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HomeMy WebLinkAboutBuilding Permits.ort'Ya� J 0 TOWN .OF YARMOUTH BUILDING DEPARTMENT ' '1146 Route 28. South Yarmouth. t[A 02664 a08-398-2231 eit.1261 F:ax'.08-398-0836' Permit NumbALM S-S � 37g� Date Issued Expiration Date $50.00 TREN , H:P RMIT .: - .: Pursuant to G.L. c.:82A H-and 520 CMR 7.00 et secUas amended) THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION Name of Applicant ' �i� tl f -� �%1 f�'Z C/ l�/J%; y�J�. Ptwae .J Cell: Street Address 3o N -os 'A'ojQ . d. City/1 own '' CIA I ZIP Nana of Excavator (if different from appUcan) • . St eet Address ' . • . , • : ,. ,. Phone -Cell 0 IQ 6 Cityfrown MA: ZIP T, :.' ', . Name of Ownerls) of Property s�"M�� t'bocw ,Ceu .:. Street Address',d-to-�— /�„ e Cityrrowye MA ZIP (hleecontact Permit Fee Recelved No Yea Deacrlptioo, location and purpose of proposed trench: Please describe the exact location of the proposed trench and its purpose (include a description of what Is (or Is intended) to be laid In proposed trsncb text plpeska4le Una etc.) Wk uw refit" side If additional space Is needed. JAN 1 2L15 _ PA 9 `' V Igo Insurance Certificate It % C 3 p-G S— %0 d , J Name and Contact Information of lnsure7 R00 0 e n � 4 �� � ���, L, � ` � ljc p 4TC. ,; 1�C' Poi F_s iration Date:. 9 `'- 1 — ' y" Di6s.ri1: oi5._.030-q0q7 Name of Compeltnt Person las defined by S20 C.%lR ZU2): % 911 1 1-; t lv `�.�� 2 � tof 2 f Massachusetts Hoisting License M fi License Grade: df -vimfi Expiration Date: BY SIGNING THIS FORM, THE APPLICANT, OWNER, AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT THEY ARE FAMILIAR WITH, OR, BEFORE COMMENCEMENT OF TILE WORE, WELL BECOME FAMILIAR WITH, ALL LAWS AND REGULATIONS APPLICABLE TO WORK PROPOSED, INCLUDING OSHA REGULATIONS, G.L. c. 82A, 520 CMR 7.00 et seq., AND ANY APPLICABLE MUNICIPAL ORDINANCES, BY-LAWS AND REGULATIONS AND THEY COVENANT AND AGREE THAT ALL WORK (NINE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN ALL RESPECTS AND WITH THE CONDITIONS SET FORTH BELOW. THE UNDERSIGNED OWNER AUTHORIZES THE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO UNDERTAKE SUCH WORK ON THE PROPERTY OF THE OWNER, AND ALSO, FOR THE DURATION OF CONSTRUCTION, AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR AND INSPECT THE WORK FOR CONFORMITY WITH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND REGULATIONS GOVERING SUCH WORK. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO REIMBURSE THE MUNICIPALITY FOR ANY AND ALL COSTS AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNECTION WITH THIS PERMIT AND THE WORK CONDUCTED THEREUNDER, INCLUDING BUT NOT LIMITED TO ENFORCING THE REQUIREMENTS OF STATE LAW AND CONDITIONS OF THIS PERMIT, INSPECTIONS MADE TO ASSURE COMPLIANCE THEREWITH, AND MEASURES TAKEN BY THE MUNICIPALITY TO PROTECT THE PUBLIC WHERE THE APPLICANT OWNER OR EXCAVATOR HAS FAILED TO COMPLY THEREWITH INCLUDING POLICE DETAILS AND OTHER REMEDIAL MEASURES DEEMED NECESSARY BY THE MUNICIPALITY. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE MUNICIPALITY AND ALL OF ITS AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY, CAUSES OR ACTION, COSTS, AND EXPENSES RESULTING FROM OR ARISING OUT OF ANY INJURY, DEATH, LOSS, OR DAMAGE TO ANY PERSON OR PROPERTY DURING TILE WORK CONDUCTED UNDER TILLS PERMIT. APPLICANT SIGNATURE DATE A! E CAVATOR SIGNATURRE (IF DIFFERENT) DATE OWNER'S SIGNATURE (IF DIFFERENT) GOl!/K� L DATE• o� For Ciqfrown ume — Do not write in tAia seeUon PERMIT APPROVED BY. Application Fee . PERMITTING AUTHORITY Date CONDITIONS OF APPROVAL, . 2 of 2 TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 Telephone (508) 398-2231, Ext. 241 — Fax (508) 398-2365 BOARD OF HEALTH ®FILE COPY January 20, 1998 Mr. and Mrs. Frederick V. Olson 22 Merchant Avenue Yarmouth, MA 02675 Re: 1998 Rental Registration Dear Mr. and Mrs. Olson, Thank you for submitting your 1998 Rental Registration Form. In processing your registration we noted that your check was neither signed nor dated. After fiuther evaluation to your registration form we have noticed that your property is rented to a member of your immediate family. Yarmouth does not require a registration fee to be paid when the rental is to a member of the owners immediate. family. We have processed your form but are returning your check to you under the stipulation that this property is still being rented by your son. If you should have any questions or comments relative to this matter, please contact me at the Health Office. I can be reached by calling (508)398 2231, ext. 240, Monday through Friday, from 8:30 a.m. to 4:30 p.m. Very truly you r e Peterson Department Assistant 51U Enclosure Primed on Recycle d .rim„t�J�.P�a'per lilts �,i�� TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel (508) 398-2231 — Fax (508) 398-2365 BOARD OF HEALTH RENTAL OCCUPANCY CERTIFICATE PERMISSION IS HEREBY GRANTED TO: FREDERICK V OLSON MARTHA C OLSON. 22 MERCHANT WAY YARMOUTH PORT MA TO RENTILEASE THE PROPERTY AT: 02675-2235 Expires on 12/31/1999 22 MERCHANT AVENUE Allowing MAXIMUM OCCUPANCY of 2 Persons for ANNUAL rental. Restrictions: OWNER/OCC. TOWN OF YARMOUTH HOUSING AND SPACE -USE BYLAW, CHAPTER 108 Certificate of res;istration required: posting 108.2 No person shall rent or lease, or offer to rent or lease, any building or arty portion of a building to be used for human habitation without first registering with the Board of Health, which shall determine the number of persons such building or portion of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code, and without first also conspicuously posting within such building or portion of a building a certificate of registration provided by the Board of Health specifying the number of persons such a building or portion of a building may lawfully accommodate. 108.4 There shall be a fee to procure a certificate of registration, which shall be valid for one (1) year or to December 31 of each year, which ever is sooner. Thereafter the permit shall be annually renewed. 108.5 A permit issued under this chapter shall be revoked if, at any time, the licensing authorities are satisified that the licensee is unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper, the permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension shall not be riiade until after — investigation and a hearing or after giving the licensee an opportunity to be heard. Notice of the hearing shall be delivered to the permittee not less than three (3) days before the time of said hearing. 108.6 Any person or tenant violating any provision of this chapter shall be punished by a fine of not more than two hundred dollars ($200.00). Each days violation constitutes a seperate offense. 108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke detectors have been placed in the rental unit. The smoke detectors and locations thereof shall be satisfactory to the Yarmouth Fire Department. BRIAN M. HEASLIP HOUSING INSPECTOR MUST BE POSTED ON PREMISES TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel (508) 398-2231 —Fax (508) 398-2365 BOARD OF HEALTH RENTAL OCCUPANCY CERTIFICATE PERMISSION IS HEREBY GRANTED TO: FREDERICK V OLSON Expires on 12/31/1998 MARTHA C OLSON 22 MERCHANT WAY YARMOUTH PORT MA 02675-2235 TO RENTa EASE THE PROPERTY AT: 22 MERCHANT AVENUE Allowing MAXIMUM OCCUPANCY of 2.Persons for ANNUAL rental. Restrictions.: OWNER/OCC. TOWN OF YARMOUTH HOUSING AND SPACE -USE BYLAW, CHAPTER 108 Certificate of registration required: posting 108.2 • No person shall rent or lease, or offer to rent or lease, any building or any portion of a building to be used for human habitation without first registering with the Board of Health, which shall determine the number of persons such building or portion of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code, and without first also conspicuously posting within such building or portion of a building a certificate.of registration provided by the Board of Health specifying the number of persons such a building or portion of a building may lawfully accommodate. 108.4 There shall be a fee to procure a certificate of registration, which shall be valid for one (1) year or to December 31 of each year, which ever is sooner. Thereafter the permit shall be annually renewed 108.5 A permit issued under this chapter shall be revoked if, at any time, the licensing authorities are satisified that the licensee is unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper, the permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension Mall not be made until after — investigation and a hearing or after giving the licensee an opportunity to be heard Notice of the hearing shall be delivered to the permittee not less than three (3) days before the time of said hearing. 108.6 Any person or tenant violating any provision of this chapter shall be purlished by a fine of not more than two hundred dollars ($200.00). Each days violation constitutes a seperate offense. 108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke detectors have been placed in the rental unit The smoke detectors and locations thereof shall be satisfactory to the Yarmouth Fire Department r BRIAN M. HEASLIP HOUSING INSPECTOR MUST BE POSTED ON -PREMISES TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel (508) 398-2231 —Fax (508) 398-2365 BOARD OF HEALTH RENTAL OCCUPANCY CERTIFICATE PERMISSION IS HEREBY GRANTED TO: FREDERICK V OLSON Expires on 12/31/1997 MARTHA C OLSON 22 MERCHANT WAY YARMOUTH PORT MA 02675-2235 TO RENT/LEASE THE PROPERTY AT: 22 MERCHANT AVENUE Allowing MAXIMUM OCCUPANCY of 2 Persons for ANNUAL rental. Restrictions: OWNER/OCC. TOWN OF YARMOUTH HOUSING AND SPACE -USE BYLAW, CHAPTER 108 Certificate of registration required: posting 108.2 No person shall rent or lease, or offer to rent or lease, any building or any portion of a building to be used for human habitation without first registering with the Board of Health, which shall determine the number of persons such building or portion of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code, and without first also conspicuously posting within such building or portion of a building a certificate of registration provided by the Board of Health specifying the number of persons such a building or portion of a building may lawfully accommodate. 108.4 There shall be a fee to procure a certificate.of registration, which shall be valid for one (1) year or to December 31 of each year, which ever is sooner. Thereafter the permit shall be annually renewed 108.5 A permit issued 'under this chapter shall be revoked if, at any time, the licensing authorities are satisified that the licensee is unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper, the permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension shall not be made until after — investigation and a hearing or after giving the licensee an opportunity to be heard. Notice of the hearing shall be delivered to the permittee not less than three (3) days before the time of said hearing. 108.6 Any person or tennant violating any provision of this chapter shall be punished by a fine of not more than two hundred dollars ($200.00). Each days violation constitutes a seperate offense. — 108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke detectors have been placed in the rental unit. The smoke detectors and. locations thereof shall be satisfactory to the Yarmouth Fire Department. t BRIAN M. HEASLIP HOUSING INSPECTOR MUST BE POSTED ON PREMISES OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel (508) 398-2231 —Fax (508) 398-2365 BOARD OF HEALTH RENTAL OCCUPANCY CERTIFICATE PERMISSION IS HEREBY GRANTED TO: FREDERICK V OLSON Expires on 12/31•/1996 MARTHA C OLSON 22 MERCHANT AYE YARMOUTHPORT MA 02675 TO RENT[LEASE THE PROPERTY AT: 22 MERCHANT AVENUE Allowing MAXIMUM OCCUPANCY of 2 Persons for ANNUAL rental. Restrictions: OWNER/OCC. TOWN OF YARMOUTH HOUSING AND SPACE -USE BYLAW, CHAPTER 108 Certificate of registration required: posting 108.2 No person shall rent or lease, or offer to rent or lease, any building or any portion of a building to be used for human habitation without first registering with the Board of Health, which shall determine the number of persons such building or portion of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code, and without first also conspicuously. posting within such building or portion of a building a certificate of registration provided by the Board of Health specifying the number of persons such a building or portion of a building may lawfully accommodate. 108.4 There shall be a fee to procure a certificate of registration, which shall be valid for one (1) year or to December 31 of each year, which ever is sooner. Thereafter the permit shall be annually renewed 108.5 A permit issued under this chapter shall be revoked if, at any time, the licensing authorities are satisified that the licensee is unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper, the permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension shall not be made until after — investigation and a hearing or after giving the licensee an opportunity to be heard Notice of the hearing shall be delivered to the permittee not less than three (3) days before the time of said hearing. 108.6 Any person or tenant violating any provision of this chapter shall be punished by a fine of not more than two hundred dollars ($200.00). Each days violation constitutes a seperate offense. 108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke detectors have been placed in the rental unit The smoke detectors and locations thereof shall be satisfactory to the Yarmouth Fire Department c BRIAN M. HEASLIP HOUSING INSPECTOR MUST BE POSTED ON PREMISES TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel (508) 398-2231 —Fax (508) 3 98-23 65 BOARD OF HEALTH RENTAL OCCUPANCY CERTIFICATE PERMISSION IS HEREBY GRANTED TO: FREDERICK V OLSON MARTHA C OLSON 22 MERCHANT AVE YARMOUTHPORT MA 02675 TO RENTILEASE THE PROPERTY AT: ,Expires on 12/31/1995 22 MERCHANT AVENUE Allowing MAXIMUM OCCUPANCY of 2 Persons for ANNUAL rental. Restrictions: OWNER/OCC. TOWN OF YARMOUTH HOUSING AND SPACE -USE BYLAW, CHAPTER 108 Certificate of registration required: posting 108.2 No person shall rent or lease, or offer to rent or lease, any building or any portion of a building to be used for human habitation without first registering with the Board of Health, which shall determine the number of persons such building or portion of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code, and without first also conspicuously posting within such building or portion of a building a certificate of registration provided by the Board of Health specifying the number of persons such a building or portion of a building may lawfully accommodate. 108.4 There shall be a fee to procure a certificate of registration, which shall be valid for one (1) year or to December 31 of each year, which ever is sooner. Thereafter the permit shall be annually renewed 108.5 A permit issued under this chapter shall be revoked if, at any time, the licensing authorities are satisified that the licensee is unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper, the permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension shall not be made until after — investigation and a hearing or after giving the licensee an opportunity to be heard. Notice of the hearing shall be delivered to the permittee not less than three (3) days before the time of said hearing. 108.6 Any person or tenant violating any provision of this chapter shall be punished by a fine of not more than two hundred dollars ($200.00). Each days violation constitutes a seperate offense. 108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke detectors have been placed in the rental unit The smoke detectors and locations thereof shall be satisfactory to the Yarmouth Fire Department c BRIAN M HEASLIP HOUSING INSPECTOR MUST BE POSTED ON PREMISES TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel (508) 398-2231 —Fax (508) 398-2365 BOARD OF HEALTH RENTAL OCCUPANCY CERTIFICATE PERMISSION IS HEREBY GRANTED TO: FREDERICk' V OLSON MARTHA C OLSON 22 MERCHANT AVE YARMOUTHPORT MA 02675 TO RENTMEASE THE PROPERTY AT: Expires on 12/31/1994 22 MERCHANT AVENUE Allowing MAXIMUM OCCUPANCY of 2 Persons +or ANNUAL rental.. Restrictions: OWNER/OCC. TOWN OF YARMOUTH HOUSING AND SPACE -USE BYLAW, CHAPTER 108 Certificate of registration required: posting 108.2 No person shall rent or lease, or offer to rent or lease, any building or any portion of a building to be used for human habitation without first registering with the Board of Health, which shall determine the number of persons such building or portion of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code, and without fast also conspicuously posting within such building or portion of a building a certificate of registration provided by the Board of Health specifying the number of persons such a building or portion of a building may lawfully accommodate. 108.4 There shall be a fee to procure a certificate of registration, which shall be valid for one (1) year or to December 31 of each year, which ever is sooner. Thereafter the permit shall be annually renewed 108.5 A permit issued under this chapter shall be revoked if, at any time, the licensing authorities are satisified that the licensee is unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper, the permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension shall not be made until after - investigation and a hearing or after giving the licensee an opportunity to be heard Notice of the hearing shall be delivered to the permittee not less than three (3) days before the time of said hearing. 108.6 Any person or tennant violating any provision of this chapter shall be punished by a fine of not more than two hundred dollars ($200.00). Each days violation constitutes a seperate offense. 108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke detectors have been placed in the rental unit. The smoke detectors and locations thereof shall be satisfactory to the Yarmouth Fire Department BRIAN M. HEASLIP HOUSING INSPECTOR MUST BE POSTED ON PREMISES .O PERMISSION IS HEREBY GRANTED TO: OLSON MARTHA C OLSON 22 MERCHANT AVE YARMOUTHPORT MA T OWN OFYARMOUTH BOARD OF HEALTH O C*C U P A N C Y C E R T I F I C A T E EXPIRES ON 12/31/90 FREDERICK V ET UX 02675 A 0 S�. TO RENT/LEASE THE PROPERTY AT 22 MERCHANT AVENUE ALLOWING MAXIMUM OCCUPANCY OF 2 PERSONS FOR ANNUAL RENTING. HOUSING INSPECTOR RESTRICTIONS= NONE TOWN OF YARMOUTH HOUSING AND SPACE -USE BY-LAW. SECTION 6.33 NO PERSON SHALL RENT OR LEASE. OR OFFER TO RENT OR LEASE. ANY BUILDING. OR ANY PORTION OF A BUILDING. TO BE USED FOR HUMAN HABITATION r WITHOUT FIRST REGIST- ERING WITH THE BOARD OF HEALTH. WHICH SHALL DETERMINE THE NUMBER OF PERSONS SUCH BUILDING. OR PORTION OFr MAY LAWFULLY ACCOMMODATE UNDER THE PROVISIONS OF THE MASSACHUSETTS STATE SANITARY CODE; AND WITHOUT FIRST ALSO CONSPICUOUSLY POSTING WITHIN SUCH BUILDING. OR PORTION OFr A CERTIFICATE OF OCCUPANCY, AS PROVIDED BY BOARD OF HEALTHr.SPECIFYING THE NUMBER OF PERSONS SUCH BUILDING. OR PORTION OF? MAY LAWFULLY ACCOMMODATE... 1. THERE SHALL BE A FEE OF $20.00 TO PROCURE A CERTIFICATE OF OCCUPANCY WHICH SHALL BE VALID FOR ONE YEARS OR DECEMBER 31ST OF EACH YEAR. WHICHEVER IS SOON- ER. THEREAFTER. THE PERMIT SHALL BE ANNUALLY RENEWED AT A FEE OF $20.00 PER YEAR. ' 2. A PERMIT ISSUED UNDER .THIS BY-LAW SHALL BE REVOKED IF AT ANY TIME THE LICENSING AUTHORITIES ARE SATISFIED THAT THE LICENSEE IS UNFIT TO HOLD THE PERMIT. THEY MAY SUSPEND AND MAKE INOPERATIVE► FOR SUCH PERIOD AS THEY MAY DEEM PROPERr'THE PERMIT MENTIONED HEREIN. FOR ANY CAUSE DEEMED SATISFACTORY TO THEM. THE REVOCATION AND SUSPENSION SHALL NOT BE MADE UNTIL AFTER INVESTI- GATION ANI► A HEARING OR AFTER GIVING THE LICENSEE AN OPPORTUNITY TO BE HEARD. NOTICE OF THE HEARING SHALL BE DELIVERED TO THE LICENSE NOT LESS THAN THREE DAYS PRIORPTO THE SAID HEARING. 3. ANY PERSON?' -OR TENANT. VIOLATING ANY PROVISION OF THIS BY-LAW. SECTION 6.33r SHALL BE PUNISHED.BY A FINE OF NOT MORE THAN TWO HUNDRED DOLLARS. EACH DAY'S VIOLATIONS CONSTITUTES A SEPARATE OFFENSE. 4. THIS SECTION► 6.33r SHALL NOT APPLY TO BOARDING AND/OR LODGING HOUSES LICENSED UNDER G.L.C. 140r SECTION 23; MOTELS LICENSED UNDER G.L.C. 140r SECTION 32B; OR ESTABLISHMENTS LICENSED UNDER G.L.C. 140r SECTION 2. SECTION 6.33 ' SECTION 6.33 (1-4) AMENDMENTS SPECIAL TOWN MEETING ANNUAL TOWN MEETING AI U;I ITT 74-25r •1976 APRIL r 1981 ul T 0 W N O F Y A R M O U T H BOARD OF HEALTH 0 O C C U P A N C Y C E R T I F I C A T E S PERMISSION IS HEREBY GRANTED TO: EXPIRES ON 12/31/89 OLSON FREDERICK V ET UX MARTHA C OLSON 22 MERCHANT AVE YARMOUTHPORT MA 02675 TO RENT/LEASE THE PROPERTY AT 22 MERCHANT.AVENUE ALLOWING MAXIMUM OCCUPANCY OF 2 PERSONS FOR ANNUAL RENTING. HOUSING INSPECTOR. RESTRICTIONS: NONE TOWN OF YARMOUTH HOUSING AND'SPACE-USE BY-LAWr SECTION 6.33 NO PERSON SHALL RENT OR LEASEY OR OFFER TO RENT OR LEASEY ANY BUILDINGY OR ANY PORTION OF A BUILDINGr TO BE USED FOR HUMAN HABITATION Y WITHOUT FIRST REGIST- ERING WITH THE BOARD OF HEALTHY WHICH SHALL DETERMINE.THE NUMBER OF PERSONS SUCH BUILDINGY OR PORTION OFY MAY LAWFULLY ACCOMMODATE UNDER THE PROVISIONS OF THE MASSACHUSETTS STATE SANITARY CODE; AND WITHOUT FIRST ALSO CONSPICUOUSLY POSTING WITHIN SUCH BUILDINGY OR PORTION OFr A CERTIFICATE OF OCCUPANCY, AS PROVIDED BY BOARD OF HEALTHY SPECIFYING THE NUMBER OF PERSONS SUCH BUILDING, OR PORTION OFY MAY LAWFULLY ACCOMMODATE... 1. THERE SHALL BE A FEE OF $20.00 TO PROCURE A CERTIFICATE OF OCCUPANCY WHICH SHALL BE VALID FOR ONE YEARY OR DECEMBER 31ST OF EACH YEARi WHICHEVER IS SOON- ER. THEREAFTERr THE PERMIT SHALL BE ANNUALLY RENEWED AT A FEE OF $20.00 PER YEAR. 2. A PERMIT ISSUED UNDER THIS BY-LAW SHALL BE REVOKED IF AT ANY TIME THE LICENSING AUTHORITIES ARE SATISFIED THAT THE LICENSEE IS UNFIT TO HOLD THE PERMIT. THEY MAY SUSPEND AND MAKE INOPERATIVEY FOR SUCH PERIOD AS THEY MAY DEEM PROPERY THE PERMIT MENTIONED HEREINY FOR ANY CAUSE DEEMED SATISFACTORY TO THEM. THE REVOCATION AND SUSPENSION SHALL NOT BE MADE UNTIL AFTER INVESTI- GATION AND A HEARING OR AFTER GIVING THE•LICENSEE AN OPPORTUNITY TO BE HEARD. NOTICE OF THE HEARING SHALL BE DELIVERED TO THE LICENSE NOT LESS THAN THREE DAYS PRIOR TO THE SAID HEARING. 3. ANY PERSONY OR TENANTY VIOLATING ANY PROVISION OF THIS BY-LAWY SECTION 6.33Y_ SHALL BE PUNISHED BY A FINE OF NOT MORE THAN TWO HUNDRED DOLLARS. EACH DAYYS VIOLATIONS CONSTITUTES'A SEPARATE OFFENSE. 4. THIS SECTIONY 6.33r SHALL NOT APPLY TO BOARDING AND/OR LODGING HOUSES LICENSED UNDER G.L.C. 140r SECTION 23; MOTELS LICENSED UNDER G.L.C. 1407 SECTION 32Bq OR ESTABLISHMENTS LICENSED UNDER G.L.C. 1407 SECTION 2. SECTION.6.33 SECTION 6.33 (1-4) AMENDMENTS SPECIAL TOWN MEETING ANNUAL TOWN MEETING AUGUST 24-25Y 1976 APRILY 1981 Y A R n U T H 0 S9OAan OF HEALTH 0 C 'C 'U P A N C Y C F R T I F. I CA T E "'rrMTSSION I:5 HFRFBY r-'QANTEn Tn: EXPIRES ON 12/31/88 IIt'STJrI F`RPnFRICY V ET UX 'TA'RTHA C PCS O V 72 "+FRCHART AVS 'YA''RMOUTH'PORT MA, 02675 TO RE MILFASE THE PR'DPFRTY'AT 22 MERCHANT AVENUE Attn)`WTM WAXI17 r OCCUPANCY OF 2 PERSONS FOR ANNUAL HOUSING TNSPFCTOR RFSTRTCTIONS: NONE RENTING: TnWV O='YAR�iQUTH'HOUSING AND SPACE=USE RY-I.AW, SECTION 6*33 NO Prv3DN eHALC RFNT nR LF'ASE, OR OFFFR TO RENT OR LEASE, .ANY BUILDING• OR ANY PnQTI?m OF A RUILDIVii, TO FE USE?: FOR HUMAN HABITATION , WTTHOUT FIRST RFGIST- ERI". VITH THE BOAR) OF HFAL'THs WHTCH SHALL DETERMINE THE HUN3E9. OF PERSONS SUCH TUTLDING, nR PORT119N DF,"'SAY LAWFULLY ACCOMMODATE UNnFP. THE PRDVISIOMS OF THE $TATSAfMUSr-TTS STATE -SANITARY CnDE: AND WITHOUT FIRST ALSO CONSPICUOUSLY °nSTTN1; WITHIN SUCH 91JILTTTNG, OR onRTTON nro A CERTIFICATE nF OCCUPANCY, AS PRnVTDFr 9Y BOARD n= HEAL"TN, SPECIFYING THE NUMBER nF PERSONS SUCH. BUILDINrly no PTf9TI0N OFs 1IAY LAWFULLY ACCOMMDDATE... 1, TTMVF SNALC BE A FEE OF 's1A 00 TO PROCUP.E A CERTIFICATE OF OCCUPANCY WHICH SHALLI Pw- VALID FOR 3NE YEAR, OR DECEMBER 313T OF EACH YEAQ, WHICHFVSP. IS SOON- Ep. ? FAcTERT THE 'PERKIT -SHALE' BE' ANtJUALLY RENEWED AT A FEE OF $1U.00 PER YEAR.. 2. A--'P�7HTT 1'SSUED 'JNDFR THIS 9Y-LAW SHALL BE REVOKED -F AT ANY TIME THE L?CENSITSG AUTHORTTTSS ARE SATISFIFn THAT THE LICENSEE IS UNFIT TO })OLn THE PER'MT'T: TtHcY MAY SUSPEND 'AND MAKE I'VOPERATIVE, FOR SUCK PFP,IOD AS THEY MAY DFcm ".UP"q THE PSI'MIT *4TtnjONE9 HEREIN, FOR A -NY CAUSE DIFFMETI SATISFACTORY TQ THEM.. 7141F R-VOCATIOV AND SUSPENSION SHALL NOT BE MADE UNTIL AFTER. INVFSTI- GATITN 'AND A HFARTN, OR 'AFT'FR r.IVING THE LICENSEE AN OPP02TUNTTY TO BF HEARD, NnTTt-r TIF THE'AEARTVG SHALL BF OELTVFRFD TO THE LICFNSE NVT LFSS THAN THOST Q'AYS PRIDR Tn THE SAID HcAP.TNG. 3. ANY PEPSDN, OS TFNANTv 'VTOLATING ANY PoOvISION OF THIS BY-LAW, SECTION 5.33? SE!ALL AE PUNISHED ". A FTNF OF NnT MnRE THAN TWO HUNnREO DOLLARS. EAC4 DAY•'lT.VIl9LATT!?N5 C:114STTTUTFS A SEPARATE OFFENSE. 4, THTT SECTIO!°, �.33, SHALL NOT APPLY TO BOARDING AND/OP LOnGING HOUSES LTrEWSfn JJNnFA r,.L... 140, SECTION 23; ?AnTELS LICENSED UNnFR G.L.C, 14n, Sr-CTTT►V 37P: n° ESTARLIS'iNF'NTS LICGUSEn UNDER-G.L.C. 1409 SECTION 2. SErT,Trw 5.3.3 SEC?ION 6,31 (1-4) AMENDMENTS SPECIAL-T9WN MFFT195 ANNUAL TOWN MEETING AUGUST 74-791 1n76. APRIL, 1991- n TOWN OF Y ARMOUTH BOARD OF HEALTH Fi OLSON FREDERICK V ET UX ALLOWING 'MAXIMUM OCCUPANCY OF 2 PERSONS FOR ANNUAL RENTING. TOWN OF YARMOUTH HOUSING AND SPACE=USE BY-L'AWi SECTION 6.33 THE MASS'ALHUSETTS.STATE SANITARY CODE; AND WITHOUT FIRST ALSO CONSPICUOUSLY POSTING WITHIN SUCH BUILDING, OR PORTION OF9 A CERTIFICATE OF OCCUPANCY, AS SHALL BE VALID FOR ONE YEAR, OR DECEMBER 31ST OF EACH YEARp WHICHEVER IS SDON- ER.. THEREAFTER] THE PERMIT SHALL BE ANNUALLY RENEWED AT A FEE OF $10.00 PER PERMIT. THEY rAY SUSPEND AND MAKE INOPERATIVE, FOR SUCHPERIOD AS THEY MAY, DEEM PROPFP THE PFRMIT MENTIONED HEREIN, FOR ANY CAUSE DEEMED SATISFACTORY THFM_ THE DFvneATTnN ANn SIISPFNSTf1N CHAT 1 NnT RP MAng: IINTTI APTFD TNVCCTT- 3. ANY PERSON, OR TENANTv VIOLATING ANY PROVISION OF THIS BY-LAW, SECTION LICENSED 'UNDER G.L.C. 1409 SECTION 23; MOTELS LICENSED UNDER G.L.C. 1409 SECTION-1328; OR.ESTABLISHMENTS LICENSED UNDER G.L.C. 1401 SECTION 2. ........... T 0 W N 0 F Y A R M 0 U T H PERMISSION IS HEREBY GRANTED TO:. I DATE 03/20/85 TO RENT/L'FASE THE: PROPERTY AT 22 MERCHANT AVENUE fittnWTNG "AyTrum nrcUPANCY OF 2 PERSONS FOR YEAR ROUND RENTING. I HEALTH INSPECTOR TnwN OF YARMOUTH HOUSING ANn SPACE —USE 9Y—LAWs SECTION 6.33 VRING WITH THE BOARD OF HEALTH, WHICH SHALL DETERMINE THE NUMBER OF PERSOX9 SUCH RUTLnyNGq OR PORTION nFq MAY LAWFULLY ACCOMMODATE UNOEO THE P9OVTSI1OnS OF THE MASS-ArMUSFTTS STATE SANITARY CODE; AND WITHOUT FIRST ALSO CONSPICUOUSLY Pn OR 04- I.-T"FRE SHALL 'RE A FFE OF $1n,01 TO PROCURE A CERTIFI'CATE. OF OCCUPANCY WHICH 2. A PFRMTT.TssuEn UNDER THIS RY—LAW SHALL BE REvnKED IF AT ANY TIME THE LICENSING AUTHnRITTFS ARE SATISFIED THAT THE LICENSEE IS UNFITTO HOLD THE PFQMTT. THFY PAY 'SUSPFND AND MARF, INnPFRATTVF, FOR SUCl4PFRTOO AS THEY MAY. R - I -LAI A R I N 9 L-U� L.�T F R I V: I N ry'�,T F�� L. I C N -PORT j fjN jRfA��f� -SEE, GP NnTTCF nf THE HEARING SHALL BE DELIVERED TO THE LICENSE NOT LESS THAN THREE nAYS PRIOR TO THE SAID HEARING. 4. THIS SFCTInN9 6.339 SHALL NOT APPLY TO BOARDING AND/OR LODGING HOUSES LIfFNSFn UNDER 1G.L.C. 140? SECTION U� M, L'S LICENSED -. Q-1f UNnER G.L.C. 140� 40"r"SFCTION SPFCTAL-inwn MEETING ANNUAL TOWN MEETING AUGUST 2ef-729i 1976 APRIL9 1981 ON FREDERICK V,ET UX TOWN OF Y A R M O U T H BOARD OF HEALTH 8 1GRANTED:f. OLSON RENT/LEASE THE PRUPER TY AT 22 MEREMNI AVLNU� .LOWING MAXIMUM OCCUPANCY OF 2 PERSONS FOR YEAR ROUND RENTING. I rl HEVH EC TOWN OF YARMOUTH HOUSING AND SPAC USE BY -LAN, SECTION 6.33 777777­7777 .PERSONZ5HALL,RENT ORLEASE.';:OR RENT "'OR'-L"E�4 Ytiu ILOI 4, G . B 'f USE D Eb FO R." HUMAN -HAB ITA T ION.,..,;' WITHOUTFjJRST' REGI.ST,' . ;ING WITH THE BOARO,OF HEALTH, WHICH SHALL -DETERMINE THE NUMBER OF FLKSUNS ICH BUILDINGS OR PORTION OF, MAY LAWFULLY ACCOMMODATE UNDER THE PROVISIONS OF IE MASSACHUSETTS.STATE.SANITARY-CODE;.AND WITHOUT FIRST ALSO CONSPICUOUSLY THERE SHALL BE A' FEE OF $10,00 TO PROCURE A CERTIFICATE OF OCCUPANCY WHICH TALL BE VALID FOR ONE YEARS OR DECEMBER 31ST' OF EACH YEAR, .'WHICHEVER 15 SOON - THEREAFTER, THE.' -PE T L 5,HALL'BE'r"ANNUALLYRENEWED, AT­A,,,FEE -* v AR.' A PERMIT !SSUED.UNDER TH15.BY-LAW SHALL BE REVOKEO IF AT ANY TIME lHF (CENSING AUTHORITIES ARE SATISFIED THAT THE LICENSEE IS UNFIT To OLD THE :_RMIT. THEY MAY SUSPEND AND . MAKE INOPERATIVE, FOR SUCHPERIOD AS THEY MAY, :E�Mi:P,ROPER!,,THE,.PER-MIT...MEt4TIUNE:L) HEREINJORANY­ " C. U 5 E-M E D A T:15 FA UTU R Y M.'H&�REVOiCATJON ..A ';N. .'S!"HAL!L:NG �'BE",M DE�iUNTIL"AFTER FTERJNVEST %TI0olANO'A' HEARING 6kAFTERZI IN THELltbhStEN1 OPPORT NITY' J1. ARD ]TICE OF THE HEARING SHALL BE DELIVERED TO THE LICENSE NOT LE iREE DAYS PRIOR TO THE SAID HEARINGS. I THIS SECTIONS 6*33S SHALL NOT APPLY TO BOARDING AND/OR LODGING HOUSES ICENSED UNDER G.L.C. 1409 SECTION-23; MOTELS LICENSED NOER G.L.C. 1401 >ECIAL TOWN MEETING JGUST 24-259 1976 APRIL9 1981 I 4oyNE 177Ay0 BOARDS OF TOWN OF •YA R M O U T H SELECTMEN ASSESSORS SOUTH YARMOUTH MASSACHUSETTS 02664 - HEALTH - March 13; 1984 Mr. and Mrs. Frederick Olsen 22 Mechants Avenue Yarmouth port, Massachusetts 02675 EXECUTIVE SECRETARY Dear Mr. and Mrs. Olsen, Enclosed is your permit to rent the small "apartment" in the lower portion of your house. In discussing the matter with Forrest White, Building Inspector, Town of Yarmouth, he said that he found no indication that the creation of the apartment at this address was illegal as far as zoning enforcement is concerned. .You should be aware, however, that the town assumes no responsibility for defending this claim in the case that a member of an association disputes the legality of a duplex under a deed restriction. Mr. White's decision eonsidersthe situation only in light of zoning regulations. If there exists an additional restriction on your deed and this is challanged by an individual, the dispute must necessarily be resolved between the two opposing parties in civil court.. Zoning enfore ent decisions are irrespective of deed restrictions. If you have additional questions relative to rental housing within the Town of Yarmouth, or if I may further serve you in matters relaing to rental housing, please do not hesitate to ask. Very Truly Yours, cc:file Forrest White, Building Inspector Property Location:22 MERCIIANT AVE Vision ID:16040 Account # 1624200 NIAP ID:127/ 18/// Bldg #: 1 of 1 Bldg Name: State Use: 1010 Sec #: 1 of 1 Card 1 of 1 Print Date: 09/09/201411:26 ISON b1ART1lA C TRS 2I1fERC11AMAVE ARNIOUTII PORT, MA 02675 Additional Owners: bore Street areal uburban Description Code Appraised Value Assessed {'afue 8/S yARA/OUTII, AIA teep M1 ESIDML ES LAND 1010 1010 300,400 262,000 300,400 262,000 SUPPLEAtENTAL DATA tberID: II4/T024/// 11SC 370 RANGES ETTEIUNENT ' LAN NU111BE174IC-F-1 IP CODE 9999 ISID: ht 308813 829155 VOTE Y VOTE DATE09104/1994 PRIVATE R0*IERCIIANT AVE-VP ASSOCPID# VISION Total 562,400 562,400 RECORD OF OWNERSHIP BK-VOI/PAGE SALEDATE /u vA SALEPRICEV.0 PREVIOUSASSESSAIENTS IIISTORl ISON MARTHA C TRS LSON MARTUA C ISON, FREDERICK V ISON FREDERICK V 23322/ 126 23322/ M 1371/881 12/19/2008 12/19/2008 07/13/1967 U U 1 1 1 1 100 100 0 1F IN Yr. Code Assessed Value 1'r. Code Assessed Value Yr. Code Assessed Value 2014 2014 1010 1010 300,400 235,800 2013 2013 1010 1010 294XO 24VO0 012 012 1010 1010 333,500 236,100 Total: 536,200 Total: 542,800 Total: 569.60 EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year I hne I Description Amount Code Description Number Amount Comm. Int. Appraised APPRAISED VALUESUMMARY Bldg. Value (Card) XF (B) Value (Bldg) OB (L) Value (Bldg) Land Value (Bldg) Land Value Appraised Parcel Value Mcthod: 298,100 2,300 0 262,000 0 562,400 C 0 ASSESSING NEIGHBORHOOD Appraised NBHD/SUB I NBIID Name Street Index Name I 7),acinje Batch Appraised 0080/A I I IAppraised NOTES Special RED IF EXT-AVG ALL ORIGINAL INTERIOR NLAW APT-2 BDS, I BTII+OPEN UD/K WOBX2 1 SIDE, 1 REAR Total RMS NEW ROOF Valuation AT IN K / OPEN D + L / WOB-SIDE GAVE LETTER Adjustment: OOD WATERVIEW et Total Appraised Parcel Value 562,400 BUILDING PERAUT RECORD VISITI CHANGE HISTORY Permit ID Issue Date 71,pe Description Amount Insp. Date %Comp. Date Comp. Comments Date , e IS /D Cd. Purpose/Result 99856 02/06/1992 1,000 100 BAYWINDO 9/13/2013 9/13/2013 5/25/2005 7/3011996 Bit 02 Bit 01 AL 00 DII 00 teasur+2Visit-Info Car teasur+lV7sit teasur+Listed teasur+Usted LAND LINE VALUATIONSECTION B # Use Code Use Description Zone D Front De th Units Unit Price 1. Factor 1 V.A. Acre Disc tw Factor ST. Idr Ad . Notes- Adi S clal Pricinz SAdj Fact di. Unit Price Land Value Use Sec Cale 1 1010 SINGLE FAM AIDL 01 32,670 SF 2.98 1.0000 8 1.0000 1.00 D080 2.15 kVF12 1.25 1.25 9.02 262,000 Total Card Land Units:1 0.751ALCI Parcel Total Land Area: .75 AC I Total Land Value: 262.000 Property Location: 22 M ERCIIANT AVE Vsion ID:16040 _Account # 1624200 CONSTRUCTIO DETAIL CONSTRf Element Cd. Ch. Description Element tyle 11 Ranch alel 11 Residential radc 5 Average +20 tones 1 1 Story cupancy Code Exterior Wall 1 ll Clapboard 10t0 'INCI tenor Wall 19 rlck Veneer oof Structure 3 able/Ilip 7fCover 3 sph/FGIs/Cmp tenor Wall 1 5 rywallISheet CO: tcrior Wall 4 11ywood Panel AIAP ID: 127118/ / / Bldg Name: Bldg #: 1 of 1 Sec #: 1 of 1 Card I of 1 rDETAIL CONTINUED :h. Description or Fir 1 12 lardwood Adj. Base Rate: 107.31 or Fir 2 391,719 Fuel } et OtherAdj: 5,730.00 as cplace Cost 397,449 Type 4 Forced Air -Due YB 1967 ype 1 None Bedrooms 5 5 Bedrooms 3cp Code Bthrms emodel Rating Half Baths 1 ear Remodeled Xtra Fiztrs % 5 Rooms unctional Obslnc Style 2 verage ExternalObslnc ien Style 2 Modern ost Trend Factor ondition /° Complete verall%Cond 75 %pprais Val 198.100 % Ovr Ovr Comment isc imp Ovr isc Imp Ovr Comment ost to Cure Ovr ost to Cure Ovr Comment OB-0UTBUILDING do YARD ITEAIS(L) IXF-BUILDING EXTRA FEATURI le Descri Lion Sub Sub Descri t LUB I Units Unit Price I Yr I Gde D Rt Cnd I %Cnd 1 FIREPLACE 1 1 ,200.00 1987 1 100 XTRA FPL 0 1 E 1 00.00 t987 1 l00 PEN OUT St 1 .00 1987 1 l00 A State Use. 1010 Print Date: 09/09/201411:26 BAB 34-Sp UAT 0 25 1 25 3AS 25 BAS JGR 7 UBM 2 8 2 34 OP 34 34 25 y Open, Finished 0 204 41 2157 4,400--�_^� 4 Screen, Finished 0 250 63 27_04 6,761 Semi -Finished 0 888 533 64.41 57,199 Unfinished 0 918 92 10.75 9,873 w" vent, Unfinished 0 918 184 21.51 19746 zeUnder 0 600 180 32.19 19517 00114 MAP /a2 %. �g • YARMOUTHP MA 10/11/88, 00114 OT024 BLOCK aTI174 STlMARKETCO FI CTIONDET IL T- A VA DEPRECIATIOif VAWESUMMARY - - - ELEMENT CODE - DESCRIPTION EFF. AREA UNOEPRECIATED VALUE • 1 9 •' NORM ECON RW %COND I DEPRECIATED WILDING VALUE E'XT•'A'ALL 114 WOOD.*SHINGLE 3i6lZl2ZvawaTwN er A-� 2 EFFECTIVEBASE T ar -RCR-AN TOTALDEPROBV E ROOF STRUCTURE 03 GABLE OR, HIP SCALE' 1/ -307 TOTAL DEPRXFVALUE ROOFCOVERSSICONP TOTAL LAND VALUE MARKET INT. WALL 1 5 D R Y t! A L L TOTAL LAND VALUE-AGRICULT. 2 INT. FLOORING , " HARDWOOD A INCOME APPROACH VALUE 2 TOTAL AGRIWLTURALVALUECARD HEATING FUEL 3 O AS TOTAL AGRICULTURAL VALUE -PARCEL - . HEATING TYPE 04 FORCED .AIR —DUCTED TOTAL COST -MARKET VALUE: CARD 324:60t AIR COND. TYPE TOTAL COST -MARKET VALUE: PARCEL - MARKET FEATUMS SPECIALMODELs- - INCOME VALUATION BEDROOHS 6 5' DEDR0015S `OR ,MLOR STORIES 01 1.0 STORIES METHOD: GROSS ANNUAL INCOME PCT VACANCY B COL.- LOSS EFFECTIVE GROSS INCOME FOXED OPERATING EXPS & RESIDNT I RANCH S5 RESERVEFORDEPR 11 QUALITY AVERAGE +20 NETANNUALINCOME 24' 34' _25 , AREA TOTAL PCT. TOTAL UNOEPRECIATEO GROSS OF AWJSTED COSTIMARKET — +----- —,M— -- —� — -------+--------,� - 2 �E, AREA BASE AREA VALUE I B A S I U AT - -� I F S P I 3 SAS 2P46 10G 2P464 -119997 ISFB IU837 I :I10 FOP.20 2 - 41 199 I I; +=-=-----t 5 FSP 2 0J5 6 I I IFGR I 6 UT_Jffl 8$ ObLT SF 53 25957 I33 I j j INCOME VALUE 60 04 24 1168$ I I I 124 OFFlCRCORD DATE V INDICATED 91 020 18 8961 I I EBOOK SALES PRICED PAGE MO YR i . +-------- 25 5 j ' I +FOP----------t►-------+ 2 I 24' I5 3 :IL 4 TOTALS - NOTES 1.' A.WTSUILDINGS/E RAF ATURES DATE ANNUAL PCT. OSIXFDEPFL L SUILDING m.m.ii,bs. IN-L' Y APT P U DEPR ' . OESCRIPTION UNITS UNIT PRICE ' ' ON ' RATE COND VALUE B yL}�� TRAVERSE �uDsid.ary W Q : RM 3 - 1 I FPL1 Uc 22CO0074 0100100 1IF90C 8 2FPO 110c 8000074 0100100 700 E DAS=Y34SIH24S38E24N11FOP=S6E34N6Y34S 300S 1101018 0000100. L E34S6E25N24FSP=N10Y25S10E25SY25N10S ' PTR=SIUAT=Y34SFB=W24S37E24N37SS27E34 ' fGR=S6E25K24U25S18SK27SUBM=W34S27E34 ' N27SN1S. • D • • T ' • 8 ' 9 - TOTALOB/XFVALUE LAND CODE LAND DESCRIPTION ZONING FRONTAGEDEPTH TOTAL LAND UNITS UNtl P UNIT PRICE INFLU ACTOR S COND. I FACTOR NOTES AND OTHER ADJUST. TOTAL ABMT .ADJUSTED UNITPRICE • LAND VALUE - SPECIALLANDCALC. 101 SFR R4 320'6700 S 2'6116 71 /O 20 •52 170P53 . /S3JS o -TOTALAREA ... ..'A7.A7n*n C •,riarc venlc ••f7n_cn1 LOC. PROF♦ 110 NUMBER SUFF. STREET NAME 0" MA"P� PARCEL NO. " TOWN TOWN 101 CLASS 102 ST. CLASS CO. 103 LIVING UNITS 11] R/�OUTINGI f, [ /1`eac2i --1QC9 c L19 to -!' t_ V L-i !Ll/J�CLLL� J�C%ARD ILLOFP ] 5 1 � L /:�� `i �= y I . R RECORD OF OWNERSHIP AND MAILING ADDRESS LOT NO. DEED BK.YCTF DEED PG. DATE PURCHASE PRICE p K cr P1a A 4-hc� o. o 1-so M as merGhun+- Que, G ) 13-1► g '7/1 3�107 MEMORANDUM ACRES ZONING MULTI NC 105 NEIGHBORHOOD Y / /A- e DELETE 300J70 LAND DATA & COMPUTATIONS SALES DATA 0 0 NONE N FRONTAGE EFFECT B N7�V EFFECTIVE D TH ACTUAI UNIT PRICE FACTOR DEPTH EFFECTIVE NIT PRICE INFLUENCE FACTOR LAND VALUE ' YO TYPE AMOUNT SOURCE VALID N LOT I REGULAR LOT 2 MINUS LOT 3 APARTMENT SITE H 4 WATERFRONT L L L L ---•- _--•- ---•— ---•— -- - -_- --- --- ---- _,__ —_— --- --1--- --I--_ _—I--_ --1--- -- _-� -- — _ f ]j.__: J--. l [ --•e r L ]—_•• 200 -- cYR -- — p — —1---�--- —1_--�--- — — 201 202 TYPE CODES VALIDITYCODES 0 SM FT. I PRIMARr SITE 2 SECONDARY SITE 2 UNDEVELOPED ♦ RESIDUAL 12 S WATERFRONT $ ' $ I— —� Q I--- SO. FT. I _ --1— — — SO. FT. — — —•-- — — —•._ _ INFLUENCE FACTORS 1 UNIMPROVED 2EXCESSIVE FRONT 3TOPOGRAPHY ASHAPE OR SIZE S ECONOMNISI PRIOVEMENT 6RESTRICTIONS— NONCONFORMING ICORNER/ALLEY I+I SVIEWI+I — -- �. �'�• I J ^e J- r — � ---• 1 LrM 2 Leas Bwle1•E 8pCE o vra SMe I m.oIM AOd••I rrwH ] NW Oo«�MrYn 2 Chil PdAN"sr' Fte.W 111Jm6, 1; w C,,m S Lme .lm/Fw.cb•w• s F,•r,pn✓Lrd Cmn.v1 7Ift• E..w Pw%Frm. w On - S•. Mw•• SOURCE CODES 1 B.Y. 2 SMir ]Awl • 011 w IS ACREAGE I PRIMARY SITE 2 SECONDARY SITE S UNDEVELOPED ♦ MARSHLAND S WATERFRONT •DEfIGNATED FOREST LAND/ ,A OPEN PACE A _- A I A I I A— A-- A _ — — _•—_—ACRES — — _•— _ —ACRES —__•_ACRES -- —•---/ICRES _--•—__ACRES - __-•--77��--'ACRES _ _ _ _ — —1___ — _1 — -- _—I--- - -1--- — —1_—_ _-I--- -- — — -- — -� - _ __ L J__L [ 1-- F 1— �--a ]_—•e r , I _-.� - 106 ENTRANCE CODES INFO CODE e GAINED S CURRENT UNOCCUPIED 0 ENTRANCE GAINED 1ENTRANLE GAINED 6EST. FOR MISC. REASONS 2 NOT APPLICABLE, UNIMP PARCEL (SEE MEM01 7 ENTRANCEAINFO REFUSE6 CUPANT NOT AT HOME L/ ♦ ENTRANCE REFUSED, INFOAT DOOR 1 OWNER 2 TENANT ] OTHER 1.S I TOTAL A _ . —I_ - —•LJ'/ ACRES SUMMARY OF VALUES SIGNATURE BY OWNER OR AGENT BELOW INDICATES DATA ON THIS FORM WAS COLLECTED IN YOUR PRESENCE, IT DOES NOT MEAN THAT YOU HAVE VERIFIED THE INFORMATION HEREON. GROSS 1 IRREGULAR LOT 10 2 SITE VALUE a RESIDUAL ♦ HOMESITE B MINUS R.O.W.' G _ _ -1--_-I_---_ TOTAL VALUE LAND TOTAL VALUE BUILDINGS TOTAL VALUE LAND & BLDGS. 0 1 PROPERTY FACTORS DWELLING SET BACK MEMORANDUM W,r 1.f- TOPOGRAPHY UTILITIES STREET OR ROAD MORE THAN NBRHO. AVG. I INSPECTION WITNESSED BY. LEVEL 1 ALL PUBLIC 1 PAVED 1 SAME AS NBRHO AV 2 PROCESSING DATA DEL CHG FIG MO DAY U 1 2 IF ♦-- 1 2 0 ♦-- 1 2 ] ♦ 1 2 3 4 ABOVE STREET 2 PUBLIC WATER 2 SEMI IMPROVED Z LESS THAN NBRHO AVG ] BELOW STREET ], PUBLIC SEWER ] UNPAVED 7 NONE A ROLLING ♦ GAS ♦ PROPOSED ♦ FRONTINGTRAFFIC BUILDING PERMIT RECORD STEEP S WEII` S CURB A GUTTER S 1 LIGHT 1 K DATE NUMBER I PRICE I PURPOSE LOW 6 SEPTIC 6 SIDEWALK G MEDIUM 2 1 SWAMPY 7 NONE 7 ALLEY 7 HEAVY ] MARSHY 8 NONE I NONE ♦ r ELE7E SOO!j V JVACANDWELLINGJO 1 OTHER STORY HEIGHT Sda 10 IS 20 25 30 EXTERIOR WALLS 506 1 AM 1 BIOCM 7 STONE BRICK 5 STUCCO 8 ASBESTOS 3 MAS i FR 6 ALUM/VINYL 9 CONIC STYLE 5O1 I ItAISEO RANCH ! CAPE COD 1 GARRISON 2 S 11Td EVEL 5 COLONIAL OLD 8 LONTEMP'Y rANCH 6 COLONIAL NEW 9 OTHER AGE $W ERECTED 1 ! 0 REMODELED 19 LIVING ACCOMMODATIONS SU9)TOTAL TIEFAMILY ROOMS u ROOMSLI u ROOMy FULL -! HALF AODN L TOTAL BATHS! BATHS i FIXT h_' FIXI �- KITCHEN R 00 BATHROOM 00 S10 I 7/I 51/ E 7-1 YES 7 YES BASEMENT �� 512 1 2 ) \ E / 1 21 3 NONEklAdfC CENTRAL AIR CON EATING FUEL TYPE SIT 1 2 3 A 5 5 NONE ELECTRIC OIL COAL SOLAR HEATING SYSTEM 1 2 3 A S NONE WARM A!R ELECTRIC P I E P STEAM AT(IC SN / 17 1 3 t 5 t� UN(!N /I l:h IUII ON IVIl 11NIW4 SIS I ( 7 7 J RID(R �url� 1[!ORU ��������PHYSICAL CONDITION i16 I 3 I 5 6 1 FK AV FR P9 VP UN OTHER FEATURES pp 520 1 BRICK TRIM C)$IX 1-* 11J 521 2 STONE TRIM (/YI�' 1! - 622 3 REC ROOM - -I-1- - - - S2T A FIN BSMT LIV AREA IIY! J, - 524 5 WB FF STACKS -I OPENINGS L 52S 6METAL FF STACKS _ .- 526 7 WOOD BURNER (CENTRAL) 527 B BASEMENT GARAGE NO.CARS 5a _- S211 9 UNFIN AREA (-I 523 10 HEATING AREA (-I 630 GROUND FLOOR AREA 531 GFARADE g CTOR , Its a D [ S22 COST i DESIGN FACTOR " ] $23 CDU U rC CO R PR VP UN ADDITION CODES UwLL11114 LOMruimiums to-h frame I]-OFP )Open Frame Paithl _ -STORY- 12-EFP IEnEI Fnme POrchl 13-fume Gragr _ 1 - - - SF BASE PRICE - II -Frame Uhllly Bldg. 15-frame Be, BASEMENT I6-frame O. h.N 1/-Ss Frame _ HEATING IB-Afla 1Uhhnnhedl 19-An¢ (fmghed) --- 70-Is M.w." PLUMBING ------- 11- OMP low Mel.." Pwchl ATTIC r 22-EMP IEml Masoery ►nrthl 13-MG or Br IAtasw4 Garagem BnA Garagel ADDITIONS 7/-Mxnnry UVGIY ------- - !S-M.wmY Ray OTHER FEATURES -- 7h-MxonrY Omhr.g - -- 21-Ss Masonry SUBTOTAL 311 Cv,." 31-Worts P.IL • GRADE FACTOR t - .LA 0 F A C 10R% 32-Ca.wpy 33-1nunete or Mawnry Paia -BASE VALUE V 5tonr o. I'le Pal... 35-Mal "" S1nnp or lurue 3C, AHxh Grte lwuv SVUntuushM —_ .M4PNEI ADJUSTMENT •TRUE VALUE 93-Wswellanruut value REMODELING B MODERNIZATION 599 DELETF 601-FOB ADDITIONS OBB Y TYPE CODES EXTERIOR RATHRUOM CODE LOWER 1ST 2NU 3HO AREA CODE LOWER Ifl ]NO JRD AREA ReaidtmS/Sheds RSl - Frame Ulddy Shed INIERIOR PLUMBING 601 - - - - -r G 605 - - - G - _ - - '� �' RS!-Mein NilRy Shed ADDITIONS ELECTRIC 607 - L/ _ ems( 606 R"weeUal Peals RPI -Plastic Ln¢r KITCHEN HEATING Go, _ ` /- ._ _- _- _ ,' 11� 611/ --- _ _ - _ _ - - _ - RPI-PrtIa6.Vioyl RP3-Rrnlorted Cont. -- --- 60/ �� - _ �}�1 E 608 RPI-frherplau RPS Gunite , Rraid"t.al Carports B Carole, 799 UELETE 6UI-810 OTHER BUILDING &YARD IMPROVEMENTS TYPE CODE DUAN YEAR SIZE G COND RATE RASE VALUE MA MOD COOLS TRUE VALUE RCI-Carwgl PC2-CwmV ROT -Fr. or CwA. Block Detached Garay, RG1-Oetach Gila Detached Garage Mod Cedes I. No filler 2. Gasoi PropxMHtg. 3. Electric H1g. Spec Mod Ledn SI'1-Dnirq Boxds SP7-Chrome wSleel ladder Sol - _ _ �_- "-- - - _� -- _` - - -- -- -- _ - -r- y - ------ ---�--- ------ - - - - _ - - - - -� -' -- - - - - ---- ---- ---- 80! Boa 801 BOS 83C--- Rnl ---_ BIO MISLELIAN EOUS IMP90VEMENTS SP3-Underwater hghtwg GROSS BUILDING SUMMARY TOTAL VALUE CONSUL 1DETAIL ED L ISTING FOA FURTNERDIVISIONSIFAIFLICABL ID USE CONSTRUCTION GRADE AA (PECI REAIOO CCU SITE PATE BASE VALUE MARKET ADJUSTMENT PHYS I -t CMI'SI TRUE VALUE I _ I I I I I I 1 I 1 I BW I SEC OE1AIlED CARD 2 SEE D[IMLED REPORT -------/------------------ TOTAL GROSS VALUE --I---I-- DATA COLL[CHDBY i DATE , / - 961 -kl wlw Pi.w.v �a(VYue— — 'LTorinr-Oi r-VnT-Arrwwe. rwr.ar;.w C • DISTRICT ACCOUNT NO. OLSON, FREDERICK V & MARTHA C 22 -IIERCHANT AVE B1371 P881 �YARMOUTH PORT MASS 02675 114—T23 MERCH4NT AV HSE & 12500 LTS 23 & 24 2 CR GR YARM T An 1800-:o/ —0 4- I -✓ I -s7,�-- I sLOFQL I .. MAP ROUTING NUTABER LOT NUMBER CARD NUMBER PROPERTY CLASS RECORD OF OWNERSHIP I STAMPS DATE BOOK I PAGE ASSESSMENT RECORD 19 : 19 19 19 19 DWELLING �.7 .. ; .� _ �� �• t, •r, GARAGE ltiL OUTBUILDINGS TOTAL VALUE BUILDINGS �,.'._rT- C TOTALVALUELAND CpG U O o TOTAL VALUE LAND S BLDGS. ��� (� Q 7 -6-0 •1 LOT /2 DSS 3 NONE LAND VALUE COMPUTATIONS AND SUMMARY MEMORANDA BUILDING PERMIT RECORD FRONTAGE DEPTH UNIT VALUE DEPTH FACTOR ACTUAL UNIT [AND VALUE PURPOSE NUMBER COST GATE LAND DEVALUING FACTOR CLASSIFICATION ACRES SO. .IT VALUE FACTOR Z.p(o6� a G ) SALES INFORMATION T DATE MO. ^No LSB SALE ►RICE t eVYE— SOURCE EE 2 IELLEP / AGENT VALIDITYE NO /Y,l T O _,_Ly,� 1 2 7 L 1 2 1 R —I---I--- 1 2 ] A 1 2 T S —I'---I--- 1 2 S- 1 1 2- PROPERTY FACTORS TOTAL STREET IMPROVEMENTS LAND DEPRECIATION = % — PAVED PUBLIC WATER CORNER INFLUENCE + SEMI IMPH. PUBLIC SEWER TOTAL VALUE LAND (GROSS) I�T)J UNIMPROVED GAS TOTAL VALUE BUILDINGS ^L ) ELECTRICITY TOTAL VALUE LAND AND BUILDINGS SIDEWALK ALL UTILITIES 9 COLE• LAYER- TRUMBLE CO. 1973 YARMOUTH, MASSACHUSETTS SO C49 BUILDING RECORD DWELLING DATA & COMPUTATIONS S r al / , �,%� �/ A;, i7, /�/x33 •/ V p0 % y �� z % - u pP l;t' o T �� -� +' g 4 i - y) A-/ 3 -s --. O pf, / �y,�% /' tT /u yy / D ` % / S z „ J / /'� INSPECTION _ /% ter �j / U I & E R WITNESSED BY: /T/J lll��� (((/// .6-;� . F & F M & E COMMERCIAL/INDUSTRIAL BLDG. DATA & COMPUTATIONS 1 OCCUPANCY WALLS ROOFING EXTERIOR WALLS 1 3 VAC.LOT DWELLING OTHER FMNKTUCCO COMPOSITION SLATE OR TILE BRICK/STONE CONCRETE CONCRETE BLOCK METAL SHINGLE CB/TILE CUSS LIVING ACCOMMODATIONS BRICK/STONE FRAMING B 1 2 WOOD/METAL TOTAL ROOMS O4 ROOMS44 — ROOMSFAMILYL WOOD JOIST EfF.PERIMETER LA FIRE RESISTANT ROOF FIRE PROOF PERIM. AREA RATIO BASEMENT - SHINGLE PH ASBESTOS FLOORS NO. OF UNITS - 1 - 2 3 •NONE CRAWL 'PART FULL SLATE/nLE/METAL CONCRETE AV. UNIT SIZE COMP. ON WOOD FRAME WOOD Ell .SIZE HEATING TILL SCHEDULE ' 1 3 NONE - CENTRAL- AIR CON FLOORS FINISH TYPE g L 2 3 UNFINISHED HARM AIR CONCRETE9 FINISHED OPEN BASEMENT IOT WATER/STEAM WOOD FINISHED DIVIDED FIRST UOR FURNACE TILE USE SECOND MIT HEATERS STORE lECTRIC/HEAT PUMP INTERIOR FINISH OFFICE PLUMBING B 1 2 3 APARTMENT BASE PRICE 1.UMBING F".��A" DINTS tff'' JJ PLAPLASTER�' flBENISHED WAREHOUSE SUB OTAL TANDARD � UNFINISHED VACANT LIGHTING IATHROOM ABANDONED HTG/AIR CON. HEATING SPRINKLER TXLET ROOM OTHER FEATURES CENTRAL WARM AIR PARTITIONS 3NKA.AVATORY MASONRY TRIM ,� . �',.- HOT WATER/STEAM INTERIOR FINISH PATER CLOSET FIREPUCE �� T I S UNIT HEATERS ATTIC BSMT. REC. Roots Y SPECIAL FEATURES FOR COMMERCIAL/INDUSTRIAL BUILDINGS No HEATING 2-- 3 4 :'.NONE. -.!NEVI - PART FULL FIN. BSMT. LMNG ARE /uv4 OTY. ITEM DESCRIPTION PRICE AIR COND . SF/CF PRICE AREA/CUBE CENTRAL BSMT. GARAGE i� V g DWELLING COMPUTATIONS MODERNIZED KITCHEN PLUMBING FIXTURES PACKAGEIUNITS SUB TOTAL �/l, . STORY M C STOREFRONT PLUMBING SPECIAL FEATURES* - BATH ROOMS ADDITIONS ROOMS TOTER GRADE FACTOR TOR ASEAtENT TOTAL F2TOTAL SPECIAL FEATURES • SPRINKLER REPL COST EATING MEMORANDA PR AcSp �i1,.,:,/ZS f'COG SUMMARY OF OTHER BUILDINGS 1 WMBINC O J Tnc ID USE CONSTRUCTION SIZE RATE GRADE ERECTED CDU REPLACEMENT COST DEPR TRUE VALUE . GARAGE p DDNS �Pcns 0 D DEAL O RA —Cad DTAL oNTS 7 v o OTAL & D ��j %CT % _. EPL COST ERECTED/REMODLED lefrl LISTED . 4'�7 DATE a' f' / TOTAL TRUE VALUE OTHER BUILDINGS _ —I---I--- TRUE VALUE cro ACE/COU RATING / TOTAL TRUE VALUE ALL BUILDINGS (n 26 4/ v tOIE • IATOI • TRUMM COMPANY 019T3 GRADE DENOTES QUALITY OF CONSTRUCTION: AA -EXCELLENT; A -VERY GOOD; B-GOOD; C-AVERAGE; D-CHEAP; E-VERY CHEAP L SD C�98 COU FACTOR REFERS TO THE CONDITION. DESIRABILITY AND USEFULNESS OF THE BUILDING , Property Location:22 MERCIiANT AVE Vision ID:16040 Account # 1624200 MAP ID:127/ 18/ 11 Bldg #: I of I Bldg Name: State Use: 1010 See #: I of 1 Card I of 1 Print Date:02/21/2013 12:29 ISON MARTI1A C TRS 2 bove Street ublie Water 11 raved uburbaa Description Code Appraised Value Assessed Value 2 MERC1IANTAVE ARDIOUTIIPORT, AIA 02675 A.dditional v J 5 �tccp as i SMDNTL LAND 1010 1010 294,300 248,500 294,300 248,500 81S yARAfOUTII, AJA eptie SUPPLEMENTAL DATA OtherID: 114/T024/// C 370 A11GE5 fERA1E''R N NUAIBEINIC-F-I CODE 9999 [L11PS41D:16040 VOTE VOTE DATE PRIVATE R( ASSOCPID# VISION Total 542,8001 542.800 " RECORD OFOWNERSHIP RK-VOUPAGE SALE DATE 1714 v/l SALE PRICE V.G PRE VIOUSASSESSMENTS (HIS RI) iSON AIARTIIA C TRS ISON A(ARTIIA C ISON, FREDERICK V ISON FREDERICK V 23322/ 126 23322/ 125 1371/ 881 12/18/2008 12/18/2008 07/13/1967 U U I 1 I I 100 100 1F 1N 0 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value 012 012 1010 1010 333,500 236,100 011 011 1010 1010 358,700 249,900 010 010 1010 1010 358,700 277,600 Total., 569 600 Total: 608,600 Total. 636,300 :EXEAfPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year 7vve Description Amonnt Code Description Number Amount Camm.lnt Appraised APPRAISED VALUE SUMMARY. . Bldg. Value (Card) XF (B) Value (Bldg) OB (L) Value (Bldg) Land Value (Bldg) Land Value Appraised Parcel Value Method: 292,000 2,300 0 248,500 0 542,800 C 0 iISSESSINGNEIGIIBORI/OOD Appraised NBHD/SUB NBHD Name Street Index Name I Tracinz Batch Appraised 0080/A I IAppraised . : , .., •. NOTES ' 1 : Special IN-LAW APT-2 BEDS, I BTII+OPEN L,D+K ALL ORIGINAL INTERIOR D III? WOBX21 SIDE, I REAR Total RMS 1 NEW ROOF Valuation T IN K/ OPEN D + L /WOB-SIDE wv — �" Adjustment 370 GOOD WATERVIEW et Total Appraised Parcel Value 542,800 BUILDING PERMIT RECORD' VIS/T CHANGE HISTORY Permit ID Issue Dare Tive Description Ammmt Insy, Date % Comp, Date Comp. Comments Date T)Te els ID Cd I Purpose/Result 99856 02/06/1992 1.000 100 BAYWINDO 8/25/2005 7/30/1996 �ii31 r� AL 00 DIl 00 311 �a leasur+Listed Icasur+Usted LAND LINE VALUATIONSECTION B # Use Cade Use Description Zone D Front Depth Units Unit Price L Factor 7.A. Acre Disc C. Factor ST. Idr Ad', Notes -Ad Special Pricinz SAdj Fact d . Unit Price Land Value 1 1010 SINGLEFAAI A1DL-01 32,670 SF 2.83 1.0000 8 1.0000 1.25 0080 2.15 1.00 7.61 248,500 Total Card Land Units: 0.75 AC Parcel Total Land Area: .75 AC Total Land Value: 248 500 'r Property Location: 22 AIERCIIANT AVE MP ID:1271181 / / Bldg Name: State Use:1010 Vlsion ID:16040 Account # 1624200 Bide #: 1 of I Sec #: 1 of I Card 1 of 1 Print Date: 02/21/2013 12-29 PROP.LOC: 22 MERCHANT AV MAP I.D.: 114/ T024/ YARMOUTHr MA Other i.d.: 127 18 Bldg. 1 Card 1 of - 1 Print Date: 06/09/97 ..... ...... TO. ..... ..... ..... . ... . . CURREW INTSIT-JUS C URRENTASSESSMMNT� ... COSTMARYET ON...XX OLSON FREDERICK V OLSON MARTHA C 22 MERCHANT AVE YARMOUTHPORT, MA 02675 Date:-_ In. Cd V. Desm* Code 1:::Apnraised `Valne:: Assessed Value : Unadj. Base lute Size Ad' Factor (6) a r Grade Index Adj. Base Rate 44.00 0.9046 1.34 53.34 07/30/96 DH 00 ="81 0 RES LAND RESIDNTL 1 Total 1010 1010 106,200 156,000 262,2001 106,200 156:000 26 21200 Bldg. Value New 189,730 OLSON FREDERICK V 0 Year Built Effective Year Built Neal Physcl Dep Functional Obsolescence Eco/Ext Obsolescence cl Cud Code S 1Cnd% erall % Cnd 1967 19 IIn 00 00 100 I wq 81 I.MOUTBUIMINGSW-YARD 1 ....... .1 code Units':.:: .*tJuitPrice:. '/,Cfid'Dpptl �,`Apnvalue PREVIOU9 ASSFISSMENTI OOS 1 .00 100 0.00 0 jLndj 115,0001BIgI 13 5, 0 0 01 Tot 250,000, 2S Deprec. Bldg. Value 153,700 CONSTRIJ Cod HAS FOP FSP SFB V Unit Price: 1% Cnd DD Rt I Ann Value z 3j 37 1 2,200.00 1 800.00 100 100 1.00 1.00 1,700 600 2 300 JILDING1 4RENSUN Y` ross Area%.. Unit Cost , :: Undvrec. Value 2,464 204 250 888 918 918 600 53.34 10.72 13.44 32.02 5.35 10.69 16.00 131,430 2,187 3,360 28,430 4,907 9,815 9:601 BA3(L34,D1,L24,D3B,R24, L251Dl0,R25l,L25,Ul0l, Ur3R1D6,R25,U24,L25,D181 IN-LAW APT 9 RMS 2,464!Eff. 3,5571 18_9�730 :LAND. LINE )cscription.::. ]Zone Frntg I Depth No. of Units jTpj Unit Price' INGLE FAII I I 1 1 32,670.00 1 SF J iii Usm FSP 10 BAS UGR is FOP Ull,FOPID6,R34,U6,L34I TR[Dll,UAT[L34,SrB(L24 ,U271,UBHIL34,D27,R34, i Fc .25 .... Element Cd "esenption S=IeJTYPC 01 Ranch 10 0 1 01 Residential Grade 05 Average +20 Stories 1 1 Story Occupancy00 Exterior 1 14 Wood Shingle 2 19 Brick Veneer Roof Structure 03 Cable/Hip 24 Roof Cover 03 Asph/F Gls/Cmp Interior Wall 1 05 Drywall/Sheet 2 Interior Floor 1 12 Hardwood 2 Heating Fuel 03 Gas Type 04 Forced Air -Due AidCond I ype 01 Nona Bedrooms 05 5 Bedrooms Bathrooms 3.53 1/2 Bathrms Total Rooms Bath Type Kilfhefistyle 9 02 02 9 Rooms Modern Modern ,R34,D6,R25,U24,FSP[U10, ,D37,P24 I U371,D27,R34, U271 , FM lull Wat + A/C Frame Type BatWPIumbing CeilingsY`W1 Fr Rooms/Partitions % Com. Wall Wall Height )X SECTlON:x:­.::. .. .... .. ...... Adj Notcs.Adj1SpcI Lnd Prcng �::j Adji Unit Price: Land Value:�: 1.001 1 3.251 105,200 I Total 1 106,2001 RP OP LOC.: 22 MERCHANT AV 11IAP I.D.: 114/ T024/ / / /�/ ✓ "" Code ' Units Unit Price % Cndl D Rt Apr. Value 00S 1 .00 100 0.00 0 11 2,800.00200 1 1001001 1.001 1,800 600 1204 250 888 918 918 600 Ultier W.: 127 18 V1STT HISTQRY Date LD. Cd Dcsc] 07/30/961 DHI 00 RES LAND wag. i Lara 1 of . 1 Print Date: 02/06/97 T1tltENT t1ss SSM) NT >' . COSTMA>z KEx �rnT Oa xloN Code Appraised Value ' Assessed Value Unadj. Base Rate Size Ad'. Factor Gm. Base Rate Adj. Base Rate 40.00 0.9046 34 8.49 48.49 1010 1010 115, 000 147,300 115, 000 147,300 Bldg. Value New 172,479 Year Built Effective Year Built Nrml Physcl Dep Functional Obsolescence Eco/Ext Obsolescence SpeclCud Code SpeclCod % Overall %Cud 1967 1978 16 00 00 100 84 262 300 262 300 VIOUS'ASS>;SSM) N1'> BLR 135 0001 Tot 250 000 34 a De rec. Bldg. Value 144,900 CONSTRUCTION' uat fSP 10 uc.a Is BAS FOP Element Cd >. Descn h0n jtVletType 01 Ranch MM0del 01 Residential Grade 05 Average +20 Stories 1 1 Story Occupancy 00 Exterior Wall 1 14 Wood Shingle 2 19 Brick Veneer Roof Structure 03 Gable/Hip 24 Roof Cover 03 Asph/F Gls/Cmp Interior Wall 1 05 Drywall/Sheet 2 Interior Floor 1 12 Hardwood 2 Heating Fuel 03 Gas 03 U i�'Uvttllc r �� 34 25 ._ 21 E • r r. �• '�"� - m. n nl/ Tyyppe BedroomsCond pe Bedrooms Bathrooms Total Rooms Bath Type KitchenStyle 04 01 OS 3.53 9 02 02 Forced Air-Duc None 5 Bedrooms 1/2 Bathrms 9 Rooms Modern Modern ost Und reh: Value 48.49 9.75 12.22 29.10 4.86 9.72 119,479 1,988 3,05S 25,845 4,461 8,922 BAS[L34,D1,L24,D38,R24,D11,FOP[D6,R34,D6, 41,R34,D6,R25,D24,FSPIU10, L25,D10,R251,L25,D101,PTR[D1l,OAT[L34,SFB[L24,D37,R24,D371,D27,R34, 14.55 8,728 OCR[D6,R25,D24,L25,DlSI,D271,DBM[L34,D27,R34,0271,PTR[D1] 1 H at+A/C II I I II I I I k I II I I I Total Land Units 32, 670.00 SF Total 115, 000 is CONSTRUCTION DETAIJ Element. CdJ Chl Description Con Styld4pe Ol Ranch ElemenP:> Heat +A/C Model 01 Residential Grade 05 Average +20 Frame Type Baths/Plmng Stories 1 1 Story Occupancy Ceiln0VI Fr Rooms/Pttns Etter. Wall 1 14 P Wood Shingle %Com.Wall 2 19 Brick Veneer Roof Structure 03 Gable/Hip Wall Height Roof Cover 03 Asph/F Gls/Cmp Inter. Wall 1 05 Drywall/Sheet cscr' tion : ; 2 Inter. Floor 1 12 Hardwood Cn o. CmpLt Floor Adj. 2 Heating Fuel 03 _ Gas _ Unit Locam TAW 04 Forced Air-buc Numbr Units AidCn Type Ol None t Numbr Levls Bedrooms 05 Bedrooms `� Ownership Bathrooms ! J2?athrms COST/ Total Rooms °1 na Base R �d' Bath Ty Kitchen Style 7 Size FacG Grade( Inds .9021 1.27 9 RMS Y ear built Effctve Yr Built 12 01 197 / 9 7 Y Nrml Physcl Dep 20 0370 FunctnlObslnce 00 Eco/ExtObslnce 00 Specl Cnd Code Snecl Cnd t% 100 esam� Y [. U .00 87 _ 0. 38 UBN FSP 10 BAS 18 FOP s. zo 0 ,4 Code ., Desmntion, Uross Area hit. Area ' nit Cost I Undeprec- Value HAS First Floor 2,464 2,464 45.8 112,900 FGR Garage, Finished 600 240 18.3 10,997 FOP Porch, Open, Finis 204 41 9.2 1,879 FSP Porch, Screen, Fin 250 63 11.5 2,887 SFB Base, Semi-Finishe 888 533 27.5 24,422 UAT Attic, Unfinished 918 92 4.5 4,215 UBM Basement, Unfinish 918 184 9.1 8,431 Td. Gross Liv/L.ease Area 2,4641 3, 617 1 Bldg Value 165,731 XF�BUILTXNG EXTRA FEATURES Code Description " A s nits Price -Yr I Dri Rt I -%Cnd AVM. Value FPLI FIREPLACE 1 ST 1 2,200.00 74 1.00 100 1,800 FPO EXTRA FPL OPEN i 1 800.00 74 1.00 100 600 Total XF Value 2,400 HAS[ 34,D1,L24,D38,R24,Ull,FOP[D6,R34,U6,L3 1,R34,D6,R25,U24,FSP JU10, L25,D10,R251,L25,UIOI,PTR[D1],UAT[L34,SFB[L24,D37,R24,U371,D27,R34,FGR[ D6,R25,U24,L25,D18],U27I,UBM[L34,D27,R34,U27],PTR[U11 c: 22•:MERCHANT- AV AIAPI.D.: 114/ T024/ Other i.d.: 127 is Bldlt. 1Card lof 1 Print Date: o6tosi ;GiiRI2);N7':OWNE OLSON FREDERICK V OLSON MARTHA C 22 MERCHANT AVE YARMOUTHPORT, MA 02675 OLSON FREDERICK V PRV NBHD 370 UNIT# HIST DISTRCT mars' 0 €< CIJARENTi4SSESSMENT Description Code -1. Appraised Value* -I AssessedValue* RES LAND 11010 1151000 115,000 s15 RESIDNTL 1010 135,000 135,000 YARMOUTH, MA -'IY,1 ('M� :6.: Ae<n<and V.h,n >: Number Amount Comm Int B A DAiT, C(i .. • . ' 67// c APPRAISED VaL1, Appraised Bldg. Value (Card) Appraised X F(B)) Value ldg Appraised O B.(L) Value Bldg; Apprused Land Value(Bldg) Special Land Value Value:: Ad d u -Value: Total Appraised Cant Value Total Appraised Parcel Value Exemption(s) Net Total Appraised Parcel Value A VISIT OR ASSESSOR v SUMrsIARY 132,600 2,400 0 115,000 0 250,000 250,000 250,000 Pr�o"p'r'rty Location:22 AIERCILINT AVE Vision ID:16040 Account # 1624200 MAP ID:127/ 18/// Bldg #: 1 of 1 Bldg Name: State Use: 1010 See #: I of I Card 1 of I Print Date:02/21/2013 12:29 ISON MARTHA C TRS 2111ERC[IANTAVE ARDIOUTIIPORT,111A 02675 Additional Owners: /rQ " `[CHANGES [Above Street rublicWater I avcd uburban Description Code Appraised Value Assessed Value 815 yARAfOUTII, AL4 tee as 5 ESIDNTL RES LAND 1010 1010 294,300 248,500 294,300 248,500 e Ptie " r SUPPLEMENTAL DATA OtherID: 114/T024/// IISC 370 ETTER11fENT LAN NUMBEINIC-F-I IP CODE 9999 IS ID: 16040 VOTE VOTE DATE PRIVATE R( ASSOCPID# VISION Toia 542,8001 542,800 - RECORDOFOIiNERSHIP BK-VOUPAGE SALE DATE /u yr SALE PRICE KG " PREVIOUS ASSESSMENTS HISTOR ].SON AIARTIIA C TRS ISON MARTHA C ISON, FREDERICK V ISON FREDERICK V 23322/ 126 2332V 125 1371/ 881 12/18/2008 12/18/2008 07/13/1967 U U 1 I I I 100 100 1F IN 0 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value 012 Z012 1010 1010 333,500 236,100 2011 2011 1010 1010 358,700 249,900 2010 2010 1010 1010 358,700 277,600 Total: 569.600 Total. • 609,600 Total.• 636 00 EXEMPTIONS '-' OTHER ASSESSAIENTS - - . This signature acknowledges a visit by a Data Collector orAssessor - Year nve I Description Amount Code Description Number Amount Comm. Int. Appraised ;APPRAISED VALUE,SUAIMARY. ;- Bldg. Value (Card) XF (B) Value (Bldg) OB (L) Value (Bldg) Land Value (Bldg) Land Value Appraised Parcel Value Valuation Method: Adjustment 292,000 2,300 0 248,500 0 542,800 C 0 ASSESSING NEIGHBORHOOD ::. Appraised NBHDI SUB NBHD Name I Streer Index Name I Tracinz Batch Appraised 0080/A Appraised .. ]VOTES : •. Special IN-LAW APT=2 BEDS, I BTII+OPEN I D+K ALL ORIGINAL INTERIOR RED III? (1 WOBX2 I SIDE, I REAR Total Rb1S ��� 1 �� NEW ROOF EAT INK/OPEN D+L/WOB=SIDE V✓� — a, 370 vv GOOD WATERVIEW et Total Appraised Parcel Value 542,800 BUILDING PERMIT RECORD "' VISITACHANGE HISTORY Permit ID Issue Date T3ve Description Amount Ins , Date %Comj7. Date Cony . Comments Dare T • re its ID Cd Purpose/Result 99356 02/06/1992 1,000 100 BAYWINDO 8R5/2005 7/3011996 qi13 AL 00 DII 00 q Ga Mcasur4isted teasurfListcd -; LAND LINE VALUATIONSECTION B # Use Code Use Description Zone D Front De th Units Unit Price L Factor g.A.1 Acre Disc G Factor ST. Me Ad . I Notes- Ad• Special Pricing SAdj Fact 4d•. Unit Price Land Value 1 1010 SINGLE FAM MD401 32,670 SF 2.83 1.0000 8 1.0000 1.25 U080 2.15 1.00 7.61 248,500 Total Card Land Unils:1 0.75JACI Parcel Total Land Area:.75 AC Total Land Valuc:l 248 500 Pr"arerty Location: 22 MERCHANT AVE M4PID:127118lll Bldg Name: State Use:1010 Vision ID:16040 Account # 1624200 Bldz #: 1 o[ 1 Sec #: I of 1 Card 1 of 1 Print Date:0212112013 12!29 WP%Location: 22 NIERCIiANT AVE HAP ID: 127/ 18/ / / Vtslon ID: 16040 Other ID: 114/ T024/ / / Bldg M 1 Card 1 of 1 Print Date 03/27/2003 08:35 . CURRENTO►VNER TOPO. I UTILITIES ISIRTIROAD I LOCATION - CURRENTASSESSAIENT LSON FREDERICK V LSON TIARTIIA C 2AR11 O1TI11 ORT, MA 02675 71 - Description Code I Appraised Value Assessed Value 815 YARHOUT11,111A RES LAND IDNTL 1010 1010 165,300 195,300 165,300 195,300 SUPPLEMENTAL DATA ccountli 1624200 Subdivision 370 Photo Ward Precinct /SID: VISION Total 360,600 360,600 `: ! "+? RECORD OF OWNERSHIP - . BK-VOLIPACE SALE DATE qlu s✓i SALE PRICE KG ' -" = PREVIOUS ASSESSMENTS HISTOR LSON FREDERICK V 0 Yr. Code Assessed Value Yr. Code Assessed Value Yr. I Code Assessed Value 2002 2002 1010 1010 165,300 195,300 Z001 001 1010 1010 165,300 20001,010 195,300 000 I 1010 106,206 148,400 Total: 360 60 I Total: 360 600 Total: 254.60 EXEMPTIONS - `- OTHER ASSESSMENTS--,: • : " ' - Thi"i natur acknopledg s a visit by a Data Collector or Assessor I Year e/Descri tion Am Amount Code Description Number Amount Comm.nt. -APPRAISED VALUE SUMMARY --' Appraised Bldg. Value (Card) Appraised XF (B) Value (Bldg) AppraisedB Value (Bldg) Appraised Lan Value (Bldg) ct a ue Spe al Land V 1 Total Appraised Card Value Total Appraised Parcel Value Valuation Method: 193,100 2,200 1 65,300 360,600 360,600 Cost/111arketValuation Tota! _ NOTES :. IN-LAW AFT d �2c{ E>T l-{ � cfVn L I�`l 11 n 9 R111S } n « (j _ � r D 4-1-, iV�O- � 0370 )& Va- ( JItJ P Adz ivOL;d t•uG4 2` j ( QLJ -p et Total Appraised Parcel Value I 360,600 :BUILDING PERMT RECORD :. ` = VISITICHANGE HISTORY Permit ID Issue Date 71Pa Description Amount Ins , Date % Comp, Date Comp. Comments Date ID Cd. I Purpose/Result 99856 2/6/1992 1,000 100 13AY WINDO 7/30/1996 DII 00 teasur+Listed LAND LINE VALUATIONSECTION .. BN Use Code _Description Zone D ronta a Depth Units Unit Price I. Factor S.L C. Factor Nbad. Ad . Notes- A J ecfal P- cin Ad .Unit Price Land Value 1 1010 SINGLE FA111 32,670.00 SF 1.47 2.75 8 1.25 0080 1.00 5.06 165,305 Total Card Land Uniu 32,670.001 SFI Parcel Total Land Area: 32,670 SF I Total Land Valu4i 165 300 5p! Location: 22 MERCILANTAVE 111APID: 127/ 18/// r7sion ID:16040 - Other ID: 114/ T024/ / / Bldg #: 1 Card 1 of 1 Print Date: 03/27/2003 08 CONSTRUCTIONDETAIL.. , Element Cd. Ch. Description Commercial Data Elements tyle/ Type 1 Ranch /, Element Cd Ch. Description tiyA-4 odel 1 Residential icat&ACira24 eT Sp 25 de 5 Story +20 rame Type/Plum BAS /trsaQ(t aths/Plumbing FB � 10 Cl Story cocupancy (�a r(o eiling/Wall 25 ooms/Prtns � GR- 25 terior Wall 1 14 NVood Shingle Ve Common Wall �� 2 9 rick Veneer all Height 7 2 Zoof 3 ableillip i i f Cover 3 AsphlF Gls/Cmp J' 1 CONDOAMOBILE HOME DATA< 3 8 2 terior Wall 1 lVSh rywa 5 eet 2 2 lemenl a Description actor nterior Floor 1 12 Hardwood mplex 34 2 oor Adj OP 34 nit Location leafing Fuel 33 as 5 eating Type 14 orced Air -Due qumber of Units , C Type 11 lone qumber of Levels /214 /o Ownership edrooms S Bedrooms Bathrooms S• 1/2 Bathrms -' . COST/MARKET VALUATION O otal Roams s il-. nadj. Base Rate 60.00 1Size Adj. Factor 0.91245 f-1 ath Type 2 fodern de (Q) Index 134 Kitchen Style 02 lodern y Adj. Base Rate 7336 Bldg. Value New 260,942 Year Built 1967 R. Year Built 1974 rml Physel Dep 26 ObslMIXED USE coal on Obslnc 0 / slnc 0 pecl. Cond. Code 1010 5tNGLE FA11l 100 pecl Cond % verall % Cond. 74 Deprrc. Bldg Value 193,100 OB-OUTBUILDING& YARD ITEMS(L) IXF-BUILDING EXTRAFEATURES(B) Code Description UB Units Unit Price Lr. Do Rt %Cnd Apr. Value I FPLI FIREPLACE 1 ST B 1 2,200.00 1974 1 100 1,600 / I1 FPO EXTRA FPL OPEN B 1 800.00 1974 1 100 600 OOS Open Outs Shwr B 1 0.00 1987 1 100 07 I I (!u J r BUILDINGSUB-AREASUAfAfARYSECTION Code Description Living Area Gross Area £ . Area Unit Cost Unde ree. Value - BAS Irst Floor 2,464 2,464 2,464 7336 180,759 FOP orch, Open, Finished 0 204 41 14.74 3,008 FSP lorch, Screen, Finished 0 250 63 19.49 4,622 SFB lase, Semi -Finished 0 888 533 44.03 39,101 �( LP UAT kttic, Unfinished 0 918 92 735 6,749 UBM lasement, Unfinished 0 918 184 14.70 13,498 UGR srage under 0 600 180 22.01 13,205 { 2 464 6,2421 3.5571 260.942 1I14 000OT24 iolOF 01 044A !122 RB R ! lOLSON ' FREDERICK', V' ET UX MAP PARCEL CARD NO. ROUTING NO. NBHO _ ZONE -_ CLASS ST.1 MARTHA = Ci OLSCN BRIEF DESCRIPTION - `PROPERTY ADDRESS 22_MERCHANT=AVE 0022 MERCHANT AVE mi 3 PORI 1 M. roPo :ABOVE 1 STREET PAYED ! p� UTIL ' PWAT LAND DATA 6 COMPUTATIONS ACTUAL. EFFECTIVE EFFECTIVE DEPTH ACTUAL EFFECTIVE FRONTAGE INFLUENCE LOT conurerc cnnuTAcc DEPTH FnLTDR uNITPRICE UNIT PRICE RATE FACTOR VALUE !Ac NDEV ES 32670 SOFT .751 IVMXF'4251 3338 NO. LIVING UNITS :001 STORY HEIGHT/ATTIC Io0 'NONE STYLE 'SPLIT/LEVEL GROUND FLOOR AREA 2379 SF TOTAL ROOMS 110 EXTERIOR WALLS FRAME BEDROOMS 104 ADJUSTED BASE FAMILY ROOMS } 4 BASEMENT - FULL HEAT. SYSTEM/FUEL :HMAT/GAS HEAT III A/C BASIC BATHROOMS _ FULL 3 PLUMBING I I FIXTURES ADDITIONAL FIXTURES,- EXTERIOR TRIM STONE•TRIH 04X03 - REC ROOM FIN BSMT LIVING AREA 24 X 03 TOTALS.F. LIVING AREA 3320 YEAR BUILT ? 1970 REMODELED PHYSICAL CONDITION CDC[) CDU 1 VG N SN WSFP/WOOD BURNER ICENTRALI MB=I/l•MT=O/O9C= BASEMENT GA 1 2 ,CA RADE I B =1.26 QI D FACTOR .N EPRECIATION ' 95 OTAL DWELLING VALUE OTHER BUILDINGS & YARD AREA GRO RATE COND MOD CD F 900 113900 2300 -1100 114200 29700 TOTAL OS&Y 0 TOTALOTHERIMPROVEMENT - ADDITIONS 1 ENTRANCE CODEI 7 CALLS 10 LL 1 2 3 ' ARE PTS LIST FO 33 .7 OF 250 36 APPR OF 198 28 COSTIVAL 170100 OF �16 2 MKT —EST 145000 FO 20 4 MKT.VAL s145000 TOWN OF YARMOUTH, MA. *7700 TOTAL ..77 SALESDATA :05/81 LLB 181000 OTHER X—VALID VALUES OLD APPRAISAL _ CURRENTASSMT VALUE 33400 SFLA =LDGO BLDG a 111600 TOTAL : 145000 43.67 Y ON rJ c MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: 2'}' AMA. Date: 3 Permit# 2'OS�2 Building Location: c �/— /VJ `IN Owners Name: _��71f1y/� O (fQ/V PType of Occupancy: Commercial Educational Industrial ❑ Institutional ❑ Residential [ New: I I Alteration: ❑ Renovation: C WV l II�rI- Plans Submitted: Yes ❑ No r— f DEDICATED dcc z SYSTEMS N � Q Z i y� z Q v _7 '• • za cy W ai z L41N > z 7 < �n z °` G oe i co O y� m Ix Q Q Z 1Q�� 3 -Sr7 W O O z K % 0 W W d�o0e N 3 3 3 0 a 3 SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR S FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Installing Company Name: Check One Only Certificate # ❑ Corporation Address: CHEL'tQj#W"TERPRISFS state: 11 SCARGO HILL ROAD ❑ Partnership Business Tel: DENNIS M%a$Q63R 508 - 385 -1911 Inn/Company . Name of Licensed Plumber. •, , ,_ r ER cRECKOVI INSURANCE COVERAGE: I have a current liabilityInsurance policy or Its substantial equivalent which meets the requirements of MGL_ Ch.142 YesZ No ❑ If you have checked Ygg, please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner ❑ . Agent ❑ Signature of Owner or Owners Aaent 1 hereby certify that au of the details and Information 1 have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and Installations performed under the permit Issued for this agp9lication will be In compliance with an Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General By Type of License: TIVe Plumber Signature of LicansdOlumber City/Town aster APPROVED OFFICE USE ONLY) Journeyman License Number. G GAS City/Town:� a L� MA. Date: % LI Permit# W i' 2 D L/ A' Building Location: NT Yo � Owners Name: -A��i�i} o eJbV Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ New: ❑ Alteration: ❑ Renovation: ❑ Replacement: �J' Institutional ❑ Residential Q� Plans Submitted: Yes ❑ No ❑ Q N C1+ Y L O XLP F- Q N y C1 2 ui ^ N CV 2 u=J O tL W V y y O= W � 9 2 zaO O� W ' W FaQ Ca U) w W a m 0 ~ a FW- C O O t !i g Z LL7l Q W U. z WLu N F- O Z J O U. LLJ W W W W p ,�1 Q�Q MWOZOF -- V C G LL Cal cal x 2 g O 0. � 1W- >>> 3 O Installing Company Name: Address�HILL ROAD UENNIS, MX 02638 �!�' — Business Tel: 508 -385 fW1 1. of R. PETER CHECKOWAYr One Only ❑ Corporation ❑ Partnership 1 have a current liabilityInsurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142 Yes 1v No ❑ It you have checked Ygg, please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent ❑ By checking this box 0 1 hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and Installations performed under th 61t Issued for this application will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 a General Laws. By Type of License: 25 Plumber Titre Gas Fitter Signature of Licen ed mber/Gas Fitter Master APPROVE City/Town Joumeyman License Number• APPROVED (OFFICE USE ONLY) ❑ LP Installer 5115r2015 SlipGen- Portal Hone Document Category Map -Block Number Street Number Street Name Department Parcel ID Backfile Batch Scan Document? Additional Naming Info Index Operator Date - Time Town of Yarmouth Template [Building Dept] Slipsheet Identifier [sg25660] Building Permits 127.18 0022 MERCHANT AVE Building 16040 No Operator, Yarmscan 2015-05-15 - 11:24 h tpJAaserfiche12lSlipGerV 1/1