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0104 ENTERPRISE ROAD
AII.�� Yrv�rc��s v�i��S ion i t 1 a �INNERSAL0 UNV-12122 MMF IN USA MIN.REC7CLED MATIV E CANTEM R Floor CosewFlSourcing ppSf�ONSUMR E wwn�flgopramoro OW290 J 1 Town of Barnstabl' REc=E�PT 200 Main Street, Hyannis MA'02601 508-862-4038 Application for Building'Permit Application No: TB-16-773 Date Recieved: 3/30/2016. Job Location: 104 ENTERPRISE ROAD,HYANNIS Permit For: New Construction-Commercial Contractor's Name: MICHAEL A BURKE State Lic. No: 059461 Address: South Dartmouth MA 02748, South Applicant Phone:~ (508) 336-3366 Dartmouth, MA 02748 (Home)Owner's Name': MAYFLOWER CAPE COD LLC Phone: ' (Home)Owner's Address: 104 ENTERPRISE ROAD, HYANNIS,MA"02601 Work Description: NEW ONE-STORY CHICK-FIL-A RESTAURANT. Total.Value Of Work To Be Performed: $850,000.00 _ r Structure Size: 0.00 a. 0.00 Z t ,. 0.00 .. - Width' Depth - Total Area I hereby swear and attest that I will require proof of workers'coinpensation'insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to'. accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or-any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performedbya representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: MICHAEL A BURKE 3/30/2016 ' (508)-336-3366 Applicant` Date ' Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost ; $850,000.00 Date Paid _ Amount Paid Check#or CC# Pay Type Total Permit Fee: $7;960.00 5/2/2016 $7 960 00 ' 958022 Check * - Total Permit Fee Paid: ;$7,960.00 z - r II , .. `svr.."S'1 ,yN - 3<f 'u 5 Ff va - � ���4.%. � �hISl�T�OTAg IT � BARNSTABLETTOWN 0F Building Departme' ' ntwFoundation Permit Date --. oAA: r ( o � - - :Names -Location. lo a-� ry insp. of Bldgs r t t CAPE COD MALL A SIMON MALL CAPE COD MALL ' MANAGEMENT OFFICE 769 IYANNOUGH RD . e(/rC®ING HYANNIS , MA- 02601 PHONE : ( 508 ) 7 7 1 - 0 2 0 1 ORp7, ?0 FAX : ( 508 ) 7 7 1 - 2 5 8 8 r OW/V s Town of Barnstable Regulatory Services ' Building Division 200 Main St. Hyannis, MA 02601 r Attn:Tom Perry, Building Commissioner I, Adra Cohen, as Manager/Owner representative of the subject property hereby authorize DF PRAY to act on my behalf, in all matters relative-to work authorized by this building permit application for: Chick Fil A—793 lyannough Road Hyannis, MA 02601-293-019#88 ADDRESS OF JOB Signature of Owne�r�j� Date Print Name 0 CONTRACTORSGENERAL 8U1L®,1V(3 8Ep k 07201 April 6, 2016 TO►NN OF BARNST kll Thomas Perry, Building Commissioner Town of Barnstable Regulatory Service Department 200 Main St. { Hyannis, MA 0260.1 Re: B-16-773 New Chick Fil A Restaurant 104 Enterprise St. Subcontractors Dear Mr. Perry, P �I Please note that DF. Pray General Contractors was recently awarded the contract to construct a new Chick Fil A restaurant located at 104 Enterprise St. Hyannis, MA. f` We are in the process of awarding subcontractor contracts and w•II be providing 4 subcontractor Workers Compensation Insurance Certificate's as required prior to the start of the project. Please feel free to contact me with any questions,or concerns. 1 Sincere) r'? t. ^�' .f i Daniel C. Bearce Executive Project Manager. ~ 508-916-1238 Building Excellence Since 1959 25 ANTHONY STREET SEEKONK, MA 02771 TEL 508-336-3366 FAX 508-336-3384 WWW.DFPRAY.COM ( SEEKONK BOSTON • SAN FRANCISCO MANHATTAN RALEIGH NASHVILLE TORONTO ' f �o E?'o o - BU/LDI/VG ®E� _- r P-r April 6, 2016 APR 0 7 2016 ;'. OVViV OF RA R'VSTAS , Thomas Perry, Building Commissioner Town of Barnstable Regulatory Service Department 200 Main Street Hyannis, MA 02601 9' Re: CSL CS-059461 B-16-773 Chick-til-A Restaurant 104 Enterprise St. Dear Mr. Perry, Please note that I, Michael A. Burke, am the Executive Vice President of D.F. Pray General Contractors located at 25 Anthony St. Seekonk, MA and have provided - my CSL License for both permitting and construction of the new Chick-fil-A Restaurant at 104 Enterprise St. Karl Andersen will be the project superintendent for D.F. Pray for the duration of this project. Please feel free to contact me with any questions or concerns. Sincerely, Michael A. Burke Executive Vice President 508-336-3366 i Building Excellence Since 1959 25 ANTHONY STREET SEEKONK, MA 02771 TEL 508-336-3366 FAX 508-336-3384 W W W.DFPRAY.COM S E E K 0 N K BOSTON SAN FRANCISCO MANHATTAN RALEIGH NASHVILLE TORONTO } _-4 Massachusetts department of Public Safety Board of Building Regulations and Standards License: CS-059461 J Construction Supervisor. MICHAEL A BURKE 'r' 17 CLEVELAND ST SOUTH DARTMOUTH MA02748 ' Expiration Ctrrirr-�ss#oner 03/16/2018 s r Construction Supervisor _ P ` Restricted to: Un"est"icted - Buildings. f-gin a':.use rou which contain- r ro Y group less.than 35,000 cubic'.eet,(.901 cubic meters) of enclosed spacer yP F paa ran Inn nff..hA. esanhnao ' nll��rb tn.nnac a.rur 4.�ellt IIAs 1fc. '' �•'" TOWN OF BARNST.ABLE }' 163 ` SIGN APPLICATION �3 v . rip janurary 14 t9 86 Owner's Name Dyer Electrical Company Address �104-En t_err i seoadi -air s=i� a_`_TOf80:, Location ;� L, f V Front o�, lot Southwest corner rJ Name of Builder Jordan n Corpany fl rl 4lS � Address Ia r 5 Type of Construction , .Alilmi nilm./Stpal .G I�� a 4A Free Standing or Attached,i ree StandingJA �J Zoning District Fire District I hereby agree to conform to all Rules and Regulations of the Town of Barnstable regarding the above c st :j n. All permits subject to approval of the Inspector of Wires. �CL%L�! � Name ti:n"I ter Rnr9;n DNrpr Rl octrj c — Diagram of Lot and Sign with Dimensions to be placed on reverse side. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Y �,`®ante Issued Zr 14 P� Conservation Division U/ Application Fe Planning Dept. �� � Permit Fee D V9 Date Definitive Plan Approved by Planning Board if Historic- OKH Preservation / Hyannis -ode�o Project Street Address J d 4 6NMR QR15E Ro A17 Village JAI A N N I S Owner CAPE, cob MA11. Address 1VAN90UGH fL17 5 MIA T Telephone ' 508 771 02 01 Permit Request ' f1GtMuV6 i VlSpvS6 oP SNOCRocl= CAI N(s . iNST/�t,(� me-w U✓wvD 13lo�IC►u(S SHC�TRocK v�nPa2Y9gi Ly gfmw ve E%wtty& G►GH n NU N5TiU, pt*P- QJGCTAZK_ ,rAC 2 mepy, 9,5, -fl. q yw4NN W.p, C"R, -- -; y{�o�_�A 1' �� 11V11 Nd� 56�6%C Co N � St°D t t�U- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new { Zoning District Flood Plain Groundwater Overlay Project Valuation a Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full O,Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new _size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing 0 new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use _ _ _ _ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 50VN CoAGT rMetcy9WrNT, ComPAHy -Telephone Number -Address 2oS IDARE-4Awt tZO. License-# CS — a77 271 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO s// ,'SIGNATURE DATE It I' F1 ' • FOR OFFICIAL USE ONLY i' ' APPLICATION # '? DATE ISSUED MAP/PARCEL NO. r; f r: ADDRESS VILLAGE I OWNER DATE OF INSPECTION: r FOUNDATION f, FRAME ` INSULATION t FIREPLACE s ELECTRICAL: ROUGH FINAL ►�: ,t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT { ASSOCIATION PLAN.NO. kS I� f� 1• The Comynrorr►vealdi of assat7itiselts Department ofbdushial Accidents rA Office ofin"es6gations' 600 Washington Street, { _ Boston,MA 02111 fmwtttYnass got/din Workers' Compensation Insurance Affidavit:Sudders/Cant racturs/FlectricianslPlumbers licant Inform anon Pleas e Print I.eQfbI AP y Naine(susiaessogmizErd mmfiidual)_ 66VT H (,O1'1S� � VGf'/�6�'1 CoM fIq W ' City/State(Zip: M A P-100 YYl A 02 Phone-,rk 66g ''�N�� 65 4 S ` -ire you an employer?Clieckthe appropriate box: Type of project(required): 1_❑ I am a employer with 4. ❑I am a general contractor and I 6. New construction �employees(full andforyart-time).* have hired the sub-contractors ` 2.❑ I am a sole proprietor orpar ter- listed on the attached sheet. 7- ❑Remodeling. shipand have no employees These sub-co�nfrac#ors have $_ E]Detnolifion wodcing for me in any capacity- employees and have workers' [No worbels'comp.insurance '.comp-iasu 9. rance.t [:]Buil*g addition required_] t5. Wean a corporation and its. 10-❑Electrical repairs cr addtiions 3_❑ I am a homeou`ner doing all work officers have exercised their 11_Q Plumbing repairs or additions mysel€[No workers'camp- right of exemption per MGL 12_❑Roof repairs insurance required.]1 c.152,§1(4)andwe have no employees.(No workers' 13.❑Other comp-insurance required.1 • Any applicmtth2t checks box IIomstals fia ofillovtthesecabcIowshoR ' E therwo e:s compensatinapalicginfotmatiaa_ d T Honeownersaho submit this af5dn1k indi-ling are da' =0 wod and then outside couttacrors ~ they � most submit a new aHid�rrt iodic sacs. =Contractors tint check this box must attached sn additional sheet sho the acme of the suh-ccntract rs uz� and state whether or not Those entrties have° employees.Ifthestb-caatractnr hive Employees,they =mTprovide thrr n`nrkexs'romP,policy amber. I out an eurployer thatis prm,dirtg markers'conrpensafiorr irurrrancs for Bly enrplv)-ees. BeI019 i8 the policy and job site fnfor mation i Insurance Company Name: ' Policy I.or Self-ins.Lic. Expiration Date: Job Site Address: City/StaW74p: _. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. M can lead to the imposition of criminal penalties of a fine up to SU00i 00 andlor one yearimprisonmad,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to P-50-00 a day against the violator. Be advised that a-Ppy of this statement may be forwarded to the Office of, Investigations ofthe DIA for ing rance coves ge v erification I do hereby cerli fig nit th 'l'rs a�rrd r\ 's nfpeduty thatthe irrfarrrrafiarrptroticled above is tru$and correct Si®afore;_ Date: Z Z? /(s phone Official use.only._Do not write in fhis urea,to be campletesd by city ortort n offrciaL } Cit y or Town: PermitUcense g Issuing Authority(fade one): 1.Board of M21th 2.Buildin;Department 3.CitylI'own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Othel. Contact Person:— Phone#: Information and Instru dons Massachusetts General Laws chapter 152 regaires all employers in provide workers'compensation for their employees. , pUMIant to this staft1tr,as emprayee is defined as.--.every personin the service of another under any contract of hi e, e PMs9 or implied,oral or writf An eznproyer is defined as`°an individual,partnersb_�p,association,corporation or oilier legal entity,or any two or more of the foregoing engaged in a joint enbmprhs ,and mcbidmg the legal representatives of a deceased employer,or the receiver or trastee of an individnal,parhaership,association or other legal entity,employing employees- However the owner of a dwelling house having not more than three apartznmts and who resides therein,or the occapant of the - dwelUng house of another who employs persons to do maintenance,construction or repair work on such dwelling house or OIL th grounds or bmlding appwh[, -thereto shall notbecause of such employment be deemed to be an employer" e MGL chapter 152,§25C(6).also states that"every state or Iocal licensing agency shall withhold$re issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any .�. applicant Who has not produced acceptable evzdeuce of Map-9nT-Wr,',the nusxui-ance"coverage requited" Additionally,M(M chirpy 152,§25C(7)states-Ncither the commonwealth nor any of its political subdivisions shall enter into any contract for theperformaum ofpublic work until acceptable evidence of complianeewitli the ins rranc-6• requirements of this chapter have been presented to the contracting authority" ----------------- Applican-Es Please fill of± the workers'compensation aidavit completely,by cher_k die boxes that apply to your situation and,if necessary,supply sob-contractors)name(s), address(es)andphonenumber(s) aIongwiatheir certificate(s)of iuc,uance. Limited Liabjj t_yCompanies(LLC)or Limited LiabiilityParfn=ships(LIP)withno employees other than the s,are not required to carry workers'compensation insoQmce• If an LLC or UP does have members or partner employees,a policy is required. Be advised that this a$zdayt maybe submitted to the,Department of Industrial Accidents for confirmation of insorauce coverage. Also be sure to sign.and date the affldavit The affidavit should be retuned to-die city or town that the application for the permit or license is being requested,not the Department of T , A cM iris, Shouldyou have any questions regarding tiie Iaw or if you a e required to obtain a workers' compensationpoliey,pleasecall.theDepartmentatthenumberlis�dbeIow Self-insured companies should enter their self-msarance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and priotedlegibly. The Departmeathas provided a space at the bottom of the affidavit for you to fill out in the event the Office ofInvest igaiions has to contact you regarding the applicant Please:besureto fill mthepeffiitllicrosenmmber which will be,used asareferencenumber. Inaddition,anapplicant that must submt multiple pennit(Iicense applications in any given year,ncA only submit one affidavit indicating currant policy intbnmation(if necessary)and under"Tob Site A ddress the applicant shoT-,Id v rite":II IOcations m the or town)."A copy of the affidavit that has beea officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for futm permits or licenses A new affidavit must be filled out each year.Wheza a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license Or pemdt to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to 13'Prnk you is advance for your cooperation and should you have any questions, please do nothcsitaateto gave us a call. The Dei 7tmenfs address,telephone and faxnummbea CG=kmWedtir of Massachusd#s ' IIepartmcnt of Iii&iddal Accidents Offl=of jvesdntioa.!� 6GO was] 4cm S=t Boston,MA(dl11 Tc,-L 4.617'27-4WO ext 406 or 1477 I ASSAFF Fax#617'27-?749 Revised4-2.4-07 ww -m s gQvidla CAPE COD MALL A SIMON MALL CAPE} COD MALL MANAGEMENT OFFICE 769 IYANNOUGH RD . HYANNIS , MA 02601 PHONE : ( 508 ) 771 - 0201 FAX : ( 508 ) 771 - 2588 Town of Barnstable Regulatory Services Building Division 200 Main St. Hyannis, MA 02601 Attn:Tom Perry, Building Commissioner I, Eric Ressler, as Manager/Owner representative,of the subject property hereby authorize South Coast Improvement Company to act on my behalf, in all matters relative to work authorized by this building permit application for: All-Pro Transmission-104 Enterprise Road Hyannis, MA 02601 ADDRESS OF .JOB Signature of Owner Date Print Name SERVICE Shopping Center Name (Shopping Center) Corp# GL Account Sub-Account Sub-Ledger AGREEMENT C A P E C 0 D M A L L 4919 112310 108 11231003 STANDARD Location(City,State,Zip) HYANNIS,MA 02601 Form 931 Type of Service Date (Rev.1.12.2015) All Pro Transmission Landlord Work 12/18/15 CONTRACTOR OWNER Legal Name South Coast Improvement Company MAYFLOWER CAPE COD LLC,a Delaware limited liability company Trade Name/DBA South Coast Improvement Company Principal Office Address Principal Office Address 208 Wareham Road 769 I annou h Road City,State,Zip City,State,Zip Marion,MA 02738 Hyannis,MA 02601 Business Phone Business Fax Business Phone Business Fax 888-448-8887 508-748-6549 508-771-0201 508-771-2588 Direct all Invoices to: Cape Cod Mall MAIL STOP 4919 P.O.Box 31600 Salt Lake City,UT 84131-9917 In consideration of the mutual promises,covenants and agreements set forth,it is agreed by and between the parties as follows: 1. Length of Agreement(Days,Months,Years) Agreement Commencement Date Agreement Ending Date 2 months 1/1/2016 2/29/16 2.Payment Schedule ® Detailed in Exhibit"A" 3. ❑ Upon Completion Subtotal: Freight/Shipping: Sales Tax: Total Contract Cost: 4. Scope of Services(Detail on Exhibit"A"if more space is required.) Renovation and repair as per Scope of Work outlined in Exhibit A. 5. Contract Term. The term of this Agreement shall commence on the Agreement Commencement Date and shall continue in full force and effect until the Agreement Ending Date,unless sooner terminated as herein provided. Notwithstanding anything herein to the contrary,Owner may at any time during the term hereof,elect to terminate this Agreement without cause by providing Contractor with thirty (30)days advance written notice. If this Agreement expires or is terminated by Owner, and Contractor thereafter continues to furnish services or materials to Owner,such provision of services shall be subject to all of the terms and conditions of this Agreement. 6. Payment. Owner shall pay Contractor for all services, labor, materials and equipment furnished hereunder(the"Services")according to the Total Contract Cost and Payment Schedule set forth herein and in Exhibit A attached hereto. In order to receive payment hereunder,Contractor shall furnish Owner with an itemized statement of all charges for which payment is sought,including sales and use taxes paid. Contractor shall also furnish Owner with vouchers,receipts,affidavits,proof of payment of sales or use taxes, and any other proof which may reasonably be requested or required by Owner in order to support Contractor's charges for labor and material furnished by subcontractors and suppliers. Contractor shall also furnish lien waivers from subcontractors and suppliers. In no event shall Contractor be entitled to receive payment for any item of service or materials hereunder unless and until Contractor first has paid its laborers,subcontractors,materialmen and suppliers for all Services. 7. Excusable Delay;Changes in Services;Assignment Prohibited;Separate Contracts. All Services to be performed and furnished by the Contractor hereunder shall be performed and furnished according to the schedule set forth in Exhibit A,provided however,that Contractor shall not be liable for reasonable delays in performance due to inclement weather, unavoidable casualties,acts of God, or shortages of materials.The terms and conditions of this Agreement shall control in the event of a conflict with terms and conditions in Exhibit A or any other attachment. It is further understood and agreed by the parties that any additional services,labor,materials or equipment which the parties may deem necessary shall be furnished only upon written proposal and bid submitted by Contractor in advance and advance written approval thereof by Owner. Likewise, any deletions of scheduled Services may be made only upon written recommendation by Contractor in advance and with advance written approval thereof by Owner. Additional services,if any,shall be paid for at the price and schedule agreed upon by the parties in writing. Contractor shall be entitled to receive payment only for services approved and agreed upon by Owner in writing,in advance,and actually performed and rendered according to the terms and conditions herein provided. Contractor shall not assign this contract,or its right to payment hereunder,to any other party without Owner's prior written consent,and Contractor shall not delegate any of its duties hereunder, except to subcontractors expressly approved by Owner in writing in advance. Contractor shall be liable and responsible for the services,acts and omissions of any and all subcontractors. Contractor will cooperate with any other contractors engaged by Owner. 8. Contractor's Warranty and Liability. Contractor warrants and represents that it is licensed and certified to do business in the state in which the Shopping Center is located. Contractor warrants and agrees that all materials used and furnished hereunder will be of good quality and suitable for the purpose furnished and that all labor will be done in a competent and workmanlike manner. Contractor shall repair, correct and remedy any defect or deficiency in workmanship and shall replace any defective or unsuitable materials,fixtures or equipment used,installed or placed in or upon the Shopping Center,provided that Owner gives Contractor written notice of any such defect or deficiency in workmanship within one(1)year after such Services have been completed. Contractor shall assign any manufacturers'warranties of duration greater than one (1)year to Owner. Contractor shall be liable for any injury or damage to the Shopping Center or any persons or property thereon caused by Contractor or its employees or subcontractors in the performance of the Services. Contractor shall defend, indemnify and hold Owner Parties(hereinafter defined)harmless from any loss,cost,damage, liability or other expense whatsoever that Owner may suffer or incur as the result of a breach of this Agreement or due to a failure of materials and workmanship to be as Warranted. Contractor's warranty shall extend to and cover all services, labor and materials furnished by subcontractors, laborers, materialmen and suppliers, and Contractor shall be responsible to Owner in all respects for the services of any subcontractors or laborers and the materials furnished by any materialmen or suppliers. Contractor shall comply with and assume financial responsibility for all applicable federal,state,and local laws(including tax laws),ordinances and governmental regulations in the performance of the Services. 9. Termination of Agreement; Default. In addition to the other rights granted to Owner hereunder,Owner shall have the right to terminate this Agreement for cause, by giving written notice to Contractor or its legal representative if Contractor:(a)should die,attempt to assign this Agreement or become insolvent;or(b)should seek bankruptcy protection,make a general assignment for the benefit of its creditors,or if a receiver should be appointed on account of Contractor's insolvency;or(c)should fail to supply sufficient properly skilled workmen or sufficient and/or proper materials to perform the Services;or(d)should fail to make prompt payment to subcontractors or for materials or labor;or(e)should fail to obtain or maintain any of the insurance coverages required hereunder;or(f)should fail to comply with laws,ordinances or the instructions of Owner; Service Agreement Standard(rev 1.12.2015) Page 1 of 3 5 f or(g)should otherwise breach or violate any provision of this Agreement,for which termination shall be effective immediately upon the giving of such notice by Owner to Contractor. Notwithstanding such termination of this Agreement,Owner shall also have,and hereby reserves,the right to recover damages,including,without limitation,consequential and incidental damages,from Contractor for any loss suffered by Owner as a result of any breach or default by Contractor hereunder. Failure or forbearance by Owner to terminate this Agreement upon the occurrence of any breach or violation hereof by Contractor for any other event of default shall not constitute a waiver by Owner of such breach,violation or default on that occasion or upon the occurrence of a similar breach or violation upon a future occasion.If Owner is required to bring or defend any action arising out of this Agreement,or to enforce or defend the provisions hereof,Owner shall recover its reasonable attorney's fees and costs from Contractor. 10. Risk of Loss. All Services performed by Contractor hereunder shall be done and performed solely at Contractor's own risk, and it is understood and agreed by the parties that Contractor is an independent contractor and not an agent or employee of Owner. 11. Indemnity. (a)To the fullest extent permitted by applicable law,Contractor shall,at Contractor's sole cost and expense,defend,indemnify,and hold harmless Owner, Owner's managing agent, Simon Property Group, Inc., Simon Property Group, L.P., and their respective officers, directors, shareholders, members, partners, parents, subsidiaries and any other affiliated or related entities,managers,agents,servants,employees,and independent contractors of these persons or entities("Owner Parties") from and against any and all claims,liabilities,obligations,losses,penalties,actions,suits,damages,expenses,disbursements(including legal fees and expenses),or costs of any kind and nature whatsoever("Claims")for property damage,bodily injury and death brought by third-parties in any way relating to or resulting,in whole or in part,from Contractor's(and its subcontractors'and employees')performance or alleged failure to perform the Services or any other breach of this Agreement. (b)The indemnity set forth herein will apply regardless of the active or passive negligence or joint,concurrent,or comparative negligence of any of the Owner Parties and regardless of whether liability without fault or strict liability is imposed or sought to be imposed upon any of the Owner Parties,except to the proportional extent that a final judgment of a court of competent jurisdiction establishes under the tort principles of the state where the Shopping Center is located that a Claim was proximately caused by the sole negligence or intentional wrongdoing of an Owner Party,provided,however,that in such event the indemnity will remain valid for all other Owner Parties. (c)To the fullest extent permitted by applicable law,Contractor shall defend,indemnify and save Owner Parties harmless from any and all Claims that may be brought against Owner Parties by any employee,subcontractor, representative or agent of Contractor,or any legal representative or successor of any of them,in any way arising out of or incident to Contractor's performance or alleged failure to perform the Services or any other breach of this Agreement,irrespective of whether such suits are brought about by the negligence or fault of Owner Parties or anyone for whose acts Owner Parties may be liable. (d)The provisions of this Section shall survive the expiration or earlier termination of this Agreement until all Claims involving any indemnified matter are fully and finally barred by the applicable statute of limitations. 12.Insurance. Contractor shall,at all times during the term of this Agreement and any extensions,at Contractor's sole cost and expense,obtain and maintain the following policies of insurance,naming the Owner Parties as"additional insureds",which shall provide the Owner Parties are additional insureds with respect to liability arising out of Contractor's ongoing and completed operations.Contractor shall provide notice to Owner immediately upon receipt of any notice received by the Contractor from its insurance carrier advising of non-renewal or cancellation of the policies required under this Agreement. All policies of insurance required of Contractor under this Agreement shall be obtained from reputable insurers licensed to do business in the state where the Shopping Center is located and have an A.M.Best rating of at least A-Vill. A copy of each insurance policy or a legally enforceable Certificate of Insurance on all insurance policies required of Contractor under this Agreement shall be deposited with Owner promptly on or before the Agreement Commencement Date. Any insurance provided by Owner Parties shall be strictly excess,secondary and non-contributory of the insurance coverage provided by Contractor. (a)Commercial General Liability—with a limit of not less than$2,000,000($5,000,000 if any portion of the Services to be performed by Contractor hereunder involves or affects in any way the roof of the Shopping Center)for each occurrence and a$2,000,000($5,000,000 if any portion of the Services to be performed by Contractor hereunder involves or affects in any way the roof of the Shopping Center)general aggregate limit. (i) An endorsement that includes property damage coverage for property in the care,custody or control of the Contractor. (ii)In the instances where Contractor's services include the use of"pollutants"as defined by the General Liability policy,the policy must include an endorsement removing the absolute pollution exclusion and adding broadened pollution coverage for bodily injury and property damage resulting from the discharge,dispersal,seepage, migration, release or escape of "pollutants"as defined by the General Liability policy,and providing coverage on behalf of the"additional insured", including ongoing and completed operations. (b) Commercial Automobile Liability—in the amount of$1,000,000 combined single limit for bodily injury and property damage,covering all owned,non-owned,or hired automobiles used in the course of the Contractor's business. (c) Workers'Compensation—in compliance with any and all statutes requiring such coverage in the state where the work is being performed. (d) Employer's Liability—in a minimum amount of$1,000,000 each accident,$1,000,000 each employee,$1,000,000 policy aggregate. (e) Such other insurance as may be required from time to time by Owner. 13. Waiver of Lien. Contractor,for itself and for all subcontractors,mechanics,laborers,materialmen and suppliers,does hereby waive the right to hold,claim,assert,file or enforce any mechanic's lien or materialmen's lien or any lien rights whatsoever against the Shopping Center or the building and improvements located therein,or the real estate upon which the Shopping Center is located. Neither Contractor nor any subcontractor,mechanic,laborer,materialmen,supplier or any person,firm or corporation,for any cause whatsoever,shall have any right to hold,claim,assert,file or enforce any mechanics'lien or materialmen's lien against the Shopping Center for any services,labor, materials,or equipment furnished therein. Contractor shall not cause,suffer or permit any mechanic's lien or materialmen's liens to be filed against the Shopping Center or any buildings or improvements therein or the real estate upon which it is located and Contractor shall indemnify and hold Owner and the real estate, buildings and improvements harmless from and against any such liens for labor and materials. 14. Limitation of Liability. Anything to the contrary herein contained notwithstanding,there shall be absolutely no liability on persons,firms or entities other than Owner with respect to any of the terms,covenants,conditions and provisions of this Agreement and Contractor shall,subject to the rights of any first mortgagee,look solely to the interest of Owner or its successors and assigns,in the Shopping Center for the satisfaction of each and every remedy of Contractor in the event of default by Owner hereunder;such exculpation of personal liability is absolute and without any exception whatsoever. 15. Intellectual Property. The parties expressly recognize that Contractor's Services rendered to Owner under this Agreement and all work product resulting therefrom ("Work Product")have been specially ordered and commissioned by Owner as a contribution to a collective work,supplemental work or such other category of work as may be eligible for treatment as a"work made for hire"as that term is defined in the Copyright Act, 17 U.S.C.§101 et seq. Owner and/or Simon Property Group,L.P.and/or its affiliates shall be deemed the sole author of the Services and Work Product,their contents and any work embodying or derived from any portion of the Services and Work Product,and their attendant intellectual property rights. 16. Binding Effect; Entire Agreement. This Agreement shall be binding upon and inure to the benefit of the respective heirs, successors, assigns and personal representatives of the parties,subject however,to the restriction upon assignment by Contractor as hereinabove set forth in Section 7. Owner expressly limits its acceptance to the terms contained in this Agreement,including any Exhibits that are expressly referenced and incorporated herein pursuant to Section 26,and objects to and rejects any additional or different terms outside of pricing and scope of services that may be set forth by Contractor in any other attachments hereto. This Agreement contains the entire agreement between the parties and cannot be modified or amended without a written agreement executed by both of the parties. 17. Venue; Choice of Law. This Agreement shall be governed by the laws of the state in which the Shopping Center is located without giving effect to conflict of law provisions. Any action,suit or proceeding relating to,arising out of or in connection with the terms,conditions and covenants of this Agreement may be brought by Owner. against Contractor in any state or federal court of competent jurisdiction in Marion County, Indiana and Contractor consents to laying of venue in such court. Contractor hereby irrevocably and unconditionally waives any objection to the laying of venue in any such court and any claim that such court is an inconvenient forum. To the extent permitted by applicable law, Contractor hereby waives trial by jury in any action, proceeding or counterclaim brought by either party against the other on any matter whatsoever arising out of or in any way connected with this Agreement. 18. Confidentiality. Contractor agrees to hold the terms of this Agreement and all proprietary information it obtains from or about the Owner Parties in connection with this Agreement in the strictest of confidence,not to use such information other than for the performance of its obligations under this Agreement,not to use the names,trademarks or logos of Owner Parties in any sales or marketing publications or advertisements without the prior written consent of the relevant Owner Party,and to cause its employees, agents,and consultants to be bound to the same obligation of confidentiality. 19. Interpretation. This Agreement represents the results of bargaining and negotiations between the parties and is the result of combined draftsmanship. The terms and conditions hereof shall be interpreted and construed in accordance with their usual and customary meanings and the parties hereby expressly waive and disclaim any rule of law or procedure requiring otherwise,including but not limited to any rule of law to the effect that ambiguous or conflicting terms or conditions shall be interpreted or construed against the party whose counsel prepared this Agreement or any earlier draft hereof. 20. Set Off. Owner shall be entitled to deduct from or set off against any sums payable to Contractor under this Agreement: (a) any amount expended by the Owner exercising Owner's rights under this Agreement to perform any of the Contractor's obligations that the Contractor has failed to perform;(b)any damages,costs or expenses incurred by the Owner as a result of the failure of Contractor to.perform any of its obligations under this Agreement;and/or(c)any other amount owing from Contractor to Owner under this Agreement or otherwise. Service Agreement Standard(rev 1.12.2015) Page 2 of 3 21. Notices. All notices required or permitted by this Agreement may be delivered to the addresses for Contractor and Owner set forth above(or such other address hereafter designated)by U.S. Mail,registered, return receipt requested(in which case,they shall be deemed to have been received three(3)days after deposit in the U.S. Mail),or by recognized overnight courier service(in which case they shall be deemed delivered on the date of the courier service's proof of delivery). Time is of the essence with respect to performance of every provision of this Agreement. 22. Severability. The parties agree that if one or more provisions of this Agreement is determined to be invalid,illegal and/or unenforceable in any respect,said provision shall be considered void to the extent of such invalidity,and all remaining provisions nevertheless shall remain effective and binding on the parties and the validity,legality and enforceability thereof shall not be affected or impaired thereby. 23. Waiver of Subrogation. Contractor and all parties claiming,by,through or under Contractor hereby releases and discharges Owner from all claims and liabilities arising from or caused by any casualty or hazard covered or required hereunder to be covered in whole or in part by Contractor's insurance or in connection with Contractor's activities conducted at the Shopping Center,and Contractor waives any right of subrogation which might otherwise exist in or accrue to any person on account thereof and further agrees to evidence such waiver by endorsement to the required insurance policies. 24. Audit. (a)No acceptance of any account stated,invoice,billing statement or payment tendered by Owner shall be construed as either an accord and satisfaction that the amount claimed to be due from Owner is in fact the correct amount or as a release or waiver of any claim that Owner may have to dispute the billing,the adequacy of the Services or for reimbursement of excess payments. (b) Owner or authorized employees, agents or representatives of Owner(including a third-party auditor or firm) shall have the right to interview personnel and inspect, examine,copy and audit the books and records of Contractor relating to the Services and all associated work,costs and expenses. Contractor shall,for a period of three(3) years following the date of any final payment made by Owner for any goods or services provided pursuant to the Agreement,keep and preserve at all times at the Contactor's business all documents and records(whether in written or electronic format)that pertain in any way to the Agreement,including,without limitation,records related to bidding (including but not limited to bids by Contractor,subcontractors and material suppliers),invoices and receipts for material and services from subcontractors,material suppliers or other vendors, payroll records(including,without limitation,employee work schedules and payroll records)and full,complete and accurate books of account.Any such audits shall be conducted within three(3)years following the date of any final payment made by Owner for any goods or services supplied pursuant to the Agreement,and shall take place during Contractor's normal business hours(or as otherwise may be agreed),upon not less than seven(7)days prior written notice. (c) To the extent this Agreement is based,in whole or in part,on time and materials,or cost plus or such other similar arrangement,the purpose of the audit shall be to verify compliance with the Agreement and the accuracy of amounts charged by Contractor for any goods or services provided pursuant to the Agreement,and all amounts billed or paid shall be subject to audit. If such audit discloses that Contractor has overcharged Owner or that Owner has paid any excess amount,Contractor shall pay Owner,upon demand,the amount of any excess payment or, if payment has not been made, revise any account statement, invoice or billing to reflect the correct amount owed. If,as a result of such audit, it is revealed that Owner has been overbilled or overpaid amounts owed by one percent(1%)or more,then,in addition to making full repayment of the amount of the overpayment,Contractor shall reimburse Owner for the cost of the audit. (d)Only to the extent this Agreement is based on a lump sum or fixed sum or other similar arrangement,the purpose of the audit shall be to determine compliance with the Agreement, including,without limitation, any and all requirements for deliverables, approved plans and specifications, and any provisions regarding pricing of any change orders. 25.Background Checks;Compliance Certification. To the extent permitted by applicable federal,state and local law(including,but not limited to,the federal Fair Credit Reporting Act and Americans with Disabilities Act),Contractors shall conduct appropriate criminal background and reference checks of personnel assigned to work at Owner's property. Contractor represents and warrants that it will conduct any criminal background or reference checks in a lawful manner. Contractor represents and warrants that,an Employment Eligibility Verification(commonly known as an 1-9 Form),issued by the U.S.Citizenship and Immigrations Services, has been properly completed and will be maintained for each Contractor employee that works at the Shopping Center. Contractor will certify to Owner that it has complied with the obligations in this paragraph. Contractor will provide this certification upon request by Owner but,in any event, will provide a certification letter to Owner within 30 days following the effective date of any contract and,subsequently,in January of each year. 26.The following Exhibits are incorporated herein by reference:(List attached Exhibits,including letter or number designation and heading,if any.) Exhibit A Ethical Practices. Owner maintains a Fraud Hotline(1-866-363-3728)to enhance our commitment to ensuring that business conducted with the Company is done so in a lawful and ethical manner. The Fraud Hotline is manned 24 hours a day, seven days a week by a communications specialist employed by an outside company. All communications will be addressed promptly and professionally, and without retribution. IN WITNESS WHEREOF,the parties have caused this Agreement to be executed on the day and year first above written. "Owner" "Contractor" Cape Cod Mall - Hyannis, Massachusetts (Entity #4919) SOUTH COAST IMPROVEMENT COMPANY MAYFLOWER CAPE COD, LLC, a Delaware limited liability company By: MAYFLOWER REALTY LLC, a Delaware limited liability company, i t s s o 1 e m e m b e r By: SPG MAYFLOWER, LLC, a Delaware limited liability company, its Managing Member BY: BY: Printed: ADRA COHEN Printed: TOM QUINLAN Title: MALL MANAGER Title: PRESIDENT Date: Date: Service Agreement Standard(rev 1.12.2015) Page 3 of 3 EXHIBIT `A' LUMP SUM PAYMENT Form 95 L(Rev. 10/2013) Agreement Reference: ALL PRO TRANSMISSIONS LANDLORD WORK Scope of Services: Contractor is to provide all labor, materials,permits, and required drawings to perform the following: Ceiling: • Remove existing light fixtures • Strap in existing ceiling with 2 x 4 • Install new 5H fire code sheet rock • Paint to match existing color Doors: • Remove 2 existing back exit exterior doors • Remove and replace door frames • Install 2 steel 3070 doors and proper hardware Exterior wall: • Remove rake boards • Remove sheathing • Remove existing insulation • Install new insulation and waterproof • Install newt I I I siding • Caulk all seams, flash all butts • Re-install existing rake boards or replace as needed • Paint to match existing color Fire Alarm: • Provide Hyannis Fire Department approved drawings and permit • Supply pull stations, heat detectors, horns, strobes to Hyannis Fire Department approved plan • Install a fire control panel and tie into existing phone line • Provide owner's manual for fire control panel • Tie in and program control panel • Schedule all inspections and testing Man Hole: • Replace existing frame of damaged manhole cover as so the cover will remain flush • Patch asphalt flush to existing Compensation: Owner agrees to pay Contractor, as Compensation for the services rendered by Contractor hereunder, the total sum of$ net 30 days after Mall Manager approval of documents. ' Page 1 of 1 I !Qt 'vtassachusetts - Department of PUQ.6c Safe!, Board of gildr;^.y Regulations and Sta1ua°ws C+instruction Sup r,ikr�r License: CS-077271 THOMAS M QUD.R AN �•- 208 W AREHAM ROAD Marion MA 02738 ocnrriass�€�ner 07/07/2016 ODE ISLAND OF RH 'i a AND LICENSING BOARD opi �111► . • ATE REGISTRATI• • tj AUTHORIZED REPRESENTATIVE • • F •• - .. MIA . Office of Consumer Affairs&.Business Regulation License or.registration valid for individul use only QUO '111281"� �!- ME IMPROVEMENT CONTRACTOR before the expiration date. If found,return to registration: 132401 Type: Offce of Consumer Affairs and:Business Regulation expiration; 1126/2015 Individual 10 Park Plaza-Suite 5170 Boston,KA 0211 Thomas Quinlan Thomas Quinlan 70 Hawthorn st. .. New Bedford, MA.02740 - Undersecretary Not valid without signature I ACCOREF® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlOW1atCY--M 10/1/207=3111- 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL-11111111C4ES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOF=W_ZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subJ�-GC= to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights 1111=se3w the certificate holder in lieu of such endorsement(s). PRODUCER Wffr Darlene Mulcahy Malcolm i Parsons Insurance Agency PHONE (781)344-3200 jAr FAX e.(?el)34a-1a25s= 713 Washington Street A°DRESS:dm@malcolmandparsons.com P.O. -Box 527 INSURE S AFFORDING COVERAGE 4 Stoughton MA 02072 INSURER A Atain Specialty Ins Co INSURED INSURER B mil rim Insurance South Coast Improvement Company INSURER c Associated International Ins C 208 Wareham Road INSURER D Charter Oak Fire Insurance 256 2— 5 INSURERE:IInderariters at Lloyd's Marion MA 02738-1146 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1510102956 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY tr-EFRIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICNE-i THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS-SUBJECT TO ALL THE TEGtMS.- EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE O S 1,Oe40),000 A CLAIMS-MADE 51 OCCUR MIS $ 1�40,000 X CIP249359 4/1/2015 4/1/2016 MEDEXP(An onepers n) $ 5,000 PERSONAL S ADV INJURY $ 1,O mO40,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,O'e0 b,000 POLICY�JPERC LOC PRODUCTS-COMP/OP AGG $ 2,O e0+0,000 OTHER $ COMBINE AUTOMOBILE LIABILITY accident) S. 1,O 'f3 0,000 B ANY AUTO BODILY INJURY(Per person) S X AIJTOOS�� J( AUTOS X PRC06001004441 9/29/2015 9/29/2016 BODILY INJURY(Per accident) $ NON OWNED FI PE=DAMAGE $ HIRED AUTOS AUTOS Urdertnumm!motorist BI SPOt = 2-- UMBRELLA I" R OCCUR EACH OCCURRENCE S 5,08 4C>4D 000 L, X' EXCESSLIAB CLAIMS.MADE AGGREGATE $ 5 09-ODID 000 DED I X I RETENTION$ 50,000 IXORKS823915 4/1/201S 4/1/2016 S WORKERS COMPENSATION Le PER X I ' TRH* AND EMPLOYERS'LIABUJTY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1 am-C304o 000 OFFICEWEMBFR EXCLUDED? a NI A D (Mandatory In NH) DB-3424T91-5-35 1/19/2015 1/19/2016 E.L.DISEASE-EA EMPLOYEE S 1 C'0D1 000 0 yes,describe under DESCRIPTION OF OPERATIONS below f E.L.DISEASE-POLICY LIMIT S 1 aW 430-0 000 E Ccamrarcial Inland Marine Qlffl?1546242 4/1/2015 4/1/2016 $227,00D Variouss Zquip DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) CERTIFICATE HOLDER CANCELLATION heather.thorne@southcoasti SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED E3IEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEF4'EO IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Amne Parsons/JAIME II �� 01988-2014 ACORD CORPORATION. All rights rmommerved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 oni tno J Y . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map`J q Parcel �91 7 ps Permit# 3.7 Health Division Z MOE 6971,711-1 961&)6A pe'kp;&_ Date Issued 3 Conservation Division , ��� A)°7 ! r , Fee Tax Collector Treasurer coma., m B Planni ept. Dat tive Pla ro Planning 6s� ric- Prese ion/HH t Project Street Address 7i Lo Village ,�� C� Owner ��� fa /VI AU, (.('Cs Address [ 1" Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new PC Estimated Project Cos Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting doc tation. Dw ...ng Type: Single Family ❑ Two Family ❑ Multi-Family(#units) / Age of Exi • Structure Historic House: ❑Yes C1 o On Old King's Highway: ❑Yes Flo ' Basement Type: ❑ ❑Crawl ❑Walkout L�'Other Basement Finished Area(sq.ft. asement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing Id /& ne Total Room Count(not including baths): e ' ing ew First Floor Room Count Heat Type and Fuel: ❑G ❑Oil ❑Electric ❑Other Central Air: ❑Ye ❑No Fireplaces: Existing New Existing coal stove: ❑Yes ' ❑No Detached age:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exis ❑new size _ A ached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial C-1'S'es ❑No If yes, site plan review# Current Use Proposed Use F j 'BUILDER INFORMATION v- Name 'Ielephone Number f•6% 1- WaT--[(� dress 0l��c% f jci�Et Xg� ___11U'_1Cense# 013 O l.s •- VV, - D,�l_ri n1 Home Improvement Contractor# /� Avorker's Compensation# /76 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE fi.. FOR OFFICIAL USE ONLY r PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS t VILL•AGE i OWNER DATE OF INSPECTION: I" FOUNDATION r' FRAME-• ', .� r r •- _S � �, - '• _ 't INSULATION - FIREPLACE ELECTRICAL: - ROUGH FINAL _ PLUMBING: ROUGH FINAL •*s ; a GAS: ROUGV.,K FINAL - _ ' FINAL BUILDING: — ` • r " Y NY DATE CLOSED'OUT ASSOCIATION PLAN NO. t �y • i� n OCT-GI-98 THU,10,43 AM DUNLAP - MANCHESTER FAX NO, W362(Ub3l .�` 1 1 lit• �(N(..�......:.« �r ..f�.Yl...r....4�.... brlrrrNVIVIt of hidunrial.4eddana �;�r;;'�i:w~;::— bt/r! !i'raliin�raa S��t -• '•;;; �'',,''; on-van. g3IIl Y . �. W •cgs Gant ��:ion IttxNto ttiav- arl• r >�air tt narnc� Anm 1�rr� r• ri w1�ti.W - r...--��,�� ^tirttf• ( C! I Wn a homeowner pecforminrs 311 wont myscif t C !am a soft:pmr!=or and have no one roorl:iras in=nv cspdw l am an cmpioy=pravidina'vQrkers'centpes=0an for ray cmpioyem working on this job. � _.• .B&AVER BUR ERS LTD. — __.— .�......._.-1. rrry NFfnM ('A2•FPF'.R_. ant.Ih §17-965 A6 0 — C=IN1..WAL CASUALTY CO. W128581764 �AEE RAY OE At= m ■M�+I�er�..s..���129R7ti7S ., .�.�/...�■ . r.r1 -V 'M�+� .��I■-�.II�Y/ram.•� - .1�...�� C t.atrt a sole propriear. pncrzi cuptrzctor.or boat colyner teftre one)=d have bired the coairsctars limed blow who the Follo►viaz tvorkarl eompeersatfon;W1k : lA�T,rl•td\',R'{11?f• �,r r.r� �r+�r�l�l��.��.���. _ Mum Riot? ■.w■. ��,�v�_. �..r.-r_r■V• _ 'T� ..�„��'�7�w'+IP17' w.:�'. ! •�. ■•,.• ...�.w w... nlnn•+n. n11»�• (ldre'•.• MAI evtt .ltt2CilA11d1rfgteure earaalSbLtflfttllllGS:,wf�..y:. i..-+•.•� ,J✓'�t�w•�•��• '•1M.�MIV•../R '/w., •w..■..■ Iw111M�b�1�`� ����♦ fnaure to acr=ctt:ut required nadir daooa.`.A of A1GL is:can Itsd to tAe tatr ptios otcsnartntl rMollm eta 11ac up 1e51.S 640 aaOiar mar%i ears'imttn.an(aenr as'A Wit as tl�•il pettaltics itl tAs term of a ffM]F'%0itW 01WEA and*rise O(9700A0 s do sphit!ale- 1 etedetmad that rap• 11(ibb.•rtttemcni ma) be(urwardtd to tt►e Older Of tarmtie=twas orlhs 0U1 rttr tts"011 rt Meshes. I do hcrews•c r iia crsalri• Rf per�Q+:r rher thv iebnm 4x pmvidad a*vve ii nr+t aad Prim=# GO C=L reill (ticcis uxt on1�• do not%+'cite in th arts to he rompicsed by at3'4e sOwn oflicia! 'ari01rt1: llrftBiFllliNte ..■...111�_ ��,.rate cacti.if imiatumlc respOaxt is rctW+rvi VC1' t> =t)tticr — �ll=ttb Deltsenaet,: % canraci per•/an• phaneih +�tba►.�„_.._�-- r A CO�Dne DATE(MM/DD/YY) CERTIFICATE OF INSUF�AG 09/21/98 PRoo�Eii THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Dunlap Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R.G. Sullivan Building, HOLDER. THIS. CERTIFICATE DOES NOT AMEND, EXTEND OR g• ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 175 Canal Street COMPANIES AFFORDING COVERAGE Manchester, NH 03101 COMPANY AContinental Casualty Co. , (Specific) INSURED COMPANY Beaver Builders Ltd. BMass Bay Insurance Co. (Aggregate) One Wells Avenue COMPANY Newton Center, MA 02459 CMA Approved Self-Insured Group 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 I POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY i PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ i j MED EXP(Any one person) $ AUTOMOBILE LIABILITY ,. COMBINED SINGLE LIMIT $ LJ ANY AUTO ALL OWNED AUTOS I ; BODILY INJURY $ SCHEDULED AUTOS (Per person) CEP 2 3 1998 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ J—✓' J' PROPERTY DAMAGE $ i GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ _ j I AGGREGATE I$ �EX,C SS LIABILITY EACH UM RELLLA FORMGGREGATE OCCURRENCE $ 71 OTHER THAN UMBRELLA FORM I Is A WORKERS COMPENSATION AND O 1/O 1/9 8 O 1/O 1/01 I X STATUTORY LIMITS B EMPLOYERS'LIABILITY � W128581764 WMZ 2 9 8 7 6 7 5 O 1/O 1/9 8 O 1/O 1/9 9 EACH ACCIDENT $1 o O O 00 0 C THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $1 000, 0 0 0 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL D ISEASE-EACH EM PLOYEE Isi 0 O O 0 O 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS For all operations during the policy term subject to policy exclusions. Evidence of Workers' Compensation coverage . Project# 3326 CERTIFICATE HOLDER GAN.C..1wLLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Cape Cod Mall EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Routes 132 & 28 '1 0_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Hyannis, MA 02601 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE :: ACORD 25-5(3/93)] of a S 3 7 2 0 0 M3 3 8 7 9: MAT. © ACORD4000RATION J. } BOMD OF EXl1Y1NERS? �LICEN6E.FOR 110.D4�00P� ... t g:dllYa tI PFN:T0•T TM tE. U1p6t:PR0Y910MS :OF tYd.Q111PIEA�74 A8 A1d1�D:':-.vp OL31�97 0/31 .; A B CFI z ar�w.e rya wr s ILClmdUe. `�tefcymoi,�i.w�aeoo.�u P =•sa-soon nwao.m,: ;- `um"D GLY; N zOF EXAIdNEW - tICEI{Cl:i011_gi1dD0100PEMT10�! 1�• aaa 'A'i �s-- Q'131'9 0�31 ,§ tuf O IIgOI CYrrd C, t ._`. f PROJECT _ NAME: "A to r ,� ADDRESS:/D ' PERTMU 3 75�z DATE: M/P• LARGE ROLLED PLANS ARE IN: BOX7� SLOT- DATE: n/�zmfiloe/o�nhivo ' fr y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma � Q�W p Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued `®/._/O(O Treasurer. Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis rz— Project Street Address r 8rq Village Owner Address Telephone Permit R uest (kSlAnALk- C009 (j® _<-q- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay r. �}- Project Valuation Construction Type R mVt illy- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. :' Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: O:Yes ;.,❑No t Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) n Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size _Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# .__Current Use Proposed Use _ ± -� o ,> BUILDER INFORMATION Name 6CW— Telephone Number Address License# �knel!5gmr4 fl2 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ti y, FOR OFFICIAL USE ONLY PERMIT NO. i r DATE ISSUED 3 ' i MAP/PARCEL NO. ! i ! ADDRESS VILLAGE i OWNER •I _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i '( GAS: ROUGH FINAL FINAL BUILDING x DATE CLOSED OUT ASSOCIATION PLAN NO. t �oFt r Town of Barnstable do Regulatory Services 9BAMSTAB M Thomas F.Geiler,Director A,E%6. 6 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , as Owner of the subject property, % r hereby authorizeC rr' to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) c Signature of Owner Date \\ O D Print Name Q:FORM&OWNERPERMISSION The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgarnization/Individual): Address: City/State/Zip: Phone#: Are you an employer? Check the appropriate box:. Type of project(required): 1.21 am a employer with . 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]I t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also=fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. , p Insurance Company Name: Vl ,l c v ( Policy#or Self-ins.Lic. #: � U ( " Expiration Date: Job Site Address: 104 -1frTe-M ` b City/State/Zip: A Chhl S Attach a copy of the workers' compensation policy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here e Idle pains and penalties of perjury that the information provided above is true and correct: Si ature: Dater Ph �Q)bV Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6 Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work-on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)narne(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners' are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter then self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia SEP-19-2006(TUE) 11 :52 COURT STREET INS (FAX)5087477951 P. 001/001 ' LC0>UG /f,90i l '/b�'/�!/L1�}€L�,G� ZQRD,� CERTIFICATE OFLIABILITY INSURANCE DATE A 09/19/2006 PRODUCER (5018) 747-7670 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Court street InsuranceNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency IncIna HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 120 Court Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Plymouth MA 02360- INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURER A FIRST FINANCIAL INSURANCE FALCONE ROOFING, LLC. INSURER O:GRANITE STATE INSURANCE 15 MAIN STREET INSURER C:. INSURER 0: XINGSTON MA 02364- INSURER F_• COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVUITHSTANDINO 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. AOOREOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR AWL POLICY EIFECTI POLICY EXPIRATION LTA NSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMto01VE TY) DATE(MrMODIYY) LIMITS A GENERAL LIABILITY / / / / F.nCHOCCURRENCE 1,000,000 X COMMrRCIAL GENERAL LIABILITY DAMAr FS-TO RENTED Fa xL rencn 100,000 I+RFMIR CLAIMSMADC FAI OCCUR 647F000034 03/16/2006 03/16/2007 MEDEXP(Any awperson) 1,000 r;EN90NAI.s ADv INJURY S 1,000,000 GFNFRAL AGGRF.GATF. a 2,000,000 GCNi AGGRCGATC LIMIT APPLIES PER: MODUCTS•COMPIOP AGO a 2,000,000 -7 7POLICY JECT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea aocMeM S ALL OWNED AV1'05 / / / / BOOILYINJURY SCHEOULEDAUTOS (Pcy $ HIRFO AUTOS / / / / HODILY INJURY S NON•ONNCD AUTOS (Per zabden0 PROPERTY DAMAGE. (Par ncClrlanp = - OARAOELIABILITY AUTO ONLY.EA ACCIDENT S ANY AUTO / / / / OTHER THAN CA ACC a AUTOONLr AGG s EXCESSIUMBRELLA LIABILITY / / / / CACH OCCURRENCE S OCCUR CLAIMSMADE ACGRFGATF D DCDUCTIDLC RCTCNTION E L $ WORKERS COMPENSATION AND WC 874-07-77 07/12/2006 07/12/2007 X TIORYLIMRS CR ' EMPLOYERS•LIABILITY ANY PROPRIFTORIPARTNFRIF)CFCUTIVE C.L.EACH ACCIDENT D 100,000 OFFICFRAAF.MRF.R EXCLUDED? C.L DISCASC-CA EMPLOY[[ a 100,000 It Yea,tleaalDo Imtlar SAl*lal PROVISIONSbo. ELDISEASE-POLICYLIMIT a 500,0DO OTHER DESCRIPTION OF OPERATIC NSILOCATIONSIVEHICLESIE)(CLUSIONSADDED BY ENDORSEMENTISPECIAL FR"31ON5 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE 9E9CRIBED POLICIES BE CANCELLED BEFORE THE _ EXPIRATION DATE THE F. THEJl"UIINSURER WILL ENDEAVOR TO MAIL 10 DA TTE NO TICATE HOLDER NAMED TO THE LEFT.BUT TOWN OF BARNSTA= FAILURE TO LL 1 NTK)N OR LIABILITY OF ANY KIND UPON THE INSURE ITS AG OR E RES 230 SOUTH STREET AUTmORLAFb REPR ry HYANNIS ILL 02601- ACORD 25(2001/06) 0 ACORD CORPORATION 1888 ��INSOU(0108).0% ELECTRONIC LASER FORMS,INC.-(M)32. 5 Page t d 2 juSep• I ZUUbi I I �JUAM_ _Delta No•bI9J V. I P. 1 Y 0 ow LCON T- V,666 n St, Kingston,Ma.02364 (781)422 0100/ Fax:(781)585 0021 www.falconerooiinb.com Delta Roofing Attn:Jeff Holistein July 24,2006 FAX#508583-7500 (tin ]I508.583.9499 �V RE: Hyannis Transmission CERTIFIED GAF MASTER ELITE ROOFING CONTRACTOR. J l AUTHORIZED FACTORY TRAINED INSTALLERS. l ®� CERTIFIED INSTALLERS OF GENFLEX RUBBER,TPO AND PVC ROOF SYSTEMS. �/�� I��p CERTIFIED INSTALLERS OF MAJESTIC SLATE ROOF SYSTEMS. /%W 91 30yr GAF 71mberline Shingle l -0r In regards to the above referenced project Falcone Roofing proposes to remove and �, I� 2 replace existing roof for the sum of$18,860.00 this scope of work includes the follow. • Remove existing roofing down to deck and dispose of debris in dumpster provided 12 9 by Falcone Roofing,house and grounds shall be protected by tarps during '2, demolition. 2 • Re-nail all loose roof decking. + Provide and install GAF ICE AND WATER SHIELD to all eves,valleys,step flashings, pipes,chimneys,skylights eat. • Provide and install GAF Shingle Mate paper on entire roof deck. • Provide and install 8"drip edge at eaves. • Provide and install 8"drip edge at rakes. • Provide and install new vent pipe flashings. • Provide and install GAF 30 yr Timberline Shingles on entire roof deck. • Provide and install GAF Cobra Ridge Vent at entire ridge and cap using GAF Timbertex Hip and Ridge. • All gutters related to work shall be cleaned free of debris. • In the event of roof deck replacement there will be an additional charge of$2.00 a square foot for plywood,$4,00 a square foot for boards and$9.00 a foot for fascia or rake replacement. • Debris shall be removed from ground and placed in a container on a daily basis. Grounds shall be cleaned and raked free of nails with magnetic rake. -=0GN ia• cuuu• i I •aunm uei Id No•bIUJ N• L P. 1 r• • Provide a 10 yr workmanship warranty. • Provide a full roof inspection 2 years after completion date,upon your request. There is no charge for this,just call to schedule. Additional Cost: Remove/replace rear fascia with 1 x 8 primed pine(Approx 951)$850.00 * Upon acceptance of this proposal payment shall be as follows: - 30 7Dwys f r&Ak i?V v0-•c4 ACCEPTANCE OF PROPOSAL V (siawture) Print name 9f � d� �;q�'104 Contractors Signature FALCONE ROOFING IS FULLY INSURED WITH LIABILITY AND WORKERS COMP INSURANCE Thank You John and Fred Falcone CS#066848 Proposal will be honored for 120 days Gladly accepted-3%additional charge . I6, •Isb3 ARCHITECTURAL REVIEW SIGN APPLICATION Januar 14 1986 - 771-4020 y s TELEPHONE NUMBER(S) - - DATE 104 -Enterprise Road.y Hyannis 9 ria. 02601 ADDRESS Or PROPOSED PROJECT OWNER Dyer Electrical Company MAILING ADDRESS 104 Enterprise Roadg Hyannisy 1,1a. 02601 SIGN REVIEW/NAME OF BUSINESS Electrical Contractor/Elec. Sales AGENT OR CONTRACTOR �ord.an Sign Company, 103 Enbb.rprise Road -=Iyannis, 11a. 02601 AND ADDRESS License 14o. 5137 DESCRIPTION OF PROPOSED WORK(Use back of form if more_ space is needed) Please indicate dimensions, colors, lighting, site location, and if a sign methods of application. 38cr x 58►c 1' l` Blue Baked. aluminum; ignite vinyl lettering No illumination Site location as shoi,m on photograph Erected on 3" 1.' B. Scn. 40 Steel pole direct burya.l. FOR OFFICE USE ONLY PLEASE 'DO NOT'WRITE -BELOW'THIS -LINE/CHECK EACH ITEM Sketch Attached Photographs i Dimensions on Sketch - Distance from ground -7,010 L - IlluminationMethod of of attaching Sijajs Tl'9t �'q17 v�` O w -e o le Ate_z �o Col ors Number of signs = Maximum of two a owa e Application Received on Action Taken - Date of Hearing - Assessor's office(1st Floor): C� Q Assessor's map and lot number Board of Health(3rd floor): Sewage Permit number Z BASJ9TODLL, i Engineering Department(3rd floor): �j ii�, i �o NAM House number 1639. Definitive Plan Approved by Planning Board 19 �p rpY a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use %1-m�T�l Zoning District !7` Fire District ��•/ Name of Owner GI Address i!:�R,E——, J Name of Builder �B(/G— <S'�zdrJa'�/ii° Address Name of Architect Address Number of Rooms Z Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost v� ®< ®o 0, ®O s Area Diagram of Lot and Building with Dimensions Fee, zP i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name A0, �p , Construction Supervisor's License �VFlo SELBY, JERRY r ' r No 32887 • Permit For Rebuild Fire Damaged Motel s, Location Hyannis Owner Jerry Selby Type of Construction Frame Plot Lot Permit Granted May 12 , 19 89 r , Date of Inspection 19 Date Completed 19 67 , r a-i e, ��rr pp� Assessor's map and lot number ..... ...q:7......�..../....1....... SEPTIC SYSTEM MUST B INSTALLED IN COMPLIANCE r WITH ARTICLE II STATE Sewage,Permit number . . ... . !. c�. SANITARY CODE AND TOWN. REGULATIONS, b�QyO�?NET��♦o� TOWN OF BAR.NSTABLE 11 SAWST"L$ • M6 BUILDING INSPECTOR 0 MPS a' t APPLICATION FOR PERMIT TO �� do-4.4p '�................. ........ .......................................................................... TYPEOF CONSTRUCTION ............Z,(,I..' .a..:,d...../r✓ °. ° s!Jr...................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 16— Location ................. 3.. .. il. ....Ot............ ;. :../......... ..:../ ...s .............. ,YAW •�r'�tsjv� Proposed Use ............ ..... �..�.................................................................................................................................. �]''� r Zoning District ......................1�/t ............................................Fire District ............� ,!.1 Name of Owner ........ / .k/!3.�t� Address ........ .! ......./ et"........ l�..�J`........ #...... ..... Name of Builder ........7...c ........61 /.c.Ar.....Address ........,3,.Q.......A"�f�.�.�l..�i%.... 6..� ..!.y...4. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....Foundation ........ Exterior .......... 4: ?..............................................Roofing ..............4.Xg0- � ../ ..................................... .... .... Floors �1,/.l0.G..� .................Interior ........ 1P,! �. /aP. Heating �Ti�. � ...�...............................................Plumbing ....................... ................................................... Fireplace ..................................................................................Approximate Cost .............r� ................................... Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area / ....:�yL.�.. � .',f 2 Diagram of Lot and Building with Dimensions Fee J...... ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. CA Name ........ ....... ................. Stewart, H. �nn No — — Permit for --r.e.boil.d..namteI. urdts ���`� /b*l f�v�rc�r- Loco�on —.. ._^ �mtel) ...........................w/�^w^�m—..----__---__ � Owner ............ frame ' Type of Construction .......................................... � + --------------------------' ' � Plot ............................ Lot ................................ � � � | May 10 �� ^ Permit Granted -----�-------.]g '~ Date of Inspection lA | Dote Completed . � � PERMIT REFUSED \ ~ ----------.-----------. lA ' . . �--------------------------. ' � '--.---.----_---..-----------. / ^ .---.--------.--.----..------.. ` ................................................'...,,......,......,...'... � � - Approved ................................................. 19 . � ' -------.-----------,------.— � - � ................. ............................................................. . � - BARNSTABLE vPermit No. `s TOWN OF ; D.�n.�s a Building Inspector Cash �• D e0 GGG (CAL °ep�a OCCUPANPY. PERMIT - Bond, "No building nor structure shall be erected, and no land, building or structure.shall be used for a new, different,:changed, or enlarged use without a Building` Permit therefor` ' - first`having been obtainedZI rom the Building Inspector.'No building shall be'occupied until a .certificate of occupancy has-been issued;by.the Building Inspector." _ Issued to, Aco �a '�T3 Address_Y 799'.Cot uit RCad, m.,- Nills, r x t #12 , U41 1?mtemrise ` d. H-w nmis Wiring Inspector Inspection date Plumbing.Inspector Inspection date Gas_Inspector � "C. 7 Inspection date 1/Engineering Department y 1f fiL ,» Inspection date ! G� THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE- BUILDING• INSPECTOR .UPON SATISFACTORY f COMPLIANCE WITH TOWN; REQUIREMENTS.- .. ,, .. Building,Inspector ..»». .».»» Assesk .o�../.. .........� .... THE T knrr's map and lot number ... 7•• • Quo ova �/� VI Sevvage Permit number ...... ...... %.� Wpm(; OVVEM 0 p � np nQ ST LLED UUG CoRfi LE, o° House number .......................� .L�........,.1(.J..,1 ................. VMB'PH vo 1e39. e�0 GULATIONS TOWN OF BARNSTA 9 o � � dD � 1C� APPLICATION FOR PERMIT TO .....r,. 2 t.i..7a-.> . T..... .4. �G?.. .................................................................. TYPE OF CONSTRUCTION ...........f.3.4. .r.r.........n.raw.o.............................................................................. .............. .................19 1927 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .....f.�.lQ.. ...... .....t.� . ...... �7 !�//�//. .................. � Proposed Use �yl.... -64.. ..p... ......................... ....................... c� Zoning District .............4.�....�............................................Fire District ......A x /S....................................... Name of Owner .. I5;0jq-.Jll.....�..��A.4.T. ......J! TAddress f ..... .QT.. Nameof Builder ..............�CA..M...:e..................................Address .................................................................................... .Name of Architect .... ? /LGJ........t7,,0.VKl..f'..1/............Address .... T.......f-,IY.AA'Al./--< .................. / et Number of Rooms ................[�................................................Foundation ......... ....................:........... Exterior ............ .C. .c.e ....... ........................Roofing ........XSIP!' IAL..1 .......................,.....................: Floors G':%3.A,/.._......7.4.A/� Interior ...... .....91 0 Heating .....�4 5....... ...........................Plumbing' ....,W........................................................................ Fireplace ..................................................................................Approximate Cost ........�r.a Q...... ..f................................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ....3/00.Q. ..4� ................. Diagram of Lot and Building with Dimensions Fee " Q- . '.... SUBJECT TO APPROVAL OF BOARD OF HEALTH r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .............. ........... i /Acorr Re&ity Trus/� t 913 commer. 1 V:. Permit for ................ . ................. building ......:..... ............................................................ 104 Enterprise Road ' Location Hyannis r ............................................ Acorn RealtyTrust i Owner ................................................................... 1 Type of Construction masonry } ........ ................................................................... k - 4 Plot ............................ Lot ................................ f, December ......19 Permit Granted ........... .................��. 79 � Date of Inspection ....................................19 Date Completed ......................................19 1. PERMIT REFUSED .......... ................................................ 19 r .4... ... ..................................................... k ." ... ..... ....................ev 'f .. .......... .. ..... � r . Approtr� ...... ................... 19 z. U ............................................................................... Assessor's map and lot number ............................................ yDi?H E Sewage Permit number .r.... ................................... Z BAR35TADLE, i House number MASL ..q...................................................... 90� 1639 0� �Q YAY a. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .....! Xl,S,. / ......... �....................... TYPE OF CONSTRUCTION ........... . .? ......4r ................................................................. --- /, � ...................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information Location ..............� .... C.?' r2 /L/ �%........ �� 'i/,�r/..�....... •�• V: Proposed Use !.�?. 7" /�. t-/! rl,/) 'l!ra .: . ......................................................................................... / /�S lAl e< "s ✓ /(/ Zoning District .................................................Fire District .........:. ...................`:r.......................................... Name of Owner .. ra +t P,,4 f T iM/l'a7 Address .ZZ/. Nameof Builder" ....................................................................Address .................................................................................... Name of Architect .........�.'J,;KJi' ". '. �...Address ....... .............................. Number of Rooms ..............................................Foundation ..... off `� .r�"{' , Exterior �' '��!.... �::Z•....f^,..:�.�:.�.......*.�.:�%.,�(✓/.�Roofing ..............-..............:....................................................... Floors !3 ^ /� c �4'-� ................ "".......:............:,.............,..............................Interior .....:...,:..............A........�'�...:�'-,';X;! �: ,e� s x7 �,r . / f' %a� Heating ........................................Plumbing ....� ......,.................................................................... / l` Fireplace .......................................................Approximate Cost ........ c Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ..........�006711 .................. .......... . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4i 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the"Town of Barnstable regarding the above construction. Name .*'!.. ..... ....;;....!..:. Acorn Realty Trust A=294-47 No .... Permit for ...add...tQ..c err-ia . ..........bu.i.1ding................................ .................. .... . ........ Location ........10.4-1 /t. rprise.. d............. ......................... ................ ..................... .. Owner ......... c A .. . ....RMIty.. st........... .... H A Y Type of Constru tion ........... s=ry- ........ ...... .......................... ...................... ..................... ........ Plot ................ ........... Lot ...................... ......... Permit Grantld ................ ..cMY Fe ..19....... 19 82 Date of Inspection ........... ..................... ..19 Date Completed ............ ..................... ...19 &tror[ LOAN t FILLT�`,e r.• ,� olsr , �;•. . , , , 4 C.I. Box --I: 24 No mole2- �00 -- 1 ., -1000— GAL. ►,o , , GAL. I• '•' PRECAST OR SEPTIC 6 �� i�•�• BLOCK TANK I;' SEEPAGE PITS o 20 MINIMUM l� °�•1,• FOUNDATION I \ I I 1 1 %! WASHED STONE _ • ELEVATION SKETCH r' to SCALE I"- 4' G• 10 gE ./ J� � �~� •,,,.,.-, ��,.r"' �,- � ••4"' � �,'•'- '�,� ;may,,,, �,,• � � _ � % J F \ j 1 2 + � �CE:; TOP, �,7/.J, y C.E1 , 4 I t• �71 Act 3.F. ,l3':I+_i+/0,$, 7 Gr1 /oc:, �:,W14A 3<no �i+f? P. ` > a, ri I j /y7 F�X' 1�:.'..,.���R r�r_E ���,�..f ��o <.� t l�C „'/-pis S>'•s%�r� ,� � �,1 � SJG=wAcLS ��d �,F r 2.S <�,�' '�S•F - 4�7.a �,.z G'. '00 >•�►° �` 7 Al — - 3� /u��/ /rl/�1T�X', /7�{�/9 iL-f5'<".jC.•� J l,� -h'/,� L•_: i ` Z;,4r/0ti Nar�N :/�i1E�/� 1VA5 i(lJL 7 E a /N T�J f=/E[ o -N lG__A 18Ex' TC2 7_1-iE 714 Am j ?-A 'y t a t _ r 1 , ... OIL LOG 4 ' STr 1PJf ; $T t ; 4'_\ ELEVATION S.HEDULE-1:f,•-�.:. _ ' �I�RO�OSED SITE PLAN r!,-7 _ G I. INV AT FOUNDATION SEWAGE SYSTEM DESIGN ° +' 2 NV INTO SEPTIC TANK J�` - , N 3. I NV. OUT OF SEPTIC TAr K 6�,4 t ry INV tiT0 DISTRIBUTION BOX _ '!7 a7 ?. • + / SCALE I �G�' .d£n+• 19'7'-� At 5 INV OUT OF DISTRIBUTI( N BOX 1' 7�5- 1I.R t pass. RATS s e14( '� a�w___ a a 7 CAPE C00 SURVEY CONSULTANTS 6 INV 111T0 SEEPAGE PIT ROUTE 132 TEST BY : !"- { TOWN INSPECTOR: ± , /}lJ Ems+ r T. 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