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BP-2720 70-0 v " 91 _ __ . - y 3� 5 I � N PERMIT Dart moot BM tdinig DeOartr, n1: i Plat 1.4-. 4Q0, :.i.toctave Pt Id 4 0, Doi: n s I Lot ' z : t dtf Do ti N unth„ MAOE ' i ;` 3 '` I Lot S t =.e t ti 3., 75., . To 1508 9 9 --0720 s Zoo ir¢v, Di t. .SF$S 1 aJ-+‘•::ri nor es 1996�} f"�wt:}k E� �9. a'vrmit- No. cA . P la 'suarea D3te. s _ 1" ff cie i2 or1s Pro,iett 9_ecat i on .,_ tiro tt ln:Nigh. 4 a ,.._va rr. licbdtvistao Name : Nearest Cross a "€reet Ap.E.i scant /iirjent t s ho , d! od i tso a um i4 m, ... ._, Fitsdr&%,S. : 1 r A,[?aa T otiul i to,nas__tim dill Its I attth , Nil Ol roA--._ ___.,.......___-.._._ Loot act 434 r: on Ph on is. it; a otd3 i S9=.. i - Sk t Viso= of i -a tense Choler 1 $:.i? C.gal r L0.1cw cv. S ;.r f..tl S ll: Q r :arch i t sit't: : i, 1 Eft Cji$=per'.: S 1 6S*::he Y'" t Proposed Use _._ Re 5 i0ent 3 }, .._.- ... Ers Yaa»t833> Cwrzmar✓fo3.. tnd•/..:-t414 stc'-" 14 stwm.i T. 3 bsite I t _,. i5Cw rRS 4` 1 of it___ ;VP; Sana.rsaaltt, R9t pti'es Oaa_v.�r.:ct:_a ._°i.t...s<F.._.__.-wa_...a,.M_:sr_.__.. _-__- m..—Indios.s 4.._ :if }N` snr9 area t.DYhew,Qt en:" .'ttP.dr ec..a9t t'i r,+%s isirezi of Cansi`k" : je.9 ;,sow ft.t_..._ La _i. of Cons t,. .-:1:19. e?? Cost-Other Corset, __ � TO Tile_. IEL t `a .____ r -i`-£ZM?4__ __ ______, i_h.#nor s`aJ of ROCO d3 }fota Et _t f, F,,_ ui is r F.u rn Rd Y ;-v tv I]tr lttl i tSCii .a}l Nor:Sit_ Dart m o ti t}-t Nte. t;,aii rr 4 , t ..: All i';ork uhaI i comp w th 780 (PID ;ifh Fti.. ,..PIG i, 1.Flint.c F i .ii':i and b -.t :...._ .. . .P.Y4 i Tither cppiics„blo Naa.- .. L.„wi or t •_ie'.'i. and plans on fite,. t h reh`> certify thiit_..She petlpe,ecl t•.0r.r is :Let , ri .eri by the _ <necr et rep. .-r1 anii i have been <auth eri red by %.#'.<_- woes' to =take: th es appl E.cat ion cc h;.5 oitent ate to receive the e permit, I further understand .of'her- ally.DC se 58:tit h.aY ,::a on is 4) ;MP WORK if tti.,t;c. under their ju+r>sdict cn ace net met t not ithst endin0 the- x±i euance "T t ia ; Cu I 1 f.tog 1 2 Ci 1+i 64 T r t,s7 - Stttn !:« c of Dune.. "i Fe ,nt V Z' ! 41 r`_.:.. _,J.,,, :1,__. , a� v x4s#Rhea-Y 11-:*F$e11 r r-#-% fi tSirk kit4 Air*tF'$ `.£a 2t 4k- *144aYes:::: ''i'4iTtEtt--447 aR*4-N I §>.m7y.k4;e cipprevoollAtoucti Ayf .31 f i - a c e 3 'Fitts : DoI t-8) r.q luspcotcr LASE POST PERMIT R.. t CnTe.tv.4`'� PLEASE , t CARD SO TAT II IS VISIBLE FROM , THE STREET flittiOAL, LA APP ICi-,i4T Ii A:i5tS..:.CJR_ Li t, t- i.c Lt. LC_'P4 c. 1 9 1 RECEIPT FOR PERMIT 1 . � TOWN OF DARTMOUTH - o Tx. PERMIT NO. 0 tieNo Date 1 Received From ( .t_JA - Owner, —4--�G..--- _ / 1 Location` c C_ � � Type -,a....^t^..c<.. w -eaw--yam_ lt'/04 9 1 !) © c Amount Paid, -�% --E.-.-- ;?at �—�-- f / Received By // , 1 TOWN OF DARTMOUTH 02720 BUILDING RECEIPTS COLLECTOR'S OFFICE Name: tt Property r Date: 7/? /G7 Owner: A, .:. .e-r.-: Job Location: r o ;= 1 White Copy-Collector's Office Plot: Lot: �� (', Yellow Copy-Customers Receipt o' �i f Pink Copy-File Copy Green Copy-Building Department Phone: 7 r -- r 7 2> 2— Description General Ledger#'s Ref.# Amount License&Permit uildif 01000-44105 P' /^ License&Permits-Building Misc. 01000-44105 !f License&Permits-Electrical 01000-44106 License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 1, This is not a Permit or License for Building.Plumbing or Gas Received By: `! , TOWN OF DA.RTMOUTH BUILDING DEPARTMENT TELEPHONE 508-999-0720 FAX 508-999-0738 1 APPLIG. hN FOR ZONING AND BUILDING PERMIT 31 Nt9 I1 Istscroctions l2O The apptliyant_ Ball,complete this application to thr best of their ability prior to sobmimoa.•Itavmg no item unanswered.The Department staff ttlf-hS viaiiat(te gam.regular business hours to assist as necessary.N/Aihoulet be inserted for those sections which do not apply.A properly completed application will help avoid tmoeessuary delays. Memfir S(en is otttt tds (for ohm toe only) / Application fee Sri-or 5 received by 1 Date /° _ t37—7 Total Permit Fee $ Permit# lot) LOCATION OF PROJECT / CURRENT ACCESSORS' PLAT G 6 LOT,-7�j -S/ ZONING DISTRICT —) R OTHER ZONING OVERLAY DISTRICTS/ ,:-if applicabl(e� • NUMBER & STREET 1 ,0�Cvi Zi.'ic.c-c NEAREST CROSS STREET Si;BDIVISION NAME & LOT,. 'mat,/it', i or BUSINESS NAME �� PREVIOUS TENANT ; OWNER � �� i n�1i"�/9�2 - :DO RESIDENTIAL. - PROPOSED PROJECT' - one & two family residence only _ THIS SECTION NOT APPLICABLE / �J - Single family - number bedrooms it".........— v- / number baths U�-� �/ - Two family - number bedrooms unit 1 �1 a` number baths unit I _—_______ number bedrooms unit 2 i .% number baths unit 2 - rAf�fl = Accessory apartment Total gross sq. ft_ a_ _ Accessory structure = Garage - detached - attached to dwelling, dimensions L rt/ W A/n Carport - detached - attached to dwelling, dimensions L /0/ W 41/ II _ Shed - dimensions L / 2 R' �� azebo . dimensions L /fib w eit% _ Swimming pool above ground in-ground Size h/ total square feet 10 _ Chimney - #of flues /t/ noouswve - med (will require inspection prior to installation', new (provide manufacturers instructions). Location(s) (list) = Fireplace(s) -(includes flue) List location(s) = Game Court-describe(include overall dimensions) Tent, Trailer(Mobile Home) or Other- describe 300 COMMERCIAL-PROPOSED PROJECT/USE-INCLUDING THREE FAMILY OR MORE AND EXEMPT USES 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-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 507.0) - Mercantile - retail stores (see Code 308.0) — Residential - three or more family, hotel (see Code Section 309.01 - Storage - includes garages (see Code Section 309.0) Utility .g Miscellaneous Structures - includes tents and agricultural strucares !see Code Section 311.0) T 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? Other Describe the proposal briefly,INCLUDE number of dw also existing condition egg units and bedrooms or occupant load as applicable, t TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED Nrw Construction and/or Addition - total gross square feet (For commercial only total gross cubic feet) - mdir-oe 'It will be considered new construction if there an increase in square footage in addition to any alteration's). If project is an addition to existing structure - Total gross square feet of existing - FOR cpmmactam. ONLY Will this project be subject to CONSTRUCTION CONTROL'over 35.000 cu.ft.) Yes No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer review(over 400.000 cu.ft.) APPLICANT TO PROVIDE Yes _ No (see Code Appendix I) Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration required. -•Demolition -'describe structure Number of dwelling units Number of bedrooms A separate Refuse Disposal Declaration required- : Moving - (Provide copy of D.P.W. moving license) Type of structure from where (plat/lot or address) to where iplat/lot or address) Number of dwelling units Number of bedrooms per dwelling unit - Re-roofing - (for existing only, is included in new construction) Number of square feet Number of layers already existing Number of lavers when complete A separate disposal declaration REQUIRED Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged) EGRESS dimensions must he maintained. Enlarged or new windows in an existing dwelling will be considered as an Alteration, otherwise will he included in new construction. (see Code section 3401.10 for residential and Article 8 for commercial) Temporary structure-includes when allowed. trailers. tents and the like and only for limited periods of time. Describe 500 CONSTRUCTION PLANS - None submitted. Why? Submitted, usually three sets required. Four sets for food servicekuses. Number of sets submitted GI 600 SITE PI-AN 0 Not required, why? Z Submitted When? _ Previously, date _ _ With this application 700 UTILITIES Water supply - required yes _ no. public ? _yes _no. on site well? yes_ no. existing? _yes _ no 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 supply, when required, is available. See Code 780 CZAR section 114.I.2) Sewage daposal • required yes no. public sewer yes no private septic • on-site Vy s _ no. Submit copy of permit as soon as available. Furnace(hot air) - Fuel gas (natural or propane), fuel oil, electricity, other (specify) L' 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 SPRINKLERS . FOR STRICTURES OVER 7500 SQUARE FEET and certain multifamily residential _ Required. =plans provided, =plans not provided, why? _ Not required, not to be installed. Why? • 000 REQUIRED OFF-STREET PARKING - for ZONING & Architectural Access = NOT APPLICABLE = Parking Plan submitted To = Building Department = Planning Board Date submitted Number of spaces - indoors outside total provided flandica n 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. IDENTIFICiTION (print or type exc t s no ill Currant owner- name .;dd:css p .or.c = ��- 7 fC Lorporarion. officer in charge ArciritectEngineer - for overall design Company name Address Phone number Cerrfied by State of.lfassachusetts as Certification number NOTE Signatures and seals on all pions, affidavits a reproductions. and other documents SHALL BE originals and not Architect/Engineer- project supervision and reports • ,Company name Address Phone number Certified by State of Massachusetts as Certification number • NOTE Signatures and seals on all plans. affidavits and other documents SHALL BE originals and not reproductions. General Contractor(if Homeowner. state homeowner here then complete section 1300) Company name Address Phone number Construction Supervisors license number NOTE Signatures and seals on all plans. affidavits and other documents SHALL BE originals and not reproductions. 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to (780CMR -6) ? Yes_No_ If no go to next section! Are you claiming exemption from the requirement? Yes No _If yes, submit the required affidavit! Remodel contractor name (please print) Address Registration number (if none state none') Phone number PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS 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 Date • • 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 in this application is true and correct and that the permit requested he issued. Further I understand that the permit will expire in six months, from the date of issue. if no work is begun or six months after the last inspection if work has begun and that the permit may be extended for six months if no work :s anc:_aced is ! request such an extension in writing. I understand that the permit may be extended only three times by written request-I understand that once the permit expires a new application may be required,including fees and current other requirements (including Zoning). • Name `-Cr�P - "4— �ct--c..<.-C.- c`�= P✓c�C.�'4�yL� Fj Signature e above signature is my voluntary act and is signed under the paths and penalties of perjury. Date /0 - -3/ -9. Who is authorized to pickup the permit at the Building Department? :please coon Address Phone 1400 HOMEOWNER EXEMPTION -ONE &TWO FAMILY ONLY FOR HOME OWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT I09.1.1 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 persons engaged in onstrucdon. 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 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 personts) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section only, a 'Home 3wntr" is defined as follows: Persoms)who owns a parcel of land ,n +which he:she resides or intends to reside, on which there is.'or is intended to he. a one or two family dwelling, attached r detached structures accessory to such use and/or farm structures. A person who constructs more than one home in :wo-.ear period shall not be considered a Home Owner. f)ou are appiving under this section sign below: pn a Lure Your signature carries certain responsibilities. including but not necessarily limited to. general liability s<OTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any :er.sed (',nsrrucron Supervisor, whether or not they have taken the permit are responsible for code compliance. (see ._ .f section COST Cost of Improvement S Items to he installed hut not included in the above cost: Electrical S Plumbing HVAC Other yy TOTAL s tJ 0 0 following section for official use only. INSPECTORS' REVIEW Date plan reviewed NOV 01 1996 30 days to review period expires i pn I 9/, OK :.a issue dare OK to Sue subject to requested submittals (see project review worksheet) sate C DENIED see project review worksheet date HOLD reason date HOLD Subject to Zoning Board of Appeals action Comments �� Inspectors signature Lir`//�� .• NOVate itl Q �- yh7JD. Applicant informed of above - Date time_ staff (fax, phone, in person) i Y i YS Y i at:** ii Y iY t f t i if i i i i Sifii*i 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) i i i ti i Y s*i*i if Yt i ii Yi :ma* i*Yfiiftiiitiiiiiffifiiffi i i i sass*. OFFICE)INSPECTORS NOTES 90 TOTAL FEE r 7,t9 Gross area - new construction /1O Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit /0 x I D"- /^"" _ -- t 600 TO THE APPLLC.%z(r . -- ----- AND APPROVAL. ' Date of Application submission /G —_3/—// f G Plat , + Lot4 4C� /. -3 (y ki . G Aquifer Zone Owner �� -�,- Owner mail address ../ Owner phone# C S/ ? �C OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval proposed project. CONTACT [HEM R REOUIR D SUBMISSIONS.for your ®�TAX' COLLECTOR = Approved= HOLD Bp /1/ Date__________ onser'adon Comm _ Approved By (17 ALC/ C�r `/ — �� —/� / Date ❑ D.P.W. water = Approved By Date ❑ D.P.W. sewer Z. Approved By — Date _ ❑ D.P.W. cross connection _Approved Date_ D.P.W. enzineering = Approved Date ward of Health well = Approved 5 /' / 6 — 3 ( — 9 (9 Date \ oar.: of Health septic - Approved 3 CDate 3oard of Health food service = Approved Data g FIRE DISTRICT(I - II IIIl _ Approved / / Date ❑ Planninz Dept = Approved — Date r)et_r — Approved — Date _ '):`-r — Approved Date r ^.^S Prniect summary new construction/ alteration/demo sewage disposal - puhlic;private [Alter add interior walls! [add rooms' [add footprint! water supply - publiciprivate well ipooil [garage.:shed! [game court) [food service! i Describe / }c 'arious departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any ions please advise. If any reason to withhold the requested permit is found. please advise. Your assistance and r-::inn is appreciated. :uridinz Department / Dare sent for review /�1 — 3/ / G By .A� THE COLLECTOR 'S OFFICE RECER'EL) '96 MOU 9 Pf9 `I 53 DART MOUTH ELa.DING DEPT. DATE: 79 9‘ TO: CQrrniNG DEPARTMENT FROM: Cnr rwCTOR'S 0Fri= RE: PAYMENT OF PAST DQ.E miry Prams ss a auprsx+n THAT SON /war __r /9l Tire rams FOP PROPERTY LOCATED ON/3,,� �� csC✓ /)4 . p #��-Q2 NAVE R! jaw PAID. THE PERM2T NRa-a sag BEEN a= mar BE ISSDED_ rou GAVE ANY QQFS2!ZQNS CDNCENWING THm..S per, e DEBORALT L_ P_TYA Date of Application submission j: — a /- U Platt- / Lot 4 -.Tr/ �/ _ Street , "�_. 1- -tc- a� i Aquifer Zone Lc, 4-- t �,t c �- ✓c tr °woe mad address 6C-_ W CD • wnar,noner' �/ pit_;1 ...( (/N:S rc� OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR REQUIRED SURMILSSIONS. lc TAX COLLECTOR = Approved _ HOLD By Date C-unseryation Comm = Approved By Dare D.P.W. water = Approved By — Date D.P.W. sewer _ Approved B}.. Date_ D.P.1C, cross connection _ Approved Date a D.P.W. engineering - Approved / Date = 3ourd of Health well = Approved • Date 3r,ur.: f Health septic - Approved Date _ 3uar d of Health food service = Approved ,_ � Date r. FIRE DISTRICT cI - II.(III) = Approved Date 7. Planning Dept _ Approved Date _ Approved — Date )' _ Approved Date Prniec: SumW:ry ew construction: aiteratiooidetno sewage disposal - public:private inteMar wails! (add rootnsi (add footprint) water Supply - public:private ,veil peoii [garze:shed! [game court) (food service' ! DCSCnhr ; :c an:us departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any ors Please _dvue. If any reason to withhold the requested permit is found. please advise. Your assistance and -ion is appreciated. midinz Department Data sent for review By 1 I TOWN OF DARTMOUTH SONGBIRD DRIVE RECORD PLAN A Copy Of This Endorsed — — Flan U�iust Be Kept On Site % 1 ®{+i�pig i�n 15y®tlt3n N z6•C8'47" w A=75.17, Date =s18.co' 31.45' I nl ' /yWUk DRAWING MUST BE KEPI ' AT E ` glILDING DURING THE / OGRESS OF THIS WORK. 40734 S Q F T �• ,PiR y $ZJII.I DEPARTMENT 0. 94 ACRES L attatouth Li 5jeill 01 LO i s LA ir LOT a in24 1 ° U G Z x `-/ xL" G;^/Z iscifyi jjj `id 1,` v;/. T Cii i'NG,/C: �L.�. ems_ , J Existing 'Ric / /✓ Dwelling Ll isi / l ::: c\ Li ,_. yl‘ 1 /Is—1-rn , • S 86'45'30" W — 150.00' GOL_Di INC - DRIVE erg -cc/ elate ut r ppuCauon submission V /} -t � L' Y LIc' 1.�r Aquifer Zone % LacA7tree! d.. ' � -- v° Owner _t ' L IL _c Owner mail address i Owner phone# ? J_�/ OTHER I\•t•OLS'ED AGENCIES - The following agencies require separate jurisdictional permits or FOR approval proposed project. CONTACT Zvi for your REQUIRED SIIHMLSS70Ns. TAX COLLECTOR = Approved _ HOLD By Date i a ,Conservation Comm Approved By Date D.P.W. water = Approved By Date a D.P.W. sewer = Approved Br -- Date _ D.P.W.a cross connection _ Approved Date D.P.W.a engineering = Approved /� Date _ / = r3uard of Health well _ Approved _ n Date J. 3r,ar.: of Health scoria - Approved G lX i uJ' 'J O77r d Date JD-3/- 9b u 3ur d of Health food service = Approved _ Data :7RE DIS RIC iI - II lII) = Approved Date Planning Dept = Approved Date r)tt_: _ Approved • - Date . ):r._- — Approved Dare _ • runless Prn!ec: summon- ❑ew construction: alteration/demo sewage disposal - pubiic;prjya[e ;Alter=ed :nte.^.or wails! (add roomsi [add footprint! water ter supply • puhlic:prir•ate well :peoli (garaze•shedl [game Court! [food service: Describe / •anous departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any ns Tease advise. If any reason to withhold the requested permits found. please advise. Your assistance and atinn is appreciated. iidiaz Department Dare sent for review t / By BUILDING PERMIT FIELD INSPECTION Dartmouth Building Department Plat: 66 400 Slocum Road P.O. Box 9399 Lot(s) : 2-81 Dartmouth, MA 02747 Lot Size: 40, 751 Telephone (508 ) 999-0720 Zone Dist. : SRB Issued Date: 07/07 /97 Permit No: 2720 Project Location: 13 Goldfinch Drive Number Street Subdivision Name: Nearest Cross Street: Applicant/Agent: Robert & Louise Fournier Contact Person Phone #: (508) 995-1732 Proposed Use: Residential Residential, Commercial, Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. 12 ' x 10 ' shed -- 120 sca. ft. -- --'---- --- Indicate no.of bedrooms-and-bathrooms and-other rooms--- Owner(s) of Record: Robert & Louise Fournier Address: 13 Goldfinch Lane, Dartmouth, MA 02747 DATE TIME -TYPE OF INSPECTION REMARKS INITTIAL/ / ` / Z-G/. Ct /7.j;.-\ COIN E