Loading...
BP-5091600 TO TILE APPLTCAfYTIREFERRAI Alyln APPI"_3VAL .. . Dare of Appilcation submission -TOWN OF DARTMOUTH BUILDING. DEPARTMENT Plat _Lot_ Street Aquifer Zone_ TELEPHONE 508-999-0720 FAX 508-999-d718 Owner Owner mail address APPLICATION FOR ZONING AND BUILDING PERMIT Owner phone tta.at.=..:.aa:.aisisiisisisiita.a.:.sa:ai.sii:a asiisaiii aisasi siai o.ai:ai. a:asses:> OTHER INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval for your Proposed project. CONTACT' TAM FOR REQUIRED SUBMISSIONS. El TAX COLLECTOR = Approved = HOLD By ❑ Conservation Comm = Approved By ❑ D.P.W. water = Approved By ❑ D.PAV. sewer - Approved By ❑ D.P.W. cross connection _ Apptved D.P.4T*'. engineering _ Approved ❑ Board of Health well _ Approved ❑ Board of Health septic - Approved Date Date Date Date Date Date Date Date C Board of Health food service = Approved Dam 2 FIRE DISTRICT (I - fI • III) = Approved ❑ Plonnine Dept _ Approved_ _ Other _ Approved Otherr — Approved I"'mments Date Date Date Date .........................i.i.i.............aa...................... a...... a.. i... s. i i..iii...... Project summary new constructions alterntion,demo sewage disposal . publiciprivate [Alter -add interior walls] [add rooms] [add footprintj water supply - publiciprivate well 1pooll [gara¢eshedj [game rourtl [food ser•icej Desembe .................sii.i..is.i..sis............iiii................ i............. t......... 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 Buildinu Department Instroedom The applicant shall complete Ibis application to the best of their ability prior to snbmis. am;.' tm item tttuaswered. The Department staff will be available durin; regular business hours to assist as necessary: NIA should be inserted for those sections which do not apply. A pmpedy completed application will help avoid tmneansary delays. Yore I� fee is Motn� t (for off use, only) / Application fee $ received eeivt� by lht 1 /0 4 lD Total Permit Fee $ Permit # 100 LOCATION OF PROJECT' CURRENT ACCESSORS, PUT / / LOT 67 ZONING DISTRICT S f� OTHER ZONING OVERLAY DISTRICTS , if applicable t %NU-,iBERdSTREET i i1i�1{RuN 201nC �p `S0'flJ1AT86 ClE 1�R NEAREST CROSS STREET SUBDIVISION NAME & LOT or BUSINESS NAME PREVIOUS TENANT; ONVNER 200 RESIDENTIAL. PROPOSED PROJECT . one & two family residence only THIS SECTION NOT APPLICABLE _ Single family - number bedrooms number baths = Two family - number bedrooms unit 1 number baths unit f number bedrooms unit 2 number baths unit 2 _ Accessory apartment Total gross sq. ft. .accessory structure _ Garage - detached - attached to dwelling, dimensions L R' Carport - detached - attached to dwelling, dimensions L W _ Shed - dimensions L W = Gazebo - dimensions L W _ Swimming pool above ground in -ground Sue total square feet F. Date sent for review By _ Chimney - 1# of flues -- _- -- - f 4/Woodstove - used (will require inspecton prior to installation) new rovide manufacturers_ V1:RNONT- Cti51-IVJ UCFIANI` C_kcc1<k instructions). Location(s) (list) hi t 0 E L a.; s6 tJoc 6 g eRNIN t 11=51 cST N&A20 ANSI _ut_-- jlq2 G Fireplace(s) - (includes flue) List location(s) 7. 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 daycare for those over 2 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) - Storage - includes garages (see Code Section 309.0) - Utility & Miscellaneous Structures - includes tents and agricultural 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 pmposal briefly, INCLUDE number of dwelling units and bedrooms or occupant load as applicable, also existing condition 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED - New Construction and/or Addition - total gross square (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 aiteration(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 1) APPLICANT TO PROVIDE OK to issue subject to requested submittals (. . Inject review worksheet) date DENIED see project review worksheet date HOLD reason HOLD Subject to Zoning Board of Appeals action Comments date Inspectors signature Date - Applicant informed of above - Date time _ staff - (fax, phone, in person) kYYYi#}SYii{Rifi}ffiYiitiititii}i#iififitiiiilYiikfiiiiitfftif RiR{#RiiiiYtff}}iitRf Ytf}i} 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) }YYifi;{iYYiiitiYYYYiiiii}{liYYYfi;iiitiiii YY};itiiitiYiiYYiiiY{{{{{R{{{;}{i;kiiiii{f{;iiYi;t{t YY;iiiliY OFFICE\INSPECTORS NOTES TOTAL FEE S Gross area - new construction _ Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit 7 900 MECHANiCAfS & PRIMARY FUEL, Architectxngmeer - Project supervision and reports - 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) - 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, -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 ves - no - Submit copy of application and/or permit as soon as available. I100 DENITFICATION (print or type except as noted) ( rrreatowner - name 4a, C `'FAV a dress { '1 1�115H 80N ©IuT XD Pgrrho u7 ff H kil Lj. ,one ,''- �.1�6 17 1- IUOs 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 seals on all Plans, affidavits and other documents SHALL BE originals and not reproductions. 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) a/Company name GUS FERNANDES MASONRY t 79 Norwell Street 'Address -- NEW BEDFORD, MA 02740-1050 jI (508) 997.1123 -'Phone number - instruction Supervisors license number 0 I l q I� Iq NOTE Signatures and seals on all plans, affidavits and other documents SIIALL BE originals and not reproductions. ***.******************t i• t*********tilt*******,****.>*,**, **********>****** Y t f X f 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 lease rind Addres! 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 f 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 oniv three times by L4 Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration required. written request. I understand that once the permit expires a new application may be required, including fees and current other re uirements (including Zoning). = Demolition - describe structure ' Refuse Disposal Name Number of dwelling units Number of bedrooms A separate ` s - Declaration required. ,>�ignature ThegabOove ssiignnature is my vo ntary act and is signed under the pains and penalties of perjury. ,= Moving - (Provide copy of D.P.W. moving license) Type of structure / .. J Date �'� o's 0 ' / / from where (plat(lot or address) VV FERNAN,� "ho is auth rized to ickup the permit a[ the Building Department? fpleaseoneuA45 . to where (plat/lot or address) Address Le7T Phone Number of dwelling units Number of bedrooms per dwelling unit 1400 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY - Re -roofing • (for existing only, it included in new construction) FOR 11WOE OWNERS WHO INTEND TO PERFOR,N1 AND BE RESPONSIBLE FOR THEIR OWN PROJECT Number of square feet Number of layers already existing 109.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction Control Number of layers when complete 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 A separate disposal declaration REQUIRED 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. =Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be Exception: Any Home Owner performing work for which a Building Permit is required shall be exempt from enlarged) EGRESS dimensions must he maintained. Enlarged or new windows in an existing dwelling will be the provisions of this section; provides that if a Home Owner engages a person(s) for hire to do such work ,that such e Home Owner shall act as supervisor. considered as an Alteration, otherwise will he included in new construction. (see Code section 3401.10 for For the purposes of this section only, a "Home Owner' is defined a> follows: Person(s) who owns a parcel of land residential and Article 8 for commercial) on which heishe 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 and/or farm structures. A person who constructs more than one home in = Temporary structure- includes when allowed, trailers, tents and the like and only for limited periods of time. mo-year period shall not be considered a Home Owner. Describe If _you are applying under this section sign below: 500 CONSTRUCTION PLANS Signature Your signature carries certain responsibilities, including but not necessarily limited to, general liability t:atl:!! i t t ! t iitiift tilt;t t tRtfilifitif tiitiffiffiitittiiftifittlitiYf lit NOTICE 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 2.15.2 of section 5) sfsil:! z i f i +� t liiffilliii;l i t;tilliill fi i !if ! !f!!!!ll!! ! lilliilt 1500 COST Cost of Improvement 5 "� 2n' - Items to be installed but not included in the above cost: Electrical Plumbing The following section for official use only. INSPECTORS' REVIEW Date plan reviewed HVAC Other TOTAL .1 3 a. fc , L"v _ = None submitted. Whv? - Vo' Submitted, usually three sets required. Four sets for food serviceluses. Number of sets submitted 600 SITE PLAN ❑ Not required, why? Submitted When? _ Previously, date _ With 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 _ yes _ no. Submit copy of permit as soon as available. ti 3o days to review period expires OK to issue date