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BP-0750070 R = 19 5. C-) 0' L 4 87' Z01 45 , P0 55' L PLAT 44T A-i 48 1 0 T G 1 `j IF N. KAPLAN & SON, 'ION 1 N A 4 0, CDO0 Ft PROPOSM 3 B T%E DWELLING TOF=139.20 i4- 121 (VA PRIES) LO PROPO�-C, tK ID F, 5' ON/ERD1 1,71 4 SU 7-3 LOT -f7 [333 M 0 R N E-P, r,ON' . PAD F C1,AJ 1 =30' r I 1"Up 0 -A TF S) 1 m 0 LOC13S MAP LOCUS SCALE: N.T.S, D 'S I G N D A"'i'"A F S! G N PERC, 7min./in. 'jas-z 2 SC)l' S L D E__ S 1 G-1 N FLOVV: 7f, 3 R. x 110 GPD/E3R c r %1, DESICN C)F 6010 1 E,�'E. x,34! L�7 A CH F I L i�-- -CH AREA: C ALC i AT ON S: 18'x34'xO.60gpd,/s..---7=�6­/.2qpd 3, 0 c C 0— .3 i Z 0 _NN I N G _S 1-QLJ J, f � 1�'Nl E N, I 7ON!"IG IS SPA, — SINGIE RESSIDENCEL A NAIINIMIJ-M LOT FRONTAGE 1 r; 00' 1 1�,! 1 tk,4 U ,1 C) TA L AR 40,000 ft. VA V i_J 'Ai % I OT COVERAGE 50% GRANDFATHER SE TEACK R ('E I Q U i REEM E N T S: F F ]F'ONT YARD 5000' A i Nikwl U Jkll YARD 2020.00 RSIDE M D L N!4 L.0" CC1VT'_RA";'1­ J, < 5� 0 k R� F NCB` -Fj -2C)ijOF PRUIPOSi7D L�:ACH'NG 6' ;"41-L To sco& 0 U 0 6' 7 X 10, m '74. 3 Xxl� 15 y SCHLE, 4-0 PVCtT FES; L,=;��!;p 4 7 P A) 4 z _NT z 14 TOP Or,- BASEIVILE 1 2 8 FLOOF,' EL. 1311.8 12J RV.0 SWITIM A 4 — ----- 3A 658 7 'A" 2' ttt IVEL .`:7 i TZ P- 1, L7 r'A �F .7 6 CF,'_TSJirFD STOA"E 0 1 C11"A'' I: LF VL'1 FTZ, 11 j V j A 4 V NO TiE: i r�, V 0, i 1� 0, r '1_ V VI -Ole every attp,-npt has, h­�en mcd-� to ovoid the n­ick,�I- jt�� ,­�fv 4 t I C; C C) f jr, tc Any conflicts shdl be briught t,O thl- c C_ 0 L 1C) Cr FD -115 #! tJ DATE: 1/ 30/9" DA _-E. 1/30/96 77 r 4 (Al i 1�ANF)Y LO.11\1`,t.411 (E3 �52) kzZIANDY LOAM!! ISANDY LC;i�. H '!SANDY L0 A I J J. is 41 LOAM 1 2. 8 9" _SANC')' ol 132.8 SANDY LOAM 19" 131,9 3 r1ANfL-_,Y LOAM 131.4 28" I 131.2 SANDY LOA� 13 0. 0 38 - - - --- - - - 130.3 12-9. t 44 2 129.8 SAS C -Y LOAM PERCOLATION RATE : 7r-njn.1;­,. EPCOLAT ON �ATEI_3:- 5min./in, 'S4� J1,1 0 T TIL 1 IN G 449" EL= 129,4 M 0 T TL - 1111G Z. g7 FiL= 127.2 WEEPIIIN,-� @70" E-L=- 127.7 WEEN PIG 6" Si,,ND31NG Wk, TE R @8 4 "' EL 125.3 STANDING ,,,`ATER @84" EL= 12 6. 55 P L_ TION TEST _Ri -1. ERCOLA P�L\FORMED B'�' ,,,LAN FIEUREUY LJ1ATOR- ALAN HEUREJ^ r INS.PECTC-)R: SUE GR!,FFIN, C1iRIS MICHiA UL) GENERAL 011390 -1. All work mu.st be in acccrdance with tie p-,,.Ssachusetts Department of Environmental Frotection Regulations 310 Cap;R 11.00 & 15.00 (Title V) ar,d any local Board of Health Yodificatio'7),s. 2. 1,,o r-Lodificat4ons shall be made to this s,,y,,­e'?M without prior written approval by the e-,7.gincer and thR local .Board of Health. 8. 1;7-,I,�ineer U.-n1 the 1?oard of hFivalth raLtzst in, -,ec' ttce completed system pntor to bac�filling. 4. sho-wri, on plan are, based 0-r, a,7-1, iwbd-ivisn data. 5, 11.?avy equip-o-Lent shall be mler t& diss', osal system. S. All uns-attable soil is to be excavated f, from she Leaching Area, u5 shrwn on plart, and backfilled with cZea-, gra-vel or coa.rse §dnd as sp r c ifit, d in 810 CYP4 15 _? 5- 5(2), 7. Washed c­u.,shed stone shrill bp free of iron,,, firAt's a7id dust. S. _S7rpftc icank, d-Lxtribution boz, etc. shall be ­mnuftryctured &y 'Rctondo & So-zz Inc. or approved eq-vzl, and iru�talled ,�.ar marcufacturer s s1--,ecificat-, Gro-ut shall be u.srd to Provide a water tilt > seal at all joints where pir, E'Pters or lea-ps a concrete structure. a-' th• fj S4 W ,9. Outlet hrx--. i-;�ball bc level f6r c� r70,ni,?mim. 'I it 310 CJfR 10, _4 Bcarrd of Jleclth certificate of Co-,rplianu- as reqi_tired b'd 310 C,,Z,,fp 15. 11pon Qf 4"crk- 7 1-,nrs t A J 4 S IIC, TANK 7 '5 6, 1 E X 1 COC'N' T J S CON701,;R:7 DIS37RIL-IJ T ON BOX TEST PiT S r, v Wl,"-JER L:N`E T ER _W3' 7 TE BIENCHMARK TMARD­ r ED W I T HOU !i 1 71- -3 i _ri A CONSTRUCTION OF THIS SEPTIC SYSEIP,..", MUST BE COMPLETED WITH THREE 7, �A T F_ 0 F 1,�, YEARS)F THE D This System Is Not Designed For Garbage Grinder, Whirlpool Or Other High Water Use Devices. ENGINEERS AS AS-BUIT PLAN & CERTIFICATION V STATEMENT REQUIRED t p�� THE APPROVAL By THIS OFFICE 1998 DOES NOT GUAVA TEE THE MAY- 2- 7 1998 EFFECTIVENESS OF ANY K I OUTH 4 jlf( - INSTALLATION DAR'EN2 BOARD OF HE�LTH 13't( DARTMOUTH BOARD OF HEALTH t-uMUff_V0A__LTH 1' F' ION REQUIRED WHEN FXCPAff�'ITE ? Mm" M, x SERUBE ND. 35W 07600 800 MEC21ANICAM & PRD6 ABY FUEL Furnace (hot air) Fuel�g=atural or propane), fuel oil, electricity, other (specify) Boiler (heating) uel gas )Jatural or propane), fuel oil, electricity, other (specify) s VAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) Air conditioning '_ (separate unit) None of the above to be provided a/Hot Water Gas --I/— Electric Fuel Oil Other 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential Required, -Plans provided, ✓plans not provided, why? Not required, not to be installed, Why? 1000 1EQUIRM OFF-STREET PARKING - for ZONING & Archit ectural Access it< NOT APPLICABLE Parking Plan submitted To Z Building Department ``Planning Board Date submitted Number of spaces - indoors outside total provided H'�ndicap spaces - required _ ves _no. If yes, how many as a p-trt of the total required number. Is Route 6 (State Road) Entrance permit required? yes no ®. If ves has it been issued yes no Submit copy of application and/or permit as soon as available. 1100 IDEN'ITFICATION (print or type except as noted) VC=mnt owner - name J� address one # i n.� If corporation. officer in charge ArchitecttEngineer - for overan design Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents S reproductions. HALL BE originals and not ArddtectlE weer - project supervision and reports Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all vlans, affidavits and other documents SHALL BE originals and not reproductions. i General Contractor- (if Homeowner, state homeowner here then complete section I300) Company name !V Ki } .. 4 ,/�' 14 / V � lfl ��.� � ,-- ddress i one number zl�&nstruction Supervisors license number C NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals amd not reproductions. sssssssssssssssssssssssssassssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss:ssssssssssss 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to (780CMR _ 6) ? Yes v NO _ If no go to `next section! Are you claiming exemption from the requirement? Yes ---No -If yes, submit the required`affidavit.' Re>Z odes contractor name (ylease print) Address Registration number (it none state "none") Phone number j PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE AC=SS 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 ji 1300 OWNER SIGN- OFF 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 is 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 six months ,after the last inspection if w begun or P work has begun 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 written request. I understand that once the err e three trines by P xpires a new application may be required, including fees and current other requirements (including Zoning). Na e ITC-) 14- U i 14 r t l� S.nature F dlA— The a ve signature is my voluntary act and is signed under the pains and nalties of e u pe p rj ry Date Who is authorized to pickup the permit at the Building Department? Address C �f .5� _a �s �Q a{i�r�., phone �; `± S- 3 -2- 5` 1400 HOMEOWNER EMWTION - ONE & TWO FAMILY ONLY FOR HOME 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 Control in Section 127.0, effective July 1, 1982, no individual shall be engaged in directly supervising aged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of buildings or structures, unless he or she is licensed in accord2rce with the rules and regulations promulgated by the BBRS enti"ed R:.les and Regulations for Licensing Construction Supervisors. 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 sectior. only, a "Home Owner" is defined as follows: Person(s) who owns a parcel of land on which hershe 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-year period shall not be considered a Home Owner. If you are aprlying under this section sign below: Signature Your signature carries certain responsibilities, including but not necessarily limited to, general liability 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 sectiva 5) sssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss=s=sss====ss=ssssssssssss=*ssssssss 1500 COST Cost of Improvement S Items to be installed but not included in the above cost: Electrical $ Plumbing HVAC Other TOTAL Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration trequired. Demolition - describe structure Number of dwelling units Number of bedrooms ® A separate Refuse Dispicosw 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 -rooting - (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 wiill not be enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelliuig will be considered as an Alteration, otherwise will be included in new construction. (see Code section 340 WI--.10 for residential and Articl- 8 ft.: commercial) i Temporary structure - includes when allowed, trailers, tents and the like and only for limited perioOls of time. Describe 500 CONSTRUCTION PLANS None submitted. Why? Submitted. usually three sets required. Four sets for food serviceluses. Number of sets submitWd 600 SITE PLAN I ❑ Not required, why? = Submitted When? Previously, date `I 44,with this application 700 VTH,TITES Water supply =required yes _ no, public ? _ yes _ no, on site well? _ yes V no, existing? _ yes _ no i 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 suppliy, when required, is available. See Code 780 CMR section 114.1.2) Sewage disposal - required yes no, public sewer _ yes _ no private septic - on -site yes _no. Submit copy of permit as soon as available. _ Woodstove used (will require inspection prior to installations, new "(provide manufacturers instructions). Location(s) (list) 1-/Fireplace(s) - (includes flue) List location(s) PAKA, iu J(n0 kA _ Game Court describe (include overall dimensions) Tent, Trailer (Mobile Home) or Other - describe 300 CO�M14fERCIAL - PROPOSED PRO,JECTIUSE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES 3. 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 = '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? a _ Other Describethe proposal briefly, INCLUDE -umber of dwelling units and bedrooms or occu t bad asapplicable, also Ming condition P� PPlicable, 400 TYPE OF CONSTRUCTION OR WORK To BE PERFORMED ✓ew Construction and/or Addition - total gross square feet 100 3, (For commercial oaky total gross cubic feet) - indicate t It will be considered new construction if there an increase in square footage addition alteratioto any n(s). If project is an addition to existing structure - Total gross square feet of existing_ ~� FOR COM OERCIAL ONLY Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu.ft-) Yes see Code section 127,0). Designer to submit Code Synopsis. No. (If y W I this project require Peer review (over 400.000 cu.ft.) Yes No (see Code Appendix n AP'PT.TrAW Tn PDnvr"r, 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 i Applicant informed of above - Date time staff (fax, phone,, yin person) s:sssssssssssssssssssss:s:ss:ssssssssssssssssssss:sssssssss:::sssssssssssssssssssssssssssssssss�:sss::::s: 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) ssss*ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssa:sssss:ssss � OFFICEUNSPECTORS NOTES TOTAL FEE C7 e)- l Gross area - o new Total S . F construction � � t. as � q alteration Total Sq. Ft. Permit is issued to I Comments/notes on permit i j I,I III sssssssssssssassggssas:asss:ass:sassssssssss:sassssssssassssssassssssass:ssasssssssasssasssssasassssssas 1600 TO THE APPLICANT/REFERRAL AND APPROVAL Date of Application submission `2 7— Plat Lot Street oZ- Aquifer Zone Owner Owner mall add Owner phone # zssszxxssxsxssssssxssxssssa*sssssssss:sssassasssssssssssssssssssssssssssssssssssssssssssssasssssssassssss OTHER INVOLVED AGENCIES -'The following agencies require separate jurisdictional permits or approval for your Proposed project. CONTACT 7TEEM FOR REOUTREp �5)x COLLECTOR Approved Z HOLD By SQBMMONS. — Date 17 Board of Appeals _ Approved By conservation Commission e Approved Date By Date ❑ D.P.W. Water — Approved By O D.P.W. Sewer — Approved By Date o D.P.W. Cross Connection Approved By Date ❑ Treasures (Bond) O Approved By Date o D.P.W. Engineering - Approved By Date 4 oard of health (well) = Approved By Date (��Bo d of :Health (septic) _ Approved By Date 13 Board of health (food service) — Approved By Date 13 Planning Board (parking) - Approved By ®FIRE DISTRICT (I - II Date Approved By Date ssasssssssssssssssssssssssssssssss ssssassssssssasssaassssssasssasssssssasassssssssssssssssssssssssss BUILDING DEPARIMM4T APPROVAL: ❑ ZONING Q BUILDING INSPECTOR/BUILDING CONLNUSSIONER C3 CONTROL CONSTRUCTION AFFIDAVIT aaxisxsssaaffasffiiifafsafiiiaaKiia#asaasatafa#as;ssExa#ss#saafaisxsxisaxssxasfiixa#saa#afiaaasss#ai##s7c PROJECT SUMMARY new construction/ al ration/demo sewage disposal - publiciprivate Alter add interior walls) [add rooms] [add footprint] water supply - public/private well [pool] [garageished/deck] [game court] [food service] Describe /' sassssssss:sssssss:ss:sass:s:ssaassssa ssassssssasssss To the various departments: sasssssssas:sassssssssa:asssssssss**xasssaxs o This notice has been forwarded to yu 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 reviews By TOWN OF DARTMOUTH -BUMDG EPAR NT TELEPHONE 508-999-0720 g : -_ .... ; FAX> 50-999-0738 APPLICATION FOR ZONINAND BUELDING PERMIT Imtruetiom _, The applicant shall complete this application to the best of their ability prior to submission, leaving no item ®answered. The Department staff will be available during regular business hours to assist as necessary. N/A should be inserted for those sections which do not apply. A properly completed application will help avoid unnecessary delays. NAw Finns fee is aunt (for olifim use only) (, 0 FOUNDATION ON' Y Total Cost $ ��'" Received By Date Reed _:L: 7� �e� Less Application Fee S 0,�_etb q - Total Permit Fee $ Permit # 150 0 Lued Date l 100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET CURRENT ACCESSORS' PLAT LOT ZONING DISTRICT OTHER ZONING OVERLAY DISTRICTS , if applicable LAg6 i� NUMBER & STREET t� NEAREST CROSS STREET SUBDIVISION NAME & LOT # 4P !A q �-�-- or BUSINESS NAME PREVIOUS TENANT / OWNER Zoo RESIDF,N'TIAL - PROPOSED PROJECT - one & two family residence only _ THIS SECTION NOT APPLICABLE = Single family number bedrooms number baths = Two family - number bedrooms unit 1 number baths --unit 1 number bedrooms unit Z number baths unit 2`' Accessory apartment Total gross sq. ft. Accessory structure: t r Garage - detached attached to dwelling, dimensions L C9- T" W IX a Carport detached - attached to dwelling, dimensions L W Shed - dimensions L W Deck dimensions L W ® Gazebo - dimensionsL W Swimming pool above ground in -ground Size o- 0 VChimney - number of flues aL J''I"')