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BP-5470r:a RE Y ENERGY INFORMATION DATA B INSULATION: ROOF/CEILINGS 9" R-30 4'-60 is' -or ,t-,o• OUTSIDE WALLS 31/2" - R-11 012424 01mv— " * CEILING OVER UNHEATED ROOMS 61/4 R-19 b SEALING.- ALL CRACKS, FOUNDATION SILL, JOINTS AROUND WINDOWS & DOOR FRAMES WITH CAULK, WEATHERSTRIP TO SEAL ALL OPENINGS INTO BUILDING ENVELOPE. PREVENT AIR LEAKAGE INTO BUILDING WITH DOORS AND WINDOWS. SEC. 34242 WINDOWS: TESTED FOR AIR INFILTRATION AS ERQ. BY CODE SEC. 34243 GLAZING: DOORS & WINDOWS WITH INSULATED GLASS. * UNHEATED ROOMS , CRAWL SPACES , GARAGE UNDER & ATTACHED MAXIUM "U" VALUES: WALLS, EXCEPT FOUNDATION WALLS 0.08 FOUNDATION WALLS ALL CONSTRUCTION 0.08 ROOF/CEILING 0.033 WINDOWS 0.53 DOORS 0.45 FLOORS: 1.OVER AREAS EXPOSED TO OUTSIDE I E AIR OF n:.-. r - -i s' s" 3'-s• 2'-4 s'-� T� BATH 1 g � SdG�dre u I 1 1 Kr CLOSET 1 r N� "6 7-e�zs-+s• a-,-— P I BED m ROQ ----------- i-- --------'�--- -----�---- -------- --- -- ---------_ =o --- -______ SRO 2. r-rmowe RRO 2 r' �r----------- ------- - - - - -- IL 10 I o IS O io '► 4 CONC. FLOOR SLAB I l0 00 1 4 Cn 6'-6' 3-2XIO iRTA�)YE , 1 r - , 1 - - , _ BEAMPOCKEt i r- -� i • ► BEAMPOCK� 0' 30"X301XIO" CONC. FOOTINGS I ' 1 , W 3 V2" LAU.Y COL. 7YP, i 1 , � ABOYE RASE 1 I 1s�MT 1 ►, -� - ------------------ - ----- ---� • •4 -- - - - ---—------- - - - - - . - 1 ------------- - - - - -- _ - ----- SPACE. 0.05 Q12424 M� ---------- r 3r-o' s'-o• is —on C42410 2. SLAB ON GRADE BENEATH CONDITIONED SPACE . 0 T-1 0 N ( SEE SEC.3420 5 MASS CODE sr-o . • ) I COR—FLAN ,;r�FORE FILE FIFIE a ! -< ., ..'�: t ,.'��. v.6 bT `'y .pQ'v`•'`n.`..5 i }`i Y .. _.... _. - -------- 9IV € I G .•_ r M : 7 e e,trC ioi s thr = r ':ed rt ' •� yr P��v -�r-+ i 7 e, laic ?:,-?;�'?��x4's :•,.i� r '9t c: ;�e�s4.t•I.s,� C . _:I o`� prevti.titin �t"ty �-. rs.� 7 � ,� TZ,I QE ATOU.1� - (` r. v``A",.i'L� *'`w �"-r�, �. .rt -^. �•a r+s t - .LL�� ies` 4'i 16:ii �lve.✓ Lit- I i-ot classes d-hem 1 subjected An As L+,:atith Mw.. . �.� 11, 4d'.m�$.. t �' ✓ _ EC LAN the rtsquirei aiicsa of l�' c # ast Suandard specific �>i��o�3�lr�'� to aa� :JdIdin or Fir .. _-• A Copy Of This Endorsed E Stops Av I M E D14. Dept. prior to C 1 for - - - - - - - - Plan Must 01� Ke t On Site �i r - - I � foundation it� pa-L on or During Construe ion any further ccnstr, s 1,z Date __-�1 I `%x �-4• 13'_0• g' �' - gyp' ,�. a; ; �. I I i F"I E • ' 4'-0' i •' i t0'-8" O YOUK LrcF,�'vI;'vG P•,'1L'Si BE ?;c = 1 , ►► , � oK24te s'-o'zs�a' AT THE BUILN:G DURING Tri d1�2424 G�;ESS 0F'THIS VYO rt I- -----------•- --3 ( 1 1---- - - - - - - - --- so TT T T4F gam. I ?� - - .- C(], p0 ;,s-. oa4I D PT.R ` 1 ► _------- -. I , 'MRCP � � • - -er � e j �� ow'n of Dartmouth 1- --- -1 L---------------------- �t , , 5ATH 1 i 1 1 O LOSET b KITCHEhL iEAKFAST NOOK i 4' coNc.>.00R sLAS 1 4. ; X -- 44 b i ► I o n/ -4" 6'-10` 3'-6' 2'-4' � 13'-2" I i 6'-_ -6" 1 1 3- 2X10 tRT ABOVE 1 L � � `r � _a�x _ I 1 r - -a , r _ - , r _ SEAMPOCKET I ' 2 B _ - -� ------ ---- - _ _ (3) + i BEAMPOCKET vG f ��� • • t I ' � _If '7 � I I 3o"x3o"xio" coNc. Foo�-i�tGs 1 W/ 3 In, LALLY COL TYP. i , i -VING ROOM , •► 1 I DRAWN= DiNINC� ROOM I• ' aeoJicNAS _1 , t, 12/li/9� 1-MNT 4 SCALE:ii u I b .LOT -0'x6'-� 1 ►► - • - --------------------- --� � • - - I SHEET NO, CN24'l4 ttt2424 X t - I r Q441 - - - • - s e - • - - 3'—$• 6'--0• 6' " I ------_------- ------------------------_______ —_ _ 32'-�" tUUNDAILN P I AN of EI�$7 FI_DOR P �� 1 I Nowim- ANS II ® _ NOR 0frol — 11 111111 1 Pp 1'wyUL41N ?'Y+14 h PL'i>Tt�' Ad DM IF F m 1� I bf lQte VIP 1 to k10 iE D. + + + r• DC O LA T1 6,14 3211 6 .� L.L.- .. 11 771 ly Wp� IXS t PIN � � Ian ® G ROOF FRAMING FLAN /vt 0. 4. a) w D- 1qjp c I Vol - +_ �- Ito �aib • � l 1.�. kt l �12" !'Idp4W o p J�OLje:p C, ec CL G to 4500c-vr I R TYPICAL WALL 3/4" =11-O" r-- - - - - - - - - - - -- - - - - -- - - - - - , 1 1 i i 21A aLIAI�A-#. i i I p � + + B IN W B i BE, RM W_A BE j , I 1 1 — — — — — — _ — —� B\ EC CHSE 1 � 'dy 1 1 1 1 [ 1�2x$ _ _ _ 2-2 10 S RON i B K A 0Y + + 1 + � - � i i , 1 + + i .—ems 2 2X8 = e M. WA I _51 LOW = _ / M 4- i 1 CN. 4" > IN 1112w LYL 3EAt ol ' 2-2x8 ` BE RM WAL 0, BE W —a, L—L —' 11 1! 1 r -�I�I�II�1■I■ia�i�(�1�1�1.��1�1._ I�II�I�Iri�l I�i�l�l'�-, Im t 14 If I i L• o� .i • — i 11 u 1 ut it k� a t 1 i z O = O OU dz �O xN Q i N imp DRAWN: W'Im DATE: SCALE: 114" =1'-0" LOT SHEET OF NO. 69,E 0" s_r� ,_ 6919 0"� .- 70,0 CO) (WINE 1 " 69.0 ,_DAMN SAND . . 6 9, 6 CA)FINE 10" _7 69.2 LOAi' lY SAND <B w�FINE 14" �68t7 OAMY SAND 68,E -� 14" 633` (B)FINE- (C)FINE =. LOAMY ' SAND ;,OAY SAND , 6`7.1 33" 67,E 34" 67r2 (C)FINE LOAMY.SAND 59 9 70" 64 1 120" 60 0 LOCUS MAP SCALY N.T.S. PERCOLATION RATES, 12r^n,/in. MOTTLES � 40" EL= 66.6 PERCOLATION RATES' i in. MOTTLES C 35" EL= 67,O DATED, 3d12l56 MOTTLEc 34 ` EL= 6721 DATED 3/12196 DATED; 12196 . DESIGN DATA -PERCOLATIt N TEST _TAKEN . -CORREIA'S ENGINEERING IN, ` WATER TAPLE DATED! 3/20%96 DESIGN PERC 15r in lit ; Ctass II SOILS ` SOIL EVALUATOR: JIM WALS11 DESIGN FLOW, 3BR, x 110 GPD/BR - 3'-:�:'O6PD INSPECTOR.CNRIS MICHAUD or MIN DESIGN OF 600 Sq,,. Ft,GEVERAL,.,., [�OTES LEACH AREA, 20'x3O' LEACH 'FIELD 1. . All work` must be� in,'accordance with the Massachusetts` epa-rtrrtent,af CALCULATIONS,2 0'x3 'x0,56 d/s,f.=336� 0 gp ,Ogpd Enviro-nmental `Protector Regulations ' f R 11. 15,C �J .Title and cony' local Botaed of Health Modifir:itions. 2. No modifications 3i�etl be made to tv, s system` without ` �t or Writtdn RESERVE AREA CALCULATIONS approy by the engineer and the {oc `board ofHealth:, LEACH AREA 14'x43` LEACH FIELD 3. Engineer and the Board' of Health rraa t inspect the completed prior to backfilling. ti CALCULATIONS: 14'x43' = 602 Sq, Ft, 4. Elevations shown on plan are based ti,n art subaivisiM "datum, . { 5. Heave equipment shall not bs ru'r 61rr., the -disposal system. _ J L r s r r � t EAR YARD 30.00' 01 r / PERCENT OF LOT COVERAGE 1i r *� is T I U J LOT COVERAGE AGE 12,1�0.0 S,F+ HD E 140� � C 5 i t 0 SJS „ D, f -- 1 BIT, IVE 1,146 S.F. ad Elev. TOTAL — 2,546 S+F; :. PERCENT OF LOT COVERED;, r', % �.l /< 10 x K. S r YV / t ' J i k-- f ; a 4 i C r q •IYKX/i'�� o a a o a o e a o'' �' - 'WASN1l CPti�H£ D S1 PINE llt���lc_` tr o'4o c o`n o ci �`B�s3v�%I O O O CO4.� v cvta to x p � id .O� O b� 4' ' E,� 4, 2 0' ,_ J qt t' _... �, i i r/, 1 40 Ae Aa T t i! 4 JOINTS, � +�' i �TANK' �i EXISTINGCONTOURS _,..% PROPOSED CONTOURS ISITRIBUTION BOX, RESERVE L=firH AREA T FITKPmr TES ER LINE D, WATER T LEE TEST' } WELL DIM, *' BENCH i ARK '11 LEA D OF HEALTH STAMI"S r. �--1 y. ..� . r� THE APPROVAL Y B A€ B T THIS OFFICE CB N. , , �.. DOES NOT GUARANTEE , A TEE THE ` ' 1 Y 4 EF E!� PECTIN ESS � Q ANY 112 _ i 9 INSTALLATION . � C _ a t?ARTh� 4UTH BOARD F 0 HEALTH QF,RTMOUTH • System Is of eti TOW OF WI .: ram. �.. , . � ..�.. - _� _ .. �'OP OF FOUNDATION ' CTIOM ELEN7 -- 78.00 t i { . (VARIESj 1 =3 77,Q 11 76,0 76.0 77) - r d i r X h r ( 4 H 10l�+ ---4,50 - — WA ONE r 1 ! 6 (-, 2 - °— _. . _ a tax .4 t_a��a�s . sz �., :. z r -�-� '� [LICOD o 0 0 3..� �_-6� _.. ... _ . ,n__rr; _n a �,�,.r�®4-Q--_o o_o_a�o 000 a a c _ ' 1^74,0 V ® i 1 U e wr V 1.1 A.J �1 �� s s x> + 3) I3ca aer7en t F�aGr.. t � % ;:. �� ' ;. ;, .. ...' .. � a � - � _ ; ,; ._• _ ,, � c� —y--y 1 1 2. �t;ASHEQ STONE 74.,E OpG' t, \J 0 Jc1 .. F'ev,=70,6-If 11 SANITARY 'EES �� -, ;;� '— III -� o{QOp'�pUp " v d a 4' min. J7�t.t� Q O {? O O C> v G rG. 'jO00p©}OpC�pOpC't� ., t}`'pppppC}p 4, , r 4,7 . ► ! o � - p t r :; o fl o 0 0 0 �, o o o o c O p ' 74.15 >, ,� 7,.5Q PREMS"i CONCRETE SEPTIC s., 'a 7 + CFI +' v 1 . .. . .. .'1 .. T' .} -iS ON L v L.J ��P ., TR�Q.lT! E�0 L,.�___ �^f I �C�ItATI `ram' rrLi l r— �.�y (` (� j� 7 ) .-� �`! i- M (=I ! —� —) I —I I I �=-I —� ! —i !=� j-^ LEVFL STABLE BASE ``. 6 7, 0 � P# 1 •i l s.�-' 11 1--�i i l---1 ��l i 4 E_" CRUSHED STONE ON ME HANIC��' 6?+0 TP#i72) ' CO'`�Prr�C I E D LLVE1 S I A9�E BASE -. 'I CA L .:TEM ry 1 r1 , to scale noi NOTE, Sol' w n... Y' � contractor- riu-,"`4 Af'rl� u�l+.' "�t��.?=sly}1_, anti f�P�c�.5 prior O Y` C I' ^"t_ } . - .. cavolof mistakes the Maker cannot guarantee aco' ! s # h��man e o the ati tzc�c� y � a y o i� 4r�rt Nice ever att�r�(��t dins been made tc� a r :9 ,� .. _ �.,. ' ! �, ? NI INC. prior co nstructlon or exr avatlo . .' °' - 13/.�- � Any;ca nfLicts shalt L,P brought to the attention of CORREIA S ENGIN`E 1 � � 1CO 11 ol a3� CIO 4 Q ca y 1� >,�.� o GTJ L N N O LL- -j • OJ O cc cn to r < in • �o"'®' �► • C`� ti 4 O C ? 2� C O q W ~M d 0) , y '-LLJ s�S o�w�"C ^� ���N� wc� ts ac g O O O Cft c°Ln 0 800 MEC- AANICALS & 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) j - None of the above to be provided X Hot Water Gas Electric x Fuel Oil Other 900 SPRIIff LERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential I. - Required, --plans provided, =plans not provided, why? = Not required, not to be installed. Why? 1000 REQUIRED OFF-STREET PARE3NG - for ZONING & Architectural Access NOT .-APPLICABLE = Parking Plan submitted To = Building Department = Planning Board Date submitted Number of spaces - indoors outside total provided Handicap spacrq m4uired _ ves no. If yes, how many`as a part of the total required number. Is Route 6 (State Road) Entrance permit required? yes no If ves has it been issued yes - no =. j Submit 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 02334 phone # ( 508) 238-5566 If corporation, officer in charge Walter R. Endriunas A-chitecto(Engmeer - for overall design Company name Address Phone number Certified by State of Massachusetts as I, ' Certification number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. i Architect/ ,rigineer - project supervision and reports I 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 mot reproductions. General Contractor (if Homeowner, state homeowner here then complete section 1300) Companyname "Endriunas Bros. Inc. Address 678 Depot ST. ,Easton, Ma. 02334 Phone number (508) 238-5566 Construction Supervisors license number. 058684 (Rozbert V . Doane) NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and nmt reproductions. 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! Ren--)del contractor name (please print) Address Registration number (if none state "none) Phone number PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS 'ITO 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 1, the undersigned, am the owner of record or authorized lessee (provide documentation) and I the application herein submitted. I state that to the best of my knowledge and belief that the informa have reviewed application is true and correct and that the permit requested be issued. have in this Further I understand that the permit will expire in six months, from the date of issue, if no work is b six months after the last inspection if work has begun o begun and that the permit may be extended for six months� r anticipated if I request such an extension in writing. I understand that the permit may be extended onlif no work is written request. I understand that once the permit expires a new application may be required, including f es and times by other requirements (including Zoning), g fees and current Name Walter R. Endriunas Signature ell The above signature is my voluntary act and is signed under the pains and penalties of perjury. Date 1/IR/qR ' Who is authorized to pickup the permit at the Building Department? r lease mnntn Robert V . Doan e Address 287 Highland Av. Phone 1508) 238-5566 1400 HOMEOWNER EXEMPTION ONE & TWO FAMILY ONLY FOR 1I0-NIE 01TVHERS WHO-I.'VTEND TO PERFORM .AND BE RESPONSIBLE FOR THEIR OWN PROJECT 109.1.1 Licensing of Construction Su p by' pervisors: Except for those structures governed by Construction Control in Section 127.0. effective July 1, 1982. no individual shall be engaged in directly supervising construction, reconstruction. alteration, repair, removal or demolition involving the structural elements of buildings rsons uild ngs it structures, unless he or she is licensed in accordance with the rules and rQguiations promulgated by the BBRS entitled Rues and Regulations for Licensing "Co-structicn Supervisors. Exception: Any Home Owner performing work for which a Building Permit is required she provisions of this section: provides that if a Home Owner engages a person(s) for hire to do such works hat such Home Owner shall act as supervisor. For the purposes of this sectiot: ,.nh; a "Home Owner" is defined as follows: Pe rsontsj who owns a parcel of land on which hershe resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, 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 I"our signature carries certain responsibilities, including but not necessarily limited to sxsssssssssszsssssssssssssssssssssssssssssss:ssssassssssssssssmsssssssssss:xssed general e erasssbilih- sssss NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that anv licensed Construction Supervisor. whether or not they have taken th 2.15.2 of section 5 l e permit are responsible for code compliance. (see sazssssssszzxzsxsssssssssssssssss#sssssssxssssss#s#ss#s#ssssssssssszsssssssssss#ssss#ssssssss#s:#ssss#ss 1500 COST Cost of Improvement Items to be installed but not included in the above cost: Electrical S Plumbing HSAC Other TOTAL S _ Alteration of existing, no increase in gross square feet. A separate Refuse Disposal ENeclaration required. _ Demolition - describe structure i Number of dwelling units Number of bedrooms A separate R?efuse Deposal 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) I Number of dwelling units Number of bedrooms per dwelling unit _ Re -roofing (for existing only, is included in new construction) Number of u feet square q 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 and will not be i enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existfing dwelling will be considered as an Alteration. otherwise will he included in new construction. (see Code setetion 3401.10 for residential and Article 8 for commercial). _ Temporary structure _ includes when allowed, trailers, tents and the like and only for limilted periods of time. Describe 500 CONSTRUCTION PLANS — None submitted. Why? g Submitted, usually three sets required. Four sets for food serviceluses. Number of sets submitted 3 600 SITE PLAN I ❑ Not required, why?I :X Submitted When? = Previously, date 1 1 / 10 / Z7 With this application 700 UTILITIES Water supply required X yes _ no, public?*yes X no, on site well? X yest _ no, i existing? yes x no i 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 waiter 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 _X ves _ no. Submit copy of permit as soon as available. - Woodstove - used (will require inspection pear to installation), new (provide manufacturers instructions). Location(s) (list) i Fireplace(s) - (includes flue) List location(s) Game Court -describe (include overall dimensions) Tent, Trailer (Mobile Home) or Other ='describe 300 CONCMMCIAL -PROPOSED PROJEGTIUSE _ INCLUDING THREE FAMILY OR MORE AND EXEMPT USES )XTHIS SECTION NOT APPLICABLE (The following descriptions are based on the Massachusetts State Building Code Article 3 AS Code) NOTED) (See the Assembly restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe I I _ Business - office, assembly with less than 50 occupants - indicate Medical or ot her professional (see Code 303.0) - 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 Sec on 3u5.0) II Institutional - hospital, nursing home, infant day care (see Code Section 307.0) — Mercantile - retail stores (see Code 308.0) i Residential three or more family, hotel (see Code Section 309.0) _ Storage -includes garages (see Code Section 309.0) II' - Utility & Miscellaneous Structures a includes tents and agricultural structures (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 - umber of dwelling units and bedrooms or oc c also existing condition Pit load as applicable, '400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED >LX New Construction and/or Addition total gross square feet 2160 (For commercial only total gross cubic feet) - indicate It will be considered new construct ion if there an increase in square footage in addition n to any 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.) Yessee Code section 127.0). Designer to submit Code Svnopsis. No. (If yes Will this project require Peer review (over 400,000 cu.ft.) Yes No (see Code Appendix 1) c, 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 Inspectors signature Dated Applicant informed of above - Date - time staff (fax, phone, iin person) sss*******x#=*sssxs*sssssssssssssssssssssssssssssssssssssssssssssssssssssfss:sss:sssssssss*:ssss:ssssssssss 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) sssssssssssssssssssssssssssss:ssssssssssssssssssssssss*sssssssssss*ssssssss*ssss:ssss*ss*ss*sssesssssssss OFFICEIINSPECTORS NOTES TOTAL FEE Gross area - new construction_ Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit 1600 TO THE APPLICANT/REFE3tRAL AND APPROVAL Date of Application submission Plat Lot / Itreet - An uifer 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 REOL114�D ONS- 'a TAX COLLECTOR C Approved C HOLD By Date ❑ Board of Appeals �— Approved By Date ❑ Conservation Commission C Approved By • Date ❑ DP.W. Water _j Approved By O D.P.W. Sewer — Approved By Date ❑ D.P.W. Cross Connection C Approved By -Date ❑ Treasurer (Bond) ❑ Approved By Date ❑ D.P.W. Engineering C Approved By Date -3Board of Health (well) C Approved Date ❑ Board of Health (septic) = Appro ed B Date ❑ Board of Health (food service) _ Approved By Date ❑ Planning Board (parking.), _ Approved By Date s FIRE DISTRICT (I II - II) - Approved By sss::::ssssss#ssssssssssssssssssssssssssss:ss:sssss#ssssssssssssssssssssssssssssssssssssssDate sssssssssss ss BUILDING DEPARTMENT APPROVAL: ❑ ZONING ❑ BUILDING INSPECTORBUILDING COMMISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT PROJECT SUMMARY: new constructioni 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 . Tt'o 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 assistan cooperation is appreciated. ce nd The Building Department - Date sent for review ' % q / By e TOWN OF DARTMOU . BUH D G DEPA TELEPHONE 508-999-0720 FAX;5��8-999-0738: APPLICATION s•ZONING AND UILD� Im4tr'nCt10�4 .� ,- The applicant shall complete this application to the best of their ability prior to submission. leaving no item,runanswered- The Department staff will be available during regular business hours to assist as necessary. N/A should be inser!.ted for those sections which do not apply. A properly completed application will help avoid unnecessary delays. Ne/G fee Em art (for otTice use only) ❑ 1�3MT N ONLY Total Cost f 7 / Received By Date Rec'd Less Application Fee S Total Persia Fee f 5�,GCS Permit # Lamed Date 100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET' " 121 , 10 5 CURRENT ACCESSORS' PLAT 66 LOT 2 0- 1; 7 ZONING DISTRICT s R B OTHER ZONING OVERLAY DISTRICTS , if applicably G_. NUMBER & STREET 35 Stonewall Ave. I NEAREST CROSS STREET Reed Road _ SUBDIVISION NAME & LOT# Dartmouth Landing Lot 117 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 (Single family - number bedrooms 3 number baths _ 1 i = Two family - number bedrooms unit 1 number baths unit 1 j number bedrooms unit 2 _ number baths unit 2 Accessory apartment Total gross sq. ft. Accessory structure: Garage - detached - attached to dwelling, timensions L VV Carport detached - attached to dwelling, dimensions L VV Shed - dimensions L W C Deck - dimensions L W = Gazebo dimensions L W Swimming pool above ground in -ground Size Chimney -number of flues