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MAP 63 - LOT 12
S 81 °57'38" W
44.73' - S 82' 18'33" W 124.48' _
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— — — — — — — — — — —
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MAP 63
Z LOT 11-5 '
I 44,501 S.F.
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SERVICE�'�'
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2s.a5 14 VENTURA DRIVE
DARTMOUTH, MASSACHUSETTS
ASSESSORS MAP 63, LOT 11-5
N PREPARED FOR
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R=480 00' t,79. 68 0' 40' 80' 120'
SCALE. 1 40' AUG. 30, 2005
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wo'vv/ R=420 0p - L=78.23'
Dom) FERREIRA ENGINEERING, INC.
46 FOSTER STREET
�R/tic NEW BEDFORD, MA 02740
TEL. 508.992.0020 - J/N SE 18007
MAP 63 - LOT 12
S 81 °57'38" W
44.73' S 82*18'33" W 124.48' -
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— — — — — — — — — — — — — — — —
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AS -BUILT FOUNDATION PLAN
14 VENTURA DRIVE
DARTMOUTH, MASSACHUSETTS
ASSESSORS MAP 63, LOT 11-5
PREPARED FOR
JOSEPH S, LUIZ, III
0' 40' 80' 120'
SCALE: 1" = 40' AUG. 30, 2005
FERREIRA ENGINEERING, INC.
46 FOSTER STREET
NEW BEDFORD, MA 02740
TEL. 508.992.0020 — J/N SE 18007
COMMERCIAL
3.1 Licensed Construction Supervisor: Not Applicable ❑
Joseph S. Luiz 3rd
Name of Construction Supervisor Jose h S Lu i z 3 rd License Number 0 014 4 3
Address ! Expiration Date 1 2- 0 8— 0 5
Si natur
g Telephone 508-995-3 35
Workers Cg' ensation 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 (MGL 152 Section 25A)Signed Affidavit Attached: jV yes ❑ no
new construction
12 addition -
❑
❑ repairs ❑ accessorybldg. . e
g(shed/ (shed/garage)
g g)
0 other (specify Sec. 6):
❑ demolition
❑ sign
❑ replacement window/door no. of windows doors
T e following descriptions are based on the Massachusetts State Building6th Editi n o ,Code ArtLIN
icle 3, as noted. Seethe 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 303.00)
0 Education - structure for training including child day care for those over 2 years 9 months (see Code Section 304.0)
10 Factory / Industrial (see Code Section 305.0)
0 High Hazard (see Code Section 306.0)
0 Institutional hospital, nursing home, infant day care (see Code Section 307.0)
.''El Mercantile - retail stores (see Code Section 308.0)
.0 Residential - three or more family, hotel (see Code Section 309.0)
Storage - includes garage (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, please indicate (see Code Section 119.0 and Zoning By -Law Section 35)
® Tent or Trailer - temporary
purpose?
❑Other:
Describe the proposal briefly, INCLUDE number of dwelling =umitsaedroofr pant ad as app al . o existing
�condition'(if extra space is needed, attach an additional sheet): r
..... ..,.:, <srw �•.:",^ r ..a,/ ,- z , & aa?;3.
i:.
�7 New Construction and/o:r Addition (total gross cubic feet proposed) -indicate A I VVV
If the project is an addition to existing structure -total gross square feet of existing: = 3K(, -
❑ Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration is required.
Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu. ft.) Elyes ®no
If yes, see Code Section 116.0. Designer to submit Code Synopsis in addition to original plans.
Will this project require Peer Review (over 400,000 cu. ft.) '❑ yes 0/no (see 110.1 Code & Appendix I)
APPLICANT TO PROVIDE PEER REVIEW AT THEIR EXPENSE. SEE 780 CMR.
F-1 Demolition* describe structure:
❑ Moving* - (provide copy of DPW 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:
c:\151dg. forms\bldgapp.com Page 2 rev. September 2004
COMMERCIAL
❑ Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlar, ed .$ )EGRESS
dimensions must be maintained. Enlarged or new windows in an existing dwelling will be considered as an alte�ration, otherwise will
be included in new construction. (see Code Section 3603.21 for residential and Article 10 for commercial).
❑ Temporary structure - includes, when allowed, trailers, tents and the like and only for limited periods of time. Deescribe:
I
>1
e
kace (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
❑ Hot Water: Gas Electric Fuel Oil - Other
11 Required: plans provided plans not provided, why?
ENot required, not to be installed, why?
Parking plan submitted to: Building Dept. Planning Board date submitted 8 (aS
Number of spaces - indoors outside total providedl `
Handicap spaces required yes no if yes, how many 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
Submit copy of application and/or permit as soon as available.
WO
11.1 Architect/Engineer - for overall design
Company Name: wi 1 1 ; am �tarrlrZlrrh i # ®,.�
Address: 114 Alarfee greet— Pali
Phone #: �
Certified by State of Massachusetts as:
Certification Number:
Note: Signatures and seals on all plans. affidavits, & other documents SHALL BE originals and not repiroductions.
11.2 Architect/Engineer - project supervision and reports
Company Name: - -
Addres
s:
Phone #:
Certified by State of Massachusetts as: -
Certification Number:
Note: Signatures and seals on all plans, affidavits, & other documents SHALL BE originals and not reprroductions.
11.3 General Contractor -
CompanyName: J.S. Luiz 3rd., Inc
Address: 12 Venter -a -Drive, P ,
v �
Phone#: 0R-991;_'C;35
Construction Supervisors License Number 001443
Note: Signatures and seals on all plans. affidavits. & other documents SHALL BE originals and not repNcoductions.
c:\bldg. forms\bldgapp.com Page 3 rev. September 2004
i
r-
COMMERCIAL
f
rr' ,
r . r
• ��Ns
nn:
�fi'i�ra'
Item
Estimated Cost`($) to nearest dollar.' ` To be completed by permit applicant
1. Building
2. Electrical
i
3. Plumbing
4. Mechanical (HVAC)
I
5. Total (1 + 2 + 3 + 4) Estimated Total Cost Including Labor:$
..,_.. ,
a�Ra"TTii'3737'7`t'if1. n iilrcY.d"�r."Y..w.rw.,,_.i,.�w•;�i..� .:'i s'�"7:'M,•��.i�^Za...,......�;;.
(pleaseprint) Joe Vargas & -
1, Joseph S. Luuiz 3rd , as Owner of the subject property hereby authorize J S. Luiz 3rd, Inc
to act on my behalf, in a 1 in ters e tive to work authorized by this building permit application_
Signa.t re a O er
Dat
,Y
I, as Owner/Authorized Agent hereby declare that the statements and information
on the foregoing application are true and accurate, to the best of my knowledge and belief. /
Signed under the pains and penalties of perjury.
r
Signature of Owner/Agent Date
1. HOLD reason: �,, � 3; OWNER/CONTRACTOR NOTIFIED ON
Date:
Date:
2. HOLD subject to Zoning Board of Appeals ®„
action`
4. Comments:-�r"--�S�i-�.,—c,��
A6J
I I �
U
iits�ccwi �igua�ure: - v Date:
Applicant infor e Date: T e: Cler
Comments: -
"'PIP ffy4 "� s��, .s•�
Total Permit Fee: ��—' Less A heat _f
pp ion Fee: $ 25.00 Remain inBa ance:
Gross Area -New Construction /_!_�-C
f
'Gross Area - Alteration
Permit Issued To:
0 r
0
l-
ct\bldg. forms\bldgapp.com Page 4 rev. September 2004
COMMERCIAL
5.O® APPL
ICATION LIGATION FEE IS NON-REFUNDABLE NON-TRANSFEi1[agx.E
35