO-3 CO. OODDWIN R VAT10NS INC LtlsURE1Tk 116 SAWA=xMR3 B3,1CF auk. 02562 tNSU1LR E: THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AHY I O111 AIMTHE I TERM OR CCMOrMN OF ANY =%TRACT OROYHER DOCUMENT WITH RESPECT TO WH�H THIS CERT�IG7E MAY 8E OR WLY �`STAI/, THE L`!S'I.2'.M.-'-3AEECMMSYTT<'PCIJl..LSCES.gM=N�'tlISSUS.'ECTTOAL^J.ETBnA3,EXCLUSL7NS AIu1CONp{TiONS C!'eUC}i POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE IEIE9DDVYYI DATE LINTS A OENERAL LmmLIiY X7 CBNaERCIALGENFAALLIABILITY ' CLAIMS MADE ® OCCUR 3CH2718 - 12/12/03 12/12/04"P=AOr-W EACH OCCURRENCE I sl000000 a„anan ) 550000 a Pit) $S OO O AOV K)URr S1000000 REGATE S 20UD-am' G_ni AGGREGATE LRLIT APPLIES PER: I Paler f TP F' LIB OMPIOPAGG $1000000 AumM08ae Lueam ANYAUTO ALL OWNED AUTOS SCHOX)LEDAUTOS HIREDALrMS N842ititrfiE9 ALMS(Prat=':erci . ' GLE LIMIT 106004P") RY S BODILY ILIURY s IPROPERTY DAMAGE {Par acipl" S GARAGE L:AZLLnY_ ANY AUTO EXO.E.i6NM8RR L4J%1=ALJ1i.R!' OCCUR Q CIAIMS MADE RETENTION S . AUTO MY -EA ACCOENT -S OTHER"TKAN EA ACC Auroa+Lr. GGG EACH OCCURREME I S s S AGGREGATE S s S B YA0.'t1IE1RE COMPENSATION fUC7 E► PLOYEA.Y L1ABL17Y - ANY Oe-�7CPSA4rr2.-"r•cuTlvE ocFR.rRA,r�. ,-EREXCLYuEO s�eecc SPECIAL PROvtStONS edow #A�iC7016018012004 Ol/03/04 01/03/05 70RY LIMITS ER F�EACHACC1pENT $100000 E.LDISEASE-EA!a S 100000 E1 OtSWE-PouCYLIAIT 5.500000 6EEORIPT?DN OF t5PE3JAT1vNSf L.OFiF.AYiDili/Yeii£LE3I iDhli iwAa ADam BY Emoort E7Tci�T / 3PEC41L PicOiRRiuiiS GATZWOOD Emma nx FAY 5Q8-778-5803 1600 r•�LuwvVi A-=D csLgr4tsplLL aQ 02632 ZaA:'��8 SY2ri.D ANY t:ET� •�..^L'E e.e..e.ern pOL...3 SE CA�.SL1:7 L:>"C„ ` T} � I�tAT'^M`.' DATE TPEREW. TI--I UMlB Lua gem WLLL Ee aMFAVOR TO L•ML 30 DA:y WRITTEN NOTCETa 'US 6ERTMATE HOWII-4 "Mfg TO THE LEM BUT FM:URE TO JW E%&jALL BiPOSE NO OBLIGATION OR LLABR,ITY OF ANY WND UPON THE � K� gtrE:Ca ai4/U4 Z:JLI:db NM 4154 ® 02/03 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY TO ICH MAY PERTAIN THE INSURANCE AFFORENT, TERM OR D D Y THE POLICIES OF ANY CONTRACT ESCRIBED HEREIN S SUBJJECTUMENT VVITH E O ALLT E HEXCLUSIONS TTESPECT RMS AND CONDITONS OFF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I DD TYPE OF INSURANCE POLICY NUMBE777V LIMITS OCCURRENCE s GENE LIABLnr - 08Sa4EACH COMMERCIAL. GENERAL LIASIUTY DAMAGE TO RENTED j CLAIMS MADE ❑ OCCUR 300 A MED EXP (MI one person) $ 10,. ERSONAL6ADV NJURY j 5� ENERAL AGGREGATE j 1,000.f. GEN'L AGGREGATE LIWT APPLIES PER PRODUCTS •COMP/OP AGG j 1,000, POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE UMIT j (Ea acrieen) ALL OWNED AUTOS SCHEDULEDBODILY AUTOS INAJRY j (pa pqrson) HIRED AUTOS NON-0WNEDAUTOS BODILY INJURY j (Per accad.M) PROPERTY DAMAGE j (Par acodenD GARAGELIABLRY AUTO ONLY -EA ACCIDENT j ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG j EXCESSAIINBRELLA LL%BajTy EACH OCCURRENCE j OCCUR C CLAIMIMS MADE AGGREGATE j DEDUCTIBLE j RETENTION S j j WORKERS COMPENSATIONAND WC131S317310021 10/05/2003 -10/05/2004 WCIT• OT EMPLOYERS'LIABILRY YI WITR B ANY PROPRIETO"ARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? EJ_EACN ACCIDENT § 1�, Il Yes, Oescab. onoer EL DISEASE -EA EMPLOYE j 100 SPECIAL PROVISIONS Delve OTHER EL DISEASE -POLICY LIMB j 5001 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Gatswod Homes _lP- _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Jeffrey Sol laws BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 16 Falmouth Road Suite 25 OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. Centerville, M 02632 AUTHORIZED REPRESENTATIVE Aw ACORD 25 (2001l08) FAX: (508)778-5603 1515 WAwnU CORPORATION 1988 rnJu w curJa rn c� K I UtK K 15K bVtC.1 HL 1 STS r MCORD ��Lyk Barr �` [ £ 1E���Ewy lii 1 506 564 727 2 P.01/02 er �MOAT r R i� Ylii.. FR i�A .""`"'x, DATi 1MMmnrvY1 .„.. ................. ff.. ,. r.....w.�, <.� . r� X 07 28/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE RIDER RISK SPECIALISTS HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR AITFA..THE.cnvr_RAGF,AFFORDED BY THE. POLICIES BELOW. INSURANCE AGENCY, INC. P . O . BOX 115 COMPANIES AFFORDING COVERAGE CATAUMET MA 02534-0115 CCOTTSDALE INSURANCE COMPANY INSURED �_... MONUMENT INSULATION, INC. cDMRANY .— B AMERICAN HOME INSURANCE COMPANY 223 COUNTY ROAD BOURNE, MA 02532 cD CANY COMPANY D C4YEHAEk u _ w,« _ THIS IS 70 CERTIFY THAT THE POLICIESOFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD, x INDICATED. NOTWTTHSTANDfNG ANY REOUIREMENT. 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 DESCA18ELip{ERE�.�AI I iHp TFRIV< EXCLUSIONS AND CONDITIONS OF SUCH POLICES. jmrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, _ CO TYPE OF INSURANCE ^ L---- LTN POLICY NUMBER POUCYEFFECTIVF—. DATE I MMD/YY) DATE IMMMVIYY) U�-. OF ERAL LIABILITY ID COMMERCIAL GENERAL LIABILITY - GENERAL AGGREGATE 11 ,_ONO, OOO CLAIMBMAOi ❑X OCCUR PRODUCTS:COMP/OPAGG f5O0, 000 2 OWNETSIIICONTnACT011'SPROT CLS1001705 PERSONAL 16AOVINJURY $500, 000 3/30/04 3/3 -" — 'OMODME LIABILITY ANY AUTO ALL OWNED AUTDS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAOE LIABILITY 71 ANY AUTO "CESS LIABILITY UMBRELLA FORM OTHE11 THAN UMORELLA EC wORXEllS COMPENSATION AND tlAKOYMIr LIABILITY B THE PROPRIETOR/ I X PAIRNFJtSMX£CUTryE INCI. J WC 768 29 54 GATEWOOD HOMES 1600 FALMOUTH ROAD 425 CENTERVILLE, MA 02632 O/OS EACH OCCURRENCE :SOD, 0 EwE DAMAGE LAAV wl. IrN 15 0 , 0 0 MEO FXP IARr OM MIAOIII F5. 000 COMBINEOSINGLEUMIT BODILY BiL1U1LY IPw 0as0M .F 1 BODILY INJURY IPv madmxl PROPERTY DAMAGE 1 ' t.. AUTO ONLY . EA ACCIDENT OTHER THAN AUTO ONLY: ONLY - :f' EA ACCDENT{.w-- AGGREGATE 1 EACH OCCURRENCE 1 _ AGGREGATE 1 EL EACH ACCIDENT 11100 3/S/05 EL DISEASE- POLICY LMfT 15$@ EL DISEASE. EA EMPLOYEE t 1 n n SHOULD ANY OF THE ABOVE DESCRISM POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUMIO COMPANY. WILL.. ENDEAVOR TO MAIL 10 DAYS WNTTIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAR. SUCH NOTICE SHALL IMPOSE RO OBLIGATION OR LIABILITY OF ANY torn UARu ..— vvJ. JJJL70 6ULUffiAiV ASSOC ! I,ERTIFICATE OF LIABILITY INSURANCE TA; GOLDM M & ASSO 7.ATSS INSURANCE THIS CERTIFICATE 13 ISSUED AS A MAT FISZ.SCMAL SERV .CSS ZNC. ONLY AND CONFERS NO RIGHTS UPON 933 FALMOLTH It >.. HOLDER. THIS CERTIFICATE DOES NOT HYA2dtI6 W. 026 11 ALTER THE COVERAGE AFFORDED BY1 Phone;508--775-6010 Fax:508-790-0249 INSURED INSURERS AFFORDING COVERAGE RODNBY TAVANO DBA MzIS�ZCAL SYSTXKS W9AaW-1D$R�L8 MA 02668 IN!WRER B: INSURER C INSURER D: THE POUC= OF INCUR" = LWMO BEIOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE'OLICY ANY REQUIREMEf IT• TERM ORC ONDR10N OF ANY CONTRACTOR OTHER DOCUMENT WITH PERIOD PIOICATED. NOTWTIHSTANDMG MAY PERTAIK THE INSUIb NCE AFFORDED BV THE POLICIES DESCRIBED HEREIN 5 SUBJER�TO ALL THE THE CERTIFICATE MAY BE ISSUED OR POLICIES. AGGREAGGRE WTE Up fi5 SHOWN WY HAYE BEEN REDUCED BY PAID CLAIM& � S` E SIONS AND COMMONS OF SUCH R mRD TYPE O ' WSURIWCE I POLICY NUABER I....� ......--�_ GENEN.IL LL#dm TY A X CCwERCI, LGENERALLuenrtY WL8172 aAua MADE ® OCCUR GFxL AGGREG. 'E LIMIT A'PLJGS pHE POI cY F 1 JPERa"r- n LOC AUIOU)ME LB WLITV ANl AUTO AU.OWNEc AUTOS LSCIEDULEL AUTOS HSFLi AUR s NCN.OWNE (AUTOS :MAG L LLABI,f Y 1 AN Y AUTO FJICMARIBRPJ LALIABILRY J OCCUR ❑ CL.AIM6 MADE DE]UCTIBL 11/21/031 3-1/21/04 002 n,= WDOAmr4-... OR NAIC III LIATS EACH 0000 u 00 m 50- wR 0000 AGGREGATE 00 0DDN (Ea RCCLd O 7NGiESwGLE LBArr KpJRY (PffBODpws) Booty INJURY (Per aeeidsM) PROPERTY DAIAAGE (Per aecw" AUTO ONLY- EA ACCIOEN OTHERTWVI EA AC AUTO DNLY. WDRI�RsaArENSA TON AND B EMPLOYERS' yLLitlJTi TORY UMRS AFELPOS RIE fORIPAR TUERlO{FJrUTIVE #7278A84903 OS/03/04 05/03 /OS EL•EACH ACGOEMT OFFICEIVMEA, BERM .UDEDT sYYeess� lesc(be uAaer SPECUL Plm uMdn I J—.. E.L. DISEASE. EL EM QUM mm m® m© m© ■m s10 S ID $50 ` CERTIFICATE F OLDEI CANCELLATION GAIsff ANY OFTFE ABOVE OE4CTBBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EREOF, THE ISSUING INSURERiMLL ENDEAVOR TO MAIL ZVr DAYS WRITTEN GATZWOL HD HOMES INC O TIE CERTFICATE NOLDER NAMED TO THE LEFT• BUT FAIWRE TO DO SO SHALL FAX 50L:-778-5603 O OBLIGATION OR LIABILITY OFAMY IGND UPON THE 1600 F: S.MOUTH ROAD I"+ERERTsaR NTATNES. CaNT='ILLg MA 02632 cn V-1 PROPERTY ADDRESS: /v?/ ALCULATION FOR T CO: --• _ _ - �.� �z s Jf$b • �a TERATIONS TH D ROOM RTIFICATE OF FOUNDATION GARAGE NO. I GREAT ROOM KITCHEN ROOM OPEN Y AYS l TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : Feb 18, 2005 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) 21.1.129 Street 121 Camp St., #129 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 @ Camp St., L" 1600 Falmouth Rd. #25 Centerville, MA 02632 0 TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-417 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST lZq Owner's Name: Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Cneterville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: 1. WATER DEPARTMENT: (OFFICE USE ONLY Recorded By: IC Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 2/14/2005 Issue Date: Expiration Date Comments: Map/Lot: 44.21.1.C12' new construction - Affordable Unit: DATE: 12199i-A1W1210 F N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: Z 1 ��SN/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT:4 Off_ DATE: 3 /d oSi Date Printed: 2/16/2005 is#, TOWN OF YARMOUTH Building Department = Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-417 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST LZ�I Owner's Name: Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Cneterville MA 02632 ' Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 2/14/2005 Issue Date: Expiration Date comments: maprL.oi: 44.L 1. I.li I new construction - Affordable Unit: REVIEWED BY: 1. WATER DEPARTMENT: DATE: /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: 2/16/2005 S pROPOSLA-TERAL 1 : SEWER N82 O'46„E 54:83 0 I 1` �9 36 RL_23.06' '1 CO LOT 129 a 3z' a, OSED N (,+, t , P HOUSE rn 0)' (EGRET) FF 0 �• GW = 16 P =1 �. 01 \ �, 1 .5" / 4 � i \ ` \\ 0 05PI0 J a5 J '64 \ LOT 12E \• rn � LL `9. \�. �\\ IOSpR 0 5 I`0h/! �O3 •\� �� 90 6.,5, /EGA �♦ I/ .11 e eye .„ I LOT 130 (�• NOTE: �, -ej- '"1'' •^�O�p` �V'sr ! ® SEWER LATERAL SHALL BE oIC EL SLEEVED IN ACCORDANCE GRAPHIC SCALE r� s,o e WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 20 10 0 20 M y.,s �FGIE�Q� F' 'F cI.',A� LAN. �. . hr.;-_ fill trTII,f i• J. temp .... •_>on..,1 �r: `c -: -d Ern- r r Pr-, :--I r.d Lail Sjrv^yx ( IN FEET )`♦ 1 inchL= 20 11n ' C PLOT PLAN holmes and mcgrath, inc. OF LOT 129 FOR civil engineers and land surveyors = TIMOTHY IM T Y PREPARED 362 gifford street No. a5o7e ' civ,L g MILL POND VILLAGE falmouth, ma. 02540 9� 1�: IN O F G/STe�+ YARMOUTH, MA JOB N0: 201197 DRAWN: LMC "LE SCALE: 1 "=20' DATE: 12-29-041 DWG. NO.: A2516 CHECKED: 7R4,s �(,(. 499 , \ �i �i521 •�� OpOSED 4 1 1 SEWER LATTERAL 54.83 N82 3.9 L=23.06 �t 03 19' N LOT 129 - i 32' \N' 1 I PROPOSED 'N' E i \ •5 W 1 ' (EGRET) F = 31.0 j \ CD 01 w LOT 12E oS 5 RIF �9��a �� Dc� 022 2005 �I LOT 130 OkiS ,.K..`414S NOTE: gY o MIGw.EL ` �?� ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE GRAPHIC SCALE t 97 WITH TITLE V IF WITHIN 9fCISTERE� �10FT. OF WATER MAIN. 20 10 0 20�=�Paa La JQ J -Oli S Ttl�: ( IN FEET) i 1 inch = 20 fi~ PLOT PLAN holmes and mcgrath, inc.'' OF LOT 129 civil engineers and land surveyors TIMOTHY'.' ' PREPARED FOR SANTcs MILL POND VILLAGE 362 gifford street No. Cvl070 falmouth, ma. 02540 9 > IN �oF FGIsTeF i YARMOUTH, MA JOB NO: 201197 DRAWN: LMC FS'91 4� % SCALE: 1"=20' DATE:12-29-04 DWG. NO.: A2516 CHECKED:'; °� , Lor.a�- Or.0-3 GMS9/GCS9 SERIES 93% AFUE Multi -Position, SingleoStage/Multi-Speed Gas Furnace Hearing Capacity: 46,000-115,000 BTUH 4 m J (ink (ink Standard Features • Corrosion -resistant, aluminized -steel tubular heat exchanger and stainless -steel recuperative coil for maximum efficiency • Designed for multi -position installation—GMS9: upflow, horizontal right or left; GCS9: downflow, horizontal right or left • Energy, saving, reliable Hot Surface Ignition system, featuring a.Norton® Mini -Igniter with patented adaptive learning algorithm to maximize igniter life • Aluminized -steel inshot burners • Energy -saving PSC, multi -speed, direct drive blower motor • Quiet, corrosion -resistant induced draft blower assembly • Integrated furnace control with improved diagnostics • Low voltage terminal blocks • Multiple flame roll -out switches, blower door safety switch, outlet air -limit switch and pressure switch for proof of combustion air • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Top venting is standard; alternate flue/vent located on right side • Completely assembled, factory run -tested furnace for heating or combination heating/cooling application • All models comply with California NOx Standards • Suitable for direct vent (2-pipe) or non -direct vent. (I -pipe) applications Air Conditioning & Heating The GMS9/GCS9 single -stage, multi -speed gas furnaces offer installation versatility. Cabinet Construction • Heavy -gauge, reinforced, fully insulated steel cabinet with durable baked -enamel finish • Attractive architectural gray paint finish • Foil -face insulation -lined heat exchanger compartment • Coil and furnace fit flush for easy installation • Convenient left or right connection for gas and electric service • Bottom or side air inlet (G L1 U • Removable, solid -bottom bl ( S9) 2op5 Accessories Sla 1 • L.P. Conversion Kit (LPT OOA • L.P. Gas Low Pressure Kit (LPL )— • High Altitude Natural Gas/L.E G11, HANG12, HALP10) • High Altitude Pressure Switch Kit (HAPS27) • External Filter Rack (EFROI) • Horizontal Concentric Vent Kit (HCVK) • Vertical Concentric Vent Kit (VCVK) • Internal Filter Retention Kit—upflow, horizontal (RF000180) • Internal Filter Retenrio`'—"`J Kit—downflow (RF000181) • Thermostats Blower Motors (CHT18-60, CH70TG, . CHSATG, H2OTWR) SS377D www.goodmanmfg.com 6/04 PRODUCT SPECIFICATIONS • Nomenclature G M S 8 070 3 A N A Goodman®Brand Revision A: Initial Release Air Flow Direction NOx B: 1rt Revision M• Upflow/Horizontal N: Natural Gaz C: 2"d Revision D: Dedicated Downflow, X: Low NOx C: Downflow/Horizontal Cabinet Width H: Hi Air Row A: 14" S: Single Stage/Multi-speed V: Two Stave/Variable-Mee 8: 80% 9: 90% i 045:45,000 070:70,000 090:90,000 115: 115,000 140: 140,000 B. 1172 C: 21 " D: 241/2" Maximum CFM 0.5" ESP 3: 1,200 4: 1,600 5: 2,000 1 - 2 C. C -PRODUCT SPECIFICATIONS Performance Ratings V W 0 14W IN, .0 V gTern —e sitr n ' GMS90453BXA 46,000 42,800 37,200- 93.0 3.0 35-65 GMS90703BXA 69,000 64,400 55,800 93.0 3.0 35-65 GM590904CXA 92,000 86,000 74,400 93.0 4.0 35-65 GMS91155DXA 115,000 106,500 93,000 93.0 5.0 35-65 GCS90453BXA 46,000 42,800 37,200 93.0 1 3.0 35.65 69,000 64,400 55,800 93.0 3.0 35- 61 GCS90904CXA 92,000 86,000 74,422 93.0 4.0 40-7 55 to GCS91155DXA 115,000 106,500 93,000 93.0 5.0 40- 70 I For altitudes above 2,000', reduce input rating 4% for each 1,000'above sea level. 2 DOE AFUE based upon Isolated Combustion System (ICS). Specifications A All WIN R pggj NIM, ter ze, W -AMP I _1 , I I__ - sr" Q, I Dun s __1 N GMS90453BXA 10"x7" 1/3 4 2. 2 288 576 9.0 15 132 GMS90703BXA 10"x8" 1/3 4 2' 3 282 564 9.0 15 135 GMS90904CXA 10" x 10" 1/2 4 2' 4 376 752 8.9 15 158 GMS91155DXA 11"x 10" 3/4 4 2. 5 470 940 12.2 15 175 GCS90453BXA 10" x 7t"l /3 4 2' 2 288 576 9.0 15 132 GCS90703BXA 10" x 8" 1/3 4 2" 3 282 564 9.0 15 135 GC590904CXA 10" x 10" 1/2 4 2" 4 376 752 8.9 156 GCS91155DU 11 " x 10" 3/4 4 2' C AIA 175 I Installer must supply one or two PVC pipes: one for combustion air (optional) and one for the flue outlet (required). Vent pipe must be either 2" or 3" in diamete; depending upon furnace input, number of elbows, length of run and installation (1 or 2 pipes). The optional Combustion Air Pipe is dependent on installation/code requirements and must be 2' or 3" diameter PVC. 2 Minimum Circuit Ampaciry = (1.25 x Circulator Blower Amps) + ID Blower amps. 3 Maximum Overcurrent Protection refers to maximum recommended fuse or circuit breaker size. NOTES: • All furnaces are manufactured for use on 115 VAC, 60 Hz, single phase electrical supply. • Gas Service Connection 'A".FPT • Important: It is required to size overcurrent protection device and wires properly and make electrical connections in accordance with the National Electrical Code and/or all existing local codes. PRODUCT SPECIFICATIONS GMS9 Dimensions R1 uR . ea 3/4 195/8 12 39 (DISCHARGENR) 2tn8 VENTIFLUE PIPE ISO R INTAKE PIPE �� 2' PVC L.._MR I 2' PVC ALTERNATE ALTERNATE L.7 211118 uR INTAKE LOCATION GAS SUPPLY I CONDENSATE STANDARD GAS HOLE Q DRAIN TRAP SUPPLY HOLE vd 314' PVC 7 41I8VDRWAIN ALTERNATE HIGH VOLTAGE 1 314 DISCHARGE VENTIFLUE ELECTRICAL HOLE (RIGHT OR 40 LEFT SIDE) LOCATION RAIN LINE 301/4 H VOLTAGE DRAIN UNE 2T. CTRICAL HOLE HOLES 112 �. 23 t,S 25SHT SIDE r DRAIN I NN S _ TRAPTl 2� 21 U4 381/l 1193H8 TRAP HOLES 2 LOW VOLTAGE T21 LOW VOLTAGE 14 ELECTRICAL HOLE 19 6 0 . 11 3/4 ELECTRICAL HOLE SIDE CUT-OUT 1 314 11 34 16 SIH 3213/1 1 3/4 SIDE CUT-OUT -23BOTTOM W1 K� BOTTOM D � . LEFT SIDE FRONT RIGHT SIDE 'AEW VIEW VIEW WASAW GM590453BXA GMS90703BXA 171h" 16" 12%" 12%" GM590904CXA 21" 191h" 16%" 14%" GM591155DXA 241h" 23" 20%" 18%" NOTES: 1. Installer must supply one or two PVC pipes: one for combustion air (optional) and one for the flue outlet (required). Vent pipe must be either 2" or 3" in diamete; depending upon furnace input, number of elbows, length of run and installation (1 or 2 pipes). The optional Combustion Air Pipe is dependent on installation/code requirements and must be 2" or 3" diameter PVC. 2. Line voltage wiring can enter through the right or left side of the furnace. Low voltage wiring can enter through the right or left side of furnace. 3. Conversion kits for high altitude natural gas operation are available. Contact your Goodman distributor or dealer for details. 4. Installer must supply following gas line fittings, according to which entrance is used. - Left —Two 90Q elbows, one. dose nipple, straight pipe Right --Straight pipe to reach gas valve Minimum Clearances to Combustible Materials .ly Al>5 IS yea .r�eu vi9r _ �p4p ry�^.�,at Nil a '& �( y� WS` �4.9?�.. L. V0�[IF 3:• � � 3`' ! 9Gt 1rL`Ptl f •w �t(/•il`�(��" 'i. TaJ�yf Tr� y�.Y N}��e �9Fq U flow 0" 0" 3" C 0" 1" Horizontal 6" 0" 3" C 0" 4" C = If placed on combustible floor; the floor MUST be wood ONLY. NOTES: • For servicing or cleaning, a 36" front clearance is recommended. • Unit connections (electrical, flue and drain) may necessitate greater clearances than the minimum clearances listed below. • In all "cases, accessibility clearance must take precedence over clearances from the enclosure where accessibility clearances are greater. 4 r, PRODUCT SPECIFICATIONS GCS9 Dimensions LEFT SIDE FRONT RIGHT SIDE NEW VIEW VIEW 3/1 19 SIB--� 1 R PIPE AIR) �M C%� I 21 PVC .(RETURN 8CONDE 2 r , r LOW DRAINNSATE TRAP VOLTAGE 1 1 314 w/ 31C PVC ELECTRICAL HOLE LOW VOLTAGE HECRtIGII HOLE DISCHARGE (RIGHT OR HIGH VOLTAGE LEFT SIDE) CTRICAL HOLE6EUE LJ ALTERNATE VENT EJ 2 5/18 28 8 61/S TION HIGHVOLTAGE ELECTRICAL HOLE 211N8 ALTEReATE 1978 AIRINTAKELOCATION DRAM) + 25/B IXiNN TRAP 2 S'&r.l 1813/1PLRIGHt LEFT SIDE R 1512 T SIDE DRAIN L1NE_/- Q } I 1� DRAIN LINE HOLESLI HOLES /�/ 71 t2 J 2 9,N 11 T3/8•+IALTERNATE GAS STIWDARD GAS ♦1/e 91 a O 93/{ SUPPLY HOLE HCL513 IfSUPPLY rE�I I {�D� - FEE UNFI I �JDI\SCFIARG/LE, FOLDED ANGES V FWD E FOLDED F.ANGES DISCHARGEAIR 6 e ter: L . yav1 1 �� '..'N C , GC590453BXA 171h" 16" 123/s" 141h" 16" GCS90703BXA 171h" 16" 12s/s" 14/h" 16" GCS90904CXA 21" 1911" 16%" 18" 191h" GCS91155DXA 241" 23" 205/s" 2114" 23" NOTES: 1. Installer must supply one or two PVC pipes: one for combustion air (optional) and one for the flue outlet (required). Vent pipe must be either 2" or 3' in diameter, depending upon furnace input, number of elbows, length of run and installation (1 or 2 pipes). The optional Combustion Air Pipe is dependent on installation/code requirements and must be 2' or 3' diameter PVC. 2. Line voltage wiring can enter through the right or left side of the furnace. Low voltage wiring can enter through the right or left side of furnace. 3. Conversion kits for high aldmde natural gas operation are available. Contact your Goodman distributor or dealer for details. 4. Installer must supply following gas line fittings, according to which entrance is used: Left —Two 909 elbows, one dose nipple, straight pipe Right —Straight pipe to reach gas valve Minimum Clearances to Combustible Materials PyoAli n -de . ar v �, ^'� � .sp°nt# ' z � s? Bottom k' u w Downflow 0" 0" 1" NC 0" 1" Horizontal 6" 0" 1" C 0" 4" C = Combustible: If placed on combustible floor. the floor MUST be wood ONLY. NC = Non -Combustible: A combustible floor subbase must be used for installation on combustible flooring NOTES: • For servicing or cleaning, a 36" front clearance is recommended. • Unit connections (electrical, flue and drain) may necessitate greater clearances than the minimum clearances listed below. • In all cases, accessibility clearance must take precedence over clearances from the enclosure where accessibility clearances are greater. 5 • PRODUCT SPECIFICATIONS Blower Performance Specifications n V z ". al tafichles#far, 7ies1n(�terd of Yti Fr 3 F i •r � _ PO MV' - i'-.. n? 0M` 3.0 1,352 ------ 1,318 IifSE' AI `JRISF. Li1V1 RISE+.�CFNI' OFAe MEa+ix.. HIGH ------ 1,260 G_S90453BXA MED 2.5 1,214 ------ 1,172 ...... 1,123 1,064 - -- - 38,4 (LOW) MED-LO "' 2.0 997 --•-•- 994 -•---- 960 35 923 36 LOW 1.5 757 44 753 44 734 45 704 47620i« #3B;; HIGH 3.0 1,449 36 1,409 37 1,326 39 1,273 41 94 i,S6 �3Dd$ G_S90703BXA MED 2.5 1,192 43 1,172 44 1,141 .45 1,094 47 (MED-HI) NED-LO 2.0 981 53 962 54 943 55 917 56830�, g i' LOW 1 1.5 750 1 -----• 1 730 --•--- 1 714 1 ------ 692 ------ HIGH 4.0 1,970 ------ 1,874 35 1,757 38 1,667 40 ;131 �133?IZ; G_S90904CXA MED 3.5 1,713 39 1,650 40 1,572 42 1,510 44�3 (MED-LO) NED-LO 3.0 1,439 46 1,412 47 1,370 48 1,327 50 y 66` *I378 ?b9561 LOW 2.5 1,183 56 1,155 57 1,122 59 1,108 60 -IIGH 5.0 2,134 40 2,103 40 . 2,029 42 1,941 44 5 8 r`733 S ,675' G_591755DXA MED 4.0 1,678 51 1,643 52 1,643 52 1,577 54 8 �` � 9-1 (MED-HI) MED-LO 3.5 1,453 58 1,440 59 1,426 59 1,363 62 1a 9 9 3 1 20Sr LOW 3.0 11,2591 67 1 239 68 1 220 70 1 181 -- i$2 1¢5 NOTES: 1. CFM in chart is without filter(s). Filters do not ship with this furnace, but must be provided by the installer If the furnace requires two returns, this chart assumes both filters are installed 2. All furnaces ship as high speed cooling. Installer must adjust blowercooling speed as needed. 3. For most jobs, about 400 CFM per ton when cooling is desirable. 4. INSTALLATION :S TO BE ADJUSTED TO OBTAIN TEMPERATURE RISE WITHIN THE RANGE SPECIFIED ON THE RATING PLATE. 5. The chart is for information only. For satisfactory operation, external static pressure must not exceed value shown on the rating plate. The shaded area indicates ranges in excess of maximum static pressure allowed when heating. 6. The dashed ( ---- ) areas indicate a temperature rise not recommended for this model 7. The above chart is for U.S. furnaces installed at 0' - 2,000'. At higher altitudes, a properly de -rated unit will have approximately the same temperature rise at a particular CFM, while ESP at the CFM will be lower. 'I 6 Accessories LPT-OOA p.SLP�pon'' M� L.P. Conversion Kit 1Y5 g?GS91i7 ✓'� 3 — ^" 3Cg'C)Fi q O,-,�39 +C 9r2DX LPLPOt L.P. Gas Low Pressure Kit ✓ ✓ ✓ HANG11 HANG12 HALP10 HAPS27 EFROt High Altitude Natural Gas Kit High Altitude Natural Gas Kit High Altitude L.P. Gas Kit High Altitude Pressure Switch Kit External Filter Rack 1 2 3 3 1 2 3 3 1 2 3 3 1 2 3 3 DCVK-20 Horizontal/Vertical Concentric Vent Kit (2") ✓ ✓ DCVK-30 Horizontal/Vertical Concentric Vent Kit (3") ✓ Available fnr rbie . , 4.1 ✓ (1) 7,001'to 9,000' (2) 9,001'to 11,000, (3) 7,001' to 11,000' Note: All installations above 7,000' require a pressure switch change. For installation in Canada, furnaces are certified only to 4,500'. Downflow Floor Base: When the GCS9 model is installed directly on a wood floor, a downflow floor base must be used Those model numbers are: CF1317, CFB21 andCFB24. Thermostats CHT18-60 CH70TG CHSATG H20TWR Cooling/Heating, Mechanical Cooling/Heating, Digital, Non -programmable Cooling/Heating, Mechanical Heating Only, Mechanical 7 At CALL US DIRECT AT: Delivery (508) 477-5868 C O N T R A C T O R D I V I S 10 N Sales (508) 477-6575 CONTRACTOR DIVISION Bowdoin Road, Mashpee, MA 02649 Mailing Address: P.O. Box V, Osterville, MA 02655 CALL US DIRECT AT: Toll Free (800) 834-3132 FAX (508) 477-4279 SOLD TO: LAUNIE GROUP LTD ACCT-PRJ: 13297-000 13 HEATHER DRIVE INVOICE #: 031OM42859 MILTON, MA 02186 DATE: 10/30/03 TIME: 09:42:28 SHIP TO: MILL POND VILLAGE SALES ID: NAOMI Y. OSPREY BUILDING DELIVERY: 11/28/03 FRAMING LUMBER ROUTE: [MOTE PH#617-698-9383 1009-24 PAGE 1 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELLO SIGNS ITEM OTY U/M DESCRIPTION U-PRC PER NET AMT QUOTE ID: OSPREY BCI EXPIRATION DATE - 11/28/03 PURCHASER: CORRMICAN, BRIAN ALL SPL X FRAMING LUMBER IS BASED ON DIRECT SHIPMENT TO SITE DELIVERY TRUCK. MUST HAVE ACCESS TO SITE OR ADDITIONAL CHARGES WILL APPLY " **MODULE A.1ST FLR - 10/30/03** SPL 829 EACH BC45012 1-3/411-7/8 1.860 EACH 1525.20 33/20' 5/18' 4/16' 2/3' LVL11 106 LNFT 1 3/4"X 11 7/8" LAMINATED REAM 3.367 LNFT 356.90 4-20',2-10,11-6' SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SOLD 20' LENGTHS ONLY SHGUS410 2 EACH SIMPS DBL FACE M14T HNGR 9 1/2" 23.530 EACH 47.06 15/CTH SIUT11 14 EACH 1 3/4 X 11 7/8 FACE MOUNT W4G 2.010 EACH 28.14 **MODULE A.1ST FLR TOTAL $2176.50** **MODULE B.2ND FLR - 10/30/03** SPL 804 EACH BC45012 1-3/4X11-7/8 1.860 EACH 1495.44 33/201 9/161 - LVL11 98 LNFT 1 3/4"X 11 7/8" LAMINATED BEAM 3.367 LNFT 329.97 4-20t,2-97 SPL 80 EACH VLRIMI2 1-1/16X11-7/8 2.740 EACH 219.20 SHGUS410 2 EACH SIMPS DBL FACE MNT HNGR 9 1/2" 23.530 EACH 47.06 15/CTN SIUT11 7 EACH 1 3/4 X 11 7/8 FACE MOUNT HANG 2.010 EACH 14.07 Fax us your orders 24 hours a day .r US DIRECT AT: .-ANery (508) 477-5868 Sales (508) 477-6575 _ iiA6 CONTRACTOR DIVISION CONTRACTOR DIVISION Bowdoin Road, Mashpee, MA 02649 Mailing Address: P.O. Box V, Osterville, MA 02655 SOLD TO: LAUNIE GROUP, LTD 13 HEATHER DRIVE MILTON, MA 02186 SHIP TO: MILL POND VILLAGE OSPREY BUILDING FRAMING LUMBER P1*617-698-9383 CALL US DIRECT AT: Toll Free (800) 834-3132 FAX (508) 477-4279 ACCT-PRJ: 13297-000 INVOICE #: 031009242859 DATE. 10/30/03 TIME: 09:42:28 SALES ID: NAOMI K DELIVERY: 11/28/03 ROUTE: QUOTE 1000-24 PAGE 2 RTE 3 NORTH - TO EXIT 13 - RIGHT OFF EXIT - AT LIGHTS TAKE RIGHT ONTO RTE 123 - FOLLOW TO RTE 3A - TAKE A LEFT ONTO RTE 3A - JOB SITE IS ON RIGHT - LOOK FOR BOTELLO SIGNS ITEM OTY U/M DESCRIPTION U-PRC PER NET AMT SMIT411.88 1 EACH 3 9/16"X 11 7/8"TOP MOUNT W40 3.530 EACH **MODULE B.2ND FLR TOTAL $2109.27** 3.53. SUB TOTAL 4285.77 MA 5.000% SALES TAX 214.29 TOTAL. 4500.06 Fax us your orders 24 hours a day First Floor ,7. V-V r �.u.e CticldJOrA011:N N.1 PA..Oe1K .................. ..................................... nvt FIM Mnit Qty Monuraamsr Nodudl Ioe.mipson Ht s anv.�enwns.. xsus+w sys�►ar��v-iee n�. xe.s ra Im 1sewn►.. Mrn t-aM�n-inwt�ecro rya r.uM 81 121 all REVI1001,18: IM t 11 rTeC1Ies, F i ,roceM e O Second rej r=j rrj r � r r' L AI.1 Second Floor Framing Plan$ Second Floor Accessory Schedule MeA Mom,leouner Product Dsesdplcn m r aM..n IN sn. H Ml Bm,aW4%14 eFMM W / efN„e rbmpllr eiR MII 1- xmra"leeaNr. FRAMERe1002 M 1 1M In0. MR/IIA1 riRrIL111 BCMT fYnpr : 11C-NIP DATE: 101.1OMO BM R"Lone FILE LNHe.MB DPBHA4 2d3 EEt: 213 Flea Framing Schedule • IkldneEied Mask La1,pU is UM e..w d,r. toIla]oDf e:l]I1A IMe oNs: 1AJW]Wf e:u AM 31ON& In 1 1. I�✓ ,Il�il 0 YW YM.a.M Wa eawwrrsr /Y o e��YJWeY.� n1.t4 YY.Cs.vM.lY ladtent00c IOq MMAM p ONe: IN]0/100'J M AM Onew xeM ple"ilrrYenwY*M Yad �C M eYq,pm.; "• .-__ .. /Y BC CALCS 2003 I5t'916 WAMI. 1;_ ;US. Thursday, October 30, 2003 08:1, Single 11 7/8" BCIS 450s Sp File Name: Tutorial Proto-2: Floor W 14 Job Name: Mill Pond -Osprey Bldg. Description: Address: 1600 Falmouth Rd. Unit 25 Specifier. Rick Lowe City, State, Zip: Centerville, Ma. Designer. Customer. Launie CompaM ,Botellmhuwl akc. Code reports: NER 594, ICBO 5208 BO, 3-12- 61, 3 12" 387 lbs LL 387 lbs LL 97 lbs DL 97 lbs DL General Data Version: US Imperial Member Type: Joist Number of Spans: 1 Left Cantilever. No Right Cantilever. No Slope: 0112 OC Spacing: 12" Repetitive: Yes Construction Type: Glued Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCI®, BC RIM BOARDD1, BC OSB RIM BOARDTM, BOISE GLULAMTM, VERSA-LAhW. VERSA -RIM®, VERSA -RIM PLUS®, VERSASTRANDTM, VERSA -STUD®, ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. Total Horizontal Length-19-04-00 Loao bummary ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf. Area Left 00-00-00 19-04-00 Live 40 psf 12" 100% Dead t0 psf 12" 90% Controls Summary Control Type Value %Allowable Duratlom.,. Load Case Span Location Moment 2335 ft4bs 562% 100 - 2 1 - Internal Neg. Moment 0 ft4bs We!. 100% End Reaction 483 lbs 33.3% 100% 2 1 -Left Total Load Defl. 1_/519 (0.447") 46.2% 2 1 Live Load Deft. 1-/649 (0.357-) 73.9% 2 1 Max Dell. 0.447" 44.7% 2 1 Span / Depth 19.5 n/a 1 Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets User specified N480) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 3-12". Minimum bearing length for 81 is 3-12". Entered/Displayed Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing OSPi c� Single 11 7/8'1 BCI® 450s Sp Job Name: Mill Pond -Osprey Bldg. Address: 1600 Falmouth Rd. Unit 25 City, State, Zip: Centerville, Ma. Customer. Launie Code reports: NER 5g4, ICBO 5208 General Data Version: US Imperial Member Type: Joist Number of Spans: 1 Left Cantilever. No Right Cantilever. No Slope: Ott OC Spacing: 12- Repetitive: Yes Construction Type: Glued Live Load: 40 Pat, Dead Load: 10 psf Partition Load: 0 psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation Of BOISE engineered wood Products must be in accordance With the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if You have any questions, please call (800)232-0788 before beginning Product installation. BC CALC®, BC FRAMERS, BCI®, SC RIM BOARDTM, BC OSS RIM BOARDTmBOISEGLULAM'v, VERSA -LAMB, VERSA RIM®, VERSA -RIM PLUS®, VERSASTRAND,=, VERSA -STUDS, ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. ,age 1 of 1 BC CALC® 2003 DESIGN REPORT - US Thursday, October 30, 2003 o8:1 File Name: Tutorial Proto -2: Floor 2U 20 Description: — SPeafler. Rick Lowe Designer. Company: Botello Lumber Co. Inc. Misc: Total Horizontal Load Summary ID Description Load Type S Standard Load Unf. Area Controls Summary Control Type Value Moment Neg. Moment 2335 ft-lbs 0 fl-Ibs End Reaction 483 Ibs Total Load Defl. L1519 (0.447") Live Load Defl. Max Deft. L/649 (0.357-) Span / Depth - 0.447• 19.5 -19-04-00 Bt, 1-3/4- 387 Ibs LL 97 Ibs DL Ref. Start Left 00-00.00 End Type 19-04-00 Lie Value OCS Dur. Dead 40 psf 10 Psf 12" 100% 12• 90% % Allowable Duration 562% Load Case Span Location n/a 1000A 100% 2 1 - Internal 40.3% 100% 2 462% 1 -Left 73.9% 2 1 44.7% n/a 2 1 Notes ' 1 Design meets Code minimum (L240) Total load deflection criteria. Design meets User specified (U480) Live load deflection criteria. Design meets arbitrary (1-) Ma:dmum load deflection criteria. Minimum bearing length for B0 is 1-3/4•. Minimum bearing length for B1 is 1-3/4-. Emered/DisPlayed Horizontal Span Length(s) = Clear Span + 12 min. end bearing + 12 intermediate bearing MAScheck COMPLIANCE REPORT Massachusetts Energy code MAscheck software version 2.01 Release 2 CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Famliy, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-26-2004 DATE OF PLANS: 04/21/04 TITLE: The osprey 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 = 288 Your Home = 158 Permit # checked by/Date Area or cavity Cont. Glazing/Door Perimeter R-Value R-value U-Value UA ------------------------------------------------------------------------------- CEILINGS 740 30.0 30.0 13 WALLS: wood Frame, 16" O.C. 1700 15.0 15.0 75 GLAZING: Windows or Doors 101 0.340 34 GLAZING: Windows or Doors 40 0.340 14 DOORS 40 0.086 3 FLOORS: over Unconditioned Space 740 19.0 19.0 19 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the -permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the code. The HvAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310zad J4.4. Builder/Design e��L/ `� U Date Massachusetts Energy code MAScheck software version 2.01 Release 2 The Osprey DATE: 4-26-2004 Bldg.l Dept.l use I CEILINGS: [ ] I 1. R-30 + R-30 Comments/Location I WALLS: [ ] I 1. wood Frame, 16" O.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. U-value: 0.34 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: C ] I 1. U-value: 0.086 Comments/Location I FLOORS: [ ] I 1. Over unconditioned space, R-19 Comments/Location AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. when I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type Ic rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. I 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 I conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment I st be provided. Insulation R-values and glazing U-values must stbeuclearly I marked on the building plans or specifications. DUCT INSULATION: C 7 i Ducts shall be insulated per Table J4.4.7.1. I 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. I I TEMPERATURE CONTROLS: C ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: C 7 I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in sections 780CMR 1310 and )4.4. SWIMMING POOLS: 7 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. HVAC PIPING INSULATION: C 7 I HVAC piping conveying fluids above I below 55 F must be insulated to the HEATING SYSTEMS: I Low pressure/temp. TEMP (F) 201-250 I Low temperature 120-200 I Steam condensate COOLING SYSTEMS: any I Chilled water or 40-55 I refrigerant I below 40 120 F or chilled fluids following levels (in.): PIPE SIZES (in.) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: C ] I Insulate circulating hot water pipes to the following levels (in.): I I PIPE SIZES (in.) I HEATED WATER TEMP NON -CIRCULATING I (F): RUNOUTS 0-1" CIRCULATING MAINS & RUNOUTS I 170-180 I 0.5 0-1.25" 1.5-2.0" 2.0+" I 140-160 I 0.5 1.0 1.5 2.0 I 100-130 I 0.5 0.5 1.0 1.5 1 I 0.5 0.5 1.0 0 '-- =NOTES TO FIELD (Building Department Use Only) ------------------------- MILL POND VILLAGE CONDOMINIUM CAMP STREET, YARMOUTH, MASSACHUSETTS PURCHASE AND SALE AGREEMENT UNIT 129 OSPREY PART A: References: [Affordable Unit] The following terms which are capitalized and marked in quotations in this Part A shall have the meanings set forth below wherever such terms are used in Part B hereof, and this Agreement shall consist of both Parts A and B and all exhibits hereto: A. The "Date of this Agreement" is November , 2004. B. The "SELLER" is: Villages at Camp Street, LLC, a Massachusetts limited liability company, with an address of 1600 Falmouth Road, Suite 25, Centerville, MA 02632, or its successors and assigns. C. The 'BUYER" is: Donna Maurice of 24 Fillmore Road, West Yarmouth, MA 02673 D. Notice. Any and all notices or other communications required or permitted by this Agreement to be served on or given to any party hereto by any other party hereto shall be in writing and shall be deemed duly served and given when personally delivered to the party to whom it is directed, or in lieu of personal service, three (3) days after deposit in the United States Mail, first class and postage prepaid, or one day after deposit with a reputable overnight courier, addressed to the BUYER and SELLER at their respective addresses as listed above. E. The "Unit" to be conveyed hereby is: Unit #129 OSPREY, as such is further shown on the plans attached hereto as Exhibit A, which plans include a unit floor plan (Exhibit A-1) and a Designated Use Easement Area showing the Unit's Maintenance Easement Area and Exclusive Use Easement Area (Exhibit A-2). F. The "Percentage Interest" in the Common Areas referred to in paragraph 2 of this Agreement will be determined upon the completion of the phasing in of the Phase of the Condominium containing said Unit and will be so determined in accordance with the provisions of the Master Deed described herein. See also paragraph 27 of this Agreement. t/ k G. The "Purchase Price" referred to in this Agreement is: One Hundred Twenty -Six Thousand and 00/100 Dollars ($126,000.00), which is calculated as follows: $126,000.00 (base price) + $ 0 (options and upgrades further described in paragraph I of this Agreement) PURCHASE PRICE: = $126,000.00 of which: $ have been paid as a deposit as of this day, $ have been paid previously, and $ are to be paid at commencement of Unit construction $ are to be paid at the time of the delivery of the deed in cash, or by certified, cashiers, treasurer's or bank checks. $126,000.00 TOTAL DUE H. The "Time for Performance" shall be at a.m. on the day of , at the place referred to in paragraph 7 of this Agreement. I. Options and Upgrades. The following items will be included in or eliminated from the Unit to be delivered hereunder and the costs or credits thereof are included in the purchase price set forth in paragraph G hereof- J. Commission. A commission fee for professional services specified in this paragraph is due from SELLER to Housing Assistance Corporation,(HAC) but only if, as and when the SELLER receives the full purchase price pursuant to this Agreement and the BUYER accepts and records the SELLER'S deed and not otherwise. Commission Due: 1.835% of Purchase -2- GSDOCS-1282281.1 C!� TOWN-OF-YARMOUTH ij !!,. 3V l i 0T2 0 2005 ,J Building _ A1: Locai!on DTI-2�' New a Renovation O Plans Submitted Yes,_., No 1* APPLICATION FOR PERMIT TO DO GASFITTING (OWCE USE ONLY) Fee: PERMIT NO.. Dit NamerAAA4aAr,Lkge S Type of Occupancy-Z.:0-�A Replacement C3 U! iA >GCC Z I W ut f6? m 2 I W O W� l ¢ z O t5 k 3 O 0 .J 0 SUB•BSMT. BASEMENT tST FLOOR 2ND FLOOR 3RD FLOOR iPRINI OR TYPE) Check One: Installing Company Name3 Corp. Address ..__�.�__..G_19..—��—-._-_-- _ ___— ;_� Partnership _ _ ..�___—_--•--...—___--- _� Business TelephoneQ-71-Z-._--.. w Name of Licensed Plumber of r INSURANCE COVERAGE: Check One I have a current +,abildy insurance po!icy or its substantial equivalent. Yes ETOOONo (� If you nave checheC yes, please indicare t e type of coverage by checking the appropnere box A uab,lity insurance policy Other type of indemnity F1 Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of Me Mas_•. General Laws, and that my signature on this permit application waives this requirement. ___.__... .._ .._._..._..._.----- ---.___------__....____.__. Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information i have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Check One: Owner C7 Agent l7 Signature a Licensed Plumber or Gast!tter 2-1-5 145 license Number rvoa r rr-crucc.