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RESIDENTIAL ❑ Phased A� proval (R106.3.3)
$25,00 APPLICATION FEE IS NON E-FUNDABLE & NON -TRANSFER fiLE,
r�
- DATE RECEI�ED
°"T"' DARTMOUTH BUILDING DE ARTMEI�1 `'
qs, _ _ n : 241
400 Slocum Road
Dartmouth, MA 0274
Phone: 508-910-1820 Fax: 50-910-1838
16fi3 •/ www.town.dartmouth.ma us
APPLICATION To CONSTRUCT, REPAIR, RENO ATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
.. ___.'..Y{-r Ally
;. Date:
Board of Health: Signature. 6e, ��
Commission: Signature: Date:
Zonservation
D.P.W.: Signature: Date:
Fire Chief: Signature: Date:
Other: Signature: Date:
Brief (lescripfion of work being performed, (� ���c U1), 5'
1.1 Property Address:
I Contact Person: - —
I Phone Number: —5 0. _
*OiteisD"'isposal
1.4 Water Supply (MGL c40 s54): 1.5osal S❑ Municipal �rivate
CONSTRUCTION PLANS
1.2 Assessors Map & Lot Number: -
Map 3 3 Lot
1.3 Historical District ❑ Yes ❑JNo
Year Built
❑ Altering more than 25% per side of tbuilding
Has application been submitted to the Histosric Commission?
❑ Yes ❑ No Date: —
Revised 5 /13
SITE PLAN ❑ ENERGY REPORT
RESIDENTIAL
SECTIONS ;PRO!?E t"C OWNERSHIP/AUT ORIZEI A�
2. Owner Record: /rr r�
i�N6_11 .. - 4 J o
Name (print) Cqatact Address Phone Number
2.2 Authorized Agent:
Name (print) Contact Address Phone Number
_ , .. ; .,. ` - SE.C.TION 3 =;CONSTRUCTION SERVICES:
3.1 Licensed Construction Supervisor/Specialty License: License Number:
Company Name/Contractor Name:
Address: Expiration Date:
Signature: Telephone:
3.2 Homeowner Exemption - One & Two Family Only Section 110.R5.1.3.1 Exception:
FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
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 persons) 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.
1'you are applying under t ' sec ' n sign
Signature:
:.` SECTION 4 �_WQRKER`&CLIMFENSATiON iNSURANGf= AFFJD,?4'tIIT MGL cl52,§ 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
SECTIQN 5=_DESGRtPT(ON` F.PROPOSEI3 WORK (Gheckall applicable}
❑ Deck ❑ Pool ❑ Repairs ❑ Alteration ❑ Chimney/Fireplace ❑ Woodstove/Pellet Stove
❑ New Construction* ❑ Accessory Bldg. ❑ Addition ❑ Roofing/Siding ❑ Replacement window/door
(Energy report required) (Shed/Garage) (Energy report required) No. of windows_ Doors
❑ DEMOLITION (specify):
Location of debria removal (per MGL C.40 Sec 54): ❑ Dumpster on site ❑ Dumpster On Street
Facility Name: Location:
*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
0 Hot Water: Gas Electric Fuel Oil Other
Item E timated Cost ($) to be
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
5. Total =(1 +2+3+4)
(Please Print)
I, as Owner of the s bject property hereby authorize
to act on my behalf, in all matters relative to work authorized by this b ilding permit application.
Signature of Owner
Date
t:::J cL o3 , as Owner/Authori ed Agent hereby declare that the statements and informatiom
on the foregoing application are true and accurate, to the best of my k owledge and belief.
Signed underpQpains an_Uenalties of, perjury.
of
Agent
Total Permit Fee: $
r ✓l
Gross Area - New Construction total sq. ft.
Gross Area - Alteration total sq. ft.
Permit Issued to:
Less Application Fee:
Other $ Amount $
Date
Remaining Balance:
NEW B FORD REGISTRY OF DEEDS
COU SOUTHERN BRISTOL
MAP/ PA EJ BOOK #: Map 33, Lot 14
RECOR D: N/A
DEVELOPMENT NAMED: N/A
LOCATI: DARTMOLITH, MA
DATE D WN: 4.28.99
DATE FI D: WA
SURVEYJR/ ENGINEER: CHARON ASSOCIATES INC.
STYE & S UCI'URE INFORMATION
ZONING ISTRICT: RESIDENCE 1B'
LOT SIZE 141,240 SF
LOT #; 1 3
YEAR B LT: 1999
BUILDING SIZE: 3,108 SF
STORIES 2 STORY
FRONTY-RDS: 60' PROPOSED: 46T 0'
SIDE Ygpj��DS: 20 PROPOSED: 15'-1'
REAR YA DS: 20' PROPOSED: 760'-0'
LOT COVRAGE: 50% PROPOSED: 8.93%
.al #i•F7 n
SITE PLAN
easrn+D WALL.
DEMO. 2•-^ _+T?'^"'
NEW WALL.
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PROJECT NAME: SOUSA
PROJECT #: 7131565
OWNERI:
DAVE SOUSA
LOCATICON:
150 wooIDCOCK RD
DARTM(DUTH1 MA 02747
DATE:
7.23.15
DRAWNI'BY: CHECKED BY:
JC DS
DRAWING INDEX:
A.1....SITE TPLAN
A.2•.•.FLMR PLAN/EXTERIOR ELEVATIONS
A.3.... FOUNDATION/FRAMING/SECTION
IA- p, n.p s r%o war.
drawing ae, tr—f w tR ft wnt en
permisslon{.of South Coast AmhiLe"e
=hlbit dl
PROPOSED GARAGE FLOOR PLAN
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DEW:NEW WALL. s.
EXMTMODOOR-
NEW DOOR. i®
ROOF PLAN
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PROJECT NAME: SOU!SA
PROJECT #: 7131565
OWNER:
DAVESOUSA
LOCATION:
15O WOODCOCKRD
DARTMOUTH, MA 02747
DATE:
7.23.15
DRAWN BY: CHECtKED BY:
JG DS
DRAWING INDEX
A1....STE PLAN
12....FLOOR PLAN/D 9E -IIOR ELEVATIONS
A.3.... FOUNDATION/FRA WlNG/SECTION
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FOUNDATION PLAN
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SCALE. 1µ•-1
FRAMING NOTES:
1. FRAMING LUMBER
ALL FRAMING LUMBER SHALL BE KILN DRIED 19%MAXIMUM MOISTURE
CONTENT. LUMBER SHALL MEET AS A MINIMUM THE FOLLOWING DESIGN
VALUES FOR SPRUCE -PINE -FIR:
A. 2X STUD CONSTRUCTION GRADE Fb=BM. F-70, Fe=750
B. 2X JOISTSIRAFTERS NO.2 GRADE Fb-1150, F-70
C. POSTS NO2 GRADE Fb-800, Fw55, F-575
DESIGN CRITERIA
FRAMING:
JOISTS, RAFTERS & HEADERS TO HAVE MIN. FIBER STRESS OF 1,00042 &
BETTER SPRUCE
2. CONNECTORSIFASTENERS WITH HIGH EXPOSURE TO OCEAN SALT AIR SHALL
BE SIMPSON SST300 STAINLESS STEEL TYPE 303, 304, 305. OR 318. -
3. CONNECTORS/ FASTENERS WITH EXPOSURE TO NORMAL EXTERIOR WET
CONDITIONS SHALL BE MIN. SIMPSON ZMAX,HDG.
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FOUNDATION NOTES: A.3
CONCRETE:
1. THE CONTRACTOR SHALL COORDINATE THE LOCATION AND SIZE OF
OPENINGS FOR UNDERGROUND UTILITIES PRIOR TO THE ERECTION OF FORMS
AND THE POURING OF CONCRETE.
2. ALL CONCRETE SHALL HAVE A 28-DAY COMPRESSIVE STRENGTH OF 3,000 PSI
WITH MAXIMUM 1 INCH AGGREGATE AND MAXIMUM 6%AIR ENTRAINMENT FOR
EXTERIOR CONCRETE EXPOSED TO MOISTURE.
FOUNDATIONS:
1. THE ALLOWABLE PRESUMED SOIL SEARING CAPACITY IS 2000 PSF, W 4CH IS
TO BE VERIFIED IN THE FIELD BEFORE CONSTRUCTION.
DESIGN CRITERIA:
FOUNDATIONS:
FOOTING TO BE 3,000 PSI CONCRETE W1 REINFORCING
FOUNDATION WALLS TO BE 3,000 PSI CONCRETE
FLOORS & SLABS TO BE 2,500 PSI CONCRETE
COMPACTED FILL:
1. FOOTINGS TO REST ON FIRM UNDISTURBED SOIL OR COMPACTED FILL- 95%
OF MAXIMUM DRY DENSITY.
2. ALL SOFTIORGANIC OR UNSTABLE AREAS SHALL BE REMOVED AND
REPLACED WITH COMPACTED FILL
DESIGN CRITERIA -
SOILS CONDITIONS:
ASSUMED SOIL BEARING 2,000 PSF MIN.
CONTRACTOR TO VERIFY CONDITIONS
PERIMETER FOUNDATION DRAINAGE:
I. CONTRACTOR TO FURNISH AND INSTALL PERIMETER FOUNDATION DRAINAGE
SYSTEM SET IN CRUSHED GRAVEL (AS REQUIRED PER SITE OONDTIONS)
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PROJECT NAME: SOUISA
PROJECT #: 7131565
OWNER:
DAVESOUSA
LOCATION:
150 WOODCOCK RD
DARTMOUTH, MA 02747,
DATE:
7,23.15
DRAWN BY: CHECKED BY:
JG DS
DRAWING INDEj(:
A.1....SITE PLAN
A.2....FLOOR PLAN/EX'fEE410RELEVATIONS
A.3.... FOUNDATION/FRAIv,�iNG5EOT10N
IA-1p.dLCtbn, po669961on. ;p, tee a( IiTs
drawir o ar ero/ partthereof "Iltn V,e written
perndeelon of South Coaet Am4i%ca is
p-hlb W-