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BP-92066Board of Health: Signature: _ Conservation Commission: Signature: _ D.P.W.: Signature: _ Fire Chief: Signature: _ Other: Signature: Brief description of work being performed. Date: Date: Date: Date: Date: 1.1 Property Address: /ZI hilrsu !JT /7�1. 1.2 Assessors Map & Lot Number: Contact Person',7CL(�[i % E&L_7= -- MapLo42? Phone Number: 9t'5 'q ? / 6/ Q,/- % 1.4 Water Supply (MGL c40 s54): 1.5 Sewage Disposal System: ❑ Municipal ❑ Municipal Private Well Pn Site Disposal System 1.3 Historical District ❑ Yes ❑ No Year Built ❑ Altering more than 25% per side of building Has application been submitted to the Historic Commission? ❑ Yes ❑ No Date: 0 CONSTRUCTION PLANS 0 SITE PLAN ❑ E"trfP€�RFt1P111t3F(RIZ'_'_,T ' 2.1 Owner Record: y� 9-so � srti.tz.>_ {�e.1,-y Lea(.r.✓,�w�_ r !G (o �µa� gbh" �t' r}A- %/� - -zYt Name (print) Contact Address Phone Number /vy ruj /01 2- 2.2 A horized A 7 Name (print) ContactAddr s Phone Number 3 1 Licensed Construction Supervisor/Specialty License: — - License Number: Company Name/ContractorNamw�T�—l/.t Address: / U J f/� y T. Expiration Date: p Z T / Signature: Telephoner Fi 'J 1 L)1 V- 3.2 Ho er Exemption - One & Two Family Only Section 110.R5.1.3.1 Exception: FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Homeowner engages a person(s) for hire to do such work that such Homeowner shall act as supervisor. For the purposes of this section only, a "Homeowner" 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 dwelling, attached or detached structures accessory to such use andlor farm structures. A person who constructs more than one home in a two-year period shall not be considered a Homeowner. if you are applying under this section sign below: Signature: Workers Compensation insurance Affidavit must be completed and submitted with this application. Failure t provide this affidavit will result in the dental of the Issuance ofthe building permit. Attachjed es ❑ No yyAyffidafvit Q[ �Signed �p ❑ Deck d Pool ❑ Repairs ❑ Alteration ElChimney/Fireplace ❑ Woodstove/Pellet Stove ill�"""" ❑ New Construction" I(f/Accesso ❑ Addition ❑ Roofing/Siding ❑ Replacement window/door (Energy report required) She g (Energy report required) No. of windows_ Doors_ ❑ DEMOLITION (specify): Location of debris removal (per MGL C.40 Sec 54): j#umpster on site ❑ Dumpster On Street ! - Facility Name: % _ Location: rlVbz ci �60 r--Z't Lt *if new construction, please complete the following: Single Family: No. of Bedrooms 7CI— No. of Baths _ Two Family: No of Bedrooms Unit 1 No, of Baths Unit 1 No of Bedrooms Unit 2 No. of Baths Unit 2 ❑ 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): _ 13-HVAGAcombinec +"q--prtmary-fuel, natural gas, propane, electricity, other (specify): vndifioning - (separate unit) e of the above to be provided Water. Gas Electric Fuel Oil Other Estimated Cost ($) to be completed by permit applicant Item 1. Building 7000 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Total (1+2+3+4) U _ SEGTf011 / O MFRAUTHQR11 ATIQN _^- s + (to be completed when owners agent or confracfor applies forbuilding permit) , ,,, JPlease Pnnt) q�q� Owner of the subject property hereby authorize �s" ,as to act on my behalf, in at matters relative to work authorized by this building permit application. _ 1 113 l _ Signature of Owner Date SEGTIOPI:xB - QINNER/AUTHQRIZER AGENT ©Et;IJIRATION ,'; S 6-At 44e as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application re true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. i Signature of Owner/Authorized Agent Date �..ri:=„'-, �,�.^ ;. SECTION$-OFFICEfINSPI=CTOR'S:NOTES Less Application Fee: $25.00 Remaining Balance: $ ��, .../// Total Permit Fee: $ '—_ Other $ Amount $ Gross Area - New Construction total sq. ft. Gross Area - Alteration total sq.. ft. nt Issued to: / xn S y Permit NOTES: 1. PROPERTY INFORMATION SHOWN IS TAKEN FROM PLAN BK. 113, PG. 64 & PLAN BK. 170, PG. 68. 2. A PORTION OF THIS SITE IS WITHIN A SFHA ZONE "VE" (EL 25) AS SHOWN ON N.F.I.P./F.I.R.M. #25005C 0489 F, 7/7/09 3. THE TOP OF COASTAL BANK IS DELINEATED BASED UPON THE MDEP WETLAND PROTECTION PROGRAM POLICY 92-1; FIGURE 3 & 5. MISHAUM MERIDAN OF PBK. 42, PG. 36 yam 1 �/` 13.72' N 85'50'00" E �ir� S 06•P9,00. W � w B.M. #1 1 co a, n / \ 00 r \ 5� SHED ExISTI PLAT 7, LOT 29 N/F 116 REALTY TRUST 1 7 14, 131- 12� 1t-� lo. 9- \ 7, 6— _ 5- 4� 3� 2-- 1� 0� ZONE X \ ]1:��AREA=811,150 LAT 7, LOT 28 _\ SO.FT.t — j � \ 08 J A mmoNo m B.M. f 2r 17.5' C44GE - POINT UP# 294/22.5 "O- 0 EMTR POST & RAIL FENCE (TYP) o 34Y�GARDEN EXISTING WELL P � 2 \ ® 1 29 PATIO \ \ \ SITE LOCUS SCALE: 1'=2000' LEGEND —PC PROPERTY LINE - - 24 - - EXISTING CONTOUR + 24.4 SPOT ELEVATION - • - • - • - LIMIT OF FLOOZONE CB TOP OF COASTAL BANK rwvv� TREE LINE (TYP.) ^ BRUSH LINE (TYP.) ¢UP # UTILITY POLE ® TREE (TYP.) O MBX MAILBOX ❑ EMTR ELECTRIC METER Q TH= THRESHOLD ELEVATION PLAT 7, LOT 27 N/F THE MISHAUM NOMINEE TRUST 1 2� 56 25.5 •, • 27.56 24- i,2 24.4 HOUSE j124 23- 20.5' ILIMIT OF FLOOD ONE 2 TOP OF COASTAL BANK - \24.3 DECK 6. !� 21 � � - � 26.9 �j O (SEE NOTE #3) \ 20-��G 19- \ - - - _ - ?34\ --LIMIT OF FLOOD ZONE _ - - - �2 is- \ — ZONE VE (EL. 25 — _ _ �21 _ — 20 _ —19— _ -- 18-- - CB \ -17 - \ -15- - - -/ \ 1413 - 12- sl�� FL�1� --_i'�_ ��•— __ _--J —10- S�4awllsC217�0�� C-1���Cz� - - - - - - - - - - - - - _7- PREPARED FOR - ---------- `-6- SARAH H. LEDERMAN �� --5 ---------- - --_ 124 MISHAUM POINT ROAD - - - - - PLAT 7, LOT 28 '1 - - - - - - - APPROXIMATE �l- LOW �\ BENCHMARKS: (NAVD88) 1. MAG NAIL 0.6FT UP ON EAST SIDE OF 14" DIAMETER CEDAR TREE LOCATED NORTH OF DRIVEWAY OPENING ALONG MISHAUM PT. ROAD. ELEVATION = 34.51 2. NORTHEAST CORNER OF 2FT WIDE CONCRETE APRON LOCATED ALONG EAST WALL OF GARAGE. ELEVATION = 27.16 30 0 15 30 60 SCALE IN FEET DARTMOUTH, MASSACHUSETTS SCALE: 1 "=30' DATE: mk-r' ., �) 2519 PREPARED BY htT-UQLx � ACC 11',(.EE5Z\ S.V Lti- 2s 416 � SiReT� S. t NpRv i kt 0-n� r ij& FILE: 3095-Ot .dwg ►� ►. yr N 32'-0" —8" CONCRETE STEM WALL 4" REINFORCED CONCRETE FLOOR SLAB GARAGE PITCH 00 M n w Oz D_ Z) - CUTOUT FOR 8'-0" WIDE O.H. DOOR CUTOUT FOR 8'-0" WIDE O.H. DOOR Q - C 11'-101/2" ►. 81-3" _—_ �1-9^ r - 32'-01, FOUNDATION PLAN SCALE: 1/4" = 1'-0" X 2 8'-3^ V-10 112" v 2 X 4 @ 16" O.C. ANCHOR BOLTS 2X6P.T.SILL :Lxx V REINFORCED CONC.SLAB o 6" GRAVEL SECTION "X" SCALE: 1/2" = 1'4' Scale: REVISIONS 1/4' = 1'-0SHEET # " 124 Mishaum Point Foundation Plan Dace: Drawn by: TMR South Dartmouth, MA 'z 2 3, Date: 10-30-2018 32'-0" 0 M 0 M O O N M N .�. 4'-8" . . 8'_0" I 2'-p" I 32'-0" FLOOR PLAN SCALE: 1 /4" 124 Mishaum Point Floor Plan South Dartmouth, MA I 114" = 1'-011 iwn by: TMR e: 10-30-2018 SHEET # 3 WIN 7II I11-h� IIII I� 'ICI II0II MII�II II�II III WII�II II�II II�II II�II II�II Il�li ELEVATION 1 SCALE: 1/4" = 1'-0" 124 Mishaum Point South Dartmouth, MA WII I ''NNI ICI II�II II�II Ill II�II II�IIII�IIII�IIII�II � Elevations MATCH ALL TRIM, ROOF AND — SIDING WITH EXISTING HOUSE REVISIONS Date: 2 3 ELEVATION 2 SCALE: 1 /4" = V-0" Scale: 1/4" = 1'-01, Drawn by: TM Date: 10-30-2018 SHEET # 4 1I 1I III i IIIIIII IIII IlTfl II i ELEVATION 3 SCALE: 1/4" = 1'-0" ELEVATION 4 SCALE: 1 /4" = 1'-0" REVISIONS Scale: SHEET # 1/4" = 1' 0" 124 Mishaum Point Elevations 1 Date: Drawn by: TMR South Dartmouth, MA 5 3'. Date: 10-30-2018 124 Mishaum Point South Dartmouth, MA l Full Section "A" 1 Date: /2 3,, REVISIONS 3/8" = 1'-0" Drawn by: TMR Date: 10-30-2018 SHEET # 6