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BP-6634jt - - e 3 , t F tell— F(D t zk i' t n ,X t. I,_I,..� r i t q D t , r-r I {EE d FILt v T4' IN' OF UARMOUT YOUR DRA-WING MUST BE KEPI EC PLAN & �y �E� t -�i,ol AT THE BUILDING CURING THE A Copy Of This Endorsed ROGRESS OF THIS WORD. rkwt Plan Must Be Kept On Site Of, �UILDI G DEPARTIVIENT Durin Town of Dcxrtmouib rn SCALE: 4 i i APPROVED BY: sd m DRAWN BY DATE: Ii: 3 �) P REVISED {r L, z, Sri, r DRAWING NUMBER PECHNICAL IMAGE PRODUCTS TECHNfCAL IMAGE P.RPDUCTS ' ... .,.,. ... �<�., x.aa�., - x 4 3 S L✓ Y. hLt i� '50-L • T° W 42 SXALLw�T 5cS�1'C�}S Mq tr T€ t AVT04AhL -tA)TZT ,AW (XIT bF FLOVDWAVS, �- RZ VAO 001E f-T k0 Fl a}��t� G►itAA�L' • 1 ��-0 � � 4 2x12 4rA XsL E ), Tb91S F000AT100 ! S k,`iVyOt y ° U►� '� _ TOP or- MLA. �, F-L.14 fG17 10 AG C u) iTt�( gCvTit�>J .- FL00D ZsKThT W0 sT{-TVT100 � DF T> t STATZ SLW CODE JZ00Z A CL.13° ). 1 :mow,, o � . Sim S iTt Ipu>J FOV-F10., tT v.) o FILE COPY 10cow.." ROD,�[ WkLL T �� " P °.Ur-, � T e EC A 5)� N o r A Copy Of This En6rsed 4" c��x. SUtp oa G Sian Must Be Kept n Site N Duri Construci.$on� a t I o O 4 C9 WPACMU &-9A lCL ', ; L64 Date 1� 0 2 199 < 011)(3 4L TOP OFSUS t } I FOCAIOU TONDAT1 0 PLW ► B'`)►--ty" n Sf-CTI0�j TEJZU FOOODATIO� WALL ; _�Z- �7( iT L0C4Tl9'a ,0F SPQCA9 T� n> S c�f=}, �tO0SL VL1� S� vn 1. Fay. S PLQ GEWAG1r M J, Lor D - gitvq 4 t "AiZB C-Rom ' ST41Z Or 1 _ jA SEA--0'R, j S,.VAZT4-WT , K4,, B( G, stJA.ArGALOSKA',W(G.O Go s+ i'r1L t� �R'S O�t��t7 t7 9j , _ a 2. FOR :Hper PLW& sU DW&. NO, ( TKu3 C olITLM F>ROPOSr_C> jZSll?trJGE F02 W►L.LI^M (-y'¢ A)E- y r� 50 SCAQOf TW6�, A D12WE DART 09M.) VAA-" � WAt roc LtFiz�WMf WtO ! 2L9 9$. Xu �T�R OFT SLA U�Iv > `� . ohmic DST tAASS . ALL Tl ALA. h ?�lrJi 11 �w N--t� GruW FWi<. tO 4-24huh Sl#+LL OCA sort, L&W _. job .k �4t.VI�((74 .3EtSt,l1JC, GA?�i a� 2,D TO��' ��• .� . Dr. Frederick M. Law, P.E. 4, ALL -WAX TV S4 SILL W&Z � r 101'jV c94RL Skit Si O&'� 4F 3j 0Z ` P44, NT U Dk S ' A,)t> F�n—� '� �`�Structural EngineerS1 O�10 Swift Rd. A"L Co0C TE vJUQK "NLL C'#'3�Z4 TD A,G,'r. STAOI)A 5. So. Dartmouth, MA 0274$i1 J S )V SQt(AaL. NOTE ALL OVWIK)&& - SHkLL U_ LZt~; CKO o8 S14ALL BZ E6F0j? e() WI7� 5c',eCX) 0Z L.OWEP-S TEAT Pt iT• -KE AUTaKJAT12 tOTZT AUD EX17 07 FLovbWAIVS. T► E WTT0j 0C' 7+ M O 0-,)' g sMLL LE 0�1i q z vp1,0 oo z Tvr k aDve I LE1 F101Sr MAX. ill1-04 -2XI2 4FAMZ am ART Ems' L Aid A Copy Of Thi Endorsed ! � � TOP OF ML L Plan Must Be fept On Site � 3 s'-o"s�. x1'-0" eL, 14,001 Du(m lon a ' I t' r Ac- 14 1) a r .si: r C L�J SPk � 34X 34�. l 11 y 5G FT2 i ( CRCt311JCrS °1� 12"�C 3D" Ek = t e30o 10' - (C�R�k�£SZ'iiH�l) I,a 1►J1 i z qOTE , i 41S FOOPOAT100 IS V.%vyt W }a AC�rs'.t,�;lJt� �trN Sgc.Tlc�sJ 3te7, "FLOOD Qr_% MT COOS.TpvGTJ(Jk) Vt STATZ GLD&- CODE (Zo► F- Al CL.13'), 6, FOD, Y • SL*p 00 G0DE 00"PACM0 &QAVCL TOP OF Sut6 I?L. 7,ON (0"X24 "GD0(-,. F001106, - i=0UQDAT100 PLAN SECTID�j TiJZU FWODATIDt WALL Fob, EXA&T LOCATI) aS of WCAP 'FD)Pa(TS SEC "ov5✓ PLAoi;, 1. F0Z 5((E PLAZ `67M "SgWAGF- UU1ZkL PLAO �-orD - PrIV�IA►-R�( yAS2ao�' sl�o?� ) '4Q Q 'ftiE._s�a5' R.,� 5, 'DA'1 UUTIi, 4A,. B( GjkwjA -6eGAL.USKA� ))?G• JI GOOSULTIUC- F-DWS; [WO 12 17 9(, 2. FOR HOLYZ PLW& SZE DING. W. ( 'TIVQU3 Ir01ITLED"PROPOSLO S1�� F w►i�l A ' / - R� t,E oe I M vt t71r tib- 6v st�lR off' -�I✓ SSA Detu� D,�izT�our�t, +Aq- J a� w�cYuE .�cvlS� D�tT�U i�20�.9g, 5, ALL F�T►O65 SyAI. B3 A �iUl��'t of W-04 C3r-W &VAX huts ShkLL. GNP, 00 SOIL )k_qW1LJV_4 WAIZ10(.1 CARCATY OF �,iq TOOSM.T-T. 4; ALL Co0aElt . S4 ALL WAvt h 4101401 r,04 E SSxVE sTVZ►JGT1 X 3j OOO PS.I, kT 2-O PA? S A,UD AZ.L CAUGHT E WUQK, V4 hLL &WTD A-G*. CXA IJ O AQ. 0 DR. 9�S CFREDERICK M. N LAW -p 24405 O o ` ; s�oNAL _ W, *-I C'_� kuG.1999 500UDA710 1 ; 60 STAR OF TEE 51EA RIV D >? DAZTVIOJI-A VJA S5, _ Jog 001 Dr. Frederick M. Law, P.E. �- ! 11(a. Structural Engineer 0 10 Swift Rd. S I So. Dartmouth, MA 02748; r{ F c .ri ,r i � (\ i @ a � E HILL i Yt • r- , r f i[ Cr CiClIf At s T Jr' m .. ,� J l� p(� >: -u � _ � f : , % :. • , v . Red � ` �' s• ,_ corner i yy �'. # i t a j- • ; t , .h ifcu • - R r ., � ••- •• • :. soh c i r cam," " 'r t 4 ,\ _ t• ti t 'ice if ti ►stand .. ,� .• . �:. �� , \ x .y yt a i K ` tea., q •t Y .c. ' 2 4ix {'. Cyr T ^-•�, ""'ate [ �netr4t• _ a • - -c.. 'o+ �•, � ,r' �� •'�', �M k r 'APAga rrsett Pam�t _ yt, ! ecreation Af$a. i PI) s ` u �y •. F c _ \ •9 e B L J i P- VtrNPRAL NOIES - v n � s em � t 1 No equipment n e e tehallberun over is y q T+ o e the D pasal � X 40 2 Installacton shall be to complete Accordance.wtth Title V 6 Board of V' � �, Health Regulations, ,.:�; f' ,• .": yrs: 3. Stone shall be of sizes shown washed 6 Ihave less than 0.27 material finer than #200 seive when in _place, 6 tested in A*.•cordance with S FI O A.A. # 'T-1 .. Any modifications to the work shall be approved in writing by the Engineer and Board of Health prior. to pertormance4 - _ . 5. Notify Board of Health when systems are ready for iti ections. _ In � 1 SUItAb P 1_ material ria in l the � e `digP oral are �;tx`ali �Z : res�oved S replaced with material to the limits specified in g. 2. i df Titl' V. Excavation .naw d ' material shall be approved by -Board. pP 7. S stem is not desi n d 3 e f Y K or use of garbage grinder. - � ©: n •-••� ,.'" r N J Soil Lors are indicative of condi ' w t the i-m b loca .ion tton_ encountered .f D CjUi cs. J s" Q - �p.'� MATERIALS �' �w "�(� vUi'. 1 Building sewer from foundation to septic tonk shall be cast iron 9611 pit+e. :— Sal S ste m .shall be L 2. Piping from tank through bL9tributinn ,9ox b to DLfifo Y W cn fro v_t a cno_Ic b v ..at. tight- ;ninra a, ( �.. '�D59vlcE S'TH.Y c0e /Er-r6RI(X WPb '.TH. - tilErJ1 #\oKt T iN�Pr< 1 PKoofvi Nc-A odTco► s 4 tr Alit R r3 y to" 4 PSG G4tLKLJAT�2 T T irJ• t2 ap E_ � .. 4 , +�.vE t_ � R 3 � � PL N Fq rn �r r i 1 TM . oQ C RDU �► I# J L FT 4 OL llEr -- 3 IZElho�/Ar�I. E ToP 2 f� ir.IL� - -o UTL� � 1� M �f 100 .. a - P T 3 N - QQ „ V _ - -_6AU LKZ �'` D 1� �I t?�A �JO I L. , OQ UQrzwbTu#2�I;o eAaT -� _ -- xr�K-ou 5 - _ T _r ,0 L . o Do p�- - R: 5 _r - T �T 1� CZ�IN� Go G Sr r�x N �.'V✓,rzsN 4 io O.A. #� Q '�� �, o l _ C- ANK O K1oU o PGaL�.- --LEGEND SYMttOL Af1P12F V . Di?SCRI i'T IOC1 1 TPKAI�j1 EP FDGr OF PAVING T a- i 1tjl� r , {i W WATER t M IS t i i �• 1Tor `� •. � f -- EXISTING CONTOUR LINE vi �1 O. -_ NEW CONTOUR LINE 6 us)H 4 SILT BARRIER II ,i 0 D : i. i 1 _ 1PE. i , LIMIT LINE Or GRARING ..,.. L,A 51r�'. t� 1 IhC° 2 .err Y � -Y�. • l ! _: .n"'�. i� 150T- OF_e;w To Ff C GVCB GATE VALVE &CURB BOX I j CD r.; rlRr trYDriArrr , T .. _fO ---- • .� � - � EXISTING SPOT GRADE �• �- � ! r . C> rINISI SP OT POT GRADE _ , PROPERTY LINE ^ GENFRAL NOTES # - N v ui ment sha be run over the Des anal o ste �s. 1. o heavy e p 11 P Y } DARTMOUTH BUILDING DEPT ZONING REVIEW F1 } TO ENGINEER PLANNING DEPARTMENT v c v; a X. FILE/NOTEBOOK Y, BOARD OF HEALTH y--CONSERVATION COMMISSION PLAT `1� LOT `` STREET NAME 0a OWNER'S NAME�.¢�M„ �Qi a� SUBDIVISION & LOT # c CONTACT PERSON }'t • TELEPHONE # 99Z -T 3 &-15- DESIGN PROFESSIONAL AGENCY THIS PLAN WAS PREPARED BY A SANITARIAN _ LAND SURVEYOR PROFESSIONAL ENGINEER (INDICATE CIVIL, STRUCTURAL OR ARCHITECTURAL OTHER CHECK APPROPRIATE ANSWER WHERE PROVIDED, CROSS OUT INAPPROPRIATE ANSWER After review of the site plan for the above noted location I find the following: 1. Zoning District S RA' �/ Vacant Lot Y yes no Date of Lot Creation � 8-5 Y Zoning District appropriate X Yes No 2. Street , Existing, - Public, �, Private, _Ancient Way "paper" has it been Bonded ® yes a no Street complies A Yes _ No r 3. Frontage a76. s ! Lot Area G . 7 y,¢e_ , complies X yes no complies _ yes no Percentage of Lot Coverage % maximum allowe .See # 8. 4. Current required setbacks for this site are S5 Front 7-6 other sides. "Grand fathered setbacks ( ) (are not) allowed, • -Sk-es and rear Ve-r . Exempt setbacks existing yes _ no Exempt setbacks will exist due to "Grandfather" Rights _yes _ no 5. Off -Street Parking Driveway complies -�/, yes no complies X yes e no 6. Cellar Slab elevations Y N/A _ required complies _ Hei, t �bf f ndation from bottom of footing to top of wall or it Varies fro r� vIt (over) 7. Accessory Structure(s) indicated yes —no. Setbacks compl es n� 8. FAquifer one Maximum impervious cover is 10% of lot area. 9. F LRAM Zone - elev/3 Panel # 250051 00 I?e- date A5-9,� swl Commentl t ` /g. �dZ 10. Other Overlay District Comment 11. Zoning Board of Appeals action not required is required for the Was anted - Case # for _ Variance _ Special Permit 12. Certified "As Built" REQUIRED including top of foundation elevation in actual elevation numbers, not assumed. `13. Submit further information No 7 Yes. If yes, refer to item(s) # 14. Project will require further review when new, revised or requested information is submitted to any agency. 15. This Zoning review does not indicate compliance with any other Agency, including, but not limi�ed to the Massachusetts State Building Code. 16 Building Department Permit(s) required _yes no 17. Submitted by, David J. I veira Building Commissioner & Zoning Enforcement Officer Date 3 21--5S ZONIRE VI.T WO 800 MECHANICALS & PRIMARY FUEL = Furmace (hot air) - Fuel gas (natural,or propane), fuel oil, electricity, other (specify) 1-7 Boiler (heating)- Fuel gas (natuf21or propane), fuel oil, electricity, other (specify) HVAC combinedAuAnit� -Primary fuel, natural gas, propane, electricity, other (specify) Air conditioning - (separate unit) :7A one of the above to be provided Hot Water Gas %Electric Fuel Oil Other i 900 SPRUil LERS - FOR S7`RUgrURES OVER 7500 SQUARE FEET and certain multifamily residential :;eq ' ed� cans provided, plans not provided, why? of squired, not to be installed, Why? woo 7qEUIRED OFF-STREET PARSING - for ZONING & Architectural Access NOT APPLICABLE Par.kiag Plan submitted To : Building Department E Planning Board Date submitted Number of spaces, - indoors outside total provided a H-ndicap spaces - required ves no. If yes, how many as a pirt of the total required number. Is Route/6 (State Road) Entrance permit required? yes := no --. If yes has it been issued yes = no �. Submit copy of application and/or permit as soon as available. 1100 IDENTIFICATION (print or type except as noted) �f Current owner - name address phone # z, If corporation, officer in charge�� A. rchitect/Engineer - for overall design Company name i 9 L-td®}�C 1��-t Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. Architect/Engmeer - project supervision and reports Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and ntot reproductions. General Contractor (if Homeowner, state homeowner here then complete section 1300) Company name Address Phone number 14 Er[ Construction Supervisors license number 1 f NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and mot reproductions. 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes — No _ If no go to neml section! Are you claiming exemption from the requirement? Yes No _If yes, submit the required afflidavit! Ren_odel contractor name (please print) Address Registration number (if none state "none") Phone number; PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESSI)TO THE GUARANTEE 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 Date 1300 OWNER SIGN - OFF T. the undersigned, am the owner of record or authorized lessee (provide documentation) and I have reviewed the application herein submitted. I state that to the best of my knowledge and belief that the information provided in this application is true -and correct and that the permit requested.be issued. Further I understand that the permit will expire in six months, from the date of issue, if no work is begun or six months after the last inspection if work has begun and'that the permit may be extended for six months if no work is anticipated .if I request such an extension in writing. ' I understand that the permit may be extended only three times by written request. I understand that once the permit expires a new application may be required, including fees and current other requirements (including Zoning). Name Signature The above signature is my voluntary act and is signed under the pains and penalties of perjury. Date Who is authorized to pickup the permit at the Building Department? lease rinn lsti Address r Q j)1phone i e 1400 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY FOR HOD1E OWNERS 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 Contrn ol in Section 127.0, effective July 1, 1982, no individual shall be engaged in directly supervising persons engaged i construction, :reconstruction, alteration, repair, removal or demolition involving the structural elements of buildings structures, unless he or she is licensed in accords-ce with the rules and regulations promulgated by the BBRS entitled or R:,Ies and Regulations for Licensing Constriction Supervisors. Exception: Any Home Owner performing work for which a Building Permit is required shall be exemt f the provisions, of this section; provides that if a Home Owner engages a person(s) for hire to do such work ,thapt sucromh Home Owner shall act as supervisor. For the purposes of this sectior. only, a "Home Owner" 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 dwellin , attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in two-year period shall not be considered a Home Owner. If you are applying under this sectivc s' n Me lbw: Signature Your signature carries certain r Ifonsibilities, including but not necessarily limited to, general liability sssszssssssss*sssssszszsssssssssssszszsszssss*zssssssssssssszs:sssssssszzzssssszzssszssszsssssssszzszsss 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 2.15.2 of section 5) sssssszs*ssssssssssssssssssssssssxsssszsssszsssssssssszsssszssssssssssssszssssszssssssszsssssszsssssssss 1500 COST Cost of Improvement Items to be installed but not included in the above cost: Electrical 5 Plumbing HVAC Other TOTAL _ Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration regr,iired Demolition - describe structure Number of dwelling units Number of bedrooms A separate Refuse Disposal; Declaration required. Moving - (Provide copy of D.P.W. moving license) Type of structure from where (plat/lot or address) I to where (plat/lot or address) Number of dwelling units ' Number of bedrooms per dwelling unit Re -roofing (for existing only, is included in new construction) I Number of square feet Number of layers already existing Number of layers when complete A separate disposal declaration REQUIRED Replacement doors and windows - (for existing only) (only where doors and windows exist and will argot be enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling w;M be considered as an Alteration, otherwise will be included in new construction. (see Code section 3401.10 `for i residential and Articl- 8 fo_ commercial) Temporary structure - includes when allowed, trailers, tents and the like and only for limited periods of° time. Describe 500 CONSTRUCTION PLANS None submitted. Why? ,Submitted, usually three sets required. Four sets for food serviceluses. Number of sets submitted 600 SITE PLAN ❑ Not required, why? �_ Sf bmitted When? _ Previously, date this application 700 UTELrITES Water supply -'required Zyes _ no, public ?eyes _ no, on site well'. _yes _ no, existing? yes no If required and not existing have necessary permits been issued? no yes, date (M.G.L. Chapter 40, section 54 provides that no building permit may be issued unless a water supply, *hen required, is available. See Code 780 CMR section 114.1.2) Sewage disposal -required �' yes o, public sewer _ yes keno private septic - on -site _�` yes no. Submit co of permit as soon as avail P copy Pe able. - 1 = Woodstove - used (will require inspection prior to instailaion), new (provide manufacturers instructions). Location(s) (list) Fireplace(s) (includes flue) List location(s) Game Court - describe (include overall dimensions) Tent, Trailer (Mobile Home) or Other - describe 300 COMMERCIAL - PROPOSED PROJEGTIUSE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES = THIS SECTION NOT APPLICABLE (The following descriptions are based on the Massachusetts State Building Code Article 3, AS NOTED) (See the Code) = Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe i Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.0) Educational structure for training including child day care for those over 2 years 9 months (see Code Section 304.0) Factory / Industrial - (see Code Section 305.0) High Hazard - (see Code Section 306.0) Institutional - hospital, nursing home, infant day care (see Code Section 307.0) _ Mercantile retail stores (see Code 308.0) Residential - three or more family, hotel (see Code Section 309.0) -: Storage - includes garages (see Code Section 309.0) Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) Tent or Trailer - temporary , purpose? = Other Describe the proposal briefly, INCLUDE - umber of dwelling units and bedrooms or occupant load as applicable, also existing condition 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED New Construction and/or Addition - total gross square feet r/ U \ (For commercial only total gross cubic feet) - indicate It will he considered new construction if there an increase in square footage in addition to any alteration(s). If project is an addition to existing structure - Total gross square feet of existing = FOR COAUKERCIAL ONLY «'ill this project be subject to CONSTRUCTION CONTROL (over 35,000 cu.ft.) Yes No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer review (over 400,000 cu.ft.) Yes No (see Code Appendix I) APPLICANT TO PROVIDE The following section for official use only. INSPECTORS' REVIEW Date plan reviewed 30 days to review period expires OK to issue date OK to issue subject to requested submittals (see project review worksheet) date = DENIED see project review worksheet date HOLD reason date HOLD Subject to Zoning Board of Appeals action Comments Inspectors signature Date Applicant informed of above Date - time staff (fax, phone, in iperson) sssszssss:szssssssssssssssssssssssszsszzsxsssssssssssssssssssssssssssssstsssssssssssssssssszssmsss:ssssssss Over six months since approved for issue - DEEMED abandoned) Advise applicant. Hold 90 days for return then dispose if not picked up. Inspector Date Advised applicant Date Time staff (by phone, fax or in person) sssssssssssssssxssssssssssssssssssssszzsszssssssssssssssssssssssasssssssssssssszssssssssszssssss`ssssszss OFFICEUNSPECTORS NOTES TOTAL FEE Gross area - new construction Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit z##:sssx##i*sisEEEa#s#isiiYEs#siisfifsYfYsiaasfiaifaifiasisssaasaiiiissEEEEE#ssiEsasiisYYYYYs#fisiissfsfi , 1600 TO THE APPLICANT/REFERRAL AND APPROVAL Date of Application submission Plat C Lot Street { c Aquifer Zone Owner Owner mail address t O Owner phone # xE###m#*##xEfE*###m###saEiEE#EEEYEiss##i#EE#si#i#E#i#EEii#iiidsi#EiiaiiEE##isssssEssfEsssfsYsiasYEssissE#s OTHER INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT T>EIM FOR RFOiJIRED B11�S.SIONS. ® TAX COLLECTOR Approved HOLD By Date ❑ Board of Appeals .= Approved By Date ❑ Conservation Commission `'Approved By Date ❑ D.P.W. Water Approved By ❑ D.P.W. Sewer — Approved By Date ❑ D.P.W. Cross Connection Approved By Date ❑ Treasurer (Bond) ❑ Approved By Date ❑ D.P.W. Engineering _ Approved By Date 7 Board of Health (well) Approved By Date ❑ Board of Health (septic) ^ Approved By Date ❑ Board of Health (food service) Approved By Date Ili ❑ Planning Board (parking) _Approved By Date n FIRE DISTRICT (I - II - III) _ Approved By Date asissssaiSiYY'sEssissiffYssYYYisiiYYYfifiYYfYYsiYffiEiffYaffill:!Yf:::YYs:aYEsiiifisfiffffYEsss::::ass BUILDING DEPARTMENT APPROVAL: ❑ ZO,NING ❑ BUILDING INSPECTOR/BUILDING COMMISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT PROJECT SUNUAARY: new construction/ alteration/demo sewage disposal _ g p publicsP rivate [Alteradd interior walls] [add rooms] [add footprint] water supply - public/private well [pool] [garage/shed/deck [game cour t] ] [g food service Describe xx###*EE####xE###E#E#EE#E##EEi#i�kEEEE##ssSRsxEEssEEtsEi#ass##EE#EEE#x#####EEx#sEESEE#ESEissiEYESESE#ExE*#it To the various departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found, please advise. Your assistance and cooperation is appreciated. The Building Department - Date sent for review By TOWN OF DARTMOUTH .B Wa D PW�E TELEPHONE 508-999-0720 FAX; 508-999-Q7; APPLICATION FOR ZONING AND B DING PERMAT Iagtrvctiom The applicant shall complete this application to the best of their ability prior to submission, 1 n 'ttffi eyed. The Department staff will be available during regular business hours to assist as necessary. N/A s 6ul,be ' r those sectionn which do not apply. A properly completed application will help avoid unnecessary delays. +Pfs� aein and (for oleo we only) j r UNDATION OWLY Total Cost $_ , Received By Date 14c'd Less Application Fee Total Permit Fee Permit # r 100 LOCATION OF PROJE TAL AREA SQUARE FEET CURRENT ACCESSJ LATLOT ZONI STRICT'OTHER ZONING OY DISTRICTS , if�ppiicable NUMBER & STREET NEAREST CROSS STREET SUBDIVISION NAME & L�T # r L or BUSINESS NAME PREVIOUS TENANT / OWNER 200 RESIDENTIAL:- PROPOSED PROJECT ne & two family residence only - = THIS SECTION NOT APPLICABLE j Sin le family Number bedrooms number baths -- .''1r g - Two family nu bed� bedrooms unit 1 number baths unit number -bedrooms unit 2 number baths unit 2 Accessory apartment tal gross sq. ft. Accessory structure: Garage - detached -attached to dwelling, dimensi L W _ d etached - attach dwelling, dimensio L W Carport Shed - dimensions L W Deck - dimensions L w Gazebo - dimensions L R' _ Swimming pool above ground in -ground Size Chimney - number of flues 800 WECHANICALS & PRIMARY FUEL ArcbiteetlEngineer - project supervision and reports .. -`F ace (hot air) - Fuel gas (natural or propane), fuel oil, electricity, other (specify) Company name Boiler (heating)- Fuel gas (natural or propane), fuel oil, electricity, other (specify)_ Address HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) Phone number' Air conditioning - (separate unit) Certified by State of Massachusetts as No a of the above to be provided Certification number Hot Water Gas — Electric Fuel Oil Other NOTE S' natures and seals on all pla ns. affidavits and other documents SHALL BE originals amid not reproductions. 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential —p provided, _p p y? Required, _ --plans rovided Tans not provided, why? (• state homeowner here then complete section `1300) General Contractor (if Homeowner, X—lot required, not to be installed. Why? Company name ���"�� S Address 1000 REQUIRED OFFSTREE'T PARING -for ZONING &Architectural Access '. 3 a 6(07 Phone number 4OT _->,PPLICABLE ' / ,( Construction Supervisors license number � = Parking Plan submitted To Building Department -Planning Board Date submitted NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals an-Td not Number of spaces - indoors outside total provided reproductions — Handicap aces- required H p p eyes —no. If des, how :zt, ny as a part of the total required number. Is Route 6 (State Road) Entrance permit required? yes - no _. If yes has it been issued yes - no =. 1200 FOR RESIDENTIAL REMODEL WORK ONLY Submit copy of application and/or P permit as soon as available. Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes _ No If no go to Fnext section! P 1100 II%ENTIFICATION (print or type except as noted) Are you claiming exemption from the requirement? Yes No If yes, submit the required, "affidavit! L Current owner - name t . c. _C ea't (, Rer_-)del contractor name (please print) \'V address D hr� �i Address phone # -��% Registration number (if none state "none") If corporation. officer in charge Phone number li Archit_t n ' eer - for overall design PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTEE FUND! QUESTIONS OR COMPLAINTS call or write: Company name e , c ��'� Home Improvement Contractors Registration One Ashburton Place - Room 1301 Address Boston, MA 02108 61 727-8598 Phone number Owners name (print) Certified by State of Massachusetts as Signature Certification number Date NOTE Signatures and seals on all plans, _affidavits and other documents SHALL BE originals and not reproductions. I, the undersigned, am the owner of record or authorized lessee (provide documentation, and I have reviewed the application herein submitted. I state that to the best of my knowledge and belief that the information provided in this application is true and correct and that the permit requested be issued. Further I understand that the permit will expire in six months, from the date of issue, if no work is begun or six months after the last inspection if work has begun and that the permit may be extended for six months if no work is anticipated if I request such an extension in writing. I understand that the permit may be extended only three times by written request. I understand that once the permit expires anew application may be required, including fees and current other requirements (including Zoning). Names Signature The above s nature is my volunta act and is signed under the pains and penalties of perjury. Date � �''�� Who is authorized to pickup the permit at the Building Department? iplease onntt l l� Address r,, . �- Phone � 1400 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY FOR IiONIE OWNERS WHO INTEND TO PERFORNJ .AND BE RESPONSIBLE FOR THEIR OWN PROJECT 109.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 127.0, effective Jul• 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 R:.les and Regulations for Licensing Co.rstructien Superviso i. Exception: Any Home Owner performing work for which a Building Permit is required shall be exempt from the provisions of this section: provides that if a Home Owner engages a person(s) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section nlv, a "Home Owner" 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 two -rear period shall not be considered a Home Owner. If you are applvLng under this ction sti below: Signature t Your signatu carries certa°m responsibilities, including but not necessarily limited to, - general liability zzzszzzzzzzzzzzzszzsszssszzsssssssssxszssssszzssssssssssss::sszsssssssss:szsssssssssssssssssszazaxszsszs 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 2.15.2 of section zszzzxzzzzzzrzzx:z:zszzssss����xxsxxissxssa*szzzsss;xsssssssss���tsszsssst*zzxzzssssssz:Xsss#skxssszs***# 1500 COST Cost of Iruprovement 5 -7Z7— Items to be installed but not included in the above cost: Electrical 5 Plumbing HYAC Other TOTAL S> " ttC!'dLOn vi eXisting, no increase In gross square eet. A separate a use DisposalDeclaration requirEa&--- - - - Demolition - de'scribe-structure Number of dwelling units Number of bedrooms A separate Refuse Disposal Declaration required. = Moving - (Provide copy of D.P.W. moving license) Type of structure from where (plat/lot or address) to where (plat/lot or address) Number of dwelling units Number of bedrooms per dwelling unit - Re -roofing - (for existing only, is included in new construction) Number of square feet Number of layers already existing Number of layers when complete A separate disposal declaration REQUIRED Replacement doors and windows - (for existing only) (only where doors and windows exist and will not, 'be enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling will lbe considered as an Alteration. otherwise will be included in new construction. (see Code section 3401.10 for - residential and Article 8 for commercir!) ; Temporary structure - includes when allowed, trailers, tents and the like and only for limited periods of tire. Describe 500 CONSTRUCTION PLANS _ None submitted. Whv'' — Submitted, usually three sets required. Four sets for food service\uses. Number of sets submitted 600 SITE PLAN I ❑ Not required, why? bmitted When? _ Previously, date With this application i f 700 VTILPTIES 4 Water supply - required Zyes _ no, public ? Zyes _ no, on site well? _ yes ti , i existing? yes no If required and not existing have necessary permits been issued? _ no - yes, date (M.G.L. Chapter 40, section 54 provides that no building permit may be issued unless a water supply, whfeII required, is available. See Code 7 0 CMR section 114.1.2) Sewage disposal - re u_ _ _ yes no, public sewer yes /no q — - _ P _. private septic - on es _, no. Submit copy of permit as soon as available. i — ••��.iu:ve - used (wW require inspection prior to installation), new (provide manufacturers The following section for official use oniv. instructions). Location(s) (list) INSPECTORS' REVIEW Fireplace(s) - (includes flue) List location(s) Date plan reviewed Game Court - describe (include overall dimensions) 30 days to review period expires Tent, Trailer (Mobile Home) or Other - describe OK to issue date 300 COIVII4IEItCIAL -PROPOSED PROJECT/USE -INCLUDING THREE FAMILY OR MORE AND EXEMPT USES /TIIIS _ OK to issue subject to requested submittals (see project review, worksheet) date SECTION NOT APPLICABLE11 DENIED see project review worksheet date (The following descriptions are based on the Massachusetts State Building Code Article 3 Code) , AS NOTED) (See file HOLD reason dafte - Assembly.- restaurant, lounge,— theater, school, etc. (see Code Section 302.0) Describe HOLD Subject to Zoning Board of Appeals action Comments - Business - office, assembly with less than 50 occupants -indicate Medical or other professional (see Code Section 303.0) FEB2 Inspectors signature Date - Educational - structure for training including child day care for those over 2 years 9 months (see Code Section 304.0) _ Applicant informed of above - Date time staff (fax, phone_-, in person) - Factory ; Industrial - (see Code Section 305.0) = Over six months since approved for issue - DEEMED abandoned! 1§ fi s` '" Advise applicant. Hold 90 days for return then dispose if not picked up. = High Hazard - (see Code Section 306.0) — Institutional - hospital, nursing home, infant day care (see Code Section 307.0) Inspector r Dated _ Mercantile -retail stores (see Code 308.0) Advised applicant Date Time staff - (by phone, fax or in person),, — Residential -three or more family, hotel (see Code Section 309.0) #:sssssss#s##s*ss#*#ssssssssss#sssss#ss####s##sssssssssassss#ssssssssssss#ssss#sssssssss#sssss#s�s#s#ss OFFICEVNSPECTORS NOTES - inc ludes Storage ' g es garages (see Code Section 309.0) TOTAL FEE _ Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) Gross area -new construction Total Sq. Ft. q6 New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) `•` B alteration Total Sq. Ft. i Tent or Trailer - temporary purpose? Permit is issued to _ Other ------------- Describe the proposal briefly, INCLUDE -umber of dwelling also existing condition and bedrooms orocrupantload asappficab� Comments/notes on permit 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED Y �Zw Construction and/or Addition - total gross square feet (For commercial only total gross cubic feet) - indicate ' It will be considered new construction if thre footage ere an increase in square foo alteration(s). in addition to any If project is an addition to existing structure - Total gross square feet of existing ------_ = FOR COMMERCIAL ONLY Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu.ft.) Yes No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer review (over 400,000 cu.ft. Yes ^ APPLICANT TO PROVIDE ) No (see Code Appendix I) F% 1600 TO THE APPLICANTAtEFEitRAL AND APPROVAL Date of Application submission I �r -Plat l! Lot . Street quifer Zone Owner.i.. Owner mail address - Owner phone # *ss#sssxss*##sssssss#*ssxm#xs#ss###s#sssx#ss#xsxs#ss###s##ass#s##ssxs#sssss#sxs#s*s#ass###sssssssss#sssss OTHER .INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT TEEM FOR RFflaTlRED SUBMISSIONS. a TAX COLLECTOR Approved HOLD By Date 0 Board of Appeals Approved By Date ® Conservation Commission C` Approved By Date ❑ D.P.W. Water _ Approved By ❑ D.P.W. Sewer _ App ved By Date 13 D.P.W. Cross Connection a Approved By Date ❑ Treasurer (Bond) ❑ Approved BPJBy Date a D.P.W. Engineering . j ApproveDate 7 Board of Healta (well) C approvDate E Board of Health (septic) C ApprDate Board of Health (food service) = Date 17 Planning Board (parking) = App Date e FIRE DISTRICT (I - II -III) — Approved By s::ss:ss::::sssssssssss:ssssssssssssssssssssssssssssssssssssssssssssss:ssssssssssssssssssssDate sssssssssssss BUILDING DEPARTMENT APPROVAL: ❑ ZONING 13 BUILDING INSPECTOR/BUILDING COMMISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT PROJECT SUMMARY: new constructioni alteration/demo sewage disposal - public/private [Mteriadd interior wails] [add rooms] [add footprint] water supply - public/private well [pool] [garage/shed/deck] [game court] [food service] Describe *#s***ass*:sxssssxsssssssssssssxsx#x#xssssesss##sass##ss#sssss#ss#ass s##s# ss#x##x### #sssf'#s#ssssssxss# To the various departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found, please advise. Your assistance an cooperation is appreciated. The Building Department - Date sent for review f t By O. Q 'SOWN OF DARTMOU -BUILDING i)P�1Z�NT TELEPHONE 508-999-Q720 FAX508-999-®?38 APPLICATION FOR ZONING AND BUILDING PERMIT lnstrvetiom The applicant shall complete this application to the best of their ability prior to submission, leaving no item unanswered., `Me Department staff will be available during regular business hours to assist as necessary. N/A should be inserted for those sanctions which do not apply. A properly completed application will help avoid unnecessary delays. iieft Mmg fee in not rifimdoWdr- (for oWke we only) ❑ FO�I�ATi AF"DNLY Total Cost $ � _ Received By Date Rec'd Less Application Fee $ _ Total Permit Fee $ Permit # lashed Date 100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET CURRENT ACCESSORS' PLAT _ lio LOT f ZONING DISTRICT OTHER ZONING OVERLAY DISTRICTS , if applicable R� , NUMBER & STREET a ? �� �— )�' NEAREST CROSS STREET SUBDIVISION NAME & LOT # or BUSINESS NAME PREVIOUS TENANT / OWNER 1 (M e 200 RESIDENTIAL - PROPOSED PROJECT - one & two familyresidence only = THIS SECTION NOT APPLICABLE _ Sing74- le family -number bedrooms number baths " r = /2- Two family - number bedrooms unit 1 number baths unit 1 number bedrooms unit 2 _ number baths unit 2 Accessory apartment Total gross sq. ft. Accessory structure: Garage - detached - attached to dwelling, cimensions L W Carport - detached attached to dwelling, dimensions L W Shed dimensions L W = Deck - dimensions L R' Gazebo - dimensions L W Swimming pool above ground in -ground Size Chimney number of flues i tom. , �s 0 ,00 LOT E LOT D 26� G.74 Ac. MAP 40, LOT 1-1 " r EXISTING FOUNDATION o T.O.F.= 14.48 , a 222'S5 109.53' 150.63 I263O, s� Drive re S�aC o� o`L W t �qo �9. F ILE COPY ow w) .'� LOT C plan ast oe mp"'Un silt 0 0 M .1 v rL�i�1HA No. 26716 .p Q LAi 1D SEE SEPTIC DESIGN PLAN BY GARCIA & GALUSKA INC. DATED 10-111-94. ECHNICAL IMAGE PRODUCTS