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2022 Sign off Transmittal - Finish 2nd Floor
.Y,` TOWN OF YARMOUTH 4r HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: `O Sr.AkWsA ( . (-1\� N\ t r 1\ Proposed Improvement: ,r)\ SA' � � �F�oc I lac-' '� 0�^''N by c AA Applicant: cC\Y (St‘ Tel. No.:94' r..) _?_57 Address: Y"C� &�x (53( S, D0!V\'J 1A ON,, Date Filed: 2/-2I )ii **lf you would like e-mail notification of sign off please provide e-mail address: ' t t s i Owner Name: f 4i --y CSC f"v) Owner Address: (v 01/4•1`S'\1/ - \)r, Owner Tel. No.:7Y/-3-5-,' '3Z&j 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: REC� ��.�.r_ (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (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: DATE: PLEASE NOTE COMMENTS/CONDITIONS: C CC cre 1.1 t dt. gook k 5,4 vile /ZOc -c 05-e- t t( t l r vo car Th6`c, 36'O REF. PROVIDE OPTION PRICE TO PROVIDE OPTION PRICE TO NNW DOUBLE Awi EXISTING NCAKE DOUBLE WINDOWµlN NG A WINDOW DOW DDW OD 1 1z'-11yz' BATH o$ fro I I I L I »z'.1•. 131-01 2 1.'3/8 VERIFY VER V 1 I. 71Dy= 0'-Y R.O. 111VERIFY �I� Miff GAME ROOM z 1 HALLWAY a o BEDROOM#3 �N�� NON, El 11 AN EXISTING ' =MN RELOCATED a 3'3 2" ►—�I►�I_ WINDOWS .I.L; k•, .: .f r ^ ��s .. .., AMC ACCESS ;T 1R'R'" ^R - :!L.#" ' DIKT.NVAC r I DUCTS UI ICLO. I❑1/ FIXTURE BUILT Pi STORAGE ACCESS etwcDUCE LEFT SIDE ELEV.SIMILAR LOCATION 6 SIZE TED �� �� LOCAT ON a SIZE Tw RIGHT SIDE ELEVATION / SCALE:iN'•1' t STORAGE MM STORAGE I I 1 1 L,- I L SECONDLE:FOR PLAN ..' e HEALTH DEPT. ❑ DOOR SCHEDULE • # QV NOM.SIZE NOTES III III 1 3 2'8"x 6'8" R.H. lin Ili 2 2 1'6"x6'8" LH. My ray'rn. Hi�I I���I 3 J ORN DrEviplial d ft.,. Name q FOR RJC BUILDING 1r"S'T'Rn— Combination Design I Ira ran. 1.'"w.c"W,,m,IA v SECOND FLOOR FINISH 10 SOUTHWEST DRIVE SECfIONA-A SOUTH YARMKx1TH,RM O's'860 SCALE WO' 0.mine ❑OP.""Im Q1O71622.01 r ❑PraP DAppr"vRI : IIT*IPPnwo RN❑AR R ❑NnYllatIon 1."� �IT LIMIT OF • 5' OVERDIG 10.7 95.00' 1, SOIL 1.4 __ _SQlL__--1-- -- TEST 2 ,' BEST 1 � 10_ — — — — ' , 1 LA • 10.6 N RESERVE SAS I` D. Box __.' LOT 15 11.2 ------ AREA 90T ± S.F i ! 1500 GALLON �---�---1 `. SEPTIC TANK 1•XI {, 12.3 « 10.7 i DECK 16.00' EXISTING 0.00' ON£LL!/VG / o 'OF=13.41 13 1.' CI - o opp G Oo. / ill3 FUTURE / 19.50' P PROPOSED DWELLING GARAGE • .50' 3 BEDROOMS \_______L___© /= 12.0 12.8 itrf i . 1/ w 4 f ' 4 = 11• 11. o o / _ . 10.8 a I 95.00' ' 6 — �11.6 . t t 2 « 1 '�1.0 « 10.7' .'. POLE #• 965/1 « 10.9 . --(1Q, 1fl.5 • i0.1 �. -' 9 ■ 1-0.2 9.9 RECEIVED SOUP., WEST DRIVE' GRAVEL-ROAD ALH3 2 9 2022 HEALTH DEPT. • 7C early aE►urxw• ,sn /Ycvni 330 L...J 313' 282 9:. .... .. j 6 7111111.131111 10 IIIII 111•1111Mp' 230 .......... 33-4,c.__ Q,24_ac. 2pw OAK BLUFFS •-',. • R ' CROW (PRIVATE) STREET g - ,§.,,\ „...4.---- •--rf--\ 23 26 :. 212i I . .1 0=w • / --25t-0 a .30 dc ^ < 0 L___1 1815 Pi / 0 14C r-fa, 13-9-1 c3@._N 193 R ..4Z 210.1 ` 0 25-a - I 0 c 23 ac- .2/7,.ac 1 -°*.E.L.1“"c ---7---- ',7c -.U.--acei < ac • r-1 re At ac , . n n 1 WD 31,195;1 -4:481__J202*:..--.g,c.,.23 ALDR4,LN 2:2;oviti:..2)1239111.: 0.1712,8.226._ _ ,,--1-42 ? ,...xi o 1-7166 L_44 ac 0 • Z 18 ac 26 ac 138 _ • Id et'1187 ,n la s,_,38 ac ied.4.,. ., f-7 122 168 ,,, ''." !L_143 .22--aa ,173 ..S. 196 206 1 19,ac - .5240. .40 ac , .21 a, r II] 0 o $ 11 -022 ac .49 ac i 20A 167 a .6nria.4 ifti 'I ' i .2g ao 7 114, --1,2..iac -7.-- 2 -- I w r' J444 9 .140 ,,,,,..-- k 'it' 218 S •ZZ 0 ; 1 w 1___1 s ..1 197 ., :,` 42- 2 .40 ik 137 a, C., .25'at ' i• Pgilill I 176 '1122 ac ! 11111Slihrilla • I I ,, I .i45 .22 ad•`:'2 - • __ z 0,ac s o Q. WO 11901 t-- < - . • t .' o 020 1 ac 25-sic- L:40 ac 1 .„,,_j 148 te •"2, 7, In .,`14! s ______. / IR 1-196 147 2B,ac 136 - -.20ac . ac 10,`f -.25 ac 4 SA 411' .42,ac GAY HEAD (pm/2 .23-ac I- 5 .21-ac ' 1:24Jac _ c... . 1 - r 12 ad e • 1 ' 0 . ; 18 ac 2n6 .4../ kIL; A3°*1 i _ < - .93 ac .1,,ic' - 0 .17.°8:5 LnZarel3 =c 1-2a-6c as e 1J 24-ac7- 0 , „-179 -c-'1,113-\, 14 2-4 • 610 (T OWN) '.., 150, . .21'ac 417 ,... AFT ROAD 2 c••71 180 isr,. ; or 27f---0 i ;----., -1 ------------- 31,-ed- ac 16 • I _ .3X..# _it, le ge _,;2154 LI .24 ac - ...(1- `--•-' - No ,ity u 1._ __; Z 2: . , . ., .,., .0 • ca, 253.._. 1-----1- I-I .49 ac /172 0.41_;?.;0 28TI N m" 8.2QEac E-133 .rs\27,,,ac -- `.2,8*ac ac < ____ 124 Li- -122 ‘..‘0Ct. Ce Vrt-,a w ri..11 4.42 ac , CO ....-- -""-----1-2 PC)! N tfic D!_26 • '--..1 L-....J TOWN OF YARMOUTH PARK it .45 ac r, act2 _... aC r. 1 J ' - / - .318 acl •c 113 aic: 724:ti 2 x 4-1 . i2,1La E. 1-71ioac ,:., z.v.i. 44--a-c----- , ,-. _ .• . .52-'ac..\ • -i.- I • , - q ca :-- 2 , sk..413,ac ---j • - re -248, J is' i --.7 .4173°a dk ', Q-4 '257 i 02_.:19C i S '‘-' [26- ,8 ' ,-, r-----1,i -2i. __. Letz-L fis 1? tic2 ct 72vi) ,---, _._._._._._ 62.._•11,1_-; .19 a• 40-A-, r_________- (5 1 • IQ 203 „ T44 ..‘ .. ,•,_,1 247-\ -, , c 0 ,21,,...., T.,..4.7.' .26\adl / , t .19 125 , „.,- -- -- . • "'CteNICr-:" ,-, a \445/ :--, .----3.6C 421! Ee: - ,278 1 I I ,a : \ .12 - S. .26ac (-2, .45 _.23 ---_ I ac lk 0 - 0.22 ac 3 1 i 1 OIL 1. .10 14 ,:.3e1 26a c o 6 LL 0 . 1 t.. I 47 t SOUTH WEST DRIVE 9)0 s 5 .28, c ! 1 \ ', 264 , . ,, ., .„• , r--7 •:- \ S 0 '-'---' > _.--.' TOVVN OF YARMOUTOI ..------ • ric 0.27 : ,aitz 1 302 28 ac 303 .26 ac .28,!ac # 0 - <0.25 ac L'i 265 .1f 9c it rfil 3.26 ac e-4 . ,<\0 350 .66 ac .86 ac aw 48 glq TOWN OF YARMOUTH 0 .---' .1 t-IIC a 1/1 ..., --- 6L-11 (7 ,:-\'t WI _ i----'35J .1 0-a-c----' / -1-- 3572 ,,-,19'a_c --49 L..' \ \ 26 ac .,•'•• s --- .11-jac 36_j_i. aC 43 LANE \ \ .., -,-.--.\. \ ' 0 6'; •- (..) < C 31 \DIpPER :,. 0 296 P52 LITTLE,,, 56 r1.1 ‘._:‘, 298 / / a 17-ac -___i 303 . 1 3571 .j.11..-." Li_._.,1.45 6c/ / co k ----' *56. ---.5-11...ac---' ' 43--a i 353 6 ;M • 1 360 ;____ocsmaloE, 2 Pf6.2.s1 c 1--a_ r !RESORT HOTEL 77,,,.....1 c.'-,-C,a,c 1 2 10 ac 1 , CW)e8 3e5 r-3e4r/ ____, i C . _i ,_:1 i 4)\) 297 5.05 ac ., ;CLIPPER SHIP Li COVE CONDOS - Ji- t_ic di aci r:-'71, ,. r8C • n, 1 ac 32 25 . ,;411 ,1 TOWN OF YARMOUTH ----- 2 PIO 19-114 V._- . ..____ 100 (TOWN) • - C r-----7-N MI 0.19 ac 1 19 -C. ..4 - c A (2r Property Location 10 SOUTH WEST DR Map ID 25/306/// Bldg Name State Use 1010 Vision ID 958 Account# 958 Bldg# 1 Sec# 1 of 1 Card# 1 of 1 Print Date 8/12/2021 Element Cd Description Element Cd Description _— 24 Style: 04 Cape Cod 20 Model 01 Residential Grade: 03 Average Stories: 1.5 12 Occupancy 1 CONDO DATA Exterior Wall 1 14 Wood Shingle Parcel Id �C Owne 0.0 Exterior Wall 2 11 Clapboard �B �S Roof Structure: 05 Salt Box Adjust Type Code Description Factor% YVDK Roof Cover 03 Asph/F GlslCmp Condo Fir 18 Interior Wall 1 05 Drywall/Sheet Condo Unit uHS Interior Wall 2 COST/MA KET VALUATION 5,, (� � J\ $ Interior Fir 1 12 Hardwood " Interior Fir 2 Building Value New 232,975 ���� , Heat Fuel 03 Gas Heat Type: 04 Forced Air-Duc Year Built 2003 ! AC Type: 01 None ti Total Bedrooms 02 2 Bedrooms Effective Year Built Total Bthrms: 1 Depreciation Code A Total Half Baths 0 Remodel Rating �� _ 5 t S 26 Total Xtra Fixtrs Year Remodeled Total Rooms: Depreciation% 10 (� Bath Style: 02 Average Functional Obsol 0 t5 �,�/�}� Kitchen Style: 02 Modern Ext.Comment 0 Y 0Q) 1 -'I , Trend Factor 1 �—°1 Condition �A rr , Condition% Percent Good 90 RC N LD 209,700 Dep%Ovr 36 Dep Ovr Comment Misc Imp Ovey EALTH DEPT. Misc Imp ovr Comment ; • Cost to Cure Ovr • Cost to Cure Ovr Comment OB OUTB DING 8 YARD ITEMS) F-BUILDING EXTRA FEATURES(B) '. r Code Description UB Units Unit Price Yr Blt Cond.Cd %Gd Grade Grade Adj. Appr.Value • t. EOS End Outs Shw B 1 0.00 2005 90 0.00 0 '.. I BUILDING SUB-AREA SUMMARY SECTION Code Description Living Area Floor Area Eff Area Unit Cost Undeprec Value BAS First Floor 936 936 936 162.01 151,644 UBM Basement, Unfinished 0 936 187 32.37 30,296 - UHS Half Story, Unfinished 0 936 281 48.64 45,526 ' WDK Deck,Wood 0 336 34 16.39 5,508 Ttl Gross Liv/Lease Area 936 3,144 1,438 232,974 � �� r�`, m -