HomeMy WebLinkAboutBLD-19-001560 , 9/14/20'„4 . new doe 2018-09.1321.25.53 1.jpg - , ,
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• EXPRESS BUILDING PERMIT APPLICATION E CE t V E D
TOWN OF YARMOUTH T
Yarmouth Building Department SEP 14 2018
1146 Route 28
South Yarmouth,MA•02664 f+�
. ^ (5008)398-2231 Ext. 1261 " =
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CONSTRUCTION ADDRESS: - / l4--, 2,4 p • .
ASSESSOR'S INFORMATION:. _
Map: j / Parcel: 22-7V 4V7'379 5>_35.. .
NAME - PRESENT ADD' TEL e '
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CONIRACiOR: Id ' `I ,. G el '. _..f -G% D."- sei'4
. II.ING aDRESS
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d;%AMiEsoN�TYt�MAirsAG G• COAs,►, •
AReridemiel - 0 Commercial Est.Cost of Coomnction f 3r0 0 —-
Home Improvement Contractor Lit.# n 1 C, h q „ 1/Construction Supervisor Lie.# - - ••`
WorVis Compensation fnsura■a• check one) ..
am the homeowner SP'e'am the sole propriety 0 I have Worker's Compensation Insurance.Insrance Company Name: • • Worker's Comp.Po]icy# -
•
WORK TO BE PERFORMED
, Tent Duration (Fire Retardant Certificate attached?) F Wood Stove
Siding: #of Squares Replacement windows:# 3 Replacement doors: # ' '
Roofing: #of Squares ( )Remove existing.(max.2 layers) Insolation_ ..
Old Kings Highway/Hist
oric Dist. ( )Replacing like
Pfor like '' Pool fencing_ /
-le
- e debris W—Ube disposed oetc /,4 Mal `glV/7!"r : 2-4-"— ie 7/( Location of Facility
I declare under penalties ofpeijnry that the statement herein contained are true end cotter to the best of my knowledge and belief I understand that any false amwer(s)
will be just cause for denial or my license aid fir prosecution under MG,L Ch.26$Section 1. �/
Applicant's Sigaawe: /��, a •hr e-t: Dn2 9/23/(7
Owners Signature(or attaehmee . - Date: F -
'al(or deagxe) s . ADDRESS: i
Zoning District - .
Historical District 0 Yes- 0 No flood Plain Zone•. 0 Ye_ 0 No
Water Resource Protection District: within 100 R of Wetlands:' - - .
0 Ya DNo. 0 Yes 0 No
httpsa/mail.google.cote/mail/utOHinbox?projectoral , ' 1/1
9!14!201^ new doc 2018-09-13 21.25.53_2.jpg .
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• / as • .no�omirsonweattn of MassaOhusetls
=uG—;� Department oflndustrtalAccidents .
'1e*h= ' I,Congress Street,Suite 100
l i- Boston,MA 02114-2017 , • -
:,,;� ,•, www.mass.gov/ria "'
Workers'Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
tltlalimnt Information J �t Please Pont Legibly
' Nagle (Basiness/OBaolzatdoMndividual): /} , ,PAtlet i i;(7 i T('-',4 2.../
' Address: / 4 A Cif !l al..
. 6
City/State/Zip: bei/ : : d cue 1 4 'hone#: £ 7-5./7 6939
An yea as employer?Cheek the appropriate box: — .
Type of project(required):
i.0(am a employer with employees(full and/or pandna).v
2.0I em a sole propriemror partnership and have no Iworking for me hi 8- 7. 0 New construction
n
• any capacity.(No woken'comp,bmance requited)) - . Remodeling'
3.011 am a homeowner doing an work myxett(No worken•comp.insurance required.)t 9. El Demolition
4.�(am a homeowner am will behant
g coacton to conduct an weds on myp'openy. twill 10 Q Buildingaddition
/T with
an cton either have waters'compenmdonSane aansole 11.0Electticalrepairs oradditions ' .
proprietors6.01 am a amens eommactor and f have hired the no employees.
12.0 Plumbing repairs or additions ,
That huh-am a have employeeshave workers'
listed of Nie attached sheet -
and woken•amp•insurance.:
13.Q Roof repair -
6.0 We are a corporation and in officers have mreoeddcfr right ofexevctioa per MOta 14. OtherSm /e r
li;11(4),and we have no employees.(No workers'comp•insurance inquired" , a /
3 ti /ljCe/Nra i tui j
'AnyapaGcasa that carlct hat el must also till ma the section below showing their nesters'compensation policy information.
tt Omeownenl eon who
chsubmitit thhex must=aaffiched indicating they are doing as work and men him amide contractors must submit a new affidavit Indic®gsnek
an additional shat showing the came of the subrmaacmn and state whether or me those entities have
anployees. If ta sub etmon have employees,they must provide tea workers'comp.policy number.
r am tet employer that is providing workers'compensation bcsarancefor my employees. Below is the policy and job site
itformerlon.
•
:neuron=Company Noma
)olicy#or Self-its.Lie.#: Expiration Date:
ob Site Address: City/State/Zip:
tttach a copy of the workers'compensation policy declaration page(showingthe policy number and expiration date).
'allure to secure coverage as required trader MGL c. 152,425A is a criminal violation punishable by a fine up to 51,500.00
nd/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a
.ay against the violator.A ropy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
overage verification. :
do hereby certify trader the pains and penalties of perjrtry that the information provided above is true and correct.
. !mature: ' Pot,/1 meas,• , Date)( 9/S s'
It`S
hone#
' Official use only. Do not write In film 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#
•
httpaf/mail.google.com/mailhr/0/#inbox/projecto=1 1!1
Fallon, Rosa
From: Philip Scali <ppscalidental@yahoo.com>
Sent: Friday, September 14, 2018 9:09 AM
To: Fallon, Rosa
Subject: 1 Acadia Rd
To whom this may concern,
I am preparing my property at 1 Acadia Rd , W.Yarmouth Ma 02673 to become my primary residence in the near
future. Please issue permit for home improvement.
Sincerely,
Philip Scali
cell 617-519-5739
4„4/0 Virus-free. www.avg.com
1
Vision Government Solutions Page 1 of 3
r
1 ACADIA RD
Location 1 ACADIA RD Mblu 31/21//f
Acct# 2274 Owner SCALL PHILIP P
Assessment $318,700 PID 2274
Building Count 1
Current Value
Assessment
Valuation Year Improvements Land Total
2019 $168,200 $150,500 $318,700
Owner of Record
Owner SCALL PHILIP P Sale Price $397,500 _--_'- -_---`—
SCALL USA A Certificate
Care Of Book&Page 19260/228
Address 25 GALE RD Sale Date 11/19/2004
BELMONT, MA 02478 Instrument
Qualified Q
Ownership History
Ownership History
Owner Sale Price Certificate Book&Page Instrument Sale Date
SCAU PHILIP P $397,500 19260/228 11/19/2004
KIRK FRANCIS D $1 12165/022 IF 03/31/1999
Building Information
Building 1 : Section 1
Year Built: 1970 Building Photo
Living Area: 1,674 .. _. _._ _... .. ..._..._...___ _ . _.._._.__..__._.�_.._ . ...
Replacement Cost: $235,572
Building Percent 70
Good:
Replacement Cost
Less Depreciation: $164,900
Building Attributes
Field Description
Style Cape Cod
Model Residential
Grade: Average
http://gis.vgsi.com/YarmouthMA/Parcel.aspx?Pid=2274 9/14/2018
Vision Government Solutions Page 2 of 3
,
' Stories: 1 1/2 Stories .>.1 - n r`,
Occupancy 1 \\ +r wYk
7I
Exterior Wall 1 Wood Shingle aS ' 0111 ?-4 t ' o y
Exterior Wall 2 . }„r '"' } c�t�"' o-0� ��. 7,.
Roof Structure: Gable/Hip y,a..� _+•----�`=1
Roof Cover Asph/F GIs/CmpI '!VII!
y {,.
x ,. f e Y it. 2
Interior Wall 1 Drywall/Sheet :Noir:
y y a yTa;'ti_ P � �'�
Interior Wall 2 xa�- � - A
Interior Fir 1 Carpet
Interior Fir 2 Hardwood
(http://images.vgsi.com/pho[os2/Va rmouthMAPhotos//\00\02
Heat Fuel Gas \16/15.Jpg)
Heat Type: Hot Water Building Layout
AC Type: Central
•TO'•.le'
Total Bedrooms: 4 Bedrooms
Total Bthrms: 2 , 2,
Total Half Baths: 1
.—,': 8:. 10, ,.:._
Total Xtra Flxtrs: f,%y .-,Ii:::-.;f42-,-"'Z,‘; 70, :,a,
�rrP 72°1.1
Total Rooms: `'.BAS , it 1p -
Bath Style: Average . i` '.i UBM , s ` ":
Kitchen Style: Modern �:"j ` '.=
(http://images.vgsl.com/photos2/YarmouthMAPhotosfiSketches/:
Building Sub-Areas(sq ft) Legend
Code Description Gross Living
Area Area
BAS First Floor 1,232 1,232
FHS Half Story,Finished 884 442
FEP Porch,Enclosed,Finished 130 0
PTO Patio 398 0
UBM Basement,Unfinished 884 0
3,528 1,674
Extra Features
Extra Features Legend
Code Description Size Value Bldg*
FPL1 FIREPLACE 1 ST 1 UNITS $1,500 1
EOS End Outs Shwr 1 UNITS $0 1
Land
Land Use Land Line Valuation
Use Code 1010 Size(Acres) 0.29
http://gis.vgsi.com/YarmouthMA/Parcel.aspx?Pid=2274 9/14/2018
—.Vision Government Solutions Page 3 of 3
Description SINGLE FAM MDL-01 Frontage 0
Zone Depth 0
Neighborhood 0060 Assessed Value $150,500
Alt Land Appr No
Category
Outbuildings
Outbuildings Legend
Code Description Sub Code Sub Description Size Value Bldg#
SHD1 SHED FRAME 120 S.F. $1,000 1
FOP SCREEN HOUSE 120 S.F. $800 1
Valuation History
Assessment
Valuation Year Improvements Land Total
2019 $168,200 $150,500 $318,700
2018 $168,200 $141,600 $309,800
2017 $168,200 $141,600 $309,800
(c)2018 Vision Government Solutions,Inc.All rights reserved.
http://gis.vgsi.com/YarmouthMA/Parcel.aspx?Pid=2274 9/14/2018