HomeMy WebLinkAboutBLD-19-002297 a
bocuSinn Envelope ID:CF23B1A1-FE3C-4960-8026-23FFB9EFD7C1
ONE &TWO FAMILY ONLY-BUILDING PERMIT
Town of Yarmouth Building Department oe �_
1146 Route 28,South Yarmouth;MA 02664.4492"
508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code,780 CMR
Building Permit Application To Construct,Repair,Renovate Or Demolish
a One-or Two-Family Dwelling
rr This1 Section For Official Use Only
Building Permit Number.RL JY/9DD ) Date Applied:
lis >� IO*.Jt
BuildmgOfficial(PittName) - _ - Signature .: ^ - Date. r,
SECTION 1:SITE D1FORMATION
1.1 Property Address: `/ 1.2 Assessor M p&Parcel Numbers --
u.
JO
1.1a Is this an accepted street?ye f no Map Number Parcel Numbr R h C E V E D
1.3 Zoning Information: 1.4 Property Dimensions: Cid
-- Zoning District Proposed Use Lot Area(sq ft) - Frontage(ft) OCT 23 2�
1.5 Building Setbacks(ft) Rim nINa nF lARTMENT
Required Provided - - Required -Provided Required Provided
16 Water Supply:(MG.L c.40,§54) 1.7 Flood Zone information: 1.8 Sewage Disposal System:
Public❑ private E/ .Zone: _ - Outside Flood Zone? municipal❑-On site disposal system
Check if yesff
SECTION 2: PROPERTY O WNERSHIPr
2.1 Oyjter'of Record:
l7rrt�Jpn ¶ etC uU sharrnn M& 03.04
Name(Print) City,State.ZiP -_....
11 9,itiksfxc((attl Cal; 4114 Fngno(ks &Gorncesr AcT'
No.and Street (b 2e-,' Telephone - Email Ad ress
SECTION 3:DESCRIPTION OF PROPOSED WORKS(check.all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) {¢ fAlteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work'': Qe{ksir aA}rtt @tot and add Fockiniocc
SECTIQN'4iEST1MATTDCONSTRUCTIONCOSTS., : -. ,..
Estimated Costs:
Item OfficiallJse Only
(Labor and Materials) :' ,
T.Bu lding $
I. Building Permit Fee:5 7$ Indicate how fee is determined:
2.Electrical S ■Standard CityITowh}lpphcation Fee
❑Total Project Costs tem 66J multiplier x
3.Plumbing S 2: Other Fees: S t SC.
4.Mechanical (HVAC) S List «
5.Mechanical (Fire
Suppression) $ Total AIl Fees.$
6.Total Project Cost $ m C1eckNo;^_Check Amount Cash Amount
1}2500: ❑PaidiinPull *OutstandingBalanceDue: �0
. - bocuslgn Envelope ID:CF23B1A1-FE3C4960-8C26-23FFB9EFD7C1 - - -
- SECTIONS: CONSTRUCTION SERVICES '
5.1 Construction Supervisor License(CSL) csogei..c ) c 0 a2/
,�rceA4 c r ( �p� 'Q� License Number" Expiration(Date
Name o£CSL Holdu
�.J-�,zz,)/ _� �� . _ List CSL Type(seebelow)
Noan/and S t I Type ,. - . - Description -r
Restricted
stride ted(Buildings up el 35,000 cu R)
City/Tovm,State,ZIP - - - - R Restricted 1 Jct Family Dwelling
M -- Masonry - - -
- RC Roofing Covering -
WS Window and Siding -
2,-- - - SF Solid Fuel Burning Appliances
V. ��l r
t, O 1106 �. I - Insulation
Telephone ,. Email address ,.D Demolition
5Registered Home l vement Contractor(HIC) / .ve ec
cfrareA-ce - O.�t l P - RIC Registration Number Expiration D e v,
HIC Company Name or HIC Registrant Name _
Na.and SEmail address
4.)-z 6 V2_fl -Z w-.Yo6 v
City/Town,State,ZIP -.. - Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AP41DAVIT(M.G.L.e.152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes - ❑ No - ❑ --- -
SECTION 7a:O WNER AUTHORIZATION TO BE COMPLETED WHEN
O W YER'S AGENT OR CONTRACTOR APPLIES FOR BUII DING PERMIT
I,as Owner of the subject property,hereby authorize. Q
to act on my behalf;in all matters relative to work authorized by this building permit application
Prim Owner a Name(Electronic Signature) Date
• SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
°o`"s1pni°"" 10/4/2018 6:46:33 PM P
Jr,¢., D1 lv 1H
Print Owner's or qu',IGfi �4Cs��cnanicSignature). _ - . ate
r - - rcaeaseaeerno.. -
NOTES: -I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor '
(not registered in the Home Improvement Contractor(RIC)Program),will not have access to the arbitration
program or guaranty fund tinder M.G.L.c.142A.Other important information on the HIC Progam can be found at
wwwsnass.gov/oca Information o;the Construccioq Supervisor License can be found at www.mass.eov/dog
2. When substantial worlds planned,provide the information below:
Total floor area(sq.ft) - (including garage,finished basement/attics,decks or porch)
Gross living area(sq.R) Habitable room count
Number of fireplaces , Number of bedrooms
Number of bathrooms Number of half'baths .
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. '"Total Project Square Footage"may be substituted for"Total Project Cost"
'., •
The Commonwealth of Massachusetts
7_r-C- t . Department oflndustrialAccidents
• e=°mill 1 Congress Street, Suite 100
e�-S Boston, MA 02114-2017
` . . www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): ,- rit&,c` l fp-%i...3 le
Address: C.a _ LA. S'3 8
City/State/Zip: ca026nZ Phone #:
-
Are you an employer? Check the appropriate box:
Type of project(required):
1.0 I am a employer with employees(full and/or part-time).*
7. ❑New construction
2i24-ern a sole proprietor or partnership and have no employees working for me in
any capacity.[No workers'comp.insurance required.] $• ❑ Remodeling
3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.)r 9, 1:-.1 Demolition
4.Q I am a homeowner and will be hiring contractors to conduct all work on myroe I will 10 ❑ Building addition
ensure that all contractors either have workers'compensation insurance or are sole
P i 1.Q Electrical repairs or additions
proprietors with no employees.
5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.0 Plumbing repairs or additions
These sub-contractors have employees and have workers'comp.insurance? 13.❑Roof repairs
6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that Is providing workers'compensation insurance for my employees. Below is the policy and job site
Information.
•
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby c under the d pen, ties of perjury that the information provided above is true and correct
Si• ature: , s'Of.
— ./..,, Date: —� _.
Phone#:
Official use only. Do not write in this 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#:
Information and Instructions •
•
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an Rmployee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary, supply sub-contractor(s)name(s), address(es) and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom •
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the.applicant
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
• Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
•
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax# 617-727-7749
Revised 02-23-15 www.mass.gov/dia
•
"JHY V r'minn grooma nf6 ilaunrkes'iii
,.yam Offks of Consumer Maks&Business Regulation
HOME IMPROVEMENT CONTRACTOR
e.; 9TYPE'Indh/dud
142115/ 02/07/2019
TERRENCET.DOYLE ' •
TERRENCE DOYLE
32 Pine Ridge Lane, --�
Orleans,MA 02653
Underseaetsry
•
•
Commonwealth of Massachusetts
"e®; Division of Professional Licensure
Board of Building Regulations and Standards
Constr{ ttan%tupervisor
F
CS-084896 �' °"-'m EApires 08/11/2020
TERRENCE T DOYLE tri 7
PO BOX 838 {
EASTHAM MA 02842 ; 4 �SC 7
kCommissioner
1.1-4 TOWN OF YARMOUTH
=
0 BUILDING DEPARTMENT
1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT
JOB LOCATION: crtC(21.0% e*Wiltred VA II DO arranoVh o a
NME STREET ADDRESS SBCr]mc OF TOWN
N7Ov1E HOME PHONE WORK PHONE
PRESENT MAILING ADDRESS ‘kr ‘. et gek Srve-ron ign 0 alto*
CITY OR TOWN STATE ZIP CODE
The current exemption for'Homeowner' was extended to include owner—occupied dwellinsts of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor. (State Building Code Section 110 R5.13.1)
Definition of Homeowner
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is oris intended to
be,a one or two family attached or detached structure assessor),to such use and for farm structures. A person who
constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall
submit to the building official,on a form acceptable to the building official,that he f she shall be responsible for all
such work performed under the building_pennis.(Section 110 R5.13.1)
The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes,by-laws,rules and regulations.
The undersigned 'homeowner' certifies that he/ she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements
DeauSlined by:
&abut RA(4/2018 6 46 33 PM PDT
HOMEOWNER"S SIGNATURE
APPROVAL OF BUILDING C1AL
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL
Ch142 Yes No •
If you have checked yel,please indicate the type coverage by checking the appropriate box. i
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass.General Laws and that my signature on this permit application waives this requirement.
Check one
Signature of Owner or Owner's Agent Owner Agent
frhomeowarlicexemp
• w
•
boeusign Envelo ID.CF23B1A1•FE3C-4960-8C26-23FFB9EFD7C1 OF,YAR1I,IO U`L'II
o BUILDING DEPARTMENT
o 1" y 1146 Route 28,South Yarmouth,MA 02664
a 508-398-2231 ext.. 1261 Fax 508-398-0836
BUII.,DING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L.Chapter 40,Section 54 and 780 CMR,Chapter 1,Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be 9
conducted at tg, '5 s44PreSS UottotAl \Jpurrnntl{fi Par+
Work Address
Is to be disposed of at the following location: Durnpst-ef
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A
pvtu.I si_ VVL)2t1f 10/4/2018 6:46:33 PM PDT
Signature off° application Date
Pennit No.
a.
,
•
. 4.4
•
a
.
ocuth
4 TOWN OF YARMOUTH
s,' (i, °c HEALTH DEPARTMENT
••mac` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: t� - 1 1 - ; 1
Building Site Location: I a, S eA-F-e.red 40 11,Ou yeti rn Po-f-1- a ab3-j
Proposed Improvement: 2�pnit r aglQq Cited- a In tumid -9,04(0,99
Applicant: Brend la\ A-ru3(14If Tel. No.: (ot}kit c-g
Address: EL L- e Rte Sbevh n C�IIof- Date Filed: l O(la I t�
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: 13 fen can Fr i
Owner Address: 1 b Lee 2d CIJV`Cts-crrV M Owner Tel. No.: (a (1. & 4'+t14
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY:Arial /40% DATE: (d-i2 4)
PLEASE NOTE (rd t
C01y1MEI�jTS/CONDITIONS: / _. /0
l�c� M p%/Art i l cos(
•
�F.y ._ TOWN OF YARMOUTH /' /6'3' 7
3• } ` 0- WATER DEPARTMENT
" ' `le'3 99 Buck Island Road
WE� West Yarmouth, MA 02673� -"� Telephone: (508) 771-7921 • Fax: (508) 771-7998
• BUILDING PERMIT APPLICATION
DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET
Bldg. Site Location4 \lar m OL%zest F O (, r.
Proposed Improvement: IGP,pair n o 1 . s e i as __ - • 44- a c 9-y
Applicant:'1 3'e. at,ri 1'(Tt� th .
Address IL Le _R Tel. #: Sog A5 9 C 3C f Date Filed: _to( ia Li
Shams rn tY1 0It2-4- ,
RESIDENTIAL AND / OR COMMERCIAL BUILDING
Water Department: Determines Compliance of Water Availability and or Existing Location
Engineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of
Wetlands, Streams; Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc...
Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements
for Septage Disposal and other Public Health Activities
Fire Department: Determines Compliance to State and Town Requirements for Personal,
Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc...
LL-01/4--tdie/2C
u tl ( 6 [ is ( ,
Signature of applicant Date
PLEASE NOTE: •
COMMENTS:
6 � ,:mss? h/'. z'a -A4--;/7 •
Reviewed by: Water Division . Date
a
160
Property Location:12 SHELTERED HOLLOW LN MAP ID:151/l0/// Bldg Name: State Use:1010
Vision ID:16894 -Account. #16894 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/01/2017 15:03
CURRENT OWNER TOFU. UTILITIES STRT✓ROAD LOCATION CURRENT ASSESSMENT
FRIGAULT BRENDAN J 4 Rolling 2 Public Water I Paved 2 Suburban Description Code Appraised Value Assessed Value •
16 LEE RD - 5 Steep 6 Septic _ _ 'ESIDNTL 1010 227,500 227,500 815
RES LAND 1010 146,900 146,900 YARMOUTH,MA
SHARON,MA 02167 SUPPLEMENTAL DATA •
Additional Owners: Other ID: 128/J0301// VOTE
MISC 430 VOTE DATE
CHANCES PRIVATE R( -
BETTERMENT VISION
PLAN NIJMBEI836C
ZIP CODE 9999
GIS ID: M_307688_830648 ASSOC PID# Total 374,400 374,400
RECORD OF OWNERSHIP BK-VO//PAGE SALE DATE q/u v/i SALE PRICE V.C. PREVIOUS ASSESSMENTS(HISTOR
FRIGAULT BRENDAN J 24730/ 18 08/04/2010 U 100 IF Yr. Code Assessed Value Yr. Code _ Assessed Value Yr. Code Assessed Value
FRIGAULT KATHERLNE A LIFE EST 18472/324 04/20/2004 U 100 IA 2018 1010 227,500 2017 1010 227,500 2016 1010 227,500
FRIGAULT KATHERINE A 18472/323 04/20/2004 U 100 IN 2018 1010 146,900 2017 1010 146,900 2016 1010 146,900
FRIGAULT KATHERINE 18472/322 04/20/2004 U 100 IN
FRIGAULT JOSEPH PATRICK EST OF 13506/331 01/24/2001 U 0 IF
FRIGAULT JOSEPH P 0
Total: 374.400 Total: 374,400 Total: 374,400
EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor
Year Ape Description Amount Code Description Number Amount Comm.Int. -
APPRAISED VALUE SUMMARY
Total - Appraised Bldg.Value(Card) 225,100
ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 2,400
NBHD/SUB NBHD Name Sweet Index Name Tracing Batch Appraised OB(L)Value(Bldg) 0
0060/A Appraised Land Value(Bldg) 146,900
NOTES Special Land Value 0
WHITE&NAT UA PTO=N/V
Total Appraised Parcel Value 374,400
Valuation Method: C
WOB-REAR
STEEP REAR TOPO Adjustment: _ 0
Net Total Appraised Parcel Value 374,400
BUILDING PERMIT RECORD VISIT/CHANGE HISTORY
Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Comp. Comments Date Type IS ID Cd. Purpose/Result
11-874 01/13/2011 DE Demolish 1,500 04/26/2012 100 DEMOLITION DUE TC01/01/2014 01 1 BH CY CYCLICAL 2014
04/26/2012 CM 01 Measur+IVisit
11/15/2005 AL 01 Measur+IVisit
11/15/2005 AL 02 Measurf2Visit-Info Can
08/06/1996 DH 00 Measur+Listed
LAND LINE VALUATION SECTION
B Use Use Unit L Acre C. ST. Special Pricing SAdj
# Code Description Tone D Front Depth Units Price Factor S.A. Disc Factor Ids Adj. Notes-Adj , Spec Use Spec Cale ,Fact Adj.Unit Price Land Value
1 1010 SINGLE FAM MDL-01 H 20,473 SF 4.48 1.0000 6 1.0000 1.00 0060 1.60 1.00 7.17 146,900
1
Total Card Land Units: 0.471 ACI Parcel Total Land Area:B.47 AC Total Land Valise: 146,900
Property Location: 12 SHELTERED HOLLOW LN MAP ID:151/10/// Bldg Name: State Use:1010
Vision ID:16894 __Account#16894 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/01/201715:03
CONSTRUCTION DETAIL CONSTRUCTION DETAIL(CONTINUED)
Element Cd. Ch. Description Element Cd Ch. Description •
Style 01 Ranch ,t•� e
Model 01 Residential NDK P
Grade 05 Average+20h ! �, //f 6 te^ 6 /
•
Stories 1 1 Story Q F ` s4 `r i if
�
Occupancy 1 MIXED USE a r
Exterior Wall I 14 Wood Shingle Code Description _ Percentage 12,GG � 14 WDK 10
Exterior Wall 2 25 Vinyl Siding 1010 SINGLE FAM MDL-01 100 e /
Roof Structure 03 Gable/Hip / P2 6 16
4
Roof Cover 03 Asph/F Gis/Cmp BAS 30 4 18
Interior Wall 1 05 Drywall/Sheet SFB BAS
Interior Wall 2 COST/MARKET VALUATION 10 SFB 1010 BAS
Interior Fir 1 14 Carpet Adj.Base Rate. 118.99 14 12 1414 SFB 1424 FGR 24
Interior 269,278
Heat Fu Ib 2 04 Electric Net Other Adj: 12,100.00 46 12 18
Replace Cost 281,378 i 40 =OP 18
Heat Type 07 Electr Basebrd ._. t UST CONFOF 192818ALL 1 4
AC Type 01 None BAS 16
Total Bedrooms 03 3Bedrooms TO i. £ •1S s 4 . •ILK/1(ms 14 UBM
Total Bthrms 3 � � / 15 B2JthHeaUhDePakCrneflt
XtraYONIIIS [ AVER DEDATE '
Total Rooms �/L`
Bath Style 02 Average External Obslnc 'di /Q,/ I
Kitchen Style 02 Modern Cost Trend Factor Date
Condition - erne
%Complete
Overall V.Cond 0 1
Apprais Val 25,100
Dep"%OOvr `xrk'ct « %,
Dep Ovr Comment ^ tzs. azt
Mise Imp Ovr
Misc Imp Ovr Comment �-. '-:ham
Cost to Cure Ovr ? '` ` �
Cost to Cure Ovr Comment ..
OB-OUTBUILDING& YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) v h6rls 7 sy`t'Fsi `
Code Descri.tion Sub Sub Descri=t B Units Unit Price Yr Gde D•Rt Cnd %Cnd Air Value vai. t 1101 .f, 7 R 2
FPL1 IREPLACE I B 1 2,200.00 1995 1 100 1,800 C% s,tI. 'A*r s �"'Z .-i .. a
FPO EXTRA FPL O B 1 800.00 1995 1 100 600 =j<1 1-� ' vitt 1 i�a2 ish„
EOS Encl Outs Shirt B 1 0.00 1995 1 100 0 ,•�-)f`-e/ • r -q t Oy r
.m, ;� ' d
1, :r u,.ire trs„ •n^t- zi- L, va `C. ,{ ^ 'ar-.Jr • M *431 1'
3
a 6r.. > `� ,Cc.-,',C.R.,,': 4"1� $`: , . 41-3. A' I,t*,
•
BUILDING SUBAREA SUMMARY SECTION tV 1
11 - r
((( •
Code Description Living Area Gross Area E'.Area Unit Cost Undeirec. Value = t wp, t *—
BAS lint Floor 1,42 1,422 1,422 118.99 169,206 P 1 > -� t _
FGR Garage 384 154 47.72 18,325 P - x.• --
FOP Porch,Open,Finished 72 14 23.14 1,666 -"---
SFB BasSemi-Finished896 538 71.45 64,017 •
UBM Basement,Unfinished
510 102 23.80 12,137'
WDK Deck,Wood - 332 33 11.83 3,927der lit
.w,
� - e
TtL Gross Liv/Lease Area: 1,422 3,616 2.263 281,378:._AS - ---^ , JyY 'I _•.+s .._.
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TOWN OF YARMOUTH
REVIEWED FOR BUILDING AND ZONING CODE COMPLI-
ANCE. ERRORS OR CMMISSIONS DO NOT RELIEVE THE
APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT'
COMPLIANCE.
DATE:i O'7,9 -11 ^�
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