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HomeMy WebLinkAbout121 Camp St #130 Building Permits' EXISTING FOUNDATION �1 L=1 130 LOT 129 A �0. EXISni FOUNDAI. EXISTING FOUNDATION ti -bip�/ LOT 13111 Ap I CERTIFY THAT THE FOUNDATION IS LOCATED IN FLOOD PLAIN ZONE C AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 250015 0005D AND THAT FLOOD PLAIN ZONE C IS NOT A SPECIAL FLOOD HAZARD AREA. Z ATE REGISTERE PRO ESSIONAL LAND SURVEYOR NOTICE 20 Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other public officials, may rely upon the Information contained herein; and (8) this plan remains the property of Holmes & McGrath. Inc. I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE 40B SPECIAL PERMIT. / 7 2S 0C DATE REGISTERED PROFESSIONAL LAND ]SURVEYOR GRAPHIC SCALE 10 0 20 60 ( IN FEET ) 1 inch = 20 ft. AS —BUILT PLAN holmes and mcgrath, inc. OF OF LOT 130 civil engineers and land surveyors �I" o�' MICHAEL �y PREPARED FOR 362 gifford street D. MILL POND VILLAGE McGRATH N IN falmouth, ma. 02540 a No.23978 oQ YARMOUTH, MA JOB N0: 201197 DRAWN: LMC �ss�9£6/STERE� o 4 SCALE: 1 "=20' DATE: 7-25-05 DWG. NO.: A2517A CHECKED: or -' TOWN OF 500Z 15�� 11N APPLICATION FOR PERMIT TO 00 GASFITTING _ (OFFICE USE ONLY) By.--_ Fee: $--- - "-�---- —! PERMIT NO.a_ Ob.- 416--`�— I Date Building Owner's —17 -- - AT: Location_.••) � _� �i�, � Name-L�ri�tC„�T� Type of Occupancy. '[L� e New Q' Renovation 0 Replacement Cl Plans Submitted Yes NoIR (PRINT OR TYPE) Installing Company Name V4- Address Check One: CJ Corp. 0 Partnership _ c1 RT Firm/Company---_ __--.•_._...__�----• Business Telephone Name of Licensed Plumber or lwhoer __� Q _� �L 1-- jC-7- INSURANCE COVERAGE: Check One I have a current Iiabtlity insurance policy or its substantial equivalent. Yes 0No ❑ If you have checked yes, please indicate a type of coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity 0 Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass, General Laws, and that my signature on this permit application waives this requirement. Check One: ------- ----- —•-- _ . Owner ❑ Agent 0 Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted Signature o Licensed (or entered) In above application are true and accurate to the best of Plumber or Gasfftter my knowledge and that all plumbing work and Installations performed 2 s under Permit Issued for this application will be In compliance with all — ----- pertinent provisions of the Massachusetts State Plumbing Code and License Number •• TVDC I IPCMCC• TOWN OF YARMOUTH Building Department BUILDING - - - - - - - - - - (508) 398-2231 ext.261 PERMIT NO B-05.,52E_ ._ PERMIT ISSUE DATE 6/27/2005 _ : PROPOSED USE e...� ---- --------------- APPLICANT 'Frank Capra_ - _ _ JOB WEATHER CARD PERMIT TO ' New Construction ' AT (LOCATION) 100121CAMP ST Unit 130 ZONING DISTRIC R-25 SUBDIVISION MAP LOT BLOCK 044.21.1.C730 BUILDING IS TO BE: CONST LOT SIZE Bldg. Type: Residential new construction: 2 baths, 3 bedrooms, 1 greatroom, 1 kitchen as per plans dated 06/07/05. REMARKS AREA (SO FT) EST COST ($ $141,600.00 OWNER I Villages @ Camp St., LLC ADDRESS 1600 Falmouth Road # 25 Centerville I MA 102632 Certificate Issue Date PERMIT FEE ($) $516.00 DEPT BY USE GROUP CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks / Jim NMI, _iTROMIMP - - PIMM ff M To be filled in by each division indicated hereon upon completion of its final inspection. op TOWN OF YARMOUTH Building Department BUILDING or (` 8) 398-2231 ext.261 ►- PERMIT NO B-05- - - - - - OSED USE PERMIT -- �e ISSUE DATE ;_ 6/27/2005 _ , APPLICANT _Frankcapra_ _ : _ _ _ _ _ _ _ _ _ -: JOB WEATHER CARD PERMIT TO ; New Construction ' AT (LOCATION) 100121CAMP ST Unit 130 1 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C730 BUILDING IS TO BE: CONST TYPE 5-A USE GROUP R-4 LOT SIZE new construction: 2 baths, 3 bedrooms, 1 greatroom, 1 kitchen as per plans dated 06/07/05. REMARKS AREA (SO FT) EST COST ($ $141,600.00 PERMIT FEE ($) 1$516.00 OWNER I Villages ® Camp St., LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road # 25 Centerville I MA 102632 INSPECTION RECORD CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Note Progress - Corrections and Remarks Inspector �Date J O !/ r4 .S UNE & 1 WU FAMILY UNLY t3U1LUINLi F t:KMI 1 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING �i• p y Town of Yarmouth Building Department .' . H MATT KMCCS 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508)_398-0836 Y'�-�'�> _ �-�Office'llse�0 y�.� s,�. Iarlritng'�o�rd�mtormaUon'.. Assessors'D�epadcpent;trrfoumahon�J��:�t� �-Y�� � �, ,�: tai i ' �.,{ • �a9 S x.3 x>r'I-[ ,4�^ y i rt ,^"bs n ��P.�Pitlli4¢tY y,di „' � iJ�s�S*.k 5� i �{�,£sX'C `�k i i :.z-;`t's„ r. I. .A �-M -��° t ynfi�"'1r. k� -N3 'i �.sa'�k�n'4k .r^•+y fi aL: �6 'M1'L.a:in. N .a'"F -�. ��1"i..P� Ml n; �ErdpeRyrOftnenstotts��,:�,� ! tY ♦n''+iP�' —,,y hwk-, roF qw x..h.'I ff `+5 7F? ,,,l.�i'tjsNc{J.'� r �➢•�' =�i.-ak'+�aG s. .v u x-sF-S ;NOyF Ys F -� *1 ^,,..r w s Syr �rJL�c�%Laf.Y �'°�`. 44 v+�Sa..s.�.. M:��:i wF+�. n:.: �.. � •,.il k.«� :.. •�.as:,,.i .^s�.,az _ __� - .s-��s:.« .� <tw'�':�. (�'�'+L�rras.==,a. - 'h ! .« 3i s� .r K'.G^"fi £:ii�{.' e+w i n n .,.,,,�i..sta� tOf4'Dfr^t�',t�S..,"k?'. -tli m.N'r! r w tF �'." N++ t � 'TX� M a�'F/x' � wx .wS. S±u >•: S J'c�':G.. r,.t c-Bt't��.�e'�.,�Y .. "n,�jgy ' Y. A S „_II•! d .a4ff'�� _ _.Y+`.3 Y.. .u.V _ ^�5.1..'4<,.eW"v. � J¢'. Y r °...M'E 4f: cUoil 'i" ' f3�rrrtfoTti Use Group: R 4 Type: 5 B 1.1 Property Address: 1.2 Zoning Information: L.o -#j 3 6 Zoning District Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water SuPPIY (M.G.L c. 40. S 54) klood�Zone.rraforrr�3H ° m Public PrivatepR 5�cfion '`�� apett�;d�nners`,P7A'cth"bxr�'d'Age�t 2.1\1ttOvin � /LG AOv R t^Reeco- � \I l` "IJ�s � LL N me(print} Mailing Address CQ4- of (�/1 OZ /U I 11 c6-v.,. 2d�1 GZi��� - �/ 1 Signature Telephone 2 2 utho /� 1 rizeq Agent:14 C I�X� 0 �� J 0 � Name nnt) Mailing Address _ 6 Signature Telephone 3.1 Licensed ConstructionSupervisor Not Applicable ❑ nL License Number Io✓� BYFPT O �� O Address �r '!,r 7 ����� p' r� Expiration Date Si nature Telephone t J arnirrljrs�v�entCc?fa rac a �' l TRec lsterecl Company Name I ' Not Applicable MlAY 2005 _ License Number i Address - E:J;_..1;V3 cr-T. I = j Expiration Date Signature Telephone !m 9 - 15 - 99 1 of 2 OVER c#(fl V Or{S87& '%4rr1)3Bt1Sd tDFE<, nsurAfic t, f td�Ylt,(Ni'G >* 7:5i�s 2�t fi ` ' * •t , Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial f the issuance of the building permit. Signed Affidavit Attached Yes ........:. No .......... Se��a��Descrlpfror'i�`Fro�used��trt< �c�'ec��tl �pplicaE�e�: New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: �arctio�6���stmatedConstnicton �tosts';, 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. gQ 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) / 7. Total Square Ft. (new houses S addtions) Seetibt is ©vmdt UtCaomatio�T-Masbe1G-orri Vwrie�}`1 ent�r,Cclntractox�A _ ttes�cir��t�itdtng)?ermit..�: teted Where ` I,(All, �f— ,/as owner of the subject property `-0 hereby authorize �"� Y f� -e S u'~+� 4 �^ to act on m behr , in all matters elative to work authorized by this building permit ppfidation,./ CL 03 Signature of Owner Date Section fib_. ,Uwuel'Zt�utij>}riz�d Agent'Deciarattoii�' I, ,. as Qwner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. [A/ Print name Signal& of er/Agent Date �1 u r 9-15-99 2 of 2 k The Commonwealth of Afassachusetts Department of Industrial Accidents ofllesollaresgoa fits 600 Washington Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit cits I am a homeowner pertorming all work myself. C] [,am a sole proprietor tad ha%a no one working in any' capacity 1 am -an employer pro%iding workers' compensation for my employees working on this job. an. na address: city- ohnn� N insurance co. nolicv N am^a sole proprietor. general contractor, or homeowner (circle onei and have hired the contmemm Iictrri hpin, .i hn i,,, . insurance co. . policy N comnnny name: address- city ohnn e insurance eo. - peRev It • Failure to sceure coverage as required underSection 25A of MGL 152 eta teed to the iaapatition of aimiaal penalties of A time up to S1.SD0 00 ndfor one years' imprisonment as well as civil penaidei iti the form of a STOP WORK ORDER and a Bne 4S100.00 a day against me. I naderstand'tbat it copy of this statement may be forwarded to the Office of Investigations of the DU for_eoverage veriftesdoa. I do -hereby cert nder th ains and/pf(/ ties ojperjury that the information provided above is true and correct Signature_ /^=%v C�t��._. —Date Print name IC—C'a111 � --N111- official use only do not %rite in this area to be completed by city or town.olBeial city or town: YARMOUTH rmiNlcease p !x riBuilding Department Q check if immediate response is required C3Ueensiog Board 261 OSelectmen's Office. contact person: ❑Health Department phone p: _508 �) 398�2231 eat. riother k PLEASE PRI1VT.- Job Location: _ YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Owner of Property: Construction Supervisor: Address: Jp Street Village -_A-:--C4LnFSDI. LL G PrA,Name License No_ Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures onlypursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. . 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.t 52 Yes 211� No ❑ If you have checked M, please indicate the type coverage by checking the appropriate box. A liability insurance policy � 710� Other type of indemnity ❑ Bond OWNER'S.INSURAN E WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter t f t ass. era aws, and that my signature on this permit application waives this requirement. ` Chec one: Signature of Owner or Owner's Agent Owner43,. Agent Signature: Building Official Approval: P � • 1 �' �� f/u Zoomz�iwmwea�!% o�.;/�2faaaaa%uraelk- ' r BOARD OF. BUILDING- REGULATIONS <; License,. GONSTRUGTIflt[3UPERViSOR. Numbe� 012430 '" _- •`� Birti"i�te=,rtlb'€€5�t94Q E uEes �06 6i20Q6. Tr. na 25926 sr. Resa�v 40-CflPPER I N' tip CENTERVILLE, MAC y- Commissioner _ 00 - 35MG cf. enclosed.space (MGL CA1ZS.60L)Y IA- Masonry_otily, !- 1G;r4&ZFamiyHomes Failure:)0possess atviient:edition of the I : Massa6tiosetts`State8uilding.Code, . } is-cause:fonfevocatiortdthirocense. i .:r DIG SAFE.CALL.CENTER: -(888) 344-7233 05.105/2005 1C 09 50E-760-L667 EASTERN-INS-YARMOUTH PAGE 01 ACORD„ CE TIMCATE OF LIABILITY INSURANCE osjos/200 ' PRODUCER 508-399-6033 Eastern Insurance Gr 1.Atlantic Ave So Yarmouth MA 02664 FAX SOS-760-1667 up LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS -UPON THE CERTIFICATE - ...HOLDER. THISCERTIFICATEDOESNOTAMEND, EX7ENDOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS -AFFORDING -COVERAGE NAIC-IL. ROWED ape COd Custom 762 Falmouth Rod Hyannis MA 0260 .. Floors . INWRERA: Ar ella. Protection Ins Company INSURER-& Hartfortt INSURER INSURER D'-.... INSURER.& COVERAGE ... THE POLICIES ORINSURANC ANY REQUIREMENT, TERM OF MAY PERTAIN, THE INSURANC POLICIES. AGGREGATE LIMIT LISTED BELOW'HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEfOR THE POLICY PERIOD INDICATED: NOTWITHSTANDIN CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY -RR I.eetrm nrr EE AFFORDED BYTHEPOLTCIES'DESCRIBED HEREIN ISSU67ELTTII-ALL TFIETEIkMS, EXCLUSIONS*ND-CONDYRONS OF suea+ i SHOWN MAY HAVE BEEN REDUCED -BY PAID CLAIM& ... INSq DO' .TYPE OFJNSUR E .... POUGY NUMBER.... .. Y FFECTIVE .... POLICY EXPIRATION - .... LIMITS A GENERAL LIABBITY_. x COMMERCIAL GENE CLMMS MADE LIABILITY X- OCCUR 7S00000313 12/13/200 12/13/2005 _ ... ... . -EACH OCCURRENCE S.. j OQQ 00 DAMAGE TQ RENTED S SO ,Q - MED EXP Wry vN-PMYPv) 1. ' S .00 PERSONAL} ADV INAIRY S 1100010 GENERAL AGGREGAT!- S. 2. 000 00 GEWLAGGREGATELIMIT x POLICY APE° PPLIESPER: F-1 LOC PRODUCTS- COMP/OP AGG S Z .000,00 -- AUTOMOBILE LIABILITY AUTO ALLOWNEDAUTOS _ SCNEDULED AUTOS HIREDAUTOS NON -OWNED AUT09 _ .. .. ... COMBINED SINGLE LIMIT IEP PCMYnt) S_ANY BODILY IN,Mcr (PefperFon) i.. BODILY INNRY (rorEccidanQ S PROPERTYAAMAGE IWricsmdWi - s . - GAWIGELIABILITY ANYAUTO - ... .... AUTOONLY.EAACCIDENT- S - OTHER THAN EAACC AUTOONLYt.. AGG. S... S A BXCE2IIAJMBR2LLAL48 X OCCUR Q C RDEDUCTMU x RETENTION- S AIMSMACE 10, 00 - - 4600029285 ... "- 12/13/2004 12/13/2005 EACNOCCURRENCE Y1000- AGoREGATE:. s. 1,000 OQ S_ . B YVORXERscoMPENS►TIOMA ANYEMP ANY PROVRrETOR/PARTNEWEXI OFFICERMEMBFJiEXCLUQE'p't Ryes, VMll-Ee SER SPECIAL PROVISIONS EMPw _-. UTA/E O&WECXL1Q07- Q5/25/2.004'" -05/25/2001 QS/2S/20QS -05/25/2IIO6. X ' csT^TU- £J..EACIJA ICEKT... S.". 500 00 E.L: DISEASE-. EAEMPLOYE S' SOIl QO l.L�ISENE-DISEASE 5... SIlQ.. OTHER ... DESCRIPTR]NOFOPERATIONSI dence-of Insurance THINS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS " Gatewood Homes � 1600 Falmouth A25 Centerville, b2632- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THe EXPIRATIONDATE JHERED1% THEB9UING INSURER WILL ENDEAVORTO MAIL I� DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUi FAILURE TO MAR SOCKNOTIyE SHALL IMPOSE NOOBLIGATIONORLIABILITY OFANY gIA1UP0IPTR67NSURER: nSACENTS(WREPREBENTATNES'-' ACORD 25 (2001108). FAX: .(S08)778-5603-- CACORD CORPORATION 1988 rNantfi- 1R&AA 9AQAII1*AWr=rn A ORDn CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 10/04/04 PRCOUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. 222 West Main St. PO Box 1990 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED Assurance Construction, Inc. A/O Assurance Excavation, Inc. 550 Willow Street West Yarmouth, MA 02673 INSURER A. -Travelers Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POUCYNUMBER PDATEfOLICY EMFEOCTIVE EMXMIDDTIONrfn LIMITS A GENERAL LIABILITY 16808387A9841ND04 08/01/04 -DATEPOLIC 08/01/05 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX1 OCCUR TO RENTED DAMAGPREMISES IF, �,nencelE S3UD OOO MED EXP (Any one person) $$ 000 PERSONAL &ADV INJURY $1 00O 000 - GENERAL AGGREGATE s2 000 000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG s2000O00 POLICY jEa LOC AUTOMOBILE LIABILITY NYW COMBINED SINGLE LIMIT (Ea accident) $ _ INJURY (Perpmon) $ LO D AUTOSBODILY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANYAUTO S AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ _ AGGREGATE $ OCCUR CLAIMS MADE ' S S DEDUCTIBLE $ RETENTION $ - WORKERS COMPENSATION AND WC STATU- FR EMPLOYERS' LIABILm' E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTNE E.L. DISEASE - EA EMPLOYEE $ OFFICER(MEMBER EXCLUDED? K yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. Gatewood Homes, Inc. Attn: Paula 1600 Falmouth Road, Suite 25 Centerville, MA 02632 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL I_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001/08) 1 of 2 #35866 LS1 o ACORD CORPORATION 1988 a�:d�1:11. CERTIFICATE OF' 1h1SURAIVCE` oTE,M ........: ... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORI BOWLING & 0 NEIL INS AGC HOLDERNDTHISNCERTIFCATEIH UPON THE DOS NOT AM ND,EECXT 222 WEST MAIN STREET ALTER THE PO BOX 1990 COVERAGEAFFOFIDE DBYTHE POLICIES BELO HYANNIS MA 02601 COMPANIESAFFORDINGCOVERAGE COMPANY, INSURREDED 2A ST. PAUL FIRE AND MARINE INSURANCE COMPANY /v // COMPANY HP BUISNESS SERVICES INC 1955 U, A-rWc 6,1S'tiuC�/ B 118 WATERHOUSE RD SUITE E -�'!! �� COMPANY BOURNE MA 02532 (%E�(C - COMPANY D OR 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER DATE (AAMWD\Y1) DATE (MALIDD\YY) LIMITS ERCIAL GENERAL LIABILITY CLAIMS MADE = OCCUR. R'S & CONTRACTOR'S PROT. GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGO. $ PERSONAL & ADV. INJURY Is EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ E LIABILITY $ kRAIABILITY TO NED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per Person) $ ULED AUTOS AUTOS BODILY INJURY (Per Accident) $ WNEDAUTOS PROPERTY DAMAGE $ ILITY $ ANY AUTO - AUTO ONLY • EA ACCIDENT OTHER THAN AUTO ONLY:1. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (LIB-4042637-2-04) 12-24-04 12-24-05 STATUTORY LIMITS THE PROPRIETOW EACH ACCIDENTIS 11100000 PARTNERS/D(ECUTNE X INCL OFFICERS ARE: DISEASE—POUCYUMR $-500,000 EXCL OTHER DISEASE —EACH EMPLOYEE $ 100,000 AUTHORIZED REPRESENTATIVE Dates 5/5/2005 Time: 3s02 PN TOs 0 150877U5603 Mie..1R. 9A9LA - - - Pape: 002-003 ACORi9n CERTIMCATE OF LIABIUTY CAPECODREADY INSUIRANCE he F It T The eRelberg Company 222 Milliken Blvd. P.O. Box 3220 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THECERTIFICATE-- HOLDER: THIS CERTIFICATE DOES NOTAMEND, EXTEND OR- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE INSURER A. Acadia Insurance Companies NAIC III Fall River, MA 02722 INSURED Cape Cod Ready_ Mlx Inc. PO Box 399 INSURER B: Construction Industries Compensation INSURER Orleans, MA 02653 INSURER D: COVERAGES INSURER E: THC Onl NIR AL MIH 11 ws CU Vc Vvv nnvt OttN Iuuuw TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT146TANOW, ANY REOUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT OM RESPECT TO WHICH TH[S CERTIFICATE MAYBE ISSUE[YOR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALLTHE TERMS, EXCLUSIONS AND CONOMONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDLW-MBY PAID CLAIMS.- A TYPEOFINSURANCE GENERALLIABILITV X CCMMERCIALCENERALLIABIUTY CLAIMS MADE OCCUR POLIC'/NUMBER CPA013246810- •- POLICY ECTIVE DATE IMMIDDrrn - 51(0110<s'. - PO XPI ON Ot/Bt/00. _ _ - LIMITS EACH OCCURRENCE E1 000000 - DAMAGE TO RENTED ES $100000 MED EXP (Arty me pe ) SS DDO PERSONAL & ADV INJURY E1 000 DOD GENERALACGREGATE S2 000,000 GENT AGGREGATE POLICY LIMIT APPLIES PER: PRO. JECT LOC PRODUCTS -CDMPNP AGG s2000 A _ Auroe-OBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTC6 MAA013246910 011011w, _ 01101106. - - ODMEIINED LIMIT ' E1100DAM ' X BODILYINJURY LPB Perrin) E - X { ODILY BINJURY - ODILY aereU E X 'PROPERTYDAMAGE. der aatavrtl - A B GARAGE- _ EXGEssNMeRELLAUABLR/ X OCCUR a CLAIMS MADE .. DEDUCTIBLE X RETENTION i O WORKERS COMPENSATION AND EMPLOYERZ LINah(}Y- .- ANYPRCPRIETCRIPARTNERIEXECLTWE OFFICERIMEMBER EXCLUDED? Ityo descvUaUntler SPECIAL PROVISIONS 6drnr OTHER CI)A013247030 WCOOO9255 - 91/01/05 01/01/10.5 - 01/Ot/O6 01J01/08 - AUTO ONLY• EA ACCIDENT E OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE S S Ei OOOOOO AGGREGATE S E )( WCSTATU- OTH• - E EL.EAQIACCIDENT $500000 ' E.L.DISEASE - EA EMPI OYEF S500000 E.L. DISEASE POLICY UNIT E50D000- ' DESCRPTION OF OPERATIONS/ LOCATIONS rVEHICLES fEXCLU90NS ADDED EIVENDORSEMENrl SPECIAL PROVISKNNS- - - CFRTIRCaTF MAI nro Gatewood Homes Inc. 1600 Falmouth Road Suite 25 CeMerv[[W,, MA 02632 ACORD28(2001/0811 nf.3 AQCfteflLAr��Lwn ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EREOF THEISSIANGIN9JRER-WILL ENDEAYDRTO MAUL -3n- - DAy&WFWTEN 'O THE CERTIRMTE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1 4008LIGATION OR LIABILITY Or -ANY KIND UPON THE INSURER ITSAGENTS OR 1 AHT o-wcoRD CORPORATION 1988 95/06/2005 09:38 5084204474 EDWARD A GRAZLIL PAGE 02 s�c:vrsu� claH r �rt�Il� tt vr- �EAtc�u-t-.x.iw�u�t��t.. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF E ward A. Omni] Irs-rame AgEmy, ItSc. p.0 a{ 337 M.w^tcm MlsT MA 02648 ONLY AND .CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE'DOES WOT AMEND; ALTER THE COVERAGE_ AFFORDED :BY THE POLICIES. CERTIFICATE E*TEND--0R-- BELOW. 1NStiRERSAFFORDINC COVERAGTE IA:.- NAICP �,(�., lmd-K'.st alty Jt��iT µLL� j `WWSURER B'.. 145 Camfrtt Io1 INS„REELC_ Marstms Mills, M4 CM INSLA I c rf%WCOA/LCC THE POLICIES OF,dNMWNCE USTEO BELOW.HAVEBEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOQ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM, OR CONDITION OF ANY CONTRACT.OR OTHER DOCUMENT WM I;ESPECT TO'VVHICH THIS CERTIFICATIL.M" BE ISSUEOOR.. MAY PERTAIN, THE'NVSURANCE.AFFORDED BY THE POLICIES DES'CRtBEONEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: AGGREGALTE-UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. . . 'IX9R Ito, POLIC'T HLNABER ►OLICYEFFECTIVE I'DLICiY iMR1LTON LiMIff GENERALLIABBAT , , , _ - EACH OCCURRENCE f �COMMERCIALGENERAL LIABX.iTY ( 7��• JPS(Eage1 . CLAIMS MADE OCCUR s MEBEXP(Ay�"mwL S . 1�0,10m"i—�— I 'kPERSONALAADV ISLIURY J l ._ GE$RAEiGGREDATE f R 0EN'LACZAEOATELwRAFFLIESPER: 01839le 4MI05 4W.06 _. rRDDuaT$'.ca�+oioPAar r JQ,ODD POLr PRO LOC .' �t .. AUTOWDBILE UABN.ITY CONBINEDSINOLE LIMITS ANY AUTO (Ea av04n11 .. C ALL OWNED AUTOS I II BODILY INA IF SCHEOULED AUTOS {. �(PapAnwtl HIRED AUTOS I ODDLY IQUFIY NON•OWNED.AUTOS -- .� PgoPEgsvanANcc+E' (Px¢ddera) J CARAOEUABILITY - AUTO ONLY- CA ACCIDENT J ANY AUTO OTKg,RT,MN EAACC S _AUTO ONLY; A00 _ I J EXCEJSIUMSRELLA�UABWTY AC EHOOCURRGNCE F OCCUR- -L((� CLAIMS - ADGREWTE OmucrBLE S RETENTION J f WORKERS ENATIOw{AXD ... vOn;RvETU. OFTyHt EMPLOYERTLIABILRY ANY PROPRiTOAAgTNEt¢XECUTVE E.LEACNACCIDENT J •. ' . OF710ERIMF-MBEA EXCLUOED? E.L. DISEASE • EA ERIPI.OYSE f 11 yyeeeA ZcdboundN . . PROVISIONSceb. G.L. DISEASE. POLICY LIMrT J OTHER6 OTHER DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLESIEXCLUSIONJ ADDED BY ENDORSEMENT/SPECULLPROVISKM. .. i_t....,. Gate Im, SHOULD ANV OF THE ABOVE OTECmBEOTOLIC=OC CANCELLED OEFORE.TIE EXPrwATRON a�_,' THxjw, _ F� M� DATE THEREOF THE DER VAM ENDEAVOR TO MAIL _DAYS R R TTEN -.. Rt -28 - - Rte?B- NOTLCB TtLTNE CERVRCAT6 HOLDER NAMED TO THE LEFT. BUT FAILURC TO OO SO SMALL Qnte2ville,�M7eA O2&i2 WPOSE NDODUGAMON-OR L ABILIN.. OF ANY KM,UPON THE INSOREICRSA6ENi5-BH-- FPX...1 50—//O-5603 REPAESENTA7NE3. - AUTXO REPRESENTATrv6 ..vva.�a.r Ravv avq--. /1 Yl A4VRN♦,.WHYHRt+q''+RVPF l�J81 - CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) PRODUCER Harold H Williams Ins Agcy Inc 81 Bassett Lane Hyannis, MA 02601 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A.I.M. Mutual Insurance Co LETTER A INSURED Stephen M Childs 145 Cammett Road Marstons Mills, MA 02648 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY F,XPIRATIO DATE(MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY LAIM5 MADE=1D OWNER'S& CONTRACTOR'S PROT. - GENERALAGGREGATE S PRODUCTS-COMP/OP AGQ S PERSONAL & ADV. INJURY $ EACH OCCURRENCE S FIRE DAMAGE (Any one rim) $ MED. EXPENSE (Any om persory S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY - COMBINED SINGLE LIMIT S BODILY INJURY (Per person) $ BODILYINJURY (Per accident) S PROPERTY DAMAGE I S .EXCESS LIABILITY MBRELLA FORM THER THAN UMBRELLA FORM EACHOCCURRENCE $ AGGREGATE S A 1'OItREIt'S COMPENSATION AND 11'LOl'ERS' LIABILITY HE PROPRIETOR/ INCL ARTNERS/EXECUTIVE iiSOO FFICERS ARE: IIX EXCL OTHEIt 7015793012004 12/13/2004 12/13/2005 X UTURYOTHER EL EACH ACCIDENT $ 100,000 EL DISEASE —POLICY LIMIT S OOO EL DISEASE —EACH EMPLOYEE S 100,000 1)E.SCRI I'1'ION OF OVE RAT I ONS/LOCATIONS/VEIDCLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION Gatewood Homes. Bell Tower Mall Rte S Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AC TM CERTIFICATE OF LIABILITY INSURANCE M&Wf 128f200 ' PRODUCER Serial # A1530 t ROBERT P. BIXBY, CPCU 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 P.O. BOX 830 -651 PUTNAM PIKE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GREENVILLE, RI 02828 INSURERS AFFORDING COVERAGE NAIC# INSURED - - NsuRER A. NAIL FIRE INSURANCE CO. OF HARTFORD ii,=Rm e: VALLEY FORGE INSURANCE CO_ HOLMES AND MCGRATH, INC. INsuRER O: CONTINENTAL CASUALTY CO. 362 GIFFORD STREET INSURER D: FALMOUTH, MA Q2540 INSURER E . COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. AVDi TYPE OF INSURANCE POLICY NUMBER - - PAY EFFECTIVE POLICY EXPIRATIONum LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 AMAG TO REN �e . S FIRE 250,000 X COMMERCIAL GENERAL LIABILITY rA CLAIMS MADE ❑X OCCUR 1074082434 10/06104 10/06/05 MED EXP fAny one S 10,000 PERSONAL 6 AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ Z,000,000 POLICY PRO-jEar - LOC AUTOMOBILE LIABILITY ANY AUTO - COMBINED SINGLE LIMB (Ea accident) $ BODILY MWURY Olaf person)S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Fer accidena $ HIRED AUTOS NONd7MJm AUTOS PROPERTY'DAMA(Perms GE S GARAGE LIABILITY - AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY.. AGG EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE S S $ DEDUCTIBLE 'S $ RETENTION WORKER'S COMPENSATION AND X W FATU-OTH- MITS B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTNE OFFeF10ERIMEMBER EXCLUDED? SPECIdescribe under AL PROVISIONS below 2057445273 09/01/04 09/01/05 EL EACH ACCIDENT $ 1,000,000 EL DISEASE- EA EMPLOYEE S 11000,000 EL DISEASE- POLICY LIMIT S 11000,000 OTHER C PROFESSIONAL LIABILITY AEA 00 43133 38 07/13/04 07/13/05 $1,000,000 PER CLAIM/ AGGREGATE DESCRIPTION OF OPOUTIONSJLOCATIONSNEHICLES EXCLUSIONS ADDED BY ENDORSEMEWMPECI L PROVISIONS AGGREGATE LIMITS ARE PER THE TERMS AND CONDMONS OF THE POLICIES. / CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN GATEWOOD HOMES, INC. 1600 FALMOUTH RD., STE. 25 CENTERVILLE, MA 02632 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 REPRES@ITATNES. ALIT ry ACORD 25 (2001108) ! " c .'� ® ACORD CORPORATION 1988 C:1FMPROCERTPROSYPS A ORD DAMIMMIDDI.... CE➢ TIFICAT.E.OF LIABILITY INSURANCE V4/05 InCIMCER THIS cWFI RCATE IS ISSUED AS A M ATTER OF INFORMATION IN, United Inauranc9 Agency] Inc. ONLYANDCONFERSNORBGHISUPONTHECERTFICATE.. 144 Main Street ►LLD'TNE��ATEDOESNOFAIYIME%TBCOR- ALTER THECOVE AGEAFFORDED13YTHEPOLICIES8ILOW. F.Q. Box 1013 Buzzards 13ax, MA 02532 IN.SUR07SAFFOFDINGCOVEPAGE NAICA INSURED INSURER A: Zurich NA .... Patton Electric, Inc. WUMER5:Liberty Mutual TINA. Co. 128 Scituate Road INSURERC. Mashpee, MA 02649 WSURERD: COVERAGES THE NAMED ABOVE FOR THfi HSTANOING PERIOD INDICATED.3E TMEAOLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO INSURED TERM OR'CONDITION OF ANY CONTRACT OR:OTHER DOCUMENT WITH RESPECT TOE T ICKTH 'THE ISSUED CERTION A C BE. ISSUED OR CONDITIONS OF SUCH ANY RECUIREMENT. MAY- PERTAIN,THE INSURANCE AFFORDED B_Y THE POLICIES DESCRIBED HEREIN 1ERMS, IS SUBJECT TO ALL TERMS, AND EXCLUSIONS AND EX POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS: - WUO/-EF+T'CRH?~ JDUCY [SLL .. LTMR3--'- D• POLICY NUMBETI -- - - ENCE i _ .OJ 0000ENMALUNS SOLI Q00A YS SCP42415399 7/30/04 a/30/0§ A COMMERCbuoaiERALUABartY 3 1000VMJURY CLAMS HIDE �OCCVR MGENePALAGGREGATE 3 1v-000-,.00.0_- EGATE 3 21000.000GENL OMPdp AGG t r.Q� AGGREGATE LIMIT APPLIES, PER: X POLICY JECT - . " ux_ - COMBWE03NMELBMT S• AUTOYOBLLELVIBUJTY ANVAUTO ALL OYMEDAVTOS ... BODWJURY lk+ P°<dll WA 3 SC+IEOULERAUTO6- ... NdIEDAUTOS pip RY S-- NON,OWNEDAUTOS. PROPERTYDAMAW 3 . ._ .— (P�f WdddQ AUTO ONLY. EA ACCIDENT S GARAGE VABR.ITY . . . . EAACC 3 ANTAUTO OTHER THAN AUTDONV-. AGO 3 EACH OCCURRENCE 3 FSCQtNMBRELLA LIABILITY AGGREGATE Is OCCUR CLAIMS MAOE s ' 3 DEDUCTIBLE - Y RETENTION L WORRBRSCOMPENSNION AMP EMPLOYERS•LIASPI.ITY WC2333-3SM490-14-... 12,/10%D4 TI4 BLrAO14ACCIDENT.... ELOMEASE•EAEMPLOYEE 3 500,000 8 4 ECUTNE ANyC��4ORX+IR dIs dncduiuMlN.... X ELDISEAM-POLICYUMR s 100,000 SPEGAL PRONSION SOeb+• OTHER DBEG1RTpN OP O{PRATIDN9JLOCATOMSlYEN C1.E3IFJ(CLIHIONB ADDW B.Y ENDDIBEMENT ISV):CUIL PROV1310N3 Electrical n• Avtt � ATH111t ___ I M.1LNtm Gateway ROOe, InC. SHOULD ARY OFTNE ABOVEDESCRI BED PD{.10ESBE CANCELLED BEPORl THE EXPIRATION 1600 aylaomem RIn unit ZS DATETNEREOF. THE ISSUING INSURER WILL ENOBAMORTOMML 10 DW AYyRRTEN fax 508-779-5603 NOTB lTD TNECERTWICATe MOLDER NAMM TO THE LE". BUT F/JLURETOCOBOBRALL Ce=itervll7s, Ma 02632 IMPomtjO OBUOATKW IABILI?YOF/0Y KWO UPON TNtPMWjtER RSAOERTB OR TM CERTFICATEOF T DATE 0TT' ACLE94 p u PRODUCER Chatfield, Whitman & Young g 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 549 Washington Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE P.O. Box 850963 COMPANY A Harleysville Worcester'Ins Co Braintree, MA 02185-096 INSURED t COMPANY - -- Lawrence Robinson Masonry B COMPANY 5 'Fresh Hole Road Hyannis, MA 02601 C COMPANY - D ;COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LT_R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MUMM-Y) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY - GENERAL AGGREGATE S 2,000,000 PRODUCTS -COMPIOPAGG S 2,000,000 A COMMERCIAL GENERAL LIABILITY CB 7E 32 32 9/07/04 9/07/O5 PERSONAL & ADV INJURY $ 1,000,000 CLAIMS MADE FX] OCCUR - EACH OCCURRENCE $ 1,000,000 OWMER'SBCONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any m person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ ANY AUTO BODILY INJURY IF" Pew+) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) S HIREDAUTOS NON -OWNED AUTOS - PROPERTYDAMAGE $ ri GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ OTHER THAN AUTO ONLY. ANY AUTO EACH ACCIDENT E - AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE E UMBRELLAFORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC T RYLMITS ER - EL EACH ACCIDENT $ EMPLOYERS'LIABILITY EL DISEASE -POLICY LIMIT S THEPROPRIETORI INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE E OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS CERTIFICATE HOLDER " - M CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Gatewood Homes EXPIRATION DATE THEREOF, THE ISSUING COMPANY WALL ENDEAVOR TO MAIL 1600 Falmouth Road 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Suite 25 Centerville, MA 02632 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILI OF ANY KIND UPON THE COMPANY ENTS 09'�V-aSENITATPAS. AUTHORIZED REPRESENTATIVE Robert E. Chatfield Rdbo RPORAT10N.1988- i4CORD. CERTIFICATE OF LIABILITY INSURANCE Ro 6 09_27 Tzoo4 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 210706 P: (877)287-1312 F: (877)287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 308 FARMINGTON AVE INSURERS AFFORDING COVERAGE FARMINGTON CT 06032 I WSURED LAWRENCE ROBINSON MASONRY INC 5 FRESH HOLE ROAD INSURER B: D: Citv Fire Ins Co GUVtHAGtS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - WSR TR TYPEOFINSURANCE POLICYNUMBER POLICY EFFECTIVE DA POUCYEXPIRAT/ON DATE MM D Y LIMITS 17 GENERAL LIABBITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE b FIRE DAMAGE (Any one feel b MED EXP (Any one Person) a PERSONAL& ADV INJURY b GENERAL AGGREGATE b GEN'L AGGREGATE LIMIT APPLIES PER: pOUCYF_j PRCO LOC PRODUCTS. COMPIOP AGG b AUTOMOBILEGABILIIY ANY AUTO ALL OWNED AUTOS - - .SCHEDULED AUTOS HIRED AUTOS -...(Par NON -OWNED AUTOS ; - - - .. - - - _ - - - COMBINED SINGLE LIMIT (Ea accident) a BODILY INJURY [Per Person) a BODILY INJURY accident 10 - PROPERTY DAMAGE (Per accident) b .. GARAGEGABB?Y ANY AUTO . AUTO ONLY - EA ACCIDENT b OTHER THAN EA ACC AUTO ONLY: AGO a a A EXCESS LIABBJTY OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION b WORKERS COMPEHSATIONAND EMPLOYERS'LIABBIfY 76 WEG NQ5620 - 09/06/04 09/06/05 EACH OCCURRENCE b AGGREGATE b a It X WC STATU- OTH- a - E.LEACH ACCIDENT $100 000 E.L. DISEASE - EA EMPLOYEE a 10 O 000 EL DISEASE - POLICY LIMIT s500 000 OTHER -7 DESCRIPTION OF OPERATIONSAOCATIONSJVEHICLE&EXCLLWHS ADDED BY ENDORSEMENTISPEC/AL PROWW" . Those usual to the Insured's Operations. GATEWOOD HOMES 1600 FALMOUTH ROAD, SUITE 25 CENTREVILLE MA 02632 ACORD 25-S (7/97) )ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE IIRATION DATE THEREOF, THE ISSUING.INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO JGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR IRESENTATIVES. �NI.Vn✓l.V nrvne+. wn .e.... 12/02/04 13:36 FAX 5087900249 GOLDMAN ASSOC IM 02' i ACORa CERTIFICATE OF LIABtL[Tfif-tNStJlMNC-E CSR „W _ D�aumporm ,__ _ TAVAN50 12 02 04 E LETHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NAN & ASBOCIATES INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE F12MMIAL SERVICES INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 933 FALMOUTH RD. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. IFYANNIS MA 02601 Plicus, 508-775-4010 Faxs508-790-0249 INSURERS AFFORDING COVERAGE NAICO INSURED INSURERa MARYLAND CASUALTY COMPANY RODMIY TAVAND INSURER B: DBA PIECHANICA.L SYSTEMS INSURERC: WiBMSSTABLE3MA 02668 w5urteaa THE POLICIES OF INSU%ANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOING ANY REQUIREMENT. T%RM 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 DESCRIP:D tIEREIN lS $US,lECT 70 Al -THE TERMS. IXCL})SUNS AND COMDITR)NS DF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR FoRl TYPE OF INSURANCE POLICY NUMBER DATE AMA] VA E AMID _ LIARS A GENERALLUBEJTY X COMME3CIALGENERALLIABILITY CLIJMS MADE ❑ OCCUR 000372088 _ _ 11/21/04 11/21/05 EACH OCCURRENCE S 1000000 PREMLSES(Eaem,I M) $ 300000 MED I" (Any one pelapn) 510000 PERSONAL It ADV BULIRY $1000000 GENERAL AGGREGATE S 2000000 GEN'L AGGREGATE LMT APPLIES PER POLICY'. j� LOC PRODI/GTS-COMPAP AGG 32000000 - AUTOMOBRa:I.U1BRRY ANV AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON-0N'NED AUTOS .. ... COMBINED SINGLE LIMIT (Ea acmwnt) S 71 - BODILY INJURY (Pwposm) S BODILY NURY (Peramaenq S PROPERTY DAMAGE (Pw amtlenO S DARADELIMLOY. ANY AUTO AUTO ONLY -EA ACCIDENT 5-.. OTHER THAN EA ACC AUTO ONLY. AGG S S --..-.__._ EYCESSBll®RFLLA MABILITT OCCUR CLAMS MADE DEDUCTIBLE RETENTION.-__S_. - EACH OCCURRENCE S AGGREGATE S S S WORMERS COMPEI13ATON ANO EMPLOYERS LIABIJfY ,ANY PROPRIETORAIARTNERIDLECUTIVE OFFICE"ENIBER I,(CLUDEDT a Cwrnty uwe SPECUL PROVL$IQJS NNew TORYLIMITS ER E.L. EACH ACCIDENT 4 E.L. DISEASE - EA EMPLOYEE S El DISEASE -POLICY LIMIT S QTHER DESCRIPTION OF OPERAII'MINS I LOCATIONSI VIN.'CLESI EACL sY OD" ii0iaE3 I2r'L� " FAX 508-778-5603 1600 FALMOOTH ROAD SUITE 25 C221TERVILLB NA 02632 SHOULD ANY OFTME ABOVE DESCRIBED POLICES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURERWILL 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 LABILITY OF ANY HIND UPON THE INSURER ITS AGENTS OR .\ LOT 131 O� Q J�4� h �" 6' s�3�2s. 1.53' �09. 7 a GRAPHIC SCALE ( IN FEET ) I inch = 20 ft DO L�9.36 � ` • I 1� LOT 129 L-12.30' \ pSQR Ogk.� I f o� OT 130 ' I� v co �EGISTER�� J fi Dc� NOTE: .Nti q�l LpHr .npt �.tir.ti+ ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 10FT. OF WATERMAIN. rn1 D NOTICE Unless and until such time as the original (red) stomp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other public officials, may rely upon the information contc;nad h=rein; and (8) this plan remains the property of Holmes & W-Graii;, inc. PLOT . t•e�-c'--`eV PLAN holmes and m.cgrath, inc. OF LOT 130 civil engineers and land surveyors „ � PREPARED FOR \ 362 gifford street/T '�'( MILL POND VILLAGE Falmouth, ma. 02540 IN YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SCALE: 1 =20 DATE: 1-5-05 DWG. NO.: A2517 CHECKED: TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : May 31, 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 Street 121 Camp St., #130 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. (E� ti / w Owner (Sign) v"1 Reference : Villages a Camp St., LLC : 1600 Falmouth Rd., #25 : Centerville, MA 02632 Yarmbilth Water"Department TOWN OF YARMOUTH i` Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-613 Applicant Name: Frank Capra Applicant Phone: Building Location: Owner's Name: Owner's Addres 5087789669 00121 CAMP ST Unit 130 Villages @ Camp St., LLC 1600 Falmouth Road # 25 Centerville MA 02632 i Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By- Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 943 Net Owed: ($50.00) Application Date: 5/12/2005 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction: ZONING APPROVED BY: PREVIEWED V 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: t,/44 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: 5/24/2005 TOWN OF YARMOUTH Building Department Town Hall a.. • Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-613 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 130 Owner's Name: Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 943 Net Owed: ($50.00) Application Date: 5/12/2005 Issue Date: Expiration Date comments: new construction: REVIEWED BY: 1. WATER DEPARTMENT: Z��d DATE: �� N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: PLEASE NOTE COMMENTS: RECEIPT OF COPY. SIGNATURE OF APPLICANT: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: 044.21.1.0 Date Printed: 5/24/2005 sop.Ir TOWN OF YARMOUTH Building Department Town Hall a,, a Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-613 Applicant Name: Frank Capra Applicant Phone: Building Location: Owner's Name: Owner's Addres 5087789669 00121 CAMP ST Unit 130 Villages @ Camp St., LLC 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 943 Net Owed: ($50.00) Application Date: 5/12/2005 Issue Date: Expiration Date Comments: new construction: I HEALTH DEF REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: 4 DATE: 6/ N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: 044.21.1.0 DATE: Date Printed: 5/24/2005 ADDRESS. /o?/ =AI-CULATfON FOR PERK Ct �f- QjIv . suN SUN SM111 T OF V (✓m a+ oGO- 3 CT SPECIFICATIONS GMS 9/GCS 9 SERIES 93% AFUE Multi -Position, Single-Stage/Multi-Speed Gas Furnace Heating Capacity: 46,000-115,000 BTUH [IFETIM wTEP ARRALIMITED x iEY[x.+tt4 -WARRANTY \_ ,� EIS, nt 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 (1-pipe) applications 9I6I912210 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 (GMS9) • Removable, solid -bottom block -off (GMS9) Accessories • L.P. Conversion Kit (LPT 00A) • L.P. Gas Low Pressure Kit (LPLP01) • High Altitude Natural Gas/L.E Kits (HANOI 1, HANG12, HALP10) • High Altitude Pressure Switch Kit (HAPS27) • External Filter Rack (EFR01) • Horizontal Concentric Vent Kit (HCVK) • Vertical Concentric Vent Kit (VCVK) • Internal Filter Retention Kit—upflow, (RF000180) • Internal Filter Retention Kit—d—downflow (RF000181) IT Thermostats Blower Motors (CHT18-60, CH70TG, CHSATG, H2OTWR) SS•377D w .goodmanmfgxom 6/04 Fv11'U33,ZU MPD3530 MPD4035 33' fireplace w/opt. flush face 3S' fireplace w/brushed stainless 40' fireplace w/polisbed brass louver and door trim trim arch door kit Beauty, efficiency, convenience and reliability. Just some of what you'll find in our Lennox Merit® Plus Series direct -vent gas fireplaces. Our combo DV configuration, with both top and rear outlets, allows for top or rear venting (except. our 33" units which have either a top or rear outlet). Standard features include a deluxe pan burner that produces big yellow flames and glowing embers, brickaded interiors and Hi/Lo flame opera- tion. And, these models are even easier to warm to when you select one of our optional remote controls, or polished brass or brushed stainless trim options. • Louvered face design • Charred split oak gas log set • Deluxe pan burner for big yellow flames and glowing embers • Charcoal black exterior powder coat finish • Realistic brickaded interior panels • Combo to rear direct -vent outlets (except 3328 models, which have either a top or rear outlet) • Hi/Lo flame operation • Pre -wired for wall switch Options • Choice of standing ppilot (works in a ower failure) or pilotless electronic (pintermittent) ignition • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) • Wireless remote controls • Blower kits (including a temperature control version) • Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) All Merit' Plus Series direct -vent gas firepplaces utilize either a Secure Vent (rigid) or Secure Flex IfI211t) 4.5' inner/7.5' outer coaxial venting system, and include a 20-year limited warranty. Note: Due to Lennox' ongoing commitment to quality, all specifications, ratings and dimensions are subject to _ change without notice. Local conditions, such as elevation, wind vent configu- ration and choice of fuel will affect the overah appearance of the fire Warnock Hersey (J20006711) Warnock Hersey W C� �z US The first two model number digits indicate frame width, the last two digits All are A.F.U.F.-rated high efficiency vented gas fireplace heaters, certified under ANSI Z21.88 and CSA 2.33-M99. MPD4540 MPD4035 MPD3530 MPD3328 Standard Features I DIMENSIONS (Rear vent mold shown) 3328 MODELS (�h s model comes as a top or rear vent only) L , c e D lie• r•tn' +trr' Front Face Top 35,40 & 45 MODELS (These models come with a top and rm —G� C D B 7-1/Y' 4172" Right Side E - Front Face Top Right Side FIREPLACE & FRAMING DIMENSIONS ki% o 13 3530 351/8 321/8 19 291/z 351/8 2111A6 2478 12%16 351/4 351/4 16 4035 401/8 371'8 24 341t 401/8 2611A6 297s 1415A6 .401/4 40;14 16 4540 401/s 371/s 24 391A 451/s 2611A6 34%8 17T16 451/4 401/4 16 3328T NG 17,500 45 64 62 3328T LP 17,500 49 66 _ 64 3328R NG 17,500 53 63 61 3328R LP 17,500 55 66 64 3530 NG 20,000 53 64 62, 3530 LP 20,000 55 62 60 4035. NG 27,000 59 69 67 4035 LP 27,000 60 69 67 4540 NG 29,000 59 69 67 4540 LP 29,000 59 69 67 "Intermittent ignition systems Look for the EnerGuid• TYPICAL ROOM APPLICATIONS 0 4 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software version 2.01 Release 2 CITY: Yarmouth STATE: Massachusetts HOD: 6137 CONSTRUCTION TYPE: 1 Or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Sandpiper PROJECT" INFORMATION: Mill Pond village c Camp Street��� Yarmouth, MA 02673 COMPANY INFORMATION: NOrthside Design ASSOC. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES I I I I Permit # I I i I I Checked by/Date I I I Required UA = 223 Your Home = 138 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 845 30.0 30.0 14 WALLS: wood Frame, 16" O.C. 1415 15.0 15.0 62 GLAZING: windows or Doors 93 0.340 32 GLAZING: Windows or Doors 80 0.340 27 ` DOORS 40 0.086 3 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and 34.4. Builder/Designer Date Massachusetts Energy Code MAscheck software version 2.01 Release 2 The Sandpiper DATE: 4-21-2004 Bldg Dept use I [] I I I [] [] [] CEILINGS: 1. R-30 + R-30 Comments/Location WALLS: 1. wood Frame, 16" O.C., R-15 + R-15 comments/Location WINDOWS AND GLASS DOORS: 1. U-value: 0.34 For windows without labeled u-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location 2. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. U-value: 0.086 comments/Location AIR LEAKAGE: joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I I I] I I] DUCT INSULATION: Ducts shall be insulated per Table ]4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of Supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and 34.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1". 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 _ 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department use only)------- Commonwealth of Massachusetts official Use only Department of Fire Services Permit No.:r,-O 6 - a 1 b BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Ulu ev.11/99] eaveblank PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 pL o0 EASE PRINT ININK OR TYPE ALL INFORMATION) Date: 08/29/2005 a N City or Town of: YARMOUT$ MA To the Inspector of Wires: o 04 B5 his application the undersigned gives notice of his or her intention to perform the electrical work described below. C-"11 c Location (Street & Number) 121 CAMP ST., UNIT 130 "J w Omer or Tenant GATEWOOD HOMES, INC. Telephone No. 508 778 9669 O ees Address 1600 Falmouth Road #25 Centerville MA 02632 �Y. l T is permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Boa) Purpose of Building RESIDENTIAL Utility Authorization No. 1470130 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 100 Amps 120/240 Volts Overhead ❑ Undgrd X No. of Meters 1 Number of Feeders and Ampacity 2/100 Location and Nature of Proposed Electrical Work: WIRE HOUSE Completion of the following table may be waived by the Inspector of Wires. • J C!� v No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans o. of Total Transformers KVA No. of Lighting Outlets 8 No. of Hot Tubs Generators KVA No. of Lighting Fixtures 8 Swimming Pool Above ❑ - ❑ rnd. rnd. o. o mergency rg ing Bafte Units No. of Receptacle Outlets 30 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 10 No. of Gas Burners No. of Detection and Devices No, of Ranges 1 tal No. of Air Cond. Tons _Initiating No. of Alerting Devices No. of Waste Disposers eat Pump Totals: her... "' ons """" '""`"" KW "`" "` " No. o Self-Contained6 Detection/Alertin Devices No. of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal El Other No. of Dryers 1 o. of Water Heaters I KW 4.5 Heating Appliances KW No. Signs Ballasts SecurityyCsonnection tem No Dces or Equivalent Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunrcattons Winng: No of Devices or E uivalent OTHER: nnucn uu munaa aerau q aesrrea, or as requtrea oy the Inspector of wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) 10/31/2005 Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: PATTON ELECTRIC, INC. evLIC. NO.: A 15542 Licensee: RICHARD PATTON Signature / LIC. NO.: flfapplicable, enter "exempt" in the license number line.) Bus. Tel. No: 508-539-0200 Address: PO BOX 1525, MASHPEE, MA 02649 Alt. Tel. No.: 774-353-6878 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ l2S 00 RA APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (OFFICE USE ONLY) )F-(A M By OCT 0 05 Fee: $ ,(lPERMIT NO. -06 — 9 (PLEASE PRINT IN INK OR TYPE ALL INFOR ATION) Date: c3 p To the Inspector of Wires: By this application the undersigned gives notice f h' h work described below. Location (Street & ;Til Owner or Tenant N k- Is this permit in with a building permit? 0 Yes Purpose of Building_ '%tZ6ty�j�G� Existing Service Amps_ / Volts New Service too Number of Feeders and Location and Nature of Proposed electrical o is or er mtentton to tA' (CheUtility Autho dl� Un�grd No. Box) the electrical No. of Meters 9'� No. of Meters o. of Recessed Fixtures a t,om ten On No. of Ceil.-Sus . Paddle Fans of the tollowing tab leLna be,waivedb the Ins ectoro Wirea NO ° Total Transformers KVA o. of Li Lighting Outlets No. of Lighting Fixtures No. of Hot Tubs ove n- Swimmin Pool md. ❑ md. ❑ Generators KVA No, of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. or Detection an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers No. of Dishwashers Space/Area Heating KWcal eat o al . um er Tons5Data . of Self-Contained1tection/Alerting Devices Q MunicipalConnection Q Other No.of Dryers Heating Appliances KWutity Systems: No. of Water No. of Devices or ui valent No. of No. of Wing: aters KW Si ns BallastsNo. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring• No. of Devices or Equivalent Att h dd' ' ac atonal detail it desired, or as required by the Inspector of litres. jINSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. v CHECK ONE: INSURANCE 0100� BOND OTHER (Specify:) �VEstimated Value of Work to Start: lC I certify, unde}[' the i t.T XT.TA 1 RT\.'�* i L ee: It (If applicable, ( "ex " the lic se nt Address; OWNER'S INSURANCE WAIVER: I am aware that below, I hereby waive this requirement. I am the (cl Owner/Agent Signature (Expiration Date) (When required by municipal policy.) be a uested in Lcordance with MEC Rule 10, and upon completion. th a inform this application is true and complete. J LIC. NO. _Signature LIC. NO. er li .) Bus. Tel. No.: Alt. Tel. No.: License does not have the liability insurance coverage normally required by law. By my signature one) o er ❑ owner's agent. O Telephone [Rev. 04/00] - - Commonwealth of Massachusetts Department of Fire Services •. BOARD OF FIRE PREVENTION REGULATIONS OMciai use only PemiitNo. - ( , Z%$- Occupancy and Fee Checked 11/991 ve blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK L\\\\ Allworkto bepeff'ormed in acwrdance withthe Massachusetts Eectricd Code (MEG); 527 C R 12.00 , `P�RIN EVRfKORTYPE ALL XFOBMr177OA9 Date: nj �-n )05� Ci r Town of: YAPMOUPH To the Inspector of Wires: Byi app��� the undersigned gives notice of his or ber intention to pert'omi the electrical work described below. I.-Aiatiou (Sh�et & Number) MILL POND VILIAGE, 121 Camp St Eldg # t34 cam; O1.wnerroor,Tenant Gatewood Homes/ Jeff Sollows TelephoneNa5U8-7789669 O/wner'sAddress 1600 Falmouth Rd., Suite 25r Centerville, Ma. 02632 rsfitis permit conjunction with a building permit? Yes it ig P ❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Eustiag Serrice Amps / volts Overhead ❑ Undgrd ❑ Na of Meters New Service Amps / volts Overhead ❑ IIrdgrd ❑ Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Fire Alarm System (low voltage control panel) with hacham 'battery centrally monii•nreci Coro levon of the (oftowing uzbLe mav be w=cdhv dtt etor o Wb= Na of R&essed Fixtures Na of CeiL-Susp. (PaddleTr) Fans ro ° °�► ansformers off Na of Lighting Outlets No. of Hot Tubs lGeneratozz KVA No. of Lighting Fixtures Swimmin Pool Above. - o. o ergency g g d.d. Batte IInits • Na of Receptacle Outlets. INo. of Oil Burners FIRE ALARW No. of Zones -1-. No. of Switches Na of Gas Burners o. o etetrtion.an 7 Initiatin Devices W ges Na of Air Cond. Tons No. of Alerting Devices te Disposers Totals: um er aces o. o ontam Detection/Al ertin Devices 7 washers S ace/AmaHeatin KW �aP p g Local 0 Connection ®Other rs Heating Appliances KW scurfy ystems: e, No. ofDevices brE ivaIeat aters KW o. Si B:.L':.st, No. of Data Wiring: Iva of Devices or" uivalent assage Bathtubs Na. of Motors Total HP ecommunicatrans irrag No. of Devices or ivaleat INSURANCE COVERAGE: Unless waived the owner, no Attach additfmd datail ifdesireQ. a arregwred by thelnspemr cfWiret . by , permit for the performance of electrical work may issue unless the licensee provides proof of liabilitysar in = including "completed operation" .coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing off ce. CHECK ONE: INSURANCE ® BOND p OTHER p (Specify:) Estimated Value of Electrical wo&- $750.00 cpuatron tc (When required by mtmiapal policy) Work to Start Inspections to be requested in accordance with MEC Rule 10 and r�ly, under the ai u and upon completion P Pees ajP�JutY, that the information on thin application is true and complde FIRMNAME: Baltic Security, Inc LIGNO.: 1178C •Licensee: Jonas R Bielkevicius Signature 499D (IjappA=bk, after ' exempt" in the Geeue nwnh 1m�� LrC. NO.: Addrfess:_ PO 'Box .1609 Sandw yr �7a. 02563 Bus Tel. No: 508-833-0996 OWNER'S INSIIRANCE WAIVE5-6 IL, Jam aware that the Licensee Ze-s nothave the liability T�' Na: rage -334 7 required by law. signaturee) insurance coverage normally OwnedA ent below, I hereby waive this requirement I am the (check one) ❑owner ❑ owner's agent. Signature Telephone No. PERWTFEE. $ 40.00. J • urpose of Budding RESIDENTIAL Utility Existing Service Amps / Volts Overhead ❑ New Service 100 Amps 120/240 Volts Overhead ❑ Number of Feeders and Ampacity 2/100 Location and Nature of Proposed Electrical Work: WIRE HOUSE IN Commonwealth of Massachusetts Official Use Only JIF Department of Fire Services Permit No. if -06 — /Z BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked /L-- ev. 11/991 eave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINTININK OR TYPEALL INFORMATION) Date: 08/08/2005 City or Town of: YARMOUTH,, MA To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 121 CAMP ST., UNIT 129 Owner or Tenant GATEWOOD HOMES, INC. Telephone No. 508 778 9669 Owner's Address 1600 Falmouth Road #25 Centerville MA 02632 Is this permit in conjunction with a building permit? Yes X No El ❑ (Check Appropriate Boa) ation No. 1466004 L r I No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans o. o Transformers j No. of Lighting Outlets 8 No. of Hot Tubs KV Generators KVA No. of Lighting Fixtures 8 Swimming Pool Ali ove ❑ - ❑ o. o mergency ig ing rnd. rnd. BatteryUnits No. of Receptacle Outlets 30 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 10 No. of Gas Burners o. o etection and No. of Ranges I No. of Air Cond. Initiating Devices Tuns No. of Alerting Devices No. of Waste Disposers eat Purop umber Tons Totals: _.._..................._ __...........__.._..__------- o. o el - ontaroed No. of Dishwashers I Space/Area Heating KW Detection/Alertin Devices Local Municipal ❑ Connection ❑Other Vo. of Dryers I Heating Appliances KW Security Systems: No. Vo. of stet Heaters 1 KW 4.5 0' ° ° ° ofDevices or E uivalent Data Wiring: Signs Ballasts No. of Devices or E uivalent vo. Hydromassage Bathtubs No. of Motors Total HP elecommunications Winng: 0 ...... a...a.u.vuuurtu,t hf aes7rea, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) 10/31/2005 Estimated Value of Electrical Work: (Expiration Date) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion. I certify, under the pains and penalties of pedury, that the information on this application is true and complete FIRM NAME: PATTON ELECTRIC, INC. LIC. NO.: A 15542 Licensee: RICHARD PATTON Signature IC. NO.: • Address: P, enter "exempt" in the license number line.) Nzai&Bus. Tel. No.: 508-5_ 9�00 Address: PO BOX 1525 MASHPEE MA 02649 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $125.00 1' x Commonwealth of Massachusetts official Use only Department of Fire Services Permit No. l; �0 & /37 - Ulu BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev.11/99j eaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINTININK OR TYPEALL INFORMATION) Date: 08/08/2005 City or Town of: YARMOUTH. MA To the Inspector of Wires: By this application the undersigned gives noticeof his or her intention to perform the electrical work described below. Location (Street & Number) 121 CAMP ST., UNIT 129 Owner or Tenant GATEWOOD HOMES, INC. Telephone No. 508 778 9669 Owner's Address 1600 Falmouth Road #25 Centerville MA 02632 Is this permit in conjunction with a building permit? Yes X No ❑ (Check Appropriate Box) Purpose of Building RESIDENTIAL Utility Authorization o„1466004 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ 'No. of Meteo_ Now Service 100 Amps 120/240 Volts Overhead ❑ Undgni Xi� No. ofMetersl C Number of Feeders and Aropacity 2/100 /� I Location and Nature of Proposed Electrical Work: WIRE HOUSE / l/in No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of o No. of Lighting Outlets 8 No. of Hot Tubs Transformers Generators KVA No. of Lighting Fixtures 8 Swimming Pool bove ❑ - ❑ o- o mergency ig ing rod. rnd. Battery Units • No. of Receptacle Outlets 30 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 10 No. of Gas Burners No. o Detection an No. of Ranges 1 No. of Air Cond. Tona Initiating Devices No. of Alerting Devices No. of Waste Disposers eat urn .,._umber ons Totals: "' o. o el - ontaln No. of Dishwashers 1 Space/Area Heating KW Detection/AlertingDevices 6 Local unicipal ❑ Connection ❑Other No. of Dryers I Heating Appliances, Security Systems: No of Devices 0.0 ater Heaters I KW 4.5 °' ° °• ° or E uivalent Data Wiring: No. Hydromassage Bathtubs Si s Ballasts No, of Motors Total HP No. of Devices or E uivalent Telecommunications inng: n.."�rs uuuamnar aerart tI aestrea, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) 10/31/2005 Estimated Value of Electrical Work: (Expiration Date) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of pedury, that the information on this application is tote and complete FIRM NAME: PATTON ELECTRIC, INC. LIC. NO.: A 15542 Licensee: RI AR PATTON Signature • 10 ..NO.: (If applicable, enter "exempt" in the license number line.) Address: PO BOX 1525 MASHPEE MA 02649 Bus. Tel. No.:Io8-539-0200 Tel. No., 774-153-6R78 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ I25.00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (OFFICE USE ONLY) JiII TH BNOF�AlRff �UFee: $ 05AUG 04 20 1"— _ eA71 PERMIT NO. r �' �Q5 (PLEASE PRINT IN INKS v' To the Inspector of Wires: By this application work described below. Location (Street & Nu er � V 1 Owner or Tenant Q— Owner'sAddress—Ltc� 1A LAIIUN) " Date: undersigned gives notice of his or her Is this permit in conj Mor with a building permit? 9 Yes Purpose of Building Existing Service Amps / Volts Ove New Service (® Amps IZZ I Its Ove Number of Feeders and Amvacity 2� Ui'l Location and Nature of Proposed electrical Work: NO (Check Appr Utility Authorization perform the electrical No. Box) 1(t6 W o,14 No. of Meters No. of Meters__ wm �e�eorsof me ottowtn table may bewaivedb the Inspector oWire; of Recessed Fixtures No. of Ceil: Sus . Paddle Fans No. of Total Transformers KVA o. of Li htin Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures A ove In- Swimmin Pool ❑ � No, of Emergency Lighting tnd. md. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiatin Devices Ranges No. of Ran g Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat PuTotmp Num er Tons _ _ al No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection Other No. of Dryers Heating Appliances KW Secutity Systems: No. Devices No. of Water Heaters KW No. of No. of Si Signs of or ui valent Data Wiring: Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent A w....L _JJ_.J ____, .,,,... u tu« y uratreu, or as requtrea oy the Inspector of Wires. j INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides l-� proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in \Nb force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ,2r BOND E) OTHERQ (Specify:) Estimated Valu Work to Start_ I certify, und�Eer,) Lllf�eeAM(� �I, and �j (If applicab r "ex INA t" in the lic se nu v Address• OWNER'S INSURANCE WAIVER: I am aware that below, I hereby waive this requirement. I am the (ct Owner/Agent Signature [Rev. 04/00] (Expiration Date) (When required by municipal policy.) to b reje ues dgari 'ordance w' MEC Rule 10, and upon completion. ry, jat ' fon on this lication is true and completee- — LIC. NO. _N-kc Si at ure LIC. NO. tuber li .) Bus. Tel. No.: Alt. Tel. No.: License does not have the liability insurance coverage normally required by law. By my signature one) ow er Q owner's agent. 0 Telephone 0 :IRS- Commonwealth of Massachusetfs Octi«al Use Only Im ,.Permit No. � — Ofo" )ZDepartment of Fire Services Occupancy and Fee Che&4 '(f �BOARD OF FIRE PREVENTION REGULATIONS .11/991 raveblank �7 �;r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORT i All wackto be ped'o®ed in accordance with the Massachusetts Electiml Code (MEC) 327 CMR 12. (PLWE PRINT INEI W OR TYPE ALL WF ORMA770NJ Date: City or Town of: YARMOUPH To the Inspector of Wires\ D By this application the undersigned gives notice of his or her intention to perform the electrical work described bz Location (Street & Number) MILL -POND �Trr.IAGE:, Camp Streetwi—< Owner or Tenant Gatewood Hanes/ Jeff Sollows Telephone No. 508-778966 9 Owner's Address 1600 Falmouth Rd.,, Suite 25, Centerville, Ma. 0263.2 Is this permit in conjunction with a building permit? Yes El No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woric Fire Alarm System (low voltage control panel) with bacle,M'batterv, 'centrally monitored. • rmm"leHon al the follawino table raav be iaaiveg-Im the 7rtmentnrn/'Wire.<. No. of Recessed Futures No. of Ceil.-Susp. (Paddle) Fans Tal Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of LightingFirtures Swimming Pool dgrne d. LAglitin BatteryUniits�cy g Na of Receptacle Outlets No. of Oil Burners FIRE. AT •ARMC No. of Zones -1- No. of Switches No. of Gas Burners o. of Detection and 7 Initiating Devices No. of Ranges Total Na of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat Pump Totals: um er. Tons JELW No. o Self -Contained Detection/Alerting Devices 7 No. of Dishwashers Space/AreaHeating KW Local 0 Conecption ® .Other No. of Dryers .. Heating Appliances KW SecuritySystems: . No. of Devices brE ivalent No. of ater KW Heaters o. o o. of Signs Ballasts Data Wiring; No. of Devices ortlog uivalent No. Hydromassage Bathtubs No. of Motors Total HP eromfDe*vi es or No. of Devices or Equivalent OTHM. INSURANCE COVERAGE: Unless waived b the owner, no ��� aamaonat aetatt fldesve4 or as rapdred by the Inspector cfWim.L y , permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE M. BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: $750.00 (When required by municipal policy.) (Expiration ntr Work to Start: Inspections to be requested in accordance with NOC Rule 10, and upon completion. rcakfy, under thepains and penalties of perjury, that the information on this application is true and complete FD2M NAME: Baltic Security, Inc LIC. NO.- 1178C Licensee: Jonas R Bielkevicius Signature �,, -' ^ LIC. NO: 499D (If,wlicvble,enter "eranpt"in the licensenunoe late) Bus TeLNo.• 508-833-0996 Address:_ PO Box .y 609 Sac%dwic, Ma. 02563 Alt TeL Na: 508 7�7 OWNER'S INSURANCE WAIVER .I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signanrre below. I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ 40."00 Signature. Telephone No. APPLICATION FOR PERMIT TO DO PLUMBING TOWN OF YARMOUTH WATTACHEESE D j� "^b�N A IILrI IILI Llnl IILSrC pAUG 2 2 2005 b Building AT. Location (OFFICE USE ONLY) By �}t1� - Fee: $qE)' ()�) 14�Dcaa. PERMIT Date j:L 20 vE�2 Owner's Name tf Type of Occupancy New a Ion ❑ Replacement ❑ Plans Submitted YesZf,, No ❑ iz", z Z_ N Y a S o \ N Y a¢ Q U F z O C7 Z N Z a 0 O N W iA F- Cl) W 2 rn H U 2 W N co Y Q S (n 10L Z Q a Q 0 X O W M O in M M W Q 5 y Q Q W Fnn G a J Z a O- j LL mi W S F' _� X 0 Z S Y M F Q Y. Q M W lL Y W a a s °x w 'a a 0 zQ d ° o a= M it a 00 a P Y J m N G O J 3 2 F in LL t7 7 0 Q it MIS SU - MT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Check One: ❑ Corp. Address /" /ITUIV Y _ ❑ Partnership Oy i Firm/Company 14 Business Telephone �� �Ss�Name of Licensed Plumber / P 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 ❑ �yent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted Signature of Lice ed (or entered) in above application are true and accurate to the best of Plumber my knowledge and that all plumbing work and installations performed under Permit issued for this application will be In compliance with all ��7 pertinent provisions of the Massachusetts State Plumbing Code and License Number Chapter 142 of the General Laws. Type: Master Journeyman