Loading...
HomeMy WebLinkAbout121 Camp St #131 Building Permitsoar TOWN OF YARMOUTH Building Department BUILDING PERMIT NO (508) 398-2231 ext.261 �_B-05-1555_� --_ PERMIT a... a ISSUE DATE ; - 6/30/2005 _ ; PROPOS APPLICANT ,Frank Capra -----------CP)- JOB WEATHER CARD PERMIT TO ;New Construction ' ------------ AT (LOCATION) 00121 CAMP ST Unit 131 ZONING DISTRIC R-2 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C731 BUILDING IS TO BE: CONST LOT SIZE 5-B I USE GROUPI R-4 new construction - affordable: 2 baths, 3 bedrooms, 1 diningroom,1 kitchen, 1 livingroom as per REMARKS plans dated OW09105. AKLA (bQ FT) EST COST ($1$148,896.00 OWNER I Villages 0 Camp St., LLC UI ADDRESS 1600 Falmouth Road # 25 Centerville MA 02632 PERMIT FEE ($) DING DEPT BY CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 Certificate Issue Date / , (/ ;CERTIFICATE of OCCUPANCY, Departmental Approval for Certificate of Occupancy and Compliance Inspector Date IPermit Number Approved By Remarks PLUMBINGIGAS - mew ELECTRICAL ' r i 110, To be filled in by each division Indicated hereon upon completion of its final Inspection. of r TOWN OF YARMOUTH Building Dspartment BUILDING (508) 398-2231 ext.261 PERMIT NO B-0 1 _ __ ISSUE DATE 613 _ a ROPOSED USE _ _ _ :: _ _ _ _ _ PERMIT APPLICANT _Frank Capra _ JOB WEATHER CARD PERMIT TO ' New Construction ' AT (LOCATION) 00121 CAMP ST Unit 131 ZONING DISTRIC R-2 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C131 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R 4 LOT SIZE CONTRACTOR new construction - affordable: 2 baths, 3 bedrooms, 1 diningroom,1 kitchen, 1 livingroom as per REMARKS plans dated 06/09/05. AREA (SO FT) EST COST ($ $148,896.00 PERMIT FEE ($) OWNER Villages G Camp St., LLC BUILDING DEPT BY ADDRESS 1600 Falmouth Road # 25 Centerville I I MA 02632 INSPECTION RECORD LICENSE 012430 (Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY .:Note Progress ' _`I' sus-� _c ��✓ ��rt'����as� i - r `1, WE ME �FA i UIVE & TVIIU FAMILY UNLY - BUILDING PERMIT ��. r' • C APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING O y Town of Yarmouth Building Department H ..r: 1146 Route 28 • Yarmouth, MA 02664-4492 � -n8) 398-2231 x261 • Fax: (508)_398-0836 ` ' t, .� ''' Office Use Ont(, r tanning info�tion:, 1Cssessor��`epartmectt fniamEtatian.� �.. �.��- �•y � # of Fr i 4. e*� r L r ✓t 3 t " Perriift 3Boarc} �3 F rocaC YDr x�tA rF i w ; i.J,�'T"+r,�r'�`.w t° *xa �}r Y'^„arY yet 3 � i»w �£ �`w�l_'OPK 1�" p< n ur�pa ntYkkf��#I t Y ''qq d ]!^A�2`k�u$ r : ¢« r 3y^4X..c•SE•V .M.IIRIIY+JA43kwr { y il..�arY$ U .tvT-tt'I4 �4 Tt•� t9vi�.r'MfYs � '6e " g. "�+*. :Y ° � a�.t C+•S a3K'ah aay�. q� �"TP Y&+{ +1 � 3 b � -Y`,k at 2 "i�' w0.u. ..+"��✓ c s'n'� r,. F_ M R. YQQ�� (nry+��✓✓�[n� i ,h 9..da� *d .� a:"L r9 tl) � � rr�n +�^t �. ,jF` s�r.YYr�" b t l�rn � T Y � MYs�.1M k i' �X n R$ X'.. �i?epoJlt N,4�I tY W'1.'r � i�k�4rudttK itY �OL.�.�2g }T��yy..[..�' `FY"L SMt$ .�iYt Yfi• 4Yr~` �cY�i r� �yY Y � ���EYgr F 1kfG�Yt._5: H vL�,f�{yS.t}yJi"2 ���yF^'--i`dgm�.. S+�f A' d- �•,'��i{aiifySl tY'.?xj �"S' ,�t?Iam.N`q, .C. �SA'Y 0. 4` { ri1K)`y+d� y�4 Arv.Y k/l'aI',3 4�wrl.IS.lm"^+�Y?±FJlYv'4'�v.N A4 Rfil-Cf -?if 9yMu.gJ- rNei nv. a Ar,. ate.y,: :'A ,r.,rvr-^i�t. 854 n"1'.'hiixFcii.,'? �waUP.ir._� . _..r . « ,, ., ...,.. teaa aj' a ro %8ge r ;. tDt C c a ,.<� •M,r - ;f pp.._• ,��r^^"- .n...xN::. r—vu--- ry c.,-..r-'aA'w`°r�x3,e4€ •e �'�y�cr('y�yp�+��r W-'%�OrtJ., �: } �.lx� to�$M ��;";s:5'$*`3y"u.�'.i` vy�'+. OiiflUira: r •P..f''r"a"i�.5.atk.t.i ?5�-x "'.+ .. ",1J.44Cs.:lt.iUCi(�'f .+�+..a.�72&��` tRc+. 'rk�? E?� . ,�� ,>�4�•• ,.., o �y R "' ++��"i') `� '"` .: Lr "r`�et �3i. Y^tTr3i •n' tK 'i.d.e' Fir 0 n 1� -�„,avTt,3 M .S"' S c' Yi+ ayv+. i• (r"tq- >r Ire s ✓�w4rYsw`. '� ,,r�54-,�� ;R9 #`.*Z4WBiF Y fC: a C�ld€ a. ✓ .ki">���aif xi .E •G.3r re.' 2•il?'�+:Y"di:,h>E r€, n i. 5 e }�-+N' _ t lt2 S• XAf�!2a fi J 6 z t ... +` (ding O#mfaf „ � vim# F Date �',rt I IS is aa0 rsc ired SeettQ$iteu _ 4rl!atto Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: a iCA S - I° 1� 0�51 �' Lnk stm u+ Zoning District Proposed Use 1.3 Building Setbacks. (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L. c. 40. S 54) f Hood N% hrtormatr$ t>s :gettt 4 'q eft;° SAM, Public Private 10 'ivr�e BF,OR x;tr. rd�gerit ' �'e,ctton::2 �1J�o�e ' � w�.pis�np�A�ithor+�. 21 Owner off Record: Lc j N mefprintk � /�, Mailing Address Czt vf` (�/�" J2 C� C1i_;e.LYI�C.._I�- �N I lk (6 I^^ - - Signature Telephone 2.(Aja&izOed Agent: rr 0O ✓ ,t , /� 01 � Name print) (`.p� ,, � P O� Mailing Address - — o Telephone 7 Y—Fax , EttO -, a ei`rast r1t; ethic ; I 3.1 Licensed Construction Supervisor, S v 2( U� J Not Applicable ❑ , � License Number ' IIAA fVII� .� 3a' r` O �J Jv'1 € 1���r o ddre 78 - 64p� Expiration Date o� .- /6 .moo Signature Telephone 2Regjstere.#�arlre Ilt erne_: °,:. . t0. __r•c Company Name D9 0 w NotApplicabl Address Ju J U N License Number 9612T,Expiration e Date Signature Tele 7 9-15-99 1 of 2 OVER St;chQr -�k Fl�latkers*f. mper�satiort ttiStrcance lffidaVWitsi4: L M S5 I S �59q Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure , to provide this affidavit willresult in the denial f the issuance of the building permit. Signed Affidavit Attached Yes ......-.:. No .......... Seciltn5.i�escnpfuan`.o:,rofsedlfot(c'(ctieckahappJ#eab(e New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type I Demolition Other Specify: Brief Description of Proposed Work: ' �►� �. l f In �l Vt Q �Sectio �"L `�tfiriat�d"Cnns�nictfon�C'ast Item Estimated Cost (Dollars) to be Check Below ❑ Conservation -Commission Filing (if applicable) Q Old IGngs Highway& Historical Commission approval (if applicable) completed by permit applicant 1. Building. 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection / - 6. Total = (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. (new houses & addrions) 1/6 Sept aC� a {3wn4t?AdthbnzAtFb1i, Tca be,Comptet DwneSA er�tfrCciniractorApptsesfor..,Buifd;ng �Whert Perm+t I,AJ o e� as owner of the subject property hereby authorize rA- to act on m beha, in all matters elative to work authorized by this building permit ppi'cation. S-Z/ Signature of Owner Date �ecicon7ti" �zIO�IudtterlAtttfiome��tgent=bectaratigrr: t C—e"S-e-r n t l t eLv%-, , as Qwnerhorized 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. Print name/ Signature of Owner/Agent Date 11 9- f5-99 2 of 2 i k CiL—\ e-L.-)0,� - The Commonwealth of Massachusetts Department of Industrial Accidents Offleeofferesal fens 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit 0,0 J-A- I.vIa b ❑ I am a homeowner performing all work myself. ❑ .1 am a sole proprietor an.ha%e no one working in any capacity ❑ I am an employer pro%iding workers' compensation for my employees working on this job. am a sole proprietor. general contractor, or homeowner (circle one) and have hired the contractors listed below who ha%e. the following workers* compensation polices; in su rn one Vi c to secure coverage a required under Seedoa 25A of MGL 152 na Ind to the irapaidon of erimiaal peaaltles of; nag ap.to St¢00 00 and/or one vein' imprisonment as well is civil penaldei is the form of a STOP WORK ORDER and o net of Sit" Pen day iof 2 e U I at+derstat d'thnt a COPY of this statement may be forwarded to the OMCC of Investigations of the DIA for. coverage verif endon, of perjury that the information provided above is out and coo . CL natone e k 1T � ? r C ■ O y PLEASE PRINT; Job Location: _ YARMOUTH BUILDING DEPARTMENT CONSTRUCTION Street Owner of Property: Construction Supervisor. Name Address: Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: SUPERVISOR FORM Village L-L c Daly-�,,o Sob ��L 4b� License Nn r._ — License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shallwillfullyviolate subsections 2.15.1, 2.1-5.2 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 2 No If you have checked yo, please indicate the type coverage by checking the appropriate box.' A liability insurance policy 3000� Other type of indemnity ❑ Bond OWNER' INSUR CE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapt 1 of t ass. era ws, and that my signature on this permit application waives this requirement. Check one: Sig to of owner or Owner's Agent Owner � Agent U Signature: Building Official Approval: P X. v TOWN OF YARMOUTHELECTRIC, 1146ROUTE28 SOUI'HYARMOUTH MASSACHUSEM026644451 GAS Telephone (508) 398.2231, Ext 261 — Fax (508) 398-2365 PLYING 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 1; t C&AA A p Work Ad l� is to be disposed of at the following location: �►n 1�1yR1J`C�� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. @ 7, / "Signature M-- of • • r. Permit No. Date 00 - 35P00 of enclosed space (MGL C.T12.S.SoL) IA- Masopry only - - { - TG- 4 &:2Fam( ..Homes failurempossess;aaineMedition of the t : MassaCius 6-.StatijBOildihd.lb6de. is-cause:for�revocation.attliis-ricense. ' DIG. SAFE.CALL.CENTER: {888) 344-7233 L of t� 131 05105/2005 14:09� 50B-760r1fi67 EASTERN-INS.-YARMOUTH PAGE 01 ACORD. CE TIFICATE OF LIABILITY I-NSURANCE 0S AS/20o ' PRODUCER 505-398-6033 Eastern Insurance Gr 1 Atlantic Ave FAX 503-760-1667 up LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND.CONFERS NO RIGHTS -UPON THECERTIFICATE ...HOLDER..THIS. CERTIFICATE DOES.NOTAMEND..EXTENDOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS -AFFORDING -COVERAGE �. so Yarmouth NA 02664 IN6uRED Cape Cad Custom 762 Falmouth Rod Floors 1NSVRERA: Arbella. Protection Ins Company iJ+sVReRe:'Hartford"-' INSURER Hyannis MA 0260 INSURER W-_. EUURERE' COVERAGE "' THE POLICIES OF -INSURANCE ANY REQUIREMENT. TERM OF MAY PERTAIN, THE INSURANC POUCIES.AGGREGATELIMl7 LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDIN CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYSE ISSI IFn nrr E AFFORDED BY THE POLICIESDESCRIBED HEREIN ISSUBJECrTO-ALL TFiETERNM €=USIONS RND-CONDITXM OF SUEH- SHOWN MAY HAVE BEEN.REDUCED.BYPAIDCLAIMS.- INSR DD' TYPE OFINSUR E • - POUC[ NUMBER.... POLJCY FFECTIVE 12/13/2004 POLICY EXPIRATION_ IZ/13/2005 _ .... LIMITS A GENERAL LIABILITY.. J( T MMMERCIAL.GENEIF CLAIMS MADE 1,L LIABILITY X OCCUR 7S00000173 EACH OCCURRENCE. S. 1,000,00C DAMAGEIORENTED S SO,00 MED EXP(AnY"_PM9P) -S. •S,OO PERSONAL} ADV INAM i 1,000,00( GENERALAGGREGATE- . S. 2,000,00( GENLAGGREGATELIMIT K POLICY JM iPPLIESPER. _ LOO PRODUCTS -COMPIOPAGG S 2,000,00( . AUTOMOBILE LIABILITY ANY AUTO N-L OWNED AUTOS SCNEDULCO AUTOS HIREDAUTOS NON -OWNED AUTOS _ - ..... .. " . .. .. COMBINED SINGLE LIMB IEa FaidmO S... SOOILY INJURY (Pbrpomon) i.- BOOILV IN1VRY (Px 6CCldenll .S. PROPERTYDAMAyE S GARAGE LIABILITY ANY AUTO - - _ . - ..... AUCOONLY .-EAACCIOENT- t OTHER THAN EA ACC AUTO ONLY!_ AGG. S S A EXCESSWGARLLA LLAB X OCCUR DC DEDUCTIBLE -Z RETENMN- S AIMSMAOF_ " - 460002928S ... Y2j13/2004- 1Z/13/2005- EACH OCCURRENCE i- . 1. OOO-. AGGREGATE_ . S.. 1,000 00 T. s S.. . B WORRERSCOMPENSATION EMPLOYERS LIABILITY ANY PROPMETOWPARTNEWEX OFFICERIMEMBEREXCLUDEp'1 Ryyees, docnbe wdw SPECIAL PROVISIONS balIm - CUTNE _ O8WECKL10O7- r�. �.�.. 0.5 B/2004- _n[ JZSj2QQS_. `�-+T GVZS/ZOQS -�L� �•�� r•+/�.+f 20Ofi- X CI STAT, - . OTH- Fd.. F?CHACCIDENC. .. 5.... 500 QO E.L:OISF/5E-EAEMPLOW i- 100,00 E.L➢RCJ�1E-F➢lICY1Wrt 5... MaM OTHER ... DESCRIPTION OF OPERATIONS / LOr 'deuce of insurance TIQMS I VFJIICLES I EXCLUSIONS ADDED BY ENDORSEMENTJ SPECIAL PROVISIONS " CFRTIFICATF NOL nFR R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEPORE THE EXPIRATIOMDATE jHERFOF, THE69LANG DSURER WILL ENDEAVOR TO MAE- -10- DAYS NRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Gatewood Homes BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No OBLIGAAONON-LIABILITY 1600 Falmouth Ad N25 OF ANY WN1311POWTHEiNSURER. REAGENTS OR"REPRESENrATVES' Centerville, -02632- AUTHDa PR[SENTAT Ve ff ACORD 25 (2001108) FAA: .C508>778-5603-- L�� �" QIACORD CORPORATION 1988 Client#: 18434 2ASSURANCECO A ORiDn CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYY� 10/04/04 PRCOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O'Neil Insurance Agency, Inc. 222 West Main St. PO Box 1990 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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: INSURERC INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR TYPE OF INSURANCE POLICYNUMBER POLICY E FEp EFFECTIVE POLICY EXD DATE PIRATION LIMITS A GENERAL LIABILITY 16808387A9841ND04 08/01/04 08/01/05 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY RENTED DAMAGE TPREMISE S30-0OOO CLAIMS MADE a OCCUR ,O MED EXP (Any one person) $$ 000 PERSONAL 8 ADV INJURY $1 00O O00 GENERAL AGGREGATE s2,000,000 GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO s2000000 POLICY jE7 LOC AUTOMOBILE LIABILITY ANY AUTO - COMBINED SINGLE LIMB (Ea accident) $ BODILY INJURY (Per person) $ - ALL OWNED AUTOS SCHEDULED AUTOS - BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR .FI CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STAYLIhTU-rrS ER EMPLOYERS' LWBIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEEI $ OFFICERIMEMBER EXCLUDED? M yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY OMIT s OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes, Inc. Attn: Paula 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 of 2 #35866 LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 111_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER ITS AGENTS OR LS1 O ACORD CORPORATION 1988 : :.-.` .. .... NSVR/N -i 01-19 05 PRODUCER [ALTE;RTHE TIFICATE IS ISSUED AS A MATTER OF INFORMATION D CONFERS NO RIGHTS UPON THE CERTIFICATE DOWLING & 0 NEIL INS AGC THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 WEST MAIN STREET COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 1990 HYANNI S MA 02601 COMPANIES AFFORDING COVERAGE COMPANY 22LGR A ST. PAUL FIRE AND MARINE INSURANCE COMPANY INSURED / COMPANY HP BUISNESS SERVICES INC IgssU�a-hcc wlstr�P� B 118 WATERHOUSE RD SUITE E 't n COMPANY BOURNE MA 02532-�..C4'.C.ai (,<,"C4..%.QIL� C - COMPANY D 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE (MMMDIYY) DATE (MMADMYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. - — GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. S PERSONAL & ADV. INJURY $ EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S MED. EXPENSE (Any one person) S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO - AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE S A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-4042B37-2-04) 12-24-04 12-24-05 STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT $ 100 000 PARTNERS/EXECUTIVE X INCL DISEASE —POLICY UMIT $ -500 000 OFFICERS ARE: EXCL DISEASE —EACH EMPLOYEE S 100 , 000 nTucn _ AUTHORIZED REPRESENTATIVE Date: 5/5/2005 TIMOS 3:02 PM TO: If 15007785603 fm&..ts. *A-2ea Page: 002.003 ACQI?D�. CERTIMCATE OF LIABILITY INSURANCE '"Y"Y' O& PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Feltelberg Company ONLY AND. CONFERS NO RIGHTS UPON THEC0MFICATE . 222 Milliken Blvd. HOLDEM THIS CERTIFICATE DOLES NOTAMEN&; EXTEND On- P.G. Box 3224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fall River, MA 02722 INSURERS AFFORDING COVERAGE NAIC N INSURED Cape Cod Ready Mix Inc. INSURER A: Acadia Insurance Companies INSURER B: Construction Industries Compensation PO Box 399 NSURER C Orleans, MA 02653 INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOT'VRH$TARDN(,ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACTOR -OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE66R- MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RE DUCED.DYPAR) CtAJMS. TYPE OF INSURANCE POUCYNUMBER POLICY EFFECTIVEPOLICY EXPIRATION LIMITS - GENERACLIABILITY X COMMEROALGENEPALLIABIUTY CLAIMS MADE OCCURME CPA013246810- _ _PERSONAL .. .• O'N/01j85r. " 01[tlt/OB. .. _.. ' (,"OCCURRENCE S1000000 DAMAGE TOPENTEO S100000 D EXP NM me pe n) $5 000 B ADV INJURY S1.000.000 GENERAL AGGREGATE S2 000000 GENT AGGREGATE POLICY OMIT APPLES PER PRO LCC PRODUCTS-COMP/OP AGG $2000000 A _ AUTOMOBILE: LIABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREOAUTOS .. NON-GWNEDAUTOS MAA013246910 01/01A0.5 01/01/06 . - COMBINED SINGLE UNIT . (Ea xa-tlant} 51,000,OOQ- BCOILYINJURY pe peranl S X X BODILY INJURY Paactltlett} E X -PROPERTY DAMAGE. Q'� earcerXl GARAGE LIABILITY . ANY AUTO . .. AUTO ONLY • EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG S S A EXCESSIUMBRELLA X LIABILITY _ OCCUR a CLAIMS MADE DEDUCTIBLE RETENTION so CUA013247010 01/01/OS 01/01/06 EACH OCCURRENCE S1000000 AGGREGATE S S X S - B WORKERS COMPENSATION AND EMPLOYERL LN&NTY- ANY PRCPRIETCRAPARTNEIZVEXECUTIVE OFFlCEAIPdEMBEREXCLUDF_[Yt wdw-ELL. SPPCALPRe PROVISIONS SPECIAL PRONSIONS 6elrnr WC0009265 01ro1/O5. 01/01/m X WCSTAW. OTH- _ E.L. EACH ACCIDENT $50000G DISEASE -EA EMPLOYE S600000 El. DISERSE-POLICY LIMIT SSOQ COO- - . OTHER DESCRIPTION OF OPERATIONS /LOCATIONS[VEH10.ES rEXCLUSIONS ADDED WENDORSEVE 4rl SPECMt PROVISIONS ' CERTIFICATEHOLDER CANCELLATION- - GatewoodHomes Inc. ' 1600 Falmouth Road Suite 25 CwderVIOa;MA 02632 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION THER,THEISSUNGINSRER-WILLENDEAVORTOMAIL -10, DAYSWRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSENOOBLIGATION ORLIABILITY OFANY KIMUPON THE INMMWJ%-ITS-AGENTS OR'- REPRESENTATIVES. TIVE NTA-ftw .... . AWH"�(ZOO11/03) 1 of #SSB995/M66526 AH1' 0-ACORDCORPORATION 1988 05/06/2005 09:38 5084204474 EDWARD A GRAZLL PAGE 02 ... DATLIMMfDOlY1 ACORQ,; CERTIFICATE OF LIARIUTY.INSURANCE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT PRODUCER ONLY AND .CONFERS NO RIGHT'S UPON THE CERTIFICI F,d�d A. i�Ill1.Rurcl= �Yr Ztc• WOT AtTER THE �OVERA E AFFO�ED :8 THE POUdES.EBrmu P:0 ABC 337' ftsurs MLLls, m C2648 WN URERSAFFORDINGCOVERAGE NAIC# l,9L A,- r�la� -�tX—Tm•- StE' TQi2�Lj5 r ({WwsumeA D'.. .. . ' INSUREIIC .- 145 CamettII yy 6 M'ritfllS Kdls, MR ao/48 .... � '� Ia19UREP ANY FIEOUIREMENT, TERM. OR .CONDITION OF ANY CONTF MAY PERTAIN, THE'NdS RANCE.AFFORDED BY THE POLICIi POLICIES. AGGREGATE-UMITS SHOWN MAY HAVE BEEN RE[ X9R I POLICY GENERAL LIAB1tTTY .... .. �COMMEPCIAL GENE RAL LIABE..ITY CLAIMS MADEOCCUR A I iAGSOMOATF-1. TUEB PEA' I�lAAJ71.V� G AUTOMOBILE LIAEILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREO AUTOS NON-OWNEC AUTOS 4 GARAOELIABILRY ANY AUTO 4 EIICESSIUMBAM. AUA50-M %OCCUR" . - .(� CLANS MADE DEOUCTIELt . RETENTION S WORKERSCOMPENSATIONAND.. EMPLOYERS'LIAI NJTY AW PRONUETO"ARTNERMI(ECUTIVE ... OF.PICER/MEMBEP EXCLUDED' Gate wow 1'XITw, .im- . Cf0 E i TaaEr-thu ... Rte 28-. Ce1tmrille, M4 02632 F,hY:. 1-50B-778-%03 IQD TO THE INSURED NAMED AB( :T.OR OTHER DOCUMENT WITH nESCRIaEDHEREIN IS SUBJECT DTENDORSEMENTl&PfCIALIROV(sM3'- * POLICY PERIOD INDICATED. NOTWITHSTANDING D WHICH THIS CERTIFICATLL.MAY BE ISSUED -OR. - TERMS. EXCLUSIONS AND CONOTTIONS OF SUCH PAEMISE4 (Ea-g„y!g_4!1 . _ MEBEX►(Aq-0AePMlPN COMBINED SINOI.E LIMIT Ift — BODILY NAJRY - s INJURY AOOILY NJURY D'«x PROpERTVOAMADF S (Per ¢ddaa) _AUTO ONLY -EA ACCIDENT i nTucvTUAAf EAACC S__, VA mc;LlLLACrIvmr . GMOULD ANY OF YIIE ABO'Ve DE=fflBEQlOLICMS EE 9ANCELLED DEFORE.THE V"RAn K QATt THMEOP. INC DER WILL ENDEAVOR TO MAIL _DAYS WRITTEN NQTCE TaTHE CERW(;ATE HOLDER RAMEO TO THE LEFT. DUT FAILURE TO DO SQ SHALL ptPDSE ANO4)BLIGATION-OR LiABLLDY. OF. ANY. KIND VPDN THE INSURM R'YAGENi8-DR- AFFRC9ENYATWE5. _ AUTROJZ60 RETRESENTAT^E CERTIFICATEOF INSURANCE ISSUE DATE (MM/DD/YY) 05/06/1005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Harold H Williams Ins Agcy Inc 81 Bassett Lane CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE INSURED Stephen M Childs 145 Cammett Road COMPANY LETTER A A.I.M. Mutual Insurance Co 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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. LD=S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICYEXPIRATIO DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. S COMMERCIAL GENERAL LIABILITY LAIMS MADE=)3CCUR - - PERSONAL & ADV. INJURY S EACHOCCURRENCE $ - OWNER'S& CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one Person) S AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per=idenU $ GARAGE LIABILITY PROPERTY DAMAGE S ;EXCESS LIABILITY EACH OCCURRENCE $ MBRELLA FORM AGGREGATE S THER THAN UMBRELLA FORM VORNER'SCOMPENSATION AND X A B RI JUIHEK LIMITS A •MPLOYERS'LIABILITY HE PROPRIETOR/ INCL ARTNERS/EXECUTIVE 7015793012004 12/13/2004 12/13/2005 - EL EACH ACCIDENT $ IOO,000 EL DISEASE —POLICY LIMIT S SOO ��� EL DISEASE —EACH EMPLOYEE $ 100,000 FFICERS ARE: X EXCL OTHER IIESCRIITION OF 01'1;IZAT'IONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GateW00d Homes 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 Bell Tower Mall Rte 8 LIABILITY OF ANY HIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE AC.ORD. CERTIFICATE OF LIABILITY INSURANCE 1 DATE (M&NDD/YY) 10/28rzo04 PRODUCER ISeiial # A1530 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 wsuRER A: NAIL FIRE INSURANCE CO. OF HARTFORD INSURER B: VALLEY FORGE INSURANCE CO. HOLMES AND MCGRATH, INC. wsuRER c: CONTINENTAL CASUALTY CO. 362 GIFFORD STREET INSURER D: FALMOUTH, MA 92540 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. r ITRr, TYPE of INSURANCE - POLICY NUMBER PAY EFFECTIVE fMMlDDfM EXPIRATION DATE fMMIDDNYI -DATE LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UA AG TO X COMMERCIAL GENERAL LIABILITY - - A CLAIMS MADE QX OCCUR 1074082434 10/06/04 10/06/05 MIRED EXP one i$E;m PERSONAL SACV INJURY GENERAL AGGREGATE $ 2,000 000 GN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMWOP AGG S 2000000 POLICYr7l PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB (Ea a--K rt) S BODILY INJURY o'er Pelson) $ ALL CVMED AUTOS SCHEDULED AUTOS BODILY INJURY (Pa accK" $ HIRED AUTOS NON -OWNED AUTOS (g GE S GARAGE LIABILITY GARAGE AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO s UTO ONLY'. AGG EXCESSIUMBRELLA LIABILITY OCCUR �CLAIMS MADE EACH OCCURRENCE $ AGGREGATE S S s DEDUCTIBLE �s $ RETENTION B WORKER'S COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERffJECUTNE OFFFFLERIMEMBER EXCLUDED? SPECIAL PRO °ndw S below 21057445273 09/01/04 09/01/05 X *FAER EL EACH ACCIDENT $ 1,000,000 ELDISEASE-EA EMPLOYEE S 1,000,000 a DISEASE. POLICY LIMIT s 1,000,000 OTHER C PROFESSIONAL LIABILITY AEA 00 43133 38 07/13/04 07/13/05 $1,000,000 PER CLAIM/ AGGREGATE DESCRIPTION OF OPERATIONSILOCATIONSNEH= ESIEXCLUSIONS ADDED BY ENOORSEMENT/SPECWL PROVISIONS AGGREGATE LIMITS ARE PER THE TERMS AND CONDITIONS OF THE POLICIES. / CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATEWOOD HOMES, INC. 1600 FALMOUT H RD., STE. 25 CENTERVILLE, MA 02632 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CFROFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES ALIT REPRE ARM 1 ACORD 25 (2001/08) 1 {' ® ACORD CORPORATION 1988 CAFWPROICERTPROS.FP5 / tkC�3RD - . CERTIFICATE OF LIABILITY INSURANCE } °"� 514/' 5 5/Q/05 PRODUCER Uniiod IDau;ance Agency, Inc. 194. Main Streat ONLY AND -'��.� ALTBRTNI F.O. Sox 1013 Buzzards Bay, MA 02532 INSURERS Al INSURED Patton Eloctric, Inc. NSURERA' ZO INSURER: Li NSURERC: 128 Scituate Road NwRExP: Mashpee, MA 02649 COVERAGES THE.POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE -FOR THQ POLICY PERIOD INDICATED. NOTWITHSTANDING OR OTHER DOCUMENT WITH RUSRECT TO WMIC",THIS CERTIFICA7ENAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAV-PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIES AGGRE13ATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIIYCLAIMS,-' 4POUCFEFFFCRI6 NUp DN .. L -. IN"_ D' pDUCYNUMSFR S 1,000..00.9 - EACH OCCURRENCE OLNCEALOOLLITY SCP42415399 7/30/04 7/90/0S PREMISES e .. /�/� t SD1 -, 000- p` CCOM�MERaRLOENSRw.LIAEa1rY S 10.000 MED EXPI OM CLAMS MIoE 53OCCUR -CERSONALJIAOV INJURY 3 11 OLOO AII . . _ GENERALAOGREGATE S 2,000,000 -PRODUCTS -CDMPMPAGG S 2- QQ,Q-A,O D.. GENT. AGGREGATE LIMIT APPLES PER: X POLICY ACT . - ' r - IWTOYOBEELUADILRY - COMBINEDSNOLELRAR t6 S• ANY AUTO ALL ONNEOAUTM ... ODDLY INJURY (P-I ve" S SCHEDULEQAVTOG ... MISTED AUTOS .. pty (�icjd" NON.OYMEAAUTOS.. PROPERTYOAMAOE S .. ._ (PH ARId" AUTOONLY.EAACCIDENT t GANAGEUABSJTY .... - EAACC a ANYAUTo OTHER THAN A UTODNLY: AGO S EXCES IUMDRELLALIABILITY . - - EACH OCCURRENCE S AGGREGATE t OCCUR CLAIMS MADE S S DEDUCT09 RETENTION t e4 WORICeRSCOMPENSNIONANp EARRAYERVLIAMLITY WC2313-3534MY24-.. 12/1D/-DA .D ?- E.LrAO+/AccmEN.. t .. 10II.AQO. EL, DISEASE -EA EMPLOYEE S 500.000 $ ANFICERpRIE ER�EIRTUDEOVECUTTVE Y�aA X - ELDISE4SE-POUCYUMIT S 100,000 " '"Cibuter.. SPEOAL PRON9 W SAeb+' OTHER OBCRRRTON CP OWRATIONSILDCATIONS/ VEIN (MISS (UCLUSIOITS ADDED ELY ENDDRSEATENT I SP%K PROVMIONS Slaetrical Gateway Homes, Inc. 1600.8almoUth Rd., unit 25 fax 508-778-5603 Cantorville, Ma 0263; SHOULD ANY OF INC ADOVE D©CRA OW pOLICIES9E CANCELLED BEPORE THE EXPMATION PATETNEREOF.TH91"LRNGNSURER WILL EMDFJIVDRTONAIL -I-Q^DAysRIRRTEN NOTKETO THE CERTW LATE MOLDER NAMED TOTHE LEFT, OUT FAEURET01110909RAACt' INIVSEJIOODUWTIOM On'j,IARu1TOFpNYKIW UPON tpelNwaE1�IrsABEHTe oR lost— _ ACORD CERTIFICATE OF LIABILITY 2 INSURANCE DATE(MMDD/YY) :~ �9 15 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chatfield, Whitman &Young 549 Washington Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 850963 COMPANIES AFFORDING COVERAGE Braintree, MA 02185-096 COMPANY A Harleysville Worcester Ins Co INSURED - p .. . 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 LTR TYPE OF INSURANCE _ POLICY NUMBER _ POLICY EFFECTIVE DATE(MM/DDNY) POLICY EXPIRATION DATE(MMIDDIM LIMITS GENERAL LIABILITY - GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMP/OP AGG S 2,000,000 A COMMERCIAL GENERAL LIABILITY CB 7E 32 32 9/07/04 9/07/05 CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $ 1, DOD , O O O EACH OCCURRENCE $ 1,000,000 OWNERS & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS _ SCHEDULED AUTOS - BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS - .. - PROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ - - EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE S UMBRELLA FORM $ OTHER THAN UMBRELLA FORM - WORKERS COMPENSATION AND WC TORYLMITS ER ' EMPLOYERS' LIABILITY - EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE . EA EMPLOYEE S OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPEGAL ITEMS CERTIFICATE HOLDER CANCELLATION t'` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Gatewood Homes EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 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 LULBILI OF ANY KIND UPON THE COMPANY E SENTA S. AUTHORIZED REPRESENTATIVE Robert E. Chatfield ACORD`25S (1l95) � " . , ' , ; ..,,. ' caACORD;CORPORATtON.1988:' J La T ACORD. CERTIFICATE OF LIABILITY INSURANCE Ro 6 09-27 T2004 PRODUCER PAYCHEX AGENCY INC. 210706 P: (877)287-1312 F: (877)287-1315 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. INSURERS AFFORDING COVERAGE 308 FARMINGTON AVE FARMINGTON CT 06032 INSURED INSURERA:TWln City Fire Ins Co ' INSURER B: INSURER C: LAWRENCE ROBINSON MASONRY INC INSURER D: 5 FRESH HOLE ROAD NSURER E: HYANNIS MA 02601 COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY£FFECTIVE DATEjMMDD1YY1 POLICY EXPIRA TION DATE IMMIDDZM LIMITS GENERAL LIABBITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE ! FIRE DAMAGE (Any one fire) ! MED EXP [Any one perwn) ! PERSONAL& ADV INJURY ! GENERAL AGGREGATE ! GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I I PRO- LOC PRODUCTS - COMPIOP AGG ! AUTOMOBBFLIABR/TY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ., HIRED AUTOS NON -OWNED AUTOS `-' - .:(Per _ COMBINED SINGLE LIMIT (Ea accident ! BODILY INJURY' (Per perwn) BODILY INJURY accident- ! PROPERTY DAMAGE (Per accident ! - GARAGELIABILITY ANY AUTO - AUTO ONLY - EA ACCIDENT ! OTHER THAN EA ACC AUTO ONLY: AGO ! ! EXCESSLIABAITY IOCCUR F_] CLAIMS MADE DEDUCTIBLE RETENTION - ! - EACH OCCURRENCE ! AGGREGATE 8 ! ! ! A WORKERS COMPENSATION AND EMPLOYERS'LLWAITY 76 WEG NQ5620 09/06/04 09/06/05 X WCSTATU- OTH- FR E.L. EACH ACCIDENT $100 000 E.L. DISEASE - EA EMPLOYEE ! 10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERA TIONSAOCA77ONSNEMCLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROWSIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER I I ADDITIONAL INSURED, INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE GATEWOOD HOMES HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1600 FALMOUTH ROAD, SUITE 25 REPRESENTATIVES. CENTREVILLE MA 02632 AUTHORED R£PR£SENTA � - ltl3 ACORD 25-S 17/97) 0 ACORD CORPORATION 1988 12/02/04 13:36 FAX 5087900249 COLDMAN ASSOC IM 02 jIr a`CORD- CERTIFICATE OF LIABttTY-WSURANC-E �R IWLmDDOLYYI-- - ._ . _. . TAVAN50 12 02 04 PROD1�� THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION GOLDMA.Y 'Q ASSOCIATES INSIIRANCS ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE FINANCIAL SEILVICES INC. HOLDER: THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 933 FALMOUTH RD. ALTER THE COVERAGE AFFORDED By -THE POLICIES BELOW. HYANNIS MA 02601 PhonoL 508-775-6610 Faa:508-790-0249 INSURERS AFFORDING COVERAGE NAIC9 - RODNT T TAVANO DBA P.MCHANICAL SYSTEMS 110 E:OLDER LANE W BMSSTABLE MA 02668 INSURERA: INSURER B: INSURER C. NSURER D &twee A/nr0 THE POLICIES OF INSUTANCE LISTED BELOW HAVE BEEN L48UEO TO THE NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RCOUIRDANT. TTRM OR CONDITION OF ANY CONTRACT OR OTHCR OOCUllaw WIT14 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN$ JRANCE AFFORDED BY THE POLICIES pESCRIBgO NmIN IS SUBJECT 7TI ALL THE TERMS. DSGLUSIONS ANO CONDRION9 OF SUCH POLICIES. AGGREGATE LB1IT3 SHOWN MAY HAVE BEEN REDUCED BVPAID CLAN& LTR NSR TYPE OF INSURANCE POLICY NUMBER GATE ;; DA I. MWD _. _ LINTS A GENERAL LNJSERY X COMMERCIAL GENERALLIA&UTY CUJ66 HIDE OCCUR 000372088 - 11/21/04 _ 11/21/05 EAC14 OOCURRENNCE _ I s 1000000 PREMISES' (E�Otnlr -) IS300000 MEG EW("we PP") 210000 PERSOHALSADVINJIRY 51000000 GENERAL AGGREGATE s 2000000 GENT AGGREGATE LILBT APPLIES PER: POLICY : J� LOC PRODUCTS •COMPIOP AGO 32000000 AUTOMOBILE LIABILITY ANYAUTO ALL MMEB AUTOS SCHEDULEDAUTOS HIRED AUTOS NOWOWN€O AUTOS ..... .. - .. . - ( OMBINEDtSINGLE LNIT -. S - BODILY INJURY (PIN PM:RII) S BODILYdm (Per BCdGr1t)U f PROPERTY DAMAGE (Per efLNIMI) S GARAGE UAINUfY ANY AUTO AUTO ONLY -EA ACCIDENT S-- OTHER THAN EA ACC AUTO ONLY. AGO 1 S S EXCESSABBIRELLALAZILITT OCCUR CLAM MADE DEDUCTIBLE RETENTION .. __S EACH OCCURRENCE Is AGGREGATE S S S f ' •WORKERS COIBPEILTATION AND EMOLOYEWLImJTy ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMELBERI1)ICLUDEDT EYyeeec., QaealLe ir111r SPECLILPROVLSIONS beim" - - VYH 70RY LIMff3 ER E.L. EACH ACCIDENT S EL DISEASE • EA EMPLD S El. DISEASE -POLICY LIMB f OTHER OESCRIPTIp11 CF OFE.ETTry,S/LOCATIt'JIS/VEN.::LFS! �,,��_ . nrorrl.•ex un...re. _ _. GATiiTscOD'rur"SS INC-, FAX 508-778-5603 .. 1600 FALMOUTH ROAD SUITE 25 CH=RVILLB MA 02632 BHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS INROTIN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL R POSE NO OBLIGATION OR LLINLOY OF ANY IONO UPON THE INSURER ITS AGENT'S OR nign�rax naz �=vza J/.7/GVVO iv:aa rnvc, vvs/vvs rax OC!-VCZ" a���. CSR z DATE(MMODYIT ` TlC:QTEFi�fell s PRODucER THIS CERTIFICATE IS ISSUED AS A MAI-I'Wt OF-INFQRMATtO1J_- GOLor4AN s ASSOC IN.S FIN - ONLK - AND- CONFERS-- NO - R)[GHTS -UPON - THE--CERTIFICATE--- .HOLDER. THIS CERTIFICATE DOES NOT AMEND 933 FALMOUTH RD EXTEND OR ALTER-THECOVf RAGEAEFORDEDLEYTREPOEEU-cL,aELOM _ RTE 28 ' HYANNIS MA 026012319 COMPANIES AFFORDING COVERAGE COMPANY - 28HPP - Ik' "AMERICAN' ZLTRICH' INsuRANCE'CONPANY INSURED COMPANY .. TAVANO, RODNEY DBA a — - MECHANICAL SYSTEMS 201 CAPES TRAIL COMPANY . WEST"BARNSTABLE MA 02668 C.- COMPANY D. :R Y. u.<... - J 11� „? 3 .: � 5:...v f: w.>. :.�: •.�/v` ,t. 3 _ l .� ,i.T �. POLICIES THIS POLICIES INSURANCE LISTED BELOW HAVE BEEN -SUED TO THE INSURED NAMED ABOVETORTHE POLICIrPERIOD A ED,TOr NOTnFYWITHSTANDING STANDIN UI INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ' CERTIFICAT&MAY BE ISSUED_ OR -MAY PERTAIN, LiE_1NSURANCE. AFFORDED- By- THE POLICIES DESCRIBED HEREIN-13 SUBJECT TO.ALLTHE TERMS-L. EXCLAJSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - LO TYPEOFINSURANCE POLICY -NUMBER POLICY EFFECTIVE POUCYEXPIRATION OATEIAMRDBHry)-' DA'tEfgtMdlplYY}.- - -LIMITS GENERAL LIABILITY GENERAL AGGREGATE g COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/(W AGG. -g - _ CLAIMS MADE OCCUR PERSONAL & ADV. INJURY g - OWNER'S A CONTRACTOR'S PROT. EACH OCCURRENCE FIRE DAMAGE (Any oie fire) g MEO. EXPENSE(Fny one person) g - AUTOMOBILE LIABILITY - - , - ANY -AUTO COMBINED SINGLE i ALLOWNEDAUTOS - - . BODILY INJURY (Per Peaon). " i. SCHEDULED AUTOS -- HIREDAUTOS - - ILY (Per Ac INJURY 3 NON-OWNFn ALOE-_ PROPERTY DAMAGE S - GARAGEJJABIUTY - ... AUTO ONLY - EA ACCN ENT i. ANY AUTO. _ OTHER THAN AUTO ONLY: - EACH ACCIDENT g .. - AGGREGATE g - EXCESS LIABILITY - EACH OCCURRENCE g UMBRELLA FORM AGGREGATE S A OTHER THAN UMBRELLA FORM - A WORKER'S COMPENSATION AND - - -" - EMPLOYER'SAJABUJTY ( UB-7278A84-9-OS) 05-03-05 05-03-06 sTATuToRYLLurrs ......... ?'"_.,... • .tea:'. i 10D 000 THEP-ROPRIETOR( --EACHACCIDENT PARTNOFFICERSIE%ECU'fIVE INCC OFFICERS ARE - X- EXCL DISEASE -POLICY LIMB " $ 500 000 DISEASE-EACH•EMPLOYEE ' - 1Q0, 0Q0 O CRIPTION OF OPERATION&LOCATIONSrYEHICLESRE iRICiIONSlSPECIAL ITEMS - THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER RTiF3GATE iULDER' " AFFECTING WORKERS COMP COVERAGE. W OANCEEtATfON' __ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE " .. EXPIRATION DATE THEREOF, THE ISSUING' COMPANY WILL ENDEAVOR TO MAIL GATEWOOD HOMES INC -10 -DAYS - - " WRTTTEIY NOT'rcETOTHECERTtF=TE-HOLDERNAtMEDTOTHE- 1600 FALMOUTH RD SUITE 25 LEFT. -BUT. FNLURE`TQ MAILSUCH..NDTICE SHALL IMPOSE NO OBUGATLON OR CENTERVILLE MA 02632 UABIUTYOFANYKINO UPON THECOMPANY,TTS AGENTSOR REPRESENTATIVES, - AUTHORIZED REPRESENTATIVE . . ,:. 19RD'CO G TOWN OF YARMOUTH (iN'l7 V. APPLICATION FOR PERMIT TO DO GASFITTING Fee: PERMIT Building AT: Location New❑ Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ (OFFICE USE ONLY) Date U Owner's Name Type of Occupancy l /tl 10A 1 \ / (PRINT OR TYPE) Installing Comgany Name Address Business Telephone Name of Licensed Plumber or Gasfitter INSURANCE COVERAGE: Check One: ❑ Corp. ❑ Pa ship — Firm/Company _ Check I have a current liability insurance policy or its substantial equivalent. Yes Z1 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 coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted Signature of Lic nsed (or entered) in above application are true and accurate to the best of Plumber or Gasfitter my knowledge and that all plumbing work and installations performed Z354 2 under Permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and License Number Chapter 142 of the General Laws. TYPE LICENSE• Plumber 'LI Gasfitter Journeyman Ff ' TOWN Building AT: Location New EX Plans Submitted APPLICATION FOR PERMIT TO DO GASFITTING O M tT (OFFICE USE ONLY) — - Fee: s_--.✓ r�_ __ NOV 2 12005 D PERMIT NO._-477 Date_._— _ y__�_ — NameOwne�;���L�I.u�I� ST Type of Occupancy Renovation ❑ Replacement ❑ if Yes ❑ No !k . 1 (PRINT OR TYPE) Check One: Installing Company Name-_�UGT�• U /11�•.1 M ITG�_ 0 Corp. Address ..__ 1 r�__G �n� E_ �g r 0 Partnership P Firm/Company_ Business Telephone—�L�---- Name of Licensed Plumber o. r 1� ��•—__, INSURANCE COVERAGE. Check One I have a current Fiabdity insurance policy or its substantial equivalent. Yes E!rNo ❑ If you have checked yes, please india type of coverage by checking the appropriate box. A liability insurance policy care Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: _.._.__---.._.._-_..----•-- --.---____,_._� Owner ❑ Agent ❑ Signature of Owner or Owner's Agent QMQ, I hereby certify that all of the details and information I have submltbd rSignature Licensed (or entered) in above application are true and accurate to the best of Plumber or Gashtter my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all — --- pertinent provisions of the Massachusetts State Plumbing Code, and License Number • • •� •• - TVDQ 1 U'CNCC• OF y4 _ x MATT<CIIEESE pwf TOWN OF YARMOUTH l�r II I �UG 2 2 2005 APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By - I Fee: $ 6N M 14 0101a . Date Building �(/� �T Owner's �� / ���1�/ L> AT: Location � / " �e ( Name— 4- 04-o e ,�— Type of Occupancy New ovation ❑ Replacement ❑ Plans Submitted Yes NYI o LJ �Q 'fib o5 Z Y Z H > U1 W Y m J Cl)Q y O U¢ N 7 C7 y W Uj M �� �Ct7ti v 3o Z¢ m M Cn w¢ Lu N z c a rn O¢ a¢ LL W= O ~$ O 0 S JLu NQ. Fes- ¢ Y O Lu X Lu U.U. f Y J m N O C J _ �- (A LL 0 O G Q Ir 0, 0 S SMT. BASEMENT Ile I 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Address 2.5— 10 Business Telephone Check One: ❑ Corp. /<—/ ❑ Part Ip Firm/ ompany Name of Licensed Plumber44 ,�4� INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes o ❑ 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. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type: 2-5 f 7 License Number Journeyman Master ❑ Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. F—Ob— a,[% BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/99] 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 o .mod in 0 p0 N o :9 cc `-q 0 C=s) wn. E::9 C-0� SE PRINT IN INK OR TYPE ALL INFORMA TION) Date: 08/26/2005 City or Town oh. YARMOUTH,, MA To the Inspector of Wires: application the undersigned gives notice of his or her intention to perform the electrical work described below. in (Street & Number) 121 CAMP ST., UNIT 131 or Tenant GATEWOOD HOMES, INC. Telephone No. 508 778 9669 s Address 1600 Falmouth Road #25 Centerville MA 02632 o this permit in conjunction with a building permit? Yes X N o ❑ (Check Appropriate Boa) _--•--- Purpose of Building RESIDENTIAL • • Existing Service Amps / Volts New Service 100 Amps 120/240 Volts Number of Feeders and Ampacity 2/100 Utility Authorization No. 1469875 Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd X No. of Meters 1 Location and Nature of Proposed Electrical Work WIRE HOUSE Comnletinn nrtito /nDnwi"n i l7 ...,... LL - -._J 1_ s res `» V `< , c" No. of Recessed Fixtures No, of Ceil: Sus . pV(Paddle) Fans No. o Total No. of Lighting Outlets 8 No. of Hot Tubs Transformers KVA Generators KVA No. of Lighting Fixtures 8 Swimming Pool ove ❑ In- ❑ o. o mergency ig ing Ly rnd. 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. Tuns) Initiatin Devices No. of Alerting Devices No. of Waste Disposers Heat Pump umber Tons _ Totals: • ••-------- o. o el - ontained No. of Dishwashers 1 Space/Area Heating KW Detection/Alertin Devices 6 Local ❑ Municipal Connection El Other No. of Dryers I Heating Appliances KW Security Sstems: No -Devices No. o Water Heaters 1 KW 4.5 °• ° No. of -of or E uivalent Data Wiring: Si ns Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Winng: OTHER: AN��L _JJ_�• _. No. of Devices or Equivalent _ INSURANCE COVERAGE: Unless waived by the owner, no permit for the p" li "esirea, or as requirea by the Inspector of Wires. orinance of electrical wok 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:) Estimated Value of Electrical Work: (When required by municipal policy ) 10/31/2005 (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. LIC. NO.: A 15542 Licensee: RICHARD PATTON Signature 2�_ LIC. NO.: (Ifapplicable, enter "exempt" in the It mtmber line.) Bus. Tel. N°.' i0R-539-0700 Address: PO BOX 1525 MASHPEE MA 02649 OWNER'AIL Tel. No.LJ2A-_1iL-681&_ 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/Agent El owner's a ent. Signature Telephone No. PERMIT FEE: $125.00 l�� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 TOWN OF .r (PLEASE PRINT IN INK OR tE ALI (OFFICE USE ONLY) By / e Fee: $_S PERMIT NO. .r — 06 ' Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her intent o o work described below. ' I Location (Street Owner or Tenant Owner's Addres: Is this permit in Purpose of Buil( 0 with a building permit? ❑ Yes Existing Service`_ Amps / Volts New Service ITO Amps (20, / ! • Volts Number of Feeders and Location and Nature of Proposed electrical Work: the electrical No. X`6­ (Check opriate Box) // Utility Authorization o. f' p9 S 7� o�L-ot ❑ Und d ❑ No. of Meters d ndgrd [� No. of Meters GC_ FixturesAMNo. of Recessed d „K --n tuu,o « uc wuivea rite ins eeror o wires No. o 0 Transformers KVA o. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures ve n- SwimmingPool md. ❑ md. ❑ o. o Emergency ig ung BatteryUnits No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o Detection an Initiatin Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat Totals: al um r ors _ _ —Detection/AlertingDevices No, of Self -Contained No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers DrY Heating Appliances KW Security Systems: No. of Devices or ui valent o. o Water Heaters KW No. of No. of Signs Ballasts Data rung: No, of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent a (t Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE 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 v force, and has exhibited proof of same to a permit issuing office. CHECK ONE: INSURANCE 2 BOND❑ OTHER❑ (Specify: Estimated Value of lec 'cal Work:_ Work to Start: ld DS Inspections to be I certify, unde the n an alti s of pepu th i NAME• F ee: Si (If applicable, "ex t " Il the lic se number it Address• ►�!. OWNER'S INSURANCE WAIVER: I am aware that t e Licer below, I hereby waive this requirement. I am the (che k one) Owner/Agent Signature (Expiration Date) (When required by municipal policy.) steel in ordance with MEC Rule 10, and upon completion. nform on on this application is true and complete. 0 LIC. NO. lure r LA kv3AI LIC. NO. Bus. Tel. No.: Alt. Tel. No.: does not have the liability insurance coverage normally required by law. By my signal= ier 0 owner's agent.0 Telephone No. • • Commonwealth of Massachusetts Department of Fire Services )F FIRE PREVENTION REGULATIONS Official Use Only Permit No, i — d — 19 7 Occupancy and Fee Checlaed L/ Q . 111991 ve blank c��cQ�l /l°PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK O��/ APU wo&to be pedamed in accordance with the Mmuhvxns Mearical Code (MEC), 527 MM 12.00 zo� P INWK OR 77TE ALL D FORMA770NJ Date: �� Z—1 1 o!ity or Town of: YARMotJrx To the Inspector of Wires:lication the undersigned gives notice of his or her inurnioa to perform the electrical work described below. Location (Street & Number) MILL POND VILLAGE, 121 Can p St Bldg # 13.1 Owner or Tenant Gatewood Hanes/ Jeff Sollows Telephone No. 508-778966 9 Owner's Address 1600 Fallmutti Rd., Suite 25, Centerville, Ma. 02632 Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wort— Fire Alarm System (low voltage control panel) with bacJIM battery. tnonitoreci. Caenleaon ofthe following tabk n= be ivaived by the h meemr ofii b= Na of Recessed Fixtures -Su addle Na of Cei1sp• (Paddle) Fans al o: o otA Transformers KVA Na of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool d o d g BatteryUnits Na of Receptacle Outlets No. of Oil Burners FIRE.ALARMS No. of Zones —1— Na of Switches No. of Gas Burners o. o etetxioa.an 7 Initiating Devices - Na of Ranges Na of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers t p Totals: 'um er. ons o. o oatam Detection/Alerting Devices 7 No. of Dishwashers Space/Area Heating KW Local 13 Coinn ieepfion ®other No.ofDryers Heating Appliances KW Security stems: No. of Devices brEquivalent No. of Water KW o, o o Data Wiring: Heaters Rod Q Signs allu • No. of Devices or Equivalent No. H dromassa Bathtubs y No. of Motors Total HP Telecommunications Wiring No. of Devices or Equhralent OTBEIL• . Attach addidand datatt ifdesirer4. or as required by thelmpecrvr of Wirm 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 cquivaleni. The undasigted 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 Wodc $750. 00 :pi:avan -- (When required by municipal policy) Work to Start Inspections to be requested in accordance with MEC Rule 10, and upon completion. rcer&fy, under thepains and penalties of perjury, that the information on this applications rice and complete FIRM NAME: Baltic Security, Inc LIC. NO.: 1178C Licensee: Jonas R Bielketvicius Signature j2 LIC.NO.: 499D (1faH&=bk, auer "exempt" in the license Bus. TeL No: 508-833-0996 Address: - PO Box .1609 Sandwi , , 02563 Alt TeL Na; 508-776-3347 OWNER'S INSURANCE WAIVER .I am aware that the Licensee doer not have the liability +na,rance coverage normally required by law. By my signature below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent Owner/Agent PERMIT FEE. $ Signatnrie Telephone No. S/ F2 RE -INSPECTIONS I S. RE -INSPECTION - $26.00 2ND RE -INSPECTION - $30.00 3P-D RE -INSPECTION - $40.00 1 5 200 J BUILDIN I T. By ALL OTBER RE -INSPECTIONS - $40.00 ADDRESS: /r2-/ L, (l DATE: DATE RECALL: ISSUED TO: REASON FOR RE- INSPECTION:_� BUILDING DEPT.:S- OCCUPANCY PERMIT: PLUMBING PERMIT: GAS: ELECTRICAL: FIRE DEPARTMENT: OTHER TOWN OF YARMOUTH Building Department Town Hall " a Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-614 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 131 Owner's Name: Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 ' Owner's Telephone: (508) 778-9669 REVIEWED BY: 1/. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: v--'4: LTH DEPARTMENT: BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: (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: 5/12/2005 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 new construction - affordable: ZONING APPROVED S vim; DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: 7, 0-o5- Date Printed: 5/24/2005 N I PROPERTY. ADDRESS: jaI ALCULATlON_ FOR PEW =o ' 7/1 2Ss/. 6s 1;4 g .Y �0� V1 TOWN OF YARMOUTH Building Department Town Hall e. a Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-614 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST Unit 131 Owner's Name: Villages @ Camp St., LLC Owner's Addres 1600 Falmouth Road # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: 1. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: (OFFICE USE ONLY Recorded By. is Permit Fee: $0.00 Deposit Rec: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/12/2005 Issue Date: Expiration Date Comments: new construction - affordable: DATE: DATE: RECEI'KAD MAY 2 4 2005 N/A: N/A: 3. CONSERVATION: /? DATE: N/A; 4. HEALTH DEPARTMENT. (�lZ( DATE: ��`310 N/A: 5. BUILDING DEPARTMENT:, / DATE: N/A: 6. FIRE DEPARTMENT: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: N/A: DATE: 044.21.1.0 Date Printed: 5/24/2005 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., #131 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., LLC : 1600 Falmouth Rd., #25 : Centerville, MA 02632 Yarmouth Water Department Temp Permit No.: Applicant Name: Applicant Phone: Building Location: Owner's Name: Owner's Addres TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-05-614 Frank Capra 5087789669 00121 CAMP ST Unit 131 Villages 0 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: $0.00 Payment Type: Check ChkNo.: 0 Net Owed: $0.00 Application Date: 5/12/2005 Issue Date: Expiration Date Comments: Man/Lot: 044.21.1.0 new construction - affordable: REVIEWED BY: t1 WATER DEPARTMENT: _ _ ..' DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: Date Printed: 5/24/2005 p p, � ry pQ�p�P1 S Qq O O , . sLOT 130 T 131 2'93�` p o�ro 5 00 2y�Q Q�0� • a sj 6s? �• p� ' ; c "c d L=1.53' SCHOOL f— BUS / LOT 133 w KIOSK Al9' NOTE: ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE GRAPHIC SCALE WITH TITLE V IF WITHIN 10FT. OF WATER MAIN. 20 10 0 20 60 NOTICE Cries and untli such time as the originol (red) stamp of th,s responsible "rofessionnl Engineer, or Professional Land Surveyor cpp�ars on this plan: (A) no person or persona, Including nny municipci or other IN public cfficlyds, may rely upon the information contained herein; ar,; 1 inch = 20 it. (B) this plan remcins the property of Holmes & McGroth, In ✓l.k en,#d PLOT PLAN holmes and mcgrath, inc. OF LOT 131 civil engineers and land surveyors rl" T ,' •-� PREPARED FOR 362 gifford street n" "'a c` s,,uro MILL POND VILLAGE U falmouth ma. IN 02540 YARMOUTH, MA- JOB N0: 201197 DRAWN: LMC SCALE: 1 "=20' DATE: 1-5-05 DWG. NO.: A2518 CHECKED: - 33' fireplace w/opt. flush ace MPD3530 MPD4035 f 3S' fireplace w/brushed stainless 40' fireplace w/polished brass louver and door trim trim arch door kit Beauty, efficiency, convenience and reliability. Just some of what you'11 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. MPD4540 MPD4035 Standard • Louvered face design • Charred split oak gas log set • Deluxe pan burner for big yellow flames and glowing embers • Charcoal black exterior powder coat finish • Realistic brickaded interior panels • Combo top/rear direct -vent outlets (except 3328 models, which have either a top or rear outlet) • Hi/Lo flame operation • Pre -wired for wall switch Opt'ions • Choice of standing ppilot (works in a Power faflure) or pilotless electronic (intermittent) ignition • Decorative polished brass or brushed stainless accessories (arch door kit, door trim, louvers, hood) • Wireless remote controls • Blower kits (including a temperature control version) • Screen panel kit (heat guard) • Radiant panel kits (for a clean face look) All Merit* Plus Series direct -vent gas fireplaces utilize either a Secure Vent (rigid) or Secure Flex (flexible] 4.5" inner/7.5" outer coaxial venting system, and include a e to i r""ox' ongoing commitment to quality, ins, ratings and dimensions are subject to ut notice. Iditions, such as elevation, wind vent configu- oice of fuel will affect the overall appearance Hersey U20006711) Warnock Hersey V_ C f-.�. us The first two model number digits indicate frame width, the last two digits indicate glass width. All we A.F.U.E: rated high efficiency vented gas fireplace heaters, certified under ANSI Z21.88 and CSA 2.33-M99. MPD3530 MPD3328 DIMENSIONS (tear vent model shown) 3328 MODELS (This model comes as a top or rear vent only) _ I r=N I II • 0 D E & W16" 1 r-1rr 4-1rr E� Front Face Top Right Side FIREPLACE & FRAMING DIMENSIONS 3530 351/s 321/8 19 291/2 351/s 2111A6 2479 12N6 351/4 351/4 16 4035 401/s 374 24 3411A 401/s 261A6 297s 1415/16 401/4 401/4 16 45C 401/s 371/s 24 391 t 451/s 2611h6 34N 177% 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 En erGuid• TYPICAL ROOM APPLICATIONS VVa ICAL EM (=mrJ+- 0 G 0-3 1 DUCT SPECIFICA GMS 9/GCS 9 SERIES 93% AFUE Multi -Position, Single-Stage/Multi-Speed Gas Furnace Heating Capacity: 46,000-115,000 BTUH 5-YEUA W D PAW ,� LIMITE Lim rED 4..RRAN WARRANTY /^ �� .� rt�11Mo m[flE,m ETA ETAFOOMMIS ama wream 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 0I0I011110 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 OOA) • L.P. Gas Low Pressure Kit (LPLP01) • High Altitude Natural Gas/L.P. Kits (HANGII, 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—downflow ' (RF000181) • Thermostats Blower Motors (CHT18-60, CH70T(-, CHSATG, H2OTWR) SS-377D w .goodmanmfgxom 6/04 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck software version 2.01 Release 2 CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Egret PROJECT INFORMATION: Mill Pond village 121 Camp Street - [Jm�,t 4/3/ Yarmouth, MA 02673 COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 216 Your Home = 123 I I I I Permit # I I I I checked by/Date I I Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 832 30.0 30.0 14 WALLS: wood Frame, 16" O.C. 1409 15.0 15.0 62 GLAZING: windows or Doors 87 0.340 30 GLAZING: windows or Doors 40 0.340 14 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 Egret DATE: 4-21-2004 Bldg.l Dept'. I Use I CEILINGS: [ ] I 1. R-30 + R-30 I Comments/Location i WALLS: [ ] I 1. wood Frame, 16" O.C., R-15 + R-15 I comments/Location i WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 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 I Comments/Location I DOORS: [ ] I 1. U-value: 0.086 Comments/Location I AIR LEAKAGE: [ ] I joints, penetrations, and all other such openings in the building I 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 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. I I VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed I ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. I I I I I I I DUCT INSULATION: Ducts shall be insulated per Table 34.4.7.1. 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 74.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" LOW pressure/temp. 201-250 1.0 1.5 1.5 2.0 LOW temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) MILL POND VILLAGE CONDOMINIUM CAMP STREET, YARMOUTH, MASSACHUSETTS PURCHASE AND SALE AGREEMENT UNIT 131 EGRET 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: Edward Dubsky of 101 Mayflower Terrace, South Yarmouth, MA 02664 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 #131 EGRET, 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. G. The "Purchase Price" referred to in this Agreement is: One Hundred Twenty -Eight Thousand and 00/100 Dollars ($128,000.00), which is calculated as follows: $128,000.00 (base price) + $ 0 (options and upgrades further described in paragraph I of this Agreement) PURCHASE PRICE: = $128,000.00 of which: $ 1,000.00 have been paid as a deposit as of this day, $ have been paid previously, and $ are to be paid at commencement of Unit construction $ 127,000.00 are to be paid at the time of the delivery of the deed in cash, or by certified, cashiers, treasurer's or bank checks. $128,000.00 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 .v F LOT 130 Ez-/C;UCb FO \ OT 131 .a ti ss' • CP Sj. 2S.o� ? l 1 SCHOOL KIOSK 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. f 7 2-S'OS D TE REGISTERED PROFESSIONAL LAND SURVEYOR CE Unless and until such time as the original (red) stamp of the 2 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 informationcontainedherein; and (B) this plan remains the property of Holmes k McGrath, Inc. EXISTING FOUNDATION 0ElVE JUL 2 5 2005 BUILDING DEPT, I CERTIFY THAT THt FOUNDATION IS LOCATED ON THE LOT AS SHOWN. AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE 406 SPECIAL PERMIT. D �S REGISTERED PROFESSIONAL LAND SURVEYOR GRAPHIC SCALE ( IN FEET ) I inch = 20 M AS —BUILT PLAN holmes and mcgrath, inc. �tj�1N OF d9gs�9 OF LOT 131 o MICHAEL �y PREPARED FOR civil engineers and land surveyors MILL POND VILLAGE 362 gifford street MCGRgT}1 y folmouth, ma. 02540 o Na 28M oQ IN ��s 9FCfSTER�� YARMOUTH, MA JOB NO: 201197 DRAWN: LM SCALE: 1 =20 DATE: 7-25-05 DWG. NO.: A2518A CHECKED 791