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BP-12873e r 0 Q o(A`wa t pal . ,r• d tie,. — P i {• lt�5 \. �\. a.\.\ t l 1 • �♦d r' h S ' +��tj} �� �! L'• .i •'y�' n' _' ��YA���t {lam\=a�\'�.Yai� � .i' T ♦ �7 _ �\YV�\�r\br\ttilaWY.►\\NN.�a.\!•�a\��`.►•��• t • 1 j �.. Y t, rK.aaww����at�►�:aw.���.�a.w...\h3'1 ' A � . I ' 'W� 7� ♦ a\ tc�cat ♦ aa\arq\.\a�a.nrav\aaa�►�a � .. . t+i t q � +► e III+iuc►act\a'3tiaa�\a�arl.►aia; �l� ,' ♦«:�. �'��� r � . �` '�s}, �i Itt � \awt►aaat�.\t���.�aa...\w�. �III ��.c\\\aa�\c�.\.w�a\\t�aaat•� I' I I�I � r � :�`�; � � ; • t � � • � 1 \v►�\\voq ��.� � • r O » i HOT LINES FOR FREE INFORMATION For freee tailored information and 1 techni(cal assistance on energy con- ervat-aon and other related items, all N.,A.T.A.S. (The National Ap- propri�ate Technology Assistance Ser- '�"''- ' vice) +toll -free 1-800-428-2525; in ; VcY must -CMontan{a, call 1-800-428-1718; or write 7 i i� aiiciing to NAT.AS , U.S. Dept.' of Energy, P.O. w caking for Box 25;'25, Butte, MT., 59702-2525. �. ispection o Anothe`r agency you can contact for '. strUction; free nnformation is the Conservation and Renewable Energy Inquiry and Re- ferral_ Service, P.O. Box 8900, Silver Springy., MD., 20907, or call toll -free Q 1-800-•'523-2929; in Pennsylvania, call. 1-800--462-4983; in Alaska and Hawaii; call 1.-800-523-4700. You may also contact the Energy Department of your state :for additional information. FILE Cr �°U, Copy 03 This Endorsed Q L"aPlan Must Ca Kopt On Site DuringIl l' Date.. N -ate co►rRlcHt BONO-TUSE SIZE -AND DEPTH 61MINSPECTION IS REOUIRED BEFORC v , I TI IW C ,!CRE i E !u POURED. '419146- BUILDING REPARRJ� ENT Y Town of �'ttttttftdth V ,d 1 f E+ YOUR URAWINla MOST BE KEI I G AT THE BUILDING � DURING T PROGRESS OF THIS WORK. �9Q�iR®�Be-D,•itv.�iQ�D'Ngg V wo ;I'#MWING D�PARTMEXT W Town of barimouth '•J I G' d i I rr �Nlr.Y a}�K .r A��ii Scc�un.....�—�i►iC����ca►�+\ ���.ntir3iir:�i �'a� wic.►-r a��..rt ` i; �1\11�1i��t''y.!F 1\��,t�7 , •�►�MrY.i►\•� 1., ��\�aV�. '�11�'' � �S = � }S I III � ... .. ;£ �,ct\� ar:at� �._ _ , t l�uc!►��a�aac\ �: .• y • `..i , , �j, II I q � I � � � II ,del 11111I . , ��. _ � : _ . � ��• II , 1 •r' I t i III {� 'p.• �� � � � i{{� � _ ' , (( ,Sit•f' _ • `-� i` I � �- • '' •.� 4.'• ) . •a I -- .L - . r. •. III z .. �•� .. 1. , .c_ .. d.tI,-�f S j{ - �`�.,► r �v- � :�"S�?w.. • •.1.� ���t..�.•i'�,. `-• Y..-_� • , n.:: F ..''jam' . '•. � j§'� �+.�' �=��: � . , � • 1 in the record plan. Any change in owner,, license contractor engineer must be reported to this office ' ediately. Any change in I M EJ( a P�It d to so Leina ' ely nner. Jnature 1 ��✓'� �,'��,. �j % ;• ` I-C�, I �O�•lG•..�E3a'`I-__ tte SA 219% -_ ¢.`y�lT� . I � � �--• — --J1 1'-��. �o` Chi �'�/ ° i I I1.ISrLt.� is #-TZ • _ I G(7VL. I I WrP Ga'`jCt I I o WG. I 61 P--E- WTI DIt4 77 #~-►'� •. 30 I i I 651�-T. r Z ro ,• 'K1D, F.9�SGA. TOM h�11�1 GAS' F4Y,iz''� -FAWk ------------ - •4 - 44=Z . WO, 1r l t?h'�iCr , S�-4�►�GJ.�4 - - o . I s OIL) I I w� r. • r.� 1 ` - Qj ZZ ` 12�MP.AS GOYIG.ri'ot 30��N Iz �yL` tifi. _ 30 -{ I- — — — — — — — — 1L l�z I i I P�Ci � -, _ — _ — COPYNiGH !Z Fl��► z, wv• ti�p�� tcIT I � p�,�l � oRy «li�nd_��l • �C,.�`Pl�- W - q„solL � arr W I >.. N� �`1, �; z L Y)V 1� 1) -1)) 12 I�„ 4'so1l- q'So11 G 2-S lea; --s�I 0 q,!a s jrIXLs�of� �I s� N1 0 le I L 5" ,, AQEjN1 Vj I- .1�,5 8;� gs►�CC. R��IxI I.r1G 28t.? 7 °C IZ 6111NC.1FS I 1 ¢ NcST �il.l pJl�l� a fit M?>J�STA ���c�.12�t� � ,�r���t W��WaW4L,,gay P , _ 55O03, 0PC A -pro U,44- :6y aW>,M-O , 0t IX ,W DI pA.*1E1- i � I e K e -7- D001Z Wiz-1 Z _ 3 3-6 6�. 8 k 1 4" .. �IT,'1TZ 4& V-7. k10.6LAP -o" X G `- /o'` '41:jPN6, 6L4; API gy PffN,-b 2 D/N X- / I -k e. e- rip AnnEq pe.-1 .2 Ze-8 k 6u 4-J-U S 4 4OU-O\ CMS /fit • ; 1 ` : — — I w Z16COMPITT S _5 =a k 6 Ca ? 6 cow /N r i IAft o I III�4►. — — — --1-{- "' 4 I0. ?0�t�b�$lf 5�-IDIG���VI�t IUT.(INTOIVA�� 1 1 1�lIN1�1n! I I I . 6 G� Y. I~ L -' i 2 3 =a�'X6 ' {�"x 13 2_1- 811FO�-I? 1..�UY Pei. 1 13 =a''kd ''�ir, ��= i�-D" .14 '' 6 �_- b lA 81FA!-� .v Y� Pg. Z a CONSTRUCTION NOTES L. GENERAL A. The contractor shall comply with all -lonstruction documents, including the Out - Line specifications.' Contractor shall be properly certified and licensed for this project. B. Do not scale drawings; follow dimen- sions as shown on plans. 2, CONCRETE_ A. All foundation walls and footings shall be cast on solid approved bearing soil, with a bearing capacity of not less than 2 tons per-sq. ft. Minimum depth 3'-6" below grade, adjustable to requirements of the lo- cal code. B. Concrete mix: a) For foundations & footings: stone con- crete, 1:2:4, 3000 psi min. b) For concrete slabs: 1:3,:5, 2500 psi min. C. Unless shown otherwise, concrete slabs shall be 4" thick, on 4" gravel bed, with 611x611, 10/10 welded wire mesh reinforcing, 3 WOOD FRAMING A. All joists, beams, rafters and other lumber,..shall be construction grade No. 1, HEM -FIR, fb=1200 psi or approved equal, - except where specified otherwise. Provide structural diagonal bracings at corners as required. In high or sloped ceilings, wall studs shall extend the full height. B. Bridging: Wood (or metal), 8'-0" O.C. maximum; 2 nails per end. C. Headers: 2-2"x8" unless specified oth- erwise. In bearing -walls, headers shall rest on double studs, each side, D. Corners: 3-211x411, Walls: 211x4111 16" O.C. Note: Owner may opt for 2"x6" exterior walls in lieu of 21'x4". See alt- ernate.detail. E. SUPPORTS: Provide structural supports below each post or strut as required. F. Clearance: Wood framing shall be at least 8j, above adjacent grade. G. openings: Double wood framing shall be provided around openings in walls, floors, ceilings, roofs, etc. Double rafters at skylights, each side. H. Partitions: Provide double joists un- der partitions parallel to joists unless indicated to be more. Provide double joists under bathtubs. "I. Ties: Unless shown otherwise, auxil- iary rafter ties shall be 2"x4" @ 16" O.C., tied back to a minimum of 3 ceiling joists, when such joists and.rafters are perpendi- cular. dont . ... Dwg . -A• .. . n SAGi� 4L� 2';clvlt ,,� 1SGE 0 F FPNL 16'TUP 1tJaLL-,d.UOVE: lA1:cPJrf�-P3: uraAa_sllz ING,_ I if G F15. r-hL. INSUL N ` 15 ICI F PLYIUl? "QTEC-eT11 E;:_ l 11ar� -FL: -61 2'�.RIGIp..1N'SUL. ; • �-�uR>Kp_..GON4� F rPN': WA I bG L�. k..,.k� - 2,' ►. � I � cam'' \A P / IG-4,1\ q . I aI E31�� WINGaltil 6 F� _\ N 01 43, ( ...5 EPT w lECE t = 1bxL1 N I x, l� 3 2 VA7�0 71 - 2l o', ' lam' I I-ziuo'' p.L: a�a't4. 6"d �G . � '�-► �4F >kA \p rq . - — — — — T — _ — -� 2 l I' - Z'• II t � 'co Pre -W 211 r.��r�Gp1�G, r Al =x 10 -- i-- j1rr.INS( I I I 1 •.1 j3lo';t3l�"xZ4'7— �;jj ?� Z-ZX10 6M I�9 4)" ! a g �T_ mI ° CO►YRIGH W 1010 \Q)14>,I A'V. I � � .d NP t I I I� 1 '' � •.� � 2, _ ! 'i ZI'-B'' gi I �- 8 gq X A- , 7s q ' co & �I � G17APE - Q WW A REJNF, x%:'.C" p G oI ; o 2 1\Jli FOUNDATION 'NOTES - t7. R ,' 1. 16"x8" CONC. FOO'ING FOR 8" CONC. FOUND. WALL. �131�i—ice—V�-11.i.� `^�7 P 11T 'Y ►11 0, 7 a �J 2 . 20 "x10 " CONC. FO©TING FOR 10 " CONC . FOUND. WALL. LN `� • o ,� a,,Q , 4 ,� 3. FOR STEPPED FOOTICNGS, SEE ELEVATIONS. • fr ,• �, o wG. 4. FOR ALT . SLAB -ON -GRADE CONSTRUCTION (WITHOUT BSMT , ) SEE DWG. NO. 6,BUT CpORD. WITH & REFER TO THIS PLAN. ; —y t a CO to ed RC Li BE 41 f: t t f IF i 9 NSTRUCTION NOTES Cont. from Dwg.-3 Sills: All exterior wood sills; in con- ct with concrete shall be pressure treat-- Structural Load Design:' of : 20LL + 15DL = 35 LBS/SF ving Area F1.: 40LL + IODL = 50 LBS/SF Arooms F1. 30LL + 1ODL = 40 LBS/SF FINISHES Uniess seownerlected otherwise by r Loor finishes shall be as follows: Fam. n., Dinette, Laundry Rm., Kitchen: vinyl ile. Bathrooms: non -slip ceramic floor ile'and ceramic base; ceramic wall the at abs to ceiling. Remainder Area: oak.strip looring. INSULATION A-- P vi��iTer glass insulation plus ,apor barrier in walls, ceilings, floors & rhere noted on drawings. Follow manufac- turer's instructions for proper use-and 2" Provide &- apply;l l/ " ;tallation. Ln a insulation directedlbyindicated manufaoctuplans, n a manner 6. WINDOWS AND DOORS, complete and A. Doors an win ows shall be shall include frames, -trims, casings, screens, etc. B. Windows and exterior doors shall be adequately flashed at heads and properly caulked and weatherstripped. All glazing (incl. skygli_ hts) shall be double-panedr conforming to applicable codes. C. Where local or state code, or other re- gulations, have specific requirements re- garding the use of bedroom windows for egress, or where low -sill windows are not acceptable on the second floor, the owner and contractor shall verify the window schedule against such requirements and, where necessary, select windows that comply with such coded andu&a ions. htVlrDfy & coordinate window, door numbers with manufacturer's latest catalogs before start of project. 7. MISC. required by code or where in structed byy owner, Provide gutters and lead- o ers; grade soil to drain away from house. B. For exact location and count of light itches and outlets, consultswitheowneraandwobtain approval. consul C. Provide smoke alarm detectors per code. DO Provide 2211x30" scuttle'- for accesse roof vent; to attic, where applicable. as required. E. In kitchen,provide a properly -sized exhaust fan, discharging to the outdoors. In each bathroom and toilet, provide a medicine cabinet. F. Where applicable,' provide 5/8" firecode gypsum board in ceiling over heating units. G. In mechanical or utility closets, pro- vide proper protections as required by code. Gyp. board shall be 5/8" thi1. ck in 'utility closet & in garage walls & ceilings H. The purchaser has the right to build from these sets of copyrighted blueprint plans only once. These blueprints shall not be duplicated and'can be reproduced by National Home Plans only. I. The owner and contractor have the re- sponsibility to comply with all applicable codes, laws, rules and regulations in.the construction of this house and to verify dimensions and the load -bearing capacy of the soil prior to start of work. Na- tional Home Plans, Inc., and/or Charles Koty, Architect, are not engaged in the supervision or inspection of this house during construction. Neither National Horn Plans, Inc., nor Charles Koty, Architect, liable in any way for the house built fron these plans. e is _. .. _._._....._�•:.c.�_J..�y..rr.wr.......�w.ta.;.».:..-, t..r�r.e .....�.«.. -.0 ♦r FIREPLACES 51MLL nt, 114-", .---____ ING TYPE WITH OUTSIDE AIR FOR COMBUSTION, MODEL "ADVANTAGE" FP-36, AS MANUFACTURED BY HEATILATOR, INC., MT. PLEASANT, IOWA 52641, OR APPROVED EQUAL. PROVIDE BI-FOLD GLASS DRS., TWIN FANS, HIGH REG- IGTFRG & OTHER ACCESSORIES AS SELECTED BY OWNER. N EAT 4 2'- 0 3�- s, Zi it"2� 1t- spa q'- to'' 1`��7/� �a�1��T��•`r Ooozed Io'-d, 6, A r o'' I6 = `'' Z� � o 'f q'wl�. a� _l13�i2Gi is 1200� XT I \ o < _ •= `� _?jtozk rxavl Z�GO>JTAI.i,W1. Y�V w ,k co A `,'° elL V4 _ INsuL��'I� IFr � �, -. � y � NIX - e, =It4 �, � c:l >`1 �, ►rlsT . A-til�al.l-�' C.1�. ,a �ka�' U_s p.G1�� •siVati ai o,G, Fpe 1 Ns{ 1-I �-r>c . ► � - F_L. I ¢ IN t3�. Ar3ov yt -rb 2 . >�t .. b 3�w G - Z. I z b - 6 T O 2-zCt-i '++ram. v ���-ys�p�-lfVL7-�•�-r I �� . 3- s•I- -- O a -- � l-• - _ Y � 'N — -- -moor, S= a0X D I 17L 4" �i s'- 0' 4'' (� 4 — t1 yibt iG-� ��_ �M ��1.1�. � y2"�ty'P. �➢, .4T NUTS -'�rz 2'x� _15IrE AGT Pf r.,PWG-3_ r _ IT_UitIMLU-.. ` i �, „ I• �� �� 3p'' 27 �� IS N IIN II - rj�` _ 11 1 1 I CNrIq II t �Or✓_P.�Fr_ 1 �..' I �0\�i�iL 1 I OVA Ira ` ._ =t1'--�" _ems A t�- t -.�. �� ova • � ,. z'Sc6'�Fci�� COPYRIGHT I I •ac 0 \A � -F —_ --� a c� ie i LART 3912 ro =� -- fi L 11 DWG. i.liWi•'/i•N�.r..�."•rreii■ I.r Si �w 1 i 5v1.1-7 VIP-- Roor-IM4 lrjAJ IIL TRpNVN G o'' 1Z �, RAFTS - _�` � ��2'��1!''��1- �• 5 K Y L.L L ff l' -_lYs1 i i ELECT. OPERATED SKYTJGHT, 5511x22" 110. VS-62fBY VELUX Co. OF 22.0 CABOT BLVD . , W . BUCKS COUNTY BUSINESS PK., oPj�a&ea-E LANGHORNE , PA 19047, OR AP- _&ky146ffl � PROVED EQUAL. K6. JS1W l Z,'o .C. f . ?s-2" e+ID4 c - I1u5�1 , 2. us rwq r �T rN 5I ON'-'�Fzul lei-., I�j"j�! •I6r'd.G. 2- M, �1�1'i�-G• tz�1 {�•���y� .r Ei0'D'' iAly WIA05W II _._a'_'1t���G. I -�, szlGli7 I I :12W .A 0 r' - - - I- --� 4�---4 -$Ivirr tip. r 09 R. 4'ir-1 114" 16"o.C.-- �i yr-RooF oPt LCJ 4u f)r—TC, G o,Gjo�l �Z ��WA. _ t p- -_ �-1�-�.� _ , irZ''KIL'F{Ol2 ?''xb'Cs6•lSfis I /i I7110,c. Ju 1� --y �I o TUfi—jad_ foF2 1 4 � i I N 8�-t 14.1-Per , op 6AjW fin Jz- Al rV Its 2-Z'k►2'��P2. 2''�Io° -.� 2-2 1Z �►4.•t- ' Tp i o�xx O�"Q" Ggt1L.=1-ra.' 7.,n.X?A" �.'�1NF.�YJC• vAroe be W( I � � c, • O m��v��. top it +lam l o" �— — — �- - \ R I pGS 971 ell L �1.1•"� L tW'I 17 �� C� �11 ! :�'.• n f.r.1 Y r, �.r-t�i�_ 'r,+..)Y �L�,�-i�r�l•i P>po A"' SOIL DATA A DATE: 44;5 &VJ PERFORMED BY: 51Tt✓G IrIC. WITNESSED BY: ISr--1: g?eL-OW A -IN I �, TP— III' TP— 11,�2 j Al2_ TP—A-'L , O f I Menu 15,ILT AAA I t�, I Itbb-r2 (ZOn ZoS.S 4-vi-4 A-21-q4 0T: 5.ZAeiFri rJ WIT: S.ZP-'FrIlI`j 3C.5" I I 118.5" _i 4-Z1-q4 W1-T . `✓.Lr01FfAIT! WAT1; IZ is 6015.5) F— 7.5" TOP VIEW- 3, 5" DIA. INLETS Lam ---- END VIEW 5, 5" DIA. OUTLETS ... CROSS SECTION VIEW DISTRIBUTION BOX # 5' 3.5"dia. knockouts — inlet NOT TO SCALE PLAN VIEW ter.•• ,�,,. ,.,..,,._ i.,�.� 4 -a_ T 4'-6" „� 3 CROSS SECTION VIEW SEPTIC TANK NOT TO SCALE 1" taper 5'— 4" 5"d ia. outlet M 6A►J t2Y L,0AM g�i o�AMY C, 51�T >;oAN1 C2 �odn� r SAr�n Wrr: G. NII GNA1)r2 ZIo-S DWELLING TOP OF FOUNDATION ELEV= ZZq.O,p EARTH BACKFILL �\ 06 ° 0° p 4 a p O 00 o p o a ° ° p 4 o a o 4 0 ° O o0 p o O p 0 p iv 0 p 0 p p 4 a p 4 o p v v v v° VPv v v 17 17 ° v ° ° d v° v v v v v v v v° v v° d v v ° ° E° ° ° ° ° v ° ° ° °v ° 0 TYPICAL OF ALL TYPICAL FIELD CROSS SECTION NOT TO SCALE FINISH GRADE ELEV. = Cis,' t2 q+qo, It LT v?,M = 224- Io it`iv. - 220- &0 12" MIN. EARTH BACKFILL 2" DEPTH OF 1 /8" - 1/2" WASHED PEASTONE 10" DEPTH OF 3/4" TO 1-1/2" WASHED CRUSHED STONE SYSTEM PROFILE LEGEND too EXISTING CONTOUR o PROPOSED CONTOUR PPIPF- INVERT ELEVATION TEST PIT SEPTIC TANK DIST?IBUTION BOX W PROPOSED WATER SERVICE LINE _ OBSE_'RVED GROUNDWATER TAB! ,E ELEVATION RESE`RVE AREA DESIGN DATA DESIGN PERC RATE: 1" IN 2ol itJ DESIGN FLOW: 3 BEDROOMS X 110 GPD/BDM GPD REQUIRED A4o vPv �2�U i vzEb SYSTEM DESIGN: USE '�'� X 2&I LEACHING BED a� BOTTOM: '�2 LONG X 'Lie WIDE X 4.r,3 G/SF GPD PROVIDED LOGVS I��AP ZONING REQUIREMENTS (MINIMUM) AREA 4o, DOD SF 41pE E FRONT YARD SETBACK 5o SIDE YARD SETBACK 2O REAR YARD SETBACK 20 n, =J GENERAL NOTES i96 ,BEOFawO ., /� ���- �M 1�8 1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA 1`~ FULLY EXCAVATED � AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SY JEM IS READY FOR INSPECTION, - BM is 'j ". 1 Yellow, ' THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEM''-TH• _ IT AND FINES. t• : a• S �. 11 1 g_ 2) WASHED CRUSHED STONE SHALL B` FREE 0 ALL DIRT, DU -INTERCHANGE �1N - ' 3) ALL ELEVATIONS ARE BASED ON 45o,�5n ELEVATION DATt.'M- ~� �` .�,-'-L •- ,�' ���, 4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS _ 9M 144 -.. ,:, t OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION. 5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LOCH^'- BOARD OF HEALTH. 6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN 5vp,�avlhlotJ ►�IAAAt�: G�12At0�0OV 12g--�gnjVlSlorj ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTAL .ODE AND ANY �IQY lgg4- APPLICABLE LOCAL REGULATIONS. 2, 7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTURED BY A. ROTONDO & SONS OR APPROVED EQUAL. bWr1�Q: f`-IEG�OLAS GL'�nAP>IO 8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER 0`" LEAVE ALL CONCRETE AShE�o� MAC !v-f I.O7-: 1067 STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. �atJlrll r �IsT�IGI' �� g 9) ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED WITH NEOPRENE GASKETS OR ASPHALT CEMENT. t�qu i F � i2 �l ST to c1': 0 /A . Fir -AA 20t15: G' i 0) EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA A�'D BACKFILL WITH CLEAN GRAVEL AND COARSE SAND. �Pf GavEPAGrE: -;2 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL ONIT. BOARD OF HEALTH INSPECTION REQUIRED WHEN EXCAVATED BOARD OF HEALTH STAMPS This System Is Not Designed t For Garbage Grinder, Whirip®oiOr Other High Water UseDevices. f! r,9CO STRUCTION OF THIS SEPTIC S`�STEMIII SST PE COMPLETED WITH THREE ( li"EARS OF THE DATE OF APPROVAL TOWN F DARTMOUTH BOARD OF HEALTH BOARD OF HEALTH `TA::MPS t • TOWOF DARTM OUTH Cd;�NGED VVITI'OU'f 6,0jAa ZONING I ,SVIEWED = b n �j� � � �y'���t -� t .... THE APPROVAL BY THIS OFFICE �� ��AL�� APPROVAL '`�j.. Be Restribmitt- d �. DOES NOT GUARANTEE THE SEA I~i:.�ORT � EFFECTIVENESS OF ANY rlebSTALLATION EIvI D Of RGINEERS AS- ILT• Al�I lr 2 5 1U99 DARTMOUTH BOARD OF HEALTH PL,N & CERTIFroA, j < BY ST JEIMENT REQUMED ell C, P.E. ST SUBSURFACE SE VIA GE DISPOSA. L S YSTEfifs FINISH GRADE•` EL.= 221.0 1� OF MASy OWNER: S 03 SG10v OSA. G� -� t�V1Q ��51 t�E�G� c1v11. N �8 No s2'5�o r ASSESSORS MAP bA LOT: 1004 c/s•TE , ,� STREET L Fss�or�A��-� �Q p��Cil���� No• IPAV-1-MovrN ST T LOCATION R-0 t �' ENGINEERING FIRM: W-1 1/2" WASHED ° ° ° v SITEC, Inc. STONE 17 P.L.S. STAMP : i 13 Welby Road ° q New Bedford, MA 02745 (508) 998-2125 Civil and Environmental Engineering FAX (508) 998-7554 SEASONAL HIGH GROUNDWATEIR ELEV.= Land Use Planning DATE: wuo-qeq CONTACT PERSON: AtwfAt2 ACAD NO. I FILE NO. I A 1999 Residential Residential 2.2 Authorized Agent: ' Contact Address QZic M I� �o 5 388 WDOM A-V& "�L Wgdj Name (print) C�.y1� / � / _ � � � � Telephone �A hp ::.:::...............................:.:::::::..:.:.:.:.....:...... .. ....:..OXX 5..: .. S�T...XX l.r.f..J.�.l.�.t...D...E...R.........1...:.:E:::::...:.:.:..:.:................................................:::.::.............:.:::..::::. 3.1 Licensed Construction Supervisor: 6fLI C- I &-JU G Not Applicable ❑ Licensed Construction Supervisor G 21� ;�cJ G „ ` L `E License Number / �g 16 Address �� C � ^ ^ ^ � � � ri 't'Tele Expiration Date (� C%I ; l aaoa hone Signature _ ' _ P�b_ ,,flRegisterecilliorne Improvement Contractor: Not Applicable ❑ Are you a Home Improvement Contractor subject to (780 CMR-6)? 015e4s no If no, go to the next section! YAre you claiming exemption from the requirement? ❑ yes ❑ no If yes, submit the required affidavit! i Company Name Registration Number (if none, state "none") E. M. sr. gjc.ate 61 Address Signature Telephone C50� is (a Expiration Date or Reside tial 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, MA 02108, (617) 727-8598 Owners 4(1�.Signatu b si ng a abo me owner acknowledges that there will be no eligibilty to the Guaranty Fund Date 4ami 3.4 Homeowner Exemption - One & Two 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) 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. If you are applying 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 Appendix of 78;p CMR R5.2.15) Workers Compensation Insurance affidav it must be completed and submitted with this application. Failure to provide thi s aff da, will result in the denial of the issuance of the building permit. Signed Affidavit Attached: ❑ yes fa—� 97 new ❑ addition ❑ alteration ❑ repairs construction* ❑ chimney/fireplace oodstowe ❑ deck ❑ pool ❑ accessory bldg. ❑ replacement window/door ❑ other (shed/garage) no. of windows_ doors_ (specify below): * If new construction, please complete the following: Single Family: no. of bedrooms 3 no. of baths �• S Two Family: no. of bedrooms unit 1—no. of baths unit 1 no. of bedrooms unit 2 no. of baths unit 2 ❑ demolitiion (specify belmw) Brief Description of Proposed Work: 1WTc_MPDrZA (LY w( 15 rocala FAT &NPg,44-r 200:F s r F�•t>��-� �t V A-T r0 Ali O F f�OI ` .t>� T S f{UuJ� /N PRJi�s Item Estimated Cost ($) to be completed by permit applicant 1. Building * SO , epee, 2. Electrical ¢ / 0, 000- 3. Plumbing 4 000, o oo - 4. Mechanical (HVAC) -`/p, 000 S.Total =(1+2+3+4) Estimated Total $ /;Z-O, 6,00 (please . t) I as Owner of the subject property hereby authorize Zi i.l_ Ee__5 Jd� to act on half, 'n ll matters relative to work authorized by this building permit application. �Q Date I, 1, as Owner/Authorized Agent hereby declare that the statements and informiati on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains arid.penalties of perjury. US5)VDES Print Name G tgnature of O rl�Cuthorized Agent Date i c:\wpwin\fonns\bldgapp.res Page 2 January 20, 1999 c:\wpwin\forms\bldgapp.res Page 3 January 21 -^r esidential l �S�-f-- � �0 ko 1999 Residential ❑ FOUNDATION ONLY 1999 win\forms\bldgapp.res Page 4 January 20, 1999 1 oS7,3 c:\wpwin\forms\bldg:}pp.res Page 1 January 20. 1999