2016 Sign off Transmitall - Finish Basement I 4 0 7/ 7 0
ONE or TWO FAMILY BUILDING PERMIT
APPLICATION REGULATORY APPROVALS NOTICE
Address of Proposed Work: 4/‘ cu/H-/V Z A}-ie X0 f /cl K iei 7Y A/ AI
od-6 7
Scope of Proposed Work: //C 7 2 ��i.mom 6,427/7y- cJe1
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Date: 6/z 7//6
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Poet-e
Based on the scope of work described above, the applicant is required to obtain approval
sign-offs from the following departments as checked-off below: INITIALS r �cw�
No &e4
Health Dept. -- 508-398-2231 ext. 1241 t ,�. 6c,4��— 7,/i li' awg
Conservation Comm.-- 508-398-2231 ext. 1288
Water Dept.-- 99 Buck Island Rd. phone no. 508-771-7921
Old Kings Hwy. Hist. Comm.-- 508-398-2231 ext. 1292
Engineering Dept.-- 508-398-2231 ext. 1250
Fire Dept.—Kevin Huck/James Armstrong, 96 Old Main St. SY
Note: Please call Fire Department for an appointment. 508-398-2212
Other
Appropriate plans and/or application shall be provided to each of the departments
checked-off above. Each of these regulatory authorities has their own requirements
outside the jurisdiction of the Building Department. All applicable approvals shall be
obtained prior to submitting a building permit application to the Building Dept.
Thank you for cooperation.
Receipt Acknowledgement:
6b z c
Applicant's ignature Dat
Rev. Dec. 2015
oN.Y1,4:47, TOWN OF YARMOUTH
4-14. Pr
HEALTH DEPARTMENT
-',_,_,,,t PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: 1,
BuildingSite Location: SW4- L/1-- e Ro4-e). . //V
y6 Yea161/4
Proposed Improvement: //S(/(5/7/&:D ,!3/-Sk:--/i" f
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Applicant: V d E ` 2G1QXqP1 Tel. Nos B-‘yg-...cY5i4-
6.Ag- JO/�e-s tD fl J 6 JLS M i>'11 Alf4- °.-Date� ,�
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Address: ate Filed:
**Ifyou would like e-mail notificati of sign off please provide e-mail address: m d h d g 9'5 R. 5'h'7q1. c.0.-1
Owner Name S e_
Owner Address: Owner Tel. No.:$ b g — 7 ' y.
wd4K - .77r -&3. -)5/7
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: 17K-- DATE: —7////h C
PLEASE NOTE
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Vision Government Solutions Page 3 of 3
Outbuildings
i Outbuildings en
I Code Description Sub Code Sub Description Size Value 1 Bldg#
SHD1 SHED FRAME j 120 S.F. $9001 1
Valuation History
Assessment
Valuation Year Improvements Land Total
i
2016 ( $105,100 $74,900 $180,000
2015 $93,200 I $74,900 i $168,100
I
12014 1 $93,200I $67,400 $160,600
(c)2016 Vision Government Solutions,Inc.All rights reserved.
http://gis.vgsi.com/yarmouthma/Parcel.aspx?Pid=6181 6/21/2016
Vision Government Solutions Page 1 of 3
46 SWAN LAKE RD
Location 46 SWAN LAKE RD Mblu 49/ 273///
Acct# 6181 Owner MONAHAN JOSEPH P
Assessment $180,000 PID 6181
Building Count 1
Current Value
Assessment
I I
Valuation Year I Improvements I Land I Total
2016 $105,100111' $74,900JJJ $180,000
Owner of Record
Owner MONAHAN JOSEPH P Sale Price $151,000
Address 262 JONES RD Certificate
MARSTONS MILLS, MA 02648 Book&Page 15296/ 126
Sale Date 06/25/2002
Instrument 1L
Ownership History
Ownership History
Owner Sale Price Certificate Book&Page Instrument Sale Date
MONAHAN JOSEPH P $151,000 15296/ 126 1L 06/25/2002
LOPEZ RHONDA R $121,000 13408/294 00 12/05/2000
MOBILIO LEONARD A [ $0
Building Information
Building 1 : Section 1
Year Built: 1955
Building Photo
Living Area: 892
Replacement Cost: $136,726
Building Percent 75
Good:
Replacement Cost
Less Depreciation: $102,500
Building Attributes
Field , Description
Style Ranch
Model Residential
Grade: Average
http://gis.vgsi.com/yarmouthma/Parcel.aspx?Pid=6181 6/21/2016