BP-435 ,---
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bri ; i i . i ,: ;._ - 1..„, t ,..r.t. f -- _
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L.o t -3
-7 U 1,.:t; C; ':, fl 7 I I'7:, ii 1 f, : . : -.-. "95l !
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01_,./. 0 2 ii.1 99 6 C I.cy-lc
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CC,cix-e P 7., •: _____3 Jr -- - ... ,:bi-,-eet,,,,, t/i..tirl,l_et.L.oco, VIC- 023z,f-,
(..:a 7 t apt Pertt.on 221 o -tt !Vf t ;.506) :_7i 4±:C.'Ll 1E;t. , _
Type of L.:t2e7me : Or -' . i ) C2n3t . Dupery. Lleense 4 : (2,513.3S-:.
Prchltep-t : ( ) Enoinee.- : K fltnPr :
c-0floJ .t2H Lao : Reoldentlt
7sued To : Net Constr!..ntoon
7 r pc, cr 1.. .7.7.-;;;;;;.2, Ade, At tn. 1.0.. t17-.7::.................. fl...
New_OnThm1Av__„ ,..t:::.7_5?.0_121-1.2-msrd. bth,c-,!liEti.- -:' CO' x t,c
2 - 4 ------- 1
_ _ 1
_ -
__ - 01,..nr 9 r ( E. `, p Record : ___ R(223-eri; _& :;:. pox s.e t zot‘: n 1212 _ _______ ..._.
LI l ..,,,,__',„-Ittio iR j V I?722 :jE LL.-;i::,_,,,,,,_,=.,_:._,..:__,.,,,, T: :
C n 1!1 c..:1 y c.i t t: 780 OMR `.?..t h Rd, (2112-,' f1;h a p. 142, ,S1,ri 571 ;
other applAbae 11', F.,. 1_,BV, C"' Ci.",, DS art plan on file.
l he-etv certify that t.'22 flropo 'Aed WDr'-'. ic, 2lothot .1et-:. tot! th-fr
isf ret,:ord and I have bee : art-en-ttLeC hv the to.,xor to l'. 7--t-kP 1:hfl. 5
application as his auth2n1 /
7-
" A
kkA-P'-t****l(.l**-:-** W*****V,**t.-*-it**X **t**ti-****ntk'-)i*.'h********X.***
PPProved/ isso,cC By : eel S. Raod, Lccal BU` at11-:q CCTrn1S5101-t.::?r
-- ---"-- /-----''-""•-'"'-
t.;
r r rn ,
0 I t.j P;I'll•L.I--ANT Li f.r,,,,,LAt t-::::::;LI H13 Li
BUILDI NG PERMIT
mouth Bn 1r inn Decrttqcmt P t 6.6
J. ko);
wart;- Dar t ;,3 t fl, hc $12/it 7 t 40, 751 t
T<;? ur.:41 e '2306'-H'?9 Ir) 0;Iati3 Z rocl SRI.)
e. •al r 1 (t 5pfd Pent mt No. ,
u- dn.,Tht „_ „/ rr 4 t _
Pro : tct LtC : 1 3:1 : 3 d ificf
•i'33.-‘rcs Let s_.
he 3; Crc. sc;3. 3
3:12p iPrjf,?1;t".
CIL:Idress YJ
Cunt tic t Pr S n Ph r.?n :
Type or ;. ie et c r. 3 r"!s . a YiJ e L enSe 73 -C.)
at
¶ (Amer; ".
Usp:
rut
I5c3uet3 NeW Cowjemi.-.ttit30
:3; i,3„ -3.24. 67,1;"e=i,;;;71;;;;S:-.TE-24:—;•12---
ra..ict; y e I 1 it 6-2 41/ ke-1 o n s jjf ? t1 k*R""V / C:
ti cirie of ,s; sLo tt Cost of Covi,„ le;,L.A;v0 gio
Coc;st = TOInL
Uners of t.?.. J1. so n.jrni or
iO . iZtLtt
it i h ":I p A y 700 CMP 5th EcL uft;L Ct ?IA „ ) tnd
other- opplicEs'Se Mos Loa's COd"":" 001 p1e.;0‘ kr.-1
herfrtay Leet : fy that the 2rcince, d ocrs--: Is hethr.r.3 .3e16 ny the rxeliesi.
rece‘-t3 h. ;;i4. .t,,"il the ee-mer m.,-Ake this
S33gn..Auro of 7emeri0q3t .%
tir 117 , —
41." .0,-*,t **-tt V.-24.*** P**if,-***-s *--***-4.0.-fl
Oppr 0 V frd/ uea Iy ) t1keed, t;4i tdn iti .t;S
COF,MCW5t
Vi T;"-I I LAP,,c) „ Sr, estt Ct.;7,c;'/I. i 1.IPY
Plat (i T Lot , J7 Address /3 6 0/ r h I�
Required approval Approvals received
please (X) :approvals Please (X) approvals and
required for this project Initial as received
DATE INITIALS
1/' Zoning DEC 14 1995 L-
Building Comm. DEC 14 1995
Board of Appeals
Water Card
Sewer Card /
Board of Health l)/ Lc"
Bond
// Selectmen
Conservation it/ Fire Chief 9 il�y
k ia'1Y- 6
Cross Connections
Licensed Contractor
Controlled Const. Affid. ���,,//
--���('S ✓ Other information requiredt (a (L"( J�lc
/gi as 24-C nisl"
e— --„kocTH�\ LC.� ii� PERMIT NO. / 3 C'
4 ' DATE ISSUED / — —
A ��� TOW_ 0 DARTMOUTH �+ r
C?\ Wlo TOTAL COST �f i7 P• oO
4 yArio. APPLICATION FOR LESS APPLICATION FEES `�/ku-cl
\sea 5y BUILfIri&G PER�/IIT
r - F. _ FINAL PERMIT FEE 4/6-3. 't v
RUNG t
NONIMPEnagil 1? ter
LOCATION OF BUILDING Q�
01 Number & Street /.� _/l.���y?n// ,��/". 01.1 Zoning District$ ?
02 C s Streets
(between) /and/ // /
O U�- T>,/ Plat d'o 04 Subdivision s 51C�,'d 0/l'/'G-, Lot a77
OWNERSHIP COST
05 rivate (individual, corporation, 36 Cost of Improvement /cad,. GGG -
non-profit institution, etc.) 36.1 To be installed but not
06 ❑ Public (Federal, State, or local government) included in the above cost
36.2 Electrical ,'7o . -
TYPE OFA CONSTRUCTION 9G6G
07 , New Construction 36.3 Plumbing
08 ❑ Addition -Type of Room(s) 36.4 HVAC eG00., -
09 ❑ Alteration 36.5 Other - Specify
10 ❑ Foundation Only 37 TOTAL example: elevator �/O,
11 ❑ Demolition (#of units if residential) / G`G
12 ❑ Moving (relocation)
STRUCTURE
STATISTICS 38 -2 Wood Frame
13 Number of Bedrooms 3— 39 ❑ Masonry (wall bearing)
14 Number of Bathrooms (Total) 02 40 ❑ Structural Steel
Full-Tub / 41 ❑ Reinforced concrete
3/4 - Shower / 42 ❑ Other - Specify
1/2 - Toilet Only /2
RESIDENTIAL-PROPOSED USE DIMENSIONS
15 -ISOne-Family 43 Number of stories a
16 ❑ Two or more families 1193 �~
44 Total square feet of floor area, all floors,
Number of units based on exterior dimensions
1721arage a2V'xe7Y
18 ❑ Shed 45 Total land area, square feet VG 26/
19 ❑ Carport
20 ❑ Swimming Pool SEWAGE DISPOSAL
In-Ground Above-Ground_
21 ❑ Woodstove 46 ❑ Public or private company
22 ❑ Fireplace 47 nvate (septic tank, etc.)
23 ❑ Other - Specify
WATER SUPPLY
48 ❑ Public or private company
NON-RESIDENTIAL - PROPOSED USE 49 . -Wivate, (well, cistern)
24 ❑ Amusement, recreational PRINCIPAL TYPE OF HEATING FUEL
25 ❑ Church, other religious
26 ❑ Industrial 50 ❑ Gas
? 27 ❑ Parking Garage 51 -2'611 r
28 ❑ Service station, Repair garage 52 ❑ Electricity
29 ❑ Hospital, institutional 53 ❑ Coal i
4 30 ❑ Office, bank, professional 54 ❑ Other - Specify r
31 ❑ Public utility
32 ❑ School, library, other educational TYPE OF MECHANICAL
33 ❑ Stores, mercantile 55 Will there be central air conditioning? 2<s ❑ No
34 ❑ Tanks, towers 56 Will there be an elevator? ❑Yes -B-So
35 ❑ Other- Specify
PARKING PER ZONING BY-LAWS
57 -P.-Enclosed r.7 58 -a'Outside /
. i
59 Does this building contain asbestos? ❑ YES O If yes complete the following:
Name & Address of Asbestos Removal Firm:
IDENTIFICATION - To be completed by all applicants PLEASE PRINT '
60 Owner (print)^- IstriC ui✓P 7.?" nn/" ' /6 2 SAL,.//> f ",Z8P-• 679/6«t3
AME L/' MAILING ADDRESS TELEPHONE NO.
61 Signature � o «^—•- 'aro .---1 DATE/02 O
/ g`4yes / N
j r �.., ff Builder's
62 Contracto (print)gein./ G'i / tli a9t 9y6/'9//tr License No.A1-2/Er
M ING AD 5 TELEPHONE NO. _
63 Signature DATE /o7//,5,/guy
64 Architect or Engineer (print)
NAME MAILING ADDRESS TELEPHONE NO.
65 Signature DATE
CERTIFICATION TO PE''_RM WORK
66 I/We hereby appoint %/� �//'i ., . _ �, i'i m . . 0,3-✓-
NAME ADDRESS
as my/our agent for the purpose of applying for and obtaining a building permit for the work to be done described in this
application. O
Signature��E-i c��•�"�(� ,//��/U/�i-µ-c _ DATE /02/6„4,1---
ADDITIONAL INFORMATION
67 Has A-1 or Determination been issued by Conservation Commission? ES ❑ NO
Submit copy of notification sent to DEQE and the State Dept. of Labor Industries and result of air sample analysis after
asbestos removal is complete.
68 Owner or Agen under peril of the penalties of perjury that the information herein is accurate to the best of
my knowl..•- / /
Signature //�' AeceA-- DATE /03G/10
or Agent — — -
69 BOARD OF HEALTH REVIEW DATE
Inspector or Authorized Person
COMMENTS:
70 DPW - WATER Service No. SEWER.Service No.
To be completed upon issuance of permit - (if applicable)
71 I will post p mit and ad s so as to v sible fro s eet.
Signature �dv � DATES���
`�ner or gent
72 I have receive�l Ist of re irons 7/�
Signature A✓, l/L' �i�� �°rZ DATE /�,V19,r
Own r Agent
73 FOR RESIDENTIAL PROJECTS OTHER THAN NEW DWELLINGS:
.1 ;y Are you a Home Improvement Contractor subject to the registration law(780 CMR-6)? YES NO
Y
Are you claiming an exemption from the law by homeowner sign-oft? YES NO (if yes,submit required signed affidavit)
1
Contractor's Signature: Date a
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND
(780 CMR-6) QUESTIONS or COMPLAINTS?
Call or write: Home Improvement Contractor Registration
One Ashburton Place-Room 1301
Boston, MA 02108
617-727-8598
Owner's Signature: Date: ,
RECEIPT FOR PERMIT ��
uurx. TOWN OF DARTMOUTH
(PERM O.
`b --T�
= -ti No f
6.4 / _ l l
Date
(deceived From {. /-dl y 'C( 1„`
Otner --''si.°L%.4.'✓^-1.--
Location /- 3 s_Q i 2_- Gt • '
Type i vLC.-L-c.,- -- !--ev—i i et
A
Amount Paid , *fJ `, Y c..4 i 2 is
Received By
RECEIPT FOR PERMIT 1 , dr- ..
7:(iIITII. TOWN OF DARTMOUTH LA.7)
PERMIT NO.
(a:lintr, 5)1 .
--7-g—__-yr- Date ci\B
•
Receiyetti,FromCj\-ZA,1-( J,IRLA 4 ( CL \C it .Lt 1 C ); )'\j
01 il ,
Owner t.'24'ir)...c ,,,,
, Aic , ,.
A
Location ) (— b{ A L ir
A 1
1,1) ri ,if ,J, LnA F ' 5 .
Amount Paid (>tr.: --.) ' -- 1 I
Received By k_
1
The Commonwealth ofMgssachttsetts
a� � Department oflndustritdAccidentr
° Office olReiss
-_ I; 600 Washington Street
g; --�'� Boston, Mass. OZIII
Workers' Compensation Insurance Affidavit
_7 icant:information -... .,,,_,_.r-=,,,_ ..
name: ,4^- .4' . Zf741,77-?
location: /Y j/�,'h/ )7/..
cin v i/. 0.2i../ 9%1' I,/
E i am a homeowner performing all work myself. phone#
E I am a sole proprietor and have no one working in any capacity
tom. gee .
. an employer providing workers' compensation for my employees working on this job.
company name: Cherryfield llev. Corp.
adorers: 8 Wareham Street ---
Middleboro, MA 02346
aim / nbone#: VZ ` 9//�
insurance eo iC-%Q¢�i� /7/,,/G�YG9/ - •
molter#' 41 3/67`—r-17/29G9—O/5/
E I am a sole proprietor general contractor or homeowner(circle one)and have hired the contractors listed below who hax'e
the following workers compensation police
co v /7
mnan name: ( / 7j C6 ' Per iixf —SC/
address: v 07/l0..../ re" z-o'.:
city: 9l 022/
insurance co. 2vri-,5'coR P G7� '/i .-:ce: Gel r - ./eis'
inpans name: w,�CC/�fj v47 '/ /e//�iy - .. .
address: /2i �PC%i9_c,...7 /7 - - /cin•: �� 12%ii'//- /? 1 phone-#: 9t —o�/!"
insurance co. �d7vi era- jam. -;palter# c^ye2172f/#:eYAg19C1—
Attach additinnais6eetifveeessan -;' -=- -.a.--.,
Failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or
one+ears' imprisonment as well as civil penalties in the form of a STOP WORIC ORDER and a fine of5100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do here . cenrf}•under r e pal enaltles of perjury that the information provided above is but and correct
Sigra e / nate J �.3A r
6/
Pr eat name �j y phone# f �i --
official use only do not write in this area to be completed by city or town official
cityor town: permiWettne#
—___GBuilding Department r
check if immediate response is required - ['Licensing Board
!- [Selectmen's Office
contact person: phone#; ['Health Department P
rlOtber
� h
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", an employee is defined as even 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 o
the foregoing engaged in a joint 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 section 25 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, 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 havt
been presented to the contracting authority.
'o lid-. :vFy� - - �iS'S '1 3.e _ -
lppiicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers as all affidavits 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.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided aspace 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. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Offi;e of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please io not hesitate to give us a call.
xs ,
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
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406. 409 or 375
TOWN OF 'DARTMOUTH BUILDING DEPARTMENT
TELEPHONE 508-999-0720 FAX 508-999-0738
TO:
COX' Fire Chief Dist. 1, 2, & ❑ Board of Appeals
Tax Collector ❑ D.P.W. Engineering
tom- Board of Health ❑ D.P.W. Water/Sewer
® Conservation Comm. ❑ Cross Conn./Water Div.
❑ Selectmen-Licensing ❑ Planning Board
Town Clerk Ea 9-1-1 Police Department
The following is forwarded to your office for your information
only - no response is required. PLEASE PRINT
The Building Department is in receipt
/��of //aa/n application for
a `J
Plat //o Lot -G/ , Address /C3 4/d4"7C/
by G�, � it//71- - 9Y 9/i� to Coa����
CONTACT PERSON&TELEPHONE# demo.construct, alter. occupy, etc.
a(n) ,/;?7,014 " 72ed
The plan was received by this office on /02/3/y.1 .
date
This office will review said plans and subject to availability of potable
water, where required, the provisions of Zoning By-law per MGL Chapter 40A and
MSBC 780 CMR 5th Edition will have available to issue or will deny a permit for
the above-mentioned work within 30 days of date of receipt.
The applicant has been advised that your office as indicated above may
recuire them to apply for licenses or permits subject to your jurisdiction and
that they should contact your office, as indicated, for specific information.
It is not necessary to respond to this notice unless there is a specific
issue at hand or you wish to forward material or information required for
permitting. When required, an Occupancy Permit will not be issued until all Town
Agencies have had the opportunity to "sign off" that the work under their
jurisdiction is complete to their satisfaction.
To The Applicant:
Be advised that this notice will be sent to the Agencies checked above as
they may have separate jurisdiction for your project. Any questions about the
Agencies Regulations & Policy should be addressed to the individual Agency.
Your signature acknowledges your receipt of a copy of this notice.
APPUCANTTELEPHO\E(PLEASE PRINT SIG?ATLRE DATE
,A,b 9 - 9//j'i J'
3�9
LICENSED CONTRACTOR'S N.AME7 PHONE(PLEASE PRINT DATE
•
REcEiveo
'95 BEG iv
f'n112
THE COLLECT OR 'S. OFFICE
DATE:
TO: BUILDING DEPARTMENT
FROM: COLLECTOR'S OFFICE
RE: PAYMENT OF PAST DUE TAXES
PLEASE BE ADVISED N =TS DAYS, /v n'7 S TIDE Tans FOR
PROPERTY LOCATED ON PARCEL
HAVE BEEN PAID. TEE ER?! WHICH HAS BEEZI REQUESTED AULT BE
ISSUED. IF YOU EA ANY QUESTIONS CONC2=NG TILTS Priam CALL.
•
cc:DEBORAH L. PIVA
TOWN OF 'DARTMOUTH. BUILDING DEPARTMENT
TELEPHONE 508-999-0720 FAX 508-999-073S
Fire Chief Dist. 1, 2, 6„, ❑ Bo d of Ap eals
Tax Collector ❑ E gineering
Board of Health ❑ D.P.W. Water/Sewer
® Conservation Comm. ❑ Cross Conn./Water Div.
❑ Selectmen-Licensing ❑ Planning Board
((
❑ Town Clerk Ell 9-1-1 Police Department
The following is forwarded to your office for your information
only - no response is required. PLEASE PRINT
The Building Department is in receipt of an application for
Plat % Lot o?-S/ , Address .13
by GP.-7/ajet/ i 52 g. to goay‘e2.71-
CONTACT PERSON&TELEPHONE# demo.comaact,alter. occupy, etc.
a(n) fivd4 , e/e 4441444' .
The plan was received by this office on /a/..V57.3.-- .
date
This office will review said plans and subject to availability of potable
water, where required, the provisions of Zoning By-law per MGL Chapter 40A and
MEEC 780 cMR Sth Edition will have available to issue or will deny a permit for
the above-mentioned work within 30 days of date of receipt.
The applicant has been advised that your office as indicated above may
require them to apply for licenses or permits subject to your jurisdiction and
that they should contact your office, as indicated, for specific information.
It is not necessary to respond to this notice unless there is a specific
issue at hand or you wish to forward material or information required for
permitting. When required, an Occupancy Permit will not be issued until all Town
Agencies have had the opportunity to "sign off" that the work under their
jurisdiction is complete to their satisfaction.
To The Applicant:
Be advised that this notice will be sent to the Agencies checked above as
they may have separate jurisdiction for your project. Any questions about the
Agencies Regulations & Policy should be addressed to the individual Agency.
Your signature acknowledges your receipt of a copy of this notice.
/2�,/A //,zi �,_5 s�
APPLIG.\TTELEPHO\E tPLEASE PRINT SIG?ATLRE tin
BUILDING PERMIT
FIELD INSPECTION
Dartmouth Building Department p 3r Plat: 66
400 Slocum Road-P.O. Box 9399 �i�IVll ��� a Lot(s) : 2-81
North Dartmouth, MA 02747 Lot Size: 40, 751
Telephone 508-999-0720 Zone Dist. : SRA
Issued Date: 01/02/96 Permit No. : 435
Project Location: 13 Goldfinch Drive
Number Street
Subdivision Name: Songbird Acres (Lot 24)
Nearest Cross Street:
Applicant/Agent: Bob Mullins (Cherryfield Development)
Contact Person Phone #: ( 508 ) -946-9118
Proposed Use: Residential
Residential,Commercial,Industrial, etc.
Permit Issued To: New Construction
Type of Improvement,Add,Alter,New Coast.,Demo,Land/Move,etc.
New One-Family Dwelling/ 3 bedrooms/ 2 baths/ garacie 24 , x 241 / septic
tank/ well/ oil heat (4, 483 sq. ft. )
indicate no.of bedrooms and bathrooms and other rooms
Owner(s) of Record: Robert & Louise Fournier -^
Address: 102 Bliss Street, Fall River, MA 02720
DATE TIME TYPE OF INSPECTION ; REMARKS INITIAL '
FFR 12 1996 "Jo ze/
dge4<.
FEB 23 199E //vsor /1 ,
� ..epr'
a-et -91 itgt2 .44 , Arr _ ak- 11
MAY 2 41996 /,a,n /; a «Q
tea _ r,e r-Jt n-wrt
6 —y 9 ,//:3crf,frr, C fla,..�:.,,x gk ��
:r(JUlui� r/
OCCUPANCY PERMIT
ROBERT & LOUSE FOURNIER
NEW DWELLING
Occupancy is hereby granted for the premises
located at 13 GOLDFINCH DRIVE Assessors Plat 66 Lot 2-81.
The premise has been found to meet the requirements of the Massachusetts State
Building Code in effect as of the date of permit issue and other applicable Massachusetts
Codes and regulations as evidenced by approvals affixed to the reverse of this permit.
The use is further found to be in compliance with the Local Zoning By-Laws for use as
indicated, as of this date of issue.
This permit is further conditioned on the continued maintenance of permitted conditions
as provided by law.
ZONING DISTRICT - SINGLE RESIDENCE DISTRICT
APPROVED USE - RESIDENTIAL
SPECIAL PERMIT/VARIANCE N/A
Approved by
David J. Silveira JUN I a
Me
Building Commissioner
& Zoning Enforcement Officer DATE OF ISSUE
CERTIFICATE OF OCCUPANCY - DEPARTMENTAL APPROVAL
To be signed by each division indicating compliance on final inspection.
BUILDING SPECIFICATIONS PER 780CMR 119.5:
USE GROUP CLASSIFICATION TYPE OF CONSTRUCTION
MAXIMUM LIVE LOAD FLOORS SPECIAL CONDITIONS
BUILDING p PERMIT NO. 435
Approved by Rco__, Date JUN 13 1996
Comment I
PLUMBING/
PERMIT NO. b62-'
Approved by gc7
Date Vat 9 96
Comment
GAS PERMIT NO.
Approved by /71/4 Date
Comment 44. 6-4,a 4 a,igy 1 a9 9.6
ELECTRICAL \ / PERMIT NO. `f 30 - 9�
Approved by eMw3 n-c,L Date t c l9q 1,
Comment
FIRE Dl1 3' PERMIT NO.
Approved by C%'fA-/flm otniJ r- Date S.- g, 76.
Comment
BOARD OF HEA 'J-I PERMIT NO. 95 77
Approved by C. /1/19
Date 6 /3-Comment 3 Be)rooM iioU •
DPW-WATER PERMIT NO.
Approved by Date
Comment N/A
DPW-SEWER PERMIT NO.
Approved by Date
Comment N/A
WATER DIVISION-CROSS CONNECTION JOB NO.
Approved by _ ,/[/fl _ Date
Comment
E - 911 COORWNATOR (023.4
,000 /ADDRES NO. 13
Approved by hed t CVO Lca (�k Date /V- ! ,n2,2,/ 9 96
Comment
PLANNING DIRECTOR (Off-Street Parking Plan)
Approved by Date
Comment N/A
RECEIPT FOR PERMIT
TOWN OF DARTMOUTH A a/6 !
it � PERMIT NO.
L'_ No
x Date 6-t—( "96
RecE9ved From/t -.16.1 J4/ t et/ / -4� .+gut 0+•7- i
Owner /�d--� g 7" L dZ C GAO �7
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M dati 7TV DART0. DEC- i4 19 Fultzir., DEPimm. r 8 Wareham Street.
TOWN OF DARTMOUTH BUILDING DEPARTMENT ?his plan, has been revieved and accepted as a record copy of York A COPY Of TI iis Endorsed'. IAA 023416,
maddlebor%
proposed to be pn.lured in corpliance with 785 CIR M Edition*
Plan Must Be 't
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applica Vagent. ard/or architectlengineer is rezponsible on
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for insuring final corpliance with the above-rentioned code
LA U995
notvithstanding any errors or Drissions in the record lam. Any
SITE DURING -5�tj (5 6 1,
PLANS MUST BE KEPT AT -t be reported to
change in oyner, li cume contractor or engineer ris
PERMIT HUNBERs, PLAT It
CONSTRUCTION this office i"nediatel, Any cbange in plan rust be submitted to
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