BP-32828RESIDENTIAL
❑ FOUNDATION ONLY
525.00 APPLICATIOM FEE IS mom.zarrtymDARLIF! Af wom.TnA 4crr=xw
--.. . ..:
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):
5. DENIED (see project review worksheet):
6. HOLD reason:
7. HOLD subject to Zoning Board of Appeals action:
8. Comments:
9. Inspector's `Signature:
Applicant info of above Date: � -�� � Time: �"i Clerk:=
IMP —Alc
Comments:
Total Permit Fee: Less Application Fee: $ 25.00 Remaining Balance:
TOTAL FEE: ��� (� Gross Area -New Construction total sq. ft.(/
Gross Area - teration total sq. ft.
Permit I F
MV
D NAB
CAb1dg.forms\B1dgappres.wpd ' Page 4
RESIDENTIAL 2004 RESIDENTIAL �nnn
I
NN
® g ry
1 Owner of Record:
lo `Z fey?
Name (print)
Contact Address Phone Number
2:2 Authorized Agent:
y�
10"Vi A -, Z 8 /f
Contact Address Phone Number
Name (print)
ma � �� �.�94
Ca AIR
3.1 Licensed Construction Supervisor: ' f1C,j d
Not Applicable ❑
Licensed Construction Supervisor
License Number4 5 0 " 7 0 91-/
Address + A- !
Expiration Date
6-16 o S7
Signature Telephone �1�/ ��f
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 ❑ no
If yes, submit the
required affidavit!
Company Name Aa V,-) 0 cox!d f U-_e'
Registration Number (if none, state ❑ none❑)
Address 05Sc' S
Signature '- `r Telephone
Expiration Date
3.3 For Re ential Remodel Wor y
PERSON 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)
Signature
by ,igning 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
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
u/
V
NOTICE To LICENSED CONTRACTORS: The Building Code provides in the
Rules and Regulations section that any licensed Construction,
Supervisor, whether or no
t of they have taken the permit are responsible for
code compliance. (see Appendix of 780 CMR R5.2.15)
1 I'
e q
e m : m .
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
1�R Il 1R43
® C1eca Ib .'a�
Iteration ❑ repairs ❑ chimney/ ❑ woNdstove
new construction* ❑ addition ❑
(energy report required) (energy report required)
fireplace
❑ deck ❑ pool ❑ accessory bldg. ❑ replacement
window/door ❑ other ❑ demolition
(shed/garage) no.
of windows_ doors_ (specify below): (specifYy'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
❑ Fumace (hot air) -fuel gas (natural or propane), fuel i0elec
icity, other (specify):
❑ Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity,
other (specify):
❑ HVAC (combined unit) - primary fuel, natural gas, propane, e
ectricity, 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: 2• YLI
�� %
SECTION _ 6 ES F`IMATEll
f
0,w�
o0m
Item Estimated
Cost ($) to be completed by permit applicant
1 Rnilrlinu
2 RlP.rtrirnI
'I Phimhinu
4 MPrhnnirnl (14VAC')
/
5. Total = (1 + 2 + 3 + 4)
* Estimated Total
4,12 e 4 1 aum'
�'
'
t �gp �r _
P ��
�� (tb mpletechl n y �Y �S
COTYR"Q l a d
RIO wo
(pleas�rint) f� i
I J Q 1Yoe f YI7 e71 T%� , as Owner of the
ubject property hereby authorize s"?,O. 9-4 c Cs -s
to act onrny behalf, in atters re tive to work authorized by t
is building permit application.
2
�.'-C-)(f
Date
__
Sin ure of Owner
C IEi1V ?B AIq
v WNW
W`t
c� �� ma
3 m a :aa .3 ,
s e e
�—
h'% " as Owner/Authorized
Agent hereby declare that the statements and infornnation
off'the foregoing a plic tion are true and accurate, to the best of
y knowledge and belief.
igned under th ain nd penalties of erjury.
Signature of ner/Authorized Agent
Date
C:\bldg.forms\Bldgapp.res.wpd Page 2 Rev. January12003
, C:\bldg.fonns\Bldgapp.res.wpd Pa e 3 Rev.7arnuary 1, 2003
PARCEL 'A'
-'�Fii
sca/e: 1 =40'
12 welby Road
New ®eftrd. MA 02745
dote.• 06-15-04
(59a) 998-2125
drown' 89M
Civil and Environmentalgineeri�g
FAX (509) 998-7554
checked.• 8R
Land Use Planning
approved.- 59G
ro/ec : LOT
3
WHITE
OAK RUN
DARTN
OUTH, PEA
/lent.'
TERESA
PIMENTA
frew/ng title:
sheet of a
FOUNDATION
AS ®BUILT
drowong number.,
C2-2648
SOIL DATA
DATE: 7-1-03 PERFORMED BY: DANIEL GIOIOSA WITNESSED BY: CHRIS MICHAUD
TP-110 TP-111
0"
8„
20"
5z„
A
SANDY
LOAM
10YR3/2
B
SANDY
LOAM
1OYR5/6
C1
SANDY
LOAM
2.5Y6/3
C2
SANDY
LOAM
2.5Y6/3
96.8
u
96.1
8"
95.1
32"
92.5
68„
Rr� R
1 '?F'
A
SANDY
LOAM
10YR3/2
B
SANDY
LOAM
1OYR5/6
C1
SANDY
LOAM
2.5Y6/3
C2
SANDY
LOAM
2.5Y6/3
,
96.3
DESIGN PERC RATE: 1" IN 10 MIN
12" MIN. EARTH
-., w EXISTING CONTOUR
DESIGN FLOW: 4 BEDROOMS X 110 GPD/BDM = 440 GPD REQUIRED
BACKFILL
0o PROPOSED C,'ONTOUR
1 WHIRLPOOL BATH — SIZE 100 GALS.
4 BEDROOMS/2 X (100 GAL.— 45 GAL) = 110 GAL. ADDITIONAL FLOW
2" DEPTH OF 1 8" —
1 /2" WASHED PEASTONE
PIPE INVERT ELEVATION
DESIGN FLOW TOTAL 440 GPD + 110 GPD = 550 GPD REQUIRED
10" DEPTH OF 3/4" TO
TEST PIT
SYSTEM DESIGN: USE 46' X 20' LEACHING BED
1-1 /2" DOUBLE WASHED
SEPTIC TANK
BOTTOM: 46' LONG X 20' WIDE X 0.60 G/SF = �52 GPD PROVIDED
CRUSHED STONE
0 DISTRIBUTION] BOX
-- — — UUh Oc +.vti
i
.e WELL H \ l
XN 81'04'55" E
016 342.42'
8.5 � \
ETLOT 3 BENCHMARK: � FLUSH
a=98.580001 SR. FT. cn /GND ELEV. 7
1.84 ACRES / N
ALL UPUND % (A
EXISTING WELL i rn
1.y 99
0
GARAGE l �'
I o ROP SED — —, T11
DRIV Ay ---- a
o
5" QIA. OUTLETS ,9 /
,� v� 0 /
PROPOSED /
4—BEDROOM o _ i
W a DWELLING / ExcAv Tl
T.O.F.=106.50
J Z 30X10�
N 111
I N �
77'
\ /
01
i p 990110
/
� r. 194
398t55' \ t \
ESTATE LOT 2
k o� io�ts PLOT PLAN
I inlet
SCALE: 1 „=30'
I" dia. cover (typ)
r'4 c
.E-QLJNDATION AND EMENS
r
SCALE
L
FILE. CC,
... .. ......
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. .. ...... .
Gr_
--- ---- YOUR RI THE
THE eUtLDING D
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of; THIS WORK.
'NT
M-DING DF-PARTM
A
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WN
RT
No
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Effl
Dit, I
_qy rooNO.TUSE SIZE AND DEPTH
K)" IS REQUIRED BEFORE-,:
F _oTi
RE TF IS POURED.
ATM ME- 5• ruILt)jN3 DEpARTMENT
T�jm of Dartmouth
.. .. ...... .. J
u
u PIECIMAD PLAH-1
144 An
-TWs End=d
te,d A Cepy Cei
f
Ian Meust Do Kept OnSite
r
-Pt De - rwior 'to �._C.Iinn or rwrl
und2tlun JiLwe a fo
t� o L:: atiy f irther *U(
. ..... ... ..
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O;PING REQUIR NA V41
F1
........... � ....... I's s 0
Penetrations thru rated wan and floors
seated w!"th a rr`IF�,Oelal, cap -able of preventing the
passage of flame$and hot gasses,when sublected,
to the reqtflremel�ls Of;thO TGst standard spedfic
for Fire coltoqw AS,
PROPOSED 4 �EDRODIVI DWELLING
_Tj_ — — — — T
J LOT 3* WHITE OAK RUN ROAD, DARTMOUTHV,__-M_A.,,
APPROVED EY:
SCALE:AS N071ET)DRAW Y
DATE:01 - 19 - 04 RE
F R 0 INIT ELEVATIC)"
SCALE 1/4" = 1 0II
JAIL AND I E t A PliAtIN'l A
oDR
LINO PEREIRA-ARCHITECTURAL DRAFTINGAWING NUMBER
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35 WESTVIEW STREET, NEW BEDFORD, JA 4
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SCALE 3/8114_011
I
PROPOSED 4 EEDROOM DWELLING
LOT 3 WHITE OAK RUN ROAD, DARTMOUTH :--MA
SCALE -.AS NOTED APPROVEDFy: DRAWN
DATE; OI — 19 ' REVISED,
JAME A!"D TERESA PIMENTA
LINO PEREIRA- ARCHITXTURAL DRAFTING DRAWING NUMI3ER
35 WESTVIEW STREET: NEW BEDFORD9 of 4