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HomeMy WebLinkAboutHEALTH SIGN OFF TOWN OF YARMOUTH S� c HEALTH DEPARTMENT 4 ',C044 PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: AA Building Site Location: ?ci 1:11 'k A Vac rel.OC-4 N o is ,c, ' Proposed Improvement: r?bo t Pi.,-i© or,r,,, /1 4.v a` Applicant: K 2, C5 L u ` ,^ Tel. No.: 50g 2'%7 �i 1 Address: g i d c 1Z c S V c °LA MN Date Filed: is 13.'2) **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: 5 A E Owner Address: Owner Tel. No.: 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 RECEIVE (all existing and proposed) — ,/p2 Note: Floor plans not required for decks, sheds, windows, roofing; APR f' (3.) If necessary, Title 5 application signed by licensed installer HEALTH D ,pi. with fee. REVIEWED BY: C.,,..-4,2 Cx.�c-�.C,� DATE: "/' J c// (22- 3 PLEASE NOTE COMMENTS/CONDITIONS: 1 / -,,,.........„ 1 < z.\.... 4.----;;Nn . 14 I \ ) ,q1 I �J id I 4:7-251` II So.i p_ I I /----1: i el. 7 0 1 1.. � ° 1,q,,, \ •, 3 � \° ' O � o E~ s1 I i---- /i 1 o , / 0 / A ‘ 1 . '.-"A' :V7 '''''. U 01j1// 4 1 / N. I \k lc rr 1}v � . .p 1 i ig,-„, 2 \. ._,„4„,,) ....„-- It v — wc < 13,1 m 1J r o 1A J N e. ' 1777 C�ri P f T` __?, I-. yr f -s c-T IY _c) 1 (,,.., ‘ i'fr nr. / G-o ,L0 ...---. .. t ,t Woo •�,� 'V -E2e 1 ‘,V- 1Z.6..t P. I I ��� .a� r--- ( 04/4 v 1%.1,11V E � \ ; > i w Vl.Z / i .. ) ic s a ` r/� -moo -5WET�2iY // Moro2 Thm \S ;i' r1 , �� \ 1 StC� GIV O ♦ 1r C. i ) Y`'' '�• -(=4 AV�K 04 2023 \} __��� c _ rIN!• 14,� -•� NJ 44% ( ........._4•L HEALTH DEPT. �� _ x c x en,e 'ram \ N� ,__ !�u44 \i �� f c� ` ( Plltc !\ Property Location:39 TODD RD MAP ID:100/89/// Bldg Name:BLUE ROCK MOTOR INN/GOLI State Use:3010 Vision ID:13486 Acco_un_t#13486 Bldg#: 1 of 5 Sec#: 1 of 1 Card 1 of 6 Print Date:09/01/2017 09:38 CONSTRUCTION DETAIL CONSTRUCTION DETAIL(CONTINUED) Element Cd. Ch. Description Element Cd. Ch. Description Style 30 Restaurant UBM 21 Model 94 Comm/Ind 9 21 9 Grade 03 Average BAS 36 Stories 1 FBM Occupancy 0 MIXED USE Exterior Wall 1 25 Vinyl Siding Code Description Percentage 25 Exterior Wall 2 13 Pre-Fab Wood 3010 MOTELS M94 100 Roof Structure 03 Gable/Hip Roof Cover 03 sph/F GIs/Cmp 45 21 BAS 21 Interior Wall 1 05 I l rywal/Sheet UBM Interior Wall 2 06 ust Wd Panel COST/MARKET VALUATION Interior Floor 1 14 arpet Adj.Base Rate: 69.38 WDK 20 20 Interior Floor 2 312,696 8 14 15 21 Heating Fuel 04 I lectric Net Other Adj: 0.00 FOP FUS 21 Replace Cost 312,696 Heating Type 03 I of Air-no Due AYB 1965 BAS BAS AC Type 02 i eat Pump 1616 AS Dep Code VG DK 9 Bldg Use 3010 I OTELS M94 Remodel Rating S 9 Total Rooms Year Remodeled 35 Total Bedrms 00 . Dep% 16 Total Baths 0 Functional Obslnc 0 19 External Obslnc 20 10 20 Cost Trend Factor FOP Heat/AC 01 I.EAT/AC PKGS Condition 8 8 ii /o Complete Frame Type 02 OOD FRAME Overall%Cond 64 Baths/Plumbing 02 •VERAGE Apprais Val 200,100 � :�. 9- ;� Ceiling/Wall 06 EIL&WALLS Dep%Ovr 0 *lh r" . '"v Ic * - 1 Rooms/Prtns 02 VERAGE Dep Ovr Comment . .' ' s. * * Wall Height 9 Misc Imp Ovr 0 Misc ImpOvr Comment Comn Wail 0 Cost to Cure Ovr 0 .r.- -' Cost to Cure Ovr Comment -tom --. - (3B-0UTBUILDING&YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) . Code Description Sub Sub Descript L/B Units Unit Price! Yr Gde Dp RI Cnd %Cnd A.r Value Oil. ' %'"� SGN2 DOUBLE SIDI L 24 35.00 1980 0 60 500 r , PAV1 PAVING-ASPI L 16,5011.35 1965 0 60 13,400 SHD1 SHED FRAME L 60 8.00 1970 0 60 300 SHD1 SHED FRAME L 104 8.00 1970 0 60 500 44111r. x 2 z4: SPL1 POOL-INGR C L 1,152 18.00 1965 0 60 12,400 Y `,Jrr SHD1 SHED FRAME L 48 8.00 1970 0 60 200 :,, CLR1 COOLER B 36 20.00 1999 1 100 500 'tot, CLR1 COOLER B 25 20.00 1999 1 100 300 .. t�� Y WHL WHIRLPOOL B 1 3,500.00 1999 1 100 2,200 i- : BUILDING SUB-AREA SUMMARY ; Code Description Living Area Gross Area Ell:Area Unit Cost Uncle.rec. Value BAS First Floor 2,802 2,802 2,802 69.38 194,403 FBM Basement,Finished 0 1,200 600 34.69 41,628 Vilikk FOP Porch,Open,Finished 0 208 52 17.35 3,608 •.. FUS Upper Story,Finished 906 906 906 69.38 62,858 UBM Basement,Unfinished 0 609 122 13.90 8,464 WDK Deck,Wood 0 166 25 10.45 1,735' TtL Gross Liv/Lease Area: 3.708 5.891 4.507 312.696 Property Location:39 TODD RD MAP ID:100/89/// Bldg Name:BLUE ROCK MOTOR INN/GOLI State Use:3010 Vision ID:13486 Account#13486 Bldg#: 1 of 5 Sec#: 1 of 1 Card 1 of 6 Print Date:09/01/2017 09:38 -- • - CURRENT OWNER TOPO. UTILITIES ,STRT✓ROAD LOCATION CURRENT ASSESSMENT DAVENPORT DEWITT TR 1 Level 2 Public Water 1 Paved 2 Suburban Description Code Appraised Value Assessed Value DAVENPORT REALTY TRUST 4 Gas COMMERC. 3010 462,500 462,500 815 20 NORTH MAIN ST COM LAND 3010 396,000 396,000 6 Septic YARMOUTH,MA COMMERC. 3010 27,300 27,300 SOUTH YARMOUTH,MA 02664-3150 SUPPLEMENTAL DATA COMMERC. 3222 361,600 361,600 Additional Owners: Other ID: 89/T070/// VOTE MISC 240 VOTE DATE CHANGES PRIVATE R( BETTERMENT VISION PLAN NUMBEI481F ZIP CODE 2664 1 GIS ID: M_310054_827180 I ASSOC PID# Total 1,247,400 1,247,400 RECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE q/u v/i SALE PRICE V.0 PREVIOUSASSESSMENTS(HISTORY) DAVENPORT DEWITT TR D791786 02/04/2000 U I 1F Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value DAVENPORT DEWITT P TR 67326 11/25/1960 I 2018 3010 462,5002017 3010 462,5002016 3010 462,5001 DAVENPORT PALMER TR I 0 2018 3010 396,0002017 3010 396,0002016 3010 396,000 2018 3010 27,300 2017 3010 27,300 2016 3010 27,300 2018 3222 361,600 2017 3222 361,600 2016 3222 361,600 Total: 1,247,400 Total: 1,247,400 Total: 1,247,400 _ 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) 200,100 ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 4,900 NBHD/SUB NBHD Name Street Index Name Tracing Batch Appraised OB(L)Value(Bldg) 27,300 0000/A Appraised Land Value(Bldg) 396,000 NOTES Special Land Value 0 BLUE ROCK MOTOR INN/GOLF COURSECO 66 SEATS 1 MMUNITY/44-1 BDRM&MGR APT REST CARD 1 FUS=MGR'S APT Total Appraised Parcel Value 1,247,400 45TH GUEST ROOM IS FUS APARTMENT OF BAS=MOTEL OFF&REST Valuation Method: C BLUE ROCK COUNTRY CLUB LOT 57 Adjustment: 0 FBM HAS GAS FHS HEAT&CENTRAL A/C et Total Appraised Parcel Value 1,247,400 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 17-001573 10/03/2016 CM Commercial 5,000 01/19/2017 0 Blue Rock Golf-install s01/19/2017 02 KL BP Building Permit 14-1023 02/04/2014 RP Repair 8,000 100 4 REPLACEMENT DO(04/24/2014 GM 00 Measur+Listed 14-656 11/01/2013 WIN Windows 4,000 100 8 REPLACEMENT WIr02/02/2006 GM BP Building Permit 09-622 11/26/2008 RP Repair 15,000 04/24/2014 100 STRIP RUBBER ROOF 10/13/2004 GM 00 Measur+Listed 05-924 01/31/2005 MC Misc/Mechanica 10,000 04/24/2014 100 INSTALL EXAUST HO406/19/1998 BD 00 Measur+Listed 00-553 02/11/2000 CM Commercial 13,000 100 01/01/2001 RESIDING 108 03/07/1997 CM Commercial 183,000 06/19/1998 100 01/01/1998 4 HANDICA /MOVE VALi7A?IONrSECTION B Use Use Unit Acre ST. SAdj # Code Description Zone D Front Depth Units Price I.Factor S.A. Disc C.Factor Idx Adj. Notes-Adj Special Pricing Fact Adj. Unit Price Land Value 1 3010 MOTELS M94 F 44.00 BL 10,000.00 1.0000 0 1.0000 0.90 0000 1.00 SITE 1.73 AC/-10%LI 1.00 9,000.00 396,000 101( 3010 F 1.73 AC0.00 1.0000 0 1.000 0.00 0.0000 0.00 .00 0 Acre Total Card Land Units: 1.73 AC Parcel Total Land Area:1.73 AC Total Land Value: 396,000 LOT NO. : 4/- rZADDRESS : 137 76,-2.:41 /CV' '1 7 6 clecr\‹7 OWNERS NAME : SEWAGE PERMIT NO. : 4 - 7 0 NEW: REPAIR: t/ DATE ISSUED : -9 DATE INSTALLED : 4---/5--,99 INSTALLERS NAME trewir5 F` INSTALLATION OF : 7:-/- 2e) ))--154x Pile 104-5 WATER TABLE : FINAI INSPECTION BY: W1 DRAWING OF INSTALLATION ON REVERSE SIDE : 7Y1\ \al 3I 110 2') r,r1 cfa cc) „ILL:A 4P 4se rts, t .•••!, „, 16. ••