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BP-3677 BUILDING PERMIT Dartmouth Building Department Plat: 74 400 Slocum Road-P.O. Box 79399 Lot(s) : 5-3 Dartmouth, MA 02747 Lot Size:43,000 Telephone 508-999-0720 Zoning Dist. :SRB September 30, 1997 (typed) Permit No. : 36 7,7 Issued Date: 9j30/ 7'j Clerk: BAS i Project Location: 6 Knollwood Drive Number Street Subdivision Name: Nearest Cross Street: Applicant/Agent: John Colucciello Address: 6 Knollwood Drive, Dartmouth, MA 02747 ' Contact Person Phone #: (508 ) 678-8872 Type of License: Owner: (x) Const. Superv. License #: ( Architect: ( ) Engineer: ( ) Other: ( Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: To Install Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. 30 foot above ground swimming pool and add rear steps to rear deck indicate no.of bedrooms and bathrooms and other moms Gross Area of Const. : Cost of Const. $6, 000 . 00 Cost-Other Const. : TOTAL FEE: $ 25. 00 Owner(s) of Record: John & Marilia Colucciello Address: 6 Knollwood Drive, Dartmouth, MA 02747 All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) and any other applicable Mass. Laws or codes and plans on file. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further and stand other agencies may have reason to STOP WORK if items under their jurisd' ton re no Wmet; not withstanding the issuance of this Building\Zoning Permit. Signature of Owner/Agent: 42 ,2(,C Address: ******************** ** * ** * ** ************•**************** Signature: ora Approved/Issued By-! oel S. Reed, Ti Local Building Inspector COMMENTS: PLEASE OST PERMIT CARD SO THAT IT IS VISIBLE FROM THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION ®�� IS REQUIRED. 0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COPY TOWN OF DARTMOUTH 03677 BUILDING RECEIPTS COLLECTOR'S OFFICE Name: _Property Date: . • Job Location: / White Copy-Collector's Office Plot: s- Yellow Copy-Customers Receipt . Lot:.- Pink COPY-File Copy • Green Copy-Building Department Phone: - - Description General Ledger#'s Ref.# Amount License&Permits-Building 01000-44105 License&Permits-Building Misc. 01000-44105 License&Permits-Electrical 01000-44106 License&Permits Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 This is not a Permit or License for Building.Plumbing or Gas Received By: 1 TOWN OF DARTMOUTH 03673 BUILDING RECEIPTS weiTAX IssuEs COLLECTORS OFFICE Property - Date: �) _ _ -' • -d"'i //.., _-f1 owner: �`T----.2i2.i�'.C.- / - ! .5 / Job Loeal on: () . --7 -.r---L _�.-Z- .. .,_ cc,,�1—_� A z.�. White Copy-Collector's Office Plot: �j Lot: �-- Yellow Copy-Customer's Receipt 7 .� :7 Pink Copy-File Copy Green Copy-Building Department Phone: Description General Ledger#'s Ref.# Amount License&Permits-Building 01000-44105 TLicense&Permits-Building Misc. 01000-44105 -da?@ -t cowws 0 Fl e_o ='F1kX-��4-�i6�i`5 (�=FICE � �, License&Permits--Electrical 01000-44106 3 Il 1yy 4 License&Permits-Plumbing&Gas 01000 44107 66,97 Other Department Revenue 01000-42420 S A b G This is not a Permit or License for Building,Plumbing or Gas Received By: GL. -"`' TOWN OF DARTMOUTH B�;r D DIG DEPARTMENT TELEPHONE 508-999-0720 FAX 5D8-994-Q738' APPLICATION FOR ZONING AND BUILDING PERMIT hntinetiom The applicant shall complete this application to the best of their ability prior to submission,leaving no item unanswered.The Department stall will be available during regular business hours to assist as necessary.N/A should be inserted for those sections which do not apply.A properly completed application will help avoid=necessary delays. Mitts His Leese not refanfolde- (for office me only) ... Cl FOUNDATION ONLY Total Cost $ Received By ?) Date Redd 7—3 O '97 Less Application Fee$ e2 h— 2 6 3 O .- 77 Total Permit Fee $ Permit# 77 Issued Date / l 100 LOCATION OF PROJECT . !y TOTAL LF.,N f'T D AREA SQUARE F: CURRENT ACCESSORS' PLAT / f LOT � 3 ZONING DISTRICT � — OTHER ZONING OVERLAY DISTRICTS , if applicable NUMBER & STREET 6 K�tJOGL&00 D J72i lam. NEAREST CROSS STREET SUBDIVISION NAME & LOT# or BUSINESS NAME t h XA1 /1 PREVIOUS TENANT / OWNER � ) '' '�l r V ` 'y'i% c, Ltutoe"icy 200 RESIDENTIAL-PROPOSED PROJECT - one & two family residence only - ri _IJ = THIS SECTION NOT APPLICABLE • Single family - number bedrooms number baths • Two family - number bedrooms unit 1 number baths unit 1 number bedrooms unit 2 number baths unit 2 I: Accessory apartment Total gross sq. ft. = Accessory structure: Garage- detached - attached to dwelling, dimensions L W 7 Carport- detached- attached to dwelling, dimensions L W Shed- dimensions L W = Deck-dimensions L W - Gazebo- dimensions L W / • Swimming pool above ground in-ground Size 3o Chimney - number of flues 1 — • — '"""""""` '""" ^"• •ny••e inspec_sn pnor to mstauanonl, new (provide manufacturers instructions). Location(s) (list) Fireplace(s) - (includes flue) List location(s) LI 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 2 years 9 months(see Code Section 304.0) _ Factory/ Industrial - (see Code Section 305.0) _ High Hazard - 'see Lode 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) _ Storage - includes garages (see Code Section 309.0) _ Utility & Miscellaneous Structures - includes tents and .,gricultural structures (see Code Section 311.0) _ New 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 also existing conditionoccnpantloadasaPP�ble, 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED C 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 Pee review(over 400,000 cult.) Yes APPLICANT TO PROVIDE _ No (see Code Appendix I) 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 . I Re-roofing - (for existing only, is included in new construction) Number of square feet - Number of layers already existing Number of layers when complete ?, 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 be maintained. Enlarged or new windows in an existing dwelling will be considered as an Alteration. otherwise will be included in new construction. (see Code section 3401.10 fnr, residential and Attick 8 fc: commercial) _ _ Temporary structure- includes when allowed, trailers, tents and the like and only for limited periods of time. Describe 500 CONSTRUCTION PLANS - None submitted. Why? I Submitted, usually three sets required. Four sets for food serviceiuses. Number of sets submitted 600 SITE PLAN ❑ Not required, why? - Submitted When? Previously, date 27With this 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 v yes _ no. Submit copy of permit as soon as available. ii00 MECUANICA I S & PRIMARY FUEL • Furnace (hot air) - Fuel gas (natural or propane), fuel oil, electricity, other (specify) - Boiler (heating)- Fuel gas (natural or propane), fuel oil, electricity, other (specify) - • #VAC (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, ::plans provided, _plans not provided, why? - Not required, not to be installed. Why? 1000 REQUIRED OFF-STREET PARKING - for ZONING & Architectural Access - NOT APPLICABLE - Parking Plan submitted To - Building Department - Planning Board Date submitted Number of spaces - indoors outside total provided Handicap spaces - required_ 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 -. Submit copy of application and/or permit as soon as available. 1100 IDENTIFICATION (print or type( `excelpt as noted) I Current owner- name V pe Cllh•v �; 9 01W/(4/<��L l43 C _4 p address VJ i°I I&,),G 0 'la__ -/Uo: tA _� o 7 p14,4— phone# b 7 • � fl7>- If corporation, officer in charge Architect/Engineer- for overall design Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seats on all plans, affidavits and other documents SHALL BE originals and not reproductions. Architect/Engineer - project supervision and reports Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. General Contractor (if Homeowner, state homeowner here then complete section 1300) Company name Address Phone number Construction Supervisors license number NOTE Signatures and seals on all plans. affidavits and other documents SHALL BE originals and not reproductions. iaiiiiatiiiiiiiiiiYiiiiiliiiiiiiiiiiiiiiiiiSYiiiSiiiiiittiiiiiiiiSiiiiiiiiiiiiiiiiiiiitiiiiii iiii it Si 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! Ren_adel contractor name (please print) Address Registration number (ir 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 i300 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 be 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 anticipated if I request such an extension in writing. I understand that the permit may be extended only three times by written request. I understand that once the permit expires a new application may be required,including fees and current other requirements (including Zoning). Name -._/ �fNl CO/UCLW C-2% Signature 1 G The above signature is my voluntary act and is signed under the pains and penalties of perjury. Date //36/9 7 • Who is authorize to pickup the peR2i (jPattment?the Building D .:Dims Address / P./0( CrOCD I(� �d�.vP/,� . Phone b��)�-� 1400 HOMEOWNER FXF TON - ONE & TWO FANIEY ONLY FOR HOME OWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT 109.1.1 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 er^aged in construction. reconstruction. alteration, repair, removal or demolition involving the structural elements of buildings or structures, unless he or she is licensed in accordance wit, the rules and regulations oromuigated by the BBRS entitled Ries and Rezuiations for Licensing Construction Supervisors. Exception: Any. Home Owner performing work for which a Building Permit is required shall be exempt from the pro'-isions of this section: provides that if a Home Owner engages a persons) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section only, a "Home Owner' is defined as follows: Persons) who owns a parcel of land on which he she resides or intends to reside, on which there is. or is intended to be. a one or two family dweilin , attached or detached stracrares accessory to such use and/or farm structures. A person who constructs more than one home in two-year period shall not he considered a Home Owner. If you are aphis under this section sign below: i Signature Your signature carries certain responsibilities, including but ssssszzsszzszza****sans*zas*s*ssszss**z*sszs*s*xzs*sz*z*szsz not necessarily efs s=snsz�ztS� .ins l*z wean**tn.:* g liability NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any Licensed Construcn on Supervisor, whether or not they have taken the permit are responsible for code compliance. (see 1.5.2 of section ci izsz tzszzzzzz zzz ztzz z*Hat atnni******st y t*t f * z si t* i * * ziiz it 1500 COST Cost of Improvement Items to be installed but not included in the above cost: Electrical S Plumbing HVAC Other TOTAL 5 w ad ! The following section for official use only. INSPECTORS' REVIEW Date plan reviewed 30 days to review period expires OK to 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 Date C9—.So" 7 / Applicant informed of above - Date time staff (fax, phone, in person) tiiYiiYiiYYYYYiYYYYiYiYi i *mamas** i Y Yfi t i i Y i i i i i i ii Over six months since approved for issue - DEEMED abandoned! Advise applicant. Hold 90 days for return then dispose if not Dicks. I up. Inspector Date Advised applicant Date Time staff_(by phone, fax or in person) fiiYii Y i Y i t i i Y i Y t i • i i i i Yi OFFICEWVSPECI'ORS NOTES TOTAL FEE 36 'Ye?' Gross area - new construction Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit ,�++ rin.„ 1600 TO THE APPLICANT/REFERRAL AND APPROVAL Date of Application submission 7-3 0 ^' 9 2 Plat7 Lot-a Street C� Owner Owner mail address Owner phone# (a et h �/ tiiiissisis i isiiii s*IIiiiitiii s ii i is iiiisiii i i iitiisi OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR REOUTAED SUBMISSIONS. st TAX COLLECTOR C Approved 0 HOLD By Date ❑ Board of Appeals 7. Approved By Date ❑ Conservation Commission C Approved By Date ❑ D.P.W. Water C Approved By 0 D.P.W. Sewer C Approved By Date ❑ D.P.W. Cross Connection C Approved By Date ❑ Treasurer(Bond) 0 Approved By Date ❑ D.P.W. Engineering Approved By Date • Boar.P1d of Health (well) Approved By Date ❑ Bo Ilyd of Health (septic) Approved By Date ❑ Board of Health (food service) C Approved By Date ❑ Planning Board (parking) C Approved By Date ® FIRE DISTRICT (I - II - III) 0 Approved By Date BUILDING DEPARTMENT APPROVAL: 0 ZONING ❑ BUILDING INSPECTORBUILDING COMMISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT ****a******************ens:******iiiisi******! ss *****II i ii ****** II i i ****n*********** PROJECT SUMMARY: new construction/ alteration/demo sewage disposal - public/private [Alter/add interior walls] [add rooms] [add footprint] water supply - publiciprivate well [pool] [garage/shed/deck] [game court] [food service] Describe Describe ✓�� Gyl}/ � To the various departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found, please advise. Your assistance and cooperation is appreciated. } The Building Department- Date sent for review C/ 1� I ~ y 7 By 8 BUILDING PERMIT FIELD INSPECTION Dartmouth Building Department Plat: 74 400 Slocum Road P.O. Box 79399 Lot(s) : 5-3 Dartmouth, MA 02747 Lot Size:43,000 Telephone (508) 999-0720 Zone Dist. : SRB Issued Date: 09/30 /97 Permit No: 3677 Project Location: 6 Knollwood Drive Number Street Subdivision Name: 5�/? Nearest Cross Street: i�; 11 J� U, Applicant/Agent: John Colucciello Contact Person Phone #: (508 ) 678-8872 Proposed Use: Residential Residential,Commercial, Industrial,etc. Permit Issued To: To Install Type of Improvement,Add,Alter, New Consl.,Demo,Land/Move,etc. 30 foot above ground swimming pool and add rear steps to rear deck Indicate no. of bedrooms and bathrooms and other rooms Owner(s) of Record: John & Marilia Colucciello Address: 6 Knollwood Drive, Dartmouth, MA 02747 DATE TIME TYPE OF INSPECTION REMARKS INITIAL /0- c9-- 9-7 /161,— - h, z . Ok 11-4 ij � BUILDING PERMIT Dartmouth Building Department Plat: 74 400 Slocum Road-P.O. Box 79399 Lot(s) : 5-3 Dartmouth, MA 02747 Lot Size:43,000 Telephone 508-999-0720 Zoning Dist. : SRB September 30, 1997 (t ped) Permit No. : Issued Date: 9 /30/ /^ Clerk: BAS Project Location: 6 Knollwood Drive Number Street Subdivision Name: Nearest Cross Street: Applicant/Agent: John Colucciello Address: 6 Knollwood Drive, Dartmouth, MA 02747 Contact Person Phone #: (508 ) 678-8872 Type of License: Owner: (x) Const. Superv. License #: ( Architect: ( ) Engineer: ( ) Other: ( Proposed Use: Residential S;esidential..oluEpsjcial, I dusftjal etc Permit Issued To: To Install Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. 30 foot above ground swimming pool and add rear steps to rear deck indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const. : Cost of Const. $6 , 000.00 Cost-Other Const. : TOTAL FEE: $ 25. 00 Owner(s) of Record: John & Marilia Colucciello Address: 6 Knollwood Drive, Dartmouth, MA 02747 All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) and any other applicable Mass. Laws or codes and plans on file. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further and stand other agencies may have reason to STOP WORK if items under their 'urisd' t'on re no met; not withstanding the issuance of this Building\Zoning Permit. lie/y4, Signature of Owner/Agent: t% C C Address: *** *:ter** * ****************** * ?** , *************************** Signature: �l Approved/Issued By{Joel S. Reed, Tit : Local Building Inspector COMMENTS: PLEASE OST PERMIT CARD SO THAT IT IS VISIBLE FROM THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. 0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COPY _ l -- flat.arrxuva Date of Application submission O ^ / 2 Plat 7 y- Lot4) 3 Street (a er ne__ Owner Owner mail address ��777 Owner phone II f (p te ��/ OTHER INVOLVED AGENCIES-The following agencies requireseparate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR REQUIRED SUBMISSIONS. ® TAX COLLECTOR C Approved 7 HOLD By • Date ❑ Board of Appeals C Approved By Date ❑ Conservation Commission C Approved By Date o D.P.W. Water _ Approved By 0 D.P.W. Sewer = Approved By Date ❑ D.P.W. Cross Connection C Approved By Date ❑ Treasurer(Bond) ❑Approved By Date ❑ D.P.W. Engineering C Approved By Date Boar.P1d of Health (well) = Approved gy 0 ✓ F i Date ❑ B Ord of Health (septic) C Approved By �" Date ❑ Board of Health (food service) C Approved By Date ❑ Planning Board (parking) C Approved By Date ® FIRE DISTRICT (I - II - HI) = Approved By Date :uiu BUILDING DEPARTMENT APPROVAL: a ZONING ❑ BUILDING INSPECTOR/BUILDING COMMISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT PROJECT SUMMARY: new construction/ alteration/demo - sewage disposal - public/private [Alter/add interior walls] [add rooms] [add footprint] water supply - public/private well [pool] [garageished/deck] [game court] [food service] Describe / ifiat � 71— To the various departments: 7JjJ" This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found, please advise. Your assistance and cooperation is appreciated. The Building Department- Date sent for review Fr ?l / / By ! \ �J NUMBER FEE TOWN OF DARTMOUTH 61 Board of Health $50.00 SWIMMING POOL PERMIT Type of Pool: Aboveground Location: 6 Knollwood.Dri.e,..Dartmouth Owner: JOIOn.Colucciello Contractor• Poo1.&.Christmas.Village Date• September..30,.-1997 This pool must be constructed as described in the application for the swimming pool construction permit. 1043714413jaill•Ch1/4,0 Irittor S' nature e of Applicant al519%r �'\ U.A.1(11Q3AUJ ems Dartmouth Board of Health r3 , I I y 1 s ,9 1 1 �- _dommom • ;1J Q + .. 1 . n iv n C Q O f gKa j � t� - � n mom 00 r 0 Q tup cL a � o • A g a M � Oft" 4 •• - - ' 1 A