BP-3758 BUILDING PERMIT
Dartmouth Building Department Plat: 66
400 Slocum Road-P.O. Box 79399 Lot(s) : 2-81
Dartmouth, MA 02747 Lot Size: 40, 751
Telephone 508-999-0720 Zoning Dist. :SRB
September 22, 1997 (typed) Permit No. : vgAJ
Issued Date: /6' /6/Y7 Clerk: BAS
Project Location: 13 Goldfinch Drive
Number Street
Subdivision Name:
Nearest Cross Street:
Applicant/Agent: Aaron Pools & Spas/Paul Flanagan
Address: 597 State Road, Dartmouth, MA 02747
Contact Person Phone #: (508 ) 996-3320
Type of License: Owner: ( ) Const. Superv. License #: (013325 )
Architect: ( ) Engineer: ( ) Other: ( )
Proposed Use: Residential
_ - -___--Kesnienbal;Commeram,7ndutnaf,Tefc7-_.__ __- _ _ ____—__. _ _ _.
Permit Issued To: To Install
Type of Improvement,Add,Alter, New Coast.,Demo,Land/Move,etc.
18 x 36 in-ground swimming pool
indicate no.of bedrooms and bathrooms and other rooms
Gross Area of Const. : Cost of Const. $12,000,00
Cost-Other Const. : TOTAL FEE: $ 25.00
Owner(s) of Record: Bob Fornier
Address: 13 Goldfinch Drive, Dartmouth, MA 02747
All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) and any
other applicable Mass. Laws or codes and plans on file.
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 jurisdictionare not met; not withstanding the issuance
of this Building\Zoning. Ib4.wit.
Signature of Owner/Agent: ) L tti(ace=k,-
Address:
********************* *** * ** *********************************
Signature: f
Approved/Issued By oel S. e d, Tit : Local Building Inspector
COMMENTS: PLEASE •ST PERMIT CARD SO THAT IT IS VISIBLE FROM
THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS
REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION
IS REQUIRED.
0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COPY
BUILDING PERMIT
Dartmouth Building Department Plat:66
400 Slocum Road-P.O. Box 79399 Lot(s) :2-81
Dartmouth, MA 02747 Lot Size:40, 751
Telephone 508-999-0720 Zoning Dist. :(SRB
September 22, 1997 (typed) Permit No. : a 0
Issued Date: /a /6/j s/Clerk: BAS
Project Location: 13 Goldfinch Drive
Number Street
Subdivision Name:
Nearest Cross Street:
Applicant/Agent: Aaron Pools & Spas/Paul Flanagan
Address: 597 State Road, Dartmouth, MA 02747
Contact Person Phone #: (508 ) 996-3320
Type of License: Owner: ( ) Const. Superv. License #: (013325 )
Architect: ( ) Engineer: ( ) Other: ( )
Proposed Use: Residential
Residential,Commercial,Industrial,etc .
Permit Issued To: To Install
Type of Improvement,Add,Alter,New Coast,Demo,Land/Move,eta
18 x 36 in-ground swimming pool
indicate no.of bedrooms and bathrooms and other moms
Gross Area of Const. : Cost of Const. $12,000,00.
Cost-Other Const. : TOTAL FEE: $ 25 .00
Owner(s) of Record: Bob Fornier
Address: 13 Goldfinch Drive, Dartmouth, MA 02747
All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) and any
other applicable Mass. Laws or codes and plans on file.
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. P ...itr.
Signature of Owner/Agent: t__---"Zci ` /ataeat
Address:
*********************g *** * ' ** *********************************
Signature: i,
Approved/Issued Boel S. e d, Tit : Local Building Inspector
Off
COMMENTS: PLEASE • *ST PERMIT CARD SO THAT IT IS VISIBLE FROM
THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS
REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION
IS REQUIRED.
ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COP
TOWN OF DARTMOUTH 58
BUILDING RECEIPTS
COLLECTOR'S OFFICE
Name: i Pro er - Date: /�(
r � �13 ?c •. �. -e� i raj/ j•
Job Location:
White Copy-Collectors Office
Plot: it?' - Yellow Copy-Customer's Receipt
/ Lot: / Pink Copy-File Copy
Green Copy-Building Department
Phone:
Description General Ledger#'s Ref.# Amount
License&Permits-Building 01000-44105
License&Permits-Building Misc. 01000-44105 f
License Sr Permits-Electrical 01000-44106
License&Permits-Plumbing&Gas 01000-44107
Other Department Revenue 01000-42420
This is not a Permit or License for Building,Plumbing or Gas Received By: . 1 G,G`t-� ' iT i-
-z—
TOWN OF DARTMOUTH 03505
BUILDING RECEIPTS
No TAX ISSUES COLLECTOR'S OFFICE /
Nameitet j7 . -1-, Property 1 / Date:
4.
owner
764 jr
. : _
Job Location: / - ' :% Jyc---L - - -
— ^7 Yellow
o Copyop -Cu tome Office
Plot: � Lot: /rf -Yellow Copy-Customer's Receipt
I L6' Pink Copy-File Copy
Green Copy-Building Department
Phone: - - - .
Description General Ledger#'s Ref.# Amount
License&Permits-Building 01000-44105 Sa/
License&Permits-Building Misc. 01000-44105 I' ,_ i'c;Cam,'
License&Permits-Electrical 01000-44106 PIAXCOLL TOR'c(WEI(.,F
License&Permits-Plumbing&Gas 01000-44107 SEP1 1'7 W't1 /76?
Other Department Revenue 01000-42420
d �1 6 ®
y / ;/Y 41,
This is not a Permit or License for Building.Plumbing or Gas Received By: li< 7 lI 1
_TOWN OF DARTNIOUTH INGDEPARTMENT.
.TELE2HONE 508-999-0720 FA%`508-999-0738'
•
APPLICATION FOR ZONING AND BUILDING PERMIT
hnnnctioos
The applicant shall complete this application to the best of they ability prior to submission,leaving no item manawered.The
Department staff will be available during regular business hours to assist as necessary.N/A should be inserted for those sections
which do not apply.A properly completed application will help avoid mmecneary,delays. Nato Fig less eat reoniiie.
(for ogre we only) ... 0 FOUNDATION ONLY
Total Cost $ Received By Date Reed
Less Application Fee $
Total Permit Fee $ Permit# Tamed Date
100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET
CURRENT ACCESSORS' PLAT lop LOT a- ?) 1 ZONING DISTRICT 2-6
OTHER ZONING OVERLAY DISTRICT'S , if applicable
NUMBER & STREET 13 C'OLD Ft r icF1 T -
NEAREST CROSS STREET G OL E: rFt..t c-N f So n16 iS i _b
SUBDIVISION NAME & LOT//
or BUSINESS NAME
PREVIOUS TENANT / OWNER
200 RESIDENTIAL -PROPOSED PROJECT- one & two family residence only
72 THIS SECTION NOT APPLICABLE
Single family - number bedrooms number baths
Two family.- number bedrooms unit 1 number baths unit 1
number bedrooms unit 2 number baths unit 2
Accessory apartment Total gross sq. ft.
Accessory structure:
= Garage - detached -attached to dweling, dimensions LC\4\30
lk E Carport- detached- attached to dwelling, tensions L W
�'� rP
C Shed,-dimensions L W
Deck- dimensions L W
C Gazebo- dimensions L W
Swimming pool above ground CgP Size k b 3
Chimney - number of flues
1
—„ -- u..v.me.manufacturers
instructions).Location(s) (list)
C Fireplace(s) -(includes flue) List location(s)
C Game Court-"describe(include overall dimensions)
C Tent, Trailer(Mobile Home) or Other-describe
300 COMMERCIAL.-PROPOSED PROJECT/USE-INCLUDING THREE FAMILY OR MORE AND EXEMPT USES
C THIS SECTION NOT APPLICABLE
(The following descriptions arebased on the Massachusetts State Building Code Article 3,AS NOTED) (See the
Code)
C Assembly- restaurant, lounge, theater,school, etc. (see Code Section 302.0) Describe
C 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 2 years 9 months(see Code Section
304.0)
C Factory/Industrial - (see Code Section 305.0)
High Hazard - (see Code Section 306.0)
C Institutional -hospital, nursing home, infant day care (see Code Section 307.0)
C Mercantile - retail stores (see Code 308.0)
C Residential - three or more family, hotel (see Code Section 309.0) -
C Storage- includes garages(see Code Section 309.0)
C Utility & Miscellaneous Structures -includes tents and _gricultural structures (see Code Section 311.0)
C New tenant for any of the above, indicate above(see Code Section 119.0 and Zoning By-law section 35)
C Tent or Trailer-temporary purpose?
•
Other
Describe the p briefly,INCLUDE r umber ofdwa gunitsandbedcoomsaroccupantloadasapplicable,
also existing condition
400 TYPE OF CONSTRUCTION OR WORK TO BE PE DrORnWED
C New Corslruetion and/or Addition- total gross square feet
(For commercial m1y total gross cubic feet) -indicate
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
C FOR COMMERCIAL ONLY
Will this project be subject to CONSTRUCTION CONTROL(over 35,000 ca-ft.)_Yes No. (If yes
see Code section 127,0). Designer to submit Code Synopsis.
Will this project require Peer mew(over 400,000 cult) Yes No (see Code Appendix
APPLICANT TO PROVIDE I)
2
Alteration of existing, no increase in gross square feet. A separate Refuse DisposalDeclaration required.
• • _ Demolition - describe structure
Number of dwelling units Number of bedrooms A separate Refuse Disposal
Declaration required.
Moving - (Provide copy of D.P.N. 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 .
Re-roofing - (for existing only, is included in new construction)
Number of square feet Number of layers already existing
Number of layers when complete
A separate disposal declaration REQUIRED
O Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be
enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling will be
cc isidered as an .Alteration. otherwise will be included in new cusstruction. (see Code section 3401.10 inn
residential and Articl: 8 fcr 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 service iuses. Number of sets submitted
600 SITE PLAN
❑ Not required, why?
- 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
(NI.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 CMR section 114.1.2)
Sewage disposal - required_ yes _ no, public sewer_yes _ no
private septic - on-site _ ves _ no. Submit copy of permit as soon as available.
800 MECIIANICAIS & PRIMARY FUEL
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
_ Hot Water Gas Electric Fuel Oil Other
900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential
Required, plans provided, :plans not provided, why?
Not required, not to be installed. Why? •
1000 REQUIRED OFF-STREET PARKING - for ZONING & Architectural Access
= NOT APPLICABLE
T Parking Plan submitted To = Building Department = Planning Board Date submitted
Number of spaces - indoors outside total provided
Handicap 'paces - 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 L. If yes has it been issued yes = no =.
Submit copy of application and/or permit as soon as available.
1100 IDENTIFICATION (print or type except as noted)
Current owner- name O �O(LN t -
address VS Got PFINCN 0Q .
phone# q J s - ) ? 3?
If corporation- officer in charge
Architect/Engineer- for overall design
Company name
Address
Phone number
Certified by State of Massachusetts as
Certification number
NOTE Signatures and seals on all plans, affidavits and other documents SHALT. BE originals and not
reproductions.
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 I300)
Company name AA RCS Ppo i-5 4 SPA
Address 9� STATE R .(" .
Phone number 9/6-332-c>
Construction Supervisors license number 0/3 307-.0
NOTE Signatures and seals on all plans. affidavits and other documents SHALL BE originals and not
reproductions.
t>tssatts ssszssazzsszassstsssasasaasssssasasuaasssssssatsarissszssssssssaszssssssssssssssszsssssssssasas
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!
Rxaoca contractor name (please print)
Address
Registration number Or 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
the application herein submitted. I state that to the best of my knowledge and belief that the informationedview s
appiication is true and correct and that the permit requested provided in this
Further I understand that the permit be issued.
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 is
anticipated if I 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)
X Name
Signature
The above signature is my voluntary act and is signed under the pains and penalties of perjury.
Date
Who is authorized to pickup the permit at the Building Department? r lease ornn
Address
Phone
1400 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY
FOR HOME OWNERS 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 127.0. effective July 1, 1982, no individual shall be engaged in directly supervising persons engaged in
construction, reconstruction. alteration, repair, removal or demolition involving the structura elements of buildings or
strictures. unless he or , he is licensed in accordance wit, the rules and regulations promulgated by the BBRS entitled
Riles and Reguiations 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 persons) for hire to do such work ,that such
Home Owner shall act as supervisor.
For the purposes of this section only, a 'Home Owner' 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 dwellin , attached
• or detached structures accessory to such use and.'or farm structures. A person who constructs
two•vear period per
shall rot he considered a Home Ow more than one home in
.
If you are applying under this section sign below:
Sgnature
Your signature carries certain responsibilities. including but not necessarily limited to.
general liabiliR-
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
2.15.: of section
15.00 COST III
Cost of Improvement
/ 2000
Items to be installed but not included in the above cost: Electrical S
Plumbing
HVAC
Other
TOTAL ti
S IZ000
the following section for official use only. ` �''°�INSPECTORS' REVIEW•
Date plan reviewed _3 /
30 days to review period expires
OK to issue date
7. OK to issue subject to requested submittals (see project review worksheet)date
DENIED see project review worksbeet date
J • HOLD reason
date
HOLD Subject to Zoning Board of A
PPS action
Comments
Inspectors signature . .. Dat EP 1 9 1997
Applicant informed of above- Date - -
time
--staff '._- (fax, phone, in person)
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)
OFFICEUNSPECTORS NOTES
TOTAL FEE
Gross area - new construction Total Sq. Ft - . . .
alteration - Total Sq. Ft.
Permit is issued to
Comments/notes on permit o - - - -
1600 TO THE APPLICANT/REFERRAL AND APPROVAL
Date of Application submission
Plat _Lot_ Street Aquifer Zone_
Owner
Owner mail address
Owner phone!{
OTHER INVOLVED AGENCIES-The following agencies require separate jurisdictional permits or approval for your
proposed project. CONTACT THEM FOR REQUIRED SUBMISSIONS.
® TAX COLLECTOR 2 Approved HOLD By Date
❑ Board of Appeals 2 Approved By Date
❑ Conservation Commission ❑ Approved By - Date
❑ D.P.W. Water 2 Approved By ❑ D.P.W. Sewer C Approved By Date
❑ D.P.W. Cross Connection a Approved By Date
❑ Treasurer(Bond) 0 Approved By Date
❑ D.P.W. Engineering ❑ Approved By Date
7 Board of Health (well) C Approved By Date
❑ Board of Health (septic) C Approved By Date
❑ Board of Health (food service) 2 Approved By Date
❑ Planning Board (parking) C Approved By Date
▪ FIRE DISTRICT (I - II - III) Approved By Date
esaamaaaa
BUILDING DEPARTMENT APPROVAL:
❑ ZONING
❑ BUILDING INSPECTORBUILDING COMMISSIONER
a CONTROL CONSTRUCTION AFFIDAVIT
PROJECT SUMMARY:
new construction/ alteration/demo sewage disposal - public/private
[Alter/add interior walls] [add rooms] [add footprint] water supply - public/private well
[pool] [garage/shed/deck] [game court] [food service]
Describe
name
To the various departments:
This notice has been forwarded to you for your information and any appropriate action. Should you have any
questions please advise. If any reason to withhold the requested permit is found, please advise. Your assistance and
cooperation is appreciated.
The Building Department- Date sent for review By
8
..._
• •
PLOT PLAN
SCALE,
FILE COPY
LCAAJi DE
Ca-yr
ta,c-Tcc AccE;e_y_,Eaeremet.1-T
-41 TO3111 ri
T: OF DTreOUTH
u L.4
415 @ RECORD PLO
A Copy Of This Endorsed
ro
Plan Must Be Kept On Sit
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NUMBER FEE
TOWN OFDARTMOUTH :.
60 Bgard of Health _ $90 00
SWIMMINGI POOL PE$J1IIT
Type of Pool: 'aground..Poo1 .c 41.0
Location: 13 Goldfinch Lane, Dartmouth F ...�_ I
owner: Bob Fornier
Contractor: Aaron Pools & Spas
Date• September 17, 1997
This pool must be constructed as described in the applicatio for the swimming 1 construction
permit. �J
In tor
signature of Applicant
VInaduAk idajsrInPttAJ CM
Dartmouth Board of Health
uopy Of This Endorsed
Plan Must Be Kept On vise
During Construction
Dare,sEp 1 y tg97
Oht(t(cw7Irt
))fjO.H.:k
•
400 Slocum Road • P.O. Box 9399
atz4 North Dartmouth, Massachusetts 02747
CONSERVATION COMMISSION A-1 SITE INSPECTION FORM (5as)999.0722
.Q%f hooks to419194
Name of Person Making Request Date
124 tLur4tsrm S. Stag DelvQ , Q
Address of Applicant Stree Location of
Property
1 •C , M eau, •34(o Lot 24
City\Town, State, Zip Plat and Lot Number
ii4-0151 114 r 3b64 iste1ewig oA dwel4;T.
Telephone ( Day & Evening) Proposed Use of Land
(Dwelling, ddi ion etc . )
gi&R A \Ian Ve4CC.A611.1r u6h .,,`„
Owner Name Signa ure o Owner or
Owners ep esent tive
l24• ltau31kurN Qe. AT4
Ad_ dres� I ti
MA' OZ7ita Signature o A licant
LOCATION OF PROPERTY : Please attach a site plan . If a site plan
is not available, a hand drawn map showing the exact
location and size of property to be inspected is acceptable .
The map shall include the following information: street
name, house number on abutting lots, property bound
locations, and any natural or man-made features which will
allow the inspector to find the site . tJ:;e the space
provided below to draw a map or attach an extra sheet .
Property boundaries should be clearly marked in the field
prior to requesting site .inspection .
_ Wetlands exist on (North, South, East, West) of site.
Edge of wetland has been marked on site by Inspector. Flag numbers -
Any activity (clearing, digging, removal of vegetation, etc. ) in a wetland
or within 100 feet of a wetland requires a permit from the Conservation
commission. . No work shall begin until permit is received.
_ A Notice of Intent should be filed with the conservation commission before any
work begins on site.
,A.Request for Determination should be filed with the.conservatiop Com ss �
i ~ '
'before ,aril work begins on site.
16.0 No wetlands or other areas subject to the jurisdiction of the Conservation
commission exist on-site or within 100 feet of site. No forms need to be .
'filed with the• Conservgtion Commission. . •
A survey plan of the wetland delineation should be submitted to the
conservation commission office.
+other Comments: 1'/ °
• • •
• . + '
•
1 • +-
Note: The A-1 Site Inspection is a procedure outlined in the Dartmouth Wetlands
Protection Bylaw. It is a service available for the purpose of identifying , •
wetland areas on a site. The issuance of this completed sitq 'Insppdtion
a final determination of wetland boundaries or their jurisdictional status under
the Massachusetts Wetlands Protection Act (MOL,; ch.. 131 .$40j , or the Dartmouth
wetlands Protection Bylaw, only the issuance of a Determination of Applicability •
or order of Conditions- by the conservation Commission finalizes the determination
of wetland boundaries and\or their jurisdictional status under these Laws. The
completion of this Site Inspection is not an authorization to proceed with work.
This site inspection expires three (3) years from the date of issuance (shown
below) .
All filing forms are available in the Conservation Commission office, room 107
at the Dartmouth Town Hall, 400 Slocum Rd. from 9AM - 4PM Mondays and 8:45AM -
4:30PM Tuesday through Friday.
site Inspection Fees:
1-5 Acres $50.00; 5-10 Acres $75.00; 10-100 Acres $200.00;
Above 100 acres $400.00
The Conservation Inspector will flag the wetland edge for sites from 1-5 acres
only. The Conservation Commission reserves the right to refuse to perform a site
inspection on areas less than 5 acres where abnormal site conditions would
require an excessive amount of time be spent by the Conservation Inspector in
making a determination of the wetland areas present. Sites over 5 acres must
be flagged by a wetland scientist, botanist or other qualified person prior to
submitting of site inspection. The conservation Inspector will then review the
flagging in the field and make adjustments where necessary. The Conservation
commission may require proof of the qualifications of the person performing the
delineation on sites larger than 5 acres.
Date of Issuance conservation officer
(Rev. 9-1-94 MJO)
4c•
All materials have been supplied and all labor
• has been completed satisfactorily as per contract.
.Contractor Is Signature Dale
'CT) crit,l, ILO SWIM POOLS
J —L i cc Mti•,4 rn fa. CONTRACT Hereafter
referred to as
This contract is made on the j S day of ¶ .':h<m✓?(t 199 .7 ,between Lc.,sz t rl'41r rz (-Owned
residing at 13 C -c, ;, F,.i c IA 1>2 . Tel 99C-1 7-5 2_ (include area code number)and
A",, , i-)or- 1 r S r-n 5 ('Contractor')'CJ7 sin-re 126 3pR uc')4 mA. Address.
The Contractor agrees that it will,for the consideration hereinafter mentioned,furnish all goods and services necessary to complete the
following described work at premises known as i'a Q.NI e 2 .
IF IN GROUND POOL (Owner to Initial)Includes walls,vinyl liner,330 p.s.l.pipe,nylon,and metal finings,skimmer,outlet,coping,
pump and fiber,finer media,valves,plumbing,cement collar,excavation and back fill,all labor.
First year opening and dosing. c2 'f,rip,,,,
(Owner IF KIT ONLV.�
Size:
to I Initial)h' 3m Wall Type:e_6 L Mfg,Sic:Ktn..,a. Price I a 1F(C
For both above, in ground pools, labor not included. $
MISCELLANEOUS ITEMS Starter Chemicals $ 1r.ieL u D YC
Type of copying $ 1-1L1 n1 in)Lm Solar Blanket $ 1hi(L-C'n IS
Waterl LA..o i,.,C..-p Pet e..n...'se Se- Solar Reel $ fJt,NJ, Owner agrees to pay
'M-' contractortor theafore-
Li t: 5per w'l $ 3`rccr Pump 6 Filter S LCG: wI 15',j,e saidgeodsand services
(dt K,,.p asiollows: I 2- 7 i3�
Diving Board: $ NCN C Therapy Spa: $ rJe,„1t= 1.Cash Price $_
Float 8 Line: $ ir-1 c1. „r , t Auto Vacuum: $ NI LAt z.Deposit Herewith_$ .2,?WC
3.Due on delivery at w
Maintenance Kit: $ I l.,C L u n z:h Tree Removal: At owner's expense pool pkg. $$00 O
Ladder: $ l ,,r.z 1: Dirt Removal: At owner's expense Due wh n Liner is"' 33 Do c='
4.Due when Liner is ,'
Grading: S lu' I iil,nl 0-i cK- Electrical: At owner's expense installed $ Cca
f-+atiC Extra work,,if any: At owner's expense 5.Unpaid Bel.due on
Extended Decks: $ Pcompletion.
Completion defined
Slide: $ �=NIE EnergySupply that point in time
Heater: $ NU rICo To Heater: At owner's expense at
whilch i000lnpms
Foam Walls $ INICL, Ls El] purchased have
Cover: $ h-i d t-,I-, i I, been supplied and or
4' Stone installed as per con- '6`
Auto. Chlorinator $ `.. c'r_a��O Perimeter 5 I+-scLul)it] tract. $ I,cr;u
4'x 8'Fiberglas Step: $ C'=`-t' ,t tC._a oTotal Misc. Items S 6.Oth gas:
(Define):
Service
16'x ' Fiberglas Step: $ N hIc F Total Purchase Ch th Price mon 1ni/z . a
on unpaider
4
ng
Fiberglas Corner Step: $ 1,1 o Nil Pool or Kit 5 onlancea of comple-
tion on date of comple-
Handrail for Step: ) $ I r.le I-a,p 2 b. Miscellaneous lion of pool. $__
Vermiculite Bottom: $ I IJCLet.<I,' TORC ANNUAL items: f PERCENTAGE RATE
Bottom Filtration: $ 3 I\41,0 Lof\ulS Sales Tax: $ \ i OF UNPAID $
CC
BALANCE
Liner Style $ AP'( 1 b,(lmurh Total: $ )2. 5RO "
TILE ,
Contractor warrants that adequate Workmen's Compensation and Public Liability Insurance has been secured and that policies
effecting such coverage are in full force and in good standing
Contractor may at its option terminate this Contract without liability in the event that any bank,credit union or other financing
organization disapproves of financing as sought by the owner. '
NOTICE TO THE BUYERS/OWNERS
1.The conditions appearing on the reverse side of this Contract are part hereof. Do not sign before reading them. '
2.Do not sign this agreement if any of the spaces intended for the agreed terms to the extent of then available information are left
blank.
3.You are entitled to a copy of this agreement at the time you sign it.
4.You may at any time pay off the full unpaid balance due under this agreement,and in so doing you may receive a partial rebate
of any finance and insurance charges.
5.You may under certain circumstances redeem the property if repossessed because of your default, and you may under certain
conditions require a resale of the property if repossessed.
6.The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under
this agreement. '
7.You may cancel this agreement it it has been consummated by a party thereto at a place other than an address of the seller,
which may be his main office or branch thereof; provided you notify the seller in writing by ordinary mail posted, by telegram
sent or by delivery,not later than midnight of the third business day following the signing of this agreement.
WITNESS the hands and seals of the parties: p/,
CONTRACT signed at:1'i'LW� 1--C.r.Lr c,-3r IS //� /r /9��7
DATE
C9) STIJfe; ton. -''4YT sii-.TN /uf-- Owner acknowledges receipt of an exact copy hereof
signed by the Seller and completely filled in where appli-
cable prior to owners execution.
ft F 112W I—L;_.cs ,C. �c3✓ i 1 ,
L.S.)
CONTRACTOR 0 NE
By .i A.,(, I L1]N/pcn'✓ Q. S.)
CO-OWNER
`1
off ar ? 1 r f
I
.,:1� All materials have been supplied and all labor
r rc I , has been completed satisfactorily as per contract.
f li .C,-,.1 • '
Contractor Signature Date
...J'<-i 1 N'i t•> . SWIM POOLS
I 1 . `;,, .,. ;. CONTRACT Hereafter
referred to as
This contract Is made on the 1 -1 day Of . r:; ,a 199 ' % ,between I' ' . ("Owner')
tesklingat ', Tel. , ; (include area code number)and
, , ,.. Address.
The Contractor agrees that It will,for the consideration hereinafter mentioned,furnish all goods and services necessary to complete the
following described work at premises known afi >}' •
IF iN GROUND POOL (Owner to Initial)Incluldes Walls,vinyl liner,330 p.s.l.pipe,nylon,and metal fittings,skimmer,outlet,coping,
ptfdirkftl flket filter Sidle'Valves;plumbing;Cement collar;excavation and back fill,all labor..., ,.; ., ,
First year ope ing and dosing ' .
#n!arr:, cct idaor> h„r,;s Size:t•- , ,,,::•-.:Wall Type:•r . „ :, .,:Mfg. ,.,.,.. ,.,...Price .l c'.� �)
'OUT-ONLY\\ ; (Owner to Initial) „f a .:I-vs-
Foelbothgabove,and,in,ground poois,.aabor not•included r iota, n i,t q ,, , , ,:_ . ,
4141 i>attae a 3' .t,t'PV.0 b$m.$ab-tru ISr c.s'!�}t , r"f .,l, a Hioa to) ntatx c>1y- s 1 Sr., , s'U fit ) vy;
' i iftthtNEbUS ITEMS.i *AS1,2:; _4Mt$tart.$.Cherolcals irk''' ii- .,W5 $1,4400P Y1 4.g4k49.4c i
Typo of.copying g , • , , ., Solar Blanket J 'S , i4. - _
Watej'4' aAt•owner's expense, ...p,Solar Seel S I•. 1 ; r:: Owner agrees at pay
S bMNy „+^t Pe contraodsa dsevices
sa is nn -`�"'•-` ' . ' saidgoodsand services
Light: lr:ra±i, .Si 3••r 'Pump a'.Fllter .,., is .. asfollows. .
-�r, ) .:is ... ` '... , ! ,'•(,
Diving•Board; a F• , ,:$ ^1 ,i, •. :Therapy,Spa:, ..,r,. S t ,L is Cash Price y l
*IGa~,-:�,c.; a F.:,., *a: ,.ilY , ',2..Deposit Herewith._S t,
Floiit'sfLine: $ 1 .'t t' .; r. r•. "';Auto Vacuum. '•S
*'--3.Due on delivery of
Maintenance Kit it ric t, S,"I,e—+ r„ m i,,: i s - . .,-Tree:Removal;,,,,;-; At owner's expense , „pool pkg. $
hnoi GLvaR J 'S.?' r •
Ladder: . .•,,? ,Z Dirt Removal: At owner's expense? 1 ` '" ' '
,...r,,i 4. Due when Liner is
• ' Grading aed, .*t1„ —.4$ > , : r-,.... , , ..,:.: :., ..Electricplc_ ; •,:At owner's+expense,. • naianed s
'r 15. Unpaid Bal. due on
Extended Decks _S , ;,_ ,t Extra work if any At owner's expense , , completion.
x t5ti.?+a x.n an . • Completion defined "'
SIidE ','' $' I i• `f ' Energy Supply `I ' '" rr,. '°.as that point In time
tw :brit,.• Gn .r,-,r :..•' 'a To Heater: " r• q::At owner's expense' cr c i at which pool pkg. ,
Heater: S hJ ' (L .•..and all misc., items
CO-% lv"sinl�r,-: ' . ' Foam.Walls,., r,:S i.s.t' ''''\- . -purchsed have
G$�tn S ,. ,° beensuPPlied and orl•!.'
Auto. Chlorinator: $ > 4' Stone installed as per con- I
Perimeter , S. i_It,....,i\.+ l,;. . ;:.,.tract. _ $ ; ,,. I'
4 ;1„fiberglasStep ,r$.-- - '.Total Mise ItemsS Oefiner2rgeService)t
g
qDe ern--
16' x if°Fiberglas Step: S" `, ,.t Total Purchase Price'• , . , ,,. ,Charge, > 1/2% per
I ., ", month on Unpaid
balance commencin
Fiberglas Corner Step: S ill '1. Pool or.Kit ,.S, on date of comple
Hai it-40 iorStep: '; S I •. . ',:• t tion of pool. $
.7 Miscellaneous
Vermleulite Bottom: , . S 'ti L L- •.> items `„ S - PE CENTAGE RATE • .
Bottom.Filtration:.:... S ., i, .' , .,,Sales Tax S oNUNPAID.
\/ - BALANCE OF $
.LIMO'styte •.. ., $ ( i , ',s t)'+..i. sry-'Total: • . ' $ •2 7h1.3 : Ir. . . . .
Contractor warrants that adequate Workmen's Compensation and Public Liability,Insurance has been secured and that,policies
effecting such coverage are in full force and in good standing. •
a Contractor may at its option terminate this•Contract without liability in the event that any bank, credit union or other financing
organization:disapproves of ttnanctng aelsought•by the owner„ ., r•. to• ua,1fi;., ' •.
slot anuP edf ram rod b4t4 law e C ` t I'' r �1'>'x i s
3 x ai� �++ NOTICE�fOoTHE-BUYERS/OWNERSi x •'n,� r � •1 ,,,' , , ,,,n ;fl��*bfta
,..A bife,3Hlig Dinafh€ ttWP38ks'Ide'tifkhlitratlthiet'°dtb`lisit heteotrpo'hotbigNibefore ieeding'thel &am+ash snot __
2.,Do not sign this agreement if any of the spaces intended for the agree d terms to the extent of then available information are left
blank:
:.
3. tous,aie entitled to a copy of this agreement at the time you sign it.
4. You may at any time pay off the full unpaid balance due.under;this agreement,,and in,so,doing you;may receive,a partial rebate
of,any_ainance,and insurance charges,,., ..-', . n , , +.,,.., •• , ,, : .
• 5.-Yob may'under'certain circumstances redeem the•property,if repossessed because of your default,-and youtmay;under_certain
*ondltiovts tequire•alresale of•the property If:repossessed.0 been ev»,i et.cc.w 7;fretrrQD edf .1eti ,:totq e..i. ;o nGtfx?9 n$•i
a S"'€Ttfs`ksitiOtiai•ho"rtghktiy,urtlsittaireritingddltptathisagdetOriirhit rbteahhtetatlyeaeiste enosseiagoods purchased'under
s,� i fNtAaYtgF!!ti#lilttl 7k "t�iims'et -;;i4.-annti'r es ' 4,,i,m„za.,ar-, °l•ki . • -..- .
7. You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the seller,
Pn -which may be his main office or branch thereof; provided you notify the seller in.writing by ordinary mail posted, by telekram
sent,or by delivery, not later than midnight of the third business day following the signing of this agreement.
„ ,
Viflt•�IFSS the hands and seals of the parties:
rri
•
- ! :C
CONTRACT signed at: / '! ' . _, /1 / ,�. „'
DATE '
Owner acknowledges receipt of an exact copy hereof
signed by the Seller and completely filled in where appli-
cable prior to owners execution.
91
CONTRACTOR } i-1d.4 . Y,., ' , ......_--.-(L. S.)
_ _ OWNER'
,
By G r'
-
CO-OWNER
BUILDING PERMIT
FIELD INSPECTION
Dartmouth Building Department Plat: 66
400 Slocum Road P.O. Box 79399 Lot(s) :2-81
Dartmouth, MA 02747 Lot Size: 40, 751
Telephone (508 )999-0720 Zone Dist. : SRB
Issued Date: /1)/03/9 Permit No: l_373IP
Project Location: 13 Goldfinch Drive
Number Street
Subdivision Name:
Nearest Cross Street:
Applicant/Agent: Aaron Pools & Spas/Paul Flanagan
Contact Person Phone #: (508 ) 996-3320
Proposed Use: Residential
Residential,Commercial,Industrial,etc.
Permit Issued To: To Install
Type of Improvement,Add,Alter,New Coat.,Demo,Land/Move,etc.
18 x 36 in-ground swimming pool
Indicate no of bedrooms and bathrooms and other rooms
Owner(s) of Record: Bob Fornier
Address: 13 Goldfinch Drive, Dartmouth, MA 02747
DATE TIME TYPE OF INSPECTION REMARKS INITIAL
JAN 13 1998 ,.
p .11-121i
t ,. t
toif400 Slocum Road • P.O. Box79399 Oly d SEP jL )j
North Dartmouth, Massachusetts 02747
TTH
CONSER ATIONC OMMMISSION
A-1 SITE INSPECTION FORM
CONSERVATION COMMISSION (508 7 999-0722
FI.PNPGAfJ 9/hJS7
Name of Person Making Request Date
S5 sre,: RD. �� G� o ckNeN p2 .
Address of Applicant Street Location of
Pro erty
City\Town, ' ., tate , Zip Plat and Lot Number
m�S( \\ q 6- 3320
J`6) L �N 6QW e-�� JW\Mrv.kr�G ?t)U(-
_ _lepho::= ( Day & Evening ) Proposed Use of Land
Dwelling, Addition etc . )
C;.)em£'2 �pJL t
Owner Name Signature of Owner or
Owners Representative
\ 3 CoL.OFnrack OQ _ Trcjr (CP.-n
Address Signature of Applicant
LOCATION OF PROPERTY : Please attach a .J1te plan . If a site plan
._ not available , a hand drawn :::up showing the exact
location and size of property to be inspected is acceptable .
The map shall include the follc.a °: r: ; information : street
name, h.:use number on abuttinc lotd , property bound
Locations , and any natural or man -made features which will
allow the inspector to find the ._ it,_ . Use the space
provided below to draw a map or attach an extra sheet .
,perty boundaries should be clearly marked in the field
requesting site inspection .
G` _
CL
Wetlands exist on (North, South, East, West) of site.
_ Edge of wetland has been marked on site by Inspector. Flag numbers -
_ Any activity (clearing, digging, removal of vegetation, etc.) in a wetland
or within 100 feet of a wetland requires a permit from the Conservation
Commission. No work shall beqin until permit is received.
A Notice of Intent should be filed with the Conservation Commission before any
work begins on site.
A Request for Determination should be filed with the Conservation Commission
before any work begins on site.
1L No wetlands or other areas subject to the jurisdiction of the conservation
Commission exist on site or within 100 feet of site. No forms need to be
filed with the conservation Commission.
_ A survey plan of the wetland delineation should be submitted to the
Conservation Commission office.
other Comments:
Note: The A-1 Site Inspection is a procedure outlined in the Dartmouth wetlands
Protection Bylaw. It is a service available for the purpose of identifying
wetland areas on a site. The issuance of this completed Site Inspection is NOT
a final determination of wetland boundaries or their jurisdictional status under
the Massachusetts Wetlands Protection Act (MGL Ch. 131 §40) or the Dartmouth
Wetlands Protection Bylaw. Only the issuance of a Determination of Applicability
or order of conditions by the conservation Commission finalizes the determination
of wetland boundaries and\or their jurisdictional status under these Laws. The
completion of this site Inspection is not an authorization to proceed with work.
This
Thisw) ite inspection expires three (3) years from the date of issuance (shown
All filing forms are available in the Conservation Commission office, room 107
at the Dartmouth Town Hall, 400 Slocum Rd. from 9AM - 4PM Mondays and 8:45AM -
4:30PM Tuesday through Friday.
Site Inspection Fees:
1-5 Acres $50.00; 5-10 Acres $75.00; 10-100 Acres $200.00;
Above 100 acres $400.00
The Conservation Inspector will flag the wetland edge for sites from 1-5 acres
only. The Conservation commission reserves the right to refuse to perform a site
inspection on areas less than 5 acres where abnormal site conditions would
require an excessive amount of time be spent by the Conservation Inspector in
making a determination of the wetland areas present. Sites over 5 acres must
be flagged by a wetland scientist, botanist or other qualified person prior to
submitting of site inspection. The conservation Inspector will then review the
flagging in the field and make adjustments where necessary. The Conservation
commission may require proof of the qualifications of the person performing the
delineation on sites larger than 5 acres.
4
Date of Issuance Y.ichaelJ. O'Reillid
Y
EnvironmentalAffairs Coordinator
(Rev. 9-1-94 .JO1
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