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BP-49083SECTION 8 INSPECTOR'S REVIEW/COMMENTS ❑ SPECIAL PERMIT (Per 780 CMR 111.13) $25.00 APPLICINTION FEE IS NON III;-I�LrNDABLE d NON-TII�ANSI EIIEII3LL 1. Date plan reviewed: a 2. DENIED (see project review worksheet): Date: r 3. HOLD Reason: Date: 4. HOLD subject to Zoning Board of Appeals action: Date: Comments: Inspector's Signature: 6Z—LQi��,�Jl_ �1 �»�s�.o'�Y� Date: 27 S T N 9' PPLICANTNOTIFICATION Applicant informed of above: Da : Time okk- Comments: f �- SECTION 1 - FFICEIINSPECTOR'S NOTES Less Application Fee: $25.00 Remaining Balance: $ Total Permit Fee: $ Other $ Amount $ TOTALFEE: Gross Area - New Construction total sq. ft.� Gross Area - Alteration total sq. ft. Permit Issued to: h o7 SECTION 11, ADDITIONAL` COMMENTSISKETCHES SECTION 1 -SITE, INFORMATION 1.1 Property Address: jTS' c�� j-�'u ' 1.2 Assessors Map & Lot Number: Nearest Cross Street: �; ;'s �` ca, r :4 Map Lot I q Subdivision Name: Total Land Area Sq. Feet: '1 L ) 1.3 Historical District ❑ Yes 040 Has application been submitted to the Historic Commission? ❑ Yes ❑ No Date: 1.4 Water Supply (MGL c�4 s54): 1.5 Sewage Disposal Sy�ste : ❑ Municipal 6 rivate Well ❑ Municipal ❑'On Site Disposal System ❑ CONSTRUCTION PLANS SITE PLAN ❑ENERGY REPORT RESIDENTIAL NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction SECTION 2 -'`PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner Record: i Name (print) Contact Address Phone Number 2.2 Authorized Agent: I)t �ro n r Name (print) Contact Address Phone Number SECTION 3 -CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. Not Applicable ❑ Licensed Construction Supervisor. License Number: �S r Address: 3 N cA, 0 o n: `1 Expiration Date: a-C` - p er - U Signature: ,, Tele hone: � , _ 3.2 Registered Home Improver ent Contractor: Not Applicable ❑ Are you a Home Improvement Contractor subject to (780 CMR-6)? ❑ Yes ❑ No If No, go to the next section! Are you claming exemption from the requirements? ❑ Yes ❑ No If Yes, submit the required affidavit! Company Name: Registration Number (if none, state "none"): Address: Signature: Telephone: 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: Home Improvement Contractors Registration, One Ashburton Place - Room 1301, Boston, MA 02108, 617-727-8598 ❑ 1 am a Homeowner performing all the work myself. Owners Name (print): Si,mature: By signing the above, the homeowner acknowledges that there will be no eligibility 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 shall 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 Construction Supervisors. 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: 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 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) Worker's 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) • - ❑ Deck ❑ Pool ❑ Repairs ❑ Alteration ❑ Chimney/Fireplace ❑ Woodstove/Pellet Stove ❑ New Construction' ccesso Bldg. ❑ Roofing/Siding /Sidin ❑ Other rY 9 9 9 (Energy report required) (Shed/Garage) (Specify below) ❑ Addition ❑ Replacement window/door ❑Demolition (Energy report required) No. of windows _ Doors _ (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 ❑ Air conditioning - (separate unit) ❑ None of the above to be provided l9 tot Water. Gas i-., P G Electric Fuel Oil Other Description of proposed work: \ mouse o'© W a t z b Z ,?� SECTION 6 - ESTIMATED CONSTRUCTION` COST..". Item Estimated Cost ($) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing X- 9 l--.I 4. Mechanical (HVAC) 5. Total =0+2+3+4) "" o,00 SECTION 7A - OWNER AUTHORIZATION (to be completed when owner's agent or contractor applies for'building permit) (Please Print) 1, _M i C.1,ok e k Ot as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 713 -OWN ER/AUTHORIZED AGENT DECLARATION }} I, Ci/114V P C, /� 01 lr7,' , as Owner/Authorized Agent hereby declare that the statements and information on the foreg ing application are true and accurate, to the best of my knowledge and belief. Signed Vnder the pains an pe alties of perjury. Signature of Clwner/Ayt orized Agent Date SITE PLA 111 1< a r7021A d RECORM PLC A Copy LITIn s Endorse Plan but Ov Kept On Site During Construction Date FILE'COPY St. SCALE: t� At APPROVED BY: DRAWN BY \ksrC► Yz i o DATE: REVISED DRAWING NUMBER I i SITE PL/ ELECTRICAL SUB PANEL c� tD POOL HEATER O EXHF POOL EQUIPMENT M o� 24'-0" 9'-1 11/' ATTIC ACCESS .. T FAN ❑�11- / li=111P W11 o9 FLOOR PLAN - SCALE: 1 /4" = 1'-0" U O W F- CD w 00 N 7'-4 5116" 4'-0" 0 'v 0 00 0 ` TOR F DA RTMOUTH r RECORD PLAN CD E A Copy Of This Endorsed N Plan Must Be Kept On Site Durin Construction Date 8rilding IIn�`'p'�e—etor C v u S � FILE COPY i W D 0 J O Q O W > D 02 o� W U) U) Q Jpp = ry U 0-0 —U) � ��� ��� 1111 1111 1111 1111 1111 ON 1111 1111 /__ �6" -0"x 6'-8" SLIDING PATIO DOOR CORNERBOARD (TYP) /3'-0" X 6'-8" STEEL ENTRANCE DOOR FRONT ELEVATION ROOF VENT (TYP.) REAR ELEVATION YrOA X RECORD PLAR. F ` ` A COPY Of This Endorsed Plan Must Be Kept On Site , During Construction N Date b_2 ' N :o e Q e LEFT ELEVATION w rildia' cn 1 $pactor O b = O < O IZ = W W D �Z cn�Q J - Q LU e T 2 PLY 1-3/4" X 9-1/4" LVL BEAM ELEC.PANEL POOL EQUIPMENT Q RIGHT ELEVATION Ua= ��ch O TYPICAL FRAME ROOF: ARCHITECT ROOF SHINGLES 5/8" ROOFING PLYWOOD c/w 'H' CLIPS 2x10 RIDGEBOARD 2x8 RAFTERS @ 16" o.c. 2X4 COLLAR TIES @ 48' o.c. w/ 2X 10 JACK RAFTERS 2X6 CEILG JOISTS @ 16" o.c. w/ R30 BATT INSUL. KRAFT PAPER V.B. 1/2" DRYWALL RIDGE VENT TAPFn R SANnEn TYPICAL 2X4 EXTERIOR WALL: FIBER CEMENT LAP SIDING x4 STUDS @ 16o.c. SHEATHING SECTION THROUGH 2x4 STUDS @ 16" o.c. R13 BATT INSULATION KRAFT PAPER V.B. SCALE:118" = V-0" 1/2' DRYWALL TAPED AND SANDED FF I L E C t INTERIOR CEILING FINISH :ONT. VAPOR / AIR BARRIER 11N. R 30 INSULATION TOWN 0r DARTMOUTH tiz{ RECORD PLAN zA Copy Of his Endorsed ` z.: Plan Plust Be Kept On Site Durin Construon i �s t Date 0 O �4 4 B O Y�Q „' o C - z vildia0 In pecter b 5 b7 +� 5 4ss A ASPHALT SHINGLES ON 5/8" MIN. PLYWOOD SHEATHING 2X8 WOOD RAFTERS 12 \� I 4 MIN. WATER AND VAPOR BARRIER PROTECTION TO EXTEND FROM THE EDGE OF THE ROOF, 36" UP THE SLOPE BUT NOT LESS THAN 12" BEYOND THE INTERIOR FACE OF THE EXTERIOR WALL BAFFLE AS REQUIRED FOR ROOF VENTILATION CONTINUOUS VENTED SOFFIT, FASCIA BOARD, ALUMINIUM GUTTERS AND DOWNSPOUTS 32'_'�_ 1"x6"SUB-FASCIA FRAME WALL CONSTRUCTION FINISH AS PER ELEVATIONS TYVEK PAPER LAYERS TO OVERLAP EXTERIOR TYPE SHEATHING 2"x4" WOOD STUDS @ 16" O.C. R 13 INSULATION &KRAFT PAPER VAPOR /AIR BARRIER INTERIOR WALL FINISH DOUBLE PLATE AT TOP W/ SOLE PLATE AT BOTTOM PRESSURE TREATED 2X6 WOOD SILL PLATE FASTENED TO FOUNDATION WALL WITH 1/2' DIA. ANCHOR BOLTS EMBEDDED MIN. 4" IN CONC. AT 6' O.C. MAX. AND PROVIDE SILL SEALER BETWEEN PLATE & FOUNDATION WALL SLOPE GRADE AWAY FROM BL MONOLITHIC SLAB: F /° THE USE OF A THICKENED SLAB AS A FOUNDATION FOR A ONE STORY DETACHED ACCESSORY BUILDING SHALL BE IN ACCORDANCE WITH THE FOLLOWING DESIGN REQUIREMENTS 1. GROUND SHALL BE LEVEL 2. SLAB SHALL BE PLACED ON UNDISTURBED SOIL OR COMPACTED GRAVEL 3. REMOVE ALL SOD AND ORGANIC OR FOREIGN MATTER UNDER SLAB 4. TRENCH ENTIRE PERIMITER 5. SLAB SHALL NOT BE USED TO SUPPORT ISOLATED COLUMNS DETAIL "A" SCALE: N.T.S. LADE 0 0 C. m 0 0 m z W D O J O Q 0 2 W > D 15 W w w0� Qg= UCL0 2"—U)