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BP-476
- ------- PERMIT B1 Ith) Nb 11: k4 d f p,T.S.r r4,2;It P : 7-4 /44'111 T, re CT Um Road-- . O. Rost I sec k;:s.ss st. k -t S.7.27 7 1..cs 2 e r:ph e 501 -.9 0720 ;363 lag U2. S. . EFA 1484r , ; : — P- r'rito t ,47f5 ro.t s.?2 ci ert.c Rriflh1YJLnct tic'ivn ft 1-1kkm • j't tr tot t ar 4'E;t t r- t ;es t. I jj - ; ;Isrp r- k !- k-% • : ]r. chi e sax_b3S1-1 Stik.3.1.3 0.st 7 Cont.as:S: its ;ss et. .s '44 t i 'J{?2? C,t L Owners;t etba _ 'kiss v 3 e re;e t .stsers.. s c V- .3:t no 01 b 1.1 P d e t isleks. ? d t t isy,:k4d2Iht al, f:.!:;;;;; YJA Nstth..S.V.,f (.1 )6, . CA/at 710,77. t' Ltd.c. tul laths-AA:47, 7..A.77,71;777t, r t\irt 6 . iki;sts43 ;a CS. t C t. obisk t.., ts.e0. , :,-.4t-ttfirfrer,nt5-„Ew4,4t,;:71, ; r ETC ;, rp, Hrc., R 0 be I"1,, e 4,4 14 4,4. ;) t 4 LW, s ;a2sitt-sk ss. itlft_;t:,11;ki 01 st;r k 1 s I 3.h 51...; CNC; St tMFL Lho.p V:ht 1...%21 !ri r i.?C`11 est 13i . is 33estate, ceri .i i; I;hat t Ss st; pr.s a et-S ;let i•est; th caany- e -s3 P911 iuyi btE,k'D -24;. ' 1 7 Oki by :own .., tc pia-,k ..513p Cur., tt , iTt4rCcd fRiit deens...- n t A *X A .7 A A A A-*A A.-A *A.A *A7 IL.A A.-A AAA'S*A A A A A A A- A 4 4, 44# ff. •.7,a-7 07 qn r , • — . IA ".7; 7% t 1-,411. 1k tcs. .31 ; 1.31.3 1 itkp lbstes. ; . • .;:,„•:,2 1 fits''IN [V ..ssts..cl.E.sittfskftSktt; ikt S.sk Cs S.+. St3S3sti Required approval Approvals received please (X) approvals Please (X) approvals and required for this project Initial as received DATE INITIALS Board of Appeals 11/ Water Card Sever Card Board of Health Bond Selectmen Conservation Fire Chief Cross Connections Licensed Contractor Controlled Const. Affid. Other information required 01 ? .2. wi t.1 tt.`r/.. PERMIT NO. Q ' `,LE y, '=� TOWN OF DARTMOUTH DATE ISSUED o " 11' b ^s TOTAL COST I;`1>\ +"' uj APPLICATION FOR • o y LESS APPLICATION FEE ;Co�`�r, BUILDING PERMIT +..,lu8h/„, FINAL PERMIT FEE (Q f °-o LOCATION OF BUILDING /� 1 / 01 Number & Street -/ lWO iiWOO)/ CI tun VL'. 01.1 Zoning District scefl 02 Cross Streetts77(between) /V HI Awl'/l1 Ali and �` ,GG��,�� 03 Lot Ot Platy 04 Subdivision C f3'ClNtr7 Cy'f4,r &idiot -#a OWNERSHIP y,... . COST 05 ,f Pri ate (individual, tirporation, 36 Cost of Improvement '�02�X - - non-profit institution, etc.) 36.1 To installed l but not 06 0 Public (Federal, State, or local government) included d in the above cost TYPE OF CONSTRUCTION 36.2 Electrical 36.3 Plumbing 07 lO New Construction 08 0 Addition -Type of Room(s) 36.4 HVAC 09 0 Alteration 36.5 Other - Specify 10 ❑ Foundation Only 37 TOTAL example: elevator /�o�11 0 Demolition (#of units if residential) 12 0 Moving (relocation) STRUCTURE STATISTICS 38 )J Wood Frame 13 Number of Bedrooms 39 0 Masonry (wall bearing) - 14 Number of Bathrooms (Total) _ 40 ❑ Structural Steel Full-Tub 41 0 Reinforced concrete 3/4 - Shower 42 0 Other- Specify 1/2 - Toilet Only RESIDENTIAL-PROPOSED USE DIMENSIONS 15 COne-Family 43 Number of stories 16 0 Two or more families 44 Total square feet of floor area, all floors, Number of units based on exterior dimensions E<<7©.�_F 17 III 18 12 Shed 45 Total land area, square feet 19 0 Carport 20 0 Swimming Pool SEWAGE DISPOSAL In.Ground Ahove-Ground_ ' 21 0 Woodstove 46 0 Public or private company 22 0 Fireplace 47 I$I Private (septic tank, etc.) 23 0 Other - Specify WATER SUPPLY 48 0 Public or private company NON-RESIDENTIAL- PROPOSED USE 49 ® Private, (well, cistern) 24 0 Amusement, recreational 25 0 Church, other religious PRINCIPAL TYPE OF HEATING FUEL 26 0 Industrial 50 0 Gas 27 0 Parking Garage 51 M Oil 28 0 Service station, Repair garage 52 0 Electricity 29 0 Hospital, institutional 53 0 Coal 30 0 Office, bank, professional 54 0 Other - Specify 31 0 Public utility 32 0 School, library, other educational TYPE OF MECHANICAL 33 0 Stores, mercantile 55 Will there be central air conditioning? ❑Yes NI No E 34 ❑ Tanks, towers 56 Will there bean elevator? ❑Yes $I No 35 0 Other - Specify PARKING PER ZONING BY-LAWS lr • 57 0 Enclosed 58 NJ Outside 59 Does this building contain asbestos? 0 YES IR1 NO If yes complete the following: Name & Address of Asbestos Removal Firm: IDENTIFICATION - To be completed by all applicants PLEASE PRINT ) 60 Owner (print) A 1,f, -- S . �- .'i A)C.� SA 8-17` .74 3 NAME {' MAILING ADDRESS lEIFPI ZONE NO. 61 Signature f 2 LL I ( lG/'ZC'lki DATE 9.7 Builders 62 Contractor (print) IC License Noa 70202 ! AME MAILIN ADDRESS TELEPHONE NO. 63 Signature ate / - DATE .—FAMi2 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? NI YES 0 NO Submit copy of notification sent to DEQE and the State Dept. of Labor Industries and result of air sample analysis afsc.r asbestos removal is complete. 68 Owner or Agent - I certify under peril of the penalties of perjury that the information herein is accurate to the best_of my knowledge. 7 t Signature Ain r 4 (2f1114k/ DATE — // Owner or Agent 69 BOARD OF HEALTH REVIEW G DATE 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 post permit and address so as to be visible from street. Signature DATE Owner or Agent 72 I have received list of required inspections Signature DATE Owner or Agent mow« r RECEIPT FOR PERMIT TOWN OF DARTMOUTH 7 j PERMIT t•10,77 NO �_' �...i _.-Date U 1tA ( l "er C.--�Received From L6_ C /1 Owner Q4 d.._ L�f � Location "/ K 17i9-1_,Ln1"-o"2-lt_ 14Z --' [___--- Type .--7/LQ � ,.,,1+ mot)----t- 1-7e, i c<< ;f.- _._. Amount Paid („.9 ///,� .mil i` i_: L/ a... ran .t..�,i( :i ;" Received By _ -__ f " �' , __, _r ----.MN A_w C,usT , /AD 'O s o /j aam- g y #if, 6 es_ //0 l 1 ; �.251, BUILDING PERMIT Dartmouth Building Department Plat : 74 400 Slocum Road-P. O. Box 9399 Lot (s) : 5-2 North Dartmouth, MA 02747 Lot Size: Telephone 508-999-0720 Zoning Dist. :SRA March 25, 1992 (typed) Permit No. : 476 Issued Date: 3 / 27/ 92 Clerk : lls Project Location: 4 Knollwood Drive Mintier Subdivision Name: Country Garden Estates Lot 2 Nearest Cross Street : North Hixville Road Applicant/Agent : Michael T. Hughes Address: 8 Wareham St. . Middleboro, MA 02346 Contact Person Phone #: ( ) 508-947-5285 Type of License: Owner: ( ) Const. Superv. License #: .(200-525) Architect : ( ) Engineer: ( ) Other: ( ) Proposed Use: Residential Re.ldenttal, C.oeretat. Indu.trtat, eta. Permit Issued To: New Construction Type ar I.Oraveeent, Add, Alter, Na Canet., Dena, Lan , eta. Addition to Permit #401 issued 1-30-92 breezeway 64 sq ft. & garage 24' X 24' inDleaN ne: -eI OtGrsae• en0'tuthiYa/e anY'tith.r resat. - , •, -.-. -'_—' -,.-,^—.. Gross Area of Const. : 640 sn. ft. Cost of Const. $20, 000. 00 Cost-Other Const. : f ' TOTAL FEE: $ 64. 00 Owner (s) of Record: Robert J. Canessa Address: 322 Manley St. . W. Bridgewater, MA 02379 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 owner to make this application as his Ageno• L U-J` ' iQ ,l�� Signature of Owner/Agent : ..K� i. Address : **************************************** Signature : /4_2i_p� . Q. 666 "-mot Approved/Issued By: William A. Braga, Local Building Inspector COMM ORIGINAL ❑ APPLICANT ❑ ASSESSORS ❑ CLERK ❑ COPY BUILDING PERMIT FIELD INSPECTION COMM) Dartmouth Building Department Plat : 74 400 Slocum Road-P. O. Box 9399 Lot (s) : 5-2 North Dartmouth, MA 02747 Lot Size : Telephone 508-999-0720 Zone Dist. : sra Issued Date : 03/27/92 Permit No. : 476 Project Location: 4 Knollwood Drive Naabor Street Subdivision Name : Country Garden Estates Lot 2 Nearest Cross Street : North Hixville Rd. Applicant/Agent : Michael T. Hughes Contact Person Phone #: ( ) 508-947-5285 Proposed Use : Residential Residential, Commercial, Industrial, etc. Permit Issued To: New Construction Type of iaproveeent, Add, Alter, New Coast., Demo, Land/Move, etc. Addition to permit #401 issued 1-30-92 Breezeway 64 sq. ft. & garage 24' X 24' indicate no. of bedrooms and bathreome and other rooms Owner (s) of Record: Robert J. Canessa Address: 322 Manley St. , W. Bridgewater. MA 02379 ... . . . . . . ......:. S:;::::::::::::::::::: ::rn�r:r::ra�:::: 000 Men see,., sa ifiat 4e _* (* a3 .tea 4$401 14.- 1 4AAJ °'°'s esie4mf 06 9d1. 4-s 1Iui< 7— " rc1/4— -.20-9,2 deplete fa;s,T Alter <%2 e ltitc+-.-f,�' i•�. n .usego