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HomeMy WebLinkAboutBld-20-002549 _-__e-hc e . ///'/4 ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department o* 1146 Route 28,South Yarmouth,MA 02664-4492 �� 508-398-2231 ext. 1261 Fax 508-398-0836 E<.�:'�' Massachusetts State Building Code,780 CAR ' Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only .- Building Permit Number:BL-20'00c254/ ate Applied: R E C E l L, ern SleArs 1)- ") -1(1 I -p((>TT , c _015 Building Official(Print Name) Sign sate i SECTION 1:SITE INFORMATION. a 1;:JILpIP _ E � 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers L.-ay-=-.-=(_ - 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: V!A 5-, n .l le rarti.9 xrtur.ZK.. in Ole1 Sr Zoning District Proposed Use Lot Area(sq ft) Frontage(II) _1.5 Building Setbacks(ft) AV't ,tJ t' V'i 'V ' E 41 W r o 0,1 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 Cl Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: u Av t e c1TN 4, /l O 2G 7? 1'�c t Arto t v6A✓A MtLria/ e5 7 t-� Name(Print) City,State,ZIP 17 5-i-eL)-rk 7)L4j� fot (-cy- t3 it 13 J Mi.L-tcg e. ecvhcar,.N.cr No.and Street Telephone Email Address • SECTION 3 DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Buildings Owner-Occupied Cill Repairs(s) 0 Alteration(s) / Addition 0 i DemoIition 0 j Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: i2€ttd{e( el- con -A--I4 R avM Veto 1-14-tuves 1 r=Iooi.2i lj4 ?Ttf , v *hilt •-rt,,ze?j NDN1 stvil -ru i - _Rep l Qt& rs fiee1-Mc1: a oe /x.f..i cl<a re. 1,--iere,- ., g JAIL, SECTION 4:"ESTIMATED CONSTRUCTION c.wts WI, Estimated Costs: . . ` Item Official Use Only , (Labor and Materials) lr--ry�) 1 Building Permit Fee:$ I Indicate how feeit<de �f,..)"`" 1.Building $ g , 0 Standard City/Town Application Fee `: _ 2.Electrical $ 112 C)0,("el ❑Total Project Costa(It m 6)x multiplier x 3.Plumbing $ zil c'©©, o J 2. Other Fees: $ . . 4.Mechanical (HVAC) $ ,-.1 List ; 5.Mechanical (Fire $ Suppression) Total All Fees $ Check No.. Check Amount Cash Amount:_ . 6.Total Project Cost: $ a.Col oevi 0E i 0 Paid in Fun ❑Outstanding Balance Due: 116 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Cs C•i'4, Ye f/;`!) rf nO G f'T C C)J i 4 J SON License Number Expiration Date Name of CSL Holder tJ J.r L-1 a2-T WA I List CSL Type(see below) No.and Street Type , Description 4,v w ILI/# a SG U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted r&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering (ad' „j,!/ , T 1 `j - WS Window and Siding r geld 6 yv� �g SF Solid Fuel Burning Appliances S o 4'VI. y l Pei:ryr,' L t'4 ;2 2:hall,'. e0 4 I Insulation Telephone Email addrds D Demolition 5.2 Registered Home Improvement Contractor(HI 1 co-7 U.0 b !.Z31 LC C4 pr.2E 1-1011E 2'k 21 /6 'f HIC. om any Name or HIC Registrant cucr e017e (oo.,ver No.and Street Email address C c f City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(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 Issue of the building permit. Signed Affidavit Attached? Yes No ❑ . SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT .. See All4cite CA I, W oM -TK Asilekte.t1 zve- I,as Owner of the subject property,hereby authorize (° ` to act on my behalf,in all matters relative to work authorized by this building permit application. is UARI) 4 B4n434✓a 1M,~[..hv� Print Owner's Name(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 in this application is true and acc ' .to to the best of my knowledge and understanding. C 412 Et 6LirA-td eat , j� 1 U / 2 9 /I Print Owner's or Authorized Agent's N: Ironic Signature) 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(HIC)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/dps 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" The Commonwealth of Massachusetts µw Department of Industrial Accidents f� Office of Investigations 600 Washington Street • Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): CAPIZZI HOME IMPROVEMENT INC Address: 1645 NEWTOWN ROAD City/State/Zip: COTUIT MA 02635 Phone #: 508-428-9518 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 40+ 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. /Remodeling AT ✓e.wai ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp. insurance.: required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. '✓Other -5 PIA L! AKT d� /[//✓/q%-tay At t -Ewe,/y cs/,c/4t' 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: AMGUARD INSURANCE COMPANY Policy#or Self-ins.Lic.#:R2WC9211272 Expiration Date: 12/25/2019 Job Site Address: 1 ? S+,Q v,evk City/State/Zip: 'z`'' yAR/-(O JtW1 A 1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder the pains and penalties of perjury that the information provided above is true and correct Signature: Date: o 12-1 Phone#: 508-648-0269 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#: �.•m440 CAPIHOM-01 DEATON AATE(MWDDNYYY) �Rye CERTIFICATE OF LIABILITY INSURANCE D 12/17/20 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Rogers&Gray Insurance Agency,Inc. c,°N,PHONE Ex*(800)553-1801 I Fax Ne):(877)816-2156 434 Rte 134 E-MAIL South Dennis,MA 02660 ADDRESS:mall@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Protection Insurance Company,Inc. 41360 INSURED INSURER B: Capizzi Home Improvement,Inc. INSURER C: Capizzi Enterprises,Inc. 1645 Newtown Road INSURER D: Cotuit,MA 02635 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP OMITS LTR JNSp�i /p (MM/DD/YYYY) IMM/DDIYYYYl A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAMS-MADE I X I OCCUR 8500067380 06/08/2018 06/08/2019 DAMAGE To RENTED 500,000 PREMISES IEa occunence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 'L POUCY X j X LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER $ A AUTOMOBILE UABILITY (Ea ac ident) LE UMIT $ 1,000,000 ANY AUTO 1020064960 02 06/08/2018 06/08/2019 BODILY INJURY(Per person) $ — OWNED — X SCHEDULED AUTOSBODILY INJURY(Per accident) $ RE ONLY _AUTOS X AUTOS ONLY X AiRi OtB a PROPERTY DAMAGE $ Pe > $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 IA EXCESS LIAR CLAIMS-MADE 460006738 06/08/2018 06/08/2019 AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N ANYCCPRRRO�/PMMRIETggOR/PARTNER/EXECUIIVE EL EACH ACCIDENT $ (MandatoryEin NH)EXCLUDED? N/A E.L DISEASE-EA EMPLOYEE $ If yes,describe under EL DISEASE-POUCY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional insured as respects general liability provided when required by written contract. WORK COMP CERTIFICATE TO BE ISSUED DIRECTLY BY THE CARRIER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Cl."---0$AT-41 17"4"--.-s--------, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD / ' ® • Ac�o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 12/14/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Rogers and Gray Processing ROGERS &GRAY INSURANCE AGENCY INC rpn"°."N,c (508)398-7980 (A/C,No): E-MAILE DSs: mail@rogersgray.com 434 ROUTE 134 INSURER(S)AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER D: 1645 NEWIOWN ROAD INSURERE: COTUIT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: 348068 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IY EXP LTR TYPE OF INSURANCE AINSD DDL SWVD POUCY NUMBER (MM/DUER DIYYYYFY) (MM/D IYYYY) UMITS COMMERCIAL GENERAL UABILITY EACH OCCURRENCEDAMAGE TO RENTED $ CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ • MED EXP(My one person) $ N/A PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATEPRO- $ POLICY JECTT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILELIABIUTY COMBINED SINGLE UMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ _ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE _ HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'UABIUTY A OFFFCEOR/MEMBEREXC UDED?EC�� N/A N/A N/A R2W 921272 12/25/2018 12/25/2019 E.L EACH ACCIDENT YCD �$ ]D00,000 (Mandatory in NH) EL DISEASE- 9 SMP EE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensationhinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Daniel M.Cr ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 7 s - v 'd/ Commonwealth+ r 7/4 Division of - . { lir Board at Building Reynila r z iZe µ o CI-e ,onstrrDlf ttow CS-074640 r ., I GARY GUSTAFSON • tt SHORT WAY ` . . SANDWICH MA 112813 `` \= - .- • Commissioner HOME IMPROVEMENT CONTRACTOR Regietradon veld for Individual use only TYPE:Sue/dement Card before the espintlon date. If found return to Bulakalian Exabloa OEMs of Consumer Mars and Business Regulation 100740 0812Zl2020 One Ashburton Pao.- 1301 CAPl2ZI HOME IMPROVEMENT.INC. Boston,MA 02108 • GARY GUSTAFSON 1845 NEWTON RO. COTUIT.MA 02835 1J eraecteary� valid without signature 4 oT• TOWN OF YARMOU'TH o • 1 :y BUILDING DEPARTMENT ' • • "`-'► = ,xy 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.GL Chapter 40,Section 54 and 780 CMR, Chapter I,Section 111 S, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at ' 7 51-r0i'l+' 726116 (Li. 41zt1 our 11 Work Address Is to be disposed of at the following location: /w a y4r4 t3 jri 14N0,jJ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter l 11, Section 150A. ° 12yhy Si a of Application Date Permit No. • • Page 6 of 6 Capiz2i Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT WE,RICHARD AND BARBARA MILTON, OWN THE PROPERTY LOCATED AT 17 STEVEN DRIVE IN WEST YARMOUTH,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO e/P/ajz rj y -2 21 LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. ay SIGNATURE OF OWNER: OWNER'S ADDRESS: 17 STEVEN DRIVE, WEST YARMOUTH MA 02673 OWNER'S TELEPHONE: 508-694-7311 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 { RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ______ • Property Location 17 STEVEN DR Map ID 67/62/// Bldg Name State Use 1010 Vision ID 9490 Account# 9490 Bldg# 1 Sec# 1 of 1 Card# 1 of 1 Print Date 9/20/2019 lievIgpe Wpm imen- MILTON RICHARD J 1 6 Septic 1 2 u u an iescnptionAssessed Assessed 815 RESIDNTL 1010 134,600 134,600 MILTON BARBARAJ 4 Gas RES LAND 1010 118,100 118,100 17 STEVEN DR WM YARMOUTH,MA WEST YARMOUTH MA 02673 Alt Prd ID 58/S035/// VOTE MISC 220 VOTE DATE CHANGES PRIVATE BETTERMENTS VISION PLAN # 861 ZIP CODE 2673: GIS ID M_306901_825649 Assoc Pid# Total 252,700 252,700 1_t4U'W 4°f - VC PANIVINOW41 MILTON RICHARD J 24873 0069 09-30-2010 Q I 213,500 UN Year Code Assessed Year Code Assessed Code Assessed HALPIN JAMES R 10201 0096 05-15-1996 Q I 101,000 UN 2020 1010 134,600 2019 1010 114,600 2018 1010 114,600 LANGLEY MILDRED L 0 I 0 1010 118,100 1010 118,100 1010 100,600 Total 252700 Total 232700 Total 215200 J. This signature acknowledges a visit by a Data Collector or Assessor Year t ode Descnption Amount Code Descrption Number Amount Comm Int Total 0.00 Appraised Bldg.Value(Card) 133,100 '„_._ _ - : Appraised Xf(B)Value(Bldg) 1,500 -Nbhd- Nbhd Name Tracing batch 0044 Appraised Ob(B)Value(Bldg) 0 Appraised Land Value(Bldg) 118,100 GREY I/G E/G Special Land Value 0 SHD1/NV(SIZE) Total Appraised Parcel Value 252,700 Valuation Method C Total Appraised Parcel Value 252,700 Permit Id Issue Date Type Description Amount Imp Date tromp Date Comp Comments j Date Id Type Is d 1 Purpost/Result 18-001038 08-24-2017 AL Alterations 11,000 02-01-2018 100 Alterations per approved plan 02-01-2018 BH 02 BP Building Permit 15-001686 10-09-2014 AL Alterations 22,645 02-11-2015 100 (508-362-2445) 19 squares si 07-17-2015 LS 54 Field Review 11-605 11-04-2010 RF Re-Roof 6,000 100 STRIP,REROOF,PAPER&V 02-11-2015 RF BP Building Permit 01-01-2014 BH 01 1 CY CYCLICAL 2014 06-16-2005 GM 00 Measur+Listed 06-11-2004 GM 01 Measur+lVisit 95-j) -1 94 OH _ 00 Measuj+Listed B Use Code Description Zone Land Type Land Units Unit Price Size Adj Site Index Cond. Nbhd. Nbhd.Adj Notes Location Adjustment Adj Unit P Land Value 1 1010 SINGLE FAM M ' 10,019 SF 8.73 1.00000 4 ' 1.00 0044 1.350 1.0000 11.79 118,100 Total Card Land Units' 10,019 SF l5arcel Total Land Area 0.2306 Total Land Value 118,100 Property Location 17 STEVEN DR Map ID 67/62/// Bldg Name State Use 1010 Vision ID 9490 Account* 9490 Bldg# 1 Sec# 1 of 1 Card# 1 of 1 Print Date 9/20/2019 Element Cd DescriptionElement Description — Style: 01 Ranch "O 1 Model 01 Residential Grade: 03 Average Stories: 1 1 Story Occupancy 1 DATA FOR Exterior Wall 1 25 Vinyl Siding Parcel Id ICI Owne 0.0 Exterior Wall 2 IB IS Roof Structure: 03 Gable/Hip Adjust Type Code Description Factor% Roof Cover 03 Asph/F GIs/Cmp Condo Fir Interior Wall 1 05 Drywall/Sheet Condo Unit Interior Wall 2 CT1 'Ifillf.VATION Interior Fir 1 12 Hardwood Interior FIr 2 Building Value New 190,107 Heat Fuel 03 Gas Heat Type: 05 Hot Water Year Built 1970 AC Type: 01 None Total Bedrooms 02 2 Bedrooms Effective Year Built Total Bthrms: 1 Depreciation Code A 26 Total Half Baths 0 Remodel Rating Total Xtra Fixtrs Year Remodeled FOP _ Depreciation% 30 j Total R : Functional Obsd 0 Bath Style: 02 Average Kitchen Style: 02 Modem Ext.Comment Trend Factor 1 1 _ Condition Condition% " Percent Good 70 RCNLD 133,100 Dep%Ovr s Dep Ovr Comment Misc Imp Ovr Misc Imp Ow Comment • Cost to Cure Ovr $ Cost to Cure Ovr Comment re, Frnjilli” Code Description U Units Unit Price Yr Bit Cond.Cdade Grade Adj. Appr.Value` j y'y= FPL1 FIREPLACE 1 B 1 2200.00 1985 70 0.00 1,500 EOS End Outs Shw B 1 0.00 1985 70 0.00 0 "f 2 a he .d, s,ei Code Description Living Area Floor Area Eff Area Unit cost Undeprec Value BAS First Floor 1,080 1,080 1,080 128.36 138,633 FGR Garage 0 392 157 51.41 20,153 , FOP Porch,Open,Finished 0 72 14 24.96 1,797 ...,„,6 UBM Basement,Unfinished 0 1,080 216 25.67 27,727 "" WDK Deck,Wood 0 144 14 12.48 1,797 p � � ER ..,C1T�, Ttl Gross Liv 1 Lease Area 1,080 2,768 1,481 190,107 „; :.k� i�`r swf � " ^f i • co TO n n , 0 . . i { G fit) z ili i o i . F. , vl r.... ■ ■ 0 - sue. g -.^ �. ...,0 a I Z... 9 '�` ♦ �i AY f.fr � r,t G 5 #�gy�y. p . e 0- 1 sr.�i - �.e. '�y �': arse t, ss+�z,. � w. 3 M Q .. .. .._.. E. ._. .dam 771_ i#�� Z. m r r