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HomeMy WebLinkAbout2015 Jan 06 - Sign Off Transmittal Sheet, Plans - Renovation, Adding BR ot�qe,y TOWN OF YARMOUTH �_ �'- � HEALTH DEPARTMENT pti���-7 ��:,, ` '? V��/ PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant.• Building Site Location: �� � ��,�J�>��� �� � �'`� � ProposedImprovement: IX'�o✓^�� �u� l�c��� c�n� �cri�v�c ��✓�� o �v, �-� i /� / �"� 1�20✓i � r i� P`� ., ctc� � K r V6 U N Su �n c` �j-�. r– � Applicant: / n✓L ��"� � Tel. No.: ��a' ���4�6 ��/ , �� Address: �� -� T���� � T �"� �����-� /'�� �v26D� Date Filed:��2����� •'Ifyou would like e-marl notifrcation ofsign off,please provide e-mar!address: P�V�• �!a L✓��� Y4�?oo . �J�t .. � / OwnerName: _�'N1e� P �rev� .�iorc' ��c✓ �, Owner Address: i�' % ��i�'���� ��� Owner TeL No.:��� 6�'�- ZP�' _ RESIDENTIAL AND/OR CONIlVIERCIAL 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:F[oor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Titie 5 appiication signed by licensed installer with fee. ' REVIEWED BY: DATE: / b �S PLEASE NOTE COMMENTS/CONDITIONS: ✓� SSo2 � �3r�,,�� �- � � r� - N a w c�. � � � I �f �o� �r y�Y � �.��, �,_., ;� ,ivw, , � � ro �. _, i ; : ( ��� ; 5� ���c' r� <„ F�� y') � ✓��- 5 �'�v� � Sr��� c -f- �zs � ��� ��— o�_ " ���(�C Property l,oeation: 3A7 HtGHBANK RD �fAP tD:97112711 t Bldg h'aiue: State Use:I410 Vision ID:126�9 Account#1293500 B/dg�t: 1 of 1 Sec#: 1 of 1 Card l af 1 Print Date:01/16/2014 10:54 CUNSTRUC`T/ONDETAIL CI3NS�'RUC770NDET�IIL.ICONTCNUBDI � _� .�. � — — ---- --. -- -- --- — � L[emen! Cd Ch. Deccription ��E(ement Cd. Ch. Descriptlon -rylc 4 apc Cod odel 1 eaidentlal rade 3 verage AS AF 20 . AS rories 1.5 1 112 Stories AS ccupancy I i MIl'&D USE xCerioc Wall J 14 ood S6ingle t'ode Descii itro�r Percetata e Exterior WalI2 IUIO INGLE FAM MDL Oi 166 oof Structurc 3 able!}Ilp 1 Roof Cover 16 ood�3hinglc p 2 . 2 nterior Wall I 2 �Wall BrdlWoud ��«o�wm��z � cns�rnrAxrcar�cgcuaTro�v In[esioc Flr 1 9 iuelSoFt Wood Adj Base Rate� � 4.42 Intcrior Flr 2 (03,861 20 eatFucl 1 oallWd/None NetOtherAdj: .00 yp qp - eplaceCost -03�86! HeatType 1 one ti.g 413 C Type 1 unc � olal Bedmoms I 1 Bedrpom pep Codc otal Btlurns �l Remodel Rating � oql Half Baths ear Remodeied otal Xtra Fixkrs ��P� � otal Rooms unctianai Obshic But6 Sryle 1 Id Style Hxlcmal Obslnc �itchcn Style 1 Id 5[yIc ostTrend Factor andilion !o Com�tlete I ve�all%Cond � 8 PO�is Val Q6114 . ' ep%Ovr Dep Ovr Commen[ -s, . � Misc Imn Ovc i,4�"�� 4 � �"�, itc Im Ovr('ominent � �t �� �y..�t��� � � '� crit to Cure Ovr i �`�s �` ��"i�j �w �� '�� ,t� �, utit[oCureOviComment F �t�j�5� 1���t}� 1ir� �'��Si� ,,i�; ��.� T ` �y ����4����3������� O&•OIJfiBUILbXNG& 3'ARI)ITEMS{L)IXF-BUILUIiYGEXI`R,4��ATURES(Bj `R a9�ap +�� � „'� +�; �'o- ,,r �� y � _ ___ _� _ .y�, � � � Code Descrl tlon Suh Sub Deseri I UB (1n1(s Uttit Pnce Yr Cde D Rd Cnd %Cn�l fl r Vq(ue �' s -,i�i�u�;�i ��,�a�a,�5������: �,a;��:v� E � ,,.ts ' HDI HED FRAME Q AO �Oi I60 1,900 � �� � � "tS(bs �OS Encl Outs Shwi B 1 .00 1980 1 100 3 4�U`{���3 - � . 3p z� �� vG�i�' ��qir f�v � n. � .„ � , ..�i v�j ;:. ... SUCLiliNG.SUB A�L`Mr1}ARYSBC'TlON ' Code Descri tion Livin Area Gross ilrea E .Area Unit Cost Unde rec Vulue � AS irst Floor 960 960 960 94.42 90,fi42 �� AF ttiF Expansion�Aimshcd 140 40A 1�0 33A5 13�219 / _ r r.,�'" � ' ,: � �. � „ : ��w� : . _. 1��= t�� �.� � lv - � ; ,. ,� � ' ��.,. �5�.� �.s � r�����}��, , Property Location:347 HICHBANK RD MAP ID:91/127/// Bldg Name: State Use:1010 Vision ID:12629 Account#1293500 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:Ol/16/2014 10:54 ROWELL WALTER M 1 evel ublic Water 1 Paved 'uburban� Descriptian � Cade Appraised Va[ue Assessed Value �� /O BOUDREAU JAMES eP��� ESIDNTL 1010 70,600 7Q600 8(5 19 DEER RUN RD ES LAND 1010 89,300 89,300 yqRMOUTH,MA MERIDAN,CT 06451 SU1'PL�'�&NT`�1LI)tITA ESIDNTL IOIU 1,900 1,900 ddi[ionalOwners: [herlD: SO/d022//J VOTE -�� � - ��� ISC 240 VOTE DATE HANGES PRIVATE R( ETTERMENT � VISION LAN NUMBEIR02G IP CODE 2664 � ISlD: 12629 ASSOCPlD# Tofa( 161,800 161,800 �2EC�RD t!F OWN6RSHlP �: BK-VU!✓PAQE Sa1LE DA7E /u vf�;SAL&PRI�'L I;C. PX�I�70(75 ASS�SSM�NTS'HISTORY�. ROWELL WALTER M 6281/224 � OS/27/1988 1 Yr. ��Code Assessed Vq(ue Yr. Code � �Issessed Value Yr.� Code Assessed Volue ROWELL WALTER M 1 0 013 1010 67,700 012 1010 72,000 011 1010 65,900 U13 1010 94,300 012 1010 IOQ300 011 1010 106,400 013 1U10 1,900 012 1010 1,900 011 1010 1,900 To(al: 163 900 Total: 174 200 To(aL• 174 200 � ' -� ' �'XEMPTIONS ���. dTHER ASSESSMENTS '��, This srgnature ack�mwledges a visit by a Da�a Co/%clor or Assessor Year T e Descri tian Amm�nt Code Descri tion Numbei' � Amouttl Comm./n(. APRRAISBD t'a1Li7ESIIM�ARY Appraised Bldg.Value(Card) 7Q600 ASS�SS/NGNfi1GHBORHODh '- ��,Appraised XF(B)Value(Bldg) 0 NB[ID/S(JB � ��NBHDNome� �Sbee!/ndexName 7raci�r�� �� Da(di AppraisedOB(L)Value(Bldg) 1,900 0050/A Appraised Land Value(Bldg) 89,300 ��T�� . _ . . '�.. �:I Spccial Land Value 0 APE COD CELLAR-OUTSIDE ACCESS ONLY ATURAL i/A FORMERLY FOUR WINDS B&B Total Appraised Parcel Value � 161,R00 NO LONGER A BED&BREAKFAST 6 RENTAL ROOMS TOTAL Valuation Me[hod: C ONVERTEDBARN EASONAL USE ONLY Adjushncnt: 0 e[Total Appraised Parcel Value 161,500 B(IILDItVC PC�RM17'1�EC(1RD ViSl7'/C/i"ANG&H/STOBP Permit[D /ssue Date T e escri fian Amount Gis .UA(e %Com . Date Com . ommen[s Do(e T e /S 1D Cd. Pur ase/2esult OS-866 Ol/10/2005 AC ccessoryStru 5,7R4 0 12X205HED IU/04/2005 GM 00 Measur+Lisfed 998523 ]0/01/1991 1,700 100 EROOF 6/30/2005 JB 02 Measur+2Visi[-InfaCan 6/30/2005 JB Ol Mcasur+IVisi[ 1/01/1991 JG 00 easur+Lis[ed 3 CANDLI�S'E[�ALUA�'✓ONS&CTIbN B Use ��Use Uriit L Acre �� C. ST SAdj i! Code Descrip/ion Zane D Fron! Dep(p (Jnils Priee Fac(or ,q, Disc Fqclor [dx qd'. Notes-AJ' S ecialPricin Fae[ .. _ . � dj. Uriif Price Land Vulue 1 ]O10 INCLEFAM MDL-Ol 16,988 SF 4.78 I.00OU 5 1.0000 1.00 O50 1.10 1�.00 5.26 89,300 � � Total Card Land Units:� � 0.39TAC Parcel To[xl Land Area:b.39 AC � � �� � � � � � Totxl Land Valur. 89.300 •• /�:—�--,.�nrw1ame._+�:•+.0 wvaux ..cw'/ rv.. .r n�� �.�,a '.� �v �.:.p I , 1 BES 3 e f a RIEUROWIRD IAN it 6 2015 HEALTH DEPT. e f a RIEUROWIRD IAN it 6 2015 HEALTH DEPT. HEALTH DEPT. I Bordeau Residence 347 Highbak Rd. So. Yarmouth Designed By Padraig Galvin Scale 1/4"=1ft Oct 15th 2014 (�E-C) I- f E?« b-rl r4 a- PLO 0z PLq r✓ Bordeau Residence 347 Highbak Rd. So. Yarmouth Designed By Padraig Galvin Scale 1/4"=1ft ,Oct 15th 2014 Bordeau Residence 347 Highbak Rd. So. Yarmouth Designed By Padraig Galvin Scale 1/4"=1ft Oct 15th 2014