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BP-397 BUILDING PERMIT FIELD INSPECTION -� Dartmouth Building Department Plat: 74 400 Slocum Road P.O. Box 9399 Lot(s) :5-2 Dartmouth, MA 02747 Lot Size: 40,001 • Telephone (508 ) 999-0720 Zone Dist. :SRB Issued Date: 11/21 /96 Permit No: 397 Project Location: 4 Knollwoodc rF°?1n Number Street '' I—. L � 5v Subdivision Name: Nearest Cross Street: Applicant/Agent: James Silva Contact Person Phone #: (508) 324-4637 Proposed Use: Residential Residential, Commercial, Industrial, etc. Permit Issued To: New Construction _ Type of Improvement,Add,Alter,New Coast.,Demo,Land/Move,etc. 16 ' x 12 ' shed ( 192 sq.ft. ) __ ._. Indicate no.-o bulrooms-and bathroom=_and abler_ro^_ms_—._. __ _ _ Owner(s) of Record: James & Linda Silva Address: 4 Knollwood Drive, North Dartmouth, MA 02747 DATE TIME TYPE OF INSPECTION REMARKS INITIAL I— ,9- 9= 97 /.;; 4? �� V q9 ) y,/ J 2_, • - • • BUILDINGPERM I T Dartmouth Bpi lain q Department Plot 7-+ 4elw.f Slocum Pond-P. rt Bon r Det f i_ot ) i'iiiii7 i ) Dart month, NA 0 7c :' i Lot `ai ':'s t4ek :t} i Tea i `'ph D n e "tM e 9--tt3lir:?` 9) (.5ii Inq Di (it. :ORB --.is a mber cu. 4.=39e (t .+,e;-„d) ,. Per iait Pia. : f•. Ic.s.tied Dat:eb i ..i L._....,y. C1 ern r.. lift-'-P.... ..._ ,.- Pro iec t f )cations + kinotIwoc,d _Dri S Utvi 1 V i ti 1 on NoInix: )5i?..,c : .d Cr 0 o€ Ed neat iippii cant/Agent t in 23t1ye Ades$$ t st_ >Sln5 i_wiati_d_lr+iyfi_?,, 9°;(l ._ti h ,rsirl etoUCh ._i 3,R a?it' I_ontastt: Person Phone ,'a : (sEe) :'it'-=tit iT _ _ _ Type of t.icenaak : Owner : (e) Conct Super+:,, License 4i$; i i Architect : ) Engineer: ( ) Other: Prcpol; d ((se: Pestilential a xt..tits .144:bzsaxLr3 4'444444.4.:14,146 «cp. Permit:it Issued "4o: S`S,itw 1 en'7sa1,:3' uction TYR* 4 loal anens. idq. Altar, #ew fanst-, uaax. 4.P,ae'9Msrt. ..t4c,._—_------ b ii YY $„hiai!Q ;. a diti< 4 nor.., vcd.-6dt% s., tll-r-toa% a.ftfi L^.}f97,-,, S•xe 4.-.•_...-••••_"•..' •.••_• •.�-•.~•••� ...1�_ Cii-' "irc?Z2 l 4 of 01'Ls i. : }'3y-SL?__r�..,._ Cost II Cont, , t3 tSi&Ai 4r9_ Cost ct-Other Cons t. ; TOTAL. I:->EEs 9 ._. g 00 align t7 r i . : Of Pecocd: ....___. after_ (r Lindy, t t 5 ,:e Ad f}r es; : t' F nQkttoo $_-D qv'r', Nop E ,.,Dart mo ttCat,, Mice 2,1474.. Al i work idial I comply with ino tckii `itel Ed, 1.I46I_ Chap. J +a .-i rd ,_n,other appl appl icabie (i'lzi s, Law: or' codes and plans on f7. :0. t hereby cactity that the .re,pos mar) is author Ized by the owner of , d ore? anti have bean ; uthorizeri by the owner to mai this appiiC;lien 3_ ;its agent and la recei ye th2s, permit, I jirtier understand other a en ,ies may have reasys to STOP W)f'l( if ;It under their ,juristict"ii,ftn are nt3.t7 nett es:Li:statding the issuance of this [at rdin = rn Tuing C ere t. �f /2/ 7 r ]i gnat li.r F of Owner/fig Eici t o 1 e ,r, 79 Ty`.,� /t.,e, e*ak4*s? 8 k*'.k*-R F#:r.'1.R'*it'F3E?+.$iy*• *iss i $s3 '1l'{j*'-%31. im3efi'i*K*R}''Shiisms# Y 3,i..K..#Yr*sat t-a) sixcf it9is s ac .1 By liii el S. Tie„irt I it i a it<a Idi prit t t ,`a t PPliftfaiTS Pik 1i,F t?--4 i PE 31111 T 2'$ M) O 1t-M i t 9" '{ti t i I`n I Hi,t- s Atiik Till: STREET �_1 OR IC i+'.ii=T. : 6 iiPP4. ItAN€ , l r-1; t obi(b ii t !E4:;r: -.f COPY �. � �� STOW O DARTMOUTH BUILDING RECEIPTS NO TAXI ISSUES COL LECTOR'S OFFICE Name: s..�` y �+..�1 �;-2-1_+Z.., Prop JobL "atf Owner:erty _�'' -_ --Yy :- r_ Date: - r- oc on / r l Plot: ,r., White f f Lot: f Copy-Collector s Office f -- Yellowp _ Pink C Copy-Customer's Receipt Phone: opy-File Copy -- Green COPY-Building Department Description Amount 01000-44105 License&Permits-Building Misc, 01000-44105 TOWN OF 01000-44106 t y License&Permits-Plumbing&Gas 01000-44107 i `, Other Department Revenue �i 01000-42420 Thi i t a Permit or License for Buildin Plumbin or Gas f --. Received By: A_' ,\"-- -4-zc_W �_. TOWN OF DARTMOUTH . 00067 N 0 TAX I SS U E BUILDING RECEIPTS SCOLLECTOR'S OFFICE I ,- Name /frvicez '3 Property ,.� Date / -/7 5 i - , Owner: Job Location: , L / r 1 ," White Copy-Collector's Office Plot: -' - :� ; / Lot: / Yellow Copy-Customer's Receipt. / r - Pink Copy File Copy CGONNW}DAlt11/446VIWartment Phone:1 , _ 2 TAX COI.I.FCTOR'S OFFICE h4,,‘ NOV 1't8 1996 Descri}�tion General Ledger#'s Ref.# Amount License&Permits-Building 01000-44105 MRS 02 License&Permits-Building Misc. 01000-44105 < 0f Ct—J License&Permits-Electrical 01000-44106 License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 / 1 l., This is not a Permit or License for Building,Plumbing or Gas Received By: ✓0--_ <.a E17_ �7 L t C . -10 RECEIPT FOR PERMIT / TOWN OF DARTMOUTH 2 / PERMIT NO x` Noy U p4--- t / Date // - 02/ ' 9 6 . Received From --1---72 -d ,k41-- Owner -.41--d---rvt-e-� Location �¢ a- -1'//�. �-r'" Type Amount Paid C; \ Received By /9 " )/ ,C4A-' c__ TOWN OF DARTMOUTH BUILDING- DEPARTMENT TELEPHONE 508-999-0720 FAX 508-999-0738 APPLICATION FOR ZONING AND BUILDING PERMIT lasavctions The applicant shall complete this application to the test of their ability prior to sobmiivan.•lnrmg no item unanswered.The Department staff will be available during regular business hours to assist as necessary.WA should be inserted for those sections which do not apply.A properly completed application will help avoid unnecessary delays. N s Plus ties S refs■iattle- (for office mse ociy) i Application fee Sac j C received by Y ; Date i° C1 w 1 Total Permit Fee S Permit# �� / 7 U 100 LOCATION OF PROJECT p CURRENT ACCESSORS' PLAT 7' / L S R- ZONING DISTRICT C 6 iOTHER ZONING OVERLAY DISTRICTS ,..if applicable NUMBER S. STREET 'V /fNdy44/C'= ¢ V� NEAREST CROSS STREET //C2Teri ,44n-'4-4e. 4-1154i? SUBDIVISION NAME & LOT# or BUSINESS NAME PREVIOUS TENANT : OWNER - 200 RESIDENTIAL - PROPOSED PROJECT - one & two family residence only 7. THIS SECTION NOT APPLICABLE _ Single family - number bedrooms number baths _ - Two family - number bedrooms unit 1 number baths unit I number bedrooms unit 2 number baths unit 2 = Accessory apartment Total gross sq. ft.. - Accessory structure Garage - detached - attached to dwelling, dimensions L W J _ Carport • detached - attached to dwelling, dimensions L W TC Shed - dimensions L /( w /v Gazebo - dimensions L W _ Swimming pool above ground in-ground Size total square feet Chimney -#of flues Woodstove - used (will require inspection prior to installation), new (provide manufacturers instructions). Location(s) (list) _ Fireplace(s) - (includes flue) List location(s) - Game Court -describe(include overall dimensions) Tent, Trailer (Mobile Home) or Other- describe 300 COMMERCIAL-PROPOSED PROJECT/USE-INCLUDING THREE FAMILY OR MORE AND EXEMPT USES THIS SECTION NOT APPLICABLE (The following descriptions are based on the Massachusetts State Building Code Article 3,AS NOTED) (See the Code) _ Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.0) Educational-structure for training including child day care for those over?years 9 months(see Code Section 304.0) Factory / Industrial - (see Code Section 305.0) High Hazard - (see Code Section 306.0) Institutional - hospital, nursing home. infant day care (see Code Section 307.0) Mercantile - retail stores (see Code 308.0) — Residential - three or more family, hotel (see Code Section 309.0) C Storage - includes garages (see Code Section 309.0) • T. Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) T. Nea tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) - Tent or Trailer - temporary purpose? Other ` Describe the proposal briefly,INCLUDE number-of dwelling units and bedrooms or occupant load as applicable, to existing condition 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED New Construction and/or Addition - total gross square feet (For commercial only total gross cubic feet) - indicate It will be considered new construction if there an increase in square footage in addition to any alteration(s). If project is an addition to existing structure - Total gross square feet of existing FOR COMMERCIAL ONLY Will this project be subject to CONSTRUCTION CONTROL(over 35,000 cu.ft.) _Yes_ No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer review(over 400.000 cu.ft.) Yes No (see Code Appendix I) APPLICANT TO PROVIDE Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration required. - Demolition -'describe structure • Number of dwelling units Number of bedrooms A separate Refuse Disposal Declaration required- : Moving - (Provide copy of D.P.W. moving license) Type of structure from where (plat/lot or address) to where (plat/lot or address) Number of dwelling units Number of bedrooms per dwelling unit Re-roofing - (for existing only, is included in new construction) Number of square feet Number of layers already existing Number of lavers when complete A separate disposal declaration REQUIRED Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged) EGRESS dimensions must he maintained. Enlarged or new windows in an existing dwelling will be considered as an Alteration. otherwise will he included in new construction. (see Code section 3401.10 for residential and Article 8 for commercial) Temporary structure- includes when allowed. trailers, tents and the like and only for limited periods of time. Describe 500 Ct�t�STRUCTION PLANS 7I None submitted. Why? SAr ED VV = Submitted. usually three sets required. Four sets for food servicekuses. Number of sets submitted 600 ITE PLAN ❑ Not required, why? _ Submitted When? _ Previously, date application 700 UTILITIES Water supply - required_ yes _ no, public ? _yes _no. on site well? _yes _ no. existing? _yes _ no If required and not existing have necessary permits been issued? _no_yes date (M.G.L. Chapter 40, section 54 provides that no building permit may be issued unless a water supply, when required, is available. See Code 780 CMR section 114.1.2) Sewage disposal - required_ yes — no. public sewer_yes _ no private septic - on-site _ yes _ no. Submit copy of permit as soon as available. 800 MECHANICALS & PRIMARY FIE, Furnace(hot air) - Fuel gas (natural or propane), fuel oil, electricity, other(specify) = Boiler (beating)- Fuel gas(natural or propane), fuel oil, electricity, other(specify) _ HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) - Air conditioning - (separate unit) /None of the above to be provided - Hot Water Gas Electric Fuel Oil Other 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential - Required. Cplans provided, ::plans not provided, why? XNot required, not to be installed. Why? 1000 REQUIRED OFF-STREET PARKING - for ZONING & Architectural Access 11 NOT APPLICABLE : Parking Plan submitted To = Building Department : Planning Board Date submitted Number of spaces - indoors outside total provided Handicap spaces - require(' _ yes_no. If yes, how many as a part of the total required number. Is Route 6 (State Road) Entrance permit required? yes = no =. If yes has it been issued yes = no _. II Submit copy of application and/or permit as soon as available. 110 IDF:NTIFIC1TION (print or type except as noted) `VV�� urrcnt owner- name 4ri/((' /gM.6.S ^-^l � L �/1/b 9• J/L✓ address y 1 :�c4-o,)0 yS 71 Je i phone = ti37 ail-V63-.7 I If corporation. officer in charge Architect'Engineer - for overall design Company name Address Phone number Certified by State of Massachusetts as Certification number 1 NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. Architect/Engineer- project supervision and [sports Company name Address Phone number Certified by State of Massachusetts as Certification number • NOTE Signatures and seals • ffidavits and other documents SHALL BE originals and not reproductions. General Contra -'r[if Homeowner. tate homeowner here then complete section 1300) Company nam. Address L/ kit/art 4.•-•001/4•• ..T 421 t/Q. 04412;if gs'`? 04/4' Phone number .-57, 1/14.5-7 Construction Supervisors license number NOTE Signatures and seals on all Sans. affidavits and other documents SHALL BE originals and not reproductions. 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to(780CMR -6) ? Yes_No_If no go to next section! Are you claiming exemption from the requirement? Yes _No _If yes, submit the required affidavit! Remodel contractor name (please print) Address Registration number(if none state 'none") Phone number PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTEE FUND! QUESTIONS OR COMPLAINTS call or write: Home Improvement Contractors Registration One Ashburton Place - Room 1301 Boston..MA 02108 (617) 727-8598 Owners name (print) Signature Date • • 1300 OWNER SIGN - OFF I. the undersigned.am the owner of record or authorized lessee(provide documentation) and I have reviewed the application herein submitted. I state that to the best of my knowledge and belief that the information provided in this application is true and correct and that the permit requested he issued. Further I understand that the permit will expire in six months, from the date of issue, if no work is begun or six months after the last inspection if work has begun and that the permit may be extended for six months if no work is anncipated if I.request such an extension in writing. I understand that the permit may be extended only three times by written reff11nest.I understand that once the permit expires a new application may be required,including fees and current other regqiirements (including Zoning). ame es 4.,;✓/L trff- y E �ignature e above signature is my voluntary act and is signed under the pains and penalties of perjury. Date //—/5 —q( vs a e onnu 4 G Rho is authorized to pickup the permit at the Building Department" :please Donn G//vpet �i.. SiG t/,ry Address `I (.{21. e;. :` 2. Phone ;3 a N-` 7' '7ti./ 1400 HOMEOWNER EXEMPTION - ONE &TWO FAMILY ONLY FOR HOME OWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT I09.1.1 licensing of Construction Supervisors:Except for those structures governed by Construction Control in Section 127.0. effective July 1, 1982. no individual shall be engaged in directly supervising persons engaged in construction. reconstruction, alteration, repair. removal or demolition involving the structural elements of buildings or structures. unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled Rules and Regulations for Licensing Construction Supervisors. Exception:Any Home Owner performing work for which a Building Permit is required shall be exempt from the provisions of this section: provides that if a Home Owner engages a personas) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section oak,a "Home Owner" is defined as follows: Personas) who owns a parcel of land on which he:she resides or intends to,eside.on which there is. or is intended to he. a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in two-year period shall not be considered a Home Owner. If you are applying under this section sign below: Signature Your signature carries certain responsibilities. including but not necessarily limited to. general liability XOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction Supervisor. whether or not they have taken the permit are responsible for code compliance. (see if section ) 1500 COST Cost of Improvement $ / S—Qa Items to he installed but not included in the above cost: Electrical 5 C Plumbing —C. — HVAC — u — Other — C7 / TOTAL S 0 VD ie following section for official use only. INSPECTORS' REVIEW Date plan reviewed 640V 1 8 1 996 30 days to review period expires Qe..2. / r- 9 OK :o issue date OK to issue subject to requested submittals (see project review worksheet) date - DENIED see project review worksheet date - HOLD reason date - HOLD Subject to Zoning Board of Appeals action Comments Inspectors signature Date140It 1 R 1996 Applicant informed of above - Date time_ staff (fax, phone, in person) Sills****iSsi**!****itft•itsiisstitis.tsii!lttsftYkislitisYiY*ilt**iiiii#iiifitlsfit*******sistis********** Over six months since approved for issue - DEEMED abandoned! Advise applicant. Hold 90 days for return then dispose if not picked up. Inspector Date Advised applicant Date Time_ staff_ (by phone, fax or in person) ssssssssssssssssssssssssssssssssssssssssssssssssssss ssssss****sss******svvvvv*ssissssssa sssssss ssss s ssss OFFICEUNSPECTORS NOTES TOTAL FEE 50 av Gross area - new construction /a - Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit /. // Xn i 2— -p 19 1600 TO THE APPLICANT/REFERRAL AND APPROVAL Date of Application submission i//.5/j Plat Lout ,(// a�I / . / _'4„. " """— -6 Aquifer Zone_ Owner_ t—ik..--- Owner mail address yi.�( Owner phone N OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT'IHEM FOR REQUIRED SUBPALSSIONs_ COLLECTOR = Approved = HOLD By Date ps.x nservation Comm = Approved By • Date ❑ D.P.W. water = Approved By — Date — ❑ D.P.W. sewer = Approved By Date _ ❑ D.P.W. cross connection _ Approve Date _ ❑ D.P.W. engineering = Approved Date •• oard of Health well = Approved Date soar: of Health septic 7 Approved Date u Board of Health food service = Approved Date &hRE DISTRICT (I - II . III) = Approved ,��/c,� Date //a Planning Dept _ Approved �/ Date ()th,r _ Approved • Date 1):^;r _ Approved Date ( •..rn,ment5 Prniect summary new construction/ alteration/demo sewage disposal - public:private [[Alter add interior wallsj [add rooms) [add footprint! water supply - public:private well pond [garngeished) [game court (food service- Describe .r _ Eo the various departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any aestions please advise. If any reason to withhold the requested permit is found. please advise. Your assistance and ioper_zion is appreciated. O e Building Department I / l�w//,7 / By y-� J Date sent for review / r 4 �" . • 470.444-94" LOT Z 40.001 • 8trs tPtit.1/4::44 710,1 ca • „co co S Eaysn UG Z WL • Ok ( ./ ef, • • SG WC • 4.1,7 4 4 3(44; • rp pik.'4 TOWN OF DARTMOUTH iv .1U N II vOr. 11 RECORD PLAN A Copy Of This Endorsed Plan Must Be Kept On Site During Construction Date NOV 18 19% I ' 1600 TO TIIE APPIZC.tNTTBEFI AND APPROVAL /�J' _... Date of Application subtnissjon //�✓// Flat 7f7/7 Lot at ( /� / . Aquifer Zone_ Owner Owner mail address L .C. Owner phone n OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR REQUIRED SUBMISSIONS. ' COLLECTOR = Approved = HOLD By Date oy�a- � onservation Comm = Approved Byi' j��A �J/ A��� �"� "/��itL Date • D.P.W. water = Approved By 6 Date��--/S '94- a D.P.W. sewer = Approved By Date a D.P.W. cross connection = Approved Date a D.P.W. engineering = Approved / Date /yard of Health well Z Approved I t Date/ 1! Loam of Health septic - Approved Date _ 3oard of Health food service = Approved Date FIRE DISTRICT lI - II- IIII = Approved Date Planning Dept = Approved Date other _ Approved ' Date 41:^:' . Approved Date ( '. r„-eats Prniecr summary new construction/ alteration/demo sewage disposal - public/private :Alteradd interior walls] [add rooms] [add footprint! water supply - publiciprivate well pooh [ga1rai e.•shed] (game court sericei Descrbe the %arious departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any sstions please advise. If any reason to withhold the requested permit is found. please advise. Your assistance and 'peration is appreciated. : Building Department // .� {� / Dare sent for review l/ j J n !� By r