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BP-22457c 'YOUR DRAWING MUST BE: KFp-r THr- A7 ' E3WILDING. DUp!I-IG PROGRESS 0" Ti - t" "onx. Tovm c4 f SONG-TV;E SIZE AND DEPTH INSPECTIC),N,! IS REQUIRED BEFORE THE CONCSETE IS I"OLIRED. BUILDING DEPARTy,'FNT TOWN C!"BARTNIOUTH A C5r;f Cf Thi-,o p In riwt i P c A-9 Isro N -� i 1 � I — V2-11 L YOUR DPAAlING MUST SE- KEPT AT THE CULL MNG DUR!,NG 71-1E P 0 R M' ', S 0 F T I il C- Vi OR K. BUIDING, DErPARTINNIENT Town cf Dartmoui� T G rl E C"'; SONOJUaE SIZE: AND PEP iH N, -1EQUIR �r � ,SPECTION IS -FC r',E BULDING DEPPRITIMEJIT Tol,vn cf Dnrtmou� of IK—poa—� � � j 1. i- �- .Lr I n Q ..r- V, & RY-Akoq,- - of <3 L 2 7ZIi ; ` r ---- 1 �� WD R� -4 C.L19 tit Roor PL r. 6o x 60 T01" C"177 16 10 XIC2 frW L LS pf �k '2" rj- 7- ,q,ONO-TU.-)E SIZE AND DEPTH INSPECTION IS REQUIRED UE THE CON'CRETE IS FOURED. tU',LD!NG DEPART N17,NT vra,n of Dartmouth ' DUR DRAWING MUST PE KEPT AT THE BUILDma DURM:3 THE P1104GREICIS OF THIS BUIDINC D-RlrTtjl7-'YT Tb,om rf I I I i I I I I I I� I I I I I I I I i i I i •I I I I I I I I I i I I I I I � I I I i� I I I I I I I• I I - 1 I :I I I I I I I i I I I I �� •I �1 I I I I I I I I I I 701 �Z 9Xb 9xb I f ►� I .I I I i � I I I I I I I ICI I I I I I ,' I I` 41 ICI I I i I f I .I I I I � I I I I _kR_ I I I ICI I i I I of I I I I I I I I I I I I I I of I I I I I I I I i I I I I I I I I I I I I ;I 1 1 1 I .L_� I I I_ I� I I I I I I I 1 1 1 1 1 I i i_ I I_ 4 I I I I I I I I I i� I I I I I 1 1 1 1 1 �I I I I I 1 1 1 1 1 1_ i I• I I I I I I I I 1- I I �•I I I I I I—I--I—I---r-'7�II�Z 1 I.- I I 9 I '�'I I I I i .70j&Z'D I I I I 9xb � I I •I �i �9 � `I ► I I I I �� I I I I I I I I I I I I I I I I ., � I i I � I I I 1 I � •�I` I i I I I I I I i � Ila I I I I I I I I I I I I I IZ I I I I I I I I I I I I IcR NZ I I I I I I I I I I YOUR DRAYINQ MUST BE KEPT AT THE BUILDING DURING THE PRQCsRE,SS Or TH;S 6.0 r• .. SUILDIING DER,P-M,14211v Tours of DaItz R we f, z.. 6Y. C a,.°jc SONG-TLUE SIZE AND DEPTH INSPECTION IS REC;aUiP11-C' r'� FC;:,I a., THE C;O".GRE i I_ !S POi°fdMD. L5_o _X 7o In�cor� _R�c��ng Arena GO A (00 0 (qz:)-x goo 0 60 x60f �o' A 70 YOUR DRAWING MUST EE KEPT AT THE BUILDING c)urlf,4G THE PROGRESS OF THIS WORK. DUILDING DEPARMI"NT Town r� " - 70 EPA UTI, F21-,DJ 710 rz "q c D t c '"'0EC()I-O7 UDisE SIDE 41D l—E41D LCrTpj THE C0NC9?7 ' TEIS D 7ClWn of It Lew 1. / �ror��_._Vi�ew__ darn_ YOUR AT THE fVST W,- Pal DUMN OQPZ,SSOFTHjC,V,,O' 0 THr- .q K, 44 of outh SC)'No, -I irlspc-cV-1Z Th:)jAj jS Cn) of D artrp .Out ► ,It U 1 0 R-ear_.----.�evv tic THE Co CON cTE Is p ' 10,wnCf Dc?rtrnouj,i YOUR DRAWING MUST BE KEPT AT THE BUILDING DURING THE PROGRE-SS OF THIS WORK. BUILDING DEPARTMIENT Town of Dartnouth PcAM w/ 1/ 211 P01,f5 51nC VIEW ENYJ VIEW f7�tAJ.,IYPICAI, Nor ro sca.6'� i p05f Yontj AT 7-HZ c E-E- 0! Do, Z'J 7 YlxEICITIONISIZS A-tVio LNETp, Tkiz COCs P:QUl'RED Si�pRETE IS po H p PcoBUILDING, DCpARTU -ro"Y. C'f DIA. DETAIL STEEL BRACE YOUR O^9YIIIINc t.,ua: k.sl rrr-r AT THE PUII MING DURING i rIE PR0GREv3 0F.TH;S VICsntC. TYPICAL CONNECTIONS I m• ia` 3PrCTiUN IS f'E-OUNM:"-_ .. .i: THE CCf;CAETE IS FOU =� FU' DING DEPARTMENT 7` 'wn rs? Certrrmjlh TOWN, F DA RRIN TH CJ7' �11 �wJnre Cvf! •bY .! r..s� zPs!'••.e ,.•� p F 241 6x6 POST w METAL ANCHOR R€R-- 0 DIA. SON -TUBE) 4' AP,PUCA NTS' COPY ANCHOR DETAIL ALL LUMBER IN CONTACT WITH SOIL OR CONCRETE SHALL BE PRESSURE - TREATED SOUTHERN YELLOW PINE. ALL ABOVE -GRADE TIMBERS AND SIDING SHALL BE PINE. ALL NAILS, FASTENERS AND HAR DWAR E SHALL BE GALV. STEEL. INSTALL 1 /f THREADED ROD w/HUTS & WASHERS WHERE STEEL BRACE CANNOT BE USED. INSTALL STEEL BRACES WITH 11Z BOLTS,NUTS & WASHERS AT ALL RIGHT ANGLES. 0 0 121,011 4x6 0,5 CA,V. MCH9 fO P05f 2-2x6 Pf. 511.1.5 12T. 50NO-M N rh, OUR D r,. N U Taff EcTIei `- -AT TH7EUILDING DnIN!G THE c Ti 'FC., ' PoVPRWREGS OF THIS WORK. D7r P'L�t!aARTllT nUMMRAU-lm"G fAElUILG RRT fJ Drth loomDrtout Grnr oilrllout I L2 121-oll 6x8 ?05T5 to. '77 S 14-L COMPAMP 5MPY 9MM 60 P05f5 COMPACSP 5AN17Y 9,AM 24"O.C, 6x6 PATIZ5 @ %125 PATSN FINl% /Ir FIN, 6M .4% RESTI)ENTIAL 2001 SECTION - INSPECTOR'S REVIEW/COMMENTS 1. Date plan reviewed: VoO 2. 30 days to review period expires: 3. OK to issue date: 4. OK to issue subject to requested submittals(see project review worksheet): Date: 5. DENIED (see project review worksheet): Date: 6. HOLD reason: Date: 7. HOLD subject to Zoning Board of Appeals action: Date: R. Comments: c 77 9. Inspector's Signature: Date: 0 19 '�SECTIONO-,AV IC NT NOTIFICATION/71 T Applicant inforrr-d f bo e Date: Jf Time: Clerk: Comments: SECTION 10- OFFICEVNSPECTOR'S NOTES Total Permit Fee: $` Less Application Fee: $ 25.00 Remaining Balance: $ TOTAL FEE: %a �� Gross Area - New Construction total sq. ft._ 134 T ob 7� / Area - Alteration total sq. ft. GGGross Permit Iss.ed ?'c:!� �! j l GZ^� '7o x ` �- SECTIO 11- ADDITIONAL COMMENTS/SKETCHES i, RESIDENTIAL �11. ❑ FOUNDATION ONLY / $25.00 APPLICATION FEE IS NON-REFUNDABLE do NON -TRANSFERABLE DATE RECEIVED DARTMOUTH BUILDING DEPARTMENT N ,4 e` 400 Slocum Road, P.O. Box 79399 Dartmouth, MA 02747 '�fi •.-' 508-910-1820 FAX 508-910-Lis38 APPLICATION TO CONSTRUCT, REPAIR, WENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING THE FOLLOWING AGENCIES SHOULD BE NOTIFIED , r O Boaril of 0 Board of ❑Con. Com C! Demo. ❑DPW ❑ Elec. rl Energy Repoi Appeals Heatth :'Affidavit' Card Sent Cutio ;ro�low-up*, G Fire O Gas ❑ Planning Board* Q Sewer Card' _ Water Card : _ _❑ Zoning , iI Other Chief Cut Oft / Ckt Off /cut Off Review* * REQUIRES INSPECTOR'S REVIEW AEFORE THE ISSUANCE OF APERMIT. =;LEPARt1lM. iTt,L APPROVAL Zoning Review: Signature: Date: Energy Report: Fare Chief: t Rc,i_-d of Health: Cons-n/ation Commission: Signature: Signature: Signature: Other: Signature: Description: of work being performed: NU*,1BER OF PLANS SUBMITTED: Date: Date: U/ Date:ts% Date: 600 SECTION 1- SITE INFORMATION 1. i ty Address: z�-Y Ste► Nearest Cross Street: Z, 1/4. 1yeIt— Subdivision Name: Total Land Area Sq. Ft.: 1.4 Water Supply (MGL c 40 § 54): icipal Private Well SITE PLAN SUBMITTED: ❑ yes ❑ no 1.2 Assessors Plat & LrL ber: Plato'V_ - 1.3 Historical District ❑ yes ❑ no Has application bfnn submitted to the Historic Commiss ❑ yes ❑ no Date: 1.5 Sewage Disposal System: ❑ Municipal ❑An Site Disposal Sys v C:\bldg. forms\Bldgapp.res.wpd Page 4 Rev. January 19, 2001 C:\bldg.forms\Bldgapp.res.wpd Page 1 Rev. January 1 IDENTIAL 2001 RESIDENTIAL 2001 SECTION 2 - PROPERTY 0WNER HIP AUTHORIZED AGENT vner of Record: �► s I�1�6;, SuSAn ����v 2r Sni�l IVP�K �i� (print) Contact Address Phone Number .thorized Agent: (print) Contact Address Phone Number SECTION 3 - CONSTRUCTION SERVICES tensed Construction Supervisor: Not Applicable ❑ ed Construction Supervisor License Number ;s Expiration Date are Telephone gistered Home Improvement Contractor: Not Applicable ❑ u a Home Improvement Contractor subject to (780 CMR-6)? ❑ yes ❑ no If no, go to the next section! u claiming exemption from the requirement? ❑ yes ❑ no If yes, submit the c required affidavit! ny Name , Registration Number (if none, state "none") s Ire Telephone Expiration Date Residential Remodel Work Only VS t::ONTRAC T ING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: ION : OR. COMPLAINTS call or write: .Hone Improvement Contractors Registration, One Ashburton Place -Room 1301, Boston, MA 02108. (617) 727-8598 Name (print) - o "(.I e9� v/ re bysigning the above, the home owner acknowledges that there will be no eligibilty to the Guaranty Fund neowner Exemption - One & Two Family Only FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT I Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0, effective July I, 1982, no individual tgaged in directly supervising persons engaged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of 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 ion Supervisors. )tion: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a ier engages a person(s) for hire to do such work, that such Homeowner shall act as supervisor. ie purposes of this section only, a "Homeowner" is defined as follows: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on -e 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 one home in a two-year period shall not be considered a Homeowner. applying under section s e ..,..... ..., �p�<<a �, �caN�=,�uttuIcs, mcivamg out not necessaruy umttea to, general liability I 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 Appendix of 780 CMR R5.2.15) SECTION 4 - WORKER'S COMPENSATION INSURANCE AFFIDAVIT (MGL C 152 § 25) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: ❑ yes ❑ no SECTION 5 -DESCRIPTION OF PROPOSED WORK (check all applicable) new construction* ❑ addition ❑ alteration ❑ repairs ❑ chimney/ ❑ woodstove ergy report requ (energy report required) fireplace ❑ deck ❑ pool accessory bldg. ❑ replacement window/door ❑ other ❑ demolition �((sed/garage) no. of windows doors (specify below): (specify below): * If new construction, please complete the following: Single Family: no. of bedrooms 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): ❑ HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other (spcci:,y): ❑ Air conditioning - (separate unit) ❑ None of the above to be provided ❑ Hot Water: Gas Electric Fuel Oil Other Brief Description of Proposed Work: © X_ 60 � /,�. }/�i li-%�Lt �c%r/ o � 1 Yo ���'- r t o�i.�`�' ,%�i'��/✓f SECTION - 6 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost ($) to be completed by permit applicant 1. Buildin 2. Electrical 3. Plumbiniz 4. Mechanical HVAC 5. Total = (l + 2 + 3 + 4) *Estimated Total $ - SECTION 7A - OWNER AUTHORIZATION (to be completed when owner's agent or contractor applies for building permit) (please print) 1, , as Owner of the subject property hereby authorize to actwoyKiehalf, in alf ma s rel ' e to work authorized by this building permit application. //—O / Signa re of Owner Date E I N 7B- OWNER/AUTHORIZED AGENT DECLARATION 1, 7Tk0A" 5 A tvk , as Owner/Authorized Agent hereby declare that the statements and information the foregoing application are true and accurate, to the best of my knowledge and belief. Signed un er the pains and penalpitrTof perjury. Signature of Owner/Authorized Agent Date is\Bldgapp.res.wpd Page 2 Rev. January 19, 2001 C:\bldg.forms\Bldgapp.res.wpd Page 3 Rev, January-l92001