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Home My WebLink About0026 HELMSMAN DRIVE -,.'_-�_ ... ... ..a .+.�a.Fs�w+e`N.wmf.w.�..eL..1w..Ja�...¢l+tYearu.��uv muu.�.fY,.+.. .u... _, �.. ..._........r�,_......,.ww➢.,....,..ffi.A.u_..+.wr ...u.r_...r,�,.._....,�....�.a_.._v_�..vr.._ _ �� '�Y 5'� i f I .�.---, �� i I 'r f I i I -.- -__ C ,e dir� Town of Barnstable *Permit# Qws%�Cj Fxpires 6 months from issue date • i Regulatory Services Fee EARNSTAO4 MMAM f p,�' Richard V.Scali,Director X„P�E�� P ��I Building Division Tom Perry,CBO,Building Commissioner SEP 2 2 2015 200 Main Street,Hyannis,MA 0260 SOWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number O�3 Not Valid without Red X-Press Imprint Property Address olb HCL_�rnpr-,x Z�,P . �€.►y-C'��LV t�� Residential Value of Work$ _r-5 ,CKDCD,00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address }Rf 0 C® Contractor's Name T'<_* t'VT �SJp(,.X Telephone Numbei(n1y\ Zno - j_9 Home Improvement Contractor License#(if applicable) 1 (o?CoQ 0 Email: Construction Supervisor's License#(if applicable) C_-25 dq� Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 9 I have Worker's Compensation Insurance Insurance Company Name 1Nno c-nA►"\CZ kC_t__t-1C.y Og Workman's Comp.Policy# WC14 M q cl 9 Fjo2 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side .EA Replacement Windows/doors/sliders.U-Value -__S® (maximum.32)#of windows l #of doors:_Z ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: `- C:\Users\DecollikWppData\Loc icroso ' ows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doe Revised 040215 \ The C'oninjojtivealth of Massachusetts Department of Industrial Accidents Office of Im est gations 600 Washington Street Boston,.MA 02111 ir*viv.etas&gov1dBa Workers' Compensation Insurance Affidavit: Badersf ontractor lecttzciansiplumbers Applicant Information Please Print Legibly Name(Business/Orgauizatiowhidh � )LQRiQ l): (YlT� ► CZl c�y IN Address: X City/Star-,Mp:f n m -1 Phone 9 K—miqaco-jeae Are you an employer?Check the appropriate boa: Type of project(required): LX I am a employer with I . 4. ❑ I am a.general caantractor and I employees(fall andforiart-time).. * have hired the sub-contractors 6- ❑Neu canstanct on 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7_ N`Retmodeling ship and have no employees These sub-contractors have S. ❑Demolition working for-me in any capacity. employees and have wozkeas' {No workers'comp.insurance comp_insurance.- 9. ❑Building addition required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself o workers' right.of exemption per MGL insuranceN d. s c. 152, §1(4),and we have no 12.❑Roof repairs l 13..❑Other employees_[No workers' comp.insurance required ;Any applicant that checks box#1 mast also fill out thee section below showing their workers`compensation policy information_ Homeowners who submit this affidm indicating they are doing all work and then hire outside contractors must submit a men,affidavit indicating such. !Contractors that check this box trust attached an additional sheet shoniog the time of the sub-contras tors and state whether or not those entities lure employees. If the sub-contractors have employees,they must pmvide their workers'comp.policy number. lam an einph)y-er tdtat is prmiding",orkers'cottipetisation insuraance for nay engdoyves Below is the policy tatad job site information. Insurance.Company Name: inoelc�CF 6OLNW CE 6=:�Fl0-DO Policy 4 or Self-ins.Lic.#: M929 8M_ Expiration Date:7 JZ2.-I Job Site Address: CityfStatelZip: 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. 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 may be.forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerril&under the . ' es of perjury that the information provided above is trite and correct Si lure: Dater 9 Phone#: —1t-! ^ FIJPR Official nss only. Do not write to this®rea,to be completed by city or town official City or Town: PermitlLicense 9 Issuing Authority(circle one.): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#; -- 6 �® CERTIFICATE OF LIABIL ITY ITV INSURANCE DATE(MMUDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T HE CERTIFICATE HOLDER. THIS E AFFORDED BY THE POLICIES 17/201 ( CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAG ( BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEE AUTHORIZED ! REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. N THE ISSUING INSURER IMPORTANT: !f the certificate holder is an ADDITIONAL INSURED,the oli the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificatefiAdoes not ibject to certificate holder in lieu of such endorsement(s). to the I PRODUCER The Insurance Agency Of Cape Cod NAME: T Julie Franklin PHONE 480 Route 6A E IL (508)888-2766 F�Axc No: (508)833 ggp9 PO Box 9W ADORE S: uiie�a insuranceofcapecod.com East Sandwich MA 02537 INSURER(S)AFFORDING COVERAGE NAIO a INSURED INSURER A: Arch Specie' Insurance 000000 MATT YORK CONSTRUCTION INC INSURER B: Safe Insurance 000000 East Box ndv INSURER c: Atlantic Charter 000000 INSURER D: EBSt Sandwich INSURER E: COVERAGES MA 02537 INSURERF: CERTIFICATE NUMBER: ;EXCLUSIONS S IS TO CERTIFY THAT THE POLlC1ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR 0 REVISION MID ABOVE FOR THE POLICY PERIOD ICATED. NO7WITF(STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS RTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWNMAY HAVE BEEN REDUCED BY PAIb CLAIMS. TYPE OF INSURANCE LIp EFF POLICY EXP D GENERAL LIABILITY POLICY NUMBER M LIMITS X COMMERCIAL GENERAL LtABILRY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREM ES Eaooa $ 100,000 A N N AGLOO4991-01 MED EXP(An one $ 10,000 10/6/2014 10/t3/2015 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMtTAPPLIES PER GENERAL AGGREGATE $2,000,000 POLICY PRO- LOC PRODUCTS-COMPrOP AGG $2,000,000 AUTOMOBILE LIABILITY $ ANY AUTO CO 1•D INGLE LIMIT $ ent ePerpersan) $ 1001000 B X ALL OWNED AUoTOSULED ODILYINJURY( AUTOS N N 6216083 12/30/2014 12/30/2015 BODILYINJURY(Per X HIREDAUTOS AWNED acdwwr* $300,000 PROPERTY DAMAGE S 10D,000 Per UMBRELLA LIAB OCCUR Un/Undennsured $ 10OK1300K EXCESS LtgB CLAIMS-MADE EACH OCCURRENCE $ DED RETENTION AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS'LtASILITY S ANY PROPRIETORMARTNER/EXECUTNE Y/N X WCSTA7U- OTH• C OFFlCEwMEMBNii)ER EXCLUDED? ❑N/A(Mandatory in N WCV00999802 E.L.EACH ACCIDENT 100 DSdescribe and 2/22/2015 2/22/201 '000 LRIPTION OF OPERATIONS below E.L.DISEASE-EA EMPLOYE S 100,000 E.L.DISEASE-POLlCY LIMIT S 600,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION.... _......................_....................._. ..... . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS............................................._..........,......... _.._... AUTHORIZED REPRESENTATIVE MA 02563 2010/0 25 ACORD -max- . ( } . ....... ... ..... - The ACORD name and logo are registered marks of ORD CORPORATION.All of ACORD rights reserved. s Massachusetts-Department of.-Pub fis Safety 9-'Board of Building Regulations and Standards, Construction Supervisor License: CS-097162 MATTMEW GYOoK =� P.O.BOX 826 EAST SANDWIC$I MA 537 x, - Expiration Commissioner 10/05/2016 Y deW0,7 azanwwNo/6A,vaa"Xworp j Office"of Consumer Affairs&Business Regulation ,; OME IMPROVEMENT CONTRACTOR egistration: 1,62640 TYP?., 'Expiration- 4t31201- P Individual MATTHEW YORK MATTHEW YORk 5 MEETINGHOUSECIR'� E.SANDWICH,MA 02537 Undersecretary OFF * BARNSTA13M Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I Vkwn \`1 tv \\- o ;ps Owner of the subject property hereby authorize \10'(k c C0 t ZC-►ci+3 to act on my behalf, in all matters relative to work authorized by this building permit application for: a (Address of Job) Signature of Owner Date 71 6 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOl DHR\EXPRESS.doc Revised 040215 PaYcel Detail Page 1 of 3 tail Logged In As: Pa I'Ce I De la I( Tuesday,September 22 2015 Parcel Lookup Parcel P Info _ ....... Parcel ID F94063 I Developer Lot'LOT 26 �n,. Location 26 HELMSMAN DRIVEN Pri Frontage Sec Road Sec Frontage Village CENTERVILLE___'_ I Fire District Town sewer exists at this address NO I Road Index 200$ Asbuilt Septic Scan: 194063_1 Interactive Map is w Owner Info G LOOLY,THOMAS.E I Co- owner Owner Streets 26 HELMSMAN DRIVE Streetz ,. city tCENTERVILLE I state MA I zip 02632....., F a I Country �� I Land Info .. ...... .... ...... . ...... ..... ........... ..._... ...... _.. ...... ....... . . Acres 0 65 use Single Fam MDL-01 I zoningR�C „ , � �Nghbd 0105 TopographyLevel Road Paved. utilities Public Water,Gas,Septicl Location ) Construction Info w Building 1 of 1 Year 1985 Roof Gable/Hi Ext Wood Shin le Built Strud p� Wall 9 Living 1602 J Root A""s h/F GIs/Cm ACCentral Area Cover e p p Type Style Cape Cod J In Drywall � _ Rooms�3 Bedrooms J Model Residential Floor nt�' H Rooms ardwood sets 5 Full-O Half ` vera a Plus "eat iHot Total Grade 6 Rooms IA 9 Type Rooms Stories 1 1/2 Stories Heat f Fuel Gas F ation oured Conc. • Gross Area 3976 w Permit History Issue Date Purpose Permit# Amount Insp Date Comments 1/24/2012 Insulation 201200339 $1,850 AIR SEAL-INSULATE 12/5/2001 Out Building 57498 $4,100 2/15/2002 12 X 16 SHED 12:00:00 AM 5/21/2001 Addition 53463 $14,000 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=14098 9/22/2015. Parcel Detail Page 2 of 3 2/15/2002 10X12 12:00:00 AM SUNRM;12X14 WDK 5/3/2000 Finish Basement 45837 $15,000 3/1/2001 OFFICE/RECRM 12:00:00 AM. 1/1/1985 Dwelling B27455 $p 10 AM 122:00:00:000 CE 1.5 ST Visit History__. _._.._._ ......_ ------ __.... Date Who Purpose 7/27/2015 12:00:00 AM Geraldine Clark In Office Review 9/15/2014 12:00:00 AM Anne Leonelli Change of Address 3/28/2614 12:00:00 AM Jeff Rudziak In Office Review 2/15/2002 12:00:00 AM Martin Flynn Bldg Permit Completed 3/1/2001 12:00:00 AM Martin Flynn Bldg Permit Completed 11/22/2000 12:00:00 AM John Greene Cycl Insp Comp 12/8/1999 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 8/16/1986 12:00:00 AM HM Sales History Line Sale Date Owner Book/Page Sale Price 1 7/31/2014 GILLOOLY, THOMAS E & MARY ANN 28297/305 $364,800 2 1/25/2000 ADLER, KAREN A 12797/208 $179,800 3 3/15/1985 OKEEFE, MICHAEL P & MARY V 4453/247 $75,500 4 9/15/1984 SMITH, JAMES K TR 4252/228 $0 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2015 $131,900 $54,000 $8,400 $117,700 $312,000 2 2014 $126,600 $52,500 $8,600 $117,700 $305,400 3 2013 $126,600 $52,500 $8,800 $117,700 $305,600 4 2012 $129,400 $49,800 $7,200 $117,700 $304,100 5 2011 $162,400 $11,000 $3,300 $147,100 $323,800 6 2010 $161,800 $11,000 $3,800 $149,500 $326,100 7 2009 $161,800 $9,900 $1,800 $151,700 $325,200 8 2008 $172,400 $9,900 $1,800 $162,400 $346,500 10 2007 $201,300 $9,900 $1,800 $162,400 $375,400 11 2006 $186,100 $9,900 $1,800 $153,100 $350,900 12 '2005 $169,100 $9,700 $1,900 $118,300 $299,000 13 ' 2004 $135,200 $9,700 . $1,900 $83,500 $230,300 14 2003 $122,200 $9,700 $1,900 $48,700 $182,500 15 2002 $116,100 $9,500 $0 ' $48,700 $174,300 16 2001 $109,100 . $2,900 $0 $48,700 `'$160,700 17 2000 $85,100 $2,800 $0 $34,100 $122,000 18 1999 $85,100 $2,800 $0 $34,100 $122,000 19 1998 $85,100 $2,800 $0 $34,100 $122,000 http://issgl2/intranet/propdata/PdreelDetail.aspx?ID=14098 9/22/2015 Parcel Detail Page 3 of 3 20 1997 $90,400 $0 $0 $22,500 $112,900 21 1996 $90,400 $0 $0 $22,500 $112,900 22 1995 $90,400 $0 $0 $22,500 $112,900 23 1994 $91,400 $0 $0 $33,700 $125,100 24 1993 $91,400 $0 $0 $33,700 $125,100 25 1992 $104,000 $0 $0 $37,400 $141,400 26 1991 $99,100 $0 $0 $59,900 $159,000 27 1990 $99,100 $0 $0 $59,900 $159,000 28 1989 '$99,100 $0 $0 $59,900 $159,000 29 1988 $78,000 $0 $0 $22,500 $100,500 30 1987 $78,000 $0 $0 $22,500 $100,500 31 1986 $0 $0 $0 $22,400 $22,400 Photos ..... ...... ............ ......... http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=14098 9/22/2015