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Home My WebLink About2019 Aug 07 - Sign Off Transmittal, Floor Plans - Convert Garage to Family Room, Half Bath Lu . .01.-.0-',:e4,r � TOWN OF YARMOUTH c. �.,. 0 HEALTH DEPARTMENT z ;.,--- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET Q Lid Tbe completed by Applicant: r I4t.--/Building Site Lacatian: f 5 141 Proposed Improvement: C ci 41 U -4,.L S G a r,z..v 4, /L, .' G%,�.�,.„.-t it- i f 1 J , 3 c Cc. c7 ,..„. `^- (`” r o'- 4..-• t-17- 6,--civ G 1 .e' c,,c r;c1>,,,, it wv, Y Applicant: ii .G/ Cr 'S 7,k, ,iv,/di- 3 Tel. No.: S09- Y .5' Address: D /Ion?, (.5 5 3' 5i-2.A 0,,11-, Date Filed: 7/. G'//9. **Ifyou would like e-mail notification of sign off please provide e-mail address: 4 £ Owner Name: I G ' 1 1` 1J G 0 /'J7 G t 2 Owner Address: C'c /14441-/ S k7P Owner Tel. No.:SY/k r: y 1172 r RESIDENTIAL AND/OR COMMERCIAL BUILDING 1 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: Ari DATE: S/2�/ PLEASE NOTE COMMENTS/CONDIT N,S: C10 A t/<,.. tz'e- (- 0.. wk t o cAAA -- 14a t l( 6e. r'a..‘ S, (ler= c( 4.. % -i vt o c%"-�... c Y, CiSh j (�-/vG✓ (.' a!c:.f V o G+�.. f.�✓ J( t ,/k11 e C`` tc 45,-Z ii 05 4,... 1 /`?' ?Je.,ta f-Iucc pc ,i t &I'1 &/. c',el(r. c'. z~ AvevSe ,-N Woo( .r3c c` vnc1.-ti- A tle-cl►•o -- c . )-itc_ - ct)r. L _ _ �-toJ r /3� ' 1 a CY) w 0c1 C? Lai c:' 7-5 re) ...1 Li.] n m CI \r.. __.....,s .4 )) 4 , i .c.—..% ...,;,........4_, -14 --......_‘... ,:::„....,......L., --() t se) —u •••••si k, . ... .•x. Ab V'9 ...e Ni.•• .1\) 1 ....1 ..,14..... - 4;S4 t...._,.,4 i mil N NI: 0,0) 1‘,..., ( ,.,,.. ., SCANNED ..— ' c111,-•.-':',1',- ' * '" „ ;., , ,,,,,c6,,,,,1,,,,,,,,,-g , ., - T r / cl c' c 0 / ,. 4 r,,'.i d'6/, ,H s 1111111111111 , wit w.. i *. —, i 2_ ✓4 d t® � , / / J )/�` '� 1 dd it 1 � , :I I t 2--4L- t3 J J �.� aj 4.1v A Cil '6%i it/t 4°''''',4,-.) 3rA r .au vs r 7. tis m E A Eke .� y n . -� �. ��'"' '� � r`,:fir� as� ,i ,. -�.�"�-t` >�°'' � �'s' r," �`„�,�� + �.3,,'r ,`"'� • 4 . t_xil N4 ' •. ‘"'".•.... .,,. T. 11 t b CP3 i ‘,„st fl .1,,,FL, j r IL-244x: v I ss -....1 • --1 , * V 4 ...,„ ,‘s.. s.. ki -.... _.‘ 1 -.•,..1 ,,, v- i v , ......0 :-- ".....) ‘NI '''•, 1 s4 i W 't cs‘l ,... N.,1. ...... t„.44 t ilk ',..., -- 4, ‘k, • -• 'z w ,-1 1\..... ,,,,. ..... , .., j ... .,, , . , _ ---- - :i' '-'-- — '*-- . I I I I c.1 I • 4 Z 1 i I 1 lb I i I \ I 11 I 'NI k I 1 i I e Q 4 I I 1 z • , ILI cp °- ) ' NI Ill C) 1 0 fy.LU g 8 1 1 , .`..: ''J J 1 I X i tNi I i (r SC ANN Zr'': 1 1 J( 1 Property Location:58 ADAMS RD MAP ID:62/37/// Bldg Name: State Use:1010 Vision ID:7860 Account#7860 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/20/2018 05:32 f`iLt 1Lt •t1iB$iil� ff _ t taI.&dar9_ ff ,"•... . ::. F a ;-. . Element Cd ® Description Element Cd ® Description style i ape Cod III 1 odel i i•esidential de i verage 14 .tones occupancy xtenor Wall 1 nod Shingle r� r. , _.'� tenor Wall 2 lapbosrd 1010 .INGLE FAM MDL-01 100 36 FGR i•oof Structure able/HIP 13 22 22 i'oof Cover i ph/F Gls/Cmp 1,tenor Wall 1 i rywaWSheet FEP [,tenor Wall rt 1;7'Qt✓-;?. •ez ,_ n 11 11 I/tenor Fir 1 i i ardwood •.j.Base Rate: i 16.08 EAF 13 14 tenor Fir 2 i inyUAsphalt 81,317 BAS 24 eat Fuel it et Other Adj: 1.00 24 UBM I•enlace Cost '81,317 I eat Type i of Water .yB 968 •C Type i i one ' otal Bedrooms i t Bedrooms is ep Code otal Bthrms i i'emodel Rating 36 otal Half Baths ear Remodeled otal Xtra Fixtrs is ep% ,5 otal Rooms I unctional Obslnc 1 I:ath Style i t id Style xtemal Obslnc i 1 tchen Style i *Id Style ost Trend Factor ondition I.Complete • erall%Cond 5 •. rats Val i 36,000 ' °: I. .%Ovr „• - t� T'".. is ep Ovr Comment '' X"� r sac Imp OvrOA° ,L 1 isc Imp Ovr Comment ., .. .'�`" , ost to Cure Ovr i 4, ost to Cure Ow Comment r t t tate r s its.;X# ilL7IiING ', �� ______ �Q�m°%.Cnd Qty , a„ ..a #». ' .5 STORY CH r,500.00 i 990 00 i,900 c `� . Afr -irst Floor 864 864 864 116.08 100,293 ttie,Expansion,Finished 302 864 302 40.57 35,056 l'orch,Enclosed,Finished 0 143 100 81.17 11,608 arage - 0 308 123 46.362314,278 semen[,Unfinished 0 864 173 .24 20,082 TIL Gross LLease Area: 1,166 3.043 1.562 181.317 iv, , , 1 • i 1 . ! • • Property Location:58 ADAMS RD MAP ID:62/37//I Bldg Name: State Use:1010 Vision ID:7860Account#7860 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/20/2018 05:32 . ACURREM41107VER' ',,'• „,'%- Ma .'triti,mEss,-P sr-RneROAD .,14611Wiv •.,N - Minuorr-AsVESpittArr :,--.74c '1,1' BETTEY RENE D 1 Level 2 Public Water 1 Paved 2 Suburban Description Code Appraised Value Assessed Value BErfEY JANET M6 Septic RESIDNTL 1010 137,900 137,900 815 58 ADAMS RD RES LAND 1010 102,700 102,700 YARMOUTH,MA WEST YARMOUTH,MA 02673 ••',..1.-',' ,,, . Sr SUPPLEAltilYTAL MITA •••.'E-' '''''."7 , Additional Owners: Other ID: 46/E033/// VOTE MISC 250 VOTE DATE CHANGES PRIVATE R( BETTERMENT PLAN NUMBEI575E — ZIP CODE 2673 GIS ID:M_302960_825188 ASSOC PID# Total 240,600 240,600 Sr RECORD OF OSYSIERSHIP ';',4:A,,,, it4OLVAGE SALE DATE eiEwittISALEIRICE V.C. . ''''.,,,N, - :',%%;PREWOMMESSMEATIMITORIY' ''',,,',,, --*/PA.V . BETTEY RENE D D1302783 09/02/2016 Q I 268,800 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value 1 STROBL JANICE E D1097378 09/08/2008 U I 100 1H 2019 1010 137,900 2018 1010 137,900 2017 1010 137,900 STROBL MICHAEL T D903555 01/29/2003 I 2019 1010 102,700 2018 1010 89,300 2017 1010 71,500 STROBL MICHAEL T C168064 01/29/2003 U I 0 1H STROBL MICHAEL T I 0 Total: 240,600 Total: 227,200 Total: 209,400 1 EAZUMOArVW,'':„..;,... -,-W., .•.':,.. . '•::',:,.MHERASSZW/VEMSV-' ' 1:.:a ,...' This signature acknowledges a visit by a Data Collector or Assessor Year Type Description Amount Code Description Number Amount Comm.Int. 1 TotaL Appraised Bldg.Value(Card) 136,000 ...,.P .'. ,"ASSESSINGATIGNROWOOD :"" ..,.:-;.; :t:-.=-- ,2.,,.1 ,,,I Appraised XF(B)Value(Bldg) 1,900 ▪ NBHD/SUB NBHD Name Street Index Name Tracing Batch Appraised OB(L)Value(Bldg) 0 0040/A Appraised Land Value(Bldg) 102,79 Sr - ,,,,,o4-- - ,-..,..,o-1,,,NOTEC " ••''''' •' - " •''''''- , Special Land Value 0 NA• TURAL&GRAY IA 6 Total Appraised Parcel Value 240,600 1 RMS Valuation Method: C 0250 . Adjustment: 0 I Net Total Appraised Parcel Value 240,600 Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Comp. Comments Date Type IS ID Cd. Purpose/Result 10-392 09/29/2009 AL Alterations 900 100 SIDING 6 SQ'S 11/18/2016 02 BH SV Sales Verification 09-946 03/27/2009 AL Alterations 6,000 100 16 REPLACEMENT W107/16/2015 RF 54 Field Review 818 10/29/1996 RS Residential 1,800 100 REROOF 03/04/2014 JN 01 Measur-1-1Visit 03/04/2014 JN 02 Measur+2Visit-Info Can 01/01/2014 01 1 BH CY CYCLICAL 2014 ' •...N.‘,;,.., : ',411fi - ...,..W...4,„,,'•,:k<444),„ -4-ZelliDille,-VAIXIAMONSECTION ' •AX• ';'''%••••1•'•' • ••We:- • ••a'''';',, B Use Use Unit L Acre C ST. Special Pricing S Adj # Code Description Zone D Front Depth Units Price Factor S.A. Disc Factor Idx Adj. Notes-AO , Spec Use Spec Calc Fact Adj Unit Price Land Value 1 1010 SINGLE FAM MDL-01 D 14,810 SF 6.03 1.0000 3 1.0000 1.00 0030 1.15 1.00 6.94 102,700 - Total Card Land Units:1 0.341AC1 Parcel Total Land Area:10.34 AC I Total Land Value: 102,700 . . • Commonwealth of Massachusetts Owner Title 5 Official Inspection Form • information is Subsurface Sewage Disposal System Form-Not for Voluntary Assessments required for every Page- 58 Adams Road Property Address Janice Strobl Owner's Name W.Yarmouth MA 02673 3/24/16 City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately • ‘25r 09' • 0 roo� 4tbr� �� iox 3 Po ori D. System Information (cont.) SCAN N Site Exam: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Property Location:58 ADAMS RD MAP ID:62/37/// Bldg Name: State Use:1010 Property Location:58 ADAMS RD MAP ID:62/37/// Bldg Name: State Use:1010 Vision ID:7860 Account#7860 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/20/2018 05:32 Vision ID:7860 Account#7860 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/20/2018 05:32 ._ _ ' fldP T1t9PlT. _.I72'I1.I47Efi ST3eT./tibJlf ' � ]'� _.�C _� ANT BETTEYRENED _. 1 Level 2 Public Water 1 Paved 2 Suburban Description Code Appraised Value Assessed Value ..:" t$t a1:4lsl #agr s i a..;:.,,z 4¢ 8x CU lY PgPd .t escr1' f t - ; _ , .?: •-•..-&,.-.N-- ,,,,t1,-,,,,,,,,,,, ,.�, .<<: ;,#;..; — Element Cd. Description Element Cd Description B 58 ADA JANET M6 Septic RESIDNTL 1010 137,900 137,900 815 .tyle ® ape Cod II RES LAND 1010 102,700 102,700 YARMOUTH,MA odd i r esideotial 14 WEST YARMOUTH,MA 02673 SUPPLIA8IINTAL DA 1 Additional Owners: Other W: 46/E033/// VOTE' rade verage tones MISC 250 VOTE DATE CHANGES �PRIVATE R( occupancy xterior Wall t ood Shingle � PLTTERMENT tenor,Wall 2 I Is board 1010 .INGLE FAM MDL-0l 100 PLAN NUMEEI575E P 36 13 22 FGR 22 ZIP CODE 2673 1'oof Structure able/Hip GIS ID:M_302960_825188 ASSOC PIM Total 240,600 240,600 I'oofCover i ph/FGls/Cmp j\IZECORD q7 47 sem: t V A °SAILEIMTffi u s&4Ls puce" ': `' Al �'ansToR tenor Wall I II rywall/Sheet 11 FEP BETTEYRENED D1302783 09/02/2016 Q I 268,800 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value '.tenor Wall 2 'f; "tt7is _° O1r.."t ' 11 STROBL JANICE E D1097378 09/08/2008 U I 100 1H 20191010 137,9002018 1010 137,9002017 1010 137,900 1.tenor FIT I I 1 ardwood •dj.Base Rate: 1 16.08 EAF 13 14 STROBL MICHAEL T D903555 01/29/2003 I 2019 1010 102,700 2018 1010 89,300 2017 1010 71,500 .tenor Fir 2 i in I/As halt 1 81,317 BAS eat Fuel t 11 I et Other Adj: 1.00 STROBE MICHAEL T C168064 01/29/2003 U I 0 1H 24 UBM 24 STROBL MICHAEL T I 0 I eat Type 1 of Water I.eplace Cost 1 8,317 YB 1 9618 Total: 240.600 Total: 227,200 Total: 209,400 .C Type one EXEMPTIONS SIE#A. MPJ4T". y This signature acknowledges a visit by a Data Collector or Assessor ' otal Bedrooms r Bedrooms is .Code Year Type Description Amount Code Description Number , Amount Comm.Int otal Bthrms i I'¢model Rating 36 otal Half Baths ear Remodeled -- Total- Appraised Bldg.'V Value AMUSED 1 tunci o al Obsl c 'I 5 SU otal Xtra Fixtrs c 136,000I O sInc otal Rooms .A `�E,., w.., Appraised XF(B)Value(Bldg) 1,900 :nth Style Id Style ost Trend Factor .. •` "tchen Style i t Id Style NBHD/SUB NBHD Name Street Index Name Tracing Batch Appraised OB(L)Value(Bldg) 0 ondition 0040/A Appraised Land Value(Bldg) 102,700 'o Complete o orals Val Gond 5 N Special Land Value 0 NATURAL&GRAY IA P1c psis 36,000r ,'4 TotalAppraised Parcel Value 240,600 ep%Ovr '8t'�w! �1R ,fir 6 RMS a ep Ovr Comment („X';', 4 9< . »w 0250 Valuation Method: C 1 fisc Imp Ovr I ih i. i "- . . on Imp Ovr Comment . . '"� r £� ►` ost to Cure Ovr I _ 4t ^.^ „ ' r Adjustment: 0 ,, ". t.. .r tell' . . ost to Cure Ovr Comment _ ,, - Net Total Appraised Parcel Value 240,600 /t r,t ,_ s TURESta} • '4 • 'R v 4 IIIa' s ��1>J�®�®�Q��%CndQ i?IStTItf I1lNGEtfBSTlf „4; !h% Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Comp. Comments• Date Type IS ID Cd Purpose/Result I ' .5 STORY CH II,,5110.00 990ill00 ,900 '", ^g, - -o�. tr N. 10-392 09/29/2009 AL Alterations 900 100 SIDING 6 SQ'S 11/18/2016 02 BH SV Sales Verification 's""`,t r - 09-946 03/27/2009 AL Alterations 6,000 100 16 REPLACEMENT WI07/16/2015 RF 54 Field Review "'r - lt .. 818 10/29/1996 RS Residential 1,800 100 REROOF 03/04/2014 JN 01 Measur+lVisit -< a ' , ,- 03/04/2014 JN 02 Messur+2Visit-Info Can 01/01/2014 01 1 BH CY CYCLICAL 2014 - r r, < , , .„ - . ,..,.E ,, ; .: , .,,,...� .::I ' ,,,.... '',D .TiGaYMAT' ,IpN t� B Use Use _ Unit L Acre C ST. Special Pricing SAdjc, illifir=firtiff=iigTifiriffetireriii7�. # Code Description Zone D Front Depth Units Price Factor S.A. Disc Factor Idx Adj. Notes-Adj Spec Use Spec Calc Fact „Adj.Unit Price Land Value 1; 1.list Floor 864 864 864 116.08 100,293 I 1010 SINGLE FAM MDL-01 D 14,810 SF 6.03 1.0000 3 1.0000 1.00 0030 1.15 L00 6.94 102,700 1 ttk,Expansion,Flubbed 302 864 302 40.57 35,056 I.orcb,Enclosed,Finished 0 143 100 81.17 11,608 - arage 0 308 123 46.36 14,278 .. :: cement,Unfinished 0 864 173 23.24 20,082 i 1 Total Card Land Units:f 0341 AC1 Parcel Total Land Area:10.34 AC .1 Total Land Value: 102,700 TIL Gross Liv/Lease Area: 1.166 3.043 1.562 181.317 AO