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BP-13926i - W INSTON a �� 3 EXISTING WATERGATL r I AN-E, I WITH STUB EXISTING HANDI00LE —� BOX FILE ChOPY EXISTING SEWED STUB --� LOT 4 SCALE: 1 " = 30' 30 0 15 30 60 PARCEL "B" (OPEN SPACE) NOTE TOTAL IMPERVIOUS AREA = 9.6% (INCLUDING ALL BUILDINGS AND PROPOSED DRIVEWAY). SITE LOCUS SCALE 1 '=2000 'f LEGEND EXISTING CONTOLN - PROPOSED CONTOUR FH b 'tRf- HYD'ANT" PROPERTY LINE (EXISTING) (PROPOSED) — W ----- W WATER LINE S SEWER LINE --- c - E BURIED ELECTRIC LINE --- T&G — T&C— TELEPHONE/CABLE LINES tN 0F '�gssq�yG o ALAN J. <n HE U UX 4?` ALAN J. E. DATE MA. REG. No. 3 3311 SITE PLAN FOR LOT 3 - WILCOX FARM WINSTON LANE DARTMOUTH, MASSACHUSETTS DRAWN FOR BENJAMIN BRAYTON SCALE: 1 " = 30' DATE: DECEMBER 27, 1999 DRAWN BY BOUCHER & H `UREUX, INC. CIVIL/ENVIRONMENTAL E'-VGINEERS, SCIENTISTS LAND SURVEYORS AND PLANNERS 648 AMERICAN LEGION HIGHWAY, SUITE OhIE WESTPORT MASSACHUSETTS 02790 TEL: 508-636-5905 r- 4X.- 508-636-2477 COPYRIGHT© 1999 BOUCHER & HEURE'.IX, INC. FILE NAME: 481-LOT3 FIRE S I OP ING Penetrations thru rated walls and floors shall be sealed with a material capable of preventing the passage of flames and hot gasses when subjected to the re;uirements of the Test Standard specific for Fire Stops ASTM-E-814. NOTICE, An As B',.:lt 5zuryey iwtts4 be _ E'-hbmitted to tll� Building r-- Dept. prior to calling for C7 a foundation inspection or Q any further construction. X it7 ��qllp N N 05 N O6 Pt D�+P++Yi�lG �� gpT YOU O THE Kf 'THE BUILDINGTVj1SWORK Pf104RE86of: T011 of aSM"01' 13'0 7 47 — 3'2, 5'37 6'11"1 TOWN OF DARTMOUTH RECORD PLAN A Copy Of This Endo ud Plan Must ft Kept Oil G"HO During Constru ti n RL SONO-TUBE SIZE A 4i `+ INSPECTION IS REG UIN't_u I C3P THE CONCRETE IS KOLIR- M WILDING DEPARTMENT Town of Dartmouth 97 ,j 215 45 I � — 5'5--- 4'2 I j I FF 167 �- 37 9'5 \i` 37 i i II I I -� C 1 � I _ 5'8 _ -;� 6'5 1' t �D V Lin 1.1c aQ g q f '7 40 al Q DARTMOUTH FIRE DISTRICT NO.2 r RM f R rn A —4 O rn 20' 8' T 3'4 - I 5'6 9' 201 :: 5'6 - 53' 12' 4' I 3'3 2'4 -11 14' - 3' — 6'6 T6 I W W I5 410'8 a7.SxAl, s79 FIRE STOPTiNG RF-UUllrt=JvJt--1• e+► etrations thfu rated walls and iloorse�st f9 all the sealed with a material capable of prevasses °:when subjected page of flames, and hot 9 specific to the requirements ofthe 4 Test Standard for Fire Stops AASTM-Er8 SONO-TUDE SIZE AND DEPTH INSPECTION IS REQUIRED BEFORE THE CONCRETE IS POURED. WILDING DEPARTMENT 'Yawn of Dartmouttv YOUR DRAWING MUST BE KEPT AT THE BUILDING DURING T++F PROGRESS OF THIS WORK. BUILDING DEPARTMENT Town of Dartm-1-; TOWN Of T ()0T11 A RECORD pLA COPY Of this Endor d Plan Est A& Kept On SIt9 age Duri Cnnstructt NOTICE An As Built Survey f1i.-ttst bjj submitted to tl ,.a building Dept. Prior to calling for a foundation inspection or any further construction, RESIDENTIAL RESIDENTIAL ATION ONLY 1999 - $ S.00 APPLICATICN I LE IS NON-REFUNDABLE -/999 ° s CTI©N 8 . NSrE iz REV1RwftC oNiMR3rI i 1. Date plan reviewed: ,X5 -'-00 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 work -sheet): 6. HOLD reason: o�4� 7. HOLD subject to ont g Board of Appeal .�.action__: 8. Comments: /� ��i�i Q. 3v &—1 9. Inspector's Signature: Applicant i; Comments: Time: Total Permit Fee: $ 60 7. 0 b I Less Application Fee: $ 25.00 TOTAL FEE: z ,-) ,. / Gross Area - New Construction total sq. ft. �%-./ ''t �� Gross Area - Alteration total sq. ft. Permit Issued To. 3�L cI�-�I pp tCl. /�/( t S Date: Date: cram-` ate: Date: Clerk: Remaining Bal4ice: $ Date: 3.7s. 0 6 a //S �l�� c.�,-mod Vr •% `OUTH'"` DARTMOUTH BUILDING DEPARTMENT DATE RECEIVED `4 400 Slocum Road, P.O. Box 79399 i c! '';� � �:' Dartmouth, MA 02747 . -�1 . _ __ SyY f 508-999-0720 FAX 508-999-0738 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLIING Zoning Review: Signature Energy Report: L-) Signature, Fire Chief: =C� Signature Board of Health: Signature: Conservation Commission: Signature: Other: Signature: Description of work b ing performed: NUMBER OF PLANS SUBMITTED: 1.1 Property Address:-/ Lf LA u 41-F17 A.) 1-rt miure- Nearest Cross Street: % 0 < (ham �Q 2A y L Subdivision Name: k2i l Cow a r /-i Total Land Area Sq. Ft.: 79'110 0 1.4 Water Supply (MGL c 40 § 54): U Municipal ❑ Private Well Date: Date: e9:5 o� SITE PLAN SUBMITTED: 1.2 Assessors Plat & Lot Number: Plat Lot_- ■ • 1.3 Historical District ❑ yes ,Kno Has application been submitted to the Historic Commmission? ❑ yes ,�no Date: 1.5 Sewage Disposal System: icipal ❑ On Site Disposal System c:\wpwin\forms\bldgapp.res Page 4 Rev. Julv 7. 1999 c:\wpwin\forms\bidgapp. res Page 1 R'ev. July 7 19r RESIDENTIAL 2.1 Owner of Record: Po BOY" I3,/, Name (print) Contact Address 2.2 Authorized Agent: Name (prin)tContact Address 3.1 Licensed Consrruction Supervisor: Licensed Construction Supervisor Address Signature Telephone 3.2 Registered Home Improvement Contractor: 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 Addrr ss Not Applicable ❑ License Number Expiration Date Not Applicable ❑ 1999 RESIDENTIAL 1999 NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction 1 Supervisor, whether or not they have taken the permit are responsible for code compliance. (see Appendix of 780 CMR R5.2.15)� dq—SCTtU1 4 » 1Yf�11 SQFIE✓NA 1141'�11#3NIw::AI>1A MT:::�IGt� c 15 s 7-32Z Phone Number Workers Compensation Insurance affidavit must be completed and submitted with this application. F � ure to provide this affidlavtt will result in the denial of the issuance of the building permit. Signed Affidavit Attached yes ❑ no cf p/ _ eheciw aEt a il<ca ICe SE"1'C(3SCRiTiUT� EF PR[3Q$FD t4R1 PP G 3 ❑ woodstov e Phone Number ❑ new addition alteration ❑ rep airs ❑ chimney/fireplace construction* ❑ deck ❑ pool ❑ accessory bldg. ❑ replacement window/door ❑ other ❑ demoliticln (shed/garage) no. of windows_ doors_ (specify below): (specify belo,w): * If new construction, please complete the following: Single Family: no. of bedrooms ro. of baths Registration Number (if none, state "none") I Sienawre 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, AIA 02108, (617) 727-8598 Owners Name (print) Signature Date by signing the above, the home owner acknowledges that there will be no eligibilty to the Guaranty Fund 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) far hire to do suc ork, that suc meON r shall act as supervisor. For the purposes of this on onl a "Ho er' is de ed as follows: Person s whoa parcel of land on which he/she resides or intends to reside, on which there is, or is intended e. a one two ii d� ►in a c e structures accessory to such use and/or farm structures. A person who constructs more than one home in �e-year pe i d sh not be co a meowner. I. If you are pplying his sWion sign including but not necessarily limited to, general liability Two Family: no. of bedrooms unit 1 no. of baths unit I no. of bedrooms unit 2 no. of baths unit 2 ❑ Furnace (hot air) - (natural or propane), fuel oil, electricity, other (specify): oiler (heating)Cfuel gas atural or propane), fuel oil, electricity, other (specify): ❑ HVAC (combine - primary fuel, natural gas, propane, electricity, other (specify):_ 1-1Airconditioning - (separate unit) ❑ None of the above to be provided X-Hot Water: Gas Electric Fuel Oil Other Brief Descriptio of Proposed Work: item 5.Total =(1+2+3+4) Estimated Cost ($) to be completed by permit applicant * Estimated Total $ AM (please print) I , 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 on the Date c as Owner/Authorized Agent hereby declare that the statements and information and ac ra , to the best of my knowledge and belief. Date c:bvpww\forms\bldgapp.res Page 2 Rev. July 7. 1999 ci .res Page 3 Rev. Jul,, 7. 1999