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scan 001� -,_ i� � �� � �� � � � <<. � �}, � �.- ��- - � - --1--- —t I__ L r e el.i c t rs> Preliminary lans and layouts b DC:D,are fo the use of h 'customers onf . An other use strictly roh,b�tt Pre y P- Y Y _ Y }� Y P 598715 — Fv =j Z wcz Cl C: C:) LIJ C ! CD � �• 0LL. CD N � N „� CTI N r' • cx_ MUTES B & C PLAN 0 DART' SUBDIVISION NOTE, ARE TAKEN FROM DEFINITIVE S d a,,�� �IVU4� ., � TP 157 TP 1.5 IOUTH LANDING , -THE PRIMARY SEPTIC SYSTEM IS LOCATED r_, �.;; �� 100' OFF OF EXTREME ELEVATION OF POND 'OA*, 0P E,v,- 90,7 of E. - 90.5 -BULK HEADS & CHIMNEYS ARE PART OF THE FOUNDATION MINIMUM DISTANCE FROM SEPTIC TANK TO FOU D ATION '10,0' ��.v►�U- f (A) (A) = �~�`" ,` 'LOAMY SAND,I I..-OAMY SAND FBI -LOWING RESTRICTION IS PLACED MINIMUM DISTANCE FROM SEPTIC SYSTEM TO FOUNDATION 0, A G 90.2 7 39.9 T123, BUILDI NG SETBACK FROM STREET LINE SHALL BE SIXTY(601)FEET. -LOT SHOWN IS LOCATED WITHIN AQUIFER PROTECTION DISTRICT ZONE 3. MAXIMUM LOT COVERAGE OF 10`l.. 51 ;LOAMY SAPID I t; OAMY SAND 88.8 PERCENT OF LOT COVERAGE 1 FOLLOWING RESTRICTION IS PLACED MAXIMUN LOT COVERAGE = 5,571 S.F. JT#123, NO LIVING TREE SIX(6`)INCHES OR - HOUSE - P,100 S.F . (C) CC> I`ER IN DIAMETER SHALL BE REMOVED WITHIN -PROPOSED B.T. DRIVE = 91 S,F. C40')FEET OF THE STREET R.O.W. LINE EXCEPT TOTAL = 3,091 S.F. � 50 � 86,5 50� _ _ - - _ _ - 86,3 DRIVEWAY AND UTILITY ACCESS WHICH SHALL NOT PERCENT �OF LOT COVERED; � - 6OARSE SAI��� �IARSE SAN D 5,000 S.F. IN AREA. 5,5/ < 101. O.K. �F LOCUS MAP SCALE: N.T.S. - -DESIGN DATA DESIGN PERC, <5Min,/In. CLoss I SOILS DESIGN FLOW, 4BR. x 110 GPD/BR 440GPD LEACH AREA, 12'x50,' LEACH FIELD CALCULATIONS, 12'x50'x0o74gpc1/s,f,-444a0Opd 130' ` I 79,9 134' 793 PERCOLATION RATESi <2min;/Ire, PERCOLATION RATE S, <2min /In, NIOTTLING 130' EL= 79.9 MOTTLING 1 4, EL= 79.3 PERCOLATION TEST TAKEN, 3/7/96 CORPEIN'S ENGINEERING INC, SOIL EVALUA T ❑R, JIM WALSH INSPECTOR, CHRIS MICHAUD NOTES.GENERAL Ali work. must be in accordcrice with the 'Jassachusetts Department of l nv ronrrentol Protection Regulations 310 COO 1 1.00 & 15.00 (Title V and <7ny local Doarrd of Health Mlodification No rnodificatirons shall be made to this sv,=tem without prior written cpprovol by the engineer and the local Bo(` d ` of Health. �r,,jjreer and the Board of Health ,must in:-"pect the completed system Prior +0 backfi ling. 4. Elevotions shown on plan oro based on on subdivision datum. r Hcavy equipment shall not be rein over the: disposal system. 6. A!i unsuitable sc l is to be excavated from the Leaching Area as shown on plan, and bcckfilled with cie& grovel or coarse sand as specified Ir= 310 CMR 15.255(2), 'A'ashed crushed stone shall be free of irc, fines and ,dust. 8. Septic tank, distribution box, etc, shall be n,,anufactured by Rotondo Sons- Inc. or a,�prc.ved e^L,al, and insta!ied per manufacturer'sspec"ifications. ,rout s1,al: be used to provide a water tig ,t seal of all joints where pipe enters or lecves a concrete structure. g- O,.at!et distribution lines shall be level for c minimum of the first" two feet. tne'r 1rnQ`h as specified in 310 CMR 15.232(3). oard of I+ea±th cFYtificate of Comp ia #ianc<' as required by 31C CAR 15.021 m'uist be octcir�ea by contrcctor up,,-) corn., 'et+on of wort-. 1 1 . DistrILI" u?lor, lines to � e capped at ol;: Fts, i l-yI^ systc` r:'i Is not deli -i e. m . .� E 4' F�`J C. PIPS_ S HL, 40 (TIGHT JtDIN._c.) j O 0 1 SEE T IC T A,,N1K _ 56 .EXIS TING C0N E"a.5 -- PR0PGSE- C0NTr;_!RS DISTRIBUTION l X 7/77 PESEP'v'E LEACH 4PE.A ! TEST PIT W WATER LINE I WATER TABLE TEST /E; M. � ENCH MARK BEARD: EP_ ; !CALTH S 1 AMPS { BO`APD OF HEALTH vT~`y� TAT _i iqRU �':u% u fi 3 a .ii VIMAVED [ SEE REPORT By�.. a o T1 iu®wo -AZINHEIR OWNER, HAMILTON HOt} S CIVIL y ,� i �, No. �� DARTI" OUTH LANDINGI SUBDIVISION LOT 123 �a°����c'sT€ STREET LOCATION, STONE ALL AVE., DARTMOUTH. Correw.'s Evginelering Inc. fi P } 8 Crinnetl Street' .L,S, S t-,'fir' CA7L`, Nr.1Xrr C 5i.��cth, .�ic�rt�ttaatt��, VA. StrIp PLANS Paz (608) 979-69-4p AS -WILT PLANS Joeeph. E. Correia, Iri s- J0� ah E. �' � IV VIP. DAi b 1 / 1/9G . x .%_ NTT RSM-1JOSEPH, SET FILE} 96~'0`14. NOTES B & C ARE TAKEN FROM DEFINITIVE SUBDIVISI❑N NOTES PLAN DARTM❑UTH LANDING THE PRIMARY SEPTIC SYSTEM IS LOCATED 100' OFF OF EXTREME ELEVATION OF POND 'A', -- NOTE 'B' THE F❑LL❑WING RESTRICTI❑N IS PLACED ON L❑T#123, BUILDING SETBACK FROM STREET R,❑,W, LINE SHALL BE SIXTY(60')FEET, NOTE `C' THE FOLLOWING RESTRICTI❑N IS PLACED ON L❑T#123, NO LIVING TREE SIX(6')INCHES OR GREATER IN DIAMETER SHALL BE REMOVED WITHIN F❑RTY(40')FEET OF THE STREET R,❑,W, LINE EXCEPT FOR DRIVEWAY AND UTILITY ACCESS WHICH SHALL NOT EXCEED 5,000 S.F, IN AREA, 153 1 Tp t SUBDIVISION LOT106 ' 53,697 S.F. 1.23 AC. t CO co, f f .. J• 155 TIP 6. ,• - ��2• •� �, POND A SUBDIVISION LOT#107 1 ,•�'•PRE 49137S.F. 100 1.13 AC. ti If/ 5 05 SUBDIVISION L.4 23 ro � Z 55 710 _ S.F. i ►2S AC. N 19 ' EPS �55 �, �. > P CPO EC pG o� r� TP i ` 1 pE. 12 ELL • 12 � 2�.2• r � 1 � � DTP .. .�v Boa DESIGN PERC► <5min./in, Class 1 SOILS DESIGN FL❑W+ 4BR, x -110 GPD/BR = 440GPD LEACH AREA, 12'x50' LEACH FIELD CALCULATI❑NS+ 12`x50'xO,74 cl/s . ; =444,O cI 9P _9P 0' 6' 2 4' 50' 130' 90,7 0' ELrv__-__ 90,5 (A) 90,2 7, LOAMY SAND 89,9 (B w) LOAMY SAND 88,7 21' 88,8 (C) 86,5 500 -------- 86,3 ❑A,RSE SAN 79,9 134' 79 3 PERC❑LATI❑N RATESi <2min,/In, PERCOLATI-ON RATES, <2min,/In, M❑TTLING 130' EL= 79,9 M❑TTLIN a 134' EL= 79,3 PERC❑L_ATI❑N TEST TAKEN, 3/7/96 C❑RREIA'S ENGINEERING INC. SOIL EVALUATOR: JIM WALSH INSPECT❑R, CHRIS MICHAUD GENERAL NOTES: 1. All work must be in accordance with the MassachusettsDepartment of Environmental Protection Regulations 310 CMR 11.00 & 15.00 (Title V) and any local Board of ° Health Modifications. 2. No modifications shall be made to this system without prior written approval by the engineer and the local Board of Health. 3. Engineer and the Board of Health must inspe"t the completed system prior to backfilling. - 4. Elevations shown on plan are based on an s(jbdivision datum. 5. Heavy equipment shall not be run over the d'iposal system. 6. All unsuitable soil is to be excavated from thY Leaching Area as shown on plan, and backfilled with clean g"avel or coarse sand as specified in 310 CMR 15.255(2). 7. Washed crushed stone shall be free of iron, fines and dust, 8. Septic tank, distribution box, etc. shall be maufactured by Rotondo & Sons Inc. or approved equal, and installed per manufacturer's' specifications. Grout shall be used to provide a water tight seal at all joints where pipe enters or leaves a concrete structure. 9. Outlet distribution lines shall be level for a m"nimum of the first two feet of their length as specified in 310 CMR 15.23r(3). 10. A Board of Health certificate of Compliance as required by 310 CMR 15.021 must be obtained by contractor upon completion of work. 11. Distribution lines to be capped at outlets. 1:. This system is not designed for a garbage gri,lder. �r f LEGEND _ 4' P,V,C, PIPE SCHL. 40 (TIGHT J❑INTS` O SEPTIC TANK 56 '56 EXISTING CONTOURS 5( PROPOSED CONTOURS ❑ DISTRIBUTI❑N BOX RESERVE LEACH AREA TEST PIT W WATER LINE WATER TALE TEST O WELL B,M, BENCH MARK BOARD OF HEALTH STAMPS _ BOARD OF HEALTH STAMPS TOWN OF DAR rj EI 10 - Any Cs6m= R 3,"1411 1 -R-EEREPORT JAB D Of Revle"N B ` ZZ` t � .utre�o P, E, TAMP SUBSURFACE SEWERAGE DISPOSAL SYSTEM Of 4l � ou®io M. �� OWNER, HAMILT❑N HOMES AZINHEIRIA ; No °=2s 'DARTM❑UTH LANDING" SUBDIVISION. LOT#123 A� ^BSTER�� STREET LOCATION,, STONEWALL AVE'.DARTM❑UTH Corr' eia s Engineering Inc. LAND StrR Nc P S , TAMP 8 0+vn.e it ' S`treet cm� �°xcarrS��rxc South Darrtraouth, MA. Sa��alry StONS oz748--,�sf.t , ?`e%r►one {ells) 89 --6062 sm PLANS rax {5d6) 979-6949 AS l MILT PLANS Joseph E. Correia III Pres. Joseph E. Correia IV 67P. D TEs 12/31/96 CONTACT- PERSO ; JOS PH E. CORREIA , FILE#: 96-0214 - a%J" ✓. 9 s , t PER M' i 1 r� . i_7 >;,AT It�N R� TE _ _ LULU J �«�ln.Jlc�, � � . A.� CST, N.T.S.��"SPERCOL. TIC�N PATES <c t~Zin,Jln, MOTTLING LNG 130 c L 79,9 _ I�IGTi6,RING 134 CL-' 79, 1 ; P[RC € EILATI®N TEST TAKEN 3 C1�RIZE�ATP S ENGINEERING INC, EV ALUAT®R JTN1 �/ALSH z iN r I Pc.CTGR CHIRIS t�ICHAUD GENERAL - IMSI� LET �::i� , ! ,� 1 . A+wa: !, must be in accordance , �ia� �� j �; `�•,��-• ce : with the sachuset�u Department of 3,6 7 S.F. t � ' Environmental Protection Re ulatians 31(} C�"R 11.00 15,00 Ti , ` .`<. .:. and do (Title /� y loco[ Board of Health l�!odificctt±ar���- TR 2. No modificatians shall be made to this s�=tem without prior written approval b the en ineer an d of Health. y g d the local Ba 5 ,` t' c Engineer and the Board of Heath ect the completed, Ar, 155 �� m t Lr, p p t d oyster prior to bockfillin . p 9 G zDESIGN El�t(an�tzo�an ansubdivisionTF ' y PC7h D A pn acre bcd on c. datum. SUBr c7 5: Heavy equipment ; i .� q ment shall not `be run r disposal DESIGN PERC <5��,J�n. Clc�� 1 SEAL p � over th p al system. • a i l 9 , - t All unsuitable tab e soil is to be excava �� the Leaching Area , •,'� S.F.,�,.�r ., , j• � uC� , rn }} � � ted fro. , 9 ea 1 DESIGN FLOW, P, x 1 _ ' ..; �-- ,: .,-� � � 1Q GPD/DR 440GPD as ...shown on plan, and .'�.� r •" `a�, - ; ...-- , � � - , , � backfilled with ciea� gravel or c��arse .sand G 'r � as specified In 310, CMR 1 � r^4 .✓ • a LEACH AREA 12:.50 -LEACH FIELD p ,�.25(2}.: ,- LO - _ - + 1 i ►� f: Mashed crushed stone shall f fin s Z 5 be free of arc , es and. dust, , CALCULATIQN : _ 8: Septic tank _ shall m 1 S �� XJQ XQ,74 t,�J�,�. 444.Q �' distribution box, etc; .,holl be �,+anufactured b rto_onMa �. 1 � /jam, /�'�j,f�yt ' i, �, :.'.✓ / ' ,/'.. / P r^ r ,. ,rv"tea � R. �f a ��. lm5/ - Sons Inc. or approved l er' � Ap d equal, and installed per. manufactures., s specifications. r Group shall be used to : provide w , "A . sea+ a joints e� ..- _ �' -,' //�' p e a afar trq t all col to where e pipe i / ! enters or leaves a concrete '-- , T� ,. � � � P OPO\ED { structure. ROB � � . r E 9. Outlet distribution ; L` iImes shall be lave, for c mrn.mum of the fast two feet of their 'length as specified in 310 CMR 1.,232(3). ' O. A Bard of Health certifi A `310 IR \ / cafe of Cornplicne. a� r..quired by ., CI,15.G�1 i / r .., r. !< - f ` \,✓ rnust be obtained by contractor upon comr(etion of work. ' -•/ `•i-7 ; '� t � ... � ,. �..e.;.��_�. i, I~��..�r��'�';y,,l�� ;+r�Qe' tc"� Ir7� f iia �k ! � .',�c r` _._ _�- �'" __� .� _ ..rL � capped t7. Utra. 1 2. h c "stet is t1C+ s �e�I n d g for a CiGi DG7ufi �r'!lder, 120 --G L4 � ... ._, 9 ,' / � • , � t tiff L- � � , ;� , � 33 - T �----------, _ 4' P.V,C, PIPE SCHL, 40 (TIGHT' S) eg ' ! O. F d0 JOIN I 0 ; ,\ EPTTC TANK _ � '� � ' Sb EXISTING CQNTpCPS LOT..I 56 PROPOSED CONTOURS � �tSTRIBUTInN ;;Qx. ,�, -- 1. ,�. � �,+, � / ,'. 2 �, •, \ � �� ,,. - E, E LE TEST PIT 100' OFF ✓Y \ `,- ., ' ,:`, r FP WELL � WATER ,c LINE, WATER T� P fi \ 1, �uE TEST _� FEB -� <�O . IN. WELL BENCH rAR i q _ s :-.-soy ❑ o o _ �p4❑ a u � � W Nt�1 C. ,:H - 'N. 1! -1l o a a o a off::; ❑ °`�.. r v, _ _� o o t� a o wH � .�V�v,A' V v 12 .., y :---R � t� b'L�Isl t 11 t�i1P `� .. o O O O O SH�J CRUSHED ST0ME 3!4 1 I! ' G _ \ G t * �^ , n ti✓ ,.. r r u v 12 — E � L , S®HI T CONSTRUCTION PLAN CERT�IEICTIC � L y IV . FIE_ �-S C� , OF THIS SATE DUST DF COMPLETED SEPTIC SYSTEM ANT REQUIRED .: LETEp W .,. ��� �� - YE WITH THREE YEARS OF THE DATE OF APPROVAL !TOP OF FOUNDATION ... � : L(3) ELEV.= 93.00 +�ecllhr-z -- D c 0,LTH1N « THE,..: �. a #O� r�AR�JIPFFN P' Ajl"T�, T ET V NESSOF ANY �,-�_��. °;,REQUIRED WHEN EXCAVATED` ' I E: �1PS .. j t INSTALLATION �� WITHOUT �.A� . j-' D D D DART90t1TH BOARD OF HEAITN OF HEALTH APPROVAL t 4 i i- C 92,0 FG 91.0 r FG 91.0 i.',; FG 91.0 is tvict ti h r /✓ Cl a' , t ;u., y i V ENT This System� ... i I Y 1997 t,Grinder, t F; . P g ah Use n _ t, - _ i �' �1,0% rTM _ _ STn, ; TOWN OF DARTMOUT S�NL� 4C P��C m 3 � 1.0 �+ 1 - 2' SASHED J'v E c 150 L 4 PVCLiQuID LEVEL J ;. t , .. �, � .. . � � .---o o e o o a a :� ❑ o o a r � � TOP OF NT � i E ..,_ - P l SUBSURFACE s 41 BSEl9E 1 o _ _ - - 88.00 FLOOR EL t7� 88.93 �, — , a 1 /L tin. D STONE i) ° ,# P.V.C. SANITARY TEE., GS ° O O C,� :;< ,, - ,-.. L , 88,73 � 4 min. � : : 1 ? 88,2� � ,Q C} ° O ° ,_., , < , , , -- . `� - �' � u t? O � ,� t O O ��__� �_v ° G�� G G. O �� . t IJOO GALLON t {� O O O O C. y 88,43 , % , ( n r. , ., - , C o 0 0 t� ~ o `' ° o o ° cy Q�JNFRB I-IAIILTC(� HOMES I n - i .cJ t -�--- G } _ O O G G G L O O O ( tLIDIO M. G. '!RECAST CONCIRETc � / -— s_ � ° ° o 0 0 � Q O 87,5 _.4 __._• -" SEPTIC TANK 88.48 v DARTMOUTH LANDING SUBDIVISION CST# CIVIL ers �. 37628 Dis I F?IBuTiON BOX SO _ STREET ( r ®� LaCAiI®N TC3N.'iALL AVE, DRTMdUTH ' —, , =1 I •= , F— l_= 4 ISTAB'®� TES ° I IlII�I�li�I_iI II_11I�; i—,,I.__:Ir_-1I,1Ii v�^ •1 ! 1-- d 1 I —! i 1-^i 1 t t ; 1 I , , i. .. 1-.•.^. 1 . .. {—i 13._.._i ; T _.� LI_ �L LE BAJEPEA �� 79= F„ CPUSHED ?ONE ON hri HA" f 't ; ),' T. Correia �'��prr.yyg r� t}� ry*r.�yr�vypa._ ;.,E� � C j4..a_. , _V i.l f i eV B [f (t' :/ � W Crl i✓ Inc. a , COMPACTED LEVEL STABLE BASE _ �.._ �._ � .. _ LAND StTP' YdNo' % .Grinnell Street 7'9. South Dartml out J 1, �r �tf�-tt 48-2314 ROMSIONS X_ ? SITE 0, TYPICAL PRU F LE` !"S"A YET r/.0 VCe �Ai3 68 id4:i^ "E W G1 Z'013'Y 'a""T clam M %" t l Jrsc :l a E. `Ce��^•a-ettt Ill .rPr,qr, �' Jo�s�. Z. C�+a�r•�a IV VIP. NOTE, � � �J31J9 r i %i a' e made V r c r s been (� t , e a avoid I t 't White q r� a aloe he r cannot r � e ever at per s, r�o,ke c o guarantee against hur�nn error r i �° P 9 o the. contr�ctar must,verify ver(f aft d,r�en ( n� � _ y s o .� and details �^(ar to an � o ., o ll c nstruCtlo:.. r} J r1 be brought t F' �- An�{ cc�nl�'t(ct� shalt b ou t to he attention of CCJRREIA S ENGINEERING INC,N a U 1 C, prior try cara�truc �,onr excavatisanCONTACT PERSO� . '>i�IS1ON. -It JOISEPH E. CORRIEIA LOCTION a _ .'1O U5E c'c l b` EF. V L' .41iL" _ 1)ATE11 112 F • .I O . _ A , .. BO ARD ' F v _ HEALTH . _ REQUIRED T O IM WHEN EXCkiATED 800 MECIIANICALS & 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) _ None of the above to be provided of Water Gas Electric Fuel Oil Other 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential Required, --plans provided, 9p , -plans not provided, wh_v: - Not required, not to be installed, Why? Y 1 000 REQUIRED OFF 1-SI'REEI' PA RKING ARKING -for ZONING &Architectural Access = NOT APPLICABLE Parking Plan submitted To Building Department = Planning Board Date submitted Number of spaces indoors outside total provided handicap spaces - required yes _no. If yes, how many as apart 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. 1100 IDENTIFICATION (print or type except as noted) J. Currentowner - name 17�t`1'�"hoO t7LV�C`' 7 address Jhone # ('J i ' 1 If corporation, officer in charge Architect/Engineer for overall design Company name Address Phone number Certified by State of Massachusetts as Certificationnumber NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. L74, Architect/Engineer - project supervision and reports Company name i Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on 1! plans, affidavits and other documents SHALL BE originals and not: reproductions. General Contractor (if Homeowner, state homeowner here then complete section 1300) Company name r—a 1� Address t7Q �"1 l�v,�16�%i/�7 t'"cCdi ��hi1f Phone number J I (I L52' cl � f i Construction Supervisors license number l,✓ / A 7 NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. s:ss:::*ssss:�*ss:s::ssss:sss:s:s*ss:sss:s:s*ss*:tss::=sssu�.sss::>ssssssssssuss::::ss:s:ssss#sssssfs:s:: 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes _ No If no go to next smetionl Are you claiming exemption from the requirement? Yes _No —If yes, submit the required affidavit'. j Remodel contractor name (please print) Address �I Registration number (if none state "none") Phone number PERSONS CONTRACTING 'v TTH 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 i Owners name (print) I Signature i Date I 1300 OWNER SIGN - OFF I, the undersigned, am the owner of record or authorized lessee (provide documentation) and I have reyhewed the application herein submitted. I state that to the best of my knowledge and belief that the information provided iin this application is true and correct and that the permit requested he 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 tires by written request. I understand that once the permit expires a new application may be required, including fees and current other requirements (including Zoning). ame -0 Iq cc I ` SignatureQ The above signature is my voluntary lg _ act and is signed under the pains and penalties of perjury. Date (7 d { 6 ' Who is authorized to pickup the permit at the Building Department? tpfease prim p f /c{ cc Address Phone 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 in accordance with the rules and regulations promulgated by the BURS entitled 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 Rome Owner engages a person(s) for hire to do such work ,that such Home Owner shall act as supervisor. i' For the pvrpos , of this section only, a "Home Owner" is derr7ed as follows: Person(s) ho owns a parcel of land on which heishe 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 t-wo-year period shall not be considered a Home Owner. If you are applying under this se 'on sign below; t Si -nature a' Youris'ignature carries certain responsihilities, including but not necessarily limited to, general liability i*x¢*=�=ss*=sssssssssssssssssssssssssssssssssssssssssxssssssssssssssssssssssssssssssssssssssssxssssssssss NOTTCF, TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulationssection that any licensed Construction Supervisor, whether or not they have taken the permit are responsible for code compliance. (see 2.1-; ' of section 5) **a=:=*:==ssz:ass:::sssssssssssssssstx*sass*sssssssssaes:ssssssssssssssss:sass#sssssssssssssssssssssssss 150o COST Cost of Improvement Items to he installed but not included in the above cost: Electrical 5 Plumbing HVAC Other TOTAL The following section for official use only. INSPECTORS' REVIEW Date plan reviewed review 30 days to period expires OK to issue date Alteration of existing,' no increase in gross square feet. A separate Refuse Disposal Decharation required. Demolition -describe structure Number of dwelling units ' Number of bedrooms A separate Refuse Disposal 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 existimg Number of lavers when complete A separate disposal declaration REQUIRED _ Replacement doors and windows (for existing only) (only where doors and windows exL t and 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 seedion 3401.10 for residential and article 8 for commercial) _ Temporary structure - includes when allowed, trailers, tents and the like and only for limited periods of time. i Describe 500 CONSTRUCTION PLANS vvv; C76, None submitted. Whv? 2 ` ✓' v ce uses. Number of sets s d � Submitted, usually three sets required. Four eta for food ser � 1 uhm►tte 600 SITE PLAN ❑ Not required, why? ubmitted When? Previously, date With this application 700 UTILITIES Water supply required _yes _ no, public ? yes no, on site we yes no, 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 watcsr supply, when required, is available. See Code 780 CMR section 114.1.2) Sewage disposal - required _ yes no, public sewer a yes _ no private septic - on site yes no. Submit copy of permit as soon as available OK to issue subject to requested submittals (see project review worksheet) date Woodstove used (will require inspection prior to installation), new (provide manufacturers i DENIED see project review worksheet date instructions). Location(s) (list) '� -- Fireplace(s) - (includes flue) List locationHOLD reason date ©ts) rr I c yin i � t'1'1C�C 1?� „� � y e P? i.iT�,l �? � 4e t` T 9c4 i e we f i J g Appeals w, Game Court - describe (include overall dimensions) _ HOLD Subject to Zoning Board of A eats action 7� Comments Tent, Trailer (Mobile Home) or Other describe 1 �Cr t'G Cil 300 COMMERCIAL - PROPOSED PROJECT/USE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES Date Ei B 2 8� Inspectors signature THIS SECTION NOT APPLICABLE Applicant informed of above - Date time staff (fax, phone, iin person) 5 0'� (The following descriptions are based on the Massachusetts State Building Code Article 3, AS NOTED) (See the Code) Over six months since approved for issue -DEEMED abandoned! a = Assembly restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe Advise applicant. Hold 90 days for return then dispose if not picked up. I Inspector Date — Business office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Time staff bphone,"fax or in person) Section303.0) — Advised applicant Date (y P ) = Educational - structure for training including child day care for those over 2 years 9 months (see Code Section 304.0) OFFICE\INSPECTORS NOTES C; C = TOTAL FEE Factory / Industrial - (see Code Section 305.0) High Hazard - (see Code Sect'nn 305.0) Gross area - new E anst► action Total Sq. Ft. =.Institutional hospital' 'nursing home, infant day care (see Code Section 307.0) alteration Total Sq. Ft. I' Mercantile - retail stores (see Code 308.0) Permit is issued to = Residential - three or more family, hotel (see Code Section 309.0) f Storage - includes garages (see Code Section 309.0) Comments/notes on ermit Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) s 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:' I, Other Describe the proposal briefly, INCLUDE number of dwelling units and bedrooms or occupant load as applicable, also effiting condition 400 'I YPE OF CONSTRUCTION OR WORK TO BE PERFORMED L ,r� a 4L New Construction and/or Addition - total gross square feet ' J i 5 'c"� �'' f r 3 `( lsi tr%ocn- ; (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 1) APPLICANT TO PROVIDE / r. 7 1600 TO THE APPUCANTAUUMMItALAND APPROVAL Date of Application submission Plat ��� w L'✓�==t �/) /�%`' tiifer Zone A— Owner � �C.'.� �' Owner mail address Owner phone # ssssissssaassszis#zliif t!#s#!#fi##fist;iiiiiiiiis#sisf!!si!!##!#izifzsiiffiMii ifff##!lf itif iif#fiiisa#s: OTIIER INN'OLN'ED .-AGENCIES -The following agencies require separate jurisdictional permits or approval for your Proposed project. CONTACT THEM FOR REQ MED S'DgMIS,SIONS. 9 TAX COLLECTOR = Approved =_HOLD By Date ❑t� onseryation Comm = Approved By Date ❑ D.P.W. water _ Approved By Date ❑ D.P.W. sewer — Approved Br Date ❑ D.P.W. cross connection -- Approves Date 7 D.P.W. engineering — Approved Date 003oai"d of Health well _ Approved Date d of Health septic Approved Date ❑ Board of Health food service = Approved Date IRE DISTRICT lI - II -III) _ Approved Date ❑ Planning Dept = Approved Date t)thcr - Approved Date Approved Date (",mments s:zzzissaaaazasfsssa#isi!#sifsaasas#assasisszsiiaiif sasiassi::azsaasa#f#ssai!#f#ssi#i##f#ifs#ssa Project summary new construction/ alterationiderno sewage disposal = pubiiciprivate [Alter. -add interior walls] [add rooms] [add footprint] water supply - publiciprivate well [pool] fgarngershed] [game courtl [food service] Describe zazzzi:aszzzzzz:saszsz#ff#szssss:#/ssss:::a:s::sszzszzsszzzszzszssss:szsszsssszsazssssss#ssssssssssssssfzsz To the various departments: this notice has been forwarded to you for }our 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 _d_ • i i 0 Al . Its Instructions The applicant shall complete this application to the best of their ability prior to submission. -leaving no item untanswered. The "Departments taff µill be available during regular business hours to assist as necessary: Pi/A should be inserts-// for those sections -hick do not appiv. A prnperiv completed application will help avoid unnecessary delays. Nda FWmg AM is `..e (for office use only) / �'� Appika n%e S received by Date l' Total Permit Fee $ Permit # 100 LOCATION OF PROJECT CURRENT ACCESSORS' PLAT LOT®� WING DISTRICT' OTHER ZONING OVERIAY DISTRICT'S , if applicable STREET' NEAREST CROSS STREET � e ��QA SUBDIN•ISION NAME & LOT # Oet1 tn400(1? �?i�t✓?fr LC'f i' or BUSINESS NAME PREVIOUS TENANT i OWNER � � K/A 200 RESIDENTIAL - PROPOSED PROJECT - one & two family residence only 0 i THIS SECTION NOT APPLICABLE ;KSin_ le family - number bedrooms number baths = Two famih• - number bedrooms unit 1 number baths unit 1 number bedrooms unit 3 number baths unit Z I - Accessory_ apartment Total gross sq. ft: w - Accessory structure P)eYt,rcv' e,ac � Yic7 '4'i�►^f (< ✓ � = Garage - detached - attached to dwelling, dimensions L R' = Carport .detached attached to dwelling, dimensions L W = Shed - dimensions L R' Gazebo - dimensions L W I _ Swimming pool above ground in -ground Size totalsquare feet = Chimney - # of flues^