HomeMy WebLinkAbout4790 FALMOUTH ROAD/RTE 28 � .
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TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL Tb,,009 001 011 GEOBASE ID 37358
ADDRESS {4790 FALMOUTH RD./RTE.28 PHONE
y Cotuit 'LIP -
LOT 24 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
PERMIT 24532 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#16406)
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS:
and Environmental Services
TOTAL FEES:
HE
BOND
CONSTRUCTION COSTS $.00 �'
756 CERTIFICATE OF OCCUPANCY �
7✓ * HARN3PABLE
MA83.
OWNER ROSSI, JASON S i639.
ADDRESS 297 SILVER ST EO MA'S
HANOVER MA BUILDING :IVISIO- P
BY
DATE ISSUED 07/21/1997 EXPIRATION DATE
' SOWN 03A z� i S?!'ABLB
`` BUILD 1 PERMIT
PARCEL ID 009 001 011 GEOBAS t ' 37368 I ,.
ADDRESS 4790 —R0trTE"28-11 PHONE `
��
- cat �.t ZIP t`
LOT. 24 BLOCK f LOT SIZE
I)BA DEVELOPMENT f r DISTRICT CT
PERMIT 16406 DESCRIPTION SINGLE FAMILY DWELLING 4SEW.PMT #90--31' -r . .
PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PM
CONTRA��,TORS`: ROSSI, JASON ' a` '
Department of I�ealth, Safety
ARGHIT CTS and..Environmental Services
TOTAL FEES: $244.84
Im
BOND $3 00 Ox
CONSTRUCTIONf COSTS $7f3 y 980.Llp
1.01. SINGLE FAM 140ME DETACHED 1 �?I TE P;�,PE�.'.
7— * 1AM9r,ABLE, •
MASS.,
OWNER ROSSI, JASON S 039. A�O�
ADDRESS 297 SILVER ST ED MA'S k
HAt30VER, MA
BUILDING DIVISION
-
DATE ISSUED 07/09/1996 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: •� APPROVED PLANS MUST BE RETAINED ON JOB AND
` THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
N1.FOUNDATIONS OR FOOTINGS f-4-;•` PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). „, � " PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH
PCATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
3.INS .
4, AL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE
BUILDING INSPECTION#PPROVALS n PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 T r•n ✓1 C��� J 2 / (,,,�`/(,4
� v �
1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 (£ "�3 Y-r ' OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
• e `
WORK SHALL NOT PROCEED`UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
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BUILDING
PERMIT
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- Parcel / _ / Permit# 1646L
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) `, Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) 7&,e Fee' �� ,
Cr = F
Engineering Dept. (3rd floor) House# FJS.
ixiisys tME
� TAL BE
Planning Dept. (1st floor/School Admin. Bldg.) " LE®IN CE
A
Definitiv Approved by Planning Board �t/l 19 4T at �
;/ L ✓�J U fir— D
� TOWN OF BARNSTABL�
t Building,Permit Ap lication .
�Aa,�itac�
Prole reet Address /
7 ro. 4AV
Village /
Owner Address (
Telephone
'Permit Request
First Floor square feet
Second Floor K '�✓ `� square feet
Estimated Project Cost $ �
Zoning District Flood Plain Water Protection
Lot Size 3 Grandfathered ? �-
Zoning Board of Appeals uthorization Recorded
Current Use L:&v I Proposed Use
Construction Type .-�/��
Commercial F Residential .
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement.Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths 2, No.of Bedrooms
Total Room Count(not including baths) First Floor
P .
Heat Type and Fuel 4tW (� 6 L Central Air ,Ay Fireplaces
Garage: Detached AA Other Detached Structures: Pool
Attached Barn d
None Sheds d
Other C2
Builder Information
Name ®J� Telephone Number
Address�f �) License# ��°
Home Improvement Contractor# 10432-Fj
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEB IS R ULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
BUILDING PERM FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PRMIT NO.
D TE ISSUED
Mil/PARCEL NO.
AIRESS - 1 VILLAGE F -
fj
OWNER _ t
•
DATE OF INSPECTION:
FOUNDATION
FRAME',
INSULATION r
FIREPLACE
ELECTRICALi ROUGH FINAL -
PLUMBING: 4{* ROUGH r FINAL E
GAS: Wi� fO"GH FINAL
FINAL BUILDIN@-- ' - w
on -
i
TE
i
DATE CLOSED OUT _ =
j
ASSOCIATION PLAN NO. ' ! j
r
g 47'OB140 M
54.09
z ..
LOT 27
43 833 SF•
N N
Z
.W
�� m
In. TION
in
vi .00
s,
Bj
jIS ,�r
A-173.00
R 3365.33
ROUTE 28
"TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND
FOUNDATION SHOWN ON THIS.PLAN IS AS L OCA TED IN .
I T ACTUAL L Y EXISTS AND CONFORMS TO BA RNS TA BL E-CO T UI T-MA 5S .
THE ,ZONIN!j REGULATIONS IN TVl�OFr
BARNSTABLE. REGARDING YA 94E/GS"`, PREPARED FOR
DATE.' SEPT. 7, 1996 /cr CAVIL ,'_ f
I Ft`EC; 11 •., �JA SON ROSSI ff CHA
�> DATE:SEPT.9. 1996 SCALE-1"=50 FT.
� Fc�srE���' v1 CAPE 6 ISLANDS ENGINEERING
FLOOD ZONE NON-HAZARD
D-50 27C ,�qL LAND'�' MA SHPEE — MA SS.
5 �`
91te -P
DEPARTMENT OF PUE(LIC SAFETY 10259
-S
ONE ASHBURTON PLACE, RM 1301
BOSTON,,MA 02108-1618
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires:
CS 044178 09/29/1997
Restricted To: 00
JASON S ROSSI Detach bottom, fold sign on
297'SILVER STREET and laminate license card.
HANOVER, MA 02339 X6ep top for receipt and change
of address notification.
X
137
Restricted To: 00
DEPARTMENT OF PUBLIC SAFETY 102 -- 9
CONSTRUCTION SUPERVISOR LICENSE 00 - None
N,um1b.,er.. Expires:
1G - I & 2 Family Homes
Restricted To;`,,; 00 Failure to possess a current edition of the
Massachusetts State Buiildinq Code
JASON's
ROSSI is cause for revocation of this license.
'". : `297 SILVER STREET
HANOVER, MA 02339
rite• Contnuonwealtli of AfassacPipsetts
' . � '�._ ' '• • p part»>rflt of IndustrialAcddents
'�� '.a, • : 601111 ashin-Ion Street
�:�- .` if Bus7on.Maser 02111 �# /1�3�i3 k/
ems. .1/
��-" Workers' Compensation Insurance•Al9idar it
Wicant--.— . .
D
city
1nc�t�nn i
am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any opacity,
I am an employer providing workers' compensation for my employees working on this job. y
6I/U/3�q� -�ICI
m
add S
�J f
�eP
inlif nee Co. no
Q I am ole roprietor eneral contractor,or homeowner(circle one)and have hired the contractors listed below who
the following wo •ers' compensation polices• Y
comn�m•name cam/ �� `-d" ^- •
nailer#
m s• e• n
insuranceaddress: 112--
��� : .. nailer� . . •• • . .
:Attach additideai•shect iftiee •• � ~
Failure to secure coverage as required under Sectionbhb� 3A of D1GL 153 an lead to the imposition of enmmal penalties of a fine op to S1S00.00 aa:
one years'imprisonment as Weil as civil ensities in the form of a STOP NVORK ORDER and a fine ofs100.00 a day aping ma I understand the
coin.,of this statement mad• a forwa to the 011ice of Investigations of the DIA for corerage verification.
/do/ierebr cart/j ua /tc ai and pea /tier ojperjurp that the iajoniratioh p>tiridtd abow is true and cornet:
sitnanire site
Print name
� � one
7officia do not irrite in this area to be completed by city or town oAleial
permiNieem ll rittailding Department
Oticensing Board
diate response is required Oseleetmen's 0Mcc
C3tfesith Depsninent
phone*;
pother__
•Information and Instructions `
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for
employees. As quoted from the "law",an emplmyee is defined as every person in the service of angthcr under any
contract of hire, express or implied, oral or written.
An empinrer is defined as an individual• partnership,association, corporation or other :_ i entity, or am►two or n
the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However
resid
es therein, or the occupant of the
owner of a dwelling House having not more than three apartments and who P
dwelling house of another who employs persons to do maintenance, construction or repair wort:on such d�velIing
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be' an empic
MGL chapter r52 section 25 also states that every state or local licensing agency shall withhold the issuance or
renciyal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionaliv.neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chaptf
been presented to the contracting authority.
••�•�••.��. :�i'i e..t ,, '�:.;•7 /:.•.,^.�y/a. lia. =•*.r •.T.^Ifs::/..,I�il i ..�rT�+:.Y. ..1:,'QY`/•' :�:Y'.':•w.�' .. .
�'• �''' - ^: :~ .. p�aT..•: .. ... •... -. Wit•-t i�':' •K'+.�.:.tL.'.W 4�•.w: �.:-•+4•.' �.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation an
supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affdayit. Tile
affidavit should be returned to the city or town that the application for the permit or license is being requested.
not the Department of Industrial Accidents. Should you have any for
regarding the "law"or if you are requi
to obtain a workers' compensation policy, please call the Department at the number listed below.
. _.. 7—..d •'.,•.. r. ..y,. "..i�.i�i.l.«•:.. ydw:+w• �'vs.iwy�G'117�ri:�.: :t,..' _. .
� N w:..dir"� •. y :•••.�.R�":µ^^..�i::•.•.••• ^'t/a r�>�.+rw1►. 'r rAi��"^
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottorr
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. F
be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be retume
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questi
please do not hesitate to give us a call.
�.. ....... .. :{.i '_1!...«.' f�..� .� .•tii�%•+4i...;�I..�.i• .�w�r•.^`••:ti.�.r.::er...'Y�`+^ wow-: .w�E::
The Department's address, telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
office of investigations
600 Washington Street
Boston,Ma 02111
:„. fax#: (617) 727-7749
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I
FINISH GRADE
EOPFNDNL . � �r FINISH SPADE O VER OVER TRENCHES
• ..: FINISH GRADE a, v FINISH GRADE OVER DIS T. BOX
''•a o SEPTIC TANK `/�, _ '`''�• s
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o °B OUTLET PIPE LEVEL TOTAL LENGTH OF TRENCH 5
a 3„ o.
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0 PEINFOPCFD
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/. \ . .. _: _. .. n. TPENC SE C TTON
S "PTIC T NK
INSTALL ON LEVEL BASE . r( -✓- .Q�= _ NOTE" EXCA VA TE TO ELEV. ' ' OR
" TO EMOVE ALL IMPERVIOUS
L O��R R
A � h� RA TERIA L BENEA TH THE L EA CHING AREA 4" DIAM. 12" MIN.
h S REPLACE EXCA VA TED MA TERIAL WI TH 3" OF 1/8"-1/2"
' r CLEAN` CLAY FREE SAND ' qd:" " b�t:n"°'A' ��,°: WASHED PEA STONE
+ — 40 {y '•°• D:o�� oQ 4
° I
3/4„ 1-1/2" WASHED a .• �' �°i '
CRUSHED S TONE
/ NEB L NOTES '� TRENCH WID TH _
Z �'� 1. ALL EL EVA TIO _ SHOWN ARE BASED ON ASSUMED IdUMBEH DF TRENCHES_
2. ALL PIPES IN THE S YSTEM MUS T BE CAST IRON NUMBER OF DRYWEL L S 2
CAR SCHEDULE PVc. OBSER VA TION PIT
3. THE �:"� tlai U�" ��EAL TH MUST BE !NOTIFIED i
7' WHEN CONS TRUC TION IS COMPL ETE PRIOR P-5659
\ 2 PERCOLATION RA TE.'
_. _..._.- ` TO BA CKFIL L Ifs G
° �� �' <2 MIN./IN.
/ , °o°? savinelle 4. ANY CHANGES 3 M THIS PLAN MUST BE APPROVED
�l martnrt B'Y THE BOARD GF HEALTH AND CAPE G ISLANDS
WITNESSED L7 '
SURVEYING CO. , INC. TOM McKEAN
ncls o`'Pond J c
s caw o�
,�i. MA TER.�'AL S ANC` rN5 TAL L A TION SHALL BE IN RN BRO. OF HEALTH
COMPLIANCE WI TH THE STA TE SA TARP BARNS DESIGN DDA TA
DA TE• LUNG �3 19BEi
o� CODE — TITLE 'V — AND LOCAL APPLICABLE +- — —
.\,� , �.:. oar ti"e1�.• RULES` ANC. REe,'ULA TION '
NUMBER OF BEDROOMS
6. NORTH ARROW. 1 S FROM RECORD PLANS AND 0
F GARBAGE DISPOSAL NO
d
IS NOT TO B�. USED FOR SOLAR PURPOSES TOPSOIL 6
7. FLOOD HAZARD 'ZONE C (NON—HAZARD� SUBSOIL DAIL Y FLOW 3.90 {
�
GAL .
Rd �° i `pa �-• � .-- ._ SEPTIC TANK REO 'D. 1,,Ff00 GAL .
,f / O GC//y . ant
� � x S. WA TER SUPPLY GAL .
SEPTIC TANK PROVIDED 1 SOD
LEA CHING REQUIRED 330 GPD.
o �. MEDIUM
SAND
•. ,r..h' �' \ SIDEWALL AREA = 152 S.F.
152 S.F..1'0. 74 G/S.F. = 112 GPD.
BOTTOM AREA = 329 S.F.
L E NS 329 S.F.x 0. 74 !�/.y.F. = 243 GPD
LEACHING PROVIDED = 355 GPD
; 'DPOSED EL L'VA TION 156" NO GROUNDWA TER
--�—d -- XIS CON SINGLE FA .�L. Y PESIDFNCE tG
20 ' 7�rvowy ,
� f►RSER VA TION PIT k ,
i
1' IsTRIBUTION BOX
- ; PROPOSED A G ' DISPOSAL S yS TEM
PREPA RED FOR
�`• �'D- y' "• 'A` ` �..JA SON ROSS.Z ;
v t �,EPTIC TANK ti
L O T 27 NOUSE 4790) ROUTE 28
VE AREA �,s`-'f+�-.?•�`"Wa.��
-�--- —._ k OF 4,
8, '�V"S T BL F — CO TUT T — MA SS.
�� ,'•%* .,[,_ A9 'Ifs �° ✓ .N,,.r -..._........ -{
J r
>-ZPE INVERT EL EVA TION A �i� t' .
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