The URL can be used to link to this page

BP-95910 Permit No. BP-95910 BUILDING PERMIT GIS#: 3247.00 Commonwealth of Massachusetts Map: - 0066 TOWN OF DARTMOUTH Lot: . 0002 400 Slocum Road,Dartmouth,MA 02747 Sub-Lot -- 0030 Phone:(508).910-1820 •.Fax:(508)910-1838 Category: RE-ROOF Project# JS-2021-000007 PERMISSION IS HEREBYGRANTED TO: Est.Cost: $10000.00 Contractor: - License: Phone#: Fee:- $75.00 DANA J PICKUP CS-095228 (508)997-1111 Const.Class 13I-100503. Use Group: R3 Engineer License: Phone# Lot Size(sq.ft.) 46030 Zoning: SRB Applicant Phone#: Aquifer Zone: ZONE 3 CARE FREE HOMES INC (508)997-1111 Flood Zone: ZONE X OWNER: New Const.: N/A CABRAL WALTER J& Alt.Coast: N/A Date Typed: 07-01-2020 - - DATE ISSUED: TO PERFORM THE FOLLOWING WORK: Strip/re-roof residence Projec cation: 5 BLUEBERRY LN Approved/Issued By: I) BR EfI'E, A EMS ter MI work shall comply with 780 CMR 91/1 Ed.(MGL Chap.143)and any other applicable Mass.Laws or Codes and plans on file. Schedule appropriate inspections as required. Upon completion,final inspection is required. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further understand other agencies may have reason to STOP WORK if items under their jurisdiction are not met; not withstanding the issuance of this Building/Zoning Permit. • Signature of Owner/Agent: "Persons contracting with unregistered contractors do not have access to the guaranty fund(as set forth in MGL c.142A)" Inspector of Inspector of D.P.W.Inspector Building Inspector Inspector of Gas Fire Department Plumbing Wiring Water Service#: Footings: Underground: Oil: Underground: Service: Foundation: Rough: Smoke: Rough: Rough: Sewer Service#: Rough Frame: Insulation: Final: Final: Final: Cross Connection Final: Final: Board of Health E-911 Additional Comments: Planning Board Prior to issuance of Certificate of Occupancy/Completion,this card must be returned to the Building Department with all necessary inspections signed off. Department phone numbers are listed on the white"Required Inspections"document provided with the issuance of the building permit. POST CARD SO IT IS VISIBLE FROM THE STREET ' TOWN OF DARTMOuITH - BUILDING DEPARTMENT RECEIPT 9'5 9 l'‘d5 `Q t' PHONE: 508-910-1820 FAX: 508-910-1838 Name( ffi 19. filet fI" Property Owned _ j' i I Dat4/-4 1 Job Location: 5 Le/j./i 4e..1 I"jyc(� if,i 1'ag.:h. 4/7 Lot ,-' 70 Description General Ledger#'s f # eii,z Amount Building & Building Misc. 01000-44105 tut ' ?c,— a' / kg Electrical 01000-44106 N0os I Plumbing & Gas 01000-44 17 �,o2 Trench Safety 01000-44i b o 0 Other Department Revenue 01000-42•Zti &dO limn, "✓ White-Collector's Office Yellow Copy-Customer's Receipt Pink Copy-Building D-.. _ eat eceived B3" "!"--- THIS IS NOT A PERMIT/LICENSE FOR BUILDING, ELECTRICAL, PLUMBING OR GAS • IlESIIIENTIAL ❑ Phased Approval(R106.3.3)0 $25.00 APPLICATION FEE IS NON BE-FfATDATTLE &NON-TBANSFEBABLE rM` DATE RECEIVED DARTMOUTH BUILDING DEPARTMENT / ,', 400 Slocum Road, P.O. Box 79399 z, s Dartmouth, MA 02747 MN 22 PH It 57 � Phone: 508-910-1820 Fax: 508-910-1838 - www.town.dartmouth.ma.us APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING THIS SECTION FOR OFFICIAL USE ONLY I RECEIVED BY: (47/C1/ -/ G �,/�'BUILDING PERMIT NUMBER: � j DATE ISSUED: SIGNATURE: \ 04-41 O i.�� *tri_ DATE: 6 /3 /,�,02z) /� �}� Building Commissioner/Inspector of Buildings Zoning District: S2— Proposed Use: 2 Zone: ZiK D B ❑A 0 V Aquifer Zone: \J2 THE FOLLOWING AGENCIES SHOULD BE NOTIFIED: ❑Board of 0 Board of ❑Cons. 0 Demo 0 DPW 0 Elec. 0 Energy Report Appeals Health Commission Affidavit Card Sent Cut Off Follow-up* CI Fire 0 Gas 0 Planning 0 Sewer Card 0 Water Card 0 Zoning 0 Other Chief Cut Off Board Cut Off Cut Off *REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERMIT. DEPARTMENTAL APPROVAL Board of Health: Signature: - Date: Conservation Commission: Signature: Date: Other: Signature: Date: Signature: Date: Signature: Date: Brief description of work being performed: 9$ i !,I, SECTION 1 -SITE INFORMATION i 1.1 Property Address: 5 Blueberry Ln 1.2 Assessors Map& Lot Number 1 Lot Area (sf,) Frontage Map 1th Lot t) -3 O . Required Provided Front Yard 1.3 Historical District 0 Yes 0 No Side Yard Rear Yard Year Built ❑Altering more than 25%per side of building 1.4 Water Supply(MGL c40 s54): 1.5 Sewage Disposal System: Has application been submitted to the Historic Commission? a 0 Municipal ❑ Private Well ❑ Municipal 0 On Site Disposal System ❑Yes 0 No Date: Revised 10/11 ' El CONSTRUCTION PLANS 0 SITE PLAN ❑ ENERGY REPORT RESIDENTIAL SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner Record: Walter & Rose Cabral 5 Blueberry Ln 508-328-9677 Name (print) Contact Address Phone Number 2.2 Authorized Agent: Dana Pickup 239 Huttleston Ave Fairhaven 508-997-1111 Name(print) Contact Address Phone Number SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor/Specialty License: Dana Pickup License Number: 95228 Company Name/Contractor Name: Care Free Homes Inc. Address: 239 Huttleston Ave Fairhaven Expiration Date: 3/22/22 Signature:4.1/24 2- Pi. - Telephone: 508-997-1111 3.2 Homeowner Exemption-One&Two Family Only Section 110.R5.1.3.1 Exception: FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT Exception: Any Homeowner perforating 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: SECTION 4-WORKER'S COMPENSATION INSURANCE AFFIDAVIT(MGL c 152§25) Worker's Compensation Insurance Affidavit must be completed and submitted with this application. Failure to rovide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: es ❑ No SECTION 5-DESCRIPTION OF PROPOSED WORK(Check all applicable) ❑ Deck 0 Pool 0 Repairs 0 Alteration ❑ Chimney/Fireplace 0 Woodstove/Pellet Stove ❑ New Construction" 0 Accessory Bldg. 0 Roofing/Siding ❑Other (Energy report required) (Shed/Garage) (Specify below) ❑Addition 0 Replacement window/door 0 Demolition (Energy report required) No. of windows Doors (Specify below) *lf new construction, please complete the following: - Single Family: No.of Bedrooms No. of Baths Two Family: No of Bedrooms Unit 1 No. of Baths Unit 1 No of Bedrooms Unit 2 No. of Baths Unit 2 ❑ Furnace(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 0 Hot Water: Gas Electric Fuel Oil Other SECTION 6-ESTIMATED CONSTRUCTION COST Item Estimated Cost($)to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing 4. Mechanical(HVAC) 5. Total =(1 +2+ 3+4) 10000 SECTION 7A-OWNER AUTHORIZATION (to be completed when owners agent or contractor applies for building permit) _, (Please Print) , 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. See attached Signature of Owner Date SECTION 7B-OWNER/AUTHORIZED AGENT DECLARATION I, Dana Pickup , 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. 6/15/20 Signature of Owner/Authorized Agent Date SECTION 8-OFFICE/INSPECTOR'S NOTES ✓l� Less Application Fee: $25.00 Remaining Balance: $ Total Permit Fee: $ l • Other$Amount$ Gross Area-New Construction total sq.ft. Gross Area-Alteration total sq. ft. (Q� Permit Issued to: l /CX , �P� ent SECTION 9-ADDITIONAL COMMENTS/SKETCHES Roof strip commonwealth of Massachusetts r is Division of Professional Ucensure. ' - Board of Building Regulations and Standards Constrtitt eHYi pervisor .. CS-095228 a E zpire-:03/22/202: DANA J PICKUP 2 239 HUTFLESTON AVE,i FAIRHAVEN MA 02719 N ftt,,1 1 SCl;` Commissioner C%!!iSna� ) LiS4 tkL2_ s l/c 6f nf.(rrd:rr faat/b Office of Consumer;affairs&Businass neyeiation HOME.IMPROVEMENT CONTRACTOR Registration vand fer individual use.uma TYPE:-SUPplempnt Card before the r.:p,ration date. If found return tot B./Skelton piration 100503 0611&,+2020. Office,A ohsi ma.At`airs'and Business Renuiatfon CARE FREE HOMES.INC. One Ashburton Pine Suite 1301 Boston,MA 02108 n DADA PICKUP JR ' 239 HU T TL.'ESTON AVE ��•c..0 �a--._. a._ {✓/,�f/�/-; �� A RHAVEh,MA 02719 2je�,s9 Undersecretary Nat valid f2di/ wut signature AC RD® CERTIFICATE OF LIABILITY INSURANCE DATE B/27/2D1s" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEADT Brian Robillard Herlihy Insurance Group PHONE FAX 51 Pullman Street (A/C No FM):508-756-5159 (A/c.No):508-751-5747 Worcester MA 01606 ADDRESS: certificates@herlihygroup.com INSURER(S)AFFORDING COVERAGE NAM# INSURER A:Liberty Mutual Insurance Company INSURED - CAREFRE-D1 INSURER B:Guard Insurance Company Care Free Homes Inc 239 Huttleston Avenue INSURER C:Arbella Mutual Insurance Company Fairhaven MA 02719 INSURER D: INSURER E: INSURER F: m COVERAGES CERTIFICATE NUMBER:1118629905 . REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y BK$56134197 9/1/2019 9/1/2020 EACH OCCURRENCE $1,000,000 - CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 X PD ded:250 MED EXP(My one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY I X I JE2f LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: - $ . AUTOMOBILE LIABILITY Y COMBINED SINGLE LIMIT 1020074433 7/1/2019 7/1/2020 $7,000,000 ANY AUTO en.. ® (yam (Ea accident) �' 1$";R BODILY-INJURY(Per person) $ OWNED X SCHEDULED L✓" BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED LJ1a PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE .) AGGREGATE $ DED RETENTION$ • $ 9 WORKERS COMPENSATION CAWCO20309 9/1/2019 9/1/2020 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNERJEXECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDEDP , (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Subject to policy terms,forms and conditions.Certificate holder is included as an Additional Insured with respect to General Liability per form CG8810 Ed 04/13 as required in a written contract.Additional insured status is afforded on the Automobile Liability policy when required by a written contact. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of DARTMOUTH ACCORDANCE WITH THE POLICY PROVISIONS. e BUILDING DEPARTMENT 400 SLOCUM ROAD AUTHORIZED REPRESENTATIVE DARTMOUTH MA 02747 YGn,..1.9 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts '� � t. Department of Industrial Accidents 1 Congress Street, Suite 100 �_ Boston,MA 02114-2017 MP www.mass.gov/dia W\'orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Care Free Homes Inc Address: 239 Huttleston Ave City/State/Zip: 02719 Phone #: 508-997-1111 Are you all employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 20 employees(full and/or part-time)." 7. ❑New construction 2. I am a sole proprietor or partnershipand have no employees working for me in ❑ p p 8. gRemodeling any capacity.[No workers'comp.insurance required.] ID I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 10 ❑Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will - ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.n Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers hay scd their right of exemption per MGL a 14.D Other 152,§I(4),and we have no cm oy kers'comp.insurance required.] *Any applicant that checks bo in t th ection below showing their workers'compensation policy information r Homeowners who submit this t.av i ing they are doing all work and then hire outside contractors must submit a new affidavit indicatingsuch. :Contractors that check this box.,.1 attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Guard Insurance Policy#or Self-ins.Lic.#: CAWCO20309 Expiration Date: 9/1/20 Job Site Address: 5 Blueberry In City/State/Zip: Dartmouth Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Dam P� - Date: 6/2/20 Phone#: 508-997-1111 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ti4�' •by `�..'''':.,, v. )"SZ'T" m C7.. . v: xy' 4 Signature Certificate < Document Ref.- SJECP-MSZRI-PNKEA-SL4EN t p4 Document sighed by: .: x Dana Pickup Sr. `verified E-mail: `` �r a f dana.pickup@carefreehomescompany.c , °m .' I s773Yoo� 4$ x r34 .OgrJ�n2 a�� ,1111111111J111Ill1111111111111 i -] Walter Cabral jai ' , �� i Verified E-mail: 7 O O wcabral9@yahoo.com l aE , ' 1 I - « CI r _ ��- i1111111111111111111111111111 Li ;' r 3E 76iT83i1�38Q tC�{a 09 Jatr'2U2Q 2249 bUTCr Document completed by all parties on: tl-t -tt:tt.! 09 Jun 2020 22:49:37 UTC s. ,.,a;kPage ; �4'i :: t ; t ,„ , Y oRy :..., ,. ...,,,, , :,,,,-.'.,:,1.7,',.-'.1:::.,1;:'....,'. Ks:T.a . ts....:4 ,,„,, ..,.:,... . ........„, .,.. .t,>5.i4; tt..,..:.;7; .....,,,,, ;m3. a<„,.„c . cN ..„„. , i:tyttt: p - ' fMtI_ :- ' Signed with PandaDoc.com ,z k PandaDoc is the document platform that boosts your ,A' ' W-*" h company's revenue by accelerating the way it transacts. 0�n 1. }}, x x>t +xr.'" ?� - ,y �. .. "'Yn ,3v`� ''vim t J= o. 04 } Wp,a� H w 3'd i+SW�' e:y r Cr)W �'. .0 O O.• _ N A 3 ,y. Is'i A rp O O O'TJ _. C W m a iv _ 'O'1 sym c�mO j '- , eZ , 4 >Omrr =H t'+3r •<^ K eo yt rorr oo zaf �? r z 3 1 'a e c <v�O°a Fc 7Wa o r c cm�zr _ H <pr o T r coca..,,, Rrx 4 'cnOn x >r '. --1 r' O �',, .J�..e�c n50W z y ,3 Z�•-t'llW as I 3a % �=� n' , k°O>R� e R m 3 3 Nr ° tu J r r t b co o W2 3q C a m E it 1-1 „-:o A a p a? , . _ m � o.'y z m m y `00 �� b 6 a o mr x °e 'o o "' ° • 0 2 ° oo ! e o O_ P. N f` ''T q _ C000 0 � a� it L] W W W W,C W , S aEvi O � h aas. } m .: ' t"it-aao 9 c°�',, to+ r ba ^ y, oeooW Zli- a Ct 3 . 8- ww.Woo" a a k n tnm W.•Ci a 3. c iN o ` 3 ` S AC;- oo� =�x ® A s. a l (�� NWNOWlj � ITI _ 00 Ik ir, �l v, - • i,. Y b V,O J C i m O o { o ,-, GiO T 1.11 ��ii,, 1 W m oeo° r ��?�` F 6 « :ii: co • e P m 3C. :s ems- a o • A [ 3a c at Or 4 n O IA Cr_ORa 4 eimp, m _ et, 0: S. OO ! 13NIZp �� H OOO OV•�' 1 OOo V > 00000 FA Vi )f y. N-.Pa - M1 r O o .e aOil WOe¢y0*, . s oa �. ]m�[i]o s ..t orii tri i. L !!! n °Y° O fl" Aoo n�H a o z z z .�zr m o3H :, g. o;a ror -� 221, m O 3. s4 3 w a '-' 22 T= a MI g ma�yy!! ', D < "-7 _IT R €16^ H a C N o 9 'a '*O la s a m W q _GS _ 11 ,DN b�\ W L-O,•i` rl O w_ a w' w, - - -;air . m N c _-: OOO O 1�lZNFZ IZq �' 9 C' O r ry F O COO v y 000 rt m 12. Oo0o0� P. '� 9 y a. a 6 a O OOo -' O S NAa rN Pi LA 91 ^' PO• r CO `t] q 000 oe'C ~ 6 •`• R 'J o. q 0 0 0 y m a 6 - 0. v ^W 09 x C r . p. F4 C < F '- o oeoo O ,� a G �° C < C ?' fi c.88 0' m C d n7 :' w w rn a t , 4. n 4 N O N N O A it IA;(Wit -0 siz .� n c - n �[' I a Z� =cc q ,.� 'E9 _ F a W W F.' Q i' o c o o ggpy'�,�`i G. 6 Cr E q A A A • - y H N a ' '9S°'On •m NO col e rt.e, ry 4a WWrW30° , ,��'C o00m. _a Nn' 7 O - qW a Z w o Zr, n`ti. A q t.. m N ote w y oo re ralilar -S C o o e - so t C qeoo c 3_ 1.1 nq eoo �, •• m 'a eve b B. eeom,77 �s ��/� A> na a o n N yr'Lra q a T/1 3 N O 1 a3.o.%glA 0- a cr'° 11 -. ° a o a . O y G Pa t N ry ^ N p W O O O AI m m O N U 5 m N O tWIV d ' (-'� N O p'co C 0 m O, IA J y m ,O,J m ...!!! O o '.'� 3 O O n 0 0 O O O O O ...O ' c c 01 CO rn m y -i - -7 D x x S 5 3 r a :•� rn O �' O w �n000> g ro €, m o o � c o 0 r 0 o x x g E. o .g C `•H 3'9 po co p s b S S F.I. w a y .m. ', •- won ^ c ci 0 - o m p a { = y '.b x r Co W a .e c o o •`o 0 0 r^ o o w �, 2 $4 o m M 0 rr• it n b�r"" a 3 r. co o o t.a `. m w_ fo, c F b� � (52, b r p^W•On T� m a_ X _ _ _ 0 =mom 5 Od ,_ y y 3 ti 0 �, �_.. Gf c w F-.ro a m < e , O ... .�, `Z y'pa a V O O J l e N e O O O r O O O r O O O � V O. �Y. N N A W N N r N N W W r W n A. a: Ci O F.: .m T m r 3 0. o 0...s G e m O n On 00 Z .1 M �� S 124 r f N ! r e < c 'm ¢ by rn .� An ROf) 'S C > G) I•] D 'A � a-. C m Q 3 "n31 0 "A W 0 0 - °i .� 9 m m m _ `` Ci7 n o e ¢ i o a .m. m a 4 aet? .m c a P b s p 0 c c n o c S m 0 ° = �. c o 3 - m a ay= a a O ,L ti .< 0 '< 'ik - " 0 a ... r rCE _ Y}y W`3 -Ia 0) 02 ,d: NL` 4R"I e oeeeeo� c'ro r 22 t 'UD2-03 Oc ov €; zcW >9z ¢ :.. p_ .i 5 13 F o o 0 e y = a- w o 7o a o 0 .f o A i m a CS; .. .. ay�x Nm pti. c c tt 09� ' c a0a. o A 0 0 Co 0 �atti tit �'i:�� e OOOCONOQ }T N"G RID � ��y ' 2N �� l¢4 'm-' ^ 6 YH � ''L fl�j to - < s o '�''� ¢ o `0 c. 5.W 0 r {5_1 i„ cq A g ,O ' i o B i 'n rt o c° n • a w b 'a�i O aWp'� B {� ` Y ra A '. a �cNm�'ea °^ A 7 3a �,^ n 1... 3 3 'ti s 3 3R p .;i r' ! a. W N W o W e W O 1 '®"'j q _N N N>O Ou.+.N W b� S O� J O L?Oa Ai 9 Y i CE bb NT ; Aet' O N N • G m N ' a' N m in ? ,� b O o a .. e 3 o to \ N N• £ 0t.t pQ _N.+N LQ~oo h` '" a co co O_l to W a R ii _ N L.): : O �a I 6 DD 73 3� 9:V4 et to rn m m u cm N : !� T V ... R m V A O N co' N N.) N N w • _W g?- Z ram: a o c co _.. S N M _ N N.) P O 0 w rt ti 7 , 0 V co O 0. w N NJ A c. _ coOIII ... e. O R !C O 0 O N O O O W N N Permit No. BP-95910 Project Location: 5 BLUEBERRY LN Commonwealth of Massachusetts TOWN OF DARTMOUTH GIS Map:: P#: 3247.00 0066 400 Slocum Road,Dartmouth,MA 02747 Lot: 0002 Phone: (508)910-1820 • Fax: (508)910-1838 Sublot: 0030 BUILDING PERMIT Pro Catego #:ject JS OO 000007 FIELD INSPECTION Fee:Cost: $10000.00 Const.Class: Contractor: License: Phone#: Use Group: R3 DANA J PICKUP CS-095228 (508)997-1111 Lot Size(sq. ft.) 46030 HI-100503 Zoning: SRB Engineer: License: Phone#: Aquifer Zone: ZONE 3 Flood Zone: ZONE X Applicant Phone#: New Const.: N/A CARE FREE HOMES INC (508)997-1111 Alt.Const.: N/A OWNER: CABRAL WALTERR�J DATE ISSUED: / TO PERFORM THE FOLLOWING WORK: Strip/re-roof residence DATE TIME TYPE OF INSPECTION&REMARKS INITIAL