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BP-13163Residential 1999 ::"RMN..SNPGS:M.;R;, 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: Date: 7. HOLD subject to Zoning Board of Appeals action: Date: 8. Comments: 9. Inspector's Signature: Date: ::. .. ... r .,.. ............:.:::..:......... ,...:,:.:.............:.::...:.......... .. . ...iGt.. J 142'a 7 "LvIA..k'kl'i. i t VT.J:F',44.ta,Ti�.ilw ;.... L yrry+Y �t j� y !+ t # y Atli y� y/� i YlrI .. .... .... X. ......:::::: ... .:.::::.:.........................::::::.... Applicant infomle4 of abo , Date: 1-" �� "" y Time- Clerk: Comments: ,...� :N..IStoR:.. ::::::::::::::PEC a �a�r:.:::.;.:.;:::;;; :.::.;.<.:;:.;:::..................::::::::::::::::: Total Permit Fee: $ Less Application Fee: $ 25.00 Remaining Bal(tce: $ r TOTAL FEE: !f� Gross Area - New Construction total sq. ft. Gross Area - Alteration total sq. ft. Permit Issued Tod——�/� .. SEC I I N 1<11 iIiID T-11 �N'AI, q L1I1 SITS{ 1€ETC IE. Residential ❑ FOUNDATION ONLY 1999 25.00 APPLICA TION 11- $ N FEE O E I., IeC� �-REF UNDABLE r, DATE RECEIVED ,Mo�TH''�" DARTMOUTH BUILDING DEPARTMENT �' ., i-- 10 400 Slocum Road, P.O. Box 79399� E Dartmouth, MA 02747 - j FTI I= 508-999-0720 FAX 508-999-0738 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Zoning Review: Energy Report: Fire Chief: hoard of Health Conservation Commission Other: Signature: Signature DatAp U 3 7 Date: SEP Date: e 1 17 - Signature: D Signature: Signature: Date: Signature: Description of work being performed: NUMBER OF PLANS SUBMITTED: 1.1 Property Address: L., 134 - I Wt J14. Nearest Cross Street: J l bd"' r O'- A {e,r Subdivision Name: wt 't( E 3`7�,P_s Total Land Area Sq. Ft.: � c.) , 1.4 Water Supply (MGL c 40 § 54): ❑ Municipal W<ivate Well SITE PLAN SUBMITTED: ❑ yes ❑ no 1.2 Assessors Plat & Lot Number: Platg;�_ Lot_- 1.3 Historical District ❑ yes Clio Has application been submitted to the Historic Commission? ❑ yes ❑ no Date: 1.5 Sewage Disposal System: ❑ Municipal B'On Site Disposal System :\wpwin\forms\bldgapp.res Page 4 Rev. July 7, 1999 c:bvpwin\forms\bld gapp. res Page I Rev. July 7, 1999 Residential 1999 .:::::...... SECTiUN - P12OP1N It 15 : b4Yl�fEtiSlil:P l.ALrTi#t)l2t Ei�.AGENT .. X.:; .:>: > .::::>::::>;:.: ;.; ;: 2.1 Owner of Record: (� Nam (print) Contact Address J Phone Number 2.2 Authorized Agent: a►-- �-�>-..c Lt Ujat •'k)k Qgr-a?©a Name (print) Contact Addresi Phone Number :..>;:::::;;:::::::::......;;:;:;:.>;;;:;:.;:.;.:.:..:::.;::.::::.;::>>::>.,: SEGTI£1N. ;»,CQ1iSIRIIGTTfl i Elt[:1 . 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor �a License Number Address Ll �� �a , J - Expiration Date Signature Telephone qq,R 0 3.2 Registered Home Improvement Contractor: Not Applicable D—I Are you a Home Improvement Contractor subject to (780 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 Nam e w� Q �- Registration Number (if none, state "none") Address 4 L-Je r) a Signature Telephone CJ Expiration Date 3.3 For Residential Remodel Work Only PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: QUESTIONS OR COMPLAINTS call or Write: T Home Improvement Contractors Registration, One Ashburton Place - Room 1301, Boston, 1M 02108, (617) 727-8598 Owners Name (print) Signature by signing the above, the home owner acknowledges that there will be no eligibilty to the Guaranty Fund Date 3.4 Homeowner Exemption - One & Two Family Only FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT 109.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0, effective July 1, 1982, no individual shz'I be 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 with the rules and regulations promulgated by the BBRS entitled Rules and Regulations for Licensing Constriction Supervisors. Exc•ption: 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: 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 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: Your signature carries certain responsibilities, including but not necessarily limited to, general liability Residential 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) 1999 IWorkers 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 Vnew ❑ addition ❑ alteration ❑ repairs ❑ chimney/fireplace Wwoodstove construction edeck ❑ pool ❑ accessory bldg. ❑ replacement window/door ❑ other ❑ demolition (shed/garage) no. of windows doors (specify below): (specify below): * If new construction, please complete the following: Single Family: no. of bedrooms .3 no. of baths_ Two Family: no. of bedrooms unit I no. of baths unit I no. of bedrooms unit 2 no. of baths unit 2 ❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify): V Boiler (heating) - fuel gas (natural or propane), fuel of 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 VHot Water: Gas Electric Fuel OilV111, Other Brief Description of Proposed Work: „ _ / P . I I Item I Estimated Cost ($) to be completed by permit applicant 1 5.Total =(1+2+3+4) * Estimated Total $ Signature of Owner/Authorized Agent I CERTIFY TO THE COMMUNITY BANK AND THEIR ATTORNEYS, THAT THE FOUNDATION AS SHOWN IS THE TRUE FIELD LOCATION AND MEETS THE HORIZONTAL DIMENSI❑NAL SETBACK REQUIREMENTS OF THE TOWN OF DARTMOUTH, I CERTIFY THAT THE FOUNDATION AS SHOWN IS NOT LOCATED IN A SPECIAL FLOOD ZONE AS SHOWN ON F,E,M,A, FIRM COMMUNITY PANEL#250051 0021 D TOWN OF DARTMOUTH, DATED JULY 3, 1985. boo 60 .0 '0 S ti CO�o�� PLAT 22 LOT 2-1 TOTAL AREA=80,000 Sq. Ft. or 1.837 ACRES y� ( FR.=200.0l') 64' PROPOSED T.O.F. ELEV. 108.40 EXISTING T.O.F. Dr ELEV. 108.89 1��►��tK EXISTING WELL N 821942" E 27.29 67 48' hh 0.10 .0 ROBERT "cam U. N CO 324 i0N lA I certify that the foundation shown on this plan is in compliances with the applicable Zoning By —Laws in the Correia's Engineering Inc. 8 &rinnell Street LAND SURVE17NC South Dartmouth, MA. CIVIL ENCINEERINC 02748-2314 SUBDIVISIONS Telephone (508) 996-9052 SITE PLANS Far (508) 979-5949 AS —BUILT PLANS Joseph E. Correia III Pre&. & Joseph E. Correia IV VP. AS -BUILT F0 UNDA TION PLAN in DARTMOUTH, MA. prepared for BRIAN MORENCY Scale 1'= 60' Nov. 11, 1999 JECIII I. DATE, 07,/08/99 DATE. 07/08J99 DARTMOUTH , ELEV, ELEV,— (A)FINEE SANDY LOAM (B)FINE: SANDY LOAM" (Cl)FINE SANDY LOA4 (C2) LOAMY SAND } J 99°0 r,':- 98.5 • �A)FINE 98.2 0, SANDY LOAM•, 97,7 . (B)FINE SANDY LOAM, 96,7 28':< .: {C1)FINE SANDY" LOAM, 94.3 5Q` 94:3 92.7 68` - 92.8 (C2> ':. :. r LOAMY :SAND .litn® I20 88.5 PERCOLATION R T t as � .. ; . A ES 4 .l r- nr/1nr PERCOLATION, 'RATE ► I Ctass ,IL SOILSMOTTLING 3G EL- 96.5 MOTTLING 30 ' EL- <9b.0D-SIGN PERGj 15Min,/in, DESIGN FLOW, 3BR, x 1 0 GPD/ R 330G1' E p _ 1 8 . I) , M PERCOLATION TEST PERFORMED Yt r MIN DESIGN F 0 F"t° B LCIRREIA S ENGINEERING INC. o. D I ❑ 6 0 Sq . . LE CH A E .12 C >x50.. L LEACH FIELDC600 S a-t> SOIL EVA_UATO? RICHARD . A V BOH !NSPECTORt CHRIS MICHAUDt =eo 12 SOx0,56OCA�CULATTONS Pd/s.f,-336,09Pd - _.: • .�. :...* _ :,. 1. All work must o k s be �n. accordance with the Massachusetts De art f »* -> _ � « p meet o - r -- - _, ,_ . r �,... _ U � NOTES:, Envy,cnmentai Protection Re ulations 310 CMR 11 t 4 .00 & ,15°00 .,, (Title V) and an Focal Board f _ _ B o 'Health Mod,f�cat�ons. ., � .�_'. .,.,,.w� �, Y .�_ , ,..�.._ __ _v _ .--,�,..'>,.".." - _ .�__, _ .. ,.:.._...•�- , �r.� , _ .. --_, - --_ �. , 2. No modifications shall be made 'to this 'system wrthouP- riot vntte2�9• nBULK NE DS C MNEYSARE PA F THE FCUNDATI3N MINIMUMDIS A CEFR SEPTIC TANK 7❑ FOUNDATION approval by the engineer and the{ocai Boa d of Health. - -- MINIMUM DISTANCE FROM SEPTIC SYSTEM T❑ FOUNDATION - 0,0 3. En Weer and h r- .� - .� '`"`.�,� _.... _.- _ -_ - — _ _ -- _ ._ ....�.�--•�°�___. 3 -�..�"' -� --_ _-- 2 9 the Board of Health must ms ect the .corn feted s stem 2 _ a✓�--` prior to backfill�n , . • , �-. _, ,� �:. -_ :� .:. __ - ��. _.. ''.'`` .. �. _ .. .. �- .�. __ � _ --- _ - - . 4. Elevation s shown an plan ar e based on an subdwiswon :datum....:.. Z _ _. .5. Heavyequipment shall not be run over pasal system.fy_.. 6. All 1 4 _ ------ unsu,tabie soil 1s to be 'excavated from the Le chin Area cx -1 u- LJ —50 _ l PRO, �� PROPOSE OSED c. 4 ._ VENT 1 WEW DECK o _5 n OUEP,Dt� LLC_V FLAT 2,� LOT ?_-1 W - \ TOTAL AREA--80koo Sq, Ft. 5, Qr ::1.837 ACRES (FR.-00.01 PROPOSED 3 BED \ - DWELLING TOP _ .-- -- - OF FOUNDATION 1 - EL 106.40(VARIES) 1 as shown on pion, and DOM111ed with clean gravel or coarse,.sand' as -specified in 310 CMR 15.255(2). 7. Washed crushed stone shalt be ,free of iron, fin 6s ,arid dust. . 8, Septic tank, distribution box, -etc. shad ,be manufactured ,b , Rotondo Yled & Sons inc. or approved equal, and , instalper manufacturer's specifications. ' Grout shall be used to provide :a water °tight seal- at ali .joints where 1 P i e ` P enters or leaves a concrete 'structure. 9. Outlet distribution lines shall be level fora minimum of the first two feet of their length as= specified in 310 CMR ` 15.232(3), 10. A Board of Health certificate of Compliance .as're wired b 310 CMR P q Y 15.021 must be obtained by contractor upon completion of work) 11. Distribution lines to be capped at outlets. 12. This system is not designed for a garbage - grinder.. ��-•-^- 1 �. No backwash from water Purification or Filtration' Devices shall be discharged ,AY BM/TOP OF STAKE a _ ELEV.=105.02 - into any system Regulation under 310 Chi R 15.0G - ~ PERCENT OF LOT COVERAGE 1 Q i r�`�i LEGEND MAXI, ,JN LOT COVERAGE—, .40,000 S,F. , 4 P.V.C. PIPE SCHL, 40 (TIGHT JOINTS O O SEPTIC TANK , _. ._ _ i r ) HOUSE 1 164 S.F° 5 / 56 EXISTING .Jb CONTCIURS r /1—_ - - PROPOSED CONTOURS DISTRIBUTION B13X -PROPOSED $.T. DRIVE 1,653 :S.F, 6 U S TOTAL - 817 ,F,TP RESERVE LEACH AREA �,,►� ; , _ .__ -- -�� _ � � � °�'" -. TEST PIT I��- o• 32 •p1 _� - PERCENT OF LOT COVERED, 0 0�Z_ — -- WATER LINE W to _ - w. $,M. B NCN MARK \ i -- • - -- ` PROPOSED WELL _ • �.- � � ' �,..� `. W ``''.` PLAT 22-ESTATE: LOT 2 2 '-� � 06 21 36 �_,- - _ \Lnone J ;n Y lV(l:E 11 ,. \ , cite, i J___ " - � � - 11-- - .. ,j 6%. 12' BOARD OF HEALTH` STA Min L VATIONS -MUST NOT BE 12' EpTIC SYSTEM CHANGED WITHOUT BOARD _ f - - HCTION ®¢ THIS S OF HEALTH APPRO'V STR WITH TREE �Si AL - : P�ETEp R� HE pATE _ ''his System Is Not Designed - � EARS p� T , 12� For Garbage Grinder, Whirlpool _ A ' Or Other High Water Use Devices. O OF FOUNDATION 'I. SCE _ TOP Tyrict" . LEACHING n7LD Y-- ECTION . BOARD ❑F- HEALTH STAMP'S � FLM= t 08.40 , =30 1 Nat �-a Scale THE APPROVAL BY THIS OFFICE (VARIES) - DOES NOT GUARANTEE THE ENGINEERS AS -BUILT EFFECTIVENESS OF ANY °t INSTALLATION 105.0 CLAN & CERTIFICATION 105. 8 10 4,Q> DARTh40UTH BOARD OF HEALTH VENT _ STATEMENT REQUiREa_ .. 104,5 SEP 9 ; ., .. / 15 :MIN. 8Y. JJ� --� ,. r BOA r RD OF H .� ,~. -, EALTH IN • - , SPEC 4 RE R ,� . UIRED _ : RO.,RD N EXCAVATE . • 2 1 4 1 2 WASHED STONE E 103.50 03r5 MIN. ...._ 0�,�' ,� Der .., 20 - 3 , , _ • - •. 3 -' O O O -,.;; AO�„O,+O„.O„O„O„O O O U O O O O O O O O O tl O O G G e� G O O O C O U O O tl ., :• b Q O' O J .• .. .. 4 CHLE� PVC .,�,.„n.�y nnG co ooaoo aao 0 _ _ � �u u. _a 4.� n . - o / Pl l,E, _a.c� I AMiSUBSURFACE A_.�.m_ .. �...�.. S�W��?AG •�•� �°g�+g .+ LOUIb LEVEL 4 _�E r+cwC 4 1 r - 1►�iJalC� +r?t"� Q SB 5 vC 4 s0 3� REOf) Ai I} c, 1Pt 103 00 T.. .a �` ,* IN DIT(y l�.;p.��..f} L OF BASEMENT _ �, { fl fl O 6 3 4 - 1 1 �2 WF,SHI<d .>TCNE - 3 � •< �. _ . . 104:18 - .. ° ...�: o, n fly-. ,. /. o,o 0 0 0 102rS0 {- '� J � L�❑h EL. 1 1 � - li - ____+ _..__ tit: ❑��/N � . ., 4 P.V.C. SAIJITARY TEES ER/APPLICANT M[]RENCY CUSTOM ®hE H S _ 103.26 {) - -. 103.88 4 min. 5 , a' �'103.43 ,AS tTYPICAL> , . 1.�0�3 C..L.L41`I - 1C3,25 PRECAST CONCRETE i 103,63 t _. ~�? 4.0 LOCUS: PLAT 22 LOT 2-1 WINDY HILL LANE DARTMOUTH- L; ., , ,_: ;-.:... ,.. :.. •..- .. , D1 STRiBUTION BOX INSTALL 4 9. PcRFiiRATEIi pv„�- ___ _ _: ._ �. � � BASE : 98,5 C30' FROM EL 101,0> — I1 I—i 1J I=1 i I-111 (=�-ll i I 1 i---�11 E 1 flL41—i 11 LEVEL S 1 ABLE BASE � � m DRAIN R SHED . STONE ON MECHANICALLY AS_7 LIMIT. OF P,L,�. STAMP 8 Crinr%eat'Street ., _.. 100.5 C30 FROM EL 103,0> CC)MPA.,TED LEVEL STABLE BASE - 94,0± EXCAVATION „' South Dorh7u+tth.; j.. rim �I ID I T Y P 1 0 F I L E (C)l F Z-3- E W A G .� E D I Z, S T E kli _ fe-erh r. cam. M Pm. ,, - DATEi 07/21/99 � not � �� 0 NJTI► r _. construction, +�. r h contractor r must verlf aft dimensions and details tint to any ccr.>tr action: Wh?te every attempt has been made to avoid r��stakes, the raker cannot guar,r.tee oc.,a ._yt nUr^.an er car, the c o s y y ' .-.CCBt �TACT i�ERS��i :.;OSEP�# E. GQI ~Eif� Y p ^ ' ? it ' INC.riot to contrurth,n or exca�°atlon, M Any conflicts shoal be brought to the attention o- CORREIA S ENGTh�ERlttiG P DATE REVISION i BY DWG; , BY RCA FILE#::97-0015