BP-05200t
ENERGY INFORMATION REV. DATE: 8y
INSULATION: ROOF/CEILINGS 9„ _ R-30 4'-s" 16-8" "
OUTSIDE WALLS 3 1/2" - R-11
M424
* CEILING OVER UNHEATED ROOMS 61/4 R-19 pf2416 10-1
3 -6 »
--------
- J----- J--- ---- _ o
SEALING: ALL CRACKS, FOUNDATION SILL, JOINTS AROUND -WINDOWS `� ' - -O 2 r 1C14i v
O
&DOOR FRAMES WITH CAULK, WEATHERSTRIP TO SEAL 2-10' I - - - - - - - - - - - - - - - - - - -- ------------------
ALL OPENINGS INTO BUILDING ENVELOPE. PREVENT AIR N 'ru
BEDROOM I o 5ATN b ' I r• io
Iz
4.
LEAKAGE INTO BUILDING WITH DOORS AND WINDOWS. SEC. 34242 ' u i `� I o ,� , 4' to
ItL
r I °
WINDOWS: TESTED FOR AIR INFILTRATION AS ERQ. BY CODE SEC cLosEr o ' r i io 4 4" CO . 34243 N 1 , - CONIC, FLOOR SLAB � Io Q ----- , °° I
1 �c
2 - 2'-DW-t 2'-8i0�-D'
GLAZING: DOORS & WINDOWS WITH INSULATED GLASS, �'�' ' ' I44I o
6-6 , ,
* UNHEATED ROOMS , CRAWL SPACES , GARAGE UNDER & ATTACHED r
5EAMPOCKET ,
r-�x�-e' - - - ' - r '
o ,
BEAMPOCKEt - _ _ � 1 N
M U .VALUES: � t I -
CCIN ' 00 1 '► I , 44
WALLS, EXCEPT FOUNDATION WALLS
ENERGY INFORMATION REV. DATE: 8y
INSULATION: ROOF/CEILINGS 9„ _ R-30 4'-s" 16-8" "
OUTSIDE WALLS 3 1/2" - R-11
M424
* CEILING OVER UNHEATED ROOMS 61/4 R-19 pf2416 10-1
3 -6 »
--------
- J----- J--- ---- _ o
SEALING: ALL CRACKS, FOUNDATION SILL, JOINTS AROUND -WINDOWS `� ' - -O 2 r 1C14i v
O
&DOOR FRAMES WITH CAULK, WEATHERSTRIP TO SEAL 2-10' I - - - - - - - - - - - - - - - - - - -- ------------------
ALL OPENINGS INTO BUILDING ENVELOPE. PREVENT AIR N 'ru
BEDROOM I o 5ATN b ' I r• io
Iz
4.
LEAKAGE INTO BUILDING WITH DOORS AND WINDOWS. SEC. 34242 ' u i `� I o ,� , 4' to
ItL
r I °
WINDOWS: TESTED FOR AIR INFILTRATION AS ERQ. BY CODE SEC cLosEr o ' r i io 4 4" CO . 34243 N 1 , - CONIC, FLOOR SLAB � Io Q ----- , °° I
1 �c
2 - 2'-DW-t 2'-8i0�-D'
GLAZING: DOORS & WINDOWS WITH INSULATED GLASS, �'�' ' ' I44I o
6-6 , ,
* UNHEATED ROOMS , CRAWL SPACES , GARAGE UNDER & ATTACHED r
5EAMPOCKET ,
r-�x�-e' - - - ' - r '
o ,
BEAMPOCKEt - _ _ � 1 N
M U .VALUES: � t I -
CCIN ' 00 1 '► I , 44
WALLS, EXCEPT FOUNDATION WALLS
0.08
13'-0"
I iu
'
3'
6'
2'-4'
3'-4'
9'-10'
30"X30"XIO" CONC, FOOTINGS I
W13 V2" LALLY COL. TYP. I
' O
FOUNDATION WALLS - ALL CONSTRUCTION
0.08�
1
ROOF/CEILING
0.033
�Y
I 1
aBOYE VASE
,
WINDOWS
0.53
�4S M
�,
DOORS
0.45
;
121
0 1 ►. I
_
4
,
FLOORS:
r
-----------
'--
--_------_-
L OVER AREAS EXPOSED TO OUTSIDE AIR OF
--------`�--- ---------�---------
�'►--------------------------------=---�
'
UNHEATED SPACE.
0.05
,
o
N
_ _ _ _ _ - _ - _ -,-_ _
----------------- - - - - -- -------------
M424
3'-6"
OH2424
6,_0• �-0" I�{2424 s -o" D12424
— —
32,
_�
2. SLAB ON GRADE BENEATH CONDITIONED SPACE
3'—sM
( SEE SEC.3420.5 MASS CODE )000,
32'-0' iPi
AN
�yCIO
ii>
u
0
LO
N
3'-IT '-4"
6'-10"
io
i
—4'--0 X
DININCx R O1'1
lV
6'-C
6'
X
s'-r
I--r x 6 &a424 D-2424
s 6" 6'-0" 3'-s'
E'117" 1
� PI E U! E EN 5
Penetrations thru rated livalls and floors :;Mall be
sealed with a material capabla cf preventing 'the
An As ;�: ss-ae of flames and hot gasses when subjected bo
gubm�tt�d to fi�ho �a�ildi
'v is of the Test Stndrd chat -if i� ng
t� I°i �cPt • Prior to calian� for
ser Fire Stops AST-E-$`l4, � a foundation inspection - P on or
any further construction;
80 o-TU BE SIZE AN0 DE ° TH T THE BUILDING DURING TH[
�j IINSRE0710N IS REQUIRED BPFOiRE TO l? r, 91t0 U►I III 'R G"RESS OF THIS WORK.
THE C1 IS ROURE-,D.
� BUILD1NC, DEPAnT&I� � - - - - - - - - - _, F� � � Cop T��� ��dorsod ���
A y O Tour ut
r t O2, Kept On site
���'� ! T4wn� �. � e - - i Plan �'1115
, �, _ - - - -, '• , During Construction
�� I 1 , I Date _.---J'A 7--jlgg
L——————— — — — —
v v _
,--------- -----� L-------- - e-----
0
CID
,► I I I —>,
' V J
N I �. i 4" CON%. FLOOR SLAB • ,
i
g 6'-6" 6'4" i a
Go
1
1 , 3- 2XI0 IRT ABOVE I e.
f , r - - �, - _ _ _ BEAMPOCKET 1 -00
-- -- - -
f I BEAMPOCKEt t �, - - - - -` ,
4.
30"X301XIO" CONC. FOOTINGS i
SOR W/ 31/2" LALLY COL. TYP, I I DRAWN:
i MECN. CNASE I I W.I.W
x I � ' • 1 12/1 /
B,45EMENT �I SCALE:
11 1/4- l -O
o I I i e I
LOT
to
SHEET NO,
------------------------------ _-----I
32'-0"
TION-FL" OF
r;w,A
VARIES
RIDGE VENT
FIRE STOPPIMG REQUIREMENT
Penetrations thrU rated walls and floors (:hall be
6Xr-,-,aaS,,Sage
led with a material capable of preventing the
of flames and hot gasses v�"hen subjected
e requirements of the Test Standard specific
Fire Stops ASTM-E-814.
IT,�
An As Built Sul -Vey must be
submitted to th-^ Building
Dept • prior to calling for
a foundation inspection or
any further construction.
REV, DATE: 8Y
RIDGE VENT
ASPHALT ROOF SHINGLES
CLAPBOARDS
t. r
DURINGTHE BUILDING
r OF •
BUILDING DEPARTMENT
r�
Towu of Dartmouth",
Y ,I
f
—
�■CID
ME
I MOM ! 71[il I F on 1.1� 17 r i
0.
�-
c
VEL
DRAWN: -
W,I.W
DATE: 12/11/131
SCALE: 1/4" a
1'-0"
LOT
SHEET NO,
OF
e
�hl4 n
3�5
2-2)(4- a
u u u u u
w t7 . s 1 L'L w/ let, - - - - - - - - - -
t
1
III l iN OP
1
_ I
� I
1 I
BEo RR WAL BE DW 1
dy
?� +w \'
I
j
T F I Ce A L WALL SECTION 1
3/ 11 V-011
4 TTIC
i
WAL
-
_BEL
-
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m �
L.MAWN:
W.1.W
DATE: 12/1�/9l
SCALE` 11 I II
1/4 1 -O
LOT
SHEET NO,
OF
ZONING, RE4
f1"
GNI°N IS SR8 7_SINGLE RESIDENCE B
�f€N! ". Ut?A LOT FROt,4T GE 1S0.C10'
4C�, JJ fl
M LOT COVERAGE 7�s�
"GRANDFATHER" SETBACK RE UIRE EI TS:
[AINII° UM FRONT YARD 30.00'
MINIMUM SIDE YARD 10.00'
KIINIMUM REAR YARD 30.00
�tfi�Si f :i� CxiJ >. :1 S #t a
ij-_U C uFS,rir17 STC7r�E0 <� l L/2' d
0VC) 0 0
. D Cy ,1'd 0 0
3'
24`
12' MIN,
120
�91.10
90,60
51(TYPICAL)
90,10
LIMIT CIF
EXCAVATI-IN
89,0.± :
83,3 CT P0153)
(All P
LOAMY SAID
(BW
LOAMY SAND
f (Cl
COARSE SA
tC2)
MED. SAND
(3)VERY'
FINE
LQA�9Y SAf�ID
Lu prvv!u a :waler LignL -: ec }jlj v,
enters or leaves a concrete structure.
9. Outlet distribution .lines shall be level for a rn#n °lum of the first two feet
of their length as specified in 310 CMR 15.232(�).
10. A Board of Health certificate of Compliance as 'equir€sd by 310 CMIR 15.021
must be obtcined by contractor upon completion of work.
j 11. Mzitribution lines to be capped at outlets.
1
1hN- sn;� . R .not �cs,�x�;er
0
J1 �JJ„„
4' P.V.C, PIPE SOIL. 40 (TIGHT JOINTS) L2_e:.,.-C� j 5EPTIC TANK
5E. 'S6 EXISTING CONTOURS
56 PROPOSED CONTOURS L_...1 DISTRIBUTION BOX
✓ RESERVE LEACH AREA � TEST PIT
"v1ATER LINE s WATER TABLE TEST
WELL B.M, BENCH MARK
BOARD OF HEALTH STAMP
ENGINEERS AS -BUILT BO
ARD OF H� C1 I�� Tf
� s,
�
PLAN &CERTIFICATION QIcD N E OIIVA,TED
STATEMENT REQUIRED
e : CSTRUCTI D T
ELEVATIONSMUST T fia UST BE COMPLETED
SEA rjr : #l�,
PLETED WITS Tr
CHANGED WITHOUT BOARDYEARS OF THE DATE pE APPR F
,
OF HEALTH APPROVAL
_ PR
BARD OF HEALTH STAMPS
THEAP [t
DOE. �rr# Im
E // � � I`^C (}tFRc M
�
EFFEOTE ,r ftTEE THE
ESS QFN�
b4
RT41
0IlJS,'-'Ah Q '
UTF1 BLARD OF HEALTH
This Off' e is r'l of <. BY.,max „
TOWN UF.DARTIVIOUTH
®�' Grinder BOARD OF HEALTH
� �
`PCSr,,Y-FPAGE DJSPIISALYSTE
P�7_,Vv-�EI A EWNERi END IU'NAS BROS,
C!\,I#L ,
"DARTMOUTH LANDING' SJBDIVISION LDT#106
r'�rSTY,ft- VA �
®P
STREET LOCATION: REED R0 D, DARTMOUTH t 1
Correia s Engincerin nc,
.M
TAMP 8 Grii a:ett StreetMIL EIVOLVEI-IrPING
'f SUBDn7sloys
x Tef (509) 9,017-605,e SM ,er rs
6T
Joeeph E. 6-. rea , III Free. f{onrph T_ Correict IV M.
1)ATE=._ 11/4/9I}
Cry !Tf,°i T PER e,v" jj7,\:EP11 E.
FILE'' # DART iO± a a -III:'
b
NOV 1 2;CJ
'MRD OF REAM 6�
800 MECIIANICALS & PRIMARY FUEL
X� Furnace (hot air),- Fuel gas (natural or propane fuel oil, electricity, other (specify)
n/� Boiler (heating)- Fuel gas (natural or propane), fuel oil, electricity, other (specify)
n)-aHVAC (combined unit) - Primary fuel, natural gas, propane,; electricity, other (specify)
i nQ3fir conditioning - (separate unit)
None of the above to be provided
- Hot Water Gas Electric XX Fuel Oil Other
------------
900 SPRENEI ERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential
n/a= Required, --plans provided, :--plans not provided, why?
- Not required, not to be installed. Why?
1000 RE : UIItED OFF
N
Q STREET _ PARING for ZONING & Architectural Access
n/a = NOT APPLICABLE
Parking Plan submitted To = Building Department = Planning Board Date submitted
\`umber of spaces indoors
i
P .outside total provided
Handicap -paces - required _ ves _no. If yes, how many as a part of the to required number.
Is Route 6 (State Road) Entrance permit required? ves _ no =, If ves has it been issued ves —, no
Suhmit copy of application and/or permit as soon as available.
1100 IDENTIFICATION (print or type except as noted)
Current owner name COWAAL REALTY TRUST
address 678 DEPOT ST . ', EASTON , MA. P . O . BOX 349
phone # (508) 238-5566
If corporation, officer in charge WALTER R. ENDRIUNAS
A-chitertJEngineer - for overall design
N (Company name GHR ENGINEERING ASSOCIATES
Address 109 RHODE ISLAND ROAD , LAKEVILLE, MA. 02347
Phone number
Certified by State of Massachusetts as
Certification number
NOTE Signatures and seals on all oians, affidavits and other documents SHALL BE originals and not
reproductions.
Architect(Engmeer project supervision and reports
Company name CORREIA' S ENGINEERING INC
Address 8 GRINNELL ST . SOUTH DARTMOUTH MA. 02747-2314
j
Phone number 05081 996-6052
Certified by State of Massachusetts as
Certification number'
i
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and nrot'
reproductions.
General Contractor (if Homeowner, state homeowner here then complete section 1300)
Company name ENDRIUNAS BROS INC
Address 678 DEPOT ST , EASTON MA. P.O. BOX 349
Phone number (508) 238-5566
Construction Supervisors license number #058684 ( Robert V. Doane)
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originalsand ncot
reproductions.
i
zsszsz;.cxzxxzxzz:zzz**zz**z*zzzzsx*zzxz*x*zzaszzz***zz**xz**z*sxx*zz***zzz*zs*****x*z*****sx**zz'zxxzzzxs
1200 FOR RESIDENTIAL REMODEL WORK ONLY
N/A 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!
Ren_,)del 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
i
L
1. the undersigned, am the owner of record or authorized lessee (provide documentation) and I have reviewed vrewed
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 correetand that the permit requested be 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 is
anticipated if I request such an extension in writing. I understand that the permit may urr be extended only threetimes
written request. I understand that once the permit expires a new application may be required, including fees and cnt
other requirements (including Zoning)..
Name WALTER R. ENDRIUNA
Siznatu d
The above signature is m_v voluntary act and is signed under the pains and penalties of perjury.
Date
Who is authorized to pickup the permit at the Building Department? iplease onnnROBERT V' ❑MANE
Address 287 Highland Ave. Phone (5081 3 -9FLE
1.100 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY
FOR HOME O�i'NERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
109.1.1 Licensing of Construction Supervisors: Except for those structures governed
in Section 127.0, effective g by Construction Control
July _ 1, 198_2, no individual shall be engaged in directly supervising
construction, reconstruction. alteration, repair, removal or demolition involvingthe structural persons engaged in
ral elements of buildings or
structures. unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled
R: !es and Regulations for Licensing Co..^structicl Supervisors.
Ezccption: 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 person(s) for hire to do such work ;that such
Holm: Owner shall act as supervisor.
For the purposes of this sectioij nly, a "Home Owner" is defined as follows: Person(s) who owns a a l 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 dwellinreeg
attached
or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in
two-year period shall not be considered a Home Owner.
If you are applying under this section sign below
Signature
Your signature carries certain responsibilities. including but not necessarily limied tto xzsssx:zsxxz:xszxsxsszzszssxxszssss:sszsssssszsssxss*ss*sssxszsxss*xzssssssszzsed to, general
*s*sili sxsssss:'
NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section
licensed Construction Supe-visor, whether or not they have taken the permit are responsible chop that'anv
2.15.2 of section i p possible for code compliance. (see
zszxzssszsxxrssxxxmxzxsszsxssssxssssssxssssszssssssszssssssssssszxxxsssxsssssssssssssxssstssszzssssxsxxx
1500 COST
Cost of Improvement
Items to be installed but not included in the above cost: Electrical 5
Plumbing
HVAC
Other
TOTAL S
1,11A1- Alteranon of existme,.no increase in"gross square feet. A separate Refuse Disposal Deciarattaon required_
/.- Demolition - describe structure
Number of dwelling units Number of bedrooms A separate Refuse,IDisposal
Declaration required.
Allft— Moving (Provide copy of D.P.W. 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
Replacement doors and windows - (for existing only) (only where doors and windows exist aind will not be
enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling will he
considered as an Alteration, otherwise will be included in new construction. (see Code section.3401.10 for
residential and Article 8 for commercial)
1 _ Temporary s 1k porary fracture - includes when allowed, trailers, tents and the like and only for limited p i�,riods of time.
Describe
500 CONSTRUCTION PLANS
= None submitted. Whv?
xxSubmitted. usually three sets required. Four sets for food serviceluses. Number of sets submritted 3
I
600 SITE PLAN
❑" Not required, why?
)KxSuhmitted When? _ Previously, date 1 1 / 10/97 With this application
I
700 U THATIFS
Water supply -required x yes _ no, public ' _yes _X no, on site well? _x yes no,
existing? ves x no
If required and not existing have necessary permits been issued? _x 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 CMR section 114.1.2)
Sewage disposal -required x yes _ no, public sewer yes _x no
private septic on -site YXyes _ no. Submit copy of permit as soon as available.
j Woodstove - used (will require inspection prior to installation), new (provide manufacturers ,
I n/a
instructions). Location(s) (list)
j n / a Fireplace(s) (includes flue) List location(s)
j n / a Game Court - describe (include overall dimensions)
n/a Tent, Trailer (Mobile Home) or Other - describe
300 COi\UMIERCIAL - PROPOSED PROJECr/USE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES
n/a - 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
li
i
= Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code
I Section 303.0)
i
Educational - structure for training including child day care for those over 2 years 9 months (see Code Section
304,.0)
Factory / Industrial - (see Code Section 305.0)
High Hazard - (see Code Section 306.0)
= Ins'titutional hospital, nursing home, infant day care (see Code Section 307.0)
Mercantile retail stores (see Code 308.0)'"
= Residential - three or more family, hotel (see Code Section 309.0)
Storage - includes garages (see Code Section 309.0)
4 — Utiir.ty & Miscellaneous Structures includes tents and agricultural structures (see Code Section 311.0)
I�
Nety 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
I
Describe the proposal briefly, INCLUDE - amber of dwelling units and bedrooms or occupant bad as applicable,
also eusting condition
400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED
Ness Construction and/or Addition - total gross square feet 2368
u
(For commercial only total gross cubic feet) - indicate
rIt will he considered new construction if there an increase in square footage in addition to any
alteration(s).
n/a. If project is an addition to existing structure - Total gross square feet of existing
n / a — FOR COMMERCIAL 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.
WW this project require Peer review (over 400,000 cu.ft.) Yes No (see Code Appendix 1)
APPLICANT TO PROVIDE
The following section for official use only.
INSPECTORS' REVIEW
Date plan reviewed
30 days to review period expires
— OK to issue date
OK to issue subject to requested submittals (see project review worksheet) date
DENIED see project review worksheet date
HOLD reason
date
HOLD Subject to Zoning Board of Appeals action
Comments
• �
Da. ��ttl Q �
Inspectors signature
_ Applicant informed of above - Date time . staff (fax, phone, in person)
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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)
OFFICEWVSPECTORS NOTES
�
TOTAL FEE7�OeL25
Gross area - new construction (±.S (.+ Total Sq. Ft.
Total Sq. Ft. ffl-C
�7
alteration
Permit is issued to
Comments/notes on permit
f6
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1600 T0113E .APPLICANT/REgERRqL AND APPROVAL
Date of Application submission
Plat ( K L U / eet (/
�� Aquifer Zone
Owner
Owner mail addres
Owner phone #
x:s::s:::::sss=ssss:sssss:sssssssssssss:sss::ssssssss:sss:sssssssss:sasssssssasssss*ssss*ss**s*s*ssssssxs
OTHER INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval forY our
proposed project. CONTACT 71MM FOR
91WN WONS.
® TAX COLLECTOR " Approved " HOLD By
Date
❑ Board of Appeals " Approved By
Date
❑ Conservation Commission C Approved By
Date
❑ D.P.W. Water - Approved By 13 D.P.W. Sewer = roved B
Approved y
Date
❑ D.P.,W. Cross Connection C Approved By
Date
❑ Treasurer (Bond) ❑ Approved By
Date
❑ D.P.W. Engineering " Approved 8
Date
-1 Boar' of Health (well) _; Approv Y
�
Date
❑ Board of Health (septic) :" App ved By
Date
❑ Board! of Health (food servic _ Approved By
Date
❑ Planning Board (parking) Approved
_ By
Date
® FIRE 'DISTRICT (I - II -III) - Approved By
D!!te s!!!!!!!!!
BUILDING DEPARTMENT APPROVAL:
❑ ZONING
❑ BUILDING INSPECTORBUILDING COMMISSIONER
❑ CONTROLCONSTRUCTION AFFIDAVIT '
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PROJECT SUMMARY:
new construction/ alteration/demo sewage disposal - public/private
[Alteriadd interior walls] [add rooms] [add footprint] water supply - public/private well
[pool] [_garage/shed/deck] [game court] [food service]
Describe
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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 / Q
� Y
TOWN. OF DARTMOUTH.BUILD' G DAP' . ENT
TELEPHONE 508-999-0720 FAX> 508=999-0738
APPLICATION FORZONINGAND BUILDING PERM177
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e
100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET 53,697
CURRENT ACCESSORS' PLAT 66 LOT 20-4 ZONING DISTRICT SRB
i
OTHER ZON-RNG JVERLAY DISTRICTS , if applicable
NUMBER & STREET 1093 REED ROAD
NEAREST CROSS STREET STONEWALL AME
SUBDIVISION NAME & LOT # DARTMOUTH LANDING LOT #10F
or BUSINESS NAME COWAAL (REALTY TRUST
PREVIOUS TENANT / OWNER INTERSTATE REALTY TRUST
200 RESIDENTIAL, - PROPOSED PROJECT = one & two family residence only
- THIS SECTION NOT APPLICABLE -
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Single family - number bedrooms 3 number baths 1 k2 i
n/a — Two family - number bedrooms unit 1 number baths unit 1
number bedrooms unit 2 number baths unit Z
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n/a _— Accessory apartment Total gross sq. ft.
n/a ry
_ Accesso structure:
n/a — Garage - detached - attached to dwelling, dimensions' L W
" Carport -detached - attached to dwelling, dimensions L W
n/a
n/a " Shed dimensions L W
6
n/a " Deck - dimensions L W
n/a = Gazebo - dimensions L W
n/a — Swimming Pool above ground in -ground Size
n/a Chimney - number of flues
Ole �
Z
Instructions
The applicant shall complete this application to the best of their ability prior to submission, leaving no item unanswered. 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 unnecessary delays. Koft Faimg lee in not
(for office use only) F® NLY
Total Cast $ Received By Date Rec'd1
Less Application Fee
Total Permit Fee $ Permit # Issued Date