BP-452 FIELD COPY
DARTMOUTH BUILDING DEPARTMENT BUILDING
TOWN OFFICE BUILDING
SOUTH DARTMOUTH, MASSACHUSETTS 02748 PERMIT
DATE Feb 26 19 81 PERMIT NO. 452
APPLICANT Alton Gifford ADDRESS 613 Old Fall River Rd.
(NO.) (STREETI (CONTR'S LICENSE)
NUMBER OF C
PERMIT TO Wood Stove ( 1 ) STORY Residential 'Wood stove DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 613 Old Fallliver Rd. _ DISTRZONINGICT ASS
(NO.) (STREET) I
a BETWEEN Cold Brook Lane AND Collins Corner Rd.
o
(CROSS STREET) (CROSS STREET)
coLOT I
SUBDIVISION LOT BLOCK 11 I SIZE I
1
I
DO BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
2 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Y p (TYPE)
IL REMARKS: T»A tA'� a +!na ar/A,. AN p.r Ls R (� (delude Model 991)
, +3 J'd l .--I:yU.. / „sm. JP .:9 C.. '', _? ,4, ref
AREA OR 450 PERMIT Q�15.00
VOLUME ESTIMATED COST .$ FEE .p
(CUBIC/SQUARE FEET)
OWNER Alton Gifford
ADDRESS 613 Old FallRiver Rd., No. Dartmouth Ma. BUILDING D nn U. Lavigne
INSPECTION RECORD
#
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
DEPT. FILE COPY
za
DARTMOUTH BUILDING DEPARTMENT BUILDING E0.
a
TOWN OFFICE BUILDING 1
SOUTH DARTMOUTH, MASSACHUSETTS 02748 PERMIT VALIDATION
1 -f "
DATE Feb. 26 19 81 PERMIT NO. 452_ )
APPLICANT Alton Gi f ford ADDRESS 613 Old Fall River Rd.
(NOJ . (STREET) (CONTR'S LICENSE)
I
PERMIT TO - Wood S1-044P (1_ ) STORY Refi donti'al-WOOft stove DWELLING UNITS ONE 1
(TYPE OF'IMPROVEMENT) No, ' ' (PROPOSED USE) - I
ZONING
AT (LOCATION) 613 Old Fal lRiver Rd DISTRICT ASR/ —
(NO.) (STREET)
m BETWEEN Cold Brook Lane AND. Collins Corner Rd.
m (CROSS STREET) (CROSS STREET)
m
LOT — _._.___—
ma- SUBDIVISION LOT BLOCK SIZE
c
u •
0 BUILDING IS TO BE FT. WIDE BY - FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CON:3TRUCTION
m
)
O
z TO TYPE USE GROUP -- BASEMENT WALLS OR FOUNDATION ., a
Y - (TYPE)
cc
° delude Model 91)
0- REMARKS: Ins tall a-wood 9tnve ae per M_S.BX.
AREA OR d' 450.00 PERMIT 15.00
VOLUME ESTIMATED COST y FEE $
(CUBIC/SQUARE FEET)
OWNER Alton Gifford
ADDRESS 613 Old FallRiver Rd. , No. Dartmouth Ma. BUILDING Ggfcimand R. Lavigne
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized bribe ,owner to make this application as his
authorized agent.
SIGNATURE OF 'AGENT t/O/-/� ��rr��
_ ADDRESS 1.6/.3_ Ol t t#9.nn�hxec++ ` , `�/iiEa', J2797
(NUMBER - (STREET) (CITY) - -
APPROVED -BY' iTCE
DATE 19 .
\\.7))\C\c3 UTx.,y TOWN OF DARTMOUTH
' c ur-- a APPLICATION FOR
�0 - B• UILDING PERMIT
0\l_ )Bows
criP ��/ / ;� /
/ Z -2 ��//y ZONING se
_AT (LOCATION) (./ / 7 ]//•!l- i��-+r-`1 DISTRICT
LOCATION No.) / RE T)OF 12: v k
BETWEEN �O{( 1 CJ )-Ou�G. �o� AND a /s {JYh� 1
BUILDING (CROSS STREET) I ROSS STREET)
SUBDIVISION LOT(S) PLAT
TYPE AND COST OF BUILDING
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
1 n New Construction Residential Nonresidential�
2 n Addition(If residential, enter number 12I I One family 18 1 1 Amusement, recreational
of new housing units added, if any,
in Part D. 13) 13 LA Two or more family - Enter 19 I I Church, other religious
number of units- — — — --). 20 j Industrial
3 n Alteration (See 2 above) `-
4 f food stove or fireplace 14 I Swimming pool 21 L I Parking garage
22 r Servicerepair garage
5 n Wracking(If multifamily residential, station, 9° 9
enter number of units in building in 15 n Garage 23 I I Hospital, institutional
Part D, 16l r I Carport 24I I Office, bank, professional
6 n Moving (relocation)
17I Other - Specify 25I I Public utility
7 n Foundation only 26 Li School, library, other educational
B. OWNERSHIP 27I I Stores, mercantile
B Private(individual, corporation, I
28I I Tanks, towers
nonprofit institution,etc.) 29 Li Other - Specify
9 n Public(Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ 9�i, I school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If e of existing building is being changed, enter proposed use. /,
in the above cost /
a. Electrical //
ft./2/ it2 I�1h-. I L ' Lt1Occ i-r e l/l r
b. Plumbing A U r+yc-/ //
c.Heating, air conditioning
d.Other(elevator, etc )
11. TOTAL COST OF IMPROVEMENT $
SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stories /
30 n Masonry(wall bearing) 40 n Public or privet ompany
31 ri Wood frame 41 I^ Privet optic tank, etc.) 49. Total square feet of floor area,
32 I-� Structural steel all floors, based on exterior
I 1 dimensions
33 n Reinforced concrete #i YPE OF WATER SUPPL
34 n Other - Specify 42 7 Public or pri company
50. Total land area, sq. ft.
43 0 Priv well, cistern) K. NUMBER OF OFF•STREET
PARKING SPACES
-
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL F. Enclosed
35 I-I Gas Will there be central air 52. Outdoors /
36❑ oil conditioning? ,
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 n Yes 45 ❑ Na 53. Number of bedrooms
313❑ Coal
SOLI Other- Specify &c ! Will ere be an elevator? Full
54. Number of
46❑ Yes 47❑ No bathrooms
Partial
IDENTIFICATION — To be completed by all applicants
Name
Mailing addressNumber, street, city, and State
ZIP code Tel. No.
,. �.Z>y sOCl.yS/// O/r ) &// fc,€ ter or
Lessee
2 Builder's
rct.i47 k • License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction
Signature of applicant
pp�'`�♦�/�/ Address Application date
(2etety 40 ./At R /3 aid e4/ & v feat: {7.v aim/await ait a�g 6
ADDITIONAL PEWITS REQUIRED
WATER PLUMBING
SEWAGE ELECTRICAL
SITE OR PLOT PLAN — For Applicant Use
l J N