BP-4977800 MEC`iANICALS & 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)
fir conditioning (separate unit)
_ None of the above to be provided
_ Hot Water Gas Electric Fuel Oil Other
900 SPRINEIXRS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential
Required, _plans provided, -plans not provided, why'.
Not required, not to be installed. Why'
loco REQUIRED OFF-STREET PAREING - for ZONING & Architectural .access
NOT APPLICABLE
Parking Plan submitted To _ Building Department _ Planning Board Date submitted
Number of spaces -indoors outside total provided
11andicap spaces - required 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 yes has it been issued yes _ no =.
Submit copy of application and/or permit as soon as available.
11_`00 IDENTMCA11ON (print or type except as noted)
Ctiurrentowner- name COWAIAL REALTY TRUST
address 678 DEPOT STREET, P.O. BOX 349, EASTON , MA. 02334
phone # (508) 238-5566
If corporation, officer in charge
ArchitectlEn$meer for overall design
Company name
Address
Phone number
Certified by State of Massachusetts as
Certification number
NOTE Signatures and seals on all clans, affidavits and other documents SHALL BE originals and not
reproductions.
Archi+rect/Fnoneer - project supervision and reports
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 originalsz—and not
reproductions.
General Contractor (if Homeowner, state homeowner here then complete section 1300)
Company name ENDRIUNAS BROS. INC.
Address 678 DEPOT STREET, P.O. BOX 349 EASTON , MA. O 2234
Phone number (508) 238-5566
058684 (ROBERT `V. DOANE)
Construction Supervisors license number
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originalls and not
reproductions.
1200 FOR RESIDENTIAL REMODEL WORK ONLY ,
Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes — No _ If no g o to next section'.
Are you claiming exemption from the requirement? Yes _No _If yes, submit the reguuired affidavit!
Ren_,)del contractor name lease rind -
Address
Registration number (ir none state "none")
Phonenumber
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE
GU.ARA NEE 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
4_
—
_ Afteranon of existmg,.no increase in gross square feet. A separate Refuse Disposall,Declaration required.
I, the undersigned, am the owner of record or authorized lessee (provide documentation and have reviewed
the application herein submitted. I state that to the best my knowledge
-
- Demolifion - describe structure .
of 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
Number of dwelling units Number of bedrooms A separate,lefuse Dis P° sal
Declaration
begun or
six months after, the last inspection if work has begun and that the permit may be extended for six
required.
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 re
Prequired, including fees and current
- Moving - (Provide coy of D.P.W. moving license e o structure
p- g ) Type f re
other requirements .(including Zoning).
from where (plat/lot or address)
Name WALTER R . ENOR-I-UINAS
_
to where (plat lot or address)
Signature
.'
The above signature is my voluntary act and is signed under the pains and
Number of dwelling units Number of bedrooms per dwelling unit
penalties of perjury.
Date 1 1 /ZO/97
- Re -rooting - (for existing only, is included in new construction)
Who is au ' ed tp cku the permit at the Building Department? (please nnnn ROBERT V . ORANE
��/ H1 u9ndAve
Number of square feet Number of layers already existing
.address
o p mu-.— Phone (781) 963-2479
Number of layers when complete
1400 IIOMEOWNER EXEMPTION - ONE &'TWO FAMILY ONLY
A separate disposal declaration REQUIRED
FOR HOME OWNERS WHO INTEND TO PERFORAi AND BE RESPONSIBLE FOR THEIR OWN PROJECT
-Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be
109.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction
enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling will be
Control
in Section 127.0. effective July 1, 1982. no individual shall be engaged is directly supervising (sons Pe
engaged in
construction, reconstruction, alteration, repair, removal or demolition involving the structural elements buildings
considered as an Alteration. otherwise will be included in new construction. (see Code section 3401.10 for
of or
structures, unless he or she is licensed in accordance with. the rules and regulations promulgated by the BBRS
--ntitled Rues and Regulations for Licensing Cor,tructicl Supervisors.
residential and article 8 for commercial)
Exception:.-kny Home Owner performing work for which a Building Permit is required shall be
the
_ Temporary structure - includes when allowed, trailers, tents and the like and only for llimited periods of time.
exempt from
provisions of this section: provides that if a Home Owner engages a persons) for hire to do such work ,that such
Home Owner shall act as supervisor.
Describe
i
For the purposes of this sectioL alv, a "Home Owner" is defined as follows: Person(s) who owns a
500 CONSTRUCTION PLANS
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 accessory to such use audio( farm st A person who constructs more than one
_None submitted. Why?ructures.
home in
two -tear period shall not he considered a Home Owner.
_ Submitted. usually three sets required. Four sets for food serviceluses. Number of':sets submitted
If you are apphing under this section sign below:
600 SITE PLAN
Signature
-
_ -
Your signature carries certain responsibilities, including but not necessarily limited to
- ,general habilih
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El Not requir-ed, why?
NOTICE TO LICENSED CONTRACTORS: The Building
V9hen? _, Previously, date 1 1 / 10/97 With this application
Code provides in the Rules and Regulations sectionSubmitted
any
licensed Construction Supervisor, whether or not they have taken the are responsible
permit lithat
'_.15.: of section � i p possible for code compliance. (see
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700 UTILITIES
1500 COST
Water supply - required _ ves _ no, public `' _ yes _ no, on site well? _Yes _ no,
Cost of Improvement 5
existing? ves no
—
Items to be installed but not included in the above cost: Electrical 5
If required and not existing have necessary permits been issued? _ no _yes, date;_
Plumbing
(INI.G.L. Chapter 40, section 54 provides that no building permit may be issued unless at water supply, when
HV:AC
required, is available. See Code 780 CMR section 114.1.2)
Other
TOTAL
Sewage disposal - required _ yes _ no, public sewer ,_ yes _ no
private septic - on -site ves _ no. Submit copy of permit as soon as avaiilable.
I
a
t✓
A
Woodstove - used (will require inspection prior to installation), new (provide manufacturers
'I instructions). Location(s) (list)
Fireplace(s) - (includes flue) List location(s)
Game Court - describe (include overall dimensions)
Tent, Trailer (Mobile Home) or Other - describe
300 COM 1ERCIAL - PROPOSED PROJECrIUSE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES
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
i
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
304.0)
= Factory ; Industrial - (see Code Section 305.0)
Hh Hazard - (see Code Section 306.0)
Institutional - hospital, nursing home, infant day care (see Code Section 307.0)
l = 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 Structures - 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)
�I
Tent or Trailer - temporary purpose?
= Other
Describe the proposal briefly, INCLUDE - -amber of dwelling units and bedrooms or occupant load as applicable,
also existing condition
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 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 Appendix I)
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 Date
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 d pose if not picked up.
Date
Inspector
— Advised applicant Date Time staff (by phone, fax or in `person)
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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 APPLICAN 1REFBRRAL AND APPROVAL
Date of Application submission
Plat Lot Street Aquifer Zone
Owner
Owner mail address
Owner phone #
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OTHER INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval for your
proposed project. CONTACT THEW FOR SUMMMONS.
® TAX COLLECTOR -- Approved .= HOLD By Date
❑ Board of Appeals _ Approved By Date
❑ Conservation Commission C Approved By Date
❑ D.P.W. Water -Approved By ❑ D.P.W. Sewer Approved By Date
❑ D.P.W. Cross Connection u Approved By Date
❑ Treasurer (Bond) ❑ Approved By Date
❑ D.P.W. Engineering — Approved By Date
7 Board
r _ of Health (we
ll) Approved
P
ro ed B y Date
® Board of Health (septic) Approved By Date
❑ Board of Health (food service) =Approved By Date
® Planning Board (parking) _ Approved By Date
0 FIRE DISTRICT (I - II -' III) Approved By Date
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BUILDING DEPARTMENT APPROVAL:
• ZONING
• BUILDING INSPECTORBUILDING COMMISSIONER
tT CONTROL" CONSTRUCTION AFFIDAVIT
PROJECT SUMMARY:
new constructioni alteration/demo sewage disposal - public/private
[Alterladd iaterior 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 B
Y
Lam.
Iastrnetion4
The applicant shall complete this application to the best of their ability prior to submission, leaving no item unansweredl," The
Department staff will be available during regular business hours to assist as necessary. N/A should he inserted for those;rsections
which do not aPP1Y• A properly completed application will help Pavoid unnecessarydela s. PLiFiEft fee irrtie�'- M
100
LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET 121 . 11(OS
CURRENT ACCESSORS' PLAT LOTSe-1 7ZONING DISTRICT ✓!'
OTHER ZONING OVERLAY DISTRIC TS if applicable
NUMBER & STREET STONEWALL AVE.
NEAREST CROSS STREET REED ROAD
SUBDIVISION NAME & LOT # DARTMOUTH LANDING LOT # 1 17
or BUSINESS NAME
PREVIOUS TENANT / OWNER INTERSTATE REALTY TRUST
i
200 RESIDENTIAL - PROPOSED PROJECT - one & two familyresidence only
_ THIS SECTION NOT APPLICABLE
Single family - number bedrooms number baths
Two family number bedrooms unit I number baths unit 1
number bedrooms unit 2 number baths unit Z
Accessory apartment Total gross sq. ft.
= Accessory structure:
Garage - detached - attached to dwelling, dimensions L W
Carport - detached attached to dwelling, dimensions L W
Shed - dimensions L` W
Deck - dimensions L W
Gazebo - dimensions L W
Swimming pool above ground in -ground' Size
Chimney = number of flues