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AT THE BUiLDING OURNG 'THE
PROGRESS OF THIS WORK.
BUILDING -PPART
T01,11°n of Dartmouth
FILE COPY
TOWN OF RAIRTEIMUTII
RECORD PLAN
A Copy Of This Endorsed
Elan Must Be Kept On Site
During Construction
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36' YdiNDOWS:
1ST f100R _3M60' double hung
6'1 24, 2ND FLOOR 36x48' double hand
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1 M�ROOM yIRJO - 36"X36" DOUBLE
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12° 12'
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2 x 6 RAFTERS
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2 x 6 CEIL WC
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2 x 4 OUTL OOKER
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2 x GRAFTERS 2 x RAFTERS
O4 AS REO D. OR AS REDO 17.
VYSLL A nav AS REO D. , A%6U- A TIC)! AS REO D
2 x G CEILING x
JOYD i / L? BAFFLE
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� � � CROWN Ml�(,LO1NC3 / x G FRIEZE
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S+ EA THIvO �O j 1 x G FRIEZE i STL C'CO OR EQUAL
i-C R OARD Sr0111 G U N.4R. 1B OARO $lQWG i a F. �o -SEA THING p
FL A 1M I Q St�EA TMNG U V)U
FL ASI-t'vtG
rf�' OR f E DELIL r3-'N\ C OR . f C E DETAIL., R1�' DETAIL
Section reflects It basement fotuidation. If another foundation is used, builder
should disrega i d L,,:isement level.
i
-... . --- ��..,o.. �.ic. i..calaic. a8sulues Tip
liability for any changes or modifications
made to these plans by others.
COPYRIGHT Q 1992 BY FRANK'BET Z ASSOCIATES, INC., NOT TO BE RM7RODU=.
TRAIII'MISVERSE- - SECTION
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PLAT 6$ LOT 20-22
SUBDIVISION LOT 122
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PLAT 66 LOT 20-29
cy .° SUBDIVISION LOT 129
f TB j13 PLA 66 LOT 20-21 � f
SUBD SION LOT 121 �
42,996 S.F.
0.99 A ES FILE
AL
�IWOF A
I certify that the foundation, _ � ' COUTO j
shown on this plan is in #32 87
compliances ces with the applicable
Zoning By -Laws in the s �
Town of Dartmouth.
ISCLAM LAND SUMCT
M FLU# ING
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-
•
FO UNDA TION PLC
PLAT 66 LOT 20-20
2n
• ' SUBDIVISION LOT 120
A COPY Of This Endorsed.
LAND SURvEv Plan dust Be Kept On Site
Dartmouth 1 ,
8 Grinnell Street � D n �1 yructl0
clvrz Is'NCII%YEPZ�� .
South Dartmouth,, A. � � � v v prep acre d for
02748-2814 SUB�iI715IONS Date .�.
Vianna HQmes
Teter (508) 998-6052 SITE PLANS
Tax 508 979-5949 AS-BUUT PLANS
pjonJosephE. corr.1U Pres. & Joseph P. co"eja 1 vp. Scale 1 "= 40' March 17, 199&
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800 _
MECIiANICALS & PRI[MARY 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)
None of the above to be provided
_ Hot Water Gas Electric Fuel Oil Other
900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential
- Required, -plans provided, =plans not provided, why?
- Not required, not to be installed. Why?
1000 REQUIRED OFF-STREET PARiCING - for ZONING & Architectural Access
NOT APPLICABLE
— — Building d'mgDePartment Planning Board Date sub
mitted matedParking Plan submitted To
Number of spaces- indoors outside total provided
Handicap spaces- required ves no. If yes, how many as a part of the total required number.
I -
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.
1100 IDENTIFICATION (print or type e cept as noted)
Current owner- name
address
j
phone e 561' ��
If corporation. officer in charge , v ! - ✓
ArchitectJEngineer - for overall design
...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 not
reproductions.
Arckiec jEhgmeer proje-d §upervtion and Ir;poi#x
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) not
reproductions.
General Contractor (if Homeowner, state homeowner here then,�ddmplete section 1300)
Company name
Address - -
Phone number ( y "
Construction Supervisors license number
NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals andl not
reproductions.
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1200 FOR RESIDENTIAL REMODEL WORK ONLY
Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes _ No _ If no go to mext section!
Are you claiming exemption from the requirement? Yes —No _If yes, submit the required aaffiidavit!
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. 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 requirement (including Zordh 9).
Name Y _
Si�naru
e above signature is my voluntary act and u signed under the pains and penalties of perjury.
Date
Who is authorized to pickup the permit at the Building Department? r e r
Address Phone
iI
1400 HomEOWNER EXEMPTION - ONE & TWO FAMILY ONLY
FOR HOME OWNERS WHO INTEND TO PERFORI`4 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 he 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 in accordance with the rules and regulations promulgated by the BBRS entitled
R41es a-d Regulations for Licensing Constructicn 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 personis) for hire to do such work ,that such
Home Owner shall act as supervisor.
For the purposes of this section ,.nly, a "Home Owner" is defined as follows: Person(s) who owns a parcel of land
on which henhe 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 -sear period shall not be considered a Home Owner.
If you are apphing under this section sign below:
Sigtrature
Your sienarure carries certain responsibilities. including but not necessarily Limited to, general liability
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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 the permit are responsible for code compliance. (see
'.15-2 of section 5)
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1500 cost
Cost of Improvement 5
Items to be installed but not included in the above cost: _ Electrical 5
Plumbing
m
HVAC
Other Fyn
TOTAL S
I
AjterallOn 01 exLSAII , .OU iuca caa•- ... g .._ -.
= Demolition describe structure
Number of dwelling units
Number of bedrooms A separate Refuse Dl�sposal
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
= 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 aTnd 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 be included in new construction. (see Code section,-3401.10 for
residential and Article 8 for commercial)
= Temporary structure - includes when allowed, trailers, tents and the like and only for limited gaeriods of time.
Describe
500 CONSTRUCTION PLANS
= None submitted. Why?
- Submitted, usually three sets required. Four sets for food serviceluses. Number of sets sulfbmitted
600 SITE PLAN
❑ of required, why?
Submitted When? _ Previously, date ❑ With this application
700 ITTII.I'I'IFS
_ no. public? yes no, on site well? yes no,
Water supply - required _• yes
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 watt r supply, when
required, is available. See Code 780 CMR section 114.1.2)
Sewage disposal - required - yes _ no, public sewer _ yes no
no. Submit copy of permit as soon as available —
private septic - on -site _yes
J
= Woodstove - used (will require inspection prior to installation), new (provide manufacturers
instructions). Location(s) (list)
Fire laces (includes flue Listlocation(
s)
Game Court - describe (include overall dimensions)
C Tent, Trailer (Mobile Home) or Other - describe
300 COMMERCIAL - PROPOSED PROJECT/USE INCLUDING THREE FAMILY OR MORE AND EXEMPT USES
THIS SECTION NOT APPLICABLE
�i (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
II
= 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
I -
304.0)
- 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)
I = 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)
= Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0)
New tenant for anv 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 - amber of dwelling units and bedrooms or occupant bad as applicable,
also existing condition
I
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
I
alterations)
If project is an addition to existing structure - Total gross square feet of existing
j
= 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 1)
APPLICANT TO PROVIDE
I
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 daite
HOLD Subject to Zoning Board of Appeals action
Comments
� Inspectors signature Datlic
= Applicant yn orme of above - Date time staff (fax, pho)ne, in person)
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Over six months since approved for issue - DEEMED abandoned!
Advise applicart Holld 90 days for return then dispose if not picked `up.
Inspector Date
Advised applicant Date Time staff (by phone, fax or in'pers(nm)
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OFFICEUNSPECTORS NOTES
TOTAL FEE + '�
Gross area - new construction Total Sq. Ft.
alteration Total Sq. Ft.
Permit is issued to
Comments/notes on permit
r
Owner phone #
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OTHER INVOLVED AGENC
IES The following agencies require separate 'urisdictiona eq P J ! permits p rmits or approval fo
proposed project. CONTACT THEM FOR RF.OLT>>Q�p PP foryour
SQBlbIMONS.
® TAX COLLE
CTOR Approved HOLD B
y Date
❑ Board of Appeals 'Approved By
Date
❑ Conservation Commission C. Approved By
Date
❑ D.P W. Water -j Approved By ❑ D.P.W. Sewer ' — Approved By Date
❑ D.P.W. Cross Connection u Approved By Date 100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET I
,
❑ Treasurer (Bond) ❑ Approved By ! ` .
Date CURRENT ACCESSORS' PLAT LOT 1 OMNG DISTRICT
❑ D.P.W. Engineering 7 Approved By -
Date
OTHER 7ONLiG OVERLAY DISTRICTS , if applicable
7 Board of Health (well) � Approved By
Date NUMBER & STREET /f®�
❑ Board of Health (septic) C Approved By
Date NEAREST CROSS STREET
❑ Board of Health (food service) _ Approved By Date SUBDIVISION NAME & LOT #
❑ Planning Board (parking) -- Approved By /
Date
or BUSINESS NAME
® FIRE DISTRICT (I - II - IIn .� Approved By ,
ssssassssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssassssssssssssssssnate ssssssssssssss PREVIOUS TENANT / OWNER
BUILDING DEPAR'IW1ENT APPROVAL:
❑ ZONING 200 RESIDENTIAL - PROPOSED PROJECT - one & two family residence only
= THIS SECTION NOT APPLICABLE
❑ BUILDING INSPECTOR/BUILDING COMMISSIONER
- Single family - number bedrooms number baths
❑ CONTROL CONSTRUCTION AFFIDAVIT
:ss:ss:ssss**sssxs*s*:*s:xxsxsss*sxsmss*:ssssssss****x*xxx**::sssssssx*=**s*:::::ssssss****xxxssxsxs:* = Two family - number bedrooms unit 1 number baths unit i
PROJECT SUMMARY: number bedrooms unit 2 _ number baths unit 2
new constructions alteration/demo sewage disposal - public/private Accessory apartment Total gross sq. ft.
Accessory structure:
[Alter,,add interior walls] [add rooms] [add footprint) water supply - public/private well'
Garage -detached -attached to dwelling, cimensions L W
i
[pool] [garage/shed/deck] [game court] [food service]
,
Carport - detached - attached to dwelling, dimensions L W
Describe
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To the various departments: ,
Deck - dimensions L �® W
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 Gazebo dimensions L W
cooperation is appreciated.
/ Swimming pool above ground in -ground Size
—. I
The; Building Department - Date sent for review - B
Chimney - number of flues