BP-26005RESIDENTIAL
2002
SECTION 8 - INSPECTOR'S REVIEW/COMMENTS
1. Date plan reviewed:
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: 9— ;1�•(-o �' ' .`/ ] II, / ,� G +�� ��+.` J�
Date:
7. HOLD subject to Zoning Board of Appeals action:
Date:
S. Comments:
-'
6Ax-
9. Inspector's Signature:
Date:
SECTION 9 - APPLICANT NOTIFICATION
Applicant informed of above Date: Time: Clerk:
Comments:
SECTION 10- OFFICEVNSPECTOR'S NOTES
Total Permit Fee: S
Less Application Fee: S 25.00
Remaining Balance: S
i'OTAL FEE: r:70 Gross Area - New Construction total sq. ft.
Gross Area - Alteration total sq. ft.
1
Permit Issued To � i=S3
..✓ �., ,.�
w SECTION 11 -ADDITIONAL COMMENTS/SKETCHES
C�"V1�f
RESIDENTIAL 2002
❑ FOUNDATION ONLY
$25.00 APPLICATION FEE IS NON-REFUNDABLE & NON -TRANSFERABLE
° `y • DARTMOUTH BUILDING DEPARTMENT
DATE RECEIVED
400 Slocum Road, P.O. Box 79399
Dartmouth, MA 02747
.^ 508-910-1820 FAX 508-910-1838
- '
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
THIS SECTION FOR OFFICIAL USE ONLY
RECEIVED BY:
BUILDING PERMIITT
DATE SENT FOR REVIEW:
NUMBER: !:2 �l7
DATE ISSUED:
OK TO ISSUE - SIGNATURE: DATE SEP 2 4 2002
Iluilding Commissioner/Inspector of Builahngs
Zoning District: Propose U :J2,Cz.,- Zone: FXC ❑ B ❑ A ❑ V Outside Flood Zone ❑ Aquifer Zone
THE FOLLOWING AGENCIES SHOULD BE NOTIFIED:
❑ Board of ❑ Board of ❑Con. Com. ❑ Demo ❑ DPW ❑ Elec. ❑ Energy Report
Appeals Health Affidavit Card Sent: Cut Off Follow-up*
❑ Fire ❑ Gas ❑ Planning Board* ; ❑ Sewer Card ❑ Water Card ❑ Zoning ❑ Other
Chief Cut Off / Cut Off / Cut Off Review*
* REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERMIT.
DEPARTMENTAL APPROVAL
Zoning Review: Signature: Date:
Energy Report: Signature: Date:
Fire Chief: Signature: 1 Date: :..� o - 0 �
Board of Health: Signature: Date:
Conservation Commission: Signature: Date:
Other: Signature: Date:
Description of work being performed:
SECTION 1 - SITE INFORMATION
NUMBER OF PLANS SUBMITTED:
SITE PLAN SUBMITTED: ❑ yes ❑ no
11
1.1 Property Address: �7111i'F� �)zoc3
1.2 Assessors Plat & Lot Number:
.3b� 1 T
Plat � Lot
�-
Nearest Cross Street: G U Ll^ -Rp 4z,
Subdivision Name: NA
1.3 Historical District ❑ yes ❑ no
�QC
Total Land Area Sq. Ft.: 3 { A
Has application been submitted to the Historic Commission?
, �
❑ yes ❑ no Date:
1.4 Water Supply (MGL c 40 § 54):
I.5 Sewage Disposal System: _ .
LmunicipalO Private Well
►e unicipal ❑ nn ife Disposal System
C:lbldg.forms\BIdgapp. res. wpd PaLe 4 Rev. January N,
M D,,..,, I Pa Ta mry IQ 2001
Sul),
RESIDENTIAL
2002
1tlN;`1i_VL1�111HL
c�� vm a
SECTION,2 - PROPERTY OWNERSHIP
/ AUTHORIZED AGENT
(Z � I � T
'?.1 of
� 0 (0 } fo w) C- LL _FRCI . 476 -D61,
Owner Record:
Contact Address _ Phone Number
-Natlte
(print)
2.2 Authorized Agent: '
Contact Address Phone Number
Name (print)
SECTION 3 - CONSTRUCTION'SERYTCES
3.1 Licensed Construction Supervisor:
Not Applicable [I
Licensed Construction Supervisor
License Number J�—/.f-- j
Address
Expiration Date
_ Z
Sig*nature Telephone
3 2 Registered Home Improvement Contractor:
Not Applicable ❑
Are you a Home Improvement Contractor subject to (7S0 CMR-6)? ❑ yes no
If no, go to the next section!
Are you claiming exemption from the requirement'? ❑ yes ❑ no
If yes, submit the
required affidavit!
Company Name pe H A�v'� t c . ra /v,pti t�— -
Registration Number (if none. state7"none
1Address kS`� Tr96 w f
3lgL J ter— a E--
Signature Telephone J O1,� G w .2 C 2_Expiration
Date e� � Z �� �v
3.3 For R ' `—T or � n
sides , y
DO NOT IIAVE ACCESS TO THE GUARANTY FUND:
PE'. SON'SzC-ONTRACTiNG \\'ITII UN R EG I STERE D CONTRACTORS
QUESTIONS OR COMPLAINTS call or write:
Home tmprorement Contractors Registratio Ie:ishburton Place Room i301, Boston, :1/.i O'IOS, (6l7) %'!-Lei`>��
Owners Name (print) .
,
i,nature
by signing the above, the home owner acknowledges that there h� ill be no cligibilty to the Guaranty Funs
Date
3.4 Homeowner Exemption - One & Two Family Only
FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
1'09.1.1 Licensing of Construction Supervisors: Except for those structures governed by ConstrUCtion Control in Section 116.0, effective Juk I. 19S2. no individual
shall tie engaged in directly supervising persons engaged in construction, reconstruction, alteration. repair, removal or demolition involving the structural elements of
buildings or structures, unless he or she is licensed in accordance \t ith the rules and regulations promulgated by the BBRS entitled Rules and ReLLIlations for Licensing
Construction Supervisors.
Exception: Any Homeowner performing work for which a Building Pernlit is required shall be exempt from the provisions of 41tis section; provides that if a
Honhcowner engages a person(s) for hire to do such heork, that such Homeowner shall act as super isor.
For the purposes ofthis section onh. a "Homeowner" is defined as follows: Person(s) 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 and or fann structpres. 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 belo\N :
Signature:
Your signature carries certain responsibilities, including but not necessarily limited to, general liability
NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction
Super. V isor. 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
v, ill 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)
rely construction* ❑ addition Iteration ❑ repairs ❑ chimney/ ❑ woodstove
(C1,1 ' "i- report required) (energy report required) fireplace
1.
deck ❑ pool ❑ accessory bldg. ❑ replacement Nvindow/door ❑ other ❑ demolition
(shed/garage) no. of windows doors (specify below): (specify below):
* If new construction, please complete the following:
Sin -le Family: no. of bedrooms no. of baths
TNvo 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 (uaniral or propane), fuel oil, electricity, other (specify):
HV AC (combined unit) - primary fuel, natural gas, propane, electricity, other (specify):
Air conditioning - (separate unit)
- ',,one of the above to be provided
- Hot Water: Gas Electric Fuel Oil Other
Eriej'Description of Proposed JJ*ork:
SECTION - 6 ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (S) to be completed by permit applicant
1. Btilldtn(*
Electrical
�. Plumhin�*
�. VlMinnical (HV'AC)
3. Total = (1 + 2 + 3 + 4)
* Estimated Total S
SECTION 7A - OWNER AUTHORIZATION
(to be completed when owner's agent or contractor applies for building permit)
�plea1. , L l L at[ as Owner of the subject property hereby authorize
to act on my If, in matt rely ' to wo k authorized by this building permit application.
Si_nature of O«ner Date
SECTION 7B - OWNER/AUTHORIZED AGENT DECLARATION
as Owner/Authorized Agent hereby declare that the statements and information
} ,
on the foregoing application are true and accurate, to the best of my knowledge and belief.
Si�_ned under the pains and penalties of perjury.
Si,,nature of Owner;'Authorized Agent
Date
msBidcapp.res..cpd
'Iec-
Page 3 Rev. January 19, 2001
1.
2.
3.
4.
5.
6.
7.
A�.
Y", _`4,
General Notes
All work shall conform to state and local codes
and the requirements of the local fire
department.
The General Contractor shall keep the project
generally clean of all debris and pick up at the
end of each work day.
All work shall be done in a workmanlike
manner. Materials and equipment to comply
with and be installed according to
manufacturers' recommendations and industry
standards.
The Controctor(s) shall familiarize him/herself
with and verify existing site conditions.
The Contractor(s) shall pay for all fees and
permits.
The Contractor(s) shall submit samples and/or
manufacturers data of any items requested by
Owner or Architect.
For renovation projects, the Contractor shall
review with the Architect the extent of
demolition prior to the commencement of the
work. Special consideration should be given to
protect and segregate areas not scheduled for
modlf�pations. Materials and details shall
mcifqli',' unless otherwise noted.
a
LIVING ROOM
WOOD FLOOR
CIELING HT.1
8'-5"
CEILING HT.
C-1111"
NEW CONSTRUCTION
DECK
JELING HT.
/r 71-6"
LBUILT-IN CORNER
CUPBOARD
ADD NEW WINDOW
TO MATCH EXISTING
EXISTING
WINDOWS
DINING ROOM
WOOD FLOOR
EXISTING EXTERIOR WALL AND INTERIOR PARTITION
Pro osed First Floor Plan
11100261
BUILT-] q
CABINE -S WV
SHELVE;
STONE STEP
DECK
NEW WINDOWS
BROSCO WD. DBL HUNG
TDL 2'-6X4'-9
5'-9r [_
REMOVE EXISTING
WINDOW & RELOCA
,V-7"
DOG RUN
15'X40'
BY OTHERS
NEW DOOR
( NE- W DO
OR
_OR
2-6X6'_8
X216X68
UiFOLD
DOORS
'KENNEL 'k 777777
GUEST, NEW ROOM FRAME CLOS. W< EXIST. CONC. FLOOR
NEW `W�OD FLOOR STUDS ON CLOS.
FULL T. CEILING THE FLAT
2�
NEW NVINDOWS
BRO 0 WD. DBL HUNG
TDL. :2'-6X4'-9
REMOVE OVERHEAD -- -- - ------------------
SHELVES, & INSTALL
IN GARAGE
NEW INT. PARION 5/8 FIRE RATED
2X4 FRAMING SHEETROCK ALL INSIDE
STANDARD 1/2-- GYP. WALLS OF GARAGE SHED
10,-5r 10.-10 FRAMED FLOOR
KITCHENETTE C,
REMOVE EXISTING
UP
DOOR, FILL IN OPENING.
C
_ij ij� FULL HT.
41AI 1
F1 CEILING HT.1
81
EXISTING GATE.
RIM T-IN TO REMAIN
MIN
A 24"
;To
IIINUTONE 8"
WALL FAN
Ij,-l<—MODEL #8010
MAP!
GARAGE
CONCRETE OOR FL
900
2#-65
CEILING HT. 8'-0
61-01 t @ BATHROOM ONLY
NEW WINDOWS
BROSCO WD. DBL HUNG
_TDL. 2'-6X4'-9
REMOVE EXISTING GARAGE DOOR
FRAME IN WALL OPENING AS REQUIRED
WALL CONSTRUCTION , 20 W/
3-1/2" INSUILLATIONA 1/2- GYP.
PAINTED, TYP. UNLESS NOTED.
CEILING FINISH, 2-1/2' RIGID THERMAX INSUL,
BY CELOTEX & 1/2" GYP. PAINTED, T)?.
8' GARAGE
DOOR
ELECTRICAL FIXTURE LEGEND
SYMBOL DEFINITION
Surface Mounted Celing Fixture
............ --- - -------------- .............. - ------ ------- - ----------- - ---
Wall Mounted Fixture
.......................... ..... ... ...... . ............................. .... .............. . .................................
Exhaust Fan w/ Light
......................... . ..................................... . ................................................................
$ Light Switch
......................... .........................................................................................................
QGFI = Wall Outlet, Ground Fault Interupt
.......................... ...................................... . ................................................................
Typ. Wall Outlet, 181 AFF
.......................... ....................... . .......... . . ................................................................
QSp Dedicated Use Outlet
.......................... ..................... ............. . ....................................................................
Under Cabinet Florescent
2
EXISTING GARAGE DOOR TO REMAIN
REPLACE TOP ROW OF FLAT PANELS
W�O GLASS, INSTALL NEW GARAGE
D R OPENER W/ LIGHT
Plan North
Lanahan
Residence
Renovation
3. 362 Smith Neck Rd.
S. Dartmouth
Massachutetts
02748
Dewing & Schmid Architects, Inc.
146 Mount Auburn Street
Cambridge, MA 02138 USA
T 617.876.0066
IF 617.647.8773
APPUCA NTS' F ""I, E dsarch(ndsarch.com
enev
0'r, D P 1, M.
COPY Of Tihis Endn--S)nd
Nan V,'urt Se K.r, n Site
Duri,,1g, Constir
U C1 10 111
LC
4n
F11
\V J�. LV 4
� � ( � FULL HT. SEP 2 00?
PROVIDE UNDER CAB
WALL
FLORESC. LIGHT YOUR L)TRAWING MIJIST DE KE71
AT THE
co
G DUrUNG THE
PPIOGRESS OF TH!S VIORK.
Bina-w"I'Tc DEPARTMEDIT
0 00 0 00 'to%;n of Dartmouth
PROVIDE OUTLET No. Date Revision
2C 1 Fo I F' R SIOVE i F F./ FOR FRIG. 18"AFF.
DARTMOUTH FIRE VSTRICT I
10 IBRIOGiz ST AR
0 DARTMOUTH, 01A .3
(.�96
'50B . 99
TOWN OF DARTMOUTH BUILDING DEPARTMENT FIRE DEPARTMENT REVIEW 1 09.1202 Permit Set
This plan is hereby endorsed for construction subject to submission of
1s-08 2'-0* 2#-3m 21-00 detailed Fire Protection Plans certified as to compliance with No. Date Issued to
applicable Laws & Regulations (527CMR & 780CMR) to the District Title
Chief prior to start of construction of any such system.You or your
representative must contact the District Chief prior to start of Fire Proposed
Kitchenette Elevation Protection Work. First Floor
B4 Chief John R. Alcaldinho Plan
District 1 Date 8
TOWN OF DARTMOUTH BUILDING DEPARTMENT
a
This plan has been reviewed and accepted as a record copy of work proposed
The
L Ud i'�Ji G
Date 09.10.02
to be performed in compliance with 780 CMR 6TH Edition. owner,
L
1
applicant/agent and/or architect/engineer is responsible for insuring final
Scale 1/411=11-o'l
compliance with the above -mentioned code notwithstanding any errors or
n
omissions i
"o s I
ine
or enginee
the record plan. Any change in owner, license contractor
in e y change'�' license
r ' P
t 0 record
'd'� t' �y, ii�cZn e in
ust be r o d to thi ffice immediately. Any change in
u be re o 0 _"�i 'ce
st
H
Job No. 00207
A 1
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must
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mitt
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t this o in a timel manner.
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Drawn By LRP
Signature
Date
;C,
F
451
I C
1A
--------------------
DECK
N
A
U
2
RELOCA1
TO NEW
AT BDRM
RELO
RADII
Plan North
APPUCAMS'
COPY
is Enc,", o' sod Go y Of � ii,
P;an [St,ust Be Kept Czi SRO)
1
Duri;-17 consLl1
uclion
SEE 2 4 2002
No. 3 9
BO T N.
' . t , �H OF 'A@eS�', ,
Lanahan
Residence
Renovation
362 Smith Neck Rd.
S. Dartmouth
Massachusetts
02748
Dewing & Schmid Architects, Inc.
146 Mount Auburn Street
Cambridge, MA 02138 USA
T 617.876.0066
F 617.647.8773
E dsarch@dsarch.com
T B U 1. L P, 1 NG DURING E
No. Date Revision By
01: THI.l WORK.
NEW CONSTRUCTION ti -Lo�%It'rs DXCPIRRTMENT
EXISTING EXTERIOR WALL AND INTERIOR PARTITION 1 09.102 Permit Set MLS
No. Date Issued to By
Proposed 2nd Floor Plan A Title Proposed
0 1. 246.
1/4"=1 ' �
Second Floor
Plan
�J 'i
7"r7
Date 09.10.02
77
Scale
00207
Job I No. 11411=11010 Al 02
Drawn By LRP