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Complaint Form 4222
TOW ":'`!r� OUTH • 1146 Route 28 1 ni ,-i•uth, MA 02664 508-398-223 .. `' ; ,08-398-083 ,1R EDEiVED Office of I ! t :`1 e .T missioner ' MATTACIti ESE ` Lf_R:(2 5 2022 o„AORkT Lo6 Gia .," :`�;�•..••'"•• BUILDING DEPARTMENT ay: COMPLAINT FORM Date: 4'1- -ca900/ , Type of Complaint: Building Zoning General This is a formal request for enforcement of an alleged violation. The following are facts in the case: Property Address of Alleged Violation: J(y lAt,py .h 6.1.6-j1, by". Gam- " Ct tikrt,Ou4-4. likA. • Property Owners Na e (s): 6,clt LL, 4 h.Q� Property Owners Mailing Address: / f Description of Complaint: 3 b,9 Ern /L yit `U ) ` 0 6 -(2.fazah-za____&1-0 4_ 1_1‘c, 5 6 ,9-1 0 bizekii 61-7-tx) , _Arai. t 2..,Q__,IA'L &11_,e)e.4,-1 mac..J Gtc'tzi .,/k /A- -1 .Z� ,,,i, LL t--cit c._ alW4t / 1T i \__)2-. cyto-71.‘2‘te' da.4 ke-kfri,____Z1-49 p- /<-7(J Ake_a,t,o 4_44. (.2_ ec_9.4_. 1 9-L,o fk _, GLZcJ Date (s) of Alleged Violation (s): Name (s) of Person (s): 1 ic.e 66A./40 Vision Government Solutions Page 2 of 3 Field r I Description Style: Ranch 1 Model Residential Grade: E Average Stories: 1 Story i3 { Occupancy 1 i r : Exterior Wall 1 1 Vinyl Siding tea at+` `v,� 4 Exterior Wall 2 j S Roof Structure: Gable/Hip Roof Cover ?Asph/F GIs/Cmp (http://images.vgsi.com/photos2/YarmouthMAPhotos/A00\03\29\34 j pg) Interior Wall 1 (DrywalVSheet 6 Building Layout Interior Wall 2 CAN Interior Fir 1 Carpet 8. an Interior Fir 2 Ceram Clay Til 38 12 16 1 Heat Fuel Gas Heat Type: I Hot Water 24 BAS 24124 BAS 241 UBM AC Type: None Total Bedrooms: 3 Bedrooms ;CAB 3 i Total Bthrms: 2 1 Total Half Baths: 0 1 (ParcelSketch.ashx?pid=3886&bid=4046) Total Xtra Fixtrs: I ( Building Sub-Areas(sq ft) Legend Total Rooms: ' I r Gross Living Code Description Bath Style: Average p Area Area Kitchen Style: Modem i BAS First Floor 1,584 1,584 Num Kitchens (01 CAN Canopy 264 0 — j UBM Basement,Unfinished 912 0 Cndtn i Num Park 2,760 1,584 Fireplaces Fndtn Cndtn Basement Extra Features .. � �_. Extra Features Legend] Code Description Size Value Bldg# FPL1 FIREPLACE 1 ST 1.00 UNITS $1,500 1 Land Land Use Land Line Valuation Use Code 1010 Size(Acres) 0.23 Description SINGLE FAM MDL-01 Frontage 0 Zone Depth 0 Neighborhood 0050 Assessed Value $124,000 Alt Land Appr No Category http://gis.vgsi.com/yarmouthma/Parcel.aspx?Pid=3886 4/5/2022 \ision Government Solutions Page 3 of 3 Outbuildings Outbuildings Leaendi Code 11 Description Sub Code Sub Description Size I Value Bldg# SHD1 SHED FRAME 120.00 S.F.! $500 1 j HTUB ,HOT TUB 1.00 UNITS $2,500 1 Valuation History Assessment Valuation Year Improvements Land ( Total 32022 $226,400 $124,0001 $350,400 12021 $192,300 $124,000` $316,300l 12020 $171,800 $131,300` $303,10#J (c)2022 Vision Government Solutions,Inc.All rights reserved. http://gis.vgsi.com/yarmouthma/Parcel.aspx?Pid=3886 4/5/2022 YARMOUTH HEALTH DEPT. ' Na. � /O 1146 ROUTE 28 1 SO.YARMOUTH,MA ©2�4 FEE o ` 0 o ,5c►- " ;-''-'7* I COMMONWEALTH O MASSACHUSETTS Brae < j < K, (, x' f /t?,,=' it /At 9 , d Ii.Fr -77,,, Board of Health, (1•'t}t t k{--�t i , MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT 6 I 04 it #Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - E'Complete System ❑Individual Components 1; t 8 I Location /�p ir torIL1&E-De4c. Av'1✓E' t_tiu si - Owner's Name F/Z : Map/Parcel# ZSs-;` nl�' 0 tuts p / «- n 'I` ;may Address hot# 2�" /‘ wt 1bLE-A6,41 /�6de to-y. '5 Telephone# Installer's Name a ` / �„6, (` . K SSL j�.t C Designer's Name Address �'EA�f[�p• f/�y�s-- 9 I t o,,,)_0 6,e. v id co. V Address Telephone# p`°'Box. `/'3'� .sa t'1E+✓-r�i s 717 ie.-o y y y Telephone# 35.,s=- s-0 v.0 Type of Building Lot Size /0 O c,n sq.ft. Dwelling-No.of Bedrooms .fMeEce._ Garbage grinder(lob Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) j/p gpd Calculated design flow g Design flow provided 33 a gpd Plan: Date 4' 2‘ — 96' Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS AtL�- r S ram.i u i�, �<t: �PA.eo o c" y � 1� ( dA�4 iThe undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and i further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. j Signed .Ai...L.� (`.,��.c� Date ?-S'_ 11 Inspections • 00 No.yl ` /e 6 COMMONWEALTH OF MASSACUSETTS ,, FEE 4,3 Board of Health,_ ^l{aNIA. _ . 1 CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) omplete System O Cl The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired Y: , i r -, % c. "i i,�+/K` p O,Upgraded ( ),Abandoned ( ) at it .., has been installedin accordance with the provisions of 310 CMR 15.00 (Title 5) and the application No. %rT' /c. 6 , dated -- pproved design plans/as-built plans relating to �, c, J5• Approved Design Flow � Installer (gpd) Vision Government Solutions Page 1 of 3 16 WIMBLEDON DR Location 16 WIMBLEDON DR Mblu 30/304/// Acct# 3886 Owner COSTA WAGNER V Assessment $350,400 PID 3886 Building Count 1 Current Value Assessment Valuation Year Improvements Land Total 1.2022 5226 400! $124,000 $350 4001 Owner of Record Owner COSTA WAGNER V Sale Price $270,000 Care Of Certificate Address 16 WIMBLEDON DR Book&Page 31215/0275 WEST YARMOUTH,MA 02673 Sale Date 04/20/2018 instrument 00 Qualified Q Ownership History 1 Ownership History Owner Sale Price Certificate Book&Page instrument Sale Date COSTA WAGNER V $270,000 I 31215/0275 00 04/20/2018 DUCILLE ADRIAN M TRS $100( 29576/0231 1F 04/13/2016 DUCILLE ADRIAN M $100I 24397/0063 1F 03/04/2010 DUCILLE ADRIAN M $100` 21346/0236 1F t 09/14/2006 1 DUCILLE ADRIAN M TR J_„„ $99 14806/0078 1F 02/11/2002 Building Information Building 1 :Section 1 Year Built: 1970 Building Photo Living Area: 1,584 Replacement Cost: $316,995 Building Percent Good: 70 Replacement Cost Less Depreciation: $221,900 Building Attributes http://gis.vgsi.com/yarmouthma/Parcel.aspx?Pid=3886 4/5/2022