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BP-11280
BUILDING PERMIT 86 MILLERS DRIVE Dartmouth Building Department Plat: 70 400 Slocum Road-P.O. Box 79399 Lot(s) : 13-37 Dartmouth, MA 02747 Lot Size:46,192 Telephone 508-999-0720 Zoning Dist. :SRB April 21, 1999 (typed) Permit No. : // O Issued Date: (Q /1 /97? Clerk: BAS Project Location: 86 Millers Drive Number Street — Subdivision Name: Millers Farm -- Lot 37 _ Nearest Cross Street: Person Permit Issued To: Melissa Sousa _ Address: 38 Pitman Street, Fall River, MA 02721 _ Applicant/Agent: Same _ Contact Person Phone #: (508) 674-1034 Type of License: Owner: (x) Const. Superv. License #: ( Architect: ( ) Engineer: ( ) Other: ( Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter,New Coast.,Demo,Land/Move,etc. New single family dwelling with three bedrooms, two full and one _ 1/2 baths, 22 ' x 24 ' garage, fireplace, one flue, 10 ' x 30 ' deck, well water, septic system, oil heat -TWO indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const. : 5,390 sq. ft. Cost of Const. $123, 000. 00 Cost-Other Const. : TOTAL FEE: $ 599 . 00 Owner (s) of Record: Antone & Melissa Sousa _ Address: 38 Pitman Street, Fall River, MA 02721 All work shall comply with 780 CMR 6th Ed. (MGL Chap. 143) 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 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. .-'/ 0 Signature of Owner/Agent: � /,�J 1�9 irvU lam/ Address: — ******************** **ir * * **** ******************************* Signature: - Approved/Issued By- oel S. Reed, ' tle: Local Building Inspector COMMENTS: PLEASE ST PERMIT CARD SO THAT IT IS VISIBLE FROM THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. 0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COPY©( py Plat 70 Lot /5- M Address po /2t 4...,2. iO- Required approval Approvals received f please (X) approvals Please (X) approvals required for thin project Initial as received / DATEJJ��INITIALS / Zoning Ok 4UJ Q9 /7k Building Comm. APR U C 1 _ Board of Appeals Water Card Sewer -Card (7 Hoard of Health _1 � Yt35 Or-- Bond _ Selectmen 47. conservation Fire Chief OK. V 297 � Cross Connections Licensed Contractor Controlled Canal. Affid: & other linfor ati required et/car aisee_C„ 39 .� ( 2. } e'er'-A9 Irv. .. 4 el-.77 41/4-La q 7 9 TOWN OF DARTMOUTH 11280 BUILDING RECEIPTS COLLECTOR'S OFFICE Name: / ,t \\ .. _ POwner: L roperty. \ r r Date: 1 dl ?:./C ? :�': . ��.✓ `, t _ _o�t:: i'—L tI% Job Location: .. (.46 V 1 E > , r • RTMO COLLECTOR'S Of FlC "te Copy-Collector s Office Plot: 1 :1' Lot: 7 - jl / ellow Copy-Customers Receipt L' 1 , Pink Copy-File Copy J U N 8 1999 Green Copy-Building Department Phone: CAA Description General Ledger#'s ca5-#C 07 Amount License&Permits-Building 01000-44105 L U License&Permits-Building Misc. 01000-44105 License&Permits-Electrical 01000-44106 License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 This is not a Permit or License for Building,Plumbing or Gas Received By: , TOWN. .OF DARTMOUTH 10388 BUILDING RECEIPTS COLLECT7'S OFFICE Name: / _i�-G.f-, -� - // ,�.._.�Property f.r '��- Date: /J,4 3 -� = �.,'l:c Owner c„,.. - Job Location: j , ' r rt9 1 1 C 1---v :+ 4&.ti-sL.if -I' ' TOWN OF DA gill) / COLLECTOR'S�PY Collector's Office Plot: Lot:. / 2- " :7 b Copy-Customer's Receipt / t r 1 •,.,--' ._..) I,f Pink Copy-File Co Y G een Copy-BuilBing Department- Phone: . APR — 2 999 i'l a /C d Description General Ledger#'s Ref.0 M ® 08 - ount License&Permits-Building 01000-44105 / License&Permits Building Misc. 01000-44105 c' J Sc' License&Permits-Electrical 01000-44106 j License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 r"l ,-s ` J / This is not a Permit or License for Building,Plumbing or Gas Received By:` it " c ' — '-- • 71 / 7 TOWN OF DARTMOUTH BUILDING DEPARTMENT TELEPHONE 508-999-0720 FAX 508-999-0738 APPLICATION FOR ZONING AND BUILDING PERMIT Instructions The applicant shall complete this application to the best of their ability prior to submission,leaving no item unanswered.The Department staff will be available during regular business hours to assist as necessary.N/A should be inserted for those sections] . which do not apply.A properly completed application will help avoid unnecessary delays. lie Fig fee is mt refembiia. n1 r (foe o luse lady) P (,� ��r u� �r NLS' Total $ c7 G/ Received By Date Rec'd / L� q Less Permit Fe Fee$ �` Issued Date lQ/1� / Total Permit Fee $ "'et) Permit# !I��S" _.. 100LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET 41p1 V t C:r c 1 i ,,� 5 CURRENT ACCESSORS' PLAT *7V LOT i 3 3?ZONING DISTRICT S fee'- _ Y OTHER ZONING OVERLAY DISTRICTS TS , if applicable / NUMBER & STREET w- ' //l'e7 s bdCl v NEAREST CROSS STREET C)ta Beccoca 7d. / NI rcOA R\zr V2. SUBDIVISION NAME & LOT# M%►kers Drwe / CNtWu's Fosm SubMtvsOh Lot V3 3'1 or BUSINESS NAME PREVIOUS TENANT / OWNER Robert krour.j _ - 200 RESIDENTIAL- PROPOSED PROJECT- one & two family residence only THIS ECTION NOT APPLICABLE THIS nn Single family - number bedrooms 3 number baths d1 1'a✓ Two family - number bedrooms unit 1 number baths unit 1 number bedrooms unit 2 number baths unit 2 _ Accessory apartment Total gross sq. ft. _ Accessory structure: ' /Garage - detached - attached to dwelling, dimensions L 18� W 9`I � L. Carport - detached - attached to dwelling, dimensions L W _1Shed - dimensions L /n� W _ / . Jam','//-, /A/�� / :iL Deck- dimensions L dD W ndi ©r� l h® '� I1I ` //��lfi/,'1 P _ Gazebo . dimensions L W 7- Swimming pool above ground in-ground Size ., Chimney - number of flues reN C Woodstove. - used (will require inspection prior to installation), new (provide manufacturers • instructions). Locations) (list) n F uireplace(s) - (includes flue) List location(s) kY''2G•t, �Ldb m C Game Court describe(include overall dimensions) C Tent, Trailer(Mobile Home) or Other-describe 300 9)MMERCI4I•-PROPOSED PROJECT/USE-INCLUDING THREE FAMILY OR MORE AND EXEMPT USES i:J THIS SECTION NOT APPLICABLE (The following descriptions arebased 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 C 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) C High Hazard - (see Code Section 306.0) C Institutional - hospital, nursing home, infant day care(see Code Section 307.0) C Mercantile - retail stores (see Code 308.0) C Residential - three or more family, hotel (see Code Section 309.0) C Storage - includes garages(see Code Section 309.0) C Utility & Miscellaneous Structures - includes tents and ..gricuitural structures (see Code Section 311.0) C New tenant for any of the above, indicate above(see Code Section 119.0 and Zoning By-law section 35) C Tent or Trailer- temporary purpose? Other Des�gthe proposalbriefly,INCLUDE"umber of dwelling unit,and bedrooms or occupant load as applicable, also condition 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED '/ r� New Construction and/or Addition- total gross square feet 3 Jq (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 C FOR COMMERCIAL ONLY Will this project be subject to CONSTRUCTION CONTROL(over 35,000 cult.) Yes No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer review(over 400,000 cult.) Yes__ No (see Code Appendix I) APPLICANT TO PROVIDE 41• 2 - Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration required. I 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/ot 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 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 section 3401.10 for residential and Articl.- 8 fa_commercial) _ Temporary structure-includes when allowed, trailers,tents and the like and only for limited periods of time. Describe 500 CONSTRUCTION PLANS I/one submitted. Why? Submitted, usually three sets required. Four sets for food service\uses. Number of sets submitted 3 600 SITE PLAN Npt required, why? / ,/Submitted When? Previously, date a With this application 700 UTILITIES Water supply- required_ yes_ no, public ? _yes_no, on site well? yeyes_ 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 water supply, when required, is available. See Code 780 CMR section 114.1.2) Sewage disposal - required_yes no, public sewer_ yes_ no / private septic - on-site J yes _no. Submit copy of permit as soon as available. I 800 MECHANICALS & PRIMARY FUEL -/Furnace(hot air) - Fuel gas (natural or propane), fuel oil, electricity, other(specify) .sC Boiler (heating)- Fuel gas (natural or propane), electricity, other (specify) - HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) = Air conditioning - (separate unit) E None of the above to be provided E Hot Water Gas Electric Fuel Oil Other 900 SPRINKLERS- FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential E Required, plans provided, Eplans not provided, why? E. Not required, not to be installed, Why? 1000 QUIRED OFF-STREETPARKING- 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 a p+rt of the total required number. Is Route 6 (State Road) Entrance permit required? yes ^ no . If yes has it been issued yes E. no E. Submit copy of application and/or permit as soon as available. 1100 IDENTIFICATION(print or type except as noted)) Current owner-77pname AYI�0Y112 t V`1`1tt(I�SS� y�ESNUlISOU7 2 _ address r.W, ?lkilkii 1 Erb- 1(.01 (�\Utr RP, V P. I'J -. phone# (50%) (M*—l 034 If corporation, officer in charge Architect/Engineer-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. 4 Architect/Engineer-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 originals and not reproductions. General Contractor(if Homeowner, state homeowner here then complete section 1300) Company name \k0n1e OUmtr Address Phone number Construction Supervisors license number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. *vvvvvvvv***vsvvvvvvanyvv*iiiit*vvvv*iitYialiYan**fiifii*vsvassvvvenssakiiiii*vvvv*vvvvvvvvvvvvv: 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to(780CMR-6) ? Yes_No_If no go to next section! Are you claiming exemption from the requirement? Yes_No_If yes, submit the required affidavit! Remodel 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 1300 OWNER SIGN - OFF 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 requirements (including Zoning). Name I\ ci\SSC S SO._) / Signature (. ` -' �' �VGI/�q J (J-- ^ � `"� (LXI The above signature is my`votntary act and is signed under the pains and penalties of perjury. Date Who is authorized to pickup thepermit at the Building Department? �� (1e n, Address 38 PrtMan Si ' Phone SCR) �-lt{-1 Souse IV\2`1SS�. 03 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 accord'nee with the rules and regulations promulgated by the BBRS entit'ed Rides 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 Home Owner engages a person(s) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section only,a "Home Owner" is defined as follows: Person(s)who owns a 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 dwellin , attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in two-year period shall not be considered a Home Owner. If you are applying under this section sign below: /] _ Signature_ !�'.,/ iv. c^"�✓ —��� .C.t ,,D Your s signature carries ertain responsibilities, including but necessarily limited to, ssssss**b liability 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 2.15.2 of section 5) sssass.•ssf.s:ssssl.ssls.:sfslss.:s:s.s.stf:ls.s:s:sass.:ssf:s:sss.tssssstsllss:ss:sfs:l:s:sl:ssfs::ss:s 1500 COST Cost of Improvement 3 Items to be installed but not included in the above cost: Electrical $ Plumbing HVAC Other TOTAL The following section for official use only. • INSPECTORS' REVIEW Date plan reviewed 30 days to review period expires .=i OK to issue date OK to issue subject to requested submittals (see project review worksheet) date DENIED see project review worksheet date :3 ' HOLD reason date_ HOLD Subject to Zoning Board of Appeals action Comments Inspectors signatureg Dafe R 0 6 € '44 Applicant informed of above- Date time__staff (fax, phone, in person) Y;;i;iY;;Yti f ; f;Yf iii Y i Y ;f;;i ;;i f;;if ; ; ;; ; ;; ; Over six months since approved for issue- DEEMED abandoned! Advise applicant. Hold 90 days for return then dispose if not picked up. Inspector Date72 _ Advised applicant Date Time_ staff_ (by phone, fax or in person) ;;i;;;;;;;i; ! t i; ;; Y ;flan*; ; YtY;f;Yf;;Yt;i;;f;;f;f;f;;YY ;;;i; Y ; ; ;; ; OFFICE\INSPECTORS TOTAL FEE .S 9 ° 5 7 7 Gross area - new construction - 90 Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to FP11 t /Q X 3° , Comments/notes on permit 7 1600 TO THE APPLICANT/REFERRAL AND APPROVAL Date of Application submissionz/2/q Plat 7 Lot/?-3tt C? /c� '/ `" � � /,��� �� �/ � Aquifer Zone Owner nyl�,h CQ /7r-is-sec Sr 5/GL. 1 Owner mail address ;3 F .de,%� , g 7 - Owner phone k YYtiii S *YRiiiiii Y Ri i i Y *Yi i Yiii R iti**S R ii R i i i R***S***** i tiitii*RY Siitii S* OTHER INVOLVED AGENCIES-The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR RFLQUIRED SUBMISSIONS. la TAX COLLECTOR C Approved C HOLD By Date ❑ Board of Appeals C Approved By Date , . ervation Commission C Approved By Date a D.P.W. Water C Approved By 0 D.P.W. Sewer C Approved By Date o D.P.W. Cross Connection ❑ Approved By Date o Treasurer(Bond) 0 Approved By Date ❑ D.P.W. Engineering ❑ Approved By Date 7 Board o. Health (well) C Approved By Date ❑ Board of Health (septic) C Approved By Date Oloard of Health (food service) C Approved By Date a Planning Board (parking) Ti Approved By Date 04 DISTRICT (I - II - III) Approved By Date BUILDING DEPARTMENT APPROVAL: ❑ ZONING ❑ BUILDING INSPECTORBUILDING COMMISSIONER O CONTROL CONSTRUCTION AFFIDAVIT YYtitiRttiittitittiititittiiiRStiiittitttittttYt RRiRR tYYttYYttYYttttYYitt Yt YtRRttRRtiiitiittitittiit YRSY PROJECT SUMMARY: new construction/ alteration/demo sewage disposal - public/private [Alter/add interior walls] [add rooms] [add footprint] water supply - public/private well [pool] [garageJshed/de-deck �ame coy�t] [food service]�j'��,�� / Describe �n1�+`.!)Jl/^//L 11, c Jp I-7Y/ [ SSttitYYtttiYtiiiiiitiiittititiiitiiititttRtitttiiii\YY_tiiifititiii3YttiYSttYYtiiti tiYtYSttiiitYt tiiiiYSYtt To the various departments: '�J 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 assistanc nd cooperation is appreciated. The Building Department- Date sent for review By 8 BUILDING PERMIT 86 MILLERS DRIVE Dartmouth Building Department Plat: 70 400 Slocum Road-P.O. Box 79399 Lot (s) : 13-37 Dartmouth, MA 02747 Lot Size:46, 192 Telephone 508-999-0720 Zoning Dist. :SRB April 21, 1999 (typed) Permit No. : // 0 Issued Date: (Q /'1 /9? Clerk: BAS Project Location: 86 Millers Drive Number Street Subdivision Name: Millers Farm -- Lot 37 _ Nearest Cross Street: Person Permit Issued To: Melissa Sousa _ Address: 38 Pitman Street, Fall River, MA 02721 Applicant/Agent: Same _ Contact Person Phone #: (508) 674-1034 Type of License: Owner: (x) Const. Superv. License #: ( Architect: ( ) Engineer: ( ) Other: ( Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter.New Const.Demo,Land/Move.etc. New single family dwelling with three bedrooms, two full and one 1/2 baths, 22 ' x 24 ' garage, fireplace, pnE flue, 10 ' x 30 ' deck, well water, septic system, oil heat -MOO indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const. : 5,390 sq. ft. Cost of Const. $123, 000 . 00 _ Cost-Other Const. : TOTAL FEE: $ 599 . 00 Owner (s) of Record: Antone & Melissa Sousa Address : 38 Pitman Street, Fall River, MA 02721 All work shall comply with 780 CMR 6th Ed. (MGL Chap. 143) 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 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. NtA� „X Signature of Owner/Agent: V tk-} x1CIAA Address : ******************** *** ** * **** *****,rre:r*********,r**,r*,t******** Signature: Approved/Issued By• oel S. Reed, ' tle: Local Building Inspector COMMENTS: PLEASE ST PERMIT CARD SO THAT IT IS VISIBLE FROM THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. 0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COPY 1600 TO THE APPLICANT/REFERRAL AND APPROVAL Date of Application submission / '//z/Q y Plat 7V] Loth?-3 S 7(/9 ////vr J (Ac Aquifer Zone_ Owner iO/,)4( G' / /zi// S-S (� j Owner mail address jj R/�j�'(i 1 Owner phone N BILE CUP as sss ss Y ss OTHER INVOLVED AGENCIES-The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR REQUIRE=SUBMISSIONS_ @ TAX COLLECTOR C Approved HOLD By Date ❑ Board of Appeals Approval By { Date /�ervation Commission C✓Approved By j,"--^' �7-- Date t -a:SC' ❑ D.P.W. Water Approved By O D.P.W. Sewer C Approved By Date ❑ D.P.W. Cross Connection a Approved By Date ❑ Treasurer(Bond) 0 Approved By Date ❑ D.P.W. Engineering :7 Approved By Date ▪ Board o, Health (well) Approved By Date ❑ Board of Health (septic) Approved By Date Card of Health (food service) C Approved By Date ❑ Planning Board (parking) _ Approved By Date ass DISTRICT (I - II - III) C Approved By Date BUILDING DEPARTMENT APPROVAL: ❑ ZONING ❑ BUILDING INSPECTORBUILDING COMMISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT PROJECT SUMMARY: new construction/ alteration/demo sewage disposal - public/private [Alter/add interior walls] [add rooms] [add footprint] water supply - public/private well [pool] [garage/shedl/d ]k] �ame co(yll � service] Describe /Ve� �Ie. [ tit 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 assistant/:nd cooperation is appreciated.The Building Department- Date sent for review 4--‘,2 - qy• By 8 BUILDING PERMIT ISSUANCE /DATE: ed 2 / ADDRESS: G(0 ��� ✓'� �'� J After review of your application, the following items are needed before your application is approved: 1. /1 1 2. . aa SiL 77/99 3. ginD Lek7 4. dhlit; 5. CflpQ3� Balance Due: $ 1 Left message with: p ^ �-�' Time: c22:5Vill COMMENTS: a The Commonwealth of Massachusetts tit,j=(fie Department of Industrial Accidents . Lie oftiesoffarastlpstloas ��--� 600 Washington Street �.y' Boston,Mass. 02111 Workers' Compensation Insurance Affidavit .ir/17rf14;. (tuzi r•Olin•:... , :._.:, - 1 c—.I;c•,,-c: - .,, iP alai l�., same: ::4 nib ce 11 e li sScL SOusti �o lion: AR, Hers Drive, city 1)grkmouth M A Dal`{1 (so?) �`1Li - 10i3 y nhnne# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. company name: address: ... city: phone#:• . insurance co. noRv c # - ❑ I ant a r.'e proprietor,general contractor.or homeowner(circle one)and liar.;hired the contractors listed below who have the following workers'.compensation polices: romnany namer address:. City: - - ' QJtone#c ineuranceto: policy#• - - - . comoanv-name: city: phone#: _ insurancetro ooiiev# Failure to secure coverage as required under Section 25A of MGL I52 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment aawell as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify ander the pains and penalties of perjury that the infor ion provided above is trot and correct ''t e J Date LiAl t, Signature y� ``� /, / Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# °Building Department ❑Licensing Board °check if immediate response is required °Selectmen's Office °Health Department contact person: phone#: °Other (rm,d 3/95 NA) 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 defined 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 and supplying company names, address and phone numbers 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. +r The Department's address, telenhcrc and fax nein'-: r. The 6tn 1±.:'ui4..cia i _.r.-a2s +_chits.:. Department ot `.^.(h atal Fsrc__':'•_u Mice of taueslivjatiolls 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406. 409 or 375 I I MAScheck COMPLIANC PORT - .. ' " Massachusetts nergy Code I Permit #'. . - I MAScheck Software Version 2.01 - 1, I Checked by/Da-te• I ' I I CITY: Dartmouth STATE: Massachusetts , HDD: 5426 , CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-13-2000 DATE OF PLANS: JUKE 13,2000If?) TITLE: SOUSA PROJECT INFORMATION: TONY AND MISSY SOUSA .f MILLERS FARM TOWN OF xg'3'RTNI UTH DARTMOUTH, MA „-a'"�p'�l p M„ 'F Ps µ. dial � AL{ COMPANY INFORMATION: %151/ Of This Endorsed t c„g.�,v ` AES DESIGNS Plan Must Ko �� On Site F A pi. t NOTES: �e Construction sr t .� r to 4 ;i REVISED g9 Omits Coonsytruction /p/n i3 f�i. 4 u, L/ COMPLIANCE: PASSES gy p r a. Y\ Required UA = 533 Your Home = 478 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CE17.INGS 1247 30.0 0.0 44 w47,i S: Wood Flame, 16" O.C. 1532 11.0 0.0 137 _ 'WALLS: Wood Frame, 16" O.C. 1064 11.0 0.0 95 GLAZING: Windows or Doors 40 0.330 13 GLAZING: Windows or Doors 162 0.330 53 GLAZING: Windows or Doors 111 0.330 37 DOORS 56 0.350 20 FLOORS: Over Unconditioned Space 1674 19.0 0.0 80 HVAC EQUIPMENT: Furnace, 80.0 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of t e design load as specified in Sections 780CMR 13 and 4, /(; Builder/Designer "1.' ��, Date /. /C� 0 JJJ _ _ _ . _ ._,_ ... . _�., o oua- ao-oaaa p. i 10. 3oe/ MAScheck COMPLIANCE REPORT Massachusetts Energy Code R-then.'' RCx,. Permit # MAScheck Software Version 2.0 / Checked by/Date "CITY: New Bedford FILE COPY STATE: Massachusetts HDD: 5311 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-26-1999 DATE OF PLANS: 3-23-99 Trwr7 1:7 r r‘n7"Itril TITLE: SOUSA P e s) n' r PROJECT INFORMATION: k t ° ', ° a' TONY AND MISSY SOUSA A Copy Ci This Endorsed MILLERS FARM Plan Must Be Kept On Site During Construction f•;c .e, IWf l 7 diW. NOTES: HOUSE ADDRESS WILLBE ISSUED WHEN GIVEN BY THE TOWN OF DARTMOUTH COMPLIANCE: PASSES Required UA = 539 Your Home = 472 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA _— CEILINGS 1247 30.0 0.0 44— __ WALLS: Wood Frame, 16" O.C. 1532 11.0 0.0 137 WALLS: Wood Frame, 16" O.C. 1064 11.0 0.0 95 GLAZING: Windows or Doors 40 0.310 12 GLAZING: Windows or Doors 162 0.310 50 GLAZING: Windows or Doors 111 0.310 34 DOORS 56 0.350 20 • FLOORS: Over Unconditioned Space 1674 19.0 80 HVAC EFFICIENCY: Furnace, 80.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% o he design load as specified in sections 780CMR 131 J4. Builder/Designer h ,..._ Date 42 YE BUILDING PERMIT 86 MILLERS DRIVE FIELD INSPECTION Dartmouth Building Department Plat:70 400 Slocum Road P.O. Box 79399 C'�;,q 9 P Lot (s) : 13-37 9 Dartmouth, MA 02747 �v�,. _ — Lot Size:46, 192 Telephone (508) 999-0720 Zone Dist. :SRBB Issued Date: (( /I / )9 Permit No: /02TO Project Location: 86 Millers Drive Number Street Subdivision Name: Millers Farm -- Lot 37 Nearest Cross Street: Applicant/Agent: Melissa Sousa Contact Person Phone #: (508) 674-1034 Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. New single family dwelling with three bedrooms, two full and one 1/2 baths, 22 ' x 24 ' garage, fireplaces flue, 10 ' x 30 ' deck, well water, septic system, oil heat -- 5,390 sq. ft. 1ntC9CCno.or-benronms anti bathrooms md-omxrtooms Owner(s) of Record: Antone & Melissa Souza Address: 38 Pitman Street, Fall River, MA 02721 DATE TIME TYPE OF INSPECTION REMARKS INITIAL BLD. CODE 6TH ED./ENERGY CODE (yes no) 930/9 9 //'v 5 itco,vie�. o��` a`` �t ,( /1/41 j99 //.'/5 ern-gi .41 rz��r.,� c . / —9S' //fnisa teariA. - a/c n.rre/'_ lStn. , mil eZeor,accerr d.L,c�.1/ a/a.z( G s 111-0,- � .n C ) a,>a ..t le_dr--elAK �/P c1 //,•07 �.". �,. 0 t T v2.z //9 -„`try r ?'- //, .-4, .ge ' pp / c/ ZOO //, 3 0 KjeV7t-en f "aeL KiLech friten /-punr 0°,4,2AA,iatett ,e41( /p 2 oa /l ; '3 f Pj weet Au. /0/00 /7: 06 d2-Gcnt--e'i, tams e y o ,A - 'C : is VVuimu Z D 1 _ _ TOWN OF DARTMOUTH" ` tilt ff , . BUILDING RECEIPTS COLLECTCR'S OFFICE I Name: i/=1/ � )t�a 'L._jury,ii. Property 't--1. 9/! L.,, Date: /7/} rY�. t Owner: 1 Job Location: " J/ t/ ; r f i t t r J. pin`t c ` a n7 itA `01 141hite Copy-Collectors Office Plot =p Lot J .. / Ze '' '0 0% Yellow Copy-Customers Receipt ti — J °� i 0 Pi•nk Copy •-File Copy J ti ,,ri 9 Green Copy-Building Department Phone:4 k I N �' C tag '/ _— Description * ``* General Ledger#'s Ref.C _- Amount 11/4 License&Permits-$uil1 01000-'44105 - ~ r` License&Permits- Misc. 01000-44105 /f p '. /.4.. .vz) License&Permits Electrical 01000-44106 License&Permits-Plumbing&Gas 01000-44107 -- - --" Other Department Revenue 01000-42420 This is not a Permit or License for Building.Plumbing or Gas Received By: L --J CURRENT MESSAGES I DATE + MESSAGE BY `, i tr 1 t i I Ic II i t r, , OCCUPANCY PERMIT ANTONE & MELISSA SOUZA NEW DWELLING Occupancy is hereby granted for the premises located at 86 MILLERS DRIVE Assessors Plat 70 Lot 13-37. The premise has been found to meet the requirements of the Massachusetts State Building Code in effect as of the date of permit issue and other applicable Massachusetts Codes and regulations as evidenced by approvals affixed to the reverse of this permit. The use is further found to be in compliance with the Local Zoning By-Laws for use as indicated, as of this date of issue. This permit is further conditioned on the continued maintenance of permitted conditions as • provided by law. ZONING DISTRICT - SINGLE RESIDENCE DISTRICT APPROVED USE - RESIDENTIAL-ONE FAMILY DWELLING SPECIAL PERMIT/BOARD OF APPEALS - N/A Approved by /O—S--Oo Local Building Ins or DATE OF ISSUE r CERTIFICATE OF OCCUPANCY - DEPARTMENTAL APPROVAL To be signed by each division indicating compliance on final inspection. BUILDING SPECIFICATIONS PER 780CMR 119.5: USE GROUP CLASSIFICATION TYPE OF CONSTRUCTION MAXIMUM LIVE LOAD FLOORS SPECIAL CONDITIONS -- BUILDING /9 // PERMIT NO. 11280 Approved by �ij'+)O% �� ji7 Date /Q_5'- (70_ Comment PLUMBING /PERMIT NO. 2 76/ Approved by Date Comment GAS PERMIT NO. /923 r Approved by e _ Date rye d Comment ELECTRICAL PERMIT NO. ivac Approved b Date 2/ /OO Comment FIRE DO-7-3 PERMIT NO. • Approved by CiPift, tran7Pa Date 9 /7_ e Comment BOARD OF HEALTH PERMIT NO. Approved by Q � Date 3-is:aJ Comment DPW-WATER PERMIT NO. Approved by Date Comment N/A DPW-SEWER PERMIT NO. Approved by Date Comment N/A WATER DIVISION-CROSS CONNECTION JOB NO. Approved by Date Comment N/A E - 911 COORDINA ADDRESS NO. y6 {6 Approved by / ( Date /Q— Comment PLANNING DIRECTOR (Off-Street Parking Plan) Approved by Date Comment N/A 267.30' 100.5' Lot 37 46,192 S.F.± Lot 38 -9.5-• TOP OF FOUNDATION 209.12 0 m ' M N N 'O - • p.45 L= 129,55' OQ\vC MILLERS STOCKDRAFTING FORM NO.101-61 ,r-°'l' lF--;) -.' C'. 0 act 6 'e 1 ra s'iclFatl .ff r -� - S^,r. 1 fib 3• 54 t€cS _ L. �" �� Ai1 p. i SEW, Lqn n g- .9S4e.i6r1 or Phi- 7 0 Yee- r3- 37 6/ z/ 99 R. Lot 36 (55 N. co ti �P�'(N OF Mit88 90 2� %% o KENNETH o^ z R. v •FEIRA n No 2871fi /ci. C4 ,�„ FOUNDATION AS -BUILT PLAN \\`• � SCALE I _ 30 APPROVED BY DRAWN BY S� \19 DATE 5-26-99 REVISED AN ONE J. 8 MELISSA A. SOUSA LOT 37. MILLERS FARM. DARTMOUTH. MA. KENNETH R. FERREIRA ENGINEERING, INC. DRAWING NUMBER 46 FOSTER STREET, NEW BEDFORD, MA. 02740 SE 6514.37A .TOWN'OF DARTMOUTH . n. BUILDING DEPARTMENT TELEPHONE 508-999-0720 FAX 508-999-0738 • ZONING REVIEW received date TO: XENGINEER BOARD OF HEALTH XFILE & LOG NOTEBOOK PLANNING DEPARTMENT CONSERVATION COMMISSION OTHER PLAT 1D LOT 13- 31 STREET Millers Drive SUBDIVISION NAME Millers Farm LOT # 3-7 OWNER'S NAME Robert Kfoury DESIGNER Kenneth R. Ferreira Engineering, Inc. _ r CONTACT PERSON Kevin Silva DESIGNER'S SPECIALTY: X PROFESSIONAL ENGINEER X SURVEYOR SANITARIAN OTHER 1. ZONING DISTRICT SRB Proposed Use/Project Single family dwelling 2. VACANT LOT ® (No) Use complies a (No) • 3. The site is found on a Gubdivision Pla' (ANR) (Cluster Subdivj;igp 3`A) . Form "A" Date Plan approved Plan endorsed date 11/L3/ C Lot is protected by M.G.L. Chapter 40A, Section 6 - es (no) (n/a) ("grandfathered"). a 4. BOARD OF APPEALS action ® (Required) (On File Case k ,see-decision) Comment . LOT FRONTAM current required 200 ft Provided 140 on ft Complies apetT (M.G ifiCtan 6) ' 6. LOT AREA current required 0,000 sf Provided yln -Error 7 !Q 2 Ccwplies 6))-Et (M.G.L. Chapter 40A. ec Stion 6 applies). 7. SETBACKS (Building setbacks are measured to the footprint of all habitable/occupiable space, including porches, decks, stairs, full bay windows and all fireplace/chimney projections and the like). Current Required Front 60 ft (any street side),//� 20 ft any other sides. Provided_Front 7 1'�� ' Other 14 Complies (yes) (no). "Grandfathered" (M.G.L. Chapter 40A, Section 6) minimum allowed front 30. , sides, 10 rear 30 . The least setback may be used. Otherr setbacks allowed (yesv, (Ao� Exempt setbacks existing�Yfes'Y-( Exempt setbacks will exist (pea-) 03, if yes where Exempt setback(s) occur when legally pre—existing structures are closer to lot lines than is currently allowed. A "grandfathered" setback may become an exempt setback. 8. ACCESSORY STRUCTURE(S) indicated (yes) no . Setbacks comply (yes) (no) . 9. ON—Street Parking (two spaces minimum for residential per unit) complies es (no). DRIVEWAY SETBACK (except common drive) minimum required . Comp les cz:: :? (no). 10. ELEVATIONS ooS �' 1 O Top of f foundation elevation 2 �! Cellar stab elevation (903 .. I -!T I ' �7 /� Water table elevation ��I -! 9• l0 1 Per Test Pit 8 L1 3 1 A cellar drain provided (yes) Fno), complies ® (no). Generally a 2' separation is required between cellar slab and high water tabbYYe or a cellar 'rain must be provided per subdivision regulations. 11. PERCENT OF LOT me a' -E AQUIFER ZONE 2 3jlt? Zones 2 and 3 allow maximum lot�.verage of 10X of lot: Lot coverage maximum allowed per Zoning strict i r�i(d or other . Percent of coverage proposed is 1 01 X. Coverage complies � (no) (indicate) 12. FLOOD ZONE — F.I.R.M. Zone C elev. Panel 8 250051 00 158 dated J 1 /•83 Flood zone building requirements applicable (yes) 0. A determination of substantial construction may be required. Comment • 13. A CERTIFIED "AS—BUILT• is required for all new construction and additions where no other "As—Built' exists and also where additions are placed at the minimum applicable setback. The "As Built" shall also include top of foundation elevation in ACTUAL, not assumed, numbers. The "As—Built' shall be submitted before backlill or any other .construction. The "As—Built" shall state conformance with applicable zoning as to placement of the structure. 14. s,)BRIT further information — 4. If yes, zee item(s) 8 '------------ • 15. This project will require further review when new, revised or requested information is submitted to any agency. 16. This Zoning review does not indicate compliance with any other Agency, including, but not limited to the Massachusetts State Building Code. 17. BUILDING DEPARTMENT PERMIT(5) required me Jeerer • ' . 18. Home Occupations' have additional requirements and will require separate review. , 19. A /k N/A = not applicable OFFICIAL USE ONLY TO APPLICANT/ENGINEER _Zoning APPROVED to proceed. _Zoning APPROVED to proceed subject to submissions noted above. DO NOT PROCEED, submit information requested above! _DO NOT PROCEED, insufficient information provided, RESUBMIT! muted by, e David J. Sit ira Building Commissioner & • ppq 0 1 '1999 Zoning Enforcement Officer Date APPLICANTS RESPONSE TO :14: • CORRECTIONS APPROVED BY DATE C( LOCUS = r: 212.5 FINISHED GRADES 109t 211.0±jft�27.28e3-1 " min. 7.06206.81 206.67 =00 02 LE1/ELr-o L= 14'S= 0.01 . 14" MIK 4' • �'' + I500 GAL. SEPTIC TANK •w _ F/B/F= 4 5' 4.25' 03.1PVC i. 10' -GAS BAFFLE OR EQUIVALENT 10.5' -1 ti f LOCUS MAP - NOT TO SCALE LEGEND 100- --- CONTOURS 91 x 9 SPOT ELEVATION 91.1 P'ROPERTY LINE E.P --EDGE OF PAVEMENT E.P. STONE WALL tom% WELL 0 ❑ DEEP TEST HOLE LEACHING TRENCH PLUMBING PIPE 20A ` 202 206 / T79 / SAND OVERDIG f / SEE NOTE *11 / / 9 o��P •g3 � , >/ TP 0 4378 / J 202 _ PROP. 1 WELL 1 PROPOSED DWELLING T.O.F = 211.0 F/B/F= 203.17 F/G/F= 208.5 PROPOSED DRIVEWAY `207.0 2c12 2Q / Q5 � M GRADINNG PLAN - SCALE: I" = 30' ob �' BENCHMARK: TOP OF HUB/TACK ELEV.= 198.47 LOT 38 I1 1 I i 50' 206.5 BOX SYSTEM PROFILE NOT TO SCALE ,1500 GAL. C TANK - Lam- ERs o FINISHED GRADEc 207.8 MUM 1. .44 1. 4" -'I- CLEAN COARSE WASH W/e"- "' CLEAN PEA STONE 4 ROWS OF 4" SDR-35 (28' le PERFORATED PIPE OR EQUAL 2 67.90' i ' � - - g2o A5 SITE PLAN SCALE: I" = 30' LOT 37 area= 46,192 66. 40' LEACHING AREA DETAIL NOT TO SCALE i / OAP / -cc LOT 36 BENCHMARK: TOP OF HUB/TACK ELEV.= 198.47 ALL WELLS FOUND (existing or proposed) WITHIN 200' OF THE PROPOSED S.A.S. ARE SHOWN ON PLAN, e-• CLEAN COARSE PEA SCONE FIN GRAD = L.207.8 2.5' 5' S' S' 2.5' - - - - - - - i 12" MIN. L 206.8 4" PERF. PIPE 1 10" EL.206.3 i 4-Iz• CLEAN COARSE WASHED STONE 6" L. 205.8 I I �'I 1 SAND OVERDIG 5' I I EL.200.8 i 1 (interpolated) I I L----------------------------------------------�EL.192.Ot -r- BASIS OF SANITARY DESIGN BUILDING USAGE: 3 Bedroom I110GPD/bedroom TITLE 5 SEWAGE FLOW: 330 GPD SEPTIC TANK SIZE: 1 500 Gallons GARBAGE GRINDER: None WASHING MACHINE: Yes PERCOLATION RATE: <2 MIN/INCH, 6 M'IN/INCH DESIGN RATE: 6 MIN/INCH, CLASS II LEACHING FIELD: BOTTOM AREA: 20 ft. (width) x 30 ft. (length) = 600 sq.ft SYSTEM CAPACITY: 600sq.ft x 0.60 'gpd;'sq.ft. = 360 gpd SOIL EVALUATIONS: DATE(S): 1/27/99 - 1/28/99 PERFORMED BY: Kenneth E. Fortier WITNESSED BY: Susan Griffin DEEP TEST PIT INFORMATION PERFORMED BY: KEN FORTIER WITNESSED BY: SUE GRIFFIN PROP. DATE: 3-14-89 WELL TP 219 (EL. 204.8) TF� 220 (EL. 203.2) 0" - 48" LOAM S SUBSOIL 0*' - 26" LOAIV,I 8 SUBSOIL 48" - 120" LOOSE SILTY SAND 8 STONES 26" - 108.. T IGHT SILTY SAND a STONES 120" - 172" CLEAN WELL GRADED SAND 108" - 198" SLIGHTLY SILTY WELL GRADED 8 STONES `SAND 8 STONES NO GROUNDWATER OBSERVED NO GROUNDjWATER OBSERVED AT 172" (EL. 190.5) AT 198" (EL. 1=`86.7) 3' WATER TABLE ADJUSTMENT (EL. 193.5) 3' WATER TABILE ADJUSTMENT (ELA89.7) <2 MIN, INCH AT 142" (EL. 193.0) 6 MIN/INCH AT 134" (EL. 192.0) DEEP OBSERVATION HOLE LOG TP # 437A (Elevation = 203.67 ) Depth from Soil Soil Texture Soil Color Soil Other. Structure, Stones, Surface Horizon (USDA) (Munsell) Mottling Booulders, Consistency, % Gravel (Inches) 0-3" O 3 - 9" A Sandy Loam 1 OYR7/4 Fine, Friable 9 - 26" B Sandy Loam I OYR5/6 Fine, Friable 26 - 44" C, Sandy Loam 2.5Y6/4 Fine, Silt deposits 44 - 90" C, Sandy Loam 10YR6/4 Mottles Firm, medium -fine Loamy Sand @ 48" deposits, cobbles 10YR5/6& 1 OYR5/8 BEDROCK DEPTH = None ELEVATION = 196.17 SEEPAGE DEPTH = None ELEVATION = 196.17' ESTIMATED SEASONAL HIGH GROUNDWATER DEPTH = 48" ELEVATION = 199.67 DEEP OBSERVATION HOLE LOG TP # 437B (Elevation = 201.77 ) Depth from Soil Soil Texture Soil Color Soil Other. Structure, Stones, Surface Horizo (USDA) (Munsell) Mottling Boulders, Consistency, % Gravel (Inches) n 0-3" O 3 - 10" A Sandy Loam 1 OYR7/4 Fine, Friable 10 - 24" B Sandy Loam 10YR5/6 Fine, Friable 24 - 44" C, Sandy Loam 2.5Y6/4 Fine, Silt deposits 44 - 90" C2 Sandy Loam 10YR6/4 Mottles Fiirm, medium -fine Loamy Sand @ 48" deposits, cobbles 1 OYR5/6& I OYR5/8 90 -128" C, Loamy Sand 10YR6/3 BEDROCK DEPTH = None ELEVATION=191.10 SEEPAGE DEPTH = None ELEVATION =191.10 ESTIMATED SEASONAL HIGH GROUNDWATER DEPTH = 48" ELEVATION = 197.77 GENERAL NOTES: new construction: 1. The sanitary sewage disposal system shown hereon shall be CONSTRUCTED IN ACCORDANCE wi the requirements of 1995 310 CMR 15 (TITLE V) of the State Eryironmental Code and local Board' Health regulations. Any MODIFICATION TO THIS DESIGN .dust be approved in writing by tt3 engineer and the local Board of Health prior to implementation. 2. Contractor shall verify and check the BENCHMARK(S) as show? on this plan prior to construction the proposed system. i 3. Notify the local Board of Health when the system is ready for INSPECTION, prior to any backfilling.l CONFIRMATION OF CONSTRUCTION (as -built) is required by an engineer, 3 day advance l notification is required for the survey. 4. DEEP TEST HOLE INFORMATION indicates soil condition, percolation rate, and water table elevatic at the time and location of actual testing and should be verifi?d at the time of construction. Th contractor shall notify the local Board of Health if GROUNDWATER or PERCHED WATER encountered at a higher elevation than indicated on this design Plan. 5. TOP OF FOUNDATION, BASEMENT and FIRST FLOOR e`"wations may be raised but NO LOWERED without the consent of the engineer. 6. Unless specified in the Basis of Sanitary Design, this system is N3T designed for the use of a garbac grinder or other high water usage devices. 7. Where the building sewer pipe exits the foundation ABOVE the easement floor, an effluent a grinds pump conforming to 310 CMR 15.229 may be used to discharge ,4 VOLUME OF LESS THAN 25% 0 THE DESIGN FLOW from any future basement bathroom / sink `acilities. 8. If any components of the proposed system are specified as HEAVY DUTY, those components sha conform to all state and local requirements for ASSHTO H-20 io3ding. 9. The SEPTIC TANK shall be 1500 gallons minimum, unless othenkiise specified on this design plan, an fitted with PVC schedule 40 INLET TEE and OUTLET TEE WITH GAS BAFFLE of proper lenght Septic tank construction shall conform to 310 CMR 15.226. The SEPTIC TANK OUTLET COVER it to built up to within 6" of the finished grade unless otherwise specified on this design plan. 10. SEPTIC TANK, DISTRIBUTION BOX, and PUMP CHAMBER (if Fny) shall be placed on a 6" minimur compacted GRAVEL BASE to prevent heaving or settling. ALL z'EAMS ARE TO BE WATERTIGH1 sealed with asphalt cement or other cement suitable for that spe..:ific component. 11. EXCAVATE ALL UNSUITABLE MATERIAL within five feet horiz?ntally of the leaching area from th pea stone cover down to elev_192.0 034 inches below the original existing grade.) Excavation ma be required to extend deeper if uniform suitable material is not Encountered. See notes 11a & 11b. 11 a. SOIL PREPARATION PROCEDURE FOR THE LEACHING FACILITY AREA shall. conform to 31 CMR 15.246 & 15.247. 11 b. Any EXCAVATION OF UNSUITABLE MATERIAL designated on tie plan shall conform to Constructic in Fill requirements as outlined in 310 CMR 15.255 (1-6). 12. No HEAVY EQUIPMENT shall be run over the components or the prepared leaching area during installation. RUBBER TIRE MACHINERY are not to be driven o\�ef the prepared natural soil base c sand/stone bed during system installation. 1 13. TANK SEAMS, riser connections (if any), and all plumbing joints are to be installed 1009 WATERPROOF. ALL JOINTS MUST BE WATERTIGHT, sealed with rubber joints, cement or othE suitable sealer for that specific component. Any groundwater or s'tlrface water entering the system w severely limit the life span of the leaching area. I 14. ANY LEACHING AREA (OR PUMP CHAMBER) VENTS shall be constructed of 4" solvent weld SCi 40 PVC, The twin 90 degree elbows comprising the "U" shall not be glued. Any D-box vent pipe sha utilize an inlet knockout. Vent to extend 24" min. above proposed grade. i 15. RESERVE AREAS that are shown within 25' of property lines m,,y require impervious barriers to b installed (to conform to side slope requirements) during the installation of the future reserve. 16. For RESERVE AREAS that may be required to be installed at a h'i-�her elevation than the primary are (due to any naturally occurring slopes in the topography), eithar a pump system or elevating th, building sewer & tank may be necessary. 17. ANY CLEAN -OUTS shown shall extend to within 3 inches of finished grade and capped with a SCI, 40 threaded clean out fitting. 18. ANY VENTS shown shall be constructed of 4" Sch. 40 PVC. The ',Ivin 90 degree elbows on top of thi vent shall NOT be glued, allowing future inspection access. Sheet metal screws are recommended t(' prevent unauthorized entry. Horizontal lengths of vent piping shad be sloped up toward the vent. Am" vents shown connected to the Distribution Box are to utilize an mused D-BOX INLET opening. I P. E. STAM P BOARD OF HEALTH STAMP] BOARD OF HEALTH STAMPS 17 SEE REPORT of Rewely. SEPTIC SYSTEM DESIGN PLAN OWNER: ROBERT KFOURY ASSESSORS MAP & LOT: MAP 70t LOT I . 7C ILLS .a VMA STREET LOCATION: INILLERS DRIVE ENGINEERING FIRM: Kenneth R. Ferreira Engineering, Inc. P.L.S. TAMP 40 Foster Street , New Bedford, Mo. 02740 Tel. (508) 992-0020 Fax: (508) 992-3374 A y KENI� ETH Gm }, FERREIRA DATE: 1-22-99 Scale: 1" = 30' 4 No. 28716 y GISTOk1 CONTACT PERSON: KEVIN �ILVA `" ADDRESS: TEL: SAME AS ABOVE 1' 1 SE 6514.37 9 ( 'f LOCUS Ay �z `f Y= - a1 t F/F/F= 212.5 FINISHED GRADE= 109t Y:O.F.= 211.Ot 12" min. 207.28 207.06 =��: r,',►:� �; �:�,r Mr ':=i'.'':�;:►:',.';�:*:' :o. 206.81 206.67 r SCH 40 9 3" r_o " r.� L= 14' S= 0.01 -... .•...•• L= 11' S= 0.02 G" MUD LEVEL E K D-BOX . MI 14" 4' MIN. IF .; F/B/F= ' 4 5' '• 1500 GAL. SEPTIC TANK 4 25. Z 03.17,�...:.". PVC 10 SAS BAFFLE • OR EQUIVALENT LOCUS MAP - NOT TO SCALE LEGEND EXISTING PROPOSED 100- -- - CONTOURS -1100 91 x 9 SPOT ELEVATION---911 - PIROPERTY LINE E.P -EDGE OF PAVEMENT E?. STONE WALL tom% WELL O D DEEP TEST HOLE LEACHING TRENCH PLUMBING PIPE FI IS ED GRA = 207.8 206.5 12" MIN. . r.. ---2" MIN. AL R PIPE END CAP 206.44 206.3 •'�-a.r,k" ,..7...�..d.,.�., SYSTEM PROFILE F-» 10.5' NOT TO SCALE 2�a / Zp2 200 TV / T7e ZOO 209 2NZ SAND OVERDIG / / SEE NOTE #I1 / TP 9 1�. o 4378 J �C3 / \ � PROPOSED DWELLING 0 V F/B/E= 203.17 CD PROPOSED BENCHMARK: C' 20 F/G/F= 208.5 r DRIVEWAY ' TOP OF HUB/TACK I ELEV.= 198.47 LOT 38 `207.0 I t 1 208 20G PROP. 204 1 WELL 202 200 / O v �R5 50' 4" -12" CLEAN COARSE WASH' W/e"- Z" CLEAN PEA STONE 4 ROWS OF 4" SDR-35 (28' le PERFORATED PIPE OR EQUAL .1500 GAL. IC TANK - L= 12g.55' 1. M�L�ERS ' S Zp a LOT 37 area:: 46,192 s.f. 40' LEACHING 'AREA DETAIL NOT TO SCALE i /pCD. LOT 36 ALL WELLS FOUND (existing or proposed) WITHIN 200' OF THE PROPOSED S.A.S. ARE SHOWN ON PLAN. ( GENERAL NOTES : new construction: CLEAN COARSE PEA SCONE 1. The sanitary sewage disposal system shown hereon sh='1 be CONSTRUCTED IN ACCORDANCE with FIN GRAD L 207.8 the requirements of 1995 310 CMR 15 (TITLE V) of thr State Environmental Code and lot:al Board of Health regulations. Any MODIFICATION TO THIS [DESIGN must be approved in wr ting by the 2.5' 5'11 41 5' 5' 2.5' 12" MIN. engineer and the local Board of Health prior to implerrantation. � L 206.8 4" PERF. 10" ! 2. Contractor shall verify and check the BENCHMARK(S`, as shown on this plan prior to construction of PIPE 4-h" EL.i . 206.3 the proposed system. I CLEAN COARSE WASHED STONE 6" L. 205.8 I 3. -d for INSPECTION riot to an backfillin . If Notify the local Board of Health when the system is res Y , P y 9 5'-----� CONFIRMATION OF CONSTRUCTION (as -built) is required by an engineer, 3 day'' advanced t SAND OVERDIG 5 notification is required for the survey. 8.8'-10.8' 1 � EL. 200.8 4. DEEP TEST HOLE INFORMATION indicates soil condi.'on, percolation rate, and water tab a elevation I (into;rpolated) at the time and location of actual testing and shoulc be verified at the time of constru''ction. The i contractor notify the oarof Heah if TER or PERCHED WATER is l6hantlnd L---------- ------------------------------- encountered atlla higher elevation catedlton this design0plan. _-----EL.195.0-197.0 (VARYING,SEE NOTE II) 5. TOP OF FOUNDATION, BASEMENT and FIRST FLOOR elevations may be raised but NOT LOWERED without the consent of the engineer. BASIS OF SANITARY DESIGN 6, �, Unless specified in the Basis of Sanitary Design, this system is NOT designed for the use cf a garbage BUILDING USAGE: 3 Bedroom � 1 IOGPD/bedroom grinder or other high water usage devices. 7. Where the building sewer pipe exits the foundation AEOVE the basement floor, an efflueilit a grinder TITLE 5 SEWAGE FLOW: 330 GPD pump conforming to 310 CMR 15.229 may be used to c scharge A VOLUME OF LESS THAN 25% OF THE DESIGN FLOW from any future basement bathroom / sink facilities. SEPTIC TANK SIZE: 1500 `Gallons 8. If any components of the proposed system are specified as HEAVY DUTY, those compc'nents shall GARBAGE GRINDER: None-, conform to all state and local requirements for ASSHTD H-20 loading. WASHING MACHINE: Yes 9. The SEPTIC TANK shall be 1500 gallons minimum, unicss otherwise specified on this design plan, and 30' fitted with PVC schedule 40 INLET TEE and OUTLE'i TEE WITH GAS BAFFLE of proper length. Septic tank construction shall conform to 310 CMR 15.226. The SEPTIC TANK OUTLET COVER is PERCOLATION RATE: .C2 MIN/INNCH, 6 MIN/INCH to built up to within 6" of the finished grade unless oth#rwise specified on this design plan. DESIGN RATE: 6 MIN/INCH, CL/ASS 11 10. SEPTIC TANK, DISTRIBUTION BOX, and PUMP CHAMBER (if any) shall be placed on a k, minimum compacted GRAVEL BASE to prevent heaving or settli"T ALL SEAMS ARE TO BE WATERTIGHT, LEACHING FIELD: sealed with asphalt cement or other cement suitable f - that specific component. BOTTOM AREA: 20 ft- (�= 7dth) x 30 ft. (length) = 600 sq.ft 11. EXCAVATE ALL UNSUITABLE' MATERIAL within five feet horizontally of the leaching an:a from the pea stone cover down npprcximotely 96" inches beloiw the original existing grade. Excavation may be required to extend deeper if uniform suitable material is not encountered. See notes 1�1 a & 11 b. SYSTEM CAPACITY: Goosq.fl: )k 0.60 gpcL�sq.ft. = 360 gpd 11a. SOIL PREPARATION PROCEDURE FOR THE LEACING FACILITY AREA shall. conform to 310 CMR 15.246 & 15.247. 11 b. Any EXCAVATION OF UNSUITABLE MATERIAL desicnated on the plan shall conform to CYonstruction SOIL EVALUATIONS: in Fill requirements as outlined in 310 CMR 15.255 (1--6). 12. No HEAVY EQUIPMENT shall be run over the components or the prepared leaching N'area during DATE(S): 1/27/99 - 1/28/99 installation. RUBBER TIRE MACHINERY are not to b€ driven over the prepared natural coil base or sand/stone bed during system installation. PERFORMED BY: Kenneth E. Fortier 13. TANK SEAMS, riser connections (if any), and all Numbing joints are to be instailled 100% 'A'ITNESSED BY: Susan Griffin WATERPROOF. ALL JOINTS MUST BE WATERTIGFfT, sealed with rubber joints, cem('Mt or other suitable sealer for that specific component. Any groundwater or surface water entering the€'system will C p TEST (N eo R 710 �, t C T PIT DEEP CL/� CJ r (� (� /� '�j severely limit the life span of the leaching area. 14. ANY LEACHING AREA (OR PUMP CHAMBER) VENTS shall be constructed of 4' solvent weld SCH PERFORMED BY: KEN FORTIER 40 PVC, The twin 90 degree elbows comprising the "U''shall not be glued. Any D-box vert pipe shall �;) WITNESSED E3Y: SUE GRIFFIN utilize an inlet knockout. Vent to extend 24" min. abode proposed grade. PROP. DA E: 3-14-89 WELL 15. RESERVE AREAS that are shown within 25' of proper, Y lines may require impervious barriers to be TP 219 (EL. 204.8) TP 220 (EL. 203.2) installed (to conform to side slope requirements) during the installation of the future reserve. 0" - 48" LOAM 8 SUBSOIL 0" - 2 ES" LOAM 8 SUBSOIL 16. For RESERVE AREAS that may be required to be insta'`led at a higher elevation than the p'-imary area 48" - 120" LOOSE SILTY SAND 8 STONES 26" - 108. TIGHT SILTY SAND $ STONES (due to any naturally occurring slopes in the topogr2ahy), either a pump system or ell>vating the 120" - 172" CLEAN WELL GRADED SAND 108" - 198" SLIGHTLY SILTY WELL GRADED - building sewer& tank may be necessary. 8 STONES SAND 8 STONES NO GROUNDWATER OBSERVED NO (GROUNDWATER OBSERVED 17 ANY CLEAN -OUTS shown hall extend to within 3 inches of finished grade and capped vith a SCH AT 172" (EL. 190.5) AT Iq8" (EL. 186.7) 40 threaded clean out fitting 3' WATER TABLE ADJUSTMENT (EL. 193.5) 3' W-,TER TABLE ADJUSTMENT (EL.189.7) 18. ANY VENTS shown shall be constructed of 4" Sch. 40 rVC. The twin 90 degree elbows o�i top of the <2 MIN,'INCH AT 142" (EL. 193.0) 6 MIN/INCH AT 134" (EL. 192.0) vent shall NOT be glued, allowing future inspection accass. Sheet metal screws are recommended to prevent unauthorized entry. Horizontal lengths of vent (•iping shall be sloped up toward the vent. Any d vents shown connected to the Distribution Box are to O'lize an unused D-BOX INLET opening. DEEP OBSERVATION KOLE LOG TP # 437A (Elevation = 20,3.67 ) Depth from Soil Soil Texture Soil Color Saw Other: Structure, Stones, Surface Horizon (USDA) (Munsell) Motflling Boulders, Consistency, % Gravel (Inches) 0-3" 0 3 - 9" A Sandy Loam 1 OYR7/4 Fine, Friable 9 - 26" B Sandy Loam 1 OYR5/6 Fine, Friable 26 - 44" C, Sandy Loam 2.5Y6/4 Fine, Silt deposits 44 - 90" C2 Sandy Loam 1 OYR6/4 Mottles Firm, medium -fine Loamy Sand @ 4; 8•' deposits, cobbles 1 OYR'5/6& 1 OYC'R5/8 BEDROCK DEPTH = None ELEVATION = 196.17 SEEPAGE DEPTH = None ELEVATION = 196.17 ESTIMATED SEASONAL HIGH GROUNDWATER DEPTH = 48" ELEVATION = 199.67 DEEP OBSERVATION KOLE LOG TP # 437B (Elevation = 20j1.77 ) Depth from Soil Soil Texture Soil Color smil Other: Structure, Stones, Surface Horizo (USDA) (Munsell) Motttling Boulders, Consistency, % Gravel (Inches) n 0-3" 0 3 - 10" A Sandy Loam 1 OYR7/4 Fine, Friable 10 - 24" B Sandy Loam I OYR5/6 Fine, Friable 24 - 44" C, Sandy Loam 2.5Y6/4 Fine, Silt deposits 44 - 90" C2 Sandy Loam 1 OYR6/4 Mot`Lles Firm, medium -fine Loamy Sand @ 4.t8" deposits, cobbles 1 OYF'5/6& 1 OYr`�,5/8 90 - 128" C, Loamy Sand 1 OYR6/3 BEDROCK DEPTH = None ELEVATION =191.10 SEEPAGE DEPTH = None ELEVATION = 191.10 ESTIMATED SEASONAL HIGH GROUNDWATER DEPTH = 48" ELEVATION = 197.17 REVISED 04/2� -'99 �VERDiG EYC-'-". C" _ _-- - K..i.c. I r BOARD OF HEALTH STAMPS BOARD OF HEALTH INSPECTION "! REQUIRED WHEN EXCAVATED This System Is Not De i ne SYSTEM For Garbage Grinder, hirlpoo CONSTRUCTION OF THIS SEPTIC MUST DE COMPLETED WITH THREE (S) Or Otber High Water UsE�l Devic . YEARS OF THE DATE OF APPROVAL i, BOARD OF HEALTH STAMPS ipml ppM@WN ELEVATIONS MUST NOT BE I GANGED WITHOUT BOARD OF HEALTH APPROVAL E2MAY999 1 19.4 Lui THE APPROVAL BY THIS OFr CE BY: DOES NOT GUARANTEE Tl � ENGINEERS AS-�� IIL�C TOMI OF IYU.MMUTH EFFECTIVENESS OF ANY PLAN & CERTIFICATION OOMM OF HEALTH I INSTALLATION STATEMENT REQUIRED Win TIVIOUTH MAKD OF HEA'IH I P.E. STAMP SEPTIC SYSTEM DESIGN PLAN t"OF" SS OWNER: ROBERT KFOMY KENNEM 14. ' NG3E5 A ASSESSORS MAP & LOT: MAP 70, LOT I3-37( ,11LLERS FARM) STREET LOCATION: MILLERS DRIB ENGINEERING FIRM: - e neth R. Ferreira Engineering, Inc. A 91999 P.L.S. STAMP 40 Foster Street, New Bedford, Ma. 0_7 0 Tel. (506) 992-0020 rgox: (508) g �ZN OF MqS P DA E: I-22-99 Scale. I' = 30R. KENNETH G I m Cn N® 28iRs CONTACT PERSON: KEVIN SILVA �FeIsieA�° n �' ,� S S . I - 1 @� 4 V• - EXTERIOR 20 STRt1CTUAl CONCRETE FOOTING FIRST FLOOR PLAN OF EXTERIOR WALLS DECK LOCATION EXTERIOR WALLS F 11 1. z A CcAY PG his i'ri�crsc inn dust b,3 J' c, During Construction � On Site Date uction 4� TONY AND MELISSA SOUSA LOT -37, MILLERS FARM DARTMOUTH, MA DATE REVISED: 4.8.99 REVISION: DECK ADDED EXTERIOR " L 11 ' -Upy W it,,Z) LIIUUIZrU Plan Must D'a Kept On Site During construction D7,1T �"-nll F11Z5T FLOOR FLAN OF EXTERIOR WALLS PECK LOCATION SCALE 1/211 EXTERIOR WALLS TONY AND MEL155A 50U5A LOT -37, MILLERS FARM DARTMOUTH, MA -1 '074 J, jj, PATE REVISED: 3.20. REV15ION: PECK ADDED -.� , . _ -�. _ _ . r - -_ _ __ TECHNICAL IMAGE PRODUCTS i 4 y { .I `TECHNICAL IMAGE PRODUCTS I-; 1 ( i , � I f -Tw _ -- _., - :. � - � _ I