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BP-37857
RESIDENTIAL SECTION 8- INSPECTOR'S REVIEW/CObi1� 1. Date plan reviewed: FEP Q 8 2. 30 days to review period expires: 3. OK to issue date: 4. OK to issue subject to requested subn- ttals(see project review worksheet): 5. DENIED (see project review worksheet): 6. HOLD reason: 7. HOLD subject to Zoning Board of Appeals action: S. Comments: 9. Inspector's Signature: °SE Applicant informed orhylx Date Continents: ( ,E C:\bldg. forms\Bldgapp.res. wpd 3 Page 4 Date: 2005 RESIDENTIAL ` ❑ FOUNDATION ONLY $25.00 APPLICATION FEE IS NON-REFUNDABLE & NON -TRANSFERABLE r 7r7 *kf -1) Date: Date: Date: Clerk: Date: Rev. June 26, 2003 21005 C:\b1dg.fornns\B1dgapp.res.wpd Page I Rev. June 26,,.2003 RESIDENTIAL 2005 RESIDENTIAL ,2005 E ;r � 1 THORIZED AGENT 2.1 Owner of Record: 7FTk RA fi CyX --V 1 L(_`C, P-0 50199 0 _ cfi Name (print) Contact Address Phone Number 2.2 Authorized Agent: Name (print) Contact Address W . �P"h�one/Number SECTION_ ry, 3.1 Licensed Construction Supervisor: \ Not Applicable ❑ Licensed Construction Supervisor tUc-jz:� r�-1 15- LA_ License Number L- Address 3��-� -r-Ic-(_-F- (1-c) -Te�d�-T— Expiration Date trr91 % Telephone Signature Soo IGI 3.2 Registered Home Improvement 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 claiming exemption from the requirement? ❑ yes A no If yes, submit the required affidavit! Company Name G f f L)C-�K fit l 5 E-A— A�Z-1V O Y4TT7© Registration Number (if none, state "none") ) � Cj 09 `7 Address 2�(at'I �t G K L �,� �7�0 rCF Signature - Telephone Soo - (�.,'�3 L L6 Expiration Date -7(1 pogo 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 Owners Name (print) Sii nature by signing the above, the home owner acknowledges that there will be no eligibilty to the Guaranty Fund Dat- 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 t%vo-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 160 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 (I!1 - �a152 x., �... � .tee.•.:. .. , ...r; 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:0 yes ❑;ono ,. apglzcable) , SECTION - DESCRIPTION OF PROPOSED WORK (check al) ti ❑ new construction* addition alteration ❑ repairs ❑ chimney/ ❑ woodsttove (energy report required) (energy report required) fireplace ❑ deck ❑ pool ❑ accessory bldg. ❑ replacement window/door ❑ other ❑ demoliltion (shed/garage) no. of windows doors (specify below): (specify be;low): * 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 (specify): ❑ Air conditioning - (separate unit) ❑ None of the above to be provided ❑ Hot Water: Gas Electric Fuel Oil Other Brief Description of Proposed Work: ✓1 A Item Estimated Cost ($) to be completed by permit applicant R 1 nV ilrlina (ri_J . 00 (n , cD 3. Plumbinq O©©. 4. Mechanical (HVAC) C9 ©dn CD CD 5. Total = (1 + 2 + 3 + 4) * Estimated Total $ 3 6 C'j d 0 Q (please print) I, , as Owner of the subject property here to act on my behalf, in all matters relative to work authorized by this building permit al SignedyxfdelE thins a ncpenitie�f perjury. Signature of Owner/Authorized Date C:\bldg.forms\Bldgapp.res.wpd Page 2 Rev. June 26, 2003 C:\bldg.l'orms\Bldgapp.res.wpd Page 3 Rev. June 26, 2003 G 1. riv r. Dim I I A ct;y ()I, Tras Endr'T"Nd rim Vxst Do 1190 0" s" mq mmma were 0--- Kaje-V THE tUILDING DUqING PPDGFESS OF THIS WORK MULDING DEPAMISNT 11 , --1 —1. C, t fl"Tft* WILDING DEPARTMIE11-if FILE COPY rimr- QmPPING RLOUIUREN"ENT Penetrations thru rated waft and floors shall OP sealed with a material capable of preventing the pas,.:;zVe of flamrs and hot gasses when subjeCted-, to the requirernents Of th9 Test SUnd,4rd cr 14. for Fire Stoo DARTMOUTH FIRE DISTRICT I 10 BRIDGE ST. DARTMOUTH, MA 02748 508- 996-1596 ul# r D E TE 11110=`11171EYD 1-611NILY'. lo'111-r, /7� qo MAIN HOUSE _FOUNDATION P�LAN� LO 0 C4 CN Lu < 0 D z < DATE: ISQUE: 1= Lu C4 Co 03 Lu 0 W.J as*.s rg at cLu 4 2 ~ m H co 04 C'q cc FOUND. PLAN 111 A I I p II 11 11 �- I I 1 I i EXIST. KITCHEN 1� ' EXIST. HALF BATH I I 1I 11 II II II II it II II II _ II II II I 1I co II II II I I II II II II II II 1 i 1 I II 11 I I- II I I II S.F. ENTRY HALL 155 S.F. F11 i s � Q! T-�,:S E. a r ig3t r; Cur,-.tutrio :� '- EXIST. LIV/DINE 0 490 S.F. FILE COPY 11 II 11 II ---'----, I I II 11 II II II 11 II it 11 11 11 it II - - - - - tl Ili--iif--.--r-�--r--�--r--�-- III III I 1 1 I I I 1 I 1 1 111 III 1 I I 1 1 1 I 1 I I I11 III I I I I I 1 1 I I I - 111 111 I11 1 1 I 1 1 I I 1 I I 111 I11 I I 1 1 1 1 I 1 1 1 EXIST. MASTER BEDROOM 0 270 S.F. %nCfttions thru rated WIRIIs and floors shaU bl s rz w ... a material capable of preventing th_-. Pale Of flaMcs and hot gasses when sub;e >; to th-^ requirm, tints of thG Test Stc rd 6�-Ffe Sty ASTNR-F-1814. 60NO-TUSE SUE AND DEPT} .R DP&VVda MUST PE KP"°T ItrLfiECTION IS Rtmumm BEFC Ta",E BUILDING DURING THE THE CONCRETE IS POURED. MOPMSS OF THIS WORK. ;f MILDNG DEPARTMENT '37-,T tQ DEPARTl�tE'KT 'Itm of Der"oun, 't tX4 D�ri+?'�.`t 16'-2 1/2" SUN ROOM ii If I II I I 1 220 S.F. II II , II II i II II i II II , II II , II II 1 I 1 I .. ___________________________________________________ 0 0 a /S� MAIN HOUSE FIRST FLOOR PLAN(:: 1 SCALE: 3/16" _ -0" L0 O DATE: LLI l'- 0 z Q ao A N Lu � w ~teuj a o5� Ntch FLOOR (PLAN Qmz'lJ ------------- --------------------------- -----=-------------------------------- L---------------------------- 28'-3" F R. 8M2,PING RF--QUIRE4104T Peons thru rated Watft and floors ShNI he Seew With a material capable of preventing the passage of flames and hct gassas When sut4ie to the requiratr:ents of thg Test SU rd > # bf Fir Ste: ASTM-E•114, INT- PECTION IS REQUP�Ct) THE CONCRETE is POUtjq). 11D, N3 DEPARTMENT YOUR DWM kpjeT RE .. o AT THE EUtLDING DURING THE t•' ' DRESS OF THIS WORK. C1 N r-J' ING DEPAR11rENT �. Q Q RECORD Pula-! DATE: F-i n Must Ca Kept v:10f,, D AIC.7 it;�'�f.t't3�,� C-r, ME -- MAIN MAIN HOUSE ,� SECOND FLOOPL R AN -0" 0 f`w- Cn �C aw-0-1 FLOOR (PLAN ZE (1()py mul vV're"m wff K f7"T F11 F° ii'" r.U;LD!NG DURING THE Pr!�t^,Z�SS OF THIS WORK. rXIALDWG DEPAATk EW &ONO-TUU- Sin A;,o DEPTH it,"_ , ECTION, IS REOUtRED DEEM. E TMtI: CONCRETE IS POURED. ,liL>DWG DEPARTMENT O Dot ztout N N � �- W {/�} {{{���yy� �pspy�{�d,� Plan float Co Kept 0 SHv Q Wrinn Cc-Ttmcti DATE: SQUE: ' T tdi be Ling thy: jb!^etc; rpect"x ,� ROOF PLAN 0o qe ti Lu o a a P Lu 0 C M LAJ a p n cc � N co) FLR. PLANS 111 [1 , ,, 0 pl, r-ly couo-TWE SITE AW DEPTH Wr7vECTION IS P4EOWRED BEFORE THE CONCRETE IS POURED. rUILDENG DERARTMENT ", pm Of D*r",OLnl PTCOKI,113. Pill, A Gc py► Wj Rls En rian rnmst Be Kept Ga site tG 0 U 200a y?4 A O+PAWWO LET FEE K T AT THs rUPLDING DURING THE " GiiE+RS OF THIS WORK. V)RDUNG DE€'AMIE, dT cl DrrhMul FIRE STO!D-0 w� F ��!��� :.; i' MAIN ELEV. Pen�tr2tions thru rat WEST ^d tivs and fl o. _ -,s(IALEI�/e" _ , -o• sealed with a matoYi ^,oabla of pro urltirtg t�:= PeSe—�_go Of fl nines and hot Psses when sub,e'.9t; to the requilrem..ents of thq Test SLQnd�rd ro fOr F1710 StOX ASTM-E-D 14. MAIN ELEV. ,� NORTH PZ DATE: (SCALE: Lu N CC o � a H' � a N ca ELEVATIONS Ill -ELEV. W -4• W. 11=9..0 6ONO-TUPE SSi& u40 DEPTH IIV--ECTION IS REWIRED Mr-04r,'L CONCC .ETE Is POURED, J1LDt'j^ DEPARTMENT " } 'n :L RID PLAN GCpy 1 TNs En s Tian mast ce Kept aa slit; Dwin?, Unctructim. MUt P- THE lWiLDING DURING THE .MQ M OF THIS WORK. V LDI G DEPARTMENT d Der FIRE MAIN ELEV. 7t tJo 3s rthr-u ,rated mUs and floors shag` &� SOUTH �.a -mate icl :Dade of proverting 2 scA�E: /s• _ , -c P,Ua-ssage of f+Z.mos,-a-td bv gasses when subjectae,, o :#T:�-regUjrements ,Of V110 Test Sfpnclp-rd �� t -ATV-E-Df4. Mi El MAIN ELEV. !TIT = V-c L- O N N 0 a o z a'' DATE: SCALE?: 00 ti � o O Qx O Z J O 15 O H Z(CY4 a(�o C4cc ELEVATiTONS (I P '� ins thr� r w4ms and floors Il b la of preventing th, sealed with materiel cam P PaSWe of flares and hot gasses when vubj�O to the regi ireMnts of tho Test St 'd c for Ffm S sTiR,�• - 1 . MAIN SECTION SOUTH SCALE: 1/8" = 1'-0" ❑■ r 0 co N N X N j", ECTtON IS REQUIRED BEFORE iH {,'OiVCRf'rE is POURED. C� MILDING DEPARTMENT Of D"tnmti FIRE SLAP 'INN BE .. lR . PowLat€ons thru rated wags and floors ha-n bc- seated with a mat"lwl: c-apable of preven ing thx passage of f zmcs ar-d.hot-gasses when sutaject,-/: to the rer ui; errlent- of tho Tesi,at nd .. l for Fro S" ASTV--E CJ ? -. j", ECTtON IS REQUIRED BEFORE iH {,'OiVCRf'rE is POURED. C� MILDING DEPARTMENT Of D"tnmti FIRE SLAP 'INN BE .. lR . PowLat€ons thru rated wags and floors ha-n bc- seated with a mat"lwl: c-apable of preven ing thx passage of f zmcs ar-d.hot-gasses when sutaject,-/: to the rer ui; errlent- of tho Tesi,at nd .. l for Fro S" ASTV--E CJ ? -. II II II II II II 11 II it II III II II II it III - II II II II II III II II II II III III II II II II III v youl MA-1."2140 OWT V- KPOWT Ar THE BUILDING DURING THE OF THIS WORK. t';"JIL !,XG DE€ RTlA,!Zi�t o tof �, m,'"It't N N G Tor -III ". pillim R Q t Py C This Ent;ynu Z z #3 �..�.EF-p CC EGG DATE: SCALE: FIRES P1;,RG UI INz pcYwtratlons tnru reted vja!JP and floors sMH lam. sealed wt*uh a mate i-ai capable of preventing th, pawage of flame-s and hot gasses when sublooclat., to tho requirements of tho Test Stand,;,trd fir Fire Stotrn ASTM-E-81 4 . WX Flan 1111%st Be Kept 0.1 "'Ite F tO ; y 2" x 10" YOM DPAWM t TWEra- AT THE rUILDING DURING T1- P-,-,W. %-SS OF THIS WORK. SUMING./DEPAFti CHdT LO C) N �N// Li. Q D $ONO-T►sQ-,-r- WE A140 DEFTI z 1x'ECTm IS REQU,-KD MF F THE CONCRETE IS POUD. � PX rVILDNG DEFARTM04T DATE: ' Cf D t 0 N MAIN HOUSE SECOND FLOOR PLAN SCALE: 3JI =-0" 00 cm In cm cc O � Z= �I J O i 0 1— �0 Z 'W a 0 I W. 0(m0 Q tee 0 a rcm va FRAMINjG PLANS n u (3] x N N co x N OJ x N N 0o x ^ N 00 x N m x N N FILE C of"ii man matt GsA kept n ji —FER n R 7nnr, S17k AND DEPTH CTr `d IS REOWRED BEpo+?- VOW Mwim v-1 ' va frwT T"E CU.NCF~ETE IS POURED. 7'` THE BUILDING DURING THE F "oGR S OF THIS Y`:OI"ilQ. MIMING l3epARTMcNT - r"'m'.'mm amRT mom of D--ft" ty ` GMgURZ- P&"OLMfl-Ons thru rated Wah's and f100rs ll b sealed with a matelia1 camel; of Preventing the Pa�e-P of flames and hot Psses when subje - to the requirements of tho Test S rd MAIN HOUSE ROOF PLAN SCALE: 3/16" = V-0" Lo 0 N N � < O D Z Z U) Q DATE: SCALE: co ti usO y a o � z = I— O` ph r E Q _ � r any FRAMING PLAN