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MA 7 1997 , auims DEPART6ERT
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Tan OF DART� date copy of cork
and accepted as a record
This plan, has been revieved
to be pe rforoed in coopliance Pith 7M CIR 5tb Edition blQ
is reap
SCALE- �y ^ _ t i APPROVED BY
t
DRAWN$r— =ate
PT
The orner, app licaat/agent and/or architect/engineer
with the above -r�nti� code
DATE.-.
REv+seD
for insuring final coopliance
any errors or ooissions in the record plan. Any
oast be reported to
t �4
notrithstanding
_ m orner► license contractor or engineer
change lan rnjst be sub fitted to
L %J /-" „' s - � =% ! T I� l \ o .. �t �r 1
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this office ir-ediate Any Chang a in
this office in a ti y as
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Correlate
Scope of Work:
b
Genera( Notes: The work covered includes the furnishings
_:. y this section t
1 ` of all labor• equipment. materials, and. incidentals
necessary to complete all concrete work including forms.
reinforcing steel, imbedded materials and accessories as
CODES: :All. State and Local
Codes, Ordinances, Regulations, etc., shall be considered as indicated on the Drawings, .herein pacified or both.
I Concrete frcuts far excess s under foundations and
Part of the specifications for this building andshall I take Preference over anything shown
�
footings are a:part of this work.
described, or implied where same are at variance. Class of Concrete:
All cast -in place concrete shall be air -entrained and shall
develop a minimum compressive strength of 3.000 p-s.r.
Each contractor shall visit the job -site, base estimate on present conditions. and shall be at 28 days.
required to complete all work shown, implied, or required to complete theReinforcing Steel:
' work. �-..
i
All detailing, fabrication, and erection, unless otherwise
- shown, shall follow the ACt "Manual of Standard Practice .
= � _ � :� dimensions nconditionsr inin t their for Detailing Reinforced Concrete Structures.` ACf 315.
IAA fY i.JG rF; - / ; �_,��_ 1_�:,, ; _p Each contractor shall verify all required d+mens o s and pertaining g o Reinforcement shall not be straightened or rebent in a
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=a respective work at the site prior to, and during construction, and be responsible for the manner that will injure the materials. -
- Reinforcement shall be accurately placed as shown on
same.
g
the Drawings and shall be maintained and secured against
displacement during pouring operations.
Continuous bars are to be lapped a minimum of 24 bar
Elevations of garages, porches, terraces, stoops, grade Imshown,on shownon plans etc., are inches.
diameters,. but never less than 12
is subject to change to meet topographical conditions. (See Engineering Drawings) B. Monolithic Finish:
Ix ���! S�z� i Floor slabs shall be wood floated to a true, even
I plane with no coarse aggregate visible. Sufficient
�D 1 } Carry all footings to firm, undisturbed soil bearing a minimum of a 4'-0 below finish pressure shall be used on the wood float to bring
t moisture to the surface. After surface 'moisture
grade. Remove all organic and other unsuitable materials from the area of the building.
Fyp has disappeared. surface shall be steel troweled to
T 1;,•;pzr„v�} 1 _.. Fill shall be approved material, placed in 12" maximum layers, each layer thoroughly a smooth, even, impervious finish free from trowel
Yt T �o 'T - G?'3a; o✓Ez 11ed with
h`mec mechanical
I _e
qui ment to Produce an app
roved roved sub- marks.stamPed• packed. and r Gara
gee Floor steel.Mesh
for- concrete floors and pads d. Reinforcement: Slab reinforcement with
8` x 8` # 10. Set 1 112` above bottom of slab
C Apron
All concrete shall develop a minimum compressive strength of 3.000 psi withing 28 days. Set on 6" rnrrT+mum Compacted bank, run giave1. Mix
h i r 1-2-4 peastone aggregate -wood float finish Slab
reinforcement with #4 rods 6` o.c. both ways -
Concrete materials, formwork, reinforcing steel, mix, placing. curing, testing, and all Platforms and Step
_ �2 'f SjUa Wr?,_-_ -
ti �vz� e,„` 1 Foundations doweled with reinforcing rods -to main
-- --
( r r j worE pertaining to c.,ncre e shall conform to �pecrficahi�I�s standards- and )
foundations.
T 1
x 10 a
recon::�:endat+ons of the American Concrete institute latest edition 2 Concrete'mrxed 1-2-4 reinforced with 8 x 8 g
)
f mesh or '1/4- rods 12` o.c. both ways.
3) Exposed faces finished with carbarundum stone and
t=1H!5 V5 ( 200 ►o FIR. .:5T. grout or 1/4` mortar coat, wood float finished.
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GALE APPROVED BY DRAWN BY �--r-- +
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DRAWING NUMBER
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800 MECHANICALS & PRIMARY FUEL
Architect/Engmeer - project supervision and reports
- Furnace (hot air) - Fuel gas (natural or propane), fuel oil, electricity, other (specify)
Company name -
Boiler (heating)- Fuel gas (natural or propane), fuel oil, electricity, other (specify)
Address --
- 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 �..
{�T Hot Water Gas Electric -OZFuel Oil`. Other
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not
900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE
Q ARE FEET and certain multifamily residential
reproductions.
Required, plans provided, --plans not provided, why?
General Contractor (if Homeowner, state homeowner here then complete section 1300)
Not required, not to be installed, Why?
Company name C:-Cttc)�ic
Address
1000 REQUIRED OFF-STREET P T
PARKING -for ZONING & Architectural Access
_
Phone �[ p { (� � � •„
Pol-NOT .APPLICABLE
number
Construction Supervisors license number CS Q4,75E3
- Parking Plan submitted To = Building Department - Planning Board Date submitted
----
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not I
�
Number of spaces - indoors outside total provided
reproductions. _
Handicap spaces- requiredes I
Y _no.f yes, how many as a part of the total required number.
*s:::ssss#:s:sssssssssssss:sss:sssxassssssxsxsssssssstssss:*ssss,ess*ssssssssssssssssss#sssssssss::::sss
Is Route 6 (State Road) Entrance permit required? Yes _ no
_ =. If yes has it been issued yes ,_ no
1200 FOR RESIDENTIAL REMODEL WORK ONLY
,
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 sectiom!
I
1100 IDENTIFICATION (print or type except as noted)
Are you claiming exemption from the requirement? Yes No _If yes, submit the required affidavit!
Current owner - name ai
�.c
Remodel contractor name please print)
address
Address
phone {1r ? �i�
Registration number (if none state "none")
If corporation, officer in charge
Phone number
Architect/Enzineer - for overall design
PERSONS CONTRACTING «VITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THL
GUARANTEE FUND! QUESTIONS OR COMPLAINTS call or write:
Company name
Home Improvement Contractors Registration
One .Ashburton Place - Room 1301
Address
Boston. AMA 02I08
(617) 727-8598
Phone number
Owners name (print) -
Certified by State of Massachusetts as
Signature
Certification number
Date
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not
reproductions.
1300 OWNER SIGN - OFF
I, the undersigned, am the owner of record or authorized lessee (provide documentation) and I have reviewe�a
the application herein submitted. I state that to the best of my knowledge and belief that the information provided in thhts
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 ttfr
six months after the last inspection if work has begun and that the permit may be extended for six months if no work its
anticipated if I request such an extension in writing. I understand that the permit may be extended only three times bV
J--
r..,,,L exprres anew application may be required, including fees and current
other requirements (including Zoning),
--
Alteration of existing; no increase in gross square feet. A separate Refuse Disposal Declaratimi requii-e-d, -
Name
- = Demolition - describe structure
'
Signature
{ The above signature is my voluntary act and is signed under the pains
p and
Number of dwelling units Number of bed r°°� ® A separate Refuse D al
Declaration rertuiied. P�
penalties of _
Perjury.
Date
Moving - (Provide copy of D.P.W. moving license Type of structure i
IVho is authorized to pickup the permit at the Building Department? lease rind C zr( iy �
Address E� �d .� Phone
from where (plat lot or address) j
6 _71T7
p
to where (plat/lot or address)
1400 HOMEOWNER EXEMMON - ONE & TWO FAMILY ONLY
Number of dwelling units Number of bedrooms per dwelling unit
FOR H01iE OWNERS WHO INTEND TO PERFOR1%1 AND BE RESPONSIBLE FOR THEIR OWN PROJECT
— Re -roofing - {for existing only, is included in new construction)
I09.1.1 Licensing of Construction Supervisors: Except for those structures governed b
Control
in Section 127.0. effective July 1, 1992, no individual shall be engaged in directivolving
Number of square feet 1
Number of layers already existing
construction, reconstruction, alteration, re air, re Persons engaged in
the y supervisingpersons
ments
structures. unless he or she is licensed in accordance nregulations
Number of layers when complete
with the rules and
Promulgatestructural d by the BB Songs or
Rules and Regulations for Licensing Construction Supervisors. RS entitled
A separate disposal declaration REQUIRED
Exception: Any Home Owner performing work for which a Building Permit 'required_
the provisions g is
ns o this section, provides that if a Home Owner engages a
pdo shall be exempt from
for
Re lacement
P doors and windows - (for existing only) (only where doors and windows exist
person(s)
Home Owner shall act as supervisor. hire to do such work ,that such
and wyilt not be
For the purposes of this section "come
enlarged) EGRESS dimensions must he maintained. Enlarged or new windows in an existing dwelling will be
onh, a �Jwner" is der as follows: Person(s) who owns a parcel of to '
on .chick he; she resides or intends to reside, (n which n _. is
h there is, or is intended to be, a one
detached
considered as as Alteration, otherwise will he included in new construction.
n. (see Code section 3401:..10
or or two family dwelIin ,attached
structures accessory to such use and/or farm structures. A person who constru
two -rear period shall not be cons' cts more
P considered a Home than one home in
for
residential and A tide 8 for co
commercial)
Owner. me -
If you are appIving under this. section sign below:
_ Temporary structure - includes when allowed, trailers, tents and the like and only for limited period_�s'of time.
Signature
Describe
Your signature carries certain responsibilities, including but not necessarily limited to
:ss::s:ss:::sssssssssssssssssssssssssssssrssss:ss:ssssss::ssssss:::::ssssss:sssssssssgss:ssssssa#*ty
500 CONSTRUCTION PAS
ssssss
NOTICE TO LICENSED CONTRACTORS: The Building Code in
provides the Rules and Regulations section that any
licensed Construction Supervisor. whether or not they have taken
—None submitted. Why"
2.1:.2 of section 51the permit are responsible for code compliance. see
ssss::ssssss::ssssssssssss:*s:ssssssssssasssssss***sss***g*ssss*xssss:sssssssss=ssss:ssssssssassssssssss
Uhmitted, usually three sets required. Four sets for food service uses. Number of sets submitted
150i1 COST
600 SITE PLAN
Cost of Improvement
❑Not
G
required, why.
Items to he installed but not included in the shove cost: Electrical 5
Submitted When? =Previously, date�_With this
application
Plumbing ��. E3oc .
700 UTILITIES
HVAC
Other
Water supply - required yes _ no, public ? e yes no, on site well? yes no,
TOTAL J DGX'
existing? _ yes .� no
�7 i
The following
If required and not existinghave necessary permits been issued?
r} P ® no yes,; date
section for official use only.
%
.
INSPECTORS' REVIEW
(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 790 CMR section 114.1.2)
Date plan reviewed
Sewage disposal - required yes _ no, public sewer ®Yes no
30 days to review period ex
P Ps —
private septic - on -site yes no. Submit copy of permit as soon as available.
— OK to issue date
I
- —• �..w-require nspection prior to installation), new (provide manufacturers
t
instructions). Location(s) (list)
"tTireplace(s) - (includes flue) List location(s) V 6L'�
Game Court - describe (include overall dimensions)
Tent, Trailer (Mobile Home) or Other - describe
300 COMMERCIAL - PROPOSED PROJECTIUSE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES
= THIS .SECTION NOT APPLICABLE
(Tine following descriptions are based on the Massachusetts State Building Code Article 3, AS NOTED) (See the
Code)
- Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe
Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code
Section 303.0)
- Educational - structure for training including child day care for those over 2 years 9 months see Code Section
3'04.0) ( n
Factory / Industrial - (see Code Section 305.0)
= High Hazard (see Code Section 306.0)
Institutional - 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)
_ Utility & .Miscellaneous Struct
ures - includes tents and agricultural struct
ures
s (see Code Section 311.0)
New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35)
= Tent or Trailer temporary purpose?
_ Other
Describe the proposal briefly, INCLUDE number of dwelling units and bedrooms or occupant bad as applicable,
also existing condition
400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED
�lew Construction and/or Addition - total gross square feet Lv is
(For commercial only 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
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.
Will this project require Peer review (over 400,000 cu.ft.) Yes No (see Code A endix
APPT ICANTTO PROVIDE
PP 1)
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
Inspectors signature DatMAR Z 7 1997
Applicant informed of above - Date time staff (fax, phone, in prarson)
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 7�
TOTAL FEE 33
Gross area new ^onstruction Total Sq. Ft.
alteration Total Sq. Ft.
Permit is issued to
Comments/notes on permit
s/Y��
AND A!<TROVAL
Date of Applicaton sub
znlsstoa :.
Plat Lot Street w
Owner.
Aquifer Zone.
TELEPHONETOWN OF DARTMOLqH BUILD11% RTMENT
is ,,, ,tt
-0738
Owner mail address
Owner phone #
APPLICATION FOR ZONING AND BUILDING PERMIT
'
OTHER INVOLZ'ED .-AGENCIES
The following agencies requite separate jurisdictional a
Proposed project, CoN'I'AGT • FOR p rmits or approval for your The applicant shall cumplete this application to the best of their ability prior to sabmima*ni.•Ienvmg no itetm veered. •Ibe
S�MIS.SIONS. Department staff will he available during regular business hours to assist as necessary: N/A should be insc rted for those secdoat
® TAX COLLECTOR = w.� which do not appiv.properly completed application will help avoid unnecessary devys. ifeeiiisatru aide. {
Approved =HOLD By
Date
Conservation Comm Approved By
e
Dale (for office use o017) '7
, D.P. LV. water = Approved By ` Application fee: $
Q ceetived b7j1� Date
Date
sewer — Approved By Total Permit Fee f Permit #
Date
D.P.IV. cross connection _
Approved,
Date —_ 100 LOCATION OF PROJECT
D.P.LV. engineering — Approved
Date —_ CURRENT �CCESSORS' PLAT LOT ZONING DISTRICT
Board of Health well Z Approved
12 Board 4 Health septic - AFFroYed Date OTHER ZONING OVERLAY DISTRICT'S , if applicable
•
1
Date NUMBER STR.EET -�-koyl�e �
Board of Health food service — Approves ('�
Date NE -.REST CROSS STREET $ F7RE DISTRICI''tI - II - IIII = A ,
pproved
Date SUBDI�1SION NAME & LOT# [,° C� `�
Planning Dept — Approved
Date
or BUSINESS NAb1E
S)thcr — -—--
— Approved
Date
PREN-IOUS TENANT , OWNER
Approved
Date RESIDENTIAL t""mments _'00 RPROPOSED PROJECT - one & two family residence only
THIS SECI-ION NOT APPLICABLE
e:::z:::zz:z::sz::szza:zsags#azzaeaa::azaseazzzzssszazs:#:zzzzz:z:zz:izi::zzsz::zz
1,[ Single family - dumber hedrooms number maths
I'rnleCt SttTtTmarS II@V1' co ass#e#sans#ass##:zlz:
nstructioni alteration/demo
sewage disposal puhlicrprh•ate = Two famih• - number bedrooms unit i number baths unit I
(Alter. -add interior waiisj (add rooms -
[add footprind w number bedrooms unit 2 number baths unit 2
water supply - publiclprivate well
[pool] [garsge.,shedj [game court] _
[food service[ _ .-accessory apartment Total gross sq. ft:
Describe
_Accessory structure
Garage - detached - attached to dwelling, dimensions L W
■.�i.iiilz======i==#l:l:::l==l=:z::z:z:sass=#::#:##z:::::l::
the ti arioT.ts departments: _
_ Carport - detached - attached to dwelling, dimensions L W
_ Shed - dimensions L W
Thi:� .notice has been forwarded to �•ou for your information and any appropriate action. Should you have v
snons please advise. If anv reason to withhold the requested permit is found, please advise. Your assistance. a —
perition is appreciated. ce and Gazebo - dimensions L W
Building .Department
Swimming pool above ground in -ground Size ® toW c-,4uare feet
Datesent for review IL. Chimney - # of flues _-1)
By
- -7 —7