BP-431 V 0 I
BUILDING PERMIT 6- - %'Y
FIELD INSPECTION,
Dartmouth Building Department � (✓ Plat : 70
400 Slocum Road-P. O. Box 9399 $ Lots) 13-1
North Dartmouth, MA 02747 1 � J9 Lt Si •e:
Telephone 508-999-0720 e(l �g Zone Dist. : SRA
Issued Date: 02/24/92 Permit No. : 431
Project Location: 1213 Old Fall River Road
Number Street
Subdivision Name:
Nearest Cross Street : Albro Avenue
Applicant/Agent : Daniel Faria _
Contact Person Phone It: ( ) 508-672-5091
Proposed Use: Residential _
Aesidentlel. Cemmerolal. Industrial. etc.
Permit Issued To: Alteration
Type of Improvement. Add. Alter. New Comet.. Dmme. Land/Move, etc.
Repair fire Damage
Indicate no. of bedroemo and bathrooms and other room*
Owner(s) of Record: Daniel J. & Susan C. Faria
Address: 345 Highland Avenue. North -Dartmouth, MP wd147
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BUILDING PERMIT
Dartmouth Building Department Plat : 70
400 Slocum Road—P. O. Box 9399 Lot (s) : 13-1
North Dartmouth, MA 02747 Lot Size :
Telephone 508-999-0720 Zoning Dist. :sra
February 20, 1992 (typed) Permit No. : 431
Issued Date: 2 /24/ 1992 Clerk: lls
Project Location: 1213 Old Fall River Road
Noabor
Subdivision Name:
Nearest Cross Street : Albro Avenue
Applicant/Agent : DanielJ. Faria
Address: 345 Highland Avenue, North Dartmouth. MA 02747
Contact Person Phone #: ( ) 508-672-5091
Type of License: Owner: (x) Const. Superv. License #: (
Architect : ( ) Engineer: ( ) Other: ( )
Proposed Use: Residential
O,N lal, Caaa.rotal. Otte.
Permit Issued To: Alteration
Type of :ep ev.e.nt. Add. Alter. Now tena.. Deese. Land/Moro. eta.
Repair Fire Damage
indicate no. and bath eoea and
--Sr-ass- Rr--as-0f-_Const.: _-_950 a. Cott of-Con-st_.---.$a smarm—----
Cost-Other Const. : TOTAL FEE: $ 30. 00
Owner(s) of Record: Daniel J. & Susan C. Faria
Address: 345 Highland Avenue, North Dartmouth. MA 02747
All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) and any
other applicable Mass. Laws or codes and plans on file.
I hereby certify that the proposed work is authorized by the owner
of record and I have been authorized by the downer make this
application as his author ' ent.
Signature of Owner/Agent : <1•`
Address:
**********a*********s****a********* ***a*a****************:r******
Signature: Ice-it //_ -�
Approved/Issued By: William A. rag LLdcal Building Inspector
COMMENTS:
ORIGINAL 0 APPLICANT 0 ASSESSORS ❑ CLERK 0 COPY
\
BUILDINGPERM IT T
eirt-1-1.It me !tl tittnl Ti r41 lies. .rtmetit P141 ,0
.44 0 'Slocum React- tt, r go.; 93 `:r . 1 L.tit + 5 T : i .a".1. wa J3
f ;r t h L}r;r cij e m t n, u n C i 7-'+-. Let Size
Telephone 508 9'?'1 .tip? i Zoning Di s':. ; s; a
Fob r I re: v,' 9 ?/. 'ivied: Porin3 t NO 431 J (//
l5S 5't i n 2 / I.4P ,1192 eI-14 t j5 _. // �./
'Pro1r: t 1 oc -.-_' e 011' 2J3 Old r ll RlieP Pt d
to-uve. et.uzv
_obd iv is Ron Name:
SZ .,:;t—ma? Cross Street : ' _.___ flitn`o eya itw
-,:...-r�-'__._..y..:ad_:�.>-.mod.:....,.
tpnhic an iidgent{�; _ ? l 41 J.„F ,�a 4
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r. rdre.a t ; ,`4r .J.fI fib L1.414 1Si_E9 e;I14g;s._ No# h Dl t ?_iu# #z_ WI- 0 7
Contact Person t-Fhon'- P . 1 `40441--ft lg.:.t:2919 1 '
s.'t pie of License: Owner; [,t}Y'i' t 'Z=i2T"'J.. License $"u I.
Arch it. `ct! t. +1Cj:ntr'nv's S, 1 O ;her t t
Pr-t.l :.a vied Ms_i can _...
HMb4MMYrk>d'x. i:.8ne'i..g,Ss2a YMelnCriS 1s 4HF
Pez^Siit at 'twd Tog hit er as cOT.
.__ a - 30m;-, a, .._ _
'�y1,a ri.._6 xb ro-w�ACe fkHNa R32e:=y'rzaw Lass„_- Swrw, Ln At..
Cr i?::s Or ea of i.omit 'r'
; 5,0 :�t" }.5: Cost of Con 4d_A $ Sa47414.E !i3
co iil.. -lit F1{:r Conti t. : Yf,..i4. Fri. # `d ilk:
�,. .�__ -ram _ : ___ __ ..._ .-.. . .-...
' ,-- nk'i (Si of Rt&cnr"4_: Dan e 7 L & 9.1s ri Q Z'at' Ta _..-
t e.ss __._., rt . f'1._ h *nt . er
.. ehire... `Tier14€t._t3a} t egtlii 1f. _� '13 ' _-
Add
11 work shall c-O9 iV with Th' [:MR ''`ith Ed. (NOt Chard. t42; And ,tn:l%~
' other .' pp. i itat;1e hi' i . Laws or ratios tTetiii pintgs on ft Je.,
i !'1?r.e 4..,; c..ert 'i 1'ti` f.`i;w t, r. r.i._ -.-1e .-^--- - .-.c.._
1 h pp -r :woe :.a act ionized by th _wn r�
of record and I have teen a qtho; tz_d liv the „o' vner t,-7 make .:..
app_ tton as his T ttt or i .id :aidir-at. f - y
r_____..__ .________
}.^ ,4.-iit* F***.4:Y1l cs * ****[ ,FTiik'T:i-s Yt'*.i# x :}'--41.**4;i+sa -**** ** .;+*aaar
kpp e-ied. Ts-sued Ent . William A, Braga, i._a_al. nu; icJB.fin inspect or
CONMENTSi
.44
I ':i p is 4,: ie-'i,., i J t"iX °' r,Ei soL • ,1,, i 1)y,, ;2 ,;'i_-pK 5..� I:A:iP '
',M�t'ri):1j.., PERMIT NO. 7
Q�i - °°`° ' \ TOWN OF DARTMOUTH DATE ISSUED --a`71—l(-
o �s. TOTAL COST
•v APPLICATION FOR
O C; y,, LESS APPLICATION FEE .
kJrsy BUILDING PERMIT
FINAL PERMIT FEE
LOCATION OF BUILDING/ �/
01 Number & Street �� /� �A/� til x1 (� 01.1 Zoning District s /'T
02 Cross Streets(between) f and J92ti-- ite_,C
03 Lot -;18" / Plat 177U ubdivision Lot
OWNERSHIP COST
05 private (individual, corporation, 36 Cost of Improvement 573, Oa.)
non-profit institution, etc.) 36.1 To be installed but not
06 ❑ Public (Federal, State, or local government) included in the above cost
TYPE OF CONSTRUCTION
36.2 Electrical co
07 0 New Construction 36.3 Plumbing 0
08 p Addition -Ty e of Room(s) 36.4 HVAC O
09 ',Alteration jkoA�u. fj „rye 36.5 Other - Specify G
10 ❑ Foundation Only --�, example: elevator �� o-J
11 ❑ Demolition (#of units if residential) 37 TOTAL /
12 ❑ Moving (relocation) STRUCTURE
STATISTICS 38 mod Frame
13 Number of Bedrooms A- 39 ❑ Masonry (wall bearing)
• 14 Number of Bathrooms (Total) 40 ❑ Structural Steel
Full-Tub 41 ❑ Reinforced concrete
/ 3/4 - Shower 42 ❑ Other - Specify
•
1/2 - Toilet Only
RESIDENTIAL-PROPOSED USE DIMENSIONS
15 ❑ One-Family 43 Number of stories .�
16 T'wo or more families 44 Total square feet of floor area, all floors,
Number of units �— based on exterior dimensions %-`O
17 ❑ Garage 45 Total land area, square feet a, ?� AC
18 ❑ Shed q
19 ❑ Carport
20 ❑ Swimming Pool SEWAGE DISPOSAL
In-Ground Above-Ground
21 Lk1 woodstove 46 ❑ Public or private company
22 ❑ Fireplace 47 si Private (septic tank, etc.)
23 ❑ Other - Specify
WATER SUPPLY
48 ❑ Public or private company
NON-RESIDENTIAL - PROPOSED USE 49 fi Private, (well, cistern)
24 ❑ Amusement, recreational 25 ❑ Church, other religious PRINCIPAL TYPE OF HEATING FUEL
26 ❑ Industrial 50 ❑ Gas ,y
27 ❑ Parking Garage 51 Prt511
28 ❑ Service station, Repair garage 52 ❑ Electricity
29 ❑ Hospital, institutional 53 ❑ Coal • r
30 ❑ Office, bank, professional 54 ❑ Other - Specify
31 ❑ Public utility
32 ❑ School, library, other educational TYPE OF MECHANICAL
33 ❑ Stores, mercantile 55 Will there be central air conditioning? ❑Yes No
34 ❑ Tanks, towers 56 Will there be an elevator? ❑Yes No
35 ❑ Other - Specify
PARKING PER ZONING BY-LAWS
57 ❑ Enclosed 58 0 Outside
59 Does this building contain asbestos? ❑ YESJO If yes complete the following:
Name & Address of Asbestos Removal Firm:
IDENTIFICATION - To be completed by all applicants PLEASE PRINT
60 Owner (print) ::0-,i(Gfr'1e/ T 7 7477,e/% 6 7,2Sa 7
NAME MAILING ADDRESS 0.22p7 TELEPHONE NO.
61 Signature C-= 20 t.� — u c/ X/AA-a//LO(r C DATE G2-4-22
✓✓✓✓ Builder's
62 Contractor (print) "C/ re 7/A License No.
NAMEQ AILING ADDRESS TELEPHONE NO.
63 Signature` s \ �� DATE
64 Architect or Engineer (print)
NAME MAILING ADDRESS TELEPHONE NO.
65 Signature DATE
CERTIFICATION TO PERFORM WORK
66 I/We hereby appoint
NAME ADDRESS
as my/our agent for the purpose of applying for and obtaining a building permit for the work to be done described in this
application.
Signature DATE
ADDITIONAL INFORMATION
67 Has A-1 or Determination been issued by Conservation Commission? ❑ YES ❑ NO
Submit copy of notification sent to DEQE and the State Dept. of Labor Industries and result of air sample analysis after
asbestos removal is complete.
68 Owner or Agent - I certi under pe ' of the penalties of perjury that the information herein is accurate to the best of
my
Signature DATE —5�;
Owner or Agent
•
69 BOARD OF HEALTH REVIEW _ L DATE a vP Y 2
' Inspector or Authorized Person
COMMENTS:
70 DPW - WATER Service No. • SEWER Service No.
To be completed upon issuance of permit- (if applicable)
71 I will pond addr so as to b Isible from street.
Signature /� ( > - DATE GZ-��'—y
Owner or Agent
72 I have receiv require inspecti�n
Signatur �G TGem DATED/
Owner or Agent
•
RECEIPT FOR PERMIT« _
',o. TOWN OF DARTMOUTH -6 6
'0
it PERMIT NO. :.
b < No
�/
Date k
Received From
Owner
Location i
Type at -y''9 -2,R-J •
Amount Paid 0 •�
Received By ./F t 1 L �.k f/�'
RECEIPT FOR PERMIT
TOWN OF DARTMOUTH 7
�I r:Ni PERMIT NO.
V No fC t- # _ —
Date ^ G .1l � x �
Received From f i (
1 -t ( �� , :-or_," _e
'.Owner _..r1...,.et-ervt_e t� i `JO/� -,
Lgcation J / 3 OIL,/ 'Lez_F {, ,,e ts <..- (tee 1
Type -<.a e 2e_7./ .
Amount Paid -17,,c -xL-
i
Received By /9__*r `._s-CA_:)i „Ltd,--e-sr".^--