HomeMy WebLinkAboutBLD-23-000384,
Gi►: TWO FAMILY ONLY-BUILDING PERMIT
E C E,I _1 Town of Yarmouth Building Department of r
1146 Route 28,South Yarmouth,MA 02664-4492 �' !%
JUL 25 2022 508-398-2231 ext. 1261 Fax 508-398-0836 •'f`''
Massachusetts State Building Code,780 CMR �'
k-------- - - 1 i••/ Permit Application To Construct,Repair, Renovate Or Demolish
BU i a One-or Two-Family Dwelling
BY _ --
This Section For Official Use Only
Building Permit Number:EY--1)-23-00D.3kt Date Applied:
friNft 15 - da--
Building fficial(Print Name) - S gnature Date
SECTION 1:SITE INFORMATION
.1 Property Address: 1.2 Assessors Map&Parcel Numbers
3 Eldria • Ra�, / 33 3y�-I
Li Is this an accepted street?yes V no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: ,
9.Os-1 sF: c 'O
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
30 ?a.02 iS 8.6 _ eAS 77./
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Publi Private 0 Zone: _ Outside Flopd Zone? Municipal 0 On site disposal system
Check if y
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
a.r vk.Yn:IAA" 63 Ccc c\ . Kik• S. Ye.cwtoJft Vttw- o7racco
Name(Print) City,State,ZIP CCI
(,3 Elcenre14r. ie4. 17. 90B•so99
No.and Street a Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building,i Owner-Occupied 0 I Repairs(s).X Alteration(s) kl Addition,
Demolition Li Accessory Bldg.0 Number of Units Other C_ p�c' c ». i - r
Brief Description of Proposed Work2: Rsato cr t (asriU vn1in:rl�� �t2-- ±
{Lot- Ave- it dw aa�- #14.% wy-(1.�.-4-e AUG 0 g 1b 2 i q�
SECTION 4:ESTIMATED CONSTRUCTION CO$B1.D I N O n E PA R T M` NI C I t
Item Estimated Costs: Officia'Tlse Only
(Labor and Materials) .
1.Building $ 1. Building Permit Fee:000 Indicate how fee is determined:
2.Electrical $ CIStandard City/Town Application Fee
0 Total Project Cost' Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $ C'j1 3?7/ 60.0b '
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire • •
$ ,
Suppression) Total All Fees:$
Check No. Check Amount Cash Am t:-----. �.
6.Total Project Cost: $ /6 a 6! 0 Paid in Full Cl Outstanding Balance Due t1`t-k v
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
DAtQKU K
Pa e_L-Ttax-e (o S License Number Ex ra' n Date
Name of CSL Holder
Po,
B 3�� List CSL Type(see below) U
No.and Street Type Description
YM't'c �a,.i� rwb} 7� U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1512 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
77`1' -(o3„ .- r'iQco‘s IS(a yi.Ci o. Co,,.,. I Insulation
Telephone Email iddress D Demolition
5.2 Registered Home Improvement Contractor(HIC)
-�ci tc._7ci .obr t (o Son
P _Ex
I HIC Registration Number t"�tion Date
HIC Company Name or HIC Registrant Name
P.O. do1� 3KH a
eA.'t .cot.c 78(�J (%co-
No.and Street
KN o a-fi7� 77Y-T S`3—f.8,�,1., Email a drams
Ya,rlactrL v
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 Issuance of the building permit.
Signed Affidavit Attached? Yes 0 No .❑
. SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
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.
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 accurate to the best of my knowledge and understanding.
Pov . —�a4.64)s ?/8/a �a oa .
Print Owner's or Authorized Agent's Name(Electronic Signs e) 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.zov/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
}� _ '/ Department oflndustrialAccidents
= 1-= 1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/diet
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Le�ably
Name (Business/Organization/Individual): feet- 1C.t —. j t.cpio S
Address: O. ($o) 3 K'(
City/State/Zip: Y-I r4-4 it40- o w 7 s" Phone#: -7 Pi.- 3,57-& e S�
Are you an employer?Check the appropriate box:
Type of project(required):
I.❑1 am a employer with employees(full and/or part-time).*
7. ❑New construction
am a sole proprietor or partnership and have no employees working for me in •
y capacity.[No workers'comp.insurance required.] 8. Zemodeling
3.0 I am a homeowner doing all work myself.(No workers'comp.insurance required.]t 9. Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 Q Building addition
ensure that all contractors either have workers'compensation insurance or are sole
proprietors with no employees. 11, Electrical repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12'( Plumbing repairs or additions
These sub-contractors have employees and have workers'comp.insurance.t 1 Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'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 ail work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors 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:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certif outer pains and penalties of perjury that the information provided above is true and correct.
Signature: . --
Date: Or/de?-zol—
Phone#: 7741— .S'3-67 25,5 —
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.Cityffown Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
§TOWN OF YARMOUTH
1146 Route 28, South Yarmouth, MA 02664
508-398-22311 ext.-1261 Fax 508-398-0836
Office of the Building Commissioner
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4.
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at (a 3 51 d.-1 .e,
Wor Address
Is to be disposed of oat the following location:
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Ch. 111, §150A.
7/ ?0?-,\_
Signature o plication ate
Permit No.
Division of Occupational Licensure
Board of Building Re ulations and Standards
Con lour isor
CS-081040 ti x�s f5c�pires:04/04/2024
PATRICK H C•
28 WHITT1ERIV
DENNIS MA`b 838
t
Commissioner ca�lZ fi DCy»r 6.4.,
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs.&Business Regulation
HOME IMPROV CONTRACTOR
n.. '`% .
PATRICK JACOBS
D/B/A P.JACOBS CUSTOMAND REMODELING
PATRICK JACOBS
28 WHITTER DR. pet,,,,,,,yam t'
DENNIS,MA 02638
Undersecretary
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Sears, Tim
s-
From: Sears,Tim
Sent: Tuesday, October 18, 2022 12:02 PM
To: 'patjacobs78@yahoo.com'
Subject: 61 Eldridge
Pat,
After reviewing the application for 67 Eldridge and speaking with you about your project at 61 Eldridge that has a permit
issued, it has been determined that this project will also require relief from the Zoning Board of Appeals.You may
proceed with the work under you own risk, if relief is not granted the structure would need to be returned to its original
height.
Regards,
Timothy Sears CBO 1()(
1 ���
Deputy Building Commissioner `A
Town of Yarmouth
508-398-2231 Ext. 1259 C1_ ,"t( ZA 1 / C
mailtoasears@varmouth.ma.us 1
1
Substantial Improvement Worksheet for Floodplain Construction
(for reconstruction,rehabilitation,addition,or other improvements,and repair of damage from any cause)
Property Owner
Address: 63 6(ari Kd. S. `ktrw.eo't d+M$'r
Permit No.:
Location:
Description of improvements: R„,,Dv. ,(.p, cy1,4. yr e F Cc. doe. do..w„i , t ^J ,(�� 4.4+re..
passe value,BEFO E�aent,or d,
}
before x ac t,uic land a $ y'ic�,6o
tualcost n iL�N�3a ude)f }T t i i t $ /VL/azi.
if ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing
building must be elevated to the base flood elevation(BFE)and all other aspects brought into compliance.
important Notes:
1. Review cost estimates to ensure that all appropriate costs are included or excluded. .
2. If a residential pre-FIRM building is determined to be substantially improved,it must be elevated to or above the BFE. If a
non-residential pre-FIRM building is substantially improved,it must be elevated or dry floodproofed to the BFE.
3. Proposals to repair damage from any cause must be analyzed using the formula shown above.
4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or
repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any
aspect of the building that would make it non-compliant.
5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial
improvement definition)provided the work will not preclude continued designation as a'historic structure'
6. Any costs associated with directly correcting health,sanitary,and safety code violations may be excluded from the cost of
improvement. The violation must have been officially cited prior to submission of the permit application.
Determination completed by: PCtE-j-:%'c. Z1a.ubto<
Date:
0
O . .CM� ) 1�11� ..c 6 S) — \‘ ;coo ( %,o(.s ' c, rou
�5
I •
er
TOWN OF YARMOUTH
g( 0 BUILDING DEPARTMENT
. o
r � % • 1146 Route 28, South Yarmouth, MA 02664
y nATTA n 6L!_
rs1, «r...n. °` Telephone 508-398-2231 ext. 1261 Fax 508-398-0836
Contractor's Affidavit: Substantial Improvement or Repair of Substantial Damage
Property Address: 6 3 V Sri dot c_ . 5. /C:1c 1A4.13 \ & vt414-
Parcel ID Number: 3L1q— t Q
Owner's Name: 3C(.C.k_ Oyi/4c (A /
Contractor: Pa.,4-1 k_ Taco(i✓ll S
Contractor's License Number: CS —/OA[010
Date of Contractor's Estimate: 7/( /3.0a'�—
I hereby attest that I have personally inspected the building located at the above-referenced address by the
nature and extent of the work requested by the owner, including all improvements, rehabilitation,
remodeling, repairs,additions, and any other form of improvement.
At the request of the owner, I have prepared a cost estimate for all of the improvement work requested by
the owner and the cost estimate includes, at a minimum,the cost elements identified by the Town of
Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a
cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of
construction,the owner requests more work or modification of the work described in the application,that a
revised cost estimate must be provided to the Town of Yarmouth,which will re-evaluate its comparison of the
cost of work to the market value of the building to determine if the work is substantial improvement. Such re-
evaluation may require revision of the permit and may require revision of the permit and may subject the
property to additional requirements.
I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals
that 1 have made or authorized repairs or improvements that if inspection of the property reveals that I have
made or authorized repairs or improvements that were not included in the description of work and the cost
estimate for that work that wer basis for i suance of a permit.
Co6AMONW1N THE OF HUSETTS
Contractor's Signature COUNT th pE
On this 6 day isti 2024 before me,the undersigned
notary Public. h ` P pe►sonalty appeared,proved
Date: 7 1/) 44)... = _ TX otar h satisfacxory evidence of identification,which were
Mug to be the person who signed the preceding
or attached document in my presence and who swore or attrmed
Notarized: to me that the contents of the document are truthful and accurate
,,,, 'A SS )KU V.. te best of(his)(her)knowledge and belief.
� h` 5� , eta��� 1IS25
, .�' r.;r`=' my�, .nisi : t
,.f
a;7+1 TOWN OF YARMOUTH
.01TA � BUILDING DEPARTMENT
�` ri Lgsv 1146 Route 28, South Yarmouth,MA 02664
Telephone 508-398-2231 ext. 1261 Fax 508-398-0836
Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage
Property Address: 3 rAif ,ri tir tax S._ '•tc r4.wi a k. IMA-
t
Parcel ID Number: 391{— k
Owner's Name: Sa.c,'L.lMo VAc d\
Owner's Address/Phone:-(,- F(GQ.r
3 i Qa_ S. Varwtai' n i rtil�- 1pi7 -908- ssr)99
Contractor: POek c..�J Ct rD IOS
Contractor's License Number: CS— Og I O'-LO
Date of contractor's Estimate: 7/!/aoa-.7--
I hereby attest than the description included in the permit application for work on the existing building all
improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement. I further
attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including
the contractor's overhead and profit. I acknowledge that if, during the course of construction, I decided to add
more work or to modify the work described,that the Town of Yarmouth will re-evaluate its comparison of the
cost of work to the market value of the building to determine if the work is substantial improvement. Such re-
evaluation may require revision of the permit and may subject the property to additional requirements.
I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals
that I have or authorized repairs or improvements that were not included in the description of work, and the
cost estimate for that work that were basis for issuance of a permit.
Owner's Signature: 0
vitte,d
Date: 7/ w
Notarized: SHERYL BARTLEY Wipo, Notary Public
=, Commonwealth of Massachusetts
My Commission Expires March Of,20ii?
TOWN: Y . OU'TH
....
1146 Route 28 .1 th, MA 02664
508-398-2231* . js- a Air 08-398-0836
Office of t • o
,. missioner
FINAL COST AFFIDVIT FOR WORK IN FEMA FLOOD ZONE
To the Building Commissioner,
In accordance with 780 CMR Section 109 of the Massachusetts State Building Code, the total estimated cost of
construction, including all related costs* of the building at (o 3 loin' led. S. YarpixQT.( r`tj4
and constructed,reconstructed, altered,repaired,or extended under building permit no.
amounts to $ /6'442°
I, POL4Cia— ra..o laS ,being referred to as the owner/agent identified below,do solemnly
swear that the statements made herein are strictly true, correct and made in good faith
*Related construction costs include all work done with or concurrently with the work contemplated by the building
permit including construction, reconstruction, repairs, demolition, HVAC work, etc. Furnishings and portable
equipment are not part of the total construction costs.
Signa of owner/agent
W3U . t , 2O2 JNotary Public Signa My Commission Expires
Notary Seal:
, r sr e^ r K S":'
\:+ �.',h i' i1 00 i, J , ,.=i
,Z,,,vj4'_` 'a
Saben Appraisal Services
261 Whites Path Suite 5
PO Box 877 South Yarmouth,MA 02664
(508)394-0101 phone
Sabenappraisal(a4gmail.com
July 22, 2022
John F. Moynihan II
122 Greaton Road
West Roxbury, MA 02132
RE: 61 Eldridge Road South Yarmouth, MA 02664
Dear Mr Moynihan,
Per your request I have estimated the Replacement Cost New Less Depreciation of the
improvements identified as 61 Eldridge Road South Yarmouth, MA 02664.Assessors
Map 33/344.1
Replacement cost figures used in the Cost Approach are for valuation purposes only.No
one, client or third party, should rely on these figures for the purposes of determining
insurance coverage. The appraiser assumes no liability for and does not guarantee that
any insurable value estimated inferred from this report will result in the subject property
being fully insured for any loss that may be sustained. Use of this data, in whole or in
part, for other purposes is not intended by the appraiser.
The development of the cost approach has been attempted by the appraiser as an analysis
to support their opinion of the subject improvements market value. The cost approach
may not be a reliable indication of replacement or reproduction cost for any date other
that the effective date of this appraisal due to changing cost of labor and materials and
due to changing building codes and government regulations and requirements.
Scope of Work:
The scope of the appraisal is to value the subject improvements under its highest and best
use in order to determine Replacement Cost New less depreciation for the subject
improvements. The subject property is identified in the "Subject" of this report. At the
request of the client,the appraiser has performed an exterior and interior inspection.
Cost figures will derived from Marshal & Swift Residential cost guide, conversation with
local contractors and the appraiser's knowledge of local construction costs.
Intended User/Use: The intended user of this appraisal report is the client and the Town
of Yarmouth Building Department. The Intended Use is to evaluate the property that is
the subject of this report for a construction permit, subject to the stated scope of work,
purpose of the appraisal.No additional Intended Users are identified by the appraiser.
The data utilized in this report has been reported and confirmed to the most reasonable
extent possible,unless otherwise expressly noted. The technical evaluations of
compliance of any code of the Town, State, and Federal governments are beyond the
scope of this report.
The appraiser is not a home inspector and the appraisal report is not a home inspection.
The appraisal report cannot be relied upon to disclose hidden defects that are not apparent
from a visual observation of the surfaces of the subject property from standing height.
The testing of systems(structural, electrical, mechanical,heating, cooling or plumbing)
and components(such as appliances, fixtures, doors, windows, etc.)lies outside of the
scope of this appraisal assignment.
Definitions:
Replacement Cost New: The amount required to reproduce the entire property in like
utility and function. It is based on current market prices for materials, labor, equipment,
contractor's overhead, profit and fees. It does not include provisions for overtime,
bonuses, or premiums on materials
Inspection: A visual observation of the unobstructed, exposed surfaces of accessible area
from standing height. Unless otherwise specified why,the visual observation excludes
the attic,the crawl space, and below grade storage.
Complete visual inspection of the interior areas of the subject property: A visual
observation from standing height of the accessible areas and unobstructed, exposed
surfaces of the living area without removal of personal possessions. It includes the visual
observation of attached automobile storage, if any as well as any attached buildings
judged by the appraiser to have contributory value.
Complete visual inspection of exterior of the subject property: A visual observation of the
unobstructed, exposed, and accessible perimeter of the residential improvements from
standing heights. It included the visual observation of detached automobile storage, if any
as well as of any other detached accessory buildings judged by the appraiser to have
contributory value.
Living Area: Living area is defined as legal, finished, above ground, permanently heated,
living space contiguous with other living area and regarded by a typical purchaser as
being habitable and as having utility.
The subject improvements consist of a six room,two bedroom, and one and a half bath
room 1215 Square Foots wood Frame ranch style dwelling. At time of inspection the
appraiser noted numerous improvements to the dwelling that included but not limited to
new roof, windows, kitchen and baths have been remodeled, new heating system, Ac,.
The subject was in good overall condition. According to the Town of Yarmouth
Assessors Property Record card the subject was constructed in approximately 1952. The
subject improvements have effective age of 5 years.
Front View of Subject
a, ""
h.` fir j
A {
S '
s
- F
Rear View of Subject
4 $y,. ,{ x :. .. ,
J?
ie
r
ASSESSORS MAP
33:363 33,36t2 ""' 333?? ,_____„..,04... .._7:t ; 33.27 i 33,?/5 .
•333352 '2
r 333b433359
33 355 Or
3 33 359 ,5<, .3,3T 3 , �33.277 3
33,323.1
33.3653 33.351 ., ',3.3£8
33 358 in
at#e 31278 a�
r _. _.,.,.__- 63.3.325 33.317
' �3 3f(3 ' _
33.366C _,� _ 3. ' 33.350
33.315 3.279
s _ _ t
* 333:371_1 ' - 2/ 33.315r.
33 315 F , 3320
--
3.3e,7 331369 i 33.348
3 8 33.3£44 33.
t ,. 33 /2 I: 33.3 __._ 3�:283 l
3z.368 u ..__._ _
F3 3 329
z ; 33.3 ,- _ w.T
illz ME�G IA, 33r373 ,::. 33.330 AY 33 282 33283 33
, M ,, 'now 33.344 ct ;
t 2�5;97 I WilX U2OW 5#R£ET __
2 3 25.164� tYrr'
—
pop .
1_ C3 f.' a
{ 25-.98 4. -iI 25.16,3 �, 25.#65 ! 2514# 25.13
254;95 25.94 • _-. 25,16�3 7 25,#4E}
1,..�. IW f
` 5.142
t s
25
l5,
as ZS�£38
, 1 ,
25.160 __ _. _ 25.168 15.i4'3
I a _ _
ow 225.99C 25.159 '
211167
. . _ �a x 25�.1
2S.i5f3 �, __� 2S 13l
0 ii..__� _ ., ; 25.148 ',, 25.14/ it!, 5,138
2 1O0 • 25 ifi2 25,1Q3 25.3 _ ._ 25.146 ( an
9'
U,
15'
3'
1A
9'
0
First Floor
[Area: 1215 ft2]
6'
Co
30'
Eft
First Floor 1215 ft.First Floor x1.00..1215 ft'
.. 5'x 9`x 1.00= 45R'
• 6x 16'x 1.09= 961f
Replacement cost figures used in the Cost Approach are for valuation purposes only. No
one, client or third party, should rely on these figures for the purposes of determining
insurance coverage. The appraiser assumes no liability for and does not guarantee that
any insurable value estimated inferred from this report will result in the subject property
being fully insured for any loss that may be sustained. Use of this data, in whole or in
part, for other purposes is not intended by the appraiser.
The development of the cost approach has been attempted by the appraiser as an analysis
to support their opinion of the property's market value.
Dwe ling 1,215 sq. Ft, @ $ 380.00. = $ 425,250
Foundation! 1215 sq. Ft. @$ 45,00. .... .. _
4,675
Garage/Carport Sq. Ft. @$ = $
Total Estimate of Cost-New = $ 479,925
Less 70 Physical Functional External
Depreciation $34,280 = $( 34,280
Depreciated Cost of Improvements. _ $ 4415,645
"As-is"Value of Ste Improvements .. _ $
INDICATED VALUE BY COST APPROACH,.,......... . . .... _ $ ,6®
Based upon the above calculations the Depreciated Cost of Improvements for the subject
is estimated to be Four Hundred Forty Five Thousand Six Hundred Dollars
($445,600)
Respectfully Submitted /
/ 1/'
, -
James K. Saben
Massachusetts certified residential Real Estate Appraiser#2800
FtAd;Thon Moloch Alter AM Pirl atioAo
1Piatal:11.: fa
DIVISION Or OC:C UPAIIC)NAL LICENSUf E
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203874
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SERVICE NO. L/ 5 9 7
NAME 11 —_ —A_ --
STREET 6 3 Ficiridg
e
VILLAGE
METER NO.
50 '
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li J. 9, $S Pole 14-I o
rn et- n
E d1--U(3 e— R.A.
of'Y`�4 TOWN OF YAR\1OUTH
� c WATER DEPARTMENT
a-' -1-I ,i : 99 Buck Island Road
:E` us ' West l irrnouth, ,1y1.A 02u'3
Telephone: 608) 771-7921 • Fax: (508) 771-7998
BUILDING PERMIT APPLICATION FOR
WATER DEPARTMENT SIGN OFF
TRANSMITTAL FORM
BUILDING SITE LOCATION: 5(cie, orkee, • (4:f- 65)
PROPOSED WORK: _[L°.n®.re se,. a.
APPLICANT: PO* Ltcp�
ADDRESS: f. 0. & ?`lam(
TELPHONE: - 0 1$ - 6. 65-D--
RESIDENTIAL AND FOR COMMERCIAL BUILDING
Water Department: Determines Compliance of Water Availability and or existing location
I:neineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: Determines Compliance to Wetlands Act: i.e. If�lot(s)border any type of
wetlands. streams, ponds, rivers, ocean. bogs, boys, marshland, ETC...
I lealth Department: Determines Compliance to State and"I'own Regulations, i.e.
requirements for Septage Disposal and other Public Ilealth Activites
Fire Department: Determines Compliance to State and 'town Requirements for Personal
Safct Property Protections, i.e. Smoke Detectors, Sprinkler Systems,etc
APPLICANT SIGI'ATU ATE
OFFICE USE: COMMENTS ON PERMIT APPROVAL OR DENIAL.
zv
REVIEW D Y WA R I4ION(SIGNATURE) DATE
oF'YRR TOWN OF YARMOUTH
HEALTH DEPARTMENT
o y
`4 r*toe" PERMIT APPLICATION SI.GN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 6 / Jer • ,S >Qrro Ot/7 , /44!g
Proposed Improvement: ov irolerier- o tiovsc. d •4, ,cr . s G+mo/e. a,fte c
*u fc� roof e aett bar?a1 a 5i ccr d -gear' ,it t .c/vcJ s�lt7lrG. a
Applicant: i�G = COdl Tel. No.: 77Y-3,S3-G�S2
Address: /2 &x 3'Y 5(MONZ Berl • 1/11 Date Filed:__ 6 O
**thou would like e-mail notification of sign of,please provide e-mail address:
Owner Name: Jack—
Owner Address: e f &'dt1*.. £d S Yan4eO �, Me-Owner Tel. No.: G/7`9i I-Wf9
a
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: DATE: 7 —
PLEASE NOTE
CpMMENTe;LiS/('ONDtIO S: s cLe � —
a) K^(,citv ivl,-ST C 4 le
3) ex' $ 4•9 t- v0c S
o 7-4A,,, TOWN OF YARMOUTH
HEALTH DEPARTMENT
le'. ''r*•.lE`'w PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: /� ,�/�
BuildingSite Location: '�v✓ Odd) R • 5 Ya-i''t Ov
iet
G�
Proposed Improvement: RN`'S CA ci - se a c e_ ant._ cz (o. nro0 rvl , (- ,''t Ua44.4.`•a°'``
Applicant: PA--ri 3—a.co hs Tel. No.: 77q'353-6c9s-D-
Address: P.D. >O X 3Ky Yant4.0Q. (eL MO- G O 7 S Date Filed: `-1/Z.o zo?,3
**If you would like e-mail notification of sign off,please provide e-mail address:
Owner Name: -3.-a.c,((� MA r, e
•
Owner Address: (a 3 a cLrt r Ks. S. LO-1 Owner Tel. No.: (a(7-9O8 - 5-617
--------------
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,
G1w ;k and septic system location;
3 (2.) Floor plan labeling ALL rooms within building
APR 2 0 202 (all existing and proposed)
HEALTH DEPT. Note:Floor plans not required for decks,sheds,windows,roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY ,02 DATE: E • /$ ,0'.-_3
PLEASE NOTE
COMMENTS/CONDITIONS:
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