Loading...
BP-2004-35321 Permit No. BP-2004-35321 GIS#: 3649.00 //�� I0 i' Map: 0070 Lon*nonweaWi oil Ff adJac�a Lot: 0013 TOWN OF DARTMOUTH Sub-Lot: 0035 Category: TO INSTALL 400 Slocum Road,Dartmouth,MA 02747 Project# JS-2005-0205 Phone: (508)910-1820 Fax: (508)910-1838 Est.Cost: $10000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Coast.Class: Use Group: l R4 Contractor License: Phone# Lot Size(sq.ft.) '3.37A Zoning: SRB Engineer. License: Phone# New Const.: N/A Alt Const: N/A Applicant. Phone#: Date Typed: 08-18-2004 ROGER A BARBOSA (508) 730-2907 OIVNER: BARBOSA ROGEpR�A& DATE ISSUED: �/f o/ fy TO PERFORM THE FOLLOWING WORK: Install 20' x 40' in-ground swimming pool with the necessary barriers and alarms PER 780 CMR of the MASS STATE BUILDING CODE BUILDING PERMIT Project Location: 94 MILLERS DR Approved/Issued By: • LYNWOOD R. C AISTOCK,LOCAL BUILDING INSPECTOR All work shall comply with 780 CMR 6T" Ed. (MGL Chap. 143) and any other applicable Mass. Laws or Codes and plans on tile. POST THIS CARD SO IT IS VISIBLE FROM THE STREET SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. THIS PERMIT WILL EXPIRE PER 780 CMR 111.7(NOT MORE THAN 3 EXTENSIONS WILL BE GRANTED)OR ON ISSUANCE OF A REGULAR OCCUPANCY PERMIT. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further understand other agencies may have reason to STOP WORK if items under their jurisdiction are not met; not withstanding the issuance of this Building/Zoning Permit. Signature of Owner/Agent: i q yLuiln r,4 C G, svL G;�(_a Comments: "Persons contracting with unregistered contractors do not have access to the guaranty fund(as set forth in MGL c.I42A)" REPLACEMENT FEE WILL BE REQUIRED FOR LOST SIGNATURE CARD TOWN OF DARTMOUTHAi 2 1 -f BUILDING RECEIPTS , ; ; !S CTOR'S_OFFICE `.,° Name: (. / ; r Y� Property y f l.a_�: . Date:i. /I'6' Co 7 ti r- �l.e�t- i " +�y,/-te OO caner. ! ,' , Job Location: Ci f j 1 I /I- V /- l'• "/� � - , . / 7 j lte tit is✓ rJ l r ki r, L.,,�' cciI_t;,iC_s. Cop -CollectoisOffice Plot: y�rr� Lot: '{ „%�`✓ Yello Cop -Customer'sReceipt j l l I . t ...." ... k py- lle Copy t ,q. 6, ' .. opy Building Department Phone: - - - t Description General Ledger#'s ef.# / Amount License&Permits-Building 01000-44105 / -/t") / C 1rd / 1 --Ii License&Permits-Building Misc. 01000-44105 License&Permits-Electrical 01000-44106 N ` ._:- — License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 f� j Ii--� This is not a Permit or License for Building,Plumbing or Gas Received By: Q RES ❑ FOUNDATION ONLY 2004 / $25.00 APP ICATION FEE IS NON-REFUNDABLE 4'NO a'TRANSFERABLE ' . ,,,,,. DA r MOUTH BUILDING DEPARTMENT DA l E RECEIVED < °r s' _; 21J111 A';G k1 9: 45 ti, 400 Slocum Road, P.O. Box 79399 V:% v0vy; Dartmouth, MA 02747 508-910-1820 FAX 508-910-1838 APPLICATION TO CONSTRUCT,REPAIR, NOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING °_ ECTLOI”II M, -L USE ONLY `_ ' RECEIVEDEEE BY BUILHIN I' R �/ DATESEPITFQRREY3FW --:: tt`"- -__ DATEISIJEDY': OK TO ISSUE * / s *-I n c ding C4 ,lr toQof,Suddings' # ._ .44. t ' , «O .a ltj one Dist iese e: eSztot *A<0 Oatstdeh1o©d AtwterZole . . s 4 ,i° ' TIIE FOLLOWING g MOULD BE NOTH+IEDt. -gl r":*,• .. s Board of - 'P l gaid of .. El.Con.Com. o Demo 0 DPW ‘ .0 Elec. 0 Energy Report Appeals .Jea7th= -. - Affidavit . Card Sent: _ "Cut Off Follow-up* ❑Fire 0 Gal 0 Planning Board* ❑Sewer Card -. ❑ Water Card 0 Zoning 0 Other - Chief O- O , 1 Cat Off , - t Cut Off '::Review* - • v taitil .fQUIR.ES INSPECTOR'S 1FE'V Ew$F*F`L)ifE THE 1SSUA,':B � tl. N "i�14} .. ..... Y+�#xt}`geto .4, x- i M A. '�„�. ;er.v�tre� .� I1EPx1Rr1'NIE�FF*9��BPR{}VAL � a �*Zoning Review: Signature: Date: Energy Report: Signature: Date: .. Fire Chief: Signature: Date: / Board of Health: Signature: ' - ���� Date: Ci Conservation Commission: Signature: e: Other: Signature- tl I c -- a • Description of work being performed: 171'620 UN d Pod L so x St 0 ( t "h" ` �' "���ORMr1S�TION '�-„str �,.;"" r* st�t+:',�#' ai �. �' �..,y _.- <u� +..:,_ ��;.a,-.-�. � F� .�s:� a6 ,�.aa,,:a,�.s .��. _.5F�3.� N DER OF PLANS SUBMITI ED: SITE PLAN SUBMITTED: Trces 0 no 9 mill -CRC 0(licit 1.2 Assessors Plat&Lot Number: 1.1 Property Address: _ Plat 70 Lot /3 - .35 Nearest Cross Street: ow RAP awe a- vJ Subdivision Name: rn\\\E12.5 -CAP-en 1.3 Historical District 0 yes �o Total Land Area Sq.Ft.: ,.2 o 31 netts 6'Y •�d�.S-.� Has application been submitted to the Historic Commission? 0 y s 0 no Date: _ 47 1.4 Water Supply(MGL c 40§54): ' age Disposal System: ❑ Municipal 'Private Well 0 Municipal et On Site Disposal System C:\bldg.forms\Bldgapp.res.wpd Page 1 Rev.January 1,2003 RESIDENTIAL 2004 mom -,: wk, a s'i xatex rct tumor w . > ,r. �,..;. - 6 ' OW 'Alit'''.-"cm ar V,#A T 2.1 Owner of Record: 47eg 609 tA-/G6odl Name(print) Contact Address Phone Number 2.2 Authorized Agent: Contact Address Phone Number Name(print) AAA, d+ � ,t :¢ sa:sk;w+o-av ,stmtx +w ,x t ra c -- rye 8 g . �,,' adY Y$'m5t'im. � �t'S Q§ 3� a "`.£ �` � $.F.`_ T .,t. ..'-`"ia��� ��` �Tin, µ.�r, e#kt 3.1 Licensed Construction Supervisor: Not Applicable❑ Licensed Construction Supervisor License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor: Not Applicable 10 Are you a Home Improvement Contractor subject to (780 CMR-6)? 0 yes 0 no If no,go to the next section! Are you claiming exemption from the requirement? 0 yes 0 no If yes,submit the required affidavit! Company Name Registration Number(if none,state o noneo) Address Signature Telephone Expiration Date 3.3 For Residential Remodel Work Only PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: QUESTIONS OR COMPLAINTS call or write: Home�� Improvement Contractors;eft Registration, One Ashburton Place-Room 1301,Boston,MA 02108, (617)727-8598 �nersName fpz�iit) lit���6�-/Lbtl3 A Signature (./ by signing the above, e ome owner acknowledges that there will be no eligibilty to the Guaranty Fund Date S'<3 -©) 3.4 Homeowner Exemption-One&Two Family Only FOR HOMEOWNERS 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 116.0,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 BBRS entitled Rules and Regulations for Licensing Construction Supervisors. Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section;provides that if a Homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. %For the purposes of this section only,a"Homeowner"is defined as follows: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on w ch 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 iIf ore than one e a two-year period shall not be considered a Homeowner. you are ap I i nder this se ' n sig`;elow: Signature: fir i .4 '` Your signature carries certain responsibilities,including but not necessarily limited to,general liability C:\bldg.forms\Bldgapp.res.wpd Page 2 Rev.January 1,2003 RESIDENTIAL 2004 NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction Supervisor,whether or not they have taken the permit are responsible for code compliance. (see Appendix of 780 CMR R5.2.15) SECTION 4 'WORDS Ct11YT'ENSA fON'INSURA:1`iet7AF*AvrrtNGL c* 2 § 25) "' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: 0 yes 0 no SECTION 5 -DESCRIPTION OF-PROPOSED WORK(check all applicable) o new construction* ❑ addition 0 alteration ❑ repairs ❑chimney/ ❑ woodstove (energy report required) (energy report required) fireplace o deck ❑ pool ❑ accessory bldg. ❑ replacement window/door 0 other 0 demolition (shed/garage) no. of windows doors_ (specify below): (specify below): *If new construction,please complete the following: Single Family: no. of bedrooms no. of baths Two Family: no. of bedrooms unit 1 no.of baths unit 1 no. of bedrooms unit 2 no.of baths unit 2 ❑ 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) o None of the above to be provided ❑ Hot Water: Gas Elect ' Fuel Oil Other // Brief Description of Proposed Work: CXCAoAh01J 44 tact f c�Nshiiim77' Df riliwk,frd eat. ., w. 4 , - SECTION-6 ESTIMATED CONSTRUCTION COSTS , ' ,a Item Estimated Cost($)to be completed by permit applicant 1 Building 2 FJertriral 1 Plumbing 4 Merhaniral (HVACI 5.Total=(1 +2+3 +4) *Estimated Total $ / O ,tray * .:a a•* ,.,... sxa in x ' ' ' ' y..4 4. R " 444 4 . 4 "h, 0,,. "Aa".A '*44" ) SECTION 7A-OWNER tTHOR1iA . - (to he completed when o er's agent or contractor applies for bull mg Pe (please print) I, 0f the subject property hereby authorize to act on my behalf, in all matters relative w r a o zed by this building permit application. Signature of Owner Date "0"' " .+'a t . ' .44 ' SteriON shittIVVIcklikUTHED A'C NTIDE&ARAPliA .. ,'.ig `51. a" t"v... &leIL /4 aAt J4 sft as Owner/Authorized Agent hereby declare that the statements and information on the forgoing application are true and accurate,to the best of my knowledge and belief. Signer the pains and pen�petjury. 1—�3 '�% Signatur Owner/Authorized Agent Date C:\bldg.forms\Bldgapp.res.wpd Page 3 Rev.January I,2003 RESIDENTIAL 2004 ❑ FOUNDATION ONLY $25.00 APPLICATION FEE IS NON-REFUNDABLE as NON-TRANSFERABLE x , " r :• .; SECTION I SPECT( - . .II1'W/COlYI1y NT - - -" rt v l. Date plan reviewed: 2. 30 days to review period expires: 3. OK to issue date: 4. OK to issue subject to requested submittals(see project review worksheet): Date: 5. DENIED(see project review worksheet): Date: 6. HOLD reason: Date: 7. HOLD subject to Zoning Board of Appeals action: Date: 8. Comments: • 9 Inspectors Signature: !G� /� - 'L'r �r — Date:e?a u. 'LiI. S ONV, 'APPLICANT,DATIFICATION T.`. .- . ': Y Applicant informed of8 o 1561,atei Time:/). * Cler Comments: �/ eeiiisi r -- ... en . .. ` '; SECTfQN, O •OFFICE\INSPEF C`TQR'S NOTES` .t.,)„ *' Total Permit Fee: $OSGd Less Application Fee: $25.00 Remaining Balance: $ '--'— TOTAL FEE:leS:00 Gross Area-New Construction total sq.ft. _ Gross Area-Alteration total sq.ft. _ Permit Issued To:!/75, ', -��0G ' 40 i el'- o/ to, V 7 c*fl��' l7F n22'7/ c9.5 f C%�i2rr/& /ie7a5c ,floP�� /"9yo64 t >7 i- Rd1CC 5D m. xs,1 „,° :t ." CIQlfts TION ° I NTSSE "y � t : . # " tzt., s _ ._.. - b..x..m :;22,' ..� _ � h.0 . 20ee-. : ..> a- *sa� _ L., . r3..S3as-...V. a . , .8 v 1 v ijad_ Cr C:\bldg.forms\Bldgapp.res.wpd Page 4 Rev.January 1,2003 'ermit No. BP-2004-35321 Project Location: 94 MILLERS DR Commonwea(tFl of YfassacFiusetts TOWN OF DARTMOUTH GIs 364 oQ MaR " k`� 0070 400 Slocum Road,Dartmouth,MA 02747 Lot � '0I Phone:(508)910-1820 Fax; (508)910 1y838_ Sublot ;p QQ i f F'€" ill Category TO NSTALL ' BUIL;DING 1'ERIVIIT Project#, r nQ 02Qs Est Cost. ' $I0Q61I00 FIE! D INSPECTION lee. r zslX „ Contractor: Lice ise: Phone#: Use' rou " , Rf i"fir e Tii-Lot Sizeisg=Tt} '"3.37A, Engineer: License: Phone#: Zoning SRI€ New`Coast. Nl t Applicant: Phone#: ngr+ a «,4 §xa� ROGER A BARBOSA r� (508) 730-2907 OWNER: - Wane5 �- s R Floor - Ni BARBOSA ROGER A& Glazing ._ DATE ISSUED: /1'd Y TO PERFORM THE FOLLOWING WORK: Install 20'x 40' in-ground swimming pool with the necessary barriers and alarms PER 780 CMR of the MASS STATE BUILDING CODE I —DATE -"----- TIME -- M'EC7EENSPE'CfICN REMARKS -"-----_. _--INITIAL-- Q 44 3 ,P0a/-71/4/606) — C1/Cf94 Ccfn AC . poi/C,, ,4'A ? V 2/oh 2,1Id 0tRmn- _, <Q (7I4- Fa . \ , I R c pha off ` I `\„ a 8 ro C rPp. co \ to iak, ,,e, 8 . I G gO .Et d IFtgIea O �n:. "o:`/ I a4 it (n ma lilt- '�' cn 1- 4wIlk fir` z < cn 4, �i r 4. XI CZ co o o The Commonwealth of Massachusetts - Department of Industrial Accidents Ifflesoftirssflssdsis 600 Washington Street Boston,Mass._ 02111 Workers'Compensation Insurance Affidavit:Buildin lumb' lectrical Contractors .. n e: . Ito QG2 A 644-b63 Pr ddress:.. q4 mill Egg - A(Lite¢. city N- (34 Q mccv4 state: M R zip: Cal 47 phone## SD$ 730—age'?/ work ite location(full address)• 9S( m/!(e(2S Ch i`Ve iv.DA—A..77ifDc-Tn Ma Deli? I am a homeowner performing all work myself. Project Type: 0 New Construction 0 Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition ❑ I am an employer providing workers'compensation for my employees working on this job, company name: address: city phone#: insurance co. li # As ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: company name: address: city: - phone#: insurance to. li # %////4 company name: address: - - city: phone#: insurance co. li # A Failure to secure coverage'as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against ma I understand that a copy of this statement may be forwarded:to the Office of Investigations of the DIA for coverage verification. do ereby cera under theppllaains and p of perjury that the information provided above is true and correct S gnature r" � r Date 3—�.Qy Print name W eft t'r Na eo3/9 Phone# iceit3.)— 730 -oil0, official use only do not write in this area to be completed by city or town official city or town: permit/cense# ❑Bonding Department DLicenslng Board 0 check if immediate response is required ❑Selectmen's Office ❑HealthDepartment contact person: phone It; ❑Other (revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is deemed as an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Ifes el l•vestleatiems 600 Washington Street Boston,Ma. 02111 In#: (617)727-7749 phone#: (617)727-4900 ext. 406 0 0 0 00 o e o e o eo O e o o e e o - o 0 0 o e' v o in o in ,n y N �* o e o fC N V V d N .-i e O a C C M mi .+ .. v d j.. C H 7 0 o o p '.. oL. o ;. � 44 m Q y J ea ti - 5�ra 0o C ~ „ .. �'" a a'r e e o A _• eo s v m a ��e n a cV^ .F $ v 'cy Q o e O co o w N tS b ,,, C o in vei_ �,>:ee C k U ::j J r"a' o O a , o�,n e "C. eo ep ,, NgGFo -e o y .'� ry v oe ii T b Ceo� n q d , omO0, Y 4"Q zy W oaon 0aWp Rite" ,n C ti U m> �` �c�' Lam.;era v vi R .7 v . >'. w 4 � e a w. o a� g h I b 10 9 coovv A o.`n❑ Q g0 .z U 0.�i.U^^ a, wee v�i ro %a ro m.� :°.? o UGC i as . -j HN ens aaaa°' oom F Z moo F ¢ddd n NF> 3a ZOf 'L-'n ,n,n d y c "°-o oo m en o C `. E P.4. ioNoc :y eo ri ts to in na V g ,: Q-4 y V O O IV .Y O U f/)VJ ! y OO S 14w 1-1' aka CNN O -yQR r ti OZo7. .7Z rcrl e U 4j- y00 d fV. a.0000e00 2'. $,.o tl��" F 0 0 O ti E 4 . p 01 in go �, �n a 1a .O a~eo V g. A Q y kY 4 .. L '- Fi. ,a or•i d �Qaaaaoa o` v o^ o tiA F en h1--e+1NN C` F, WU U [� vt^' W Fry as alas .. u _ yy mil, v'd d ry �y W W Oit Q ON01M�O Q '11 en Q' `S4. k V000000 1,0101410, WSO W W p Q� NeennromN y y� � O S NenNOenN n 000 00 ('w: 00 ik OS nce,a\n "f ... W . d b ra QP - CMO�OWP � U "� S - ° 0 y � o0eeoo tel e ,' K b - a ";6 C1 r'^;, i ,°. 4;: a a 0 UU ,=O F. c ZZ v' rac4 2 A rci 5 _ cUU Li W q tiZz .'.- 0 N h Ln W +C fz q t in it ki a W F up k7 a °: 'u Qw.Q Ez}dJ 0 o CY a1 F H W a ',Ir _ .',O 4.`.q W G] a xez d ecsa aF �� e 'ewe n OwaF k1n `NC zz Oax �z ° < ' Oa�� °x000awa rya�� V e" ".eZW0 : fa"n'�inirconn�Co OHvv .'.:U eo in bA .o'''''�a.' CO00y�0:42 L ". NN j00 C o F$Q tLOdd,] .:4 ee Cd G�,a tt n. y mN.. S rneneTZ ��a>W{4 .?�ti W H W W Dxx 5 5 Sb 07y [11 Os' 1g.% S b G) tr100ao o $` 7y :: St H=._. o o. �,°n cO°. a h a A y3'd r'tlw eo m ,: �, ti o o ° tro ao Y, °O< g ) 3 :. b ,- w i-0 ate,. .� y H o y mG m 4 A O y C h y d 'I• Q '"' ry Tia <p Z. N n w f ° N.�N... (D N� W C p Q'r e , V co a R-�OeO O OON� �4 zee so � 9 '11° h1.. NW W WWW >N W WWtAV a— n ? et C> > '' b ob bV age t�,i' a o. m „ n Q '4'Q'.4 a C E.E. C b h Ge z? o o b b, 4 f nz0 nx '? YoG51 — >wza 5oo z w .t.o, � h ,omo ;. W mga .7m Te. F c e °=to ^e 'm �=Cs?< `` apace *:; h ''S o o. °' —13 a= fp+_ b rn b Ptt 3y n °° � e n 7.7 -- t-qz g '< 3 a'' O a y c? 9 0. 1 N' N P9 bl 5 1y N OOOWA h". ��.. n i C7 0��5 �C E'J Ch30 ta. Ph: ,6. rgG(ri O = 'H'R ,6 9 N a 7 O O tj I1[1: p�•emW W _Y'- S9m m�,, .: W o7oP-yw »=� paW wdK ib:_\�° = Ob7 co z� o.^rn� el 7 0 a co A. t'l i tts 4I et ° wjy., 3tLo wine*. t5 M1' ur, n a a 0. a Ay y. b b t V. N j OO W OO TO r0GO N °� +' b a 'n°O+wae `°' '. \ N eOTJnL Jwo �' a, p *.. b . •• a o n y� O J V y A J R. R7 o u a a .tit b A e i Dy it,'a. W La c 'rye a � n , - o .�b.' a al w o C o J" CA JO.A , W WUIo.O Z. . N J co a AO eO tr. fA I+WaN f 01 C Or A et w> W 3y N N 5--W TO ppp 9k w„ 6 O N.) V NF, N N N N) i31 CO Io<o , N) N X w O A 3'0 N N O N) N) a C r N N) 4 x '— LT A a O W O 3'a'. 0 a A - L IIII -- --- `i` MMr-0 <�<C) F� -6 zj0 ez ccon0toomy` _\ 0 cn � in coon-+ ;n a `'O y F wCK v � � DC ;Mo O to Z r 0 -q Ga cn } i /ourH� DART' ,,.,U . ./.DEFT. �i DA ' OUTH BUILDING DEPARTMENT DATE RECEIVED _; 400 Slocum Road, P.O. Box 79399 Z�q AUG 9 4' 45 \' WJ� Dartmouth, MA 02747 508-910-1820 FAX 508-910-1838 APPLICATION TO CONSTRUCT,REPAIR,v NOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING s � MS � -- , z wk r; y��.tr �1 �'��' .40 -;;I:;:„"1 L,. w. , a +1 1 I f•: 1 s w +,d D .A s :1-T-L4-r3` P+ 'r y a ;a T-' .`_‘'" 1�'i,�` rus 3°rS i. A- Eai 7¢""" 9 S ..,.�'::' efi� .a 4-aF• z y j 9\T" *R.- f 4 4 es tl €'17- ` *-taP..r rags''?r,^.t'ww {i `,-_ - I t �y i "' , '1 ': ,,. •krt _tie% f tort).:.-- i i * k4' k Zoning tt • ' n. 3 q , i , roar _�'r r t y,1, c . 1, '%- +.' l . `. t=� t�"k' w. p1 yra at9f r1 ti "rr 3 F ,- t s = y� s ' .m a.,' 2!' ' .v, 'g° l �i'1' '�'F* trt �."+ �, Lr x kk `sue s s.M'm a "r.g a y}{x -,' ''r'tees.. a ;fib .,,y ❑Fire '•aa., k x"..rCt 7 a $ . ll , m a ,-+s 'r ""r;.^ a - Chief 3 1 .5.. - , �'N �' * 9; �, @ + . T' + c. s!"n il y 4a a y`X FN.fa„�"f 5+� 'Gr4x'i'y...'''"krif t:x � „- -. - ,is' 'gn i n 1 i'I" Y e' ., � \ --, " a -- S� ,mas r -`- , a A�yy,, ,- 7-.. . ,. . �,r h\i.Ysr •• r .n t1 �� b�,.�. .� �` �? .S°56Z ,, .s"`Su".'u-L;...'�'�'...'3:'u �+l.+�Fw� w :.t^'i.-v- ,. .`ita+s.4' Zoning Review: Signature: Date: Energy Report: Signature: Date: J l Fire hief: Signature: Date: / JJJ ! Board of Health: Signature: Date: Fled 9 a f G" Conservation Commission: Signature: ` ( Date: 7 �I Other: Signature. /7- n Date: Description of work being performed:/21-e ccao uW 2 Poo C. of a x el-D 1 I i z` ,i,n f�., =ais u '1'x? :E-Na "di S tiR0ty,tt +`) o l v¢�'4.- g n , N BER OF PLANS SUBMITTED: SITE PLAN SUBMITTED: eyes 0 no 9� mill t Rs /J ail.' 1.2 Assessors Plat&Lot Number: 1.1 Property Address: Plat 70 Lot /3 - 35 Nearest Cross Street: 0/0 1—A)I /l tie 2. n- - Subdivision Name: t . \\E Qs -Co a-al 1.3 Historical District ❑yes Eleim I Total Land Area Sq.Ft.: 3 2 r 31 A Las !1,1(0 b'o0.`: Has application been submitted to the Historic Commission? i ❑/ � / yys ❑ no Date: t�1.4 Water Supply(MGL c 40§54): 1 5 Sewage Disposal System: 0 Municipal >!7 Private Well 0 Municipal 'On Site Disposal System C:\bldg.forms\Bldgapp.res.wpd Page 1 Rev.January 1,2003 asI ;'I fi25 do w zx ."s A ssa mm F m rF'1 -i r --1 i 1-1 I ,^^ /s ir�d /O•SpCV1C ROAD VENOM 1l.1691T eB B.01 SEE EIm15W1 pt.ta San • /NM A1aa mien pYRtt011J/t sir o • f4fIP.6• Ib / I. • \ • Y♦A 0 is • l M1" , f I ' ;' l 1 , 1 • Jj f rtit♦ a t;�A• tf i j r'� 1 j ; 1•�� • t p y 1 1 . 0. pI €T;gyp• ; a6-`l .d)- /- „.., i' .e ` • LEGEND % i -.. f •_ Ta. • 20 OF _ 1 '1 / l' ' T .V~'. • /lam •i ' Q a i 1 a• 1R06200 5/01 OM PM SP iii 1 , 'ci�1 ` I ' f • I I Le 25 OF , tfie ' •� • ,`•{� ' ®� 1 . f 1 • lam•MAE TUT if Ck) •,.. air _: „.. ... , ..... E .._ , t%_,Ii, do•'%. .4.3 [6, *:_ inn' Buffer Zone • •lair• l 114 we Lams,sae 1 el brae ore/e net I •w rose the Mrwt cabs ate • i / w / �31 rwauw p.ewad lad nee en ter is an Tale ee • ' �.it _ ... ' , Wt/ree.. l•.ww•taa• dad ea •t•• saluted -.w.tW ..re V yy puree- salad omega/ I. tall Hani*sn t - It W esweef.t9 l .-� I • Mat. t• as swamis! aYettese. -ate sad '•/ t� '_ • • R\ � ��- I !I amen sad •N• tad ems. . tamuses a at W emote Is-e.; eaaaelet•• •tads. Ill amuses enter sees wa L Sewises nab tad ease muted et • ►e•Maaw/ eadaaer J• /I� I it•' ": /'• h • \\ ��� /,. 011 praltatW La W atttt ealeaehenwwbal:. a Ytttan. a ;`�`1,_ W • ' 3' ete.Maa wwpu ee•aaMepy rrMYw M Stain eq awe t l i •f: �� -�- 1>• es ttte et propene.* ;. x ll` .__ ...r..er tf _ n • • t" .a•• • • s ♦ • 1 1t9Maa et pwVe( Wt• It•tYawt Wr ' \• �, , 1 'C lee - iw.,: 1 • • i u _t Il . ' e t I• 1 "a' a • 1 . ''I i 1 kit,- - t.__& e/rel,, *I ,, I-;.r ;• • 319.atn.st p9isar is /pteesaeati sal / ,,,m,, ,•� , ;b•. / 1I (Forr rly Alder 1evelo t Corp) t ■ w +i t-' i ••• P STREET 8 UTILITIES PLAN Al� , / r • 144 OVERALL LAYOUT PLAN . /, \® •1 ! 1 / �' •;- t e. 1 Located fn ` r ---,...' •`°B• HOMeE9SIpTETMAD FAjR�M.,6lpTIATES' TE PLAN I'• se a-NT ;' ` ` (O. 'Erefearj- .I..U.[L :aE:r.ITS' III 1 5 1 I!0 '•e tal•.er•wt e.t=' a.twara..ter.•e wr_ad 040 Ilea , •Iy I .•Maw.•wee•M 80.1.0.1.W.JINJ s: t- I.. . '/•a LT t at ft%ei el?91x. "oar taw ee es ' • wrww ..t.n.•.•• OBE 571 ee.•• SII/_/G&W .ss..n•: . ran •-• 15.OF 32 • .. 53 I. r �pOocc n y O 4 o tz Cl o 0 I ^� 0 Cco 0. C• � cD r� (Aao ~ m a r Ln lmde Cb FD 70 rri h CO t4 y Q ¢� A N 0 0 o C OSb' ; 3� . COm -*+ V � � G ,'y OD sip A w � N � r X rrn-A J` F. ca cfl m 0 W � CD , C r..♦. CA ' { Cn W CD -� pp O p v CJJ :n O Plow CD_ nor �. —o t'101 M. I I _i r • �; `fl ClPalc7l coo. r c Os Ci cry rn ,� r ;4 _sue. y - - s o . a D