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Home My WebLink AboutBuilding PermitsOF �q _ i' x YMAVEESI TOWN OF YARMOUTH RECEIVED JUN 3 0 200 Aj*1NGDYfPT.L er APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By Fee: $ Z7 :�D PERMIT NO. 1 = O / — U Date Building l/ �I�' /� Owner's AT: Location 5� WiM��n >A _ Name Type of Occupancy New❑ Renovation El Replacement.0 Piano Suhmitted Yes ❑ No ❑ \� Vl Z Z Z Z > W J Q Z 9 V) d 7x OZ J W A QCn W f Q N LL\V ZZY. 6 W 0 G . OZW O IL O WN 0 Z JLL a O w LL U W y\� F D O ZO Q O Q K� 0 O O Q ix- Q tN W 0 7 0 Q� W M 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Address Check One: ❑ Corp. ❑ Partnership tiO YGcn�rn h 1714 uaLb cJ ❑ Firm'/C mpannyn Business Telephone %—�'� 55G Name of Licensed Plumbers A �^. _-� ;ea^c -4 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yeses' No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy IIY Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature or Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ 'STghaiure of Licensed Plumber )6�D License Number Type: Mastery Journeyman 10 Builbi6j AT: Location New ❑ Plans Submitted APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By JUN 3 0 Fee: I _ io. I PERMIT NO. 6r— n7 Owner's � 1� Name l<KKIA 11D Type of Occupancy rr5.,,�� c, Renovation ❑ Replacement1 Yes ❑ No ❑ y V� Y �/ �l 0 W W y 0 Oot U R m H es.. F ot S N 1� C9 Z J CO W ~ aO Z 0 F- Ix O Lu Q C O 7 0 Z LU W FQ- rA W N W a W�= y W Q� O 0> O W_ Z Q rA W J Z Q 0: H f.. !, fA 2 m Z F O Z F- W J F W \� 1 ga i 0 0 i o g o a� 0 U�> SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Address Check One: ❑ Corp. ❑ Partnership ❑ Firm/Company Business Telephone' -773?-46 Name of Licensed Plumber or Gasfitter 6At't zgeeri INSURANCE COVERAGE: Check One have a current liability insurance policy or its substantial equivalent. Yes 10 No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy QT Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Az Signature of Licensed Plumber or Gasfitter License Number TYPE LICENSE: 11 Plumber 0 Gasfitter ❑ Master 0 Journeyman r November 10, 2005 Town of Yarmouth Attn: Jim Brandolini, Building Commissioner 1146 Route 28 South Yarmouth, MA 02664-4492 Re: Forged Documents used to obtain permit 51 Wimbledon Drive — February, 2004 Dear Mr. Brandolini, Detective John Fallon of the Yarmouth Police Department suggested I bring the following information to your attention. In January 2004 1 contacted Frederick K. Proctor, then doing business as A Builder 4 U. I contracted with Proctor to remove our old wooden deck and replace it with a larger deck of composite flooring (TREX) and a vinyl railing system (WeatherBest). Additionally, Proctor was to remove and replace 2 windows and the front entrance and storm door. We signed forms to allow - Proctor to obtain permits but did not sign the Workers Comp Affidavit or the Town Affidavit waiving access to the state arbitration program. The Workers Comp form was forged by person or persons unknown and we did print our information on the Town form telling Proctor we would not waive any rocovery process. You can guess the rest... after cameo attempts to remedy the shortcomings Proctor stopped returning calls. We filed a complaint with the Consumer Assistance Council and their efforts resulted in Proctor having an attorney intervene. The attorney was to pay a settlement by August 14/16, 2005 but that didn't happen and the attorney doesn't return calls. What a surprise! Detective Fallon said his department cannot pursue this matter and we understand that. We would however like your department to take any action(s) available against Proctor and/or the person securing the permit(s) for him. It would be our hope that no other property owners be victimized. Thank you for your efforts and consideration of this matter. 01i30/2004 19:19 50F602435 PAGE 01 LPIss-04 CONTRACTOR AGREEMENT THis AdR!< mn made the 30 day at immy. 2m tysar) by snd baMwaan 1'radarlet >t laoetor . hara6saAer s.aed tee Catra000r aa+d Irlr. la�owrtl . raMatlsr entree cite Owttlr. _ Wltse stk that Ca+enew ad the Ow w for tke eoadderaelaw wwW acrn sa tblkm: AnItle 1. Scapa at Of Wart TM Ca rVa W ehaU tiswi* all of Ike otlleai b and peA6rm all of ale wart skow o on the lX%WJW aafd/or dasufed In Qtl SWItItadow WOW EtthM A. w aanesed h"o w It pertdas to work to be pwbvred on properly at J I Wimbilton Dr... k" L lun of Cstspbast Mw werk w be prlbetwd under kis Cowl W alsall be oowassaoW as or before _02-01.20W_, cyssd ad shall be aalbanadwlbr aomplstd on or bdbra 02.21.2t104� b1m) Tbu k of the mmom The lbllowind wnetitutes swbsuetlat caewplWoa of wort psnawatt to dds prepwal seed 000araat (Bpeelfj�) 1. Rainsm old deck. 2, Bdld t4RtG daftlt Tree &eUy& Vytd1 ntitiag. 9. Remove 2 wi aw% mplapa w th Aadenoa usn wto Arskk 3. Tb Combvd P"m TM Owm shall pay the Conww to r fbr the saaWW asd !when to be parf %$d under the Comet tks sum of Dolton (110,740.00 � 211400 to Wdhiaos wA dedttetiow postm to aotl orltad chogr orders. Amide 4. PrW w hym pe)nwtl/ of the Ceannct !•rice teat be pW !a the mewslr lblbwttyt f5pcity 1 1. keahriat and Cabo sa mach .nap of wont pr sQ sr. Artkb L Cewrol Provialow Any allwai ms or devW= !!cons the abo» s wUkatlmti Isthwing bat not liasibd to eery such •ksndao a dsvlatlaa involrinad sedkaonal megMsl sadror {oboe coats, wi11 be exeeused only upon a wripen order for um. sapid by Owner ad Cantaanw, sad if tttara is any sharp for suck ►hw aios a dsvIsdon the addhioml thur w01 be WM to *t a, , - , price of this Comm if payasalt 11 not code VAW due, CaWWW saay Iulpstad vrok on Ste job uadl uch tines mail psymerats der hm beta! made, A Iblkrs to make psymcs t for a period In excess of 7_ days mom the date data of tks pryma oawarial brwwch of tL6 c m wet ZPLT16 COMIC r xt _ owMt X: _ ter °-Zror Office Use Only Permit No. Date TOWN OF YA.RMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Applicstion GL c. 142A requires that the `reconstruction, alteration, renovation, repair, modemiration, conversion, M improvement, 142 removal, demolition or construction of an addition to any pre-existing owner -occupied four dwelling units rt structures which are adjacent to building containing at least one but not more thene such residence or building' be done by registered contractors, with certain exceptions, along with other requirements. Est. Cost Type of Work: Address of Work S w� dt.F aN 17 JE Owner Name: Ei r, a�vS t'}' Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner occupied Owner pulling own pest Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED WORK DO NOT RS FOR HAVE APPLICABLE HAVE ACCCESS TO THEE ARBITRATION IMPROVEMENT PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: -� -' A .4- G C �j Date Owner Name of Massachusetts Department of Industrial Accidents I leso/191MVI ►sstlsis 600 Washington Street tJL ehone r t—lL•ic' =f Z ri 7 C; l ® I am a homeowner performing all work m)sclf. I ant.. sole proprietor =r.d have no one ssorking in any capacity C3 I am an emplo}er pro%idins! workers' compensation for my employees working on this job. address, — tit),oheee N• _ _— inwrinte to fLlw N _ --- 1 am a sole proprietor general contractor, or homeowner (circle one) and ha%e hired the contractors listed below t.ho ha,c the folI )N%ina %%orkers' :ompensation polices: nhene N• insurince co-- eeliev N Mm {V •V 31,5MA6 Ammer Pulure to secure roverste as rtgsired usdtr Stenes 25A o(MGL 152 tse lead to the ir°po idsm o(erissital pesalfsea ° ° K sP ° one years' imprisonment ss sell as civil pteaides is tie form of s STOP WORK ORDER and a not etSIOSM a day against me. 1 osderstand that a copy of this statement may be forwarded to the Office of levesdtstiom of the DtA for covente verif cstbs. 1 do herebyf�fy under rhepains and provided above is ante and correct. Signature Print name ?hone t official use onl% do not • rite in this sees to be completed by city or to" official city or to,*":.TARMOOTII permitmetese N nBaildiat Depsrtmeot — []Lieessist Board 0 thtei it immediate response is required 261 oselettmen's Office ollealth Department contact person: phoneNr_ (508) 398-2231 _ext. r-iOther OF r TOWN OF YARMOUTH Building Department xt.261 BUILDING! N, (508) 398-2231 e PERMIT NO :B-o�.990 _ ....... • PERMIT ISSUE DATE ;- 3/12/2004 _ ; PROPOSED USE d..• .......... APPLICANT 'Richard Powell . . . . . . . . . . I JOB WEATHER CARD ---------------- (f ... ----•-•- PERMIT TO Alterations AT (LOCATION) 00051 WIMBLEDO DDR ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1030.11 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE REMARKS remove & expand existing deck as per plans dated 03111/04. AREA (SO FT) EST COST ($ $8,000.00 PERMIT FEE ($) $64.00 OWNER IRICHARD F POWELL BUILDING DEPT BY ADDRESS 399 Cottonwood Ct. Avon Lake I OH 144012 CONTRACTOR LICENSE INSPECTION RECORD FIELD COPY Date NoteProgress - Corrections and Remarks nspector wng Dp Aaz& YJ J - • oF'YgR,� ONE & TWO FAMILY ONLY - BUILDING PERMITF&D C5�'04?5' 9/9/ • C APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING p —y Town of Yarmouth Building Department H �t *:��.. 2 1146 Route 28 • Yarmouth, NIA 02664-4492 /h(A" `�+ Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 a/ h Office Use Only Planning Board Information Assessors Department Information: Permit No. Datl [an Type Map Lot �d E I Permit Fie $ 6 ,' ndorsement Date Recording Date New Deposit Reed. $ Dat it No. 1.4 Property Dimensions: Net Due $39 ! V / Other Lot Area (st) Frontage (ff) Lot Coverage This Section for Office Use Only Building PeVpitAurn4er., I Date Issued: Signature, 7/ 70 Certificate of Occupancy is is not required Building Officlal Date Section 1 - Site Information I Use Group: R-4 Type: 5-13 1.1 Property Address: s1 �. ltjf ,(3 >E 1.2 Zoning Information: RZS Zoning District Proposed Use ("Jest Y. akf&n r lf7A 1212-& 1.3 Building Setbacks (it) Front Yard Side Yards — Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.O.L e. 40. S 54) Public Private 1.5 Flood Zone Information: Comments: I Zone: BRIE: Section 2 - Property Ownership/Authorized Agent 2.1 Owner of Record: all- ,6,57! M ,I— A46/jRo F /gc.1E1L 3-n a2ywtibao CY, 14t-*.,1,1AKe, a y Name (p n ,Mailing Address p Signature Telephone 2.2 Authorized Agent: 2fc"-2 n iC Name (p ' ) Mailing Address 0 33 -8 62- Signature Telephone Fax Section 3 - Constructi s 3.1 Licens Cos{ o i U llU1l 6 �S J Not Applicable ❑ EW4 1 2 I License Number Address 501LUIN By �By Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor: Company Name Not Applicable ❑ Address Signature Telephone License Number Expiration Date 9/2—al U 2 -;V?3 1 of 2 OVER J FIA Section 4 - Workers' Compensation Insurance Affidavit (M.G.L c. 152 S 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 .......... No .......... Section 5 - Description of Proposed Work (check all applicable)) New Construction 1 No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ I Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: AeiozAep— RePa i� /� n s �✓�s •Fs Costs Estimated Cost (Dollars) to be Check Below completed by permit applicant ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) be Completed When for Building Permit Section 6 - Estimated Construction Item 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. (new houses & additions) Section 7a - Owner Authorization -To Owner's A ent or Contractor Applies 1 e- E L(_ tp� , as owner of the subject property hereby authorize 66LEDe{10S K Ea_VxC n 2 to act on my behalf, in all matters relative to work authorized by this building permit application. ' Signature of Owner Date Section 7b - Owner/Authorized Agent Declaration 1 c }}p fLcD �o� JELL , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. c e-442-.D F Print name Signature of Owner/Agent Date 9-15-99 2of2 For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the 'reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition or construction of an addition to any pre-existing owner -occupied building containing at least one but not more than four dwelling units or structures which are adjacent to such residence or building' be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: Est. Cost Address of Work on) 17R1VE p Owner Name: Et BC- M-1-2�cFf►4a� F 1 bu.� — Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under $1,000 Building not owner occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: 0 o 9&al EL)-zAAq-r,4 F I b.)n r, Da e Owner Name 0 The Commonwealth of Massachusetts / Department of Industrial Accidents ANce el /evest/loffoss 600 Washington Street Boston, Mass. 02111 Workers' Compensation insurance Affidavit cit, phone a UU.O ®- 1 am a homeowner performing all work myself. I am a sole proprietor _ad ha%e no one working in any capacity I am an employer pro% iding workers' compensation for my employees working on this job. company name: city: phone #: insurance co. policy 0 I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below uho hase the folio%%ing worker' compensation polices: company name: address: city: phone a: insurance co. policy. H Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SIr500.00 andtor one years' Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verifieadoa. ! do hereby certify under the peyns and"altles ofyerjuty tha ;jeormation provided above is true and eorreeL Print name Phone M official use only do not w rite in this area to be completed by city or town official city or town: YARMOUTIJ ❑ check if immediate response is required contact person: permitAicense 0 n8uilding Department ❑Licensiog Board 261 ❑Selectmen's Office (508) ina 2231 ❑Health Department phone p: _ _ eat. nOther Unned 3M P1A1 ' =of YRRA TOWN OF YARMOUTH �✓ Ol ° BUILDING DEPARTMENT IH� `�' -•ram,;, ?3 1146 Route 28, South Yarmouth, NIA 02664 503-398-2231 ext. 260 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: �I-IT-f1'aFT/� /-i, �- JOB LOCATION: r2�cAARD r=• flu SSA W j vab �,P _ Vs, drr, Wie�- yccrww , NAME STREET ADDRESS SECTION OF TOWN )0"HOMEOWNER" CLIZ-AngT# I-{.-#-(Z►c.(f4rjp 1= RwELI, r4QQ33-97&7k. /Jpn►E NAME HOMEPHONE WORK PHONE' PRESENT MAILING ADDRESS 3q4 CaT,TbA)om o C AVeri LA,ee OJf VV0/;z—;193 CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner — occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license, provided that such homeowner shall act as supervisor. (State Building Code Section 108.3.5.1) Definition of Homeowner: Person(s) who owns a parcel of land on which he / she resides or intends to reside, on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and / or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner; such "homeowner" shall submit to the building official, on a form acceptable to the building official, that he / she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned `homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE,,� APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ n:nomeownrii=xemp BUILDING TOWN OF Y A R M O U T H ELECTRICAL GAS 1146ROUTE28 SO TTHYARMOUTH MASSACHUSETTS026644451 PLUMBING Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 SIGNS BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at qt Lr Work Address is to be disposed of at the following location: Nrjl `►An UT L I" 7 yt- Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Permit No. oZ oq /,q� ate OF 0s1R,,TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: T-04-399 Applicant Name: Richard Powell Location: 00051 WIMBLEDON DR Owner's Name: RICHARD F POWELL Owner's Addres 399 Cottonwood Ct. Avon Lake OH 44012 Owner's Telephone: (440) 933-8762 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Check ChkNo.: 430 Net Owed: ($25.00) Application Date: 2/23/2004 Issue Date: Expiration Date Comments: 3 p remove & expand existing deck ZONING APPROVED_ This is NOT a building permit. Application subject to plan review. Contact Building Department for permit status. Official Building Permit will be issued upon plan review completion, approval, and complete payment of Net Owed on Permit Fee. Date Printed: 3/1/2004 TOWN OF XARNMOUTH BUILDING DEPARTIINM PLAN REVIEW BUILDING PERMIT APPLICATION REVIEW NOTES . ADDPtESS: Mai /Lot: 3001 udLG Vl ilillfC.Ll�iYIG A7Ypruvaj . NOTES: 21 . m �,�. • axed �T .,�2/y' 8 • - 6Q �� dp. S76a 2327 zoo Zmiag DeaWcifappBmbk): Section 1043.2, pares L Changq Ixtrasiaa or Alter--dm q" asks nonconfcamino ue p: opcsed . regrkrs a Special RAY framthe Zany Dowd oofAppeak. .Other . 1 Code Denial (dapplicable) .. irm .,f - 0 e e qqc Building Site Location: Proposed Improvement: TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSM11TTAL SHEET No: jU Lot No: l � �Y�l Address: 3 �Cj 1 c✓"A Gi �-GZ`1'� Tel.No.: � �3 i�76 z Date Filed: eZ 2 3 t The Building' D &0%1 g Department will be responsible for assisting the applicant by dis atching your plans and or application to the following applicable departments. RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal ........................................................................................................................................ Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVIEWED BY: 'I. WATER DEPARTMENT: DATE: N/A 2. ENGINEERING DEPARTMENT: DATE: N/A - CONSERVATION "4. HEALTH DEPARTMENT: —DATE:—N/A.- S. WIRING INSPECTOR: INDUSTRIAL AND/OR COMMERCIAL PERMITS DATE: N/A 6. PLUMBING INSPECTOR DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A; COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT. DATE: Whim SPY - Bmld'ms Dept - Pmt COPY - Water Dq+t - Ydlow Copy - HMM Dept - Pmt Copt -Engbwm6 DeM - Fie DeptR.meintlos�" ,^ c TOWN OF YARMOUTH BUILDING DEPARTMENT `z�, '--K• BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: �, ! Z/ /i1 �t�� r% _ /l%/ Map No: JU Lot No• Proposed Improvement: y n ( wo) Address: 399 (.i�}?!t/ray( C� TelNo.: !i33 Date Filed: V 23 Gt- The Building Department will be responsible for assisting the app/l� by �1.tchmg yol°1ir plans and or application to the following applicable departments. RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ....................................................... ............ 4..F....................."""'-"""""""""""............."""""" REVIEWED BY: ✓l. WATER ENGINEERING DEPARTMENT: DATE: N/A: �2. V 3. CONSERVATION: DATE: N/A: ✓4. HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WIRING INSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: White copy -BcMinBDept - Pink copy- WaterDTL - Yellow Cepy-Haft DML - Pink CoPy-Enghmrin6Dept - Goldeond- Fire DeptComcvatim . - - - ........,, - . . , _ I .. . . `/ q 1 TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Proposed Improvement: Address: 3 The Building Department will be responsible for assisting the applicable departments. REi cmENTIAr AND/OR COMMERCJAL BUILDING No: J0 Lot No: 41 (qyU) Tel.No.: f33 !K76:2 Date Filed: 2 3 ki by Tifiatching your plans and or application to the following WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVIEWED BY: ✓I. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: V�3. CONSERVATION: DATE: N/A: V 4. HEALTH DEPARTMENT. DATE: � US�NIA: TND /O OMMERC AL PERM S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: White wpy - BDBd ng Dept - Pink copy - Water DePL - Yellow Copy - HeaM Dept -Pink COPY - Engmeaing Dept - Goldenrod - Fire DMt Comvvrtim 1/49 F7 /z S Q+ 0 FILE COPY' �7 !z" RjSe 5 11z" Tc-• &A 5+1)c r-S - bP,Gk soi c eS to 01c ax ►a Pt 3 4i?Co !'►f� . i p -nnc. tubes fGMS etc. !ED OR BU11 DING D ZON G C01 w pect d bef re ;;, E IRS OR 'OMMIS IONS D NOT F b ck iilil APr �!1ANT ROM I iE RES ONSIB! JTY OF aua ANU V ric --= it v • � i 1p �k b post- �{- v CV- 3 Fr � t7 Yy(wl_ 'I" WY6 PDS�- rror)4-oF 140o�, 54,6,r-; . -�; 171- I lb, k i s 1Decj: , Property Location: 51 WIMBLEDON DR AIAPID: 30111111 /kh"In! i8IA01NA// Bldr A 1 Card 1 of 1 Print Date: 02/05/200411:12 CURRENT OWNER WELL, RICHARD F WELL. ELIZABETII M 99 COTTONWOOD OCURT VON LAKE, OH 41012 TOPO. JUTIL[TIESISIRTYROADI LOCATION CURRENT Description Code ASSESSMENT Avvraised Value I Assessed Value 815 YARMOUTH, i6fA LAND RESIDNTL 1010 1010 109,400 92,400 109,400 92,400 SUPPLEMENTAL DATA Account# 0156200 Additional Owners: Subdivision 120 Ward VISION �recinct IS ID: Total 201 JM 201800 RECORD OF OWNERSHIP WELL, RICHARD F HARWICK, FRANK W JR& MARILYN LLEHERTHOMASE BK-VOLIPAGE 12236/ 202 97SV 115 SALE DATE 04/30/1999 08/02/1995 /u Q Q vfi I SALE I 1 PRICE 125,000 %,00 0 V.C.1 00 Yr. lCodel PREVIOUS Assessed Value Yr. ASSESSMENTS Code HISTOR Assessed Value Yr. I Code I Assessed Value 2003 20031010 1010 49,700 57,600 002 002 1010 1010 49.700 57,600 001 001 1010 1010 49,700 57,600 Total: 107 Total: 107,300, Total. -I 107 EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year T • r/Descri Lion Amount Code Description Number Amount I Comm. Int. APPRAISED VALUE SUMMARY Appraised Bldg. Value (Card) Appraised XF (B) Value (Bldg) Appraised OB (L) Value (Bldg) Appraised Land Value (Bldg) Special Land Value 90,800 1,600 0 109,400 Total. NOTES Total Appraised Card Value Total Appraised Parcel Value 201,80C 201,800 Valuation Method: CosUMarket Valuation et Total Appraised Parcel Value 201,800 BUILDING PERMIT RECORD VISIT/CHANGE HISTORY Permit ID Issue Date T3re Description Amount Insp. Date % comp, Date Como. Comments Date 91I&t95 ID DIG Cd. 50 Purpose/Result VERITY PHONE 8/15 S DII 01 easur+lVisit LAND LINE VALUATION SECTION B# 1 Use Code 1010 I Description SINGLE FAM Zone Difrontagel Depth Units 6,534.00 SF Unit Price 11.24 L Factor 135 S.I. 5 C Factor I 1.10 Nbad. 0050 I Ad'. Notes-Ad%S cial Pricing 1.00 Ad•. Unit Price 16.75 Land Value 109,400 Total Card Land Units fi 3.00 SF Panel Total Land Ana: 6,534SF TotallandVal 109,400 Property Location: 51 WBOLEDON DR Vision ►D. IM CON r Element I CI Ch I Descripno MAPm: 30/ 11/// Other ID: 18/ A016/ A/ / Bldg is 1 Card 1 of 1 Print Date: 02/05/200411 tones Story kcupancy 1 OO�Ceiling/Wall s aterior Wan 1 4 Wood Shingle 70 Common Wall 2 Wall Height :oof Structure Gabledflp :oof Cover 3 sphtF GLc/Cmp CONDO/MOBILE HOME DATA aterior Wan 1 5 all/Sheet entent a scriptian actor 2 aterior Floor 1 2 lardwood mplcx oor Adj 2 Jnit location leating Fuel 13 as umber of Units leating Type orced Air-Duc amber of levels 1C Type I one Ownership )edrooms 2 Bedrooms COST/MARKET VALUATION lathrooms Bathroom nadj. Base Rate 100.00 Total Rooms Rooms ize Adj. Factor 1.15026 tade(Q)Index 0.96 Bath Type 2 fodern Kitchen Style 2 fodern dj. gaze Rate 110.42 Idg. Value New 126,100 ear Built 1967 ff. Year Built 1974 rml Physcl pep 28 rnlObslnc Obslnc pecL Cond. Code pecl Cond % 0 0 72 MIXED USE 1010 INGLE FAA1 100 verall % Cond. rec. Bldg Value 90,800 OB-OUTBUILDING & YARD ITEMS(L) I XF-BUILDING EXTRA FEATURES(B) Code Desrri tiort ►/8 Units 1 Unit Price Yr. D Rt 76Cnd Apr. Value FPLI ]REPLACE 1 ST B 1 2,200.00 1974 1 100 1,6N BUILD►NG SUB -AREA SUMMARY SECTION Description twin Ana Gross Area £ . Area Unit Cost Unde rer. Value fFO Floor 936 936 936 2 110A2 IIIAO 103,353 221 orch, Open, Finished 0 12 936 187 22.06 2i�n9 i asemen4 Unfinished U 168 Wpg Wood r FPOMw:RMrj L FAX N0. :4409338762 Feb. 23 2004 07:34PM P2 euTt:R, RirharA 1, F1/,r.abath Powu17 _a 0 IcST �s L� I� Q 72 } m R=. �-rpQ7 it TO M ( Adwintara Martraye Corp. ) MORTGAGE INSPECTION PUN AND ITS TITUL 0464101i WCATlb N I OOr7/P THAT TK WAAMM 0 ON DO TO 7CflAfit n[al►Ip+WR Tarmrnitl, v ,1 T' TI i I U •• F! 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