BP-62207 Permit No. BP-62207 BUILDING PERMIT
GIS#: 3247.00 Commonw th%f Massachusetts
0066 ,TO 'OF:DARTMOUTH
Lot: 0002 - 400 Slocum Road,Dartmouth,MA 02747
Sub-Lot: 0030 / Phone:(508)910-1820 o Fax: (508)910-1838
Category: .: ALTERATION
Project# JS-2011-001301 PERMISSION IS HEREBY GRANTED TO:
Est.Cost: $8,200.00
Fee:, S75.00 -r Contractor: License: Phone#:
Const.Class: -
Use Group: R3 Engineer. License: Phone#"
Lot Size(sq.ft.) '--: 46030
Zoning: SRB Applicant: Phone#:
Aquifer Zone: ZONE 3 ROSA M CABRAL (508)328-9678
Flood-Zone .ZONE%; pWNER:
New Coast.: N/A CABRAL WALTER J& SA M ABRAL
Alt.Consti 101 sq.ft_. -. 'j
Date Typed: 01-06-2011 DATE ISSUED:
•
TO PERFORM THE FOLLOWING WORK:
Replacement kitchen cabinets
zcProject Location: 5 BLUEBERRY LN
Approved/Issued By: r- T f,e c<7Stf--- ,.2,
DAVICARUNETTE,LOCAL BUILDING INSPECTOR
All work shall comply with 780 CMR 7'"Ed.(MGL Chap.143)and any other applicable Mass.Laws or Codes and plans on file.
SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK,FINAL INSPECTION IS REQUIRED. THIS PERMIT
WILL EXPIRE PER 780 CMR 5110.9(NOT MORE THAN 3 EXTENSIONS WILL BE GRANTED)OR ON ISSUANCE OF A REGULAR OCCUPANCY
PERMIT.
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 furtthero derstand other agencies may have reason to STOP WORK if items under their jurisdiction are not met; not
withstanding the issuance of thi{Buildin Zoning Permit
Signature of Owner/Ag t: (�
Yv
Comments: PERMIT NUMBER IS REQUIRED WHEN REQUESTING INSPECTIONS/RE-INSPECTION FEES MUST BE PAID
BEFORE RECEIVING ANOTHER INSPECTION/REPLACEMENT FEE:WILL-BE REQUIRED OF LOST CARD
"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 -
WaterService#: Footings: Underground: Oil:
Underground: Service:
Foundation:
Rough: Smoke:
Rough: Rough: Sewer Service: Rough Frame:
Insulation: Final:
Final: Final:
Cross Connection Final: Final:
Treasury:
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 buildingpermit.
POST CARD SO IT IS VISIBLE FROM THE STREET
PQ MI THry'\
TOWN OF DARTMOUTH
a i BUILDING RECEIPTS
s srg ' k?. ‘� 8 n rt PHONE: 508-910.1$30 FAX: 508-910-1838 Cs 2 c-.U 7
cr E r ' al ` ` .i1r
eyip 1 , /
rvame: .,Y rropeny £ / /_�
j Date:
*2 r/_ ill 'yak Owner: 4zs !4.--(-4.. _.-...___ l("�� W //
r y'�G 1.; White Copy-Collector's Office
Job Location: ,/�
' "� ,e�` / *,J ,', ,'r: .Yellow Copy-Customer's Receipt
/ c--.y - .,,/ C L yr tY` n / ''7-`- '.--'""" Pink Copy-File Copy
/ / r ! i�1 Green Copy-Building Department
Map: f w i Lot // fJj
llj t L� `'
Phone:
Description General Ledge`rips ,- Ref. # Amount
License & Permits - Building 01000-44105 1/ 51,, ,,; A•, yr;Z 2)
License & Permits - Building Misc. 01000-44105
License & Permits - Electrical 01000-44106
License & Permits - Plumbing & Gas 01000-44107
License & Permits - Trench Safety 01000-44129
Other Department Revenue 01000-42420
THIS IS NOT A PERMIT OR LICENSE FOR BUILDING, PLUMBING OR GAS
Received By:
RESIDENTIAL ❑ Approval in Part(Per 780 CMR. 111.13)
25.00 APPLICATION FEE IS NON ICE-fl)N BLE &NON-T2AeiNSFE9$E EE
DATE RECEIVED
:1 o TH.i •
\ DARTMOUTH BUILDING DEPARTMENT ,,,,
P
,ot J w� P 400 Slocum Road, P.O. Box 79399 r i t,7
z Dartmouth, MA 02747
3° 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
A.to:: ittier:::.... ` '<THISsSEGT10NFORrOFFICIAL'VS E-ONLY"> 'e 4.x;;s.,?;:,r,,,
.tnl-'-x y. 1 SY yi e�x'-ti " 4p .w3
RECEIVED Be '� _ -r - `-' ici z ` F-` BUILDiNGPERM1T QMBER
DATE SENT FOR REltI
" DATE`fSSUC-tS
3 9 by ✓
{{O K TO ISSUE,,SIGNAWRE + s �,� ®$ „�±;„ L'' DATE . � �x
µnL :�'� rL_ ''u` ' `` °.#trt' t �+C ' is I : ,Yri i"" `x' xe_ee_':"i'?f ......a''L :1 `8' 3`. ` '"`I01%etc }�"a�.� f 'x° ter..
� r f
•3 {Zono g sfrGt o Proose Ue a Zbe B ❑A:O,U OAP•Zie �`t a +� • S— rae4W ra A 1 b�§ 4" P F 3"d 4� -'R`. S eE M,,,S1 .10,1 lR Q�5' Jt t &� �nst nY '� »^164s '`t...gd*9a 32 .{
THE FOLLOWINGAG'tNC'(ESSHL ULD BE NOTIFIED t"*l"r - t }t�" r " '� " !` ° ?y
rc
D Board of § ;2 'p Demo t ❑DPW '' `n g,U Else `"' f a E ergy Report
.,.� 4.Boardnf O Cons
1 Appeals u ~ ea#h R Commission -:. Aihda itglal CardSent: CutOIL' Followupr
s ❑Fire a SLG s`* U Planning '-ElSewer Cards O Wafer Card l Zoning'—'..-r..„ E}Other ''
Chief CutU"-F - Board ' `)Cuto CutOff -� `� -" ,
REQU€RE SNSP• CTO IERS`,IZ VIEW"BF M� 6�E7"HE.ISSUANCE OFAPERMLTk r � AW•*
ARTNIENTA PROVAL ,,
Zoning Review: Signature: 7I — Date: 4 ,1 l''I b <1
Energy Report: . Signature: ��- Date:
Fire Chief: Signature: Date:
Board of Health: Signature: Date:
Conservation Commission: Signature: Date:
Other: Signature: Date:
Brief description of work being performed:
• S _,..n: SECTION 1' SEM tNP -00/0ION,.
.1 Property Address:S /LLe AN/'P y Lame _ 1.2 Assessors Map/&Lot Number:
�!
Lot Area(sf.) Frontage Map ' Y' Lot___a____- 36
Required Provided
Front Yard 1.3 Historical District 0 Yes ❑ No
Side Yard
Rear rd Year Built
❑Altering more than 25%per side of building
1.4 ater Supply(MGL c40 s54): 1.5 ewage Disposal System: Has application been submitted to the Historic Commission?
Municipal 0 Private Well Municipal ❑On Site Disposal System ❑Yes ❑ No Date:
® CONSTRUCTION PLANS 0 SITE PLAN 0 ENERGY REPORT
Page 1
RESIDENTIAL
c O v,,, t; T SECTION 2"< OPERTY OWNERSHlPYAUTHOR1ZEIJ,AGENT.:'; .,
Oyvner Record: /�
,1/� l r �OS61 Oahreil �hz4aAe'rr�/ Lug7/t. 34-9477
Name(print) Contact Address / Phone Number
2.2 Authorized Agent:
Name(print) Contact Address Phone Number
t "�'';.,,, 111 k g,, ,? t t. ;`"p",+:lx SEarldlV 3=COh1STAUl loTIONISERVICES;;``T?tia:t,,` "," _,._' .° ,._... T'*le
3.1 Licensed Construction Supervisor/Specialty License: License Number:
Company Name/Contractor Name:
C Address: Expiration Date:
0 Signature: Telephone:
P 3.2 Registered Home Improvement Contractor: Not Applicable ❑
Y
O Are you a Home Improvement Contractor subject to(780 CMR.110.R6)? ❑Yes 0 No
F Are you claming exemption from the requirements? 0 Yes ❑ No
L If Yes, Go to Section 3.3
1 Company Name/Contractor Name: Registration Number(if none, state"none"):
C Address:
E Signature: Telephone: Expiration Date:
N 3.3 For Residential Remodel Work Only
C PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND:
E QUESTIONS OR COMPLAINTS call or write:
(S) Home Improvement Contractors Registration, One Ashburton Place-Room 1301, Boston, MA 02108, 617-727-8598
Vam a Homeowner performing a the work myself.
) )
iOwners Name(pr'
Signature:
signing the above,the homeowner acknowledges that there will be no eligibility to the Guaranty Fund
Date:
3.4 Homeowner Exemption-One&Two Family Only
FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
j 5108.3.5 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0,effective July 1,1982.no individua
shall be engaged in directly supervising persons engaged in construction,reconstruction,alteration,repair,removal or demolition involving the structural elements of building.
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 Constructioi
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 Homeowne
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 whit
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 tha
one home in a two-year period shall not be considered a Homeowner
If you are apply' n this sew ignnn below:
Signature: �7 /f T
Y r'signature carries certain responsibilities,including but not necessarily limited to,general liability
Page 2
SEc.TION 4,-,WORKER S COMPENSATION INSURANCE'AFFIDAVITi(MGL cl52§2=) l ri au
Worker's Compensation 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. Signed Affidavit Attached: 0 Yes 0 No
3.431*.:233t,aft:W:j/4*-33,:,4313SECTION"5;-DESCRIPFIONrOPPRO,OSED-WORK Check all a "'hcable
0 Deck 0 Pool 0 Repairs Lz7Alteration 0 Chimney/Fireplace 0 Woodstove/Pellet Stove
0 New Construction* 0 Accessory Bldg. 0 Roofing/Siding 0 Other
(Energy report required) (Shed/Garage) (Specify below)
0 Addition 0 Replacement window/door 0 Demolition
(Energy report required) No. of windows Doors (Specify below)
*If 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
❑Air conditioning-(separate unit)
❑None of the above to be provided
❑ Ho Hot Water: Gas Electric Fuel Oil _ Other
/Description of proposed/work:
111/// /�teez6 e_ -Mat. ( 1LI,r,aj�
i r,;; o,tw .k , uS. .,'esteTLOtd.S-ES7fATED coNsTRacT(00 N COST. via,.v .�:, .a , ..raa .,kwF .xi.. .
Item . Estimated Cost($)to be completed by permit applicant
1. Building
2. Electrical
3. Plumbing /
4. Mechanical(HVAC) �� � (�//
5. Total =(1 +2-+3+4) b
tte '-x r SECT ON TA1 WNERRAUT ORI TION ° -+ �. 'r '' _ ',
<4;,,, ,, ,,,,r . 4 ,r ,.r � o be completed hren owner s ageentor cont:; cto plies filding per""mrt 'i' r , ''"'t
(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 Date
';` „,, ,cv^" :`u s_"," ,, . ,.-30 s3iSEC3ION TB QWNERAwri ORIZED`:AGENTDECLARATIQN�A„ -ri',z,;.r,m., art E r w.<.te':r,__,
I, ' kt'(` it (�L i , as Owner/Authorized Agent hereby declare that the statements and information
the foregoing application are true and accurate,to the best of my knowledge and belief.
Signed under the ins a penalties of perjury.
/ /nature of caner/Authorized Agent Date
Page 3
: '=SECTION W-INSPECTOR'S REVIEW/COPAMENTS�
1. Date plan reviewed: .BAN he 6 ":,'to
2. DENIED(see project review worksheet):
Date:
3. HOLD
Reason: /C Date:
4. HOLD subject to Zoning Board of Appeals action: Date:
Comments:
:44
Inspector's Signature: caaS Date: Md 6 AP
Applicant informed of above: Date: Time: Clerk:
Comments:
;, 4 4;, ° x 4.0.-•0 ,, tI.I•7' t { f V- 'SE'CTION`10='OEF'tCE1INSPECTORSNOTES `" <. ,_ ;.;.s.
Less Application Fee: $25.00 Remaining Balance: $
Total Permit Fee: $
Other$Amount$
TOTAL FEE: Gross Area-New Construction total sq.ft. _"""" Gross Area-Alteration total sq.ft. /�(/
Permit Issued to: naf /,��4sex_
TM i,. :. ut SECT70N91 <f1DD1TIDNAL4COMMENTS.SKaffiES lit .r `E . 5 <!k3 , fi•
Page 4
JAN-06-11 14:18 FROM-Sullivan&Williams 1508991868T T-032 P.001/002 F-982
•
1
PropettyAddress:
Blueberry Lane,Dartmouth, BK 9950 PG 321
Ma�anatehehnscti*dz7a7
1241,10 11141 DOC, 31748
Bristol Co. S.D.
Deed
',Robin A.Avila f/k/a Robin A.Selwfidd,of5Blueberry Lane,Dartmouth,Massachusetts 02747
in wueidautioa of Three,Hundred Eighteen Thousand and 00/100 Dollars(5318,000,00
gaze to Walter].Cabral end Rosa M.Cabral,husband and wife as tenant%by the entirety of 95 Bullard
Street,New Bedford,Massachusetts 02746
with QUITCLAIM COVENANTS
The laud with the beading thereon situated in Dartmouth,Bristol County,Mansaehutatre,being Lot 015
on Overall Subdivision Layout+Index Plan for Blueberry Acres dated May 17,1993,prepared for
Richard O.Hawes Revocable Trust by Allende Design Engineers,Dnc.,and recorded In Bristol County
S.D.Registry of Deeds in Plan Book 130,Page 103 and to which plan reference may be had for a more
• particular description.
• Containing 46,030 square feet ofland,more or less.
Subject to a 30'no activity none as delineated and shown on the above-referenced Plan.
Subject to Blueberry Acres Trust dated August 30,1993,and recorded in Bristol County S.D.Registry of
Deed.to Book3131,Page 267,and further subject to Protective Covenants,Reservations and Restrictions
dated August 31,1993,and recorded In said Registry of Deed.In Book 3142,Page 107.
• Being the same premise*conveyed by deed dated May 10.1997 and recorded In said Bristol County S.D.
Registry or Deeds in Book3874,Page 120.
• .ODOSTuta Sts,Ward Sdueov;inc7r1-324-0550 Deed
JAN-00-11 14:18 FROM—Su llivan&WiIIiams 15089918687 T-032 P.002/002 F-982
•
•
II
•
i
I
Executed as a sealed mawmeottltia 32dt day of December;2010.
Robin A.Avila fddaRobin A.Schofield
Commonwealth of Massachusetts Bristol,es:
On this 31st day of December,2010,before me,the undersigned notary public, personally appeared Rob
Avila f/Wa Robin A.Schofield,proved to me through satisfactory evidence of identification,which were
Driver's License;Cl State➢;O Pesaporn❑Odle'Government lamed ID;❑Other,to be the p hose
none is signed on thepreceding or attached document,and aclmovdedged to at hdehe/t ig d it
voluntarily for its stated purpose. r •t riiiin i /
J.Q tl , N :y Public
(/' , I PtiIMied,.,, • toss: Novembers,2013
l i '
yn4vs9°dcf is•''
+ b,9pp..att4"
4/Irdnn ion�°av�`
.017881010 Sicut d Sabldees,Iae.781a28i1550 Deed
/ 126" /
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t3 / 24" / 21" 30" 21" / 30" /
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C. / 36" /-9" 3 " 21" / 24"16 /
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XI
All dimensions size designations -,- " it This is an original designand must
b. Designed: 12/11/2010
given are subject to verification on /it not be released or copied unless Printed: 12/11/2010
job site and adjustment to fit job --0/7 - ' applicable fee has been paid or job
conditions. , N -, ''' order placed.
L
C110E032.1CIT All Drawing#: 1
The Commonwealth of Massachusetts
Department of Industrial Accidents
1; Office of Investigations
1U
l 600 Washington Street -+ Boston, MA 02111
F%q r..9
ff www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
An i licant Information Please Print Legibly
ame (Business/Organization/Individual): //O /kr 4-- 6.5 1-7- d 4 ht (
%ate/Zip4tJTh
s: 5 2/ &rcy 00 h A- o 7/7 Phone #:SW, - o 77
Are you an employer? Check the appropriate box: Type of project(required):
I.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
listed on the attached sheet. 7. ❑ Remodeling
2.El I am a sole proprietor or partner-
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in anycapacity. employees and have workers'
g P ty 9. ❑ Building addition
/yereworkers' comp. insurance comp. insurance.$
quired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3. I am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions
myself. [No workers' right of exemption per MGL
Y comp. 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must 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:
Poliicc #or Self-ins. Lic.#: tj/ Expir ' n Date:
o 7T b Site Address: .. 'at fZ d cry 1-4 2 e? City/State/Zip y t 6 a-7 r j
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that,a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I 9 hereby certify nder th wins a penalties of perjury that the informati provided above is true and correct.
Signature: /b '� �( Date: ////
--1 one#: 56t fit- 9 h 29
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax# 617-727-7749
www.mass.gov/dia
'ermit No. BR:6±ZO7 Project Location: 5 BLUEBERRY LN
Commonwealth of Massachusetts
TOWN OF DARTMOUTH M P#: 3247.00
24700
400 Slocum Road,Dartmouth,MA 02747 Lot: 0002
Phone:(508)910-1820 • Fax: (508)910-1838 Sublot: 0030
BUILDING PERMIT Category: ALTERATION
Project# S 201 001 01
FIELD INSPECTION Est. $8,200.007
Const.Class:
Use Group: R3
Contractor: License: Phone#: Lot Size(sq.ft.) 46030
Engineer: License: Phone#:
Zoning: SRB
Aquifer Zone: ZONE 3
Applicant. Phone#: Flood Zone: ZONE X
ROSA M CABRAL (508)328-9678 New Const.: N/A
OWNER: Alt.Const.: 101 sq.ft.
CABRAL WALTER J RO A M CABRAL
DATE ISSUED: / le //
1 r, hC 'il+ilFl
TO PERFORM THE FOLLOWING WORK. } L' L'III
Replacement kitchen cabinets
DATE 7 TIME / TYPE OF INSPECTION/ & REMARKS
� 7 I INITIAL
7-, —// (gQa-a-ied5 p;LA��7 sizez tz /,v%.. -/ICJ Qr/�'` - a?7
L ,A.7, ' ,,C1tr3& l/crrg-cjcrn . /2/2
/la,/ P,Aet.,v 9Lc 4orLa - t1) 7 a�,--f/ DI
• 4.-
71t/C2/
za-frbitte )
JAW/47i)- 1)71"
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KB El 3 at: