HomeMy WebLinkAbout0190 STEVENS STREET ��� s���-r�-s ST
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e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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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:
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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
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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.
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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$10,000,000.
Employee liability limits for CA are:1,000,000/1,000,000/1,000,000.—Job Number:0813
Project:Hyannis Youth and Community Center,140 Bassett Lane,Hyannis,MA 02601
C
O The Owner,Town of Barnstable,Department of Public Works,and Architect-Bargmann Hendrie+Archetype,Inc.are listed as additional insured as per contract.
M requirement.
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Notice of cancellation:(not applicable unless a number of days is entered below).Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above -
policies until at least 30 days notice of such cancellation has been mailed to:
Office: WESTON,MA-SOUTH Phone: 781-891-8900 ""
'Certificate Holder. SUSAN LITTLE
Town of Barnstable Authorized Representative
Department of .Public Works
230. South Street
Hyannis, MA 02601
Date Issued: 01/09/2008 Prepared By: JL
The Commonwealth of Massachusetts`William Francis Galvin- Public Browse and Search Page 1 of 2
The Commonwealth of Massachusetts
William Francis Galvin
f, Secretary of the Commonwealth, Corporations Division
One Ashburton Place, 17th floor
Boston,•,��,�,�,.......r�' tt,MA 02108-1512
;. Telephone: (617)727-9640
J. K. SCANLAN COMPANY, INC. Summary Screen
Help wlih this form
(�RegU.c�st a Certifi�te.... . ,
The exact name of the Domestic Profit Corporation: J_Y
C. SCANLAN COMPANY,INC.
Entity Type: Testic 'rQfit CarnoratiQg
Identification Number: 042$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
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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
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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�
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.hn. 7. c i qn•r+ r+ r>•ea e+rn•\.rrSrG �'rn Tn„ n�...r`:.";�a;:�s .-
Y_ �.._Ct935a _..fell
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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,
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l d l 'ON. I IWON I ANUNOO Nd1NVDS Y WdL 11 80H 'Z l 'Nnr