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HomeMy WebLinkAbout0190 STEVENS STREET ��� s���-r�-s ST �� � � � � �. e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION U Map Parcel G / ;: Application # (J�'V"'ry Health"Division Date Issued �e Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic'- OKH _ Preservation/Hyannis Project Street Address l f ,Mul e145 Village �k Ann I f h Owner ��✓l d f l\G,✓► S le Address' Telephone u V 9 b_3Z C11 (alid &,r � � Permit Request WM 0 S ✓� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain+ Groundwater Overlay Project Valuati 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 ❑ 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-0ount -� Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other , Central Air: ❑Yes ❑ No fireplaces: Existing New Existing wood/� I stov@;�❑Yjs ❑ No Detached garage: ❑existing. ❑ new size_Pool: ❑existing ❑ new size — Barn: ❑ i ting Ql�newZ size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑new size — Other: rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No . If yes, site plan review# Y# Current Use ._ `---Proposed-Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -� r� shoo lap, (01 Vic. o Telephone Number Address Rem rLb R d. License # CS 0@6 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S c Eu® i v,G. ZOO G om� Wi fem c-,giA Damn, SIGNATURE DATE i __ FOR OFFICIAL USE ONLY ' m APPLICATION# { " DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL } FINAL BUILDING , A A DATE CLOSED OUT ASSOCIATION PLAN NO. { I JUN, 12. 2008 9:54AM JK SCANLAN COMPANY INCMII N0. 316 P. 2 i ne uommonweaim or massachuseas Department of-Industrial Accidents Office of Investigation 600 Washington Street Boston;MA 02111 Worker's Compensation Insurance Affidavit Applicant Information J. K. Scanlan Company, Inc. PROJECT NAME_ Hyannis Youth& Community Center LOCATION: 141 Bassett Lame CITY: Hyannis STATE: MA PHONE#: 509-771-1170 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity. ❑ I am an employer providing worker's compensation for my employees working on this job. Company Name Address City State Zip Code Phone# Insurance Co. Policy# Expiration Date ® I am a sole proprietor, General Contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: Company Name J.K.Scanlan Company,Inc. Address Falmouth Technology Park,1'5 Research Road Ciry . Fast Falmouth State MA Zip Code 02536-4440 Phone# -508-540-6226 Insurance Co. Liberty Mutual Policy# WC6411-258096-037 Expiration Date Auaust 31,20Q$ Company Name Address City State Zip Code. Phone# Insurance Co., Policy# Expiration Date Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine.up to S1,500.00 and/or one year's imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a copy of this statement maybe forwarded to the.Office of Investigation of the DIA for coverage verification- r do here y c tify under the and penalties ofperjury that the information provided above is rrue and correct Signatur Date:.June 12,2008 ; Print Name: Marie Walker, Clerk Phone#: (508)540-6226 Official use only—do not write in this area—to be completed by city or town,official Ciry or town: Pe=it/license# ®Building Department 4 Licensing Board 0 Selectmen's Office ❑Health Depamnent ❑Othcr 0 check if immediate responsc is rcquired Contact Person: Phone f: This certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0068 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the policies listed below. This is to certify that(Name and address of Insured) J.K.Scanlan Company,Inc. h tX Li 10� 15 Research Road �/ � East Falmouth,MA 02536-4440 mutu9 TM is,at the issue date of this certificate,insured by the Company under die policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and conditions and is not altered by any requirement,tern or condition of any contractor other document with respect to which this certificate maybe issued. ExlAration Tvpe EffJEz .Dates Policy Numbers Limits of Liability Continuous* 08/31/2007/08/31/2008 WC6-111-258096-037 Coverage afforded under WC law of Employers Liability Extended the following states: Bodily Injury By Accident X Policy Term CA,MA,NK OK,VA $500,000 Each Accident Bodily Injury By Disease $500,000 Policy Limit Workers Compensation Bodily Injury By Disease $500,000 Each Person 08/31/2007/08/31/2008 TB2-111-258096-097 General Aggregate-Other than Prod/Completed Operations General Liability $2,000,000* Products/Completed Operations Aggregate Hx Claims Made $2000000* Occurrence Bodily Injury and Property Damage Liability Per $1 000 000 Occurrence Retro Date Personal and Advertising Injury Per Person/ $1 000 000 Organization Other Liability Other Liability Med.Pay$10,000 Fire.Legal$300,000 08/31/2007/08/31/2008 AS2-111-258096-067 Each Accident-Single Limit-B.I.and'P.D.Combined Automobile Liability $1,000,000 Each Person X Owned X Non-Owned Each Accident or Occurrence X Hired Each Accident or Occurrence *Per project and per location combined aggregate limit of$2,000,000 with cap of$10,000,000. Employee liability limits for CA are:1,000,000/1,000,000/1,000,000.—Job Number:0813 Project:Hyannis Youth and Community Center,140 Bassett Lane,Hyannis,MA 02601 C O The Owner,Town of Barnstable,Department of Public Works,and Architect-Bargmann Hendrie+Archetype,Inc.are listed as additional insured as per contract. M requirement. M E . N T S Notice of cancellation:(not applicable unless a number of days is entered below).Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above - policies until at least 30 days notice of such cancellation has been mailed to: Office: WESTON,MA-SOUTH Phone: 781-891-8900 "" 'Certificate Holder. SUSAN LITTLE Town of Barnstable Authorized Representative Department of .Public Works 230. South Street Hyannis, MA 02601 Date Issued: 01/09/2008 Prepared By: JL The Commonwealth of Massachusetts`William Francis Galvin- Public Browse and Search Page 1 of 2 The Commonwealth of Massachusetts William Francis Galvin f, Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston,•,��,�,�,.......r�' tt,MA 02108-1512 ;. Telephone: (617)727-9640 J. K. SCANLAN COMPANY, INC. Summary Screen Help wlih this form (�RegU.c�st a Certifi�te.... . , The exact name of the Domestic Profit Corporation: J_Y C. SCANLAN COMPANY,INC. Entity Type: Testic 'rQfit CarnoratiQg Identification Number: 042$S_ 0403 Old Federal Employer Identification Number(Old FEIN): 000211251 Date of Organization in Massachusetts: 08Z2411984 Current Fiscal Month/Day:Q.�_L:Lj Previous Fiscal Month/Da 00/ y: _�Q The location of its principal office in Massachusetts: No, and Street: FALM, U_ TT TEcH .. CIGY PARK �5 RES�ARCI-I gD , City or Town: B ST1ALMOUTH State;MA Zip:. _W Coun try: u If the business entity,is organized wholly to do business outside Massachusetts,the location of that office: No.and Street: City or Town: State: Zip: Countr y: Name and address of the Registered Agent: Name* ARIE A.WADER No.and Street 7ESEAI�CH ROAD City or Town: EAST FALMOUTrfi State: MA Zip: 02536 Country:USA The officers and all of the directors of the corporation: Title Individual Name Address no Po Box)> Expiration First,Middle.Last,Suffix Address,City of Town,State,Zlp Code of Term PRESIDENT JOHN K.SCANLAN 15 FERNWOOD RD..NORTH FALMOUTH,MA 0255e USA TREASURER JOHN X.SCANLAN .15 FERNWOOD RD„NORTH PALM OUTH,MA 02556 USA SECRETARY MARIE A.WALKER 9 CATHERINE LANE,MONUMENT BEACH,MA 02553 USA VICE PRESIDENT RICHARD M.SCANLAN 8 BRIGANTINE LANE QUINCY.MA 02171 USA http://corn.. AtA ma,uS/CO �c0 sa — seo,st rP rp azch/Cor. .,.,_., The Commonwealth of Massachusetts William Francis Galvin -Public Browse and Search Page 2 of 2 DIRECTOR JOHN K.SCANLAN 15 FERNWOOD RD.,NORTH FALMOUTH,MA 02556 USA business entity stock is publicly traded: The total number of shares and par value,if any, of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par value Num of Shares CNG $0.00000 600 $0.00. 600 Consent _ Manufacturer _ Confidential Data Does Not Require Annual Report Partnership• X Resident Agent _ For Profit Merger Allowed Note:There is additional information located in the cardfile that is not available on the system. Select a type of filing from below to view this business entity filing.s: ALL FILINGS -- - `- -- -- --- Administrative Dissolution Annual Report Application For Revival Articles of Amendment ..Vievv�ili�.9� -- -•,,,,• . �1�:�C1✓,$earch,�� •G�lN Comments ®2001-2008 Commonwealth of Massachusetts All Rights Reserved I a http:// m�sec_s A I C n�Lus/corp/corpseaxch/Cor-- ITIAMNIJ�I 1 1 ti♦a Inin Ni H ttl H c v r tx,DB=ini N l z ;n l OW n I r l n r JUN, 12. 2008 9: 54AM JK SCANLAN COMPANY INCMII NO. 316 P. 3 JK SiCAPJLAN • Ilk 71 Founded on Commitment.Built on Service. General Contractors I Design/Build I Construction Management I Restoration June 11,.2008 Mr.Thomas Perry Building Department Town of Hyannis 2b0 Main Street Hyannis, MA 02601 Fax: S08-790-6230 Re: Hyarimis Youth&cor-ftmunity Center Hyannis, MA I Dear Mr.perry, 1 am writ-lgto inform you that Mel Dishman is an employee of J.K.Scanlan Company, Inc, and has the authority to request a building permit on behalf of J.K. Scanlan Company, Inc. If you bave any questions please do not hesitate to contact me at 508-540-6226. Sincerely LK.Scanlan mpany, Inc. Marie Walker Clerk/Chief Financial Officer 1$Research Road I East Falmouth,MA 02gg6 . 508.54o.6226 tel 15.08.54a.9a-z fax j'www.jkscanlan.com Jun 16 08 02: 45p Structures - And Grounds 5087906344 p. 2 JVI� 4V GVVV 1J•JU /IIPL�1�lJ wr"11 LI\ JIJILII JVV rJU 1JL✓ I VG•VL- d Department of Public Works 47 Old Yarmouth Rd. QF Water Supply Division P.O.Box Ma $ _ 02601-0326 MAM TES:508•775.0063 Hyannis Water System Operat'001 "N]�:'�WA-73 931� .,n g .hn. 7. c i qn•r+ r+ r>•ea e+rn•\.rrSrG �'rn Tn„ n�...r`:.";�a;:�s .- Y_ �.._Ct935a _..fell Q CM t�i11L85S3tor•Won�IchucA •. ...��. '. '. .. on.l Dcnninhlrrl.lM1fsruf GenlirR�,./1lfl, . - r j AL P.b2 Jun 16 2008 7: 19PM HP LASERJET FAX p. 2 JUN-16-2008 15:14 NATIONAL GRID ' 508 394 5019 P.001i001 national .rid .*. 127 Whites Path South Yarmouth , MA 02664 June 12 2008 FAX: 508-790-6344 - ATTN: Nancy Lee RE: 190 Stevens Street, Hyannis This is to confirm there.is no natural gas service to the above address, This was verified by a nationalgrid representative on May.17, 2008. If you have any questions, please call me at 508-760-7481. 7 Susan McMuIlin Field Coordinator nationalgnd TOTAL P.001 Mai 16 08 09: 11a Structures And Grounds 5087906344 p. 2 17814413194 NSTAR SUM SW3080A NSTAR 5UM SW3080A 10:SO:33 a.m. 05-1 S-2008 1 !1 NSTAROne NSTAR Way EL EcTA/c 'Nesr cod-Massachuseps 02090 GAS May 15, 2008 John Juros Dept Of Public Works 800 Pitchers Way Hyannis, Ma 02601 RE: 166 Stevens St, Hyannis 180 Stevens St, Hyannis 190 Stevens St, Hyannis Dear John Juros:, At NSTAR, we're committed to delivering great service. This letter serves as confirmation that, as of 5/15/8, the electric service to 166 & 180 Stevens St, Hyannis has been removed and electric service at 190 Stevens St, Hyannis was previously removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. if you have any questions, please contact me at (888) 633-3797. Sincerely, - K C Sousa New Customer Connects f �ofYHKEr ..Town, of Barnstable Regulatory Services aeRN.9r"Le. Thomas,F.Geiler,Director rawss r,�o,�,�a Building Divsinn . To Perry, Building,Comm issioner 20'0 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign:This Section If Using.A Builder I ktAand,Breault , as Ownet of the subject property hereby autbon,ze J.-K. Scaplan Company, lnr- ^„__to.act on my behalf, in all mattcrs.relative to work.authorize'd 6y this building�errriit a6plic�tic�n;'for: 166 Stevens Street, Hyannis, _. (Address:of Job) Signature of Owner. Date Roland Breault Print Nazne Ass 12Ek�oz- If Property"U wrier"is applying,for petrmit please'c`omplete.the l,fomeowners License. x irip:"tiori FiStin oxa"the reverse side: • 663rd of 90d'rng R egttWrons Hllct 519vd:rds CanStructirjtr StlpArvisor License License: CS 66515 f Expiration;. 1' 26/2po8 Tr# 1073.fl ReSl;rjckiorr: QQ MEL N DISHWAt4 1676 NEWTOWN RD COTUiT MA 02635 commissioner 4 . i 00.35,000 cf eulosort Spgce IA-Masoory only IG- 1 2 Famitx llam.e5 kaiJure to ppSssss a¢ttrcenr e.ditron of tite 'NIaSSachoSetts State lirtijdtfta Code is cause Far revocatiog or ws license, i I l d l 'ON. I IWON I ANUNOO Nd1NVDS Y WdL 11 80H 'Z l 'Nnr