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IN . . � . ■■■ IIIrI■■■■■■■■■ml■■■■■■■■■ ■■I■■n■IvII■no®II®■■mn■l■■■m■l■n■I■IMI llIll■El■Nl■llllllNNINNIII - IE sllsmm■l m■■■ll■■l■■l■■■■ln■■I= INEII■ENEImI■InI■Nmmlmll _ ElI■ MEN NNmilllENNNMNNNN■NNmEIEEI MEIN momiEE■■■l■■■■■E E■NEN ENNNNIN■l■INNN■NEINNNN■I■Illlm■mNEENIEI■■EM i■■■EM■Elsl■s■Islls =loss MENU s■E■llo■l■■l■E IsonMMlll■so■I■Nmi ',■lllllllNM■l■l■I■■I■IIIMIIII me I l■■Ells■■moll■E ME mission 'MEIN III Ifig MEN, , Emilio FORM 5885 (11/69) NEGORD PLpirl. A COPY Of This Endorse-(-i Plan test Be Kept 0�,1 -�:�- ®ate O�Os �tion x d t .. �. _.-•;>r ME, . ,,,•= ,y -.,. _ Z r r!}fir.-•i .' 14. +.a� NF,�i• }7 r .,. _ ,•._ ._.. ,._.. .w t: .tom- .. - IRK.. .. .. -- _. ..: : ... ;. - _ 'C 3 e _ a �a Y r r Jr _ F r A ` . C V .r • _ - eq La 8 �e 46 LU F 19a34, t 3 w > f ct 35 6 ILEUrh F Ex►STGIN4. S III WELL' OUTH rR' �H 1 � 7. otf IECORD �.; 1:� J4.6p' couNIzY cxAROcm ES-f ATESa �,P �>_Y -o ,n 4 Endorsed LO j a plan must Ce o ,ep, on site _ c cxI6T o a AREA tto00(1 S.F. Q 1�' �9 JFovup- N J o 0 v� 4Tro N t , ? �Lii ii� CoC.Pt 'Coln > V, J 28,o'f G3' a� , / Y = WOO. oo ` 314.b9` '20 FT, wtpE _oct.AlmA S E.A5C1A,cw'r 5 29 �� 33 E Lo-r 5- to S9 a. jt1 OF" •�', ., - C1C> ltt .�,./J i�'1 ��. SS 9 gx� t t 9 I �� THOWAS PLOT t� L ,& Fit T Z �� N a PAUIL o E c ' oL� oaD Piet u� a JACKIVI=, J�. - - ,� Ltl J /� N 271114 d i Lo-r 43 C0Uw-TRy 61AM E:J, . TESTA -'ES ,o'¢ `!4 ' GIs;�1 L E uCD ►soTE : Fbvm QA T i O N DATA CO LSE CTED CM FEb. ! $� t°�; 91 i E 1 Fo u, M4-Tl 0 W Lo CA710 N %A,E ETS Towne C;r IDAa,.TMOVI'A gutLoIJJ4►'oEPT. 2Ecwut¢,elAc►-TS. AS - B U I LT LOT 1J Co11N-ra-i GQ2��;� ESTATES F'oui•►DA:TIO►.rz i SCALE: AS APPROVED BY: DRAiWN BY sKowi.t T.P.J.' REVIiSE Foe /AR .)05E T vAR.ES,�32 o�O FALL RlvC2- 2oAj , ►.ao. DAZ AouT14 /�C.4S 5 02 tt'� (So$) 10),) 5 - 3'4 �B DRA'W1NG NUMBER - -r4ol"S PA-vt. JACKNICa . CIVIL- 0441MEE8 IU61. 800 MEGZIAMCALS & PRIMARY FUEL Architect/Engineer - project supervision and reports = Furnace (hot air) - Fuel gas (natural or propane), fuel`od, electricity, other (specify) Company name = Boii'er (heating)- Fuel gas (natural or propane), fuel oil, electricity, other (specify) �\ A 1 Address HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) t • Phone number - Air conditioning - (separate unit) Certified by State of Massachusetts as = None of the above to be provided Certification number r ,` _ Hot Water Gas . EIectric Fuel Oil Other ' NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential reproductions. �Avk — Required. --plans provided, —plans not provided, why? General Contracto (if Homeowner tate homeowner here then complete section 1300) _ Not required, not to be installed, Whv? ------------ Company namee��, W v Address 1000 REQUIRED OFF-STREET PARKING - for ZONING & Architectural Access _ NOT APPLICABLE Phone number = Parking Plan. submitted To — Building Department =Planning Board Date Construction Supervisors license number submitted - NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not Number of spaces - indoors outside total provided reproductions. Handicap spaces- re q uired___, yes _no. If yes, how many as a part of the total required number. :s::::ssssss:::s:ss:ss:s:ss::sssssss:ssssssssssssssss.sssss*ssss;>sssssssss:�sssssssssxssssssss:s::s=ass Is Route 6 (State Road) Entrance permit required? yes __ no _. If yes has it been issued = 1200 FOR RESIDENTIAL REMODEL WORK ONLY yes no �, Submit copF of application and/or permit as soon as available. Are you a Home Improvement Contractor subject to (780CMR - 6) ? Yes No If no go to next sectiorn! 1100 IDENTIFICATION (print or type except as noted) Are you claiming exemption from the requirement? Yes _No _If yes, submit the required affidavit! Current owner - name MC G IZAA� Remodel contractor name (please print) j address �� '11),AwmJ �A_��1\1� J Address ph one = SO� - 3a4 �`�3"�. \ Registration number (if none state "none") v' If corporation, officer in charge Y Phone number Architect/Engineer - for overall design PERSONS CONTRACTING `VITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO TH)~ GUARANTEE FUND'. QUESTIONS OR COMPLAINTS call or write: C ompam name Home Improvement Contractors Registration 4� One Ashburton Place - Room 1301 Address Boston, :MA 02108 (617) 727-8599 Phone number C'erriiied by State of Massachusetts as Owners name (print) Certification number Signature - NOTE Signatures and seals on all cans, aff_,a_ and other documents SHALL BE originals and not reproductions. 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 he 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; 5 anticipated_ if I reouest such nn estpncinn in writing_ I understand that the nerrnif may he ev+e..ava --I-, +ti--a- th 1— - - written request. I understand that once the permit expires a new application may be required, including fees and current = Alteration of existing,'no increase in gross square feet. A separate Refuse Disposal] Declaration required. • other requirements (including Zoning). L i M�h� � C �� }�'� � Demolition -describe structure Name Number of dwelling units Number of bedrooms . A separatfe Refuse Disposal Signature c Declaration requh-ed. The above signature is my voluntary act and is signed under the pains and penalties of perjury. = Moving - (Provide copy of D.P.W. moving license) Type of structure Date �`' 1 1 from where (plat lot or address) VV'ho is authorized to pickup the permit at the Building Department:' PfeaSe print,�VACC l(ZGP*`"\ Address Phone .'Rb '�3a- to where (plat/lot or address) Number of dwelling units Number of bedrooms per dwelling unit 1400 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY = Re -roofing - (for existing only, is included in new construction) FOR HOME ONVNERS WHO INTEND TO PERFORM .AND BE RESPONSIBLE FOR THEIR OWN PROJECT Number of square feet Number of layers already existing 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 Number of layers when complete 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 A separate disposal declaration REQUIRED Rules and Regulations for Licensing Construction Supervisors. - Replacement doors and windows - (for existing only) (only where doors and windotws exist and will not be 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- 'he purposes of this section only, a "Home Owner" is defi:-ed ab f^Ilow, : Persoms) who owns a parcel of land on which he: she resides or intends to reside, on which there is, or is intended to he, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in two -near period shall not be considered a Home Owner. enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an en isting dwelling will be considered as an Alteration, otherwise will he included in new construction. (see Codex section 3401.10 for residential and Article 8 for commercial) _ Temporary structure - includes when allowed, trailers, tents and the like and only for ilimited periods of time. If you are applyi g under this section sign below: Describe Sig_ nature `J W46& 500 CONSTRUCTION PLANS Your signature ca es certain responsibilities, including but not necessarily limited to, general liability ............ ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss: None -/Nonesubmitted. Why' NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any �" Four for food uses. Number ofsets licensed Construction Supervisor, whether or not they have taken the permit are responsible for code compliance. (see y Submitted, usually three sets required. sets service submitted of section 5) ................s......:s:ssssss.ss:s:s:.ssssssssssssssssssssss.s....ss.:s:.sssssssssssssssssssssssssss 600 SITE PLAN 1500 COST 1 / El Not required, why? Cost of Improvement S i�do , / -/ -/ �/ date `With this application Items to he installed but not included in S �/ Submitted When? - Previously, the above cost: Electrical Plumbing 700 UTILITIES HVAC —� Water supply - required _ yes I/ no, public ? yes no, on site well? yes no. J - - Other existing? ,% yes _ no TOTAL $ , If required and not, existing have necessary permits been issued? s no — yes., date b 13�� 1. (D4.G.L. Chapter 40, section 54 provides that no building permit may be issued unless ar water supply, when The following_ section for official use only. required, is available. See Code 780 CMR section 114.1.2) INSPECTORS' REVIEW / /no Sewage disposal - required _ yes J no, public sewer yes Date plan reviewed private septic - on -site v yes _ no. Submit copy of permit as soon as avaiilable. 30 days to review period expires _- OK to issue date —' Woodstove - used (will require inspection prior to installation), new (provide manufacturers instructions). Location(s) (list) i Fireplace(s) - (includes flue) List location(s) Game Court - describe (include overall dimensions) Tent, Trailer (Mobile Home) or Other - describe 300 CCONCKERCIAL - PROPOSED PROJECT/USE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES VTHIS SECTION NOT APPLICABLE (The following descriptions are based 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 OK to issue subject to requested submittals (see project review worksheet) date DENIED see project review worksheet date HOLD reason date — HOLD Subject to Zoning Board of Appeals action Comments Inspectors signature ERR 0 3 197 f Applicant informed of above - Date time staff - (fax, phone, ini person) ssssssszsssszzssszzsssszsssssssszszssssssszssszsssszzzsssssssssss:zssssssssssssssssssssssssssssss-�zssszsssz Over six months since approved for issue - DEEMED abandoned! Advise applicant. Hold 90 days for return then dispose if not picked up. Inspector Date = Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.0) Advised applicant Date Time staff (by phone, fax or in person) - Educational - structure for training including child day care for those over years 9 months (see Code Section 304.0) OFFICEUNSPECI'ORS NOTES Factory / Industrial - (see Code Section 305.0) Da TOTAL FEE d o0 _ 'High Hazard - (see Code Section 306.0) Gross area - new construction Total Sq. Ft. _ Institutional - hospital,'nursing home, infant day care (see Code Section 307.0) alteration Total Sq. Ft. Mercantile - retail stores (see Code 308.0) Permit is issued to = Residential - three or more family, hotel (see Code Section 309.0) - Storage - includes garages (see Code Section 309.0) Comments/notes on permit = Utility & liiscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) — New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) Tent or Trailer - temporary purpose? _ Other Describe the proposal briefly, INCLUDE number of dwelling units and bedrooms or occupant load as applicable, also existing condition 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFOWAED ANew Construction and/or Addition - total gross square feet L (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 = FOR COMMERCIAL ONLY «111 this project be subject to CONSTRUCTION CONTROL (over 35,000 cu.ft.) Yes No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer review (over 400,000 cu.ft.) Yes No (see Code Appendix 1) / APPLICANT TO PROVIDE 1600 TO THE APPUCANI' - - --- `-- -___ �81•L1[, AND APPROVAL . Date of Application submission Plat 7 Lot Street -� Aquifer Zone Owner 1 ✓Livtis+,1 �=.- Owner mail address Owner phone !# aszszzzsszsss:ssssa:asassass::aa:aaasaaaaaaaaaa�=assasasassssasssassaasssssssssassassssasssass:a==aa===:: OTHER INVOLVED AGENCIES - The following agencies require separate jurisdictional permits or approval for vour Proposed project. CONTACT' THEM FOR REnITIRE I SUBMISSIONS. . a T,'.X COLLECTOR = Approved = HOLD By Date ❑ Conservation Comm = Approved By Date ❑ D.P.W. water - Approved By Date ❑ D.P.W. sewer Approved By Date ❑ D.P.W. cross connection = Approved Date ❑ D.P.W. engineering = Approved Date ❑ Board of Health well 7 Approved Date ❑ Board of Health septic = Approved Date ❑ Board of Health food service _ Approved Date g FIRE DISTRICT (I - II - III) _ Approved Date ❑ Planning Dept _ Approved Date Other _ Approved Date Mhur - Approved Harp C„mments gala=s:.......zzzzzszzzaaszazzssza:azssszzzszszzssszsasasszzzsszzz:z:z:azssaszsszsssszssssssszsss:zz Prnjecc summary new constructioni alterationidemo sewage disposal - puhiicrprivate [Alter. -add interior walls] [add rooms) [add footprints water supply - publiciprivate well (pools [garagershed] (game courts n (food service( Descnbe t szzzzzzzzzzzzzzsazzsssz� �o the various departments: �sszssssgas:essassasssasssass:azsszz:sszs:asses=sszsssersssssssszzszzssssz This notice has been forwarded to you for your information and any appropriate action. Should you have any 'uesrions please advise. If anv reason to withhold the requested permit is found. please advise. Your assistance and Doperarion is appreciated. Ire Building Department -� Date sent for review By �✓ �� TOWN OF DARTMOUTH BUILDING D TELEPHONE 508-999-0720 508-999-0738 APPLICATION FOR ZONING AND BUILDING PERMIT Iasu-oe�ons � . The applicant shall complete this application to the best of their ability prior to snbmislion.'leaving ntn item tmanswered. The Department staff µill be available during regular business hours to assist as necessary." N/A should bp, inserted for those sections -hich do not apply. A prnperly completed application will help avoid unnecessary delays. N iM foe s tp r (foe otMoe use only) • Application fee $ ,,0� received by 2_ Dim `?� 3_ p Total Permit Fee $ Permit # rk�l 100 LOCATION OF PROJECT CURRENT ACCESSORS' PLAT _ LOT 5 - ZONING DISTRICT S OTHER ZONING OVERLAY DISTRICTS , if applicable NUMBER 3 STREET NEAREST CROSS STREET SUBDIVISION NAME & LOT # �a1 � or BUSINESS NAME PR OWNER 10 c- �a �� at- 200 RESIDENTIAL - PROPOSED PROJECT - one & two family residence only = THIS SECTION NOT APPLICABLE = Single famih• - number bedrooms number baths = Two family - number bedrooms unit 1 number baths unit I number bedrooms unit , number baths unit 3 = Accessory apartment Total gross sq. ft. �l .accessory structure - Garage - detached attached to dwelling, dimensions L W = Carport - detached - attached to dwelling, dimensions L ', W - J Shed - dimensions L \ (D W `ck = Gazebo - dimensions L W pool above round in round Size total square feet = Swimming p g -g = Chimney - # of flues