HomeMy WebLinkAboutBLD-19-3233 ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department
1146 Route 28, South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 F 1' ■
Thrt
Massachusetts State Building Code,780 CMR r,
Building Permit Application To Construct, Repair, Renovate Or Demolish
a One-or Two-Family Dwelling
RECEIVED
This[-S'}ection For Official Use Only I
Building PermitNumber�(P fit) 3233.- Date App ' ?17 nt a
0.
Building OiTicial(Print Name) Signature _ BI�ILOB3teOEC RTMENT
SECTION 1:SITE INFORMATION. , .
1.1 Propety,Address: � 1.2 Assessors Map&Parcel Numbers
I i Pi lett)LI •R OC41.1a Is this an accepted street?yes_ no - Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY O WNERSIID'2
2.1 wne 'of Reco
tioNey 514e4--1-�r- cv, yap-nevi'/,,44' oa693
Name(P 'nt) City,State,ZIP
///ilcseovy a'/ Z?4Co-v.30?evvryag,/12140p/18o-a?e,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building"( Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg.0 Number of Units� Other ❑//Specify:
Brief Description of Proposed W7k2:�-r.dnt A'4' . 4TlsPAoM pie E __en P�/�add!
H. 07-7-< $; zit tj :e
• SECTION 41 ESTIMATED CONSTRUCTION COSTS GEC 5 2018
Estimated Costs:
Item Official Use Onl
(Labor and Materials) y OEFnFi ✓
1.Building $ 20f 009 I Building Permit Fee:$1 SO Indicat how-f determ ed:---- i
tiStandard City/Town ApplicationFee
2.Electrical $ f,61 0 .
❑Total Project Cost' t 6)x multiplier x
3.Plumbing $ 9,os O 2: Other Fees: $
4.Mechanical (HVAC) $ 3`5-6d
5.Mechanical (Fire
Suppression) $ Total All Fees $ •
,L�
Check No. • Check Amount: Cash Amount: /
6.Total Project Cost: $ `DODO 0 Paid in Pull . . . 41 Outstanding Balance Due: 115
I , SECTION 5:.CONSTRUCTION SERVICES
• ) 5.1 Con ctlon Supee�-f/�.or cennse(CSL) 5, 0t-4-06 /a_31_/9,
u of�// / '�// CS-los-506 License Number Expiration Date
Name o SL Holder l/ /'
girt/
List CSL Type(see below) V
No. d Sneee ' Type .. Description
3 /7„ {// ( ll U Unrestricted(Buildings up to 35,000 Cu.ft.)
/`/ /�v'IY/ �J ill R Restricted 15c2 Family Dwelling
City/To ,State,Z /, � M Masonry
//Y rganov A , t2693 RC Roofing Covering
!!!///��, / 444 _ WS Window and Siding
SF Solid Fuel Burning Appliances
6vs-i.y-97€r eflitfirecn.000 emfaSrAfe7 I Insulation
Telephone Email address D Demolition
5.2 j?)egistered m/Improvement Contractor(HIC) / q
Arty �/f.1no// /Sl'J�8'O f �7-�0
HIC Registration Number Expiration Date
HIC Co N e or Reg'strantName
LJ CS Cpeet e't erg t }'(��.t�as7=del-'
No.and tree: d'
Email a dress
A/ cmoM /1®, 462643 sway/-996f
City own, State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AlFIDAVIT(M.G.L.C.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 0 No ❑
SECTION 7a:OWNER AUTHORIZATION TO BE OMPLETED WHEN
• OWNER'S AGENT OR CONTRACT i ' • 'PLIES 1 t• t i i DING PERMIT ..
I,as Owner of the subject property,hereby authorize
to act on my behalf in all matters relative to work a :0 red by..'s build a g permit application.
S4y € 3AB tsrr //-.73 -I
Print Owr*r's Na (Electronic Signature) Date
• • SECTION 7b: OWNER'.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 ' thi application' ./ .. . curate t e best f my wledge and understanding.
hit
Print 0 iso uthorized Agent' 1 e(Elect/nic ign e) Date
NOTES:
1. 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(MC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at
www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) 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" 9 lion
The Commonwealth of Massachusetts
-r,..—a= •
.
_ h / Department oflndustrialAccidents
-
eft-4W 1 Congress Street, Suite 100
•
et N=-9.10-12-1- 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): Ittyy 14a.CC,
Address: 2 Betty"5 4 fJ
City/State/Zip: . eczai,hlia 72 Phone #: 508027/ -9?‘9
Are you an employer?Check the appropriate box:
Type of project(required):
LEI I am a employer with employees(full and/or part-time).* 7. 0 New construction
2. am a sole proprietor or partnership and have no employees working for me in
8. ,
any capacity,[No workers'comp.insurance required.]
emodelin�
3.01 am a homeowner doing all work myself. [No workers'comp.insurance required.]t 9. ❑ Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on mY ProP I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. .
12.0 Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet
These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repa'irss
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Oth'e/rf�jrpO1V1
152,§1(4),and we have no employees.[No workers'comp.insurance required.] —cWIy16f ',grieflt94'APtrfr
*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.
3Contractors 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 ant 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 certify a dr the pains nettles of perjury that the information provided above is true and correct
Signature: Date:/1'a73'6/1—
Phone#: J!-01,-r 02w- 2 97
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#:
• ofsy4,„� TOWN OF YARMOUTH
$�t BUILDING DEPARTMENT
' ; vg_C
'c'� .; 24' 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE:f/ nh most I 44 ?(
JOB LOCATION:J(M�co�&4 m Iona triAt I lia- 0,2673
AME i( STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" SAPV k erer n739--egg - g. ---
NAME HOw PHON4 WORK PHONE
PRESENT MAILING AD SS ////I giver Si, Avve_i
CITY OR TOWN / STATE ZIP CODE
The current exemption for 'Homeowner' was extended to include owner—occupied dwellines 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 R5.1.3.1)
Definition of Homeowner:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to
be, a one or two family attached or detached structure assessory to such use and/or 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/she shall be responsible for all.
such work performed under the buildine permit. (Section 110 R5.1.3.1)
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 • 6 that he / she will comply with said procedures and
requirements. .
i
HOMEOWNER"S SIGNATURE i 1;" .01L,./,./
/ f
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a currea .4.6ility insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. No
ou have ch ed yu,please indicate the type coverage by checking the appropriate box.
diability 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
h:homeownrlicexemp
. ti, oT•Y�r° TOWN OF YARMOUTH
_ :Vg c BUaDLNG DEPARTMENT
• sr '�`i = 1146 Route 28,South Yarmouth,MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40,Section 54 and 780 CMR, Chapter I, Section 1113,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at JI Afeody aC O 1
Work Address!
Is to be disposed of at the following location: /Sri i i
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chatt; , 111, Section 15QA.
. /
toL // -23-/i
Signatu • of Application Date
Permit No.
MA . Information and Instructions •
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee 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
0v:YA its TOWN OF YARMOUTH
pFcS*2-iii. ,.? HEALTH DEPARTMENT
'' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: �/�
Building Site Location: /1 /i'l ti cenv y Sal
Proposcd Improvement: e2v(,i !, - i am /''tvfl 1 A , i € v - 7-il, , eve aloe
/1)�r ha -a - 1 !/:l•�f:�l. i / .'yl7il}�JL'i',�'�7�► `3 mr
/ri ' ii teraL ,r .r , t& Of Set -I 0 0,-u
Applicant: ife/L a . / 1 Tel. No.: San eff s et
Address: 1 fr k Date Filed:kW-2? 20/1—
**lfyou would like e-mail notification of sign off pleaseprovide e-mail address:014e(Qyrp,e4 eanOSt.AM7--
Owner Name: SyA o c/QSA P q //Ar l
Owner Address aI91/7 ILet$t le oa,VC— Owner Tel. No.a3'!` fes' f.
-------—___, a .t..7-._. ir_mil s.._(-flood a_ 04/35
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: /11 a, _ 4,,f,•- '7 DATE: i//a/7/S?
/ PLEASE NOTE
COMMENTS/CONDITIONS:
•
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor '
CS-105506 Expires: 12/31/2019
BARRY R HALL
3 BETTY'S PAT$ ,y
WEST YARMOUTH MA 02673 t I
• Commissioner v'"" -
--J
Office of Consumer Affairs Business Regula tion
HOME IMPROVEMENT CONTRACTOR
TYPE:Individual
&ammo Enna
186088
BARRY HALL 1-‘i 09/277/202/202
0
D/B/A CREATIVE CARP
EFITRY�`
BARRYHALL7.
°
3 BETTY'S PATH "'? 6
W.YARMOUTH MA'b2673
Undersecretary
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RECEIVED
NOV 2 72018
•
,(( HEALTH DEPT.
SMORS. dcfeefOr •
aCarhov mo oxide-
TOWN OF YARMOUTH
REVIEWED FOR BUILDING AND ZONING CODE COMPLI-
Weo.) WALLS 2XZ( Lurrk PT PLIgTe$ ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE
APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT`
COMPLIANCE.
FILE cot DATE: IVLI'IS
• ab IAL
Property Location: 11 MUSCOVY LN MAP ID:49/202/// Bldg Name: State Use:1010
Vision ID:7429 Account#7429 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:08/31/2017 22:40
MiliatKOJAY'iYIIN'Y[Ofi11 aelliMIK/AXWY'tllK'YfUJtIIi'✓1/IfCKe]�YY/PII/dtlt♦
Element Cd. ® Description Element Cd. in Description
+tyle I I• nch ." 20
I odel I residential
radeI �verage
+tones 1 Story
• cupancy MIXED USE 10 WDK 11
1 for Wall l ood Shingle Code Desert.non Percenta:e
1 xterior Wall 2 1010 .INGLE FAM MD1•-01 100 20
I'oofStructure I able/Hip 36 12
•oof Cover I •sph/F Gls/Cmp
tenor Wall 1 I II rywall/Sheet
1 terior Wall 2 COST/MARKET VALUATION
tenor Fir 1 I ardwood ,dj.Base Rate: 119.82 -
1 tenor Fir2 Parquet 170,988 BAS BAS 2 r2 FGR 24
eat Fuel I as 1 et Other Adj: 1.00 94 UBM 2"
enlace Cost 170,988
eat Type I I oreed Air-Due ,YB 1976
•C Type I entral
otal Bedrooms I r Bedrooms a p Code •
otal Bthrms remodel Rating 12 12
otal Half Baths 1 ear Remodeled 36
otal Xtra Fixtrs is-p% '0
otal Rooms 1 unctional Obslnc I
math Style I verage 1 sternal Obslnc 1
1 Itchen Style 1 I odern ost Trend Factor
ondition
a Complete
I erall%Cond :0
•pprais Val 136,800 r t w ,f.+w,'
II-p%Ovr I t . h f .. .yt
II-p Ovr Comment s„''+e*ri''i� +�,'.tti ?.'s N.f .k < =..Y;+ v
ISC Imp Ovr I as 4 sa= . < ,P "�"�.
1 isc Imp Ovr Comment ...,`t�71�^^>ti r ,Tgf•b {,mss v[ '€L -.
osttoCure Ovr 1 �. v `r'4 `h1,711.*. a e - At jj�,/,,,t,
ost to Cure Ovr Commentfi wI ;�R . ",'7,11711.*.
,.s�^ + :.a`"�'ti >;E:�" t •'s fa
"t,. ' l i ix r.fi y. ,.,, L� .,,
OB-OUTBUILDING&YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) %; tot / A 7N r a+ •s y ° - fF s5 4�.
Code Descrt.tion Sub Sub Desert, !!ff/ Unit Price EaGde D•Rt Cnd %Cnd A.r Value 'Ity ,q- • - ."454,'- ;,s -deo. -j k`
1 1 (REPLACE 1 11 .,200.00 1 100 1,800 �S'x, Tw , Q� C
ASS - , �o.
t[
•
CS
d
711
a i,
BUILDING SUBAREA SUMMARY SECTION I IP . fit
Code Descri.tion Livim_Area Gross Area El.Area Unit Cost Unde•rec. Value ,
BAS I irst Floor 1,128 1,128 1,128 119.82 135,161
CR nage 0 264 106 48.11 12,701 - 1-
BM Ii&semen',Unfinished 0 864 173 23.99 20,729C -- "'"-..._-„,,,,,:.4#.s . " - - —'•'--
DK neck,Wood 0 200 20 11.98 2,396_ - - -
i !4 2 iIFS
T/L Gross Liv/LeaseArea: 1,128 2,456 1,427 170,988 . ..
Property Location:11 MUSCOVY LN MAP ID:49/2021// Bldg Name: State Use:1010
Vision ID:7429 _Acco_un_t#7429 Bldg#: 1 of I Sec#: 1 of 1 Card 1 of 1 Print Date:08/312017 22:40
CURRENT OWNER TOPO. UTILITIES STRT✓ROAD LOCATION CURRENTA CSESSMENT _
SHEAFFER SYDNEY C 11LevelL2 Public Water 1 Paved 2 Suburban Description Code Appraised Value Assessed Value
27111 SOUTH RIVERSIDE DR 6 Septic —RESIDNTL 1010 138,600 138,600 815
4 Gas 'RES LAND 1010 99,100 99,100 YARMOUTH,MA
BONITA SPRINGS,FL 34135 SUPPLEMENTAL DATA
Additional Owners: Other ID: 43/C063/// VOTE
MISC 220 VOTE DATE
CHANGES PRIVATE R(
BETTERMENT VISION
PLAN NUMBEI697A
ZIP CODE 2673
GIS ID: M_307356_824338 ASSOC PID# Total 237,700 237,700
RECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE q/u v/i SALE PRICE V.C. PREVIOUS ASSESSMENTS(HISTOR.9
SHEAFFER SYDNEY C 29484/247 03/01/2016 Q 245,000 Yr. Code Assessed Value Yr. Code Assessed Value Yr. I Code Assessed Value
RANDOLPII RUSSELL M 16624/ 61 031252003 Q 248,500 00 2018 1010 138,6002017 1010 136,7002016 1010 136,700
HEBERT ROGERRTRS 13739/ 94 04/182001 U I IF 2018 1010 99,1002017 1010 94,8002016 1010 86,200
IIEBERT ROGER&ROSEMARY TRS 11766/199 10/16/1998 U 1 IF
IIEBERT ROGER R 11591/231 0724/1998 Q 125,000 00
HOWARD ANNE L 0
Total 237,700 Total: 231.500 Total: 222,900
EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor
Year Type Description Amount Code Description Number Amount Comm.Int.
APPRAISED VALUE SUMMARY
Total- Appraised Bldg.Value(Card) 136,800
ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 1,800
NBHD/SUB NBHD Name Street Index Name Tracing Batch Appraised OB(L)Value(Bldg) 0
0044/A Appraised Land Value(Bldg) 99,100
NOTES Special Land Value 0
GRAY/NATURAL UA E/A
WOB IN REAR Total Appraised Parcel Value 237,700
STEEP REAR TOPO Valuation Method: C
Adjustment 0
Net Total Appraised Parcel Value 237,700
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
12/14/2016 02 BH CL Cyclical
07/17/2015 RF 54 Field Review
01/01/2014 01 1 BH CY CYCLICAL 2014
05/032004 GM 01 Measur lVisit
05/032004 GM 02 MeasurF2Visit-Info Can
LAND LINE VALUATION SECTION
B Use Use Unit I. Acre C. ST. Special Pricing SAdj
it Code Description Zone D Front Depth Units Price Factor S.A. Disc Factor Ick Adj. Notes-Adj Spec Use Spec Calc Fact Adj.Unit Price Land Value
I 1010 SINGLE FAM MDL-01 C 9,583 SF 8.99 1.0000 4 1.0000 1.00 0044 1.15 1.00 10.34 99,100
•
Total Card Land Units:! 0.22!AC! Parcel Total Land Area:10.22 AC ITotal Land Value: 99,100
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APPLICANT'S COPY TOWN OF YARMOUTH
REVIEWED FOR BUILDING AND ZONING CODE COMPLI-
ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE
APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT'
4/ COMPLIANCE.
;Make. DATE: d.t/Si j "
Ce Gorham ,no ozde- '`"
BUILDING OFFICIAL
". . ', t4sui WALLS ax4 w rtl, PT Nitres