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HomeMy WebLinkAbout2015 Dec 14 - Sign Off Transmittal Sheet, Plans, Vision Info _�_ . _ _ � . : _ _ .__.�.___ _ ._ i of�aR,� TOWN OF YARMOUTH HEALTH DEPARTMENT 3r . "�`O ' o � 1-�i �' '^� ••`� x PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: ' Building Site Location: /� / � ffL ��}/�f �.� S. �}7/�/`/0 U T�{ '' Proposed Improvement:��/Ya�� /�IOtD�lv.qTfi� /--71J�`iA�.�'D ��!�N f�O[iE L S/,GSu/a/T� '' �1�,p i6/�C1911 .� TI t!�G�4CF Gc��7F( .��[e, i�.Su 1 qria.✓� �?V4,aJtc �� �, •• ! �- /�9 i � T /a 3z s� ,LI` oi2�G� a�a� i3qSsf+fx�7 �.0 r�i�rof� a .t��4 ' Cel� Applicant: ���5/17�" � Cl L/� pt/ Tel.No.: rir�1/-�/?-�/S� Address: /D ��f� Cff Pf Z7rZ S, �/12i`�'oC.t T�`( Date Filed:/ � �S ', **I,Jyou would like e-mail notiftcation ofsign oJj,please provide e-mar!address: ' Owner Name: ��/��,�T �d L}t/✓/i��«/fI �OC/r} � �"� f'��- — Owner Address: �6 k f f � ��- j�f �2 Owner Tel. No.: �� �( �'�i s � �/�/Z�Y��e�"f/ f'/f"f o�LG� '7 '7�/;Z�Z -ai-S"�- I ,_....._....._...................._.............._........................_..............................._......................._................................................................................................................. ............................................................._...................... �`a� _� _ rj r7?Z ' RESIDENTIAL AND/OR COMNIERCIAL BUILDING � HEALTH DEPARTMENT: Determines Compiiance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Hea7th Activities. Please submit three (3) copies of plans, to inciude: (1.) Site Plan showing existing buildings, water line location, and septic system location; - (2.) Floor plan labeling ALL rooms witLin building (all ezisting and proposed)- Note:F/oor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. .............._..............._........................................................................................................................_......................................................_..........................................................................................._...........__..............._........._........... REVIEWED BY: ���j' // DATE: ��-�� yl � PLEASE NOTE COMMENTS/CONDITIONS: � I l3�S-c � j'ti t�,. �� 2 u t/� -�" �.1 �� �- � 2 � � � � 3 �° � Z Q� h a . � . IYO d�¢ � ��d� ^ � � � � � � � � A � � � � _ �, ��b A � � � � Q � � � � � � � � � vRr `9 _ � � � � �� � � ?'° � v � �� � T Z 0 � c � v � � `� � � h° T U � � � $ S ¢ � N z a vn {�- � �i � � 1 � � 4 L'J �. �l . � 1 3 � 3r w a�u J � Q! Lk � � I Q �. w � � � .• ( � � � L $o�cri.Q+c.W � s " I � �� � ��' � � � �� � � w a� � ��_aM � � � � s�, � w . �� � z � � ,� � � � �N y�, Z w ti � 1� � W 4�N V � ��e J o'i A g W0 � V �PQ! 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Building Information Building 1 : Section 1 Year Built: 1974 Building Photo Living Area: 2464 ..... ..... ..... ..... . ..._. Replacement Cost: $315,674 _ Building Percent 80 Good: "-'�����" Replacement Cost Less Depreciation: $252,500 ��- �'- Building Attributes s*�,. FIeIA Description '�.� ' .:�.. —_____"_______ a ' _Style ,Colonial � �+�A�=�� t .d _MOEeI ''��.Residential 'Grade: '�,Avera9e+30 �Stories: �'����.2 Stories IOccupancy �'�..1 (httD�//�mages.vgsi.com/photos/YarmouthMAPhotos//\00\Ol \50/21.jp9) ��''��.Exterior wall 1 �Wootl Shingle http://gis.vgsi.com/yarmouthma/Pazcel.aspx?Pid=13616 12/14/2015 Vision Government Solutions Page 2 of 3 �'�,Exterior Wall 2 Clapboard ''�� BUildlllg L0y0Ut '���,RoofStmc[ure: �Gable/Hip ����� ������� � ������ ������� � � �� '���,Roof Cover �Asph/F Gls/Cmp ',Interior Wall 1 �Drywall/Sheet '�,Interior Wall 2 �'�,Incerior Flr 1 'Carpet '��.Interiof Flr 2 '�.Hea[Fuel �:Electric ''�,Heat7ype: :ElecYr Basebrd �','�,AC TYPe: �I None '��..7otal Bedrooms: ��-4 Bedrooms '�.TotalBthrms: ��:3 Building Sub-Areas L n � Total Half Baths: 1 _—.._ '�..Tofal X[fa Fixtrs: Code Deuription Gross Living ( Aree Ar2a � '�,Total Rooms: -8 gq5 First Floor �1232 � 1232 ��,Bath Style: �Avera9e FUS Upper Story,Finished '1232 1232 ���..Ki[chen 5[yle: �Motlem FOP Porch,ODen,Finished �372 ,0 SFB Base,Semi-Finished �784 �0 UBM Basemen[,Unfnished �140 0 UGR Garage Untler '308 '0 WDK Deck,Wood 'S96 0 � '4664 ,2464 EMra Fea[ures { .. ... .. .. .. . . . . . . ..... Ertra Features . ..... .._. _..... . Lenend COAe Description Siu Value BIAg if i FPL3 ;2 STORY CHIM j 1 UNRS $2,200� 1 005 S OPEN OUT SHOWER � 1 UNRS $0 1 i . _ ..--- . . ,-- — -- ------ ------.. Land Land Use Wnd Line Valuation Use Code 1010 Size(Acres) 0.34 Description SINGLE FAM MDL-OS Frontage 0 2one Depth 0 Neighborhood 0060 Assessed Value $142,900 Alt Land Appr No Category Outbuildings . . .. . __ . . . ...._ _.... ... Outbuildinys . . ...... ... Ll,Y�IId INo DaW forOutbuildings L http://gis.vgsi.com/yarmouthma/Pazcel.aspx?Pid=13616 12/14/2015 " �`° � o � a � �� ao � n H e � c.� i � t" „�„ � .��, � zz es m z �� � ,� e m O 9 r e O ��. y '�A A� ' �9 f] � ! rJ t' Z p + y rn : q q�'. 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