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any further construction
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RECORD
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t4LPLAN
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E10 Phan dust Be Ke t
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During Constru
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TOWN _ DARrMouTii 9 1997 -�-
Th i s plan has been reviewed and accepted N as a Arecord"
TMENT
copy a-° work proposed to be performed in compliance with
7E() rMll 5th Edition. The owner, applicant/agent and/or
archit,;ct/engineer is responsible for insuring final
oompl since with the above -mentioned code notwithstanding
any "mars or omissions in the record plan. any change
7n Uner, license contractor or engineer 'must b=
repertd to this office imm diatel 1
must b; submitt to this ffice y. ny change in plan '
timely manner,
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- _ HUGHES ASSOCIATES
ENGINEERS AND LAND SURVEYORS
9 CHURCH STREET
_-, �� ` o-• DUXBURY, MA 02332
1997 Rw,, M&I 20, 19q-7
, r `� GNULL�11 ST.I V(.)KT5t.JQ- Ah, 0z.331
ti z' GI 4- -5331
SOIL LOGS — DATE_MLQ._.7 199G DESIGN CALCULATIONS
PERCOLATIC)N RATES
DESIGN DAILY SEWAGE FLOW 33- GALLONS
91.1 91.1 NO.-i`1<< Z m1w
-` SEPTIC TANK CAPACITY
REQUIRED_Gc-o GAL.
L.oAMy 5AN9 0 7" LO&MI fawn o e— NO.3 PROVIDED IS*` GAL.
NO.4 SOIL ABSORPTION SYSTEM REQUIREMENTS
LcXM4 f"D 7"- G " L•sny Su+o G 3 3"
REQUIRED 444 SO. FT.
SOIL CLAS:S PROVIDED' SSQ. FT.
Co ue IL 11 11 S•►N O ,. NO
� ott 130 3-it8 Ilt THIS SYSTEM 15 Nam- DESIGNED FOR A
N. War, XT- jro.4. GARBAGE GRINDER.
$o.z Z NO.3
NO. (G1 � NO.a I�RG NO.3 NO. 4 NO. 4 .4 REA2� MS tsT ilo 4•P.17• +Sao 4p.>a
REPRESENTATIVE OF APPROVING AUTHORITY _�!+R M►ewvh �1� �valt�e�-T°R`�a+"�S WU-SN 44a -* m.74- x 59f• S.F. Mr-o1ReV
az.�- peayt��ra
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tvoT "T't` scei.7� FOUNDATION SEPTIC TANK Affi.y9 34Lank* 4 X 34 )4-3 s'- 42B. .t=
: ZZEMcwE dLL St�Tsgcit_ T� (�StQv10US
150c) GAL. ,v PtZaNID4n G i Z. 5,a
NOTE
Me.Tsczlat. i
j-orL., A. UIST4rICE of `1oWATER AT 6-4
s.r o.rzc�Nn sYsT�M. SYSTEM PROFILE .462. G, P, P,
( NOT TO SCALE
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HUGHES ASSOCIATES'
ENGINEERS AND LAND SURVEYORS
9 CHURCH STREET
OF DUXBURY, MA 02332
L,Att�F€GE ��617-934-5331
E. M4�(Z , 1997 rz=v. Md .Zo, ►9g-r "
! t,.
Na 24054
s f�FGISTER��
G 1 '1 " 9 -5 4-
THE APPROV,,L 6Y THIS OFFICE
LoAiry Beam in Lie r3 -lit Dti. Claanout Lid* DOES HOT GUARANTEE THE
f EFFECTIVENESS OF ANY
to-e• INSTALLATION
AARMOUTH BOARD OF #FAUN m'N
3=7A" 3_3ft" 3=rY"---� pV-
1
�+ — - , ENGIN;ERS AS -BUILT
, PLAN &. CERTIFICATIONo
5:8-' — -- _ - STATE fdIENT REQUIRED
BogD OF NUETN INSPECTI014
REQUIRED WHEN EXCAVATED
ELEV, VIEWNOT PE
CHANGED WITHOUT BOARD
3•41"Dla. Ml.b ,.."Dt.Outbt. OF HEALTH APPROVAL
Fr4*
3' 12.
P
.:>I~CONSTRUCTION OF THIS SEPTIC SYSTEM
i'- 0.
:r = UST BE COMPLETED WITH THREE (3
_ YEARS OF THE DATE OF APPROVAL.
�. �.
PLAN VIEW 3. e; y
I, So c'A�L cart SEE lic- 72a.w 1L N ,T. S ,>
o ,$� uRSt}iZF.i.GL ' jGE,�1'SbS4L. s`('S"r'�M
a _ � TZc�r7
HUGHES ASSOCIATES
4 ENGINEERS AND LAND SURVEYORS
9 CHURCH STREET
DUXBURY, MAOZ332
LAW N
... M4�( Z )997 Rom. May zoo 19�'7
P 9EGIS �g <1 .' L�.Rit:`( 4-�C)C.►aEs
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SOIL LOGS - DATE MaR ?,!'9� DESIGN CALCULATIONS
PERCOLATION RATES
DESIGN DAILY SEWAGE FLOW 33� GALLONS
-- SEPTIC TANK CAPACITY
NOA i6t .L 2 HOW REQUIRED ,4- GAL
Lo4M`( 5AN% 7" LC" f�w� o �" N0.?r PROVIDEDGAL..
LCIM14 4WO L" NO. 4} SOIL ABSORPTION SYSTEM REQUIREMENTS
7- Losrri Su•+n G 3 3
REQUIRED 44G� SO. FT.
SOIL CLASS PROVIDED S•,�._ SQ. FT.
coufvr) NO. L',t
, � San+ n ,. -__-_� .__--_
S�wr# LA Ila -iz8 IL`L oNi= THIS SYSTEM DESIGNED FOR A
No war, N. . N0. $'. GARBAGE GRINDER..
Sv.z �r 80.4
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REPRESENTATIVE OF APPROVING AUTHORITY t►+0.i� M/e,`uvh se�L �Va+us-rtr,tt = , AAraS WW-SN 440 0,74- s S9 4. 5.F. (ZV.gc11Ru0
pQo�/I ti 6in
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..i.. /l.. \tIM ... ... r
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DISTR.
FOUNDATION SEPTIC TANK ?X 34` K 9.511Z
fa ffi. 9
GAL. v P�zw�a�� C i z. 5,17
WWATER AT �s 4
SYSTEM PROFILE ___�: LI 2 9 1*44 • Af?_ `a.P A.
( NOT TO SCALE)
DATE:
S SITE PLAN AND SEWERAGE SYSTEM
Jl� 1 11997
11AD ®F iflH
bi
800 CHANICALS & PRIMARY FUEL Arcla"tect/Engineer project supervision and reports
= Furnace (hot air) - Fuel gas (natural or propane), fuel oil, electricity, other (specify) Company name
I
oiler (heating)- Fuel gas (natural or propane), fuel oil, electricity, other (specify) Address
I
HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) Phone number
Air conditioning (separate unit) Certified by State of Massachusetts as
❑ None of the above to be provided Certification number
of Water Gas Electric Fuel Oil Lam" Other NOTE. Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not
reproductions.
900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential
Required, `.plans provided, plans not provided, why? General Contractor ifnoeowner,;�o homeowner here then complete section 1300)
/ ? I
Not required, not to be installed, Why? Company name �'"i1%4
i
1000 REQUIRED OFF-STREET PAREING - for ZONING & Architectural Access / 2
4ne number l 7^ ✓ �, %
NOT APPLICABLE
7onstruction Supervisors license number
Parking Plan submitted ,To = Building Department I_ Planning Board Date submitted }
� NOTE Signatures. and seals on all plans, affidavits and other documents SHALL BE originals and not
Number of spaces indoors outside total provided reproductions.
Handicap s -
� P aces P required _ ye a _no. If yes, how many as a part of the total required number.
Is Route 6 (State Road) Entrance permit required? yes ❑ no -�7El. If yes has it been issued yes � no `,. 1200 FOR RESIDENTIAL REMODEL WORK ONLY
I
Submit copy of application and/or permit as soon as available. Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes _ No If no go to next section!
1100 ED CATION (print or type except as noted) Are you claiming exemption from the requirement? Yes No —If yes, submit the required affidavits.
+
nt owner - name GUCe L
l Ren_ndel contractor name (please mint)
I
a dress- �'�1 �7 %�q Address
hone ## t r � J ,3
Registration number (if none state "none")
If corporation, officer in charge Phone number
Architect/Engineer -for overall design PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO T'HE
GUARANTEE FUND! QUESTIONS OR COMPLAINTS call or write:
Company name Home Improvement Contractors Registration
Address
One Ashburton Place Room 1301
Boston, MA 02108
Phone number (617) 727-8598
Owners name (print) C✓1 li % ��G°yt'
Certified by State of Massachusetts as
..0
Certification number Signature
Date ':Z6422
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not
reproductions. s
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 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 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 re uirements (including Zoning).
Name 041 C f
Signature
j The abo a signature is my voluntary act and is signed under the pains and penalties of perjury.
JDate. L /
Who is authorized to pickup the permit at tee Building Department? leaseprint) tJe �'✓i +R4�C
Address �3 ! L>,2� 9Ce—S' /,11ise5k1"+ h6 e f �- 937-o2 /k 61,5 � ,Q 4W-S % , t l
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 structural elements of buildings or
structures, unless he or she is licensed it accordance with the rules and regulations promulgated by the BRRS L titled
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 person(s) 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 dwelling, attached
or detached structures accosory 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:
A Z! I -
Signature IL-1pl ,--
Your signs a carries certain responsibilities, including but not necessarily limited to, general liability
sssssssssss:ssssssssssss*sss*ssss:ssssssssssss:ss:ssssssssssss:ss�ssssssssssssssssssssssssssssssssssssss
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
2.15.2 of section 5)
ss:ss*s*s:*ss**ssmssssssss�sas*sss:s*s:s:sss#ssss:ss:ssssssssssssssss*ssssssssssssssssssssssssssssssssss
1500 COST
Cost of Improvement $
Items to he installed but not included in the above cost: Electrical $
Plumbing
HVAC
Other
egg
TOTAL ) d
I
j
Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaratiron required.
Demolition - describe structure
Number of dwelling units Number of bedrooms A separate Refuse INsposal
Declaration required.
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
ti 1 is included in new construction)
Re -roofing - (for ex u ng on y,
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 sand will not be
enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling will be
considered as an Alteration, otherwise will he included in new construction. (see Code sectiom 3401.10 for
residential and A dcle 8 for commercial)
E Temporary structure - includes when allowed, trailers, tents and the like and only for limited 1periods of time.
Describe
500 CONSTRUCTION PLANS
None submitted. Why?
e Submitted, usually three sets required. Four sets for food service\uses. Number of sets suibmitted
600 SITE PLAN
❑ _ot required, why?-itft-
ubmitted When? Previously, date = ` -0, ! It With this application
700 UT1]L ITES
es no ublic ? yes _ no, on site well? " yes ` no,
Water supply -required _ y , P
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 watrzr 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 - yes no. Submit copy of permit as soon as availablc*.
3
Woodstove - used (will require inspection prior to installation), new (provide manufacturers The following section for official use only.
instructions). Locahon(s) (list):,
4 INSPECTORS' REVIEW
Fireplace(s) - (includes flue) List location(s) '41,11 4 Date plan reviewed
V Game Court -describe (include overall dimensions
30 days to review period expires
u Tent, Trailer (Mobile Home) or Other -describe
OK to issue date
300 COMMERCIAL - PROPOSED PROJECT/USE - INCLUDING THREE FAMILYOR MORE AND EXEMPT USES
OK to issue subject to requested submittals (see project review worksheet) date
C THIS SECTION NOT APPLICABLE DENIED see project review worksheet date
(The following descriptions are based on the Massachusetts State Building Code Article 3, AS NOTED) (See the - HOLD reason
Code) date
HOLD Subject to Zoning Board of Appeals action ;f
Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe
Comments
Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Inspectors signature JUN 9 .1997
Section 303.0) Date
Educational -structure for training including child day care for those over 2 years 9 months (see Code Section Applicant informed of above- Date time staff (fax, phone, in person)
304.0)*xz*zz*mz*zs*szzz**z***zsszz*zzz*zss*z*zz**z*zzz*zmz*zm***z**z*zzz*zzzz***z*zzz�,*zs***z**zzz**zz**z:z*z*s
Over six months since approved for issue - DEEMED abandoned!
Factory /Industrial - (see Code Section 305.0) Advise applicant. Hold 90 days for return then dispose if not picked up.,
High Hazard - (see Code Section 306.0)
Institutional - hospital, nursing home, 'infa nt da
y ca
re
(see Code Section
o n 307.0) Inspector Date
Mercantile -retail stores (see Code 308.0) Advised applicant Date Time staff (by phone, fax or in person)
*zz**z***z*z**z*zzzz*** *z*z
***zm***mzz*�***z*zzz***zsz*zzz**z*:zszzr
Residential al-threeor mor
e family, Yh tel
(see Code Sect
ion
n3 09.0
: ** ***ins**zzzz*zszzx ****
OFFICEWNSPECTORS NOTES
Storage - includes garages (see Code Section 309.0) TOTAL FEE
Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) Gross area - new construction / t Total Sq. Ft.
New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) alteration Total Sq. Ft
Tent or Trailer - temporary purpose? Permit is issued to
Other -
Describe the proposal briefly, INCLUDE -umber ofdweffmgunitsandbedroomsoroccupantloadasappr ble, Comments/notes on permit �/� 0Jf
also existing condition �'^lr
t
400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED
New Construction and/or Addition - total gross square feet
(For commercial only total gross cubic feet) - indicate
It will be considered new construction if alteration(s). there an increase in square footage in addition to any
' If project is an addition to existing structure - Total gross square feet of existing
FOR COM[M ERCIAL ONLY
Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu.ft.) Yes No. f
see Code section 127.0). Designer to submit Code Synopsis. (I Yes
Will this project require Peer review (over 400,000 cu.ft.) Yes No (see Code Appendix I)
APPLICANT TO PROVIDE
2
.. „-.•. • •••:�•��+�.ss#zst
1600 TO THI? APPLICANT/REFERRAL AND APPROVAL
###Y##Y*#YY*7cYt**YY*#Y##Y##Y
Date of Application submission
Plat Lot � C 4 Street _ ( 0 ,Zt$' 1 1 t �
Owner A/U
t� � �yC ( Aquifer Zone
Owner mail address DAL /% C e S
Owner phone # L7 ' 3 --0'-7-/ 617 - 79
OTHER INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval for your
proposed project. CONTACT THEM FOR RF[DilfRM �BMISSIONS.
® TAX COLLECTOR ❑ Approved G HOLD By
Date
❑ Board of Appeals ❑ Approved By
Date
❑ Conservation Commission O Approved By
Date
❑ D.P.W. Water J Approved By ❑ D.P.W. Sewer E:' Approved By Date
❑ D.P.W. Cross Connection ❑ Approved By
Date
❑ Treasurer (Bond) ❑ Approved By
Date
❑ D.P.W. Engineering ❑ Approved By
Date
Board of Health (well) ❑ Approved By
Date
❑ Board of Health (septic) ❑ Approved By
Date
❑ Board of Health (food service) !`, Approved By
Date
❑ Planning Board (parking) :1 Approved By
Date
® FIRE DISTRICT (I - II -III) °::1 Approved By
s*ssssssssssss:ss::::::s:sss::#ssssss:sss:s:::sss::s:s:s:sss:::sssas:::::sass:::::::sss:CDate
s: sass::ss:ss
BUILDING DEPARTMENT APPROVAL:
❑ ZONING
❑ BUILLDING INSPECTOR/BUILDING COMMISSIONER
❑ CONTROL CONSTRUCTION AFFIDAVIT
PROJECT SIMMARY:
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
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
g
Instructions
The applicant shall complete this application to the best of their ability prior to submission, leav: 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. Neft F27mg fees set
(for office use only) 0 FOUNDATION ONLY
Total Cost $ Received By Date Rec'd
Less Application Fee.*'«'
Total Permit Fee $ Permit # L%med pate
100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET (6J ev
CURRENT ACCESSORS' PLAT LOT Ae-4ZONING DISTRICT
THER ZONING OVERLAY DISTRICTS , if applicable
NUMBER & STREET TO Al /(Al ltl a
,NEAREST CROSS STREET
SUBDIVISION NAME & LOT # E✓ �
or BUSI SS NAME
PREVIOUS TENANT / OWNER Tl' U GY H _�3F k A A1C
200 RESIDENTIAL - PROPOSED PROJECT - one & two family residence only
THIS SECTION NOT APPLICABLE
J
r' 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 dwelling, dimensions L W
Lji Carport - detached - attached to dwelling, dimensions L W
El Shed - dimensions L W
E-beck - dimensions L % W f
C Gazebo dimensions L W
C Swimming pool above ground in -ground Size
P'Chimney - number of flues 1-