Loading...
BP-2002-25373 i s `• y3� , - Permit No BP 2C ' 25373 lt . 1rGS# a -392900 x of . • - jqa ", ~ Map " 0 c 0074 kle L m4to e9O„��Pre 1 $ub Lot onus , TOW` t ®, �A R 3 0. H .a 1 .N,s+<-4 NEVV . i...x.' ';400'SIgcum ad,Dartmouth \°0 747 -2N' Categorx } ,,r DWELL°INGn_� ,Phone (50 9 0-1820 ax 508 ilk I838 , t ^nt:. :} fi S f. v ' Protect'# Maw` JS 2003 0233 - # 1 i 3 , - $ �" y Est Cost ,te $16400000 krt PERMISSI`ONISHEREB ,co. .Y D \ �, -i`.... . Fee �. ,a ::,-*', $626:00 a i, s'.17�. 3 I d F i i' ?+ c a i, 'ii ) ..y 8 s { Conti Class= Contractor? a l icense¢ ..)Phon # Use Group R4k- JOHN M SCANLON ; 'rCrS b6068�� I"(598) 47-4965 Lot Size(sq.tt) _'86,967 sq ft.:_. ? Engineer. x a —.r^ z �...-`License ..Phone#: I Zoning: ;, "SRB. :- _ � New Conti i_ ,-5955 sq ft. y. Applicant: :- Phone#: Alt.Costt N/A _` =3• SCANLON CONSTRUCTION'CO "_ (508)947-4965 Date Typed: 08-28 2002, OWNER: '., ' .� "^.c T CORDEIRO CARLOS A &DONNA CORDEH30 - ' DATE ISSUED: 1r3 ' TO PERFORM THE FOLLOWING WORK: New single family dwelling with three bedrooms, two full and one half baths,well water, septic system, oil heat, fireplace, attached two car garage,NO DECKS BUILDING PERMIT. Project Local • 16 COPICUT ROAD Approved/Issued By: 4I/ ;/ 'tH S II 'ZA,LOCAL B III INSPECTOR All work shall comply with 780 CMR 6''Ed.(MGL Chap.143)and any o t er applicable Mass.Laws or Codes and plans on file. POST THIS CARD SO IT/S 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-BlIilding/ Ding Permit. Signature of Owner/Agent: / L i`,e- . Comments: (- REPLACEMENT FEE WILL BE REQUIRED FOR LOST SIGNATURE C C n fY TOWN* OF DARTMOUTH 25373 BUILDING-REGEIPTS COLLECTOR'S OFFICE Name: ` / ""`"': - P7 Property! Date: , /�`--�-rtllfiG .��;5� • Owner; I .! � /� �f �-� / yT d Job Location: �0 R r /e( '! r., F DNgl"41C� J ///f� ��;.� White Copy-Collectors Office Plot:: - 7L�-L Lot: /7 t ,. - Yellow Copy-Customer's Receipt / ,Z 9 02. Pink Copy-File Copy JUL Green Copy-Building Department Phone:` o -) C ,,-- C tit.le Description % •T1 }, LI 71 § aesakIQedr#'s Ref.# Amount License&Permits Building ` 01000-44105 License&Permits-Building Misc. 01000-44105 v i 7�- _ S'( /J 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$Y: TOWN OF DARTMOUTH 25807 BUILDING RECEIPTS r COLLECTOR'S OFFICE f h Name: � Property. . /j , r, Date: r /r.- `_. J Owner: 1 .Y/.°% �v .tl'. .i ��C�='6_ -/� —�-�1; Job Locat :. _ /; White Copy-Collector's Office Plot: --7�. Lot: /, Yellow Copy-Customer's Receipt Pink Copy-File Copy - Green Copy-Building Department Phone: /'• J � 7; /7 � 'Lr E- '7 r ` Description General Ledger#'s Ref.# Amount License&Permits-Building 01000-44105 License&Permits-Building Misc. 01000-44105 /3/754 f License&PerkeitsatBleOcrAl et ft R4D 44106 License&Pe s lur bangia aJ U Q1000-'44107 — Other Department Revenue 01000-42420 / This is not a Permit or License for Building,Plumbing or Gas Received By: G RESIDENTIAL 2002 0 FOUNDATION ONLY $25.00 APPLICATION FEE IS NON-REFUNDABLE &NON-TRANSFERABLE DARTMOUTH BUILDING DEPARTMENT DATE RECEIVED /-:-.,- ,:,..,„ e 400 Slocum Road, P.O. Box 79399 Dartmouth, MA 02747 508-910-1820 FAX 508-910-1838 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING THIS SECTION FOR OFFICIAL USE ONLY RECEIVED BY: n BUILDING V23 DATE SENT FOR REVIEW: �'I `I/,t/0� NUMBER: f (J-S/ v / DATE ISSUED: 7 OK TO ISSUE-SIGNATURE: di1 DATE ♦ 0)- I �_. j�// Building Commis oner_ speeetoi of Buil i ings Zoning District:5,4,2L.;Proposed Use: Zone: LAC ❑B 0 A ❑V Outside Flood Zone ❑ Aquifer Zone!/ THE FOLLOWING AG CIES SHOULD BE NOTIFIED: ❑Board of oard of ®C'on.Com. ' 0 Demo ❑DPW 0 Elec. ❑Energy Report Appeals Health Affidavit Card Sent: Cut Off Follow-up* ❑Fire 0 Gas 0 Planning Board* 0 Se e Card 0 Wa r Card 0 Zoning 0 Other Chief Cut Off /Cut ff /C H Review* * REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERMIT. r DEPARTMENTAL APPROVAL r nn p_ Zoning Review: Si;nature\�`'1/1 � - Date: O �C I Energy Report: .f: �fgnature: Date: / �� Fire Chief: #3 Signature: CA..449e4, 02K .0/4t- Date: 5. 12 c. 2 Board of Health: Signature: I Date: Conservation Commission: Signature: dJ%(' 7,,(L Date: Other: Signature: Date: Description of work being performed: SECTION 1-SITE INFORMATION NUMBER OF PLANS SUBMITTED: '3, SITE PLAN SUBMITTED: ,yes 0 no 1.2 Assessors Plat& Lot Number: ,w 1.1 Property Address: /� p�C 1xc V& e > Plat •-\'. Lot i k lf(�d! Nearest Cross Street: i'JO . IA,sy. i�i,•z 9-orto Subdivision Name: N-ryw-e 1.3 Historical District ❑ yes 5f no Total Land Area Sq. Ft.: cz)f., ct..6-1 S a .fir. Has application been submitted to the Historic Commission? ❑yes $1 no Date: 1.4 Water Supply(MGL c 40 § 54): 1.5 Sewage Disposal System: _ �J � //❑f Munic�iipCaall��,,Pririvate Well �c,,,�, 0 Municipal 14 On Site�Disppoosal System (/1 L•C..x--C JSLX.,ce1 x /�`_ / O _ , Jx."-47 ��-s%c.a. C:\bldg. mis\Bldgapp.res.wpd fj Page 1 Rev.January 19,2001 ' RESIDENTIAL 2002 h 1. , -- `-- - SECTION 2-PRAO.{PEERTTY OWNERSAIP/AUTHORIZED AGENT - ,,/)-' 2.1 Owner of Record: 'G'/A ___ /0 / CnekOs A eoeoc (26 (wF /3 Reuben St re_ mass 5e loz&l641 Name(print) Contact Address Phone Number 2.2 Authorized Agent: '.a.�z J Cro+-cs-c-ciwLa„, Co • boa 3s'< > SCt Acy-JLr,*3 ee Yvv-c9 S\) ` vtdocs\a b,r..ea t cl41 -4,945 Name(print) Contact Address Phone Number SECTIONS-CONSTRUCTION SERVICES - 3.1 Licensed Construction Supervisor: - .N,,, Sc, r,�c__,„.) Not Applicable 0 Licensed Construction Supervisor \6� soA License Number o0(00&8 Address ce \P a\ — }x, try c‘s��ja s," ` v� Expiration Date Signature (( _ Telephone Sit-`i`C-x-,`lcius \2 is 4 a 3 3.2 Registe ed Home mprovement Contractor: Not Applicable 0 Are you a Home Improvement Contractor subject to(780 CMR-6)? ❑yes $no If no,go to the next section! Are you claiming exemption from the requirement? ❑yes M no If yes,submit the required affidavit! Company Name �._.. 1 4, `_N, Registration Number(if none,state"none") Address , c_.c. .n.�., �A f S� ,, s� c o�n_.).critim ` 1N \ S-116 Signature Tele hone e 5c �`c_is Expiration DateL - 6 `t l2 04 3.3 For Res ential Rem del Work Only PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY 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 by signing the above,the home owner acknowledges that there will be no eligibilty to the Guaranty Fund Date 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 I,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 which there is,or is intended to be,a one or two family dwellinr attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a Homeowner. If you are applying under this section sign below: Signature: Your signature carries certain responsibilities,including but not necessarily limited to,general liability C:\bldg.formsaBldgapp.res.wpd Page 2 Rev.January 19,2001 RESIDENTIAL 2002 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 WORImesCOMPENSATION YURANCEAFEID r a7,gro-,- d `'' 1)' 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: 171 yes 0 no • -- SECTION 5-DESCRIPTION OF PROPOSED WORK(Cheek all=a ro ro IS. new construction* 0 addition 0 alteration 0 repairs chimney/ ❑woodstove (energy report required) (energy report required) fireplace ❑ deck 0 pool 0 accessory bldg. 0 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 3 no. of baths tit 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): tp: Boiler(heating)- fuel gas(natural or propane),(luel oft electricity,other(specify): ❑ HVAC(combined unit)-primary fuel,natural gas,propane,electricity,other(specify): ❑ Air conditioning-(separate unit) ❑ None of the above to be provided ❑ Hot Water: Gas Electric Fuel Oil ✓ Other Brief Description of Proposed Work: S` \e as \ Cala �A 410E . I wee*4,e.c> Z. Car "-.-.0.2 2es2-o r`s.e a.t't_a. — s 1.ere-e I N SECTION-6 ESTIMATED CONSTRUCTION COSTS-,- Item Estimated Cost($)to be completed by permit applicant I.Building l`kS.`R oo . 2.Electrical c 3. Plumbing fo l 4. Mechanical(HVAC) k at 5-Total=(1 +2+3 +4) *Estimated Total $ 6,62 tom , ,SECTION 7A_'DOWNER AUTHORIZATION ; " (to be completed when owner's agent or contractor apples for bwl in 1M±w lll)t f $ " . o 24 (please print) 3 vy S eaaww oc— - I, �/,2/4/OS f4 ( G/�fii n ,as Owner of the subject property hereby authorize G a w C s cr to act op my behalf, in all matters relative to work authorized by this building permit application. �n �p(cd,!//.0 7 G(v —192 Signature of Owner Date SECTION 7B-OwNEWAUTRORIZED AnENTDECcARA 'O"' - '"'"' I, TCE-&4.-) Stec-&L - .) ,as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signedu //r,,the pains and p nalties of perjury. • ✓'t `t � z,0?- Sign re of Owner/ thorized Agent Date Rev.January19,2001 C:\bld��.(omis\Bld a .r .w d Page 3 g pp es p g I RESIDENTIAL 2002 ° '" a '_'4 t SECTION 8-INSPECTS OR'S REVIEW/COMMENTS 1 Date plan reviewed: 9/ 2-- 0 a-- 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: n �� n1 9. Inspector's Signature ;"ems PA Dat e:St:Y = SE N9 LAN OTFI ION Applicant info /�f ab a ate: ) 1 :d 4 I fit' I C rk: Comments: le/e / ( ifil `^P #� „11; ,cf` '^" wSECTION 10-OFFICE\INSPECTOR'S NOTES Total Permit Fee: $ (cc//,s ( Less Application Fee: $25.00 Remaining Balance: $ COL/ s( ip TOTAL FEE: 6j 6,, 0(. ross Area-New Construction total sq. ft. 67 55 Gross Area-Alteration total sq. ft. Permit Issued To. /n✓�' r �7 g —p / jar -_ %V OO eC cX 5 r -f tia.-1 cI2 e ycii / n,, '� , SKCTION 11-ADDITIONAL COMMENTS/SKETCHES (�/% '4b QED"/CS .956 x . /0 596 . w 0/0?_ /Op afftej 60-7-• "-al-Er Ar-2741. ifyi u / 1 C:\bldg.fonns\Bldgapp.res.wpd Page 4 Rev.January 19.2001 REQUEST FOR TOWN OF HOUSE NUMBER Owner(s) of Property (` w4ITZt A , )A. Coo_�a/�� Present Address (S /V/coD/P4 n4 /t/4 �&V um Telephone Nber v +v House Location: Plat y Lot yf Subdivision Lot Corner Lot ? Yes No v Street C-2;:17Q. CA rr 2rc-ec-e Single Family ‘/ Multi Family Condominium # of Units Site Plsn Submitted ? Yes vi No Date Submitted k C lns Clnda4o Signature o Owner House Number Assigned 16 COPTCUT ROAD Date Assigned 8-05-02 Date Assessors Notified Date Building Dept. Notified Date Owner Notified „(( i , Department of Public Works I MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 01 Release 2 Checked by/Date CITY: Dartmouth STATE : Massachusetts HDD: 5426 CONSTRUCTION TYPE : 1 or 2 Family, Detached HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE : 8-10-2002 DATE OF PLANS : 10/01 TITLE : New Colonial Home PROJECT INFORMATION: Carlos & Donna Cordeiro Copicut Road Dartmouth, Ma . COMPANY INFORMATION: TOWN OnFFg�RD DARTMOUTH H Scanlon Construction Company RECO 6 Myrtle Street C6 Y IMS `�' Middleboro, Ma . Pl�flMUB�BtK2P Qn $'•t� RE COPY 508-947-4965 �U7 �} tettCl©II oats COMPLIANCE : PASSES Required UA = 569 Your Home = 480 Area or Cavity Cont . Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 4.,1536 30 . 0 0 . 0 54 WALLS : Wood Frame, 16" O. C. 2784 13 . 0 0 . 0 228 GLAZING: Windows or Doors 264 0 . 390 103 DOORS 24 0 . 170 4 DOORS 40 0 . 350 14 DOORS 19 0 . 140 3 DOORS 13 0 . 450 6 FLOORS : Over Unconditioned Space 4440 19 . 0 0 . 0 68 HVAC EQUIPMENT: Furnace, 82 . 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, EASTCOASTF Acille!). CERTIFICATE OF INSURANCE 08/20/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Feitelberg Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222 Milliken Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3220 COMPANIES AFFORDING COVERAGE Fall River, MA 02722 COMPANY ATravelers Property Casualty - INSURED East Coast Form Company, Inc . COMPANY 12 Ventura Drive ---- N. Dartmouth, MA 02747 COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LCO TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY I-660-817L965-2-TI 03/06/98 03/06/99 GENERAL AGGREGATE $2_, 000 , 000_ X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2 , 000, 000 :CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $1_, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE Si, 000, 000 FIRE DAMAGE(Any one f Ire)s300, 000 ' MED EXP(Any one person) $5 , 000 A AUTOMOBILE LIABILITY 006FJ0026194955TWM 03/06/98 03/06/99 X ANY AUTO COMBINEDSINGLE LIMIT $1, 000 , 000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ _ ANY AUTO OTHER THAN AUTO ONLY' EACH ACCIDENT $.__ AGGREGATE $ A LEXCESSLIABILITY ISM-CUP-817L965-2- 03/06/98 03/06/99 EACH OCCURRENCE S1, D00, 000 ��X UMBRELLA FORM AGGREGATE IS OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND IVO-UB-737Y336-6-9 03/21/98 03/21/99 STATUTORY LIMITS I , EMPLOYERS'LIABILITY EACH ACCIDENT i$100 , 000 THE PROPRIETOR/ X INOL DISEASE-POLICY LIMIT $500 000 PARTNERS/EXECUTIVE r OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $100 , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Scanlon Construction Co. EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: John Scanlon 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 6 Myrtle Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Middleboro, MA 02346 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPREEEENTATIVE 93ar a' • t ACORD 25-S.(W93)1 Of 1 #2825 NFl O ACORD CORPORATION 1993`, ICERTIFICATE OF LIABILITY INSURANCE f DATE 11714/01 [MM/DD/YY]I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER MICHAEL J COSTA INS AGY INC THE COVERAGE AFFORDED BY THE POLICIES BELOW. 52 TAUNTON GREEN I INSURERS AFFORDING COVERAGE TAUNTON MA 02780- 'INSURER A: ESSEX INSURANCE INSURED IINSURER B: HARTFORD INSURANCE A & C CONSTRUCTION IINSURER C: P.0 BOX 1 LINSURER D: RAYNHAM MA 02767 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSEFFECTIVEI LTRRi TYPE OF INSURANCE POLICY NUMBER I DATE POLICY(MM/DD/YY) DATEY(MM/DD/YY)N' LIMITS + GENERAL LIABILITY EACH OCCURRENCE 500,000 A X COMMERCIAL GENERAL LIABILITY 3CD9681R-1 01/02/01 01/02/02 FIRE DAMAGE (Any one fire) I I CLAIMS MADE [ ] OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL REGATE GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS A- COMP/OP AGG 500,000 I (POLICY [ ]PROJECT [ ]LOC -- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Each accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ [GIRAE NILITY AUTO ONLY -OTHEROTHANLY: EA ACCIEA ACC NACC[ 1 AY AUTO . EXCESS LIABILITY EACH OCCURRENCE [ )] OCCUR [ ] CLAIMS MADE AGGREGATE ] RETENTIONDEDUCTIBLE $ WORKER'B EMPLOYER'SOLIABILITYN AND 726X527 03/06/01 03/06/02 E.L.WEACH STATUTORY ACCIDENT ] OTHER 100,000 E.L. DISEASE-EA EMPLOYEE 1500,000 E.L. DISEASE-POLICY LIMIT 100,000 --, + 4 + OTHER ----+ + + + + DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER [ ]ADDITIONAL INSURED; INSURED LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR SCANLON CONSTRUCTION CO TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 6 MYRTLE STREET TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION MIDDLEBORO, MA 02346 OR LIABILITY' OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR TIVE \Co �vC:::), + ACORDe CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) PRODUCER 04/25/2002 (508)651-7700 FAX THIS LERIII•ICAItIS ISSUED AS.AMAFIEROF NFURMAIION Allied American Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS.UPON THE:CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,-EXTEND OR 233 West Central Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick, MA 01760 Frances Feriol i INSURERS AFFORDING COVERAGE INSURED John Scanlon INSURER A: Maryland Casualty Ins Co DEA: Scanlon Construction INSURERB: 6 Myrtle Street INSURER C: Middleboro, MA 02346 INSURER0: INSURER E: COVERAGES _ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IrvSH TYPE OF INSURANCE POLICY NUMBER HookatPrtL uvt HOMY tAPIKAIIVN LTR DATE(MM/DD/YY) DATE(MM/DDIYY) LIMITS GENERAL LIABILITY SCP37252070 12/13/2001 12/13/2002 EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(My one fire) 1 50,000 CLAIMS MADE X OCCUR MED EXP(My one person) 5 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE 5 2 ,000,000. GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS,COMP/OP AGG $ POLICY n PECT LOC .. 2 ,000,000 AUTOMOBILE LIABILITY T COMBINED SINGLE.UNIT ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODDILY INJURY S (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY S (Per ecddenp PROPERTY DAMAGE 5 (Per accident) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT ANY AUTO OTHER THAN EA ACC 1 AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE •S DEDUCTIBLE 1 ' RETENTION $ S WORKERS COMPENSATION ANDT vw sUlu- ER" EMPLOYERS'LIABILITY EACH LIMITS ER E.L.EACH ACCIDENT 5 E.L.DISEASE•EA EMPLOYEE 5 E.L.DISEASE•POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: evidence of insurance coverage. • • • CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE'ISSUIRG COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Town of Dartmouth OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Building Department AUTHORIZED REPRESENTATIVE ALUKu zs-s VIMSusan Donnel l (WAUUKU CORPORA I IUN 1YS6 gge , BOARD OF BUILDING REGULATIONS I I' License:• cQNSTRUCTION SUPERVISOR ff 1 c Number:a 006068 ti t 10r448 Epkpt dt 3 Tr.no: 11739 Restri di 0 JOHN M SCANLQN ' - ' 6 MYRTLE ST MIDDLEBORO, MA 02346"� Administrator !! l l ^-r"La- FILE copy iyassuaea, del : Board of Building Regulations and Standards -_ One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 115778 , 7 - ��rl� Type: DBA Expiration: 4/12/04 SCANLON CONSTRUCTION CO.,-' \:� JOHN SCANLON " 1'_ =' 6 MYRTLE ST � � h=/�MIDDLEBORO, MA 02346 Update Address and return card.Mark reason for change. f Address ❑ Renewal in.Employment E Lost Card &lee lnomvmoouoea/i aldicas¢czuroella Board of Building Regulations and Standards ?_G License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registr tion. 115778 Board of Building Regulations and Standards E istraton: 4/72/04 One Ashburton Place Rm 1301 Boston,Ma.02108 TYPO: DBA SCANLON CONSTRUCTION CO. ' JOHN SCANLON 6 MYRTLE ST MIDDLEBORO,MA 02346 Administrator Not valid without signature 0,11 The Contnzaizwealth of Massachusetts —(o- Department of Industrial Accidents 1 Office offnuesligations _ 9 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit 4policant information w / Please PRINT IeaIb"bif e name: S ce-, - location: co U\ .c4_k_t ' city \u}at-4-"*.> > Vv..l�. phone# 5 b gb—`L141 -'Ltife S • I am a homeowner performing all work myself. • I am a sole proprietor and have no one working in any capacity . .. _ or.. w<n.m3'vr,bvn.✓«. .,..n .. .rw i2.d... : • I am an employer providing workers' compensation for my employees working on this job. comnam•name: - - address: city: - - - phone#: insurance co. noliey#' ® I am a sole proprietor. gc neral contractor)or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: R*C ro,. 5-t-cup«.:.,_) Co . address: &c- \ city: 4 \MA . - phone#: S v'1K'- `VIM-- 0(Si insurance co. aAayyit-'c- -CLZ \v. uctPcv-ems, -C-a , nolig# 2- \. �2.1 - .. ..,. . , 2-1A, . :n m+ .`:' �::�: tit 12 cornnanv name: Cr,Cr, t -e address: \2 �`� asQe.A "��.re city: b - Thts 'C P.C' - nhone#: 5(., -qti to — \,1.,%i— x insurance co. s \Cn 'JX la`s:\S�l �t Attach additions sheet tf necessa rQ ...fir r,. > "�' Failure to secure coverage asry required under Section 25A of�VIGL 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 5100.00 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. l do hereby certifjiry/adder the pains an penalties. of perjury that the information provided above is true and correct. Signature GGrL., Y12 Date `l fl (-o'Z Print name -3-e,a-t v., yv. Phone It S D R — t'{ i —1/4*9-(or ""s= "ykk:.. .”),..Ww *•••••:n• official use only do not write in this area to be completed by city or town official Icity or town: permit/license# ❑Building Department ._} °Licensing Board 0 check if immediate response is required °Selectmen's Office °Health Department .]-1 contact person: phone#; °Other .,°. (revsed 3/0i PJA) 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. ,Cze . 4r Th, fry 5l^, ,u r4e 2.r1 .-�W"W^{%. udb i��dsr�:a; .,, ,�...�.. 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 Livestigations 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. -r4,777.7rwes The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 OW ....J014/12 O 001. domino '� r`�� D ) JAN302th µ o 400 Slocum Road • P. O. Box 793 ° Dartmouth, Massachusetts,02747-09 5- DARThiOUTH _CONSERVATION COMMISSIONCONSERVATION CO. 9-0722 A-1 Site Inspection Form FAX:(508) 999-0797 5 \�3‘cANtX \c-cc . . ctgcgrt, Name of Person Making Request Date `T.o ,13oX 3C'1/4% CO'? c1 \ 2D . Mailing Address Street Location Of Property To Be Viewed 61fc1\\ Aco\�� Mb.• . Ot1-5C\ cpt. c; a u3T 11-$�/xt\I City/Town, State Zip Code Dartmouth Assessors Map and Lot Number SCRs=75%=2.eni-\ tit, Telephone-Daye7,5 .-a-t3$ ,9.x Proposed Use,of Land(house, addition, garage, e c.) Telephone-Evening Signature of Person Making Request 'l O..V 1 D 0-Z,.I --e6?-0.,r�\ 2 C'j�c��,� Name of Owner of Site To Be Viewed • Print Name a \ \LaNG 'C3CLv6\-\ 2'b. Owner's address Signature of Owner of Site to be Viewed r5T i LVg Print Name Site Inspection Fees: 1-5 Acres$50.00; 5-10 Acres$75.00; 10-100 Acres$200.00;Above 100 acres$400.00 All filing forms are available in the Conservation Commission office,room 107 at the Dartmouth Town Hall,400 Slocum Rd.front 9AM-4PM Monday and 8:45AM-4:30PM Tuesday through Friday. For parcels from I to 5 acres only,the Conservation Inspector is available to flag the wetland edge. However it is the Applicant's option to acquire the services of a private consultant to delineate the wetlands on a parcel of that size. The Inspector has the right to require the Applicant to obtain the services of a private consultant to perform a wetland delineation on areas less than 5 acres where abnormal site conditions or extensive use of soils evaluation would require an excessive amount of time be spent by the Conservation Inspector in making a determination of the wetland areas present. Sites over 5 acres must be flagged by a wetland scientist,botanist or other qualified person prior to submitting the A-I site inspection form. The Conservation Inspector will then review the flagging in the field and make adjustments where necessary. The Conservation Conunission may require proof of the qualifications of the person performing the delineation. Note:The A-1 Site Inspection is a procedure outlined in the Dartmouth Wetlands Protection Bylaw.It is a service available for the— purpose of identifying wetland areas on a site. The issuance of this completed Site Inspection is ND/a final determination of wetland boundaries or their jurisdictional status under the Massachusetts Wetlands Protection Act(MGL CI. 131 §40)or the Dartmouth Wetlands Protection Bylaw. Only the issuance of a Determination of Applicability or Order of Conditions by the Conservation Commission finalizes the determination of wetland boundaries and\or their jurisdictional status under these Laws. The completion of this Site Inspection is not an authorization to proceed with work.This site inspection expires three(3)years front the date of issuance. CONSERVATION=WISSION INSPECTOR COMMENTS AND RECOMMENDATIONS • ❑ No wetlands or other areas subject to the jurisdiction of the Conservation Commission exist on site or- within 100-feet ofriit. No other Slinn with the Conservation Commission required. • jijl The peptised wet_is locates in or within 100-feet of a wetland resource area. Other wetlands 4 may exist on site Any fiirther.work to be located outside of inspected area requires the filing of an additional A-1. .Sct +,c//turn p .e ❑ Wetlands exist on( North, South, East, West ) of site..Please refer to drawing (if provided by inspector)for location information. All locations on sketch provided by inspector are approximate. ❑ Edge of wetland has been marked on site by Inspector. Flag numbers DCC wet Through DCC wet Additional wetlands marked DCC wet_%Through DCC wet ;DCC wet_ Through DCC wet s DCC wet_ Through DCC wet ; DCC wet_ Through DCC wet ❑ Wetland delineated using: } ❑ Vegetation only ❑ Soils and vegetation r ❑ Anyactivity (clearing, digging, l ge etc.) f tt r 1 ( 8, removal of vegetation, e in a wetland or within 100-feet of a wetland requires a permit from the Conservation Commission. No work shall beein until permit is received. This completed form is not a permit. ❑ A Keenest for Determination should be filed with the Conservation Commission before any work begins 51f ❑ A Notice of Intent should be filed with the Conservation Commission before any work begins on site. w; ❑ Coastal Bank exists on site. Engineer must delineate Coastal Bank per DEP Wetland Program Policy `t 92-1. Delineation must be submitted to the Conservation Commission office for review and approval. :r ❑ 100-year floodplain may be present on site. Engineer or Dartmouth Building Department must determine if proposed work is located within floodplain. If work is located in floodplain then a further filing with Conservation Commission is required. ❑ A survey plan of the wetland delineation should be submitted to the Conservation Commission office. ❑ Due to abnormal site conditions and/or the necessity of gathering an extensive amount of soils information to adequately describe the wetlands on site, the applicant-must obtain the services of a private consultant to perform a wetland delineation. The delineation must be submitted to the " , Conservation Commission office for review and approval: - a �81 Other Comments 5r, .: 't,t) •dLar8at e r t,a r~ 2a,• e,,. .\ 4 - 'f) y sue' � 44 Ili° Claw a4 /to' .arra..-J.+4,,--g s th • wetiAt-A, // ,. . f�V^`t n,) 1. n ,•+?n;A° 4,±0,4 ?.. 154itVx e-x r4- tiI4G 54xs� f & s• 64J. 1 � loc�r t `� , o}.. -y ' �// lit o G�i � .. �s� � r z,': � 3, ,.tg:-.....,wr, aid Dark of Issuance (Revised 9-8-98 8.410/RC) .e N / -/-_ n 1s 6)I(ts� vti h iO ^ Q v A Q 9.. $ 0 2 hi 0 ♦`% I / `‘ .f reJWO Il , .\ti -� \ 2 o rZ o / �� 0 < II / wa - o� \ �N .' . wr i d- ,o goo /Co14" 'esP t% get Ftet,,, I .• ke...,71111.% N,% • - -*".?" 2?) e) • \ \ P �� t s'� a ' . 0 o o \ $ \,I s._ .\3‘233-.*- \ 0 \ Log-,. f i( r r I t 1ae�r # Mit i 7 . !Ififr ailia6. F.s \ "V '$illi y % ' •� is ;fM ! l g t � CCU l / i V I ' m %� o � iI Ai( I II I I I a Y�n La ei 8! � oQ ZQ i I I n C) - • es rh 6 WZ 1>. • • _ . Tog .. MO at -a- - .• u r or / OY 7 • 'II'S Stier i ip A wllocw c+R►aca � �' , t, %ill 30Pt • , ,era: ,1 Ns .. 4, , . . i 11 ,OpefEME WINE ri 1 ur er - ( di live +wa �°wl • djuy a�`: 1 !0 deli rw / �w r __ .-_____ . - .. . ea- • uLLr ! 11 ..t,°.. v th, .:, II '*141 to::#. I 1 Ea r. _- Whi es" s: � • — _ - • TOWN OF DARTMOUTH ry MMUST&COWRY,IMfkOaxer, 74 75remits irr JAMES W. SEWALL COMPANY, OLD TOWN,MAINE SCALE: Mao LE:I w . ZOO veer 70 I . Permit No. BP-2002-25373 Project Location: 16 COPICUT ROAD Commonwealth of 9vlassacfiusetts TOWN OF DARTMOUTH M P#` 39 9.00 400 Slocum Road,Dartmouth,MA 02747 Lot: 0011 Phone: (508)910-1820'Fax: (508)910-1838 Sublot: 0008 BUILDING PERMIT Category: NEW DWELLING FIELD INSPECTION Est.Cos : $166 00 0033 Fee: $626.00 Contractor: License.• Phone#: Const.Class: Use Group: R$ JOHN M SCANLON CS-006068 (508)947-4965 Lot Size(sq.ft) 86,967 sq.ft. Engineer: License: Phone#: Zoning: SR$ New Coast.: 5,955 sq.ft. Applicant: Phone#: Alt.Const.: N/A SCANLON CONSTRUCTION CO (508)947-4965 Ceiling: OWNER: Walls: CORDEIRO CARLOS A&DONNA CORDEIRO Floor: Q 3 , Glazing: DATE ISSUED: G' /� �� TO PERFORM THE FOLLOWING WORK: New single family dwelling with three bedrooms, two full and one half baths, well water, septic system, oil heat, fireplace, attached two car garage,NO DECKS DATE TIME TYPE OF INSPECTION&REMARKS INITIAL /d/v/oa 9:sa gJdLe,Let, a & o/ /Wai 3,',�5 Am, , , ze ,tell r f //— tea-- ,)— S 39/2.1._ �� t ,, ar ,C� c ' , /�-;-,-�Ga , . ear ic,c si e-e-� #A--re .1 ter'. .-. . DEC 02200L Syce, �`' �� � ��—ism -�..�.t��� ,Z.Tcy'�- \ i ,9191,9 a- Acz, /7-7--,_, ;e41---.---t, 0 e caiatieu • .! L l'c /l`>" /LAW i �lir�c% %! lX�c.(Z L� 2 7 -oi �/ d,_ i 9/i - 0 G .�is� TOWN OF DARTMOUTH 2783 ,frcw, BUILDING RECEIPTS ;COLLECTORS OFFICE Name: -.,'Fir , i '- .� Property i "-% � , . �. 7 ,/ �ffff Date �� OWaeL: �,-; A c''/ Job Location: - - /i ,2 r eirnifiz White Copy-Collector's Office Plot -- Lot: g Yellow Copy-Customer's Receipt /- �l"` Pink Copy-File Copy Green Copy Building Department Phone: ( // s- r-_. i/ CJu /" 7 ��_ J Description General Ledger#'s Ref.# Amount License&Permits-Building 01000-44105 License&Permits-Building Misc. 01000-44105 License&Permits Electrical 01000-44106 - ff License&Permits-Plumbing&Gas 01000-44107 "i�( Other Department Revenue 01000-42420 J 0 1 This is not a Permit or License for Building Plumbing or Gas Received By: 1_ ./! Permit No. BP-2002-25373 GIS.#: 3929.00 _ -__ DD'' Map: 0074 Commonwealth. ommonweaLth. 191 Illaddachudetto Lot: 0011 Sub-Lot 0008 TOWN OF DARTMOUTH Cate o NEW 400 Slocum Road,Dartmouth,MA 02747 g ry` DWELLING Phone: (508)910-1820 Fax: (508)910-1838 Project# JS-2003-0233 Est.Cost $166000.00 PERMISSION IS HEREBY GRANTED TO: Fee: $626.00 Const.Class: Contractor: License. Phone# Use Group: R4 , JOHN M SCANLON CS-006068 (508)947-4965 Lot Size(sq.ft.) 86,967 sq.ft. Engineer License; Phone# Zoning: SRB New Const: 5,955 sq.ft. Applicant Phone#: Alt.Const N/A SCANLON CONSTRUCTION CO (508)947-4965 Date Typed: 08-28-2002 OWNER: CORDEIRO CARLOS A&DONNA CORDEIRO DATE ISSUED: 2 JO TO PERFORM THE FOLLOWING WORK: New single family dwelling with three bedrooms,two full and one half baths, well water, septic system, oil heat, fireplace, attached two car garage,NO DECKS BUILDING PERMIT Project Local . • 16 COPICUI' ROAD Approved/Issued By: H SOUZA,LOCAL BUI IN INSPECTOR All work shall comply with 780 CMR 6Tn Ed. (MGL Chap. 143) and any o er applicable Mass.Laws or Codes and plans on file. POST THIS CARD SO/T/S 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,Bililding/ ping Permit. Signature of Owner/Agent: ` , Z Comments: REPLACEMENT FEE WILL BE REQUIRED FOR LOST SIGNATURE CARD c Commonwealth of Massachusetts ` TOWN OF DARTMOUTH BUILDING PERMIT Project Location: 16 COPICUT ROAD Map 0074 Lot 0011 Sublot 0008 Issued To: JOHN M SCANLON Contact Phone No.: (508) 947-4965 Date Issued: 3/4)CY"-- Permit No.: BP-2002-25373 , / To Perform the Following Work: New single family dwelling with three bedrooms, two full and one half baths, well water, septic system, oil heat, fireplace, attached two car garage, NO DECKS Inspector of Plumbing Inspector of Wiring D.P.W. Inspector Building Inspector Underground: Service: Water Service#: Footings: 7 . /) Rough: // -ems'-9' Rough`. OK ta,,RT Sewer Service #: Foundation: 5,k� j r- `J,S?, r 5 - 1�- >-c Final: Final: Cross Connection Final: Rough Frame: Mc I-1°-e 3 P, f oKUJ,%Z 1;---)-aa- Comment: Comment: 17 3 Comment: Fireplace/Chimney: Insulation: i'' 4# - -, i j rI Final: / 'Ca Q a' -Os\ t�7 ca Treasury: Comment: Inspector of Gas Fire Department Board of Health E-911 Rough: Oil: 0 K 0 AFinal: Smoke: a K v 0/'.v', #v4n@`# Comment: ll//ici Comment:,^/ (/j�f� 3 Comment: Comment: ''`�i//&amnC\ �J a12%IQ Additional Comments: f= - - ? -U i -1- Prior to issuance of Certificate of Occupancy/Completion, this card must be returned to the Building Department with all necessary inspections signed off. Department phone numbers are listed on the green "Town Agencies" document provided with the building permit application. REPLACEMENT FEE WILL BE REQUIRED FOR LOST SIGNATURE CARD 4 a ZS e0' = e. M�� °oocrte .5 rrnn t ± �s i a,u) 0 agg n 3. Q O LA V 1 R r •• *G .S' N. o V\ t F+ 0 V o a, cm ma F' n et A. C o (D CD cD CD s3z A ' y ma � � aN fD Ta �r , c a 0 e Y CA A 'c3 'c3 z- 'O C m 'I Q. O CDy t CD t:.: se. zrnoop: 000w C O t y O P _--i i.� = › aA 000 CP zae o s CD VD cAl Ca cn CD G e 0 o ie o b �. co _ (D — O. tc e 0 Lit 'a M o CD m Cep p 3 w = rt a CD q O n A D 0fD .'CS O CD M cC c to m 0 t n 0, 5. C/) y o ~ a 0 o o o Ask t7 Y ° g -aQ• CD n o l 1 a t� CD c, a t7 CD b7 �� ) -0 0 n `C t CD m 0° ` ' o o �Cco cn i;, A C a 0 • P . . O ^ AyAN A t O CD 0 C5 ° ' Cn ›. a. N O(Mtn " a 'LS g ,A. V "� M 0 z o. r `° b o i 1 1 A x UQ y' O . 0 m I Pm 0 CD `PI o RO aO y CO03 t. A. n 'CS m C ra b tt ©0 VI tit i--i C a CM N O Cr r+ 1tut. o CD et- )II 44 0 o ; `""° CD rD O w n alW A 0 . � � � � noy � b H V ti a 0 d0 ( n' Cl) n H :b 00 n � C� 0 o ° 0 o o 0 4 Fit C o U 0 a cia W o C7 o m CD a to = n N 0 ° A ° tea: C4 CCDD P:J 0 Cfg rn z �- P s I U) o ': o by Z.. CD o Q a n 5. t w cn 0. •S 0 -t CD cn 0 i � cc77 cc�� (. � awn SI Thartmout� �9. _ 400 Slocum Road, Suite 317 Dartmouth, Massachusetts 02747-3234 DARTMOUTH Fax:508/910-1833 PLANNING BOARD Phone:508/910-1816 MEMORANDUM TO: David J. Silveira Building Commissioner/ ZEO FROM: Shauna J. Haas(710 Assistant Town Planner DATE: August 13, 2002 SUBJECT: Copicut Rd, Plat 74 Lot 11-8 Planning staff is in receipt of your request for review and comment regarding zoning compliance of the attached site plan. Based on the available information, this site plan appears to be in compliance with the zoning by-laws. Thank you for the opportunity to comment on this issue. If you should have any questions, or require further assistance, please do not hesitate to contact the Planning office. TOWN OF DARTMOUTH ZONING REVIEWED •Any Changes Must Be Resubmitted SEE REPORT Dato of vi o By y'. ...+..•. r- kr14,0A1 E- t /t0UT M., /. Vn ata Dartmouth Building Department 400 Slocum Road P.O. Box 79399 508-910-1820 Dartmouth, MA 02747 FAX 508-910-1838 MEMORANDUM COP: To: Shauna J. Haas, Assistant Town Planner From: David J. Silveira, Building Commissioner & Subject: Copicut Rd, Plat 74 Lot 11-8 Date: August 5, 2002 : ' ' ' ' ' 4IIi : it ' ll : II : III : I Please review the attached site plan for compliance and return determination with plan for our records. Thank you. C:\SUE\LETTER02\M7411-8.COM N i PIVER s ALL DApT,'AO 7N EST PIT #105 FOIL LOG TEST PIT 6 "EN fi .�JO ' 103 trt,l,-.c,R���, S 4/13/95 4/13/95 D EL. = 102.1 D EL = 10C3.1 r 1 , s A i. _. _ ,, , " � r. t L 7-- --�- 100.0 1:� � �' 101� 87 1C0.7G - 3' � �: - 01. a %I �- IN SEE LEACHii DETAIL ivo,l. mus: oe try ac:>orU.rG wrt;l ;>te /assachuset De.sar<me,,, of Env,ro „ .,ntal L .--�, TC7F= 103 00 -- I r- u r ti x r s n I' ! and o f He/f3 � ,,, n 7 �,,d cn , acc/ B. FGh r Y � / r ELEV Ci _r? SYSTEld _ SANDY t~ , ) _ N e I _ 7 1�0 rile ter � It 99, 1 _ �,'� R 0 T V >�' ..,A� ot, �t o ,:., .r_r,� .d .�1DY n R I , n. I_0 , x r 1,4J'1 . 1 ocus� - .ram , � F C . C _ {i s , _n 1 10 . p h' 1 ... 1 a %n r . iY,.� >"•. r-', ,, ; '.-y r, .. r : _ Z P S'1 w j/ 1 / m 9 -. a tJ 1. ..Y �,. 1... :: r<- _.... 1 .. r 1 / .. / .• .1.,.C1, ._.. -.._. ,_.4J,,,1 ..alw _.....,; ,('-..i_,5r,.r t 1 / ,, t � r`"^ _ .. i.i,:,,� . . ,. .,. ,. ;� £, ,�ii 1',�l t�vl, l��d�� i✓r7 "�.3 --w i`•a R'd.. _ 4�., /hi S�%i�.fv (, f n +") r,+r i. . / r r ,.. /.. .� , / r t C 1.�C I GL E, . l �,/ iC J c n,.L t v , tr t "r" . r� i° ti. rl - t_.. ,� U. %' a 3 t� i T. _ n i y ...,�,'i o�f,J RJaa,.0 ,1�, �:r° � • T - "- j > .. `� .- ° 0 1 r r -, .rr�, I <' . ../ , .. v, 110 ! ,i.� a•A Y: _ , - ! VV, \,�,/J ,' �Y \ \J h i t- T i� I LV A'�f� % _.• Sc,HL 40 PVG %////j/ ,�, 1 p�l.fG✓� r�P_ t?CE {/+ 'y c°c:, trii t>ltilo}ut' prl 7r czr�pro v{�/ ~fy Err deign errgrr ,�er at7d lecca-orcr` I!, ! / / /; Y o .l v4! I r 9 f . is ; ,fl -, - ,I ....1 .' I, in! .� \---- _ ,� __ y'.: i .._. -._ A, r; \.�. •a' ° d . f ,r c7n17 ! r V �V } t r. ��> 9v.1 !,i s s¢s:" t 31,/Ia.v pr �Lr� `i r �_.Uii,Cif.'% {.;Cl..G �U tit.L 1 I 100. 'O i TC` _lrl'tt !t - _. �_t-' is .,,r s. c shag .� !Is�._fr; � i11,7 t7c. � - ?I !E 1�A.SEaJfFl1`T rLGGrs �: , n; r 1/r / Jf//_� W, t'.. -�otin lt3 5 a.. 17:a Tr `, �;..' ..ls, i.,. ' ,07.20 / / ♦ J.P ,',e� Q. �f�`•,iI l r r = -t 0 `'l, _ __> ,..�. - - -? f /�, >, r i XCt� ,.1, ELEVA ,: �, l ; 0�. y. _ / f ///// rr a - i g• ..____-__..__}. �. � �'m..N [kki�E'L OR? CtJAR,S'e �'AA,r� / � . � � : , ! n jf ,,:, � ! „ , : ;s c, L }.�, � >✓ � / f i 7" � I` , i � .. ,,5;� � ,a � ^� ,q , t= , +a. � c� •,r. „'i t"s` :� ,> ,, ,,� . Ll1Icron � .. ,.,,. .� �>.. --r S_t !✓.._ Y. , � , !r � �, ,�.+, ,-;: - lt31t , nl r7lc7 S„�' r G'i�r.�rr,:f,.�?a� cnt.<t>�Un<vrer�' w St .._-c_ / L, / �- r Y/ , } t , �a a Lt r 1Z' v •r-r>-arm , , 00 GALLON Sir [= - TANK; : o , (�6) -j SAND ,� 9 ._, ._ bror gr'�t t the attent.c,,t of the design engineer and I ca/ Boa-d of HeOlth. r; . SEE T�'."JK DETAIL �. , r A 1 ,; .�# rczr,rr>e to r��,port o, prcavlde tlr��./,,� no.,Czo tyre, desr,n �>ng,n..e and local t�ocro' >�. �faf - ��, 97.1t? Z 5, LEACHING FED t Ob�� � G „:. i 1:7n , r ..:;, y+ � :� ,,cr,,r,tn rr, �r,,rdl,'?�� ex/stem ,�I,�e >�,.�rldtt,or,s tnat dlfrer fr.�rl� tt�.� cand,r . r LOAMY Diszrl®ur1 Box I�,,, ,�ersr , � -- � ' � of U>..,;�b,t;i�t .s.;,.:�ii a=.::rr��°r�r Fiat �lalt`r �:t°,' ;:,�~�.e.ri 1n0. c.�,/�. �"r�.� as,�,, g i SAND g 9 g �. SEE QETAIL ,: rim d • res of oi.ner• �,orr�it/bn.� ;,-at frr,�, H EL _ a0 9., 1 _ � ,. �m r�.�s ;�n�°r/�Illry for aes:gn ,�7a�,�s, fr�rl� Y 1� - P. O EL 9.,,. 0 , _ 1 v i Y Y , _ _ >: _OAS{ ,' .. T ,. .. t n 3 r� . rowel o�rth Y z _ .., c�iG t' b the a„ .. o, ,_ , r , f _ c� � o..., ��t. o _ I B D 1 AS_ t��f SOIL EVA_,JA I, ON tLS. Pl1 ,,GS. SAND .. , _ r. (+ 1 f'I Cl , r . n 0 . tr e 7 / ,. T. � .v.� .�.., o .� r. P Jt ln.7 r�ivt a.1.+ - ..5 c r, r r ,.� 3 � � � � � ..r ,. .,;,, ct.: �:�n, er;a:n:. el 1rt�:�` th,.r /o�.a/ c3o�rd of N..�alth m� P r r NO L ETt_R, �,VA T JtV A� , O ,';:F Tr R TAu.. _ A T + f` ^ •� f WAS -} . --� - - - - . : ,x 9 3. _ :. i` y t� `1 t v ✓� ✓ : /' J' �T T l,�VIE11 / INO L c><r.A TIOI WA.� �'L, , r ORRE0. r'41-- ? _ 1 �C _�__ -i_ 1 D'.s _.�_._-� +. = ' -.. � . t-r' ;y� `er p ;�, to bacP; �� to g. I ,14 1 ,A,' � , Y - OF LL OF` E D7EAGE DISPOSAL (-YS � „ > - � , � � � %�' � �, �., perforated s©1� �v' P. f c. r V S PL 1� ABLE A . D„ELLI/VG LD �A T. C, . ./fr Y S ��1 PERM PATE: 1 /8 MINT ✓✓ERL rid. l E: / �iilJ, in :' � ,.oil Absorotio-� 5/ster°7 -. A. S) .shall be t f / SPIT, e P. imam ur•,,res� �' ��P, G;a" SOL E VALUA Ti'CN iar ," '�30= � ,-.. ; ^r � " �, a 'solid Sch dulz �:0 1!C, min , �TQ� TO SCALE r -,� (NOT TO SCALE AND NOT PROPORTIONATE) � ,,,,r r,rr, ,Il, O.h�e p.pr;�g ..�h�,'l b., 4' Jr" S/. r Pr ?hJt,t/G'' Or t"?eCJ'J)/ $fgrlir'rr7 t.* S,'?c/l -Ot be o�iven ':7vc'r PROVIDE ,RISE.RS AS REQ'D TO LIMIT _. a,; SOIL EVALUATION StriL EVALUATION ur,,� c.:;:~r-tp,�rie,z Or me aISPOSu sy5terrr. COb.ER OVER ACCESS PORT. .D a,At->t,� :. .:. E T r t _. � ,. .Q d.ls t. , T r c• DES P T 305 0 � , .. C TES, PIT 3 8 � . Iron !n es ar, a rre.. or f �"� ,,✓ duo .�h ll be �# ash, � r he t ne TO IhfUlid e � u� 3 28 96 3 9S _8designed,� i garbage grinder. 7i�, NOT , • s r.� r, E . 1 . / / , f" / / r! / . / 1 / / cam` . si , / / ! ,/� / \ !. �\ J 1� \ J< \ . ,.\ �\ / \ I r! ♦ \. / ., r _ > . - - J. \ l .�.__.� _ _ -, �/-, a.i:� G� C,r {-i �a. 1. v 1... J /� � /: �r l� �✓ 1; �✓ :�. \ %�•' 1, �/: , \ �\ % \ % . %\ \ �\ . \ \ /� , >,'� �\ <. /. , . -. t.��_ f'°\ /.x\ ./; >. .ti ..: , ! r; f>r� ,5r:i ^ �.,7.. c 5!< n b �' rif �: c:.`; i? UIrG'iJ Cf.' �.?/ri � .i < u e j !s d 1 >y AIR SPACE , . � --- 1 �3 �.� �''�-�F'.��-.�.r � q �4fIN L5' _...AX � .�-,,�,} ,•r gr�'cra!l�e�� ..ls c`-7 th:� tot;�geilty° of rt'snneratron Or lis�firf,'net-s, t'/eas,� Hate <h n';' SANDY L - - {I{ • � .-«6 O / %r L_o � a,,,«_.,�'-` 1 D 103, 3 _ fff __ - 4. ....:;..- ,ab� fences Jr`70rr,..d un, er you. sys em, > P 2 „ t3N ?'0 i s1� Ouid 6e f -�: coed ever✓ two to three ' sar5 depending on it's rsage. i' r- - 3" ELEV = ,700,;:7 / i- �sSEED cxvsx�D s 1 3' 'SAX (8) datumr cLEV - ,. _ _ ELEV = 100.70 s/r-r r/z� (B) C?9. Elevations vrrofvn on this plan crre based on�r _ INLET SANDY >, bLEV ET n , - sds t he e c C71 G17 E t I , sh- / be c tight., r 6 DY Distribution l ne., , UTL r rstr b It n P 0 ET 1 . e water h t, 0. All s ,, h made a D ,. 6" MIN ` p �omt she 101. IN T 45 9 7 », ` 8 OUT 1 01, z0 / / l 0 2 L AM " , w .- as shO n 12X �n . .. . � _. rr /e Jat, .... . _ 1 Q1 � to e _ .. _. ... _ _ , :. All un>✓urtahfe .�o„s are to be excavate :. ; , 3 � . S .3 PP a , 5 -8 14 A4iN _ I on this /ale. B;?r� ,99UST APPROVE excafJatron prior to rep/acement wl c/ean gavel, LEVEL STABLE BASE r P _ / or- coarse sand onrJ installation of the s v tem, ra 4 P,VC. C� oa a , 7 .. � 4-i" U4UID DEPTH •� 4 -4 <, ,, I >, - SANITARY Applies to 2-� i---�6.5 -- C- 2 PP Title V minerr3 ar is o;1i D SANDY SAND , 1 ..TEES Use specific grades shown 1plan, �®� �F Q�R���,i��� � GAS BAFFLE .:LOAM LCIAM P " .:: ,:.. ¢_ . DISTRIBUTION E0 DETAIL ,7---�� � � -ATIING 1JL' - C'TIIN- n LEVEL .TABLE BASE _ ( �f,.., _ .. ,�, � � r 'NOT TO SCALD � I?OTt?eVDO DB-5 OR APPROVED EQUAL ( f 84 I ..r_... 10 S 1 Level Stcble Ease is one hat ha., been m � � a 1 (NO TO SCALE) (C2) � � �EV�S SON �3Y I1 E compacted on to ;which of stone has (C ) SEE REPORT 1500 GALLO SEPTIC' TANK been placed to minimize uneven settling. FOAMY LO h1Y ' � SAND � SAND � J&R PRECAST TK-1500 OR .APPROVED EQUAL 108 95.1 120 90.4 � 3. By (NOT TO. SCALE) NO H 0. _ _ NO H 0 .® tJ SOIL OIL DATA . 116 -- 3 _' ,- s^ � � r SET ro jury � M 3 ��,, cst/ra°rated aeo.�ono/ high ground s vot�l:• /��� 95 1 �3F >Lt �, T TO O01 1C U7 f�:ESER IVOIR, ; D. R. 9 130102 _Plat Lot 11 ; `� p� �� � l-� i� s� ec �>�r.• Sue Griffin , . ,� AT >-� ,, I ,. � , � �� � ' PT CD ECT _ Sub. 2 �.. �� Soil Evaluator d Peter- J. Hawes T. i� .. - 7 - o r rf j j f f �_ x F r ji ✓ la' r .rco, atron Test per. orm ed b v Fitzgerald Engine, grnezr„ - �; 114 f_ - � , ..�Y_. - 4 ---n+naaa.••x.®.s s... ... .. ,..+er. ......>. -_.... _,._ :.._ .:xww:,,p.r ,,. .. ..., .-.. . «...+.,..'� �s S . _.DESIGY PA TA -AV VIL LOT COVE'RAGL'. Oesrg,� For, 1 /8 Min. Clcss 2 Sails T AM_ _ , r TIR7 ..._.F +..,- . 91, -. ... : ._ . , ... _. __ r,. _ • :_, ,, « 1r^' Ee;G v ycll° L7•-G, 11 � NITROGEN SENSITIVE AREA _ _ _ , � 112 This -site is classired as nitrogen sensitive per Local Board of Health -(Fee 310 CUR 15214.2) This design meetsthe requirements or 310 CUR 15.214.2 _ The design f/ow per day for this, proposed septic system is.-110� 440 GP© / 2.00 Acres= 220.0 GPD per acre, This does not exceed the 440 GPD1 Acre l,+mitation of 310 CUR 15.214 2 _\ 12 '- tt BENCHMARK t eser olr PRoOSEI��Tr�URcroT: s 10"33TAKE-TACK cep . <S�� - Proposed -con touring indicated beyond the 1., is of the disposal Oo SET)LL, =1 7. 72 system ore conceptually approximate and are subject to �'O, �O, adjustment at the owners option. Exa otion being the 102 contour �\ CIV2.111 which is required for breakout. See Breakout Detail. 10$ _ - - _ o .FLOOD ZONE NO �'. . This site is not affected by a special -�\ Flood Zone Hazard as designated by F.E,U.A. Flood Insurance Rate Map (F./.R.U.) 104 - TP ' 05 � - Community Panel Z250051 0415 B .Zone: C Doted- June 1, 1983 5' 0verdig R 105 1 102 - - - A UIFER PROTEC IDN DISTRICT: y - 103 6 The Aquifer Protection District Zoning delineation is approximate, f and has been established from the Dartmouth, Massachusetts, �� _ - �� Aquifer Protection District Zoning Map. Dated- January 1992 xc'� - ;--. '.. #30 g 100 106 1O©, offett - NO TES FOR FDUNtA TONS• t� 7) Subgrode soil shell be inspected by the design engineer or other Ss 99 kg professional engineer prior to construction of _foundation footings TF u107 �c----- -2) UnsditaMi - o��tron�i��Tr removed to o suitable - - - -- _ _.-- ---- ---� :- - ---- Q. soil elevation having a minimum soil bearing capacity of 1500 P.S.F. ' J) The excavation shall be maintained in a-dewatered condition at all times during construction of the foundation footings and walls _ ----� ,4) Excavation for the Proposed foundation footings shall have a 98 .minimum depth of four feet from the lowest original existing TP#108 surface grade within the building foot print area or to an undisturbed NOTE suitable , soil elevation having a minimum bearing capacity of 1500 P.S F, NO APPROVED SEPTIC `PLAN OR WELL 5 Structural. or found ' tare backtil/ f at/on footings P - g used in lieu of d_�p _ _ -. _ 5 ON RECORD W/ TH THE FOR C footings shall be constructed with processed gravel screened to DARTMOUTH B.O.H. AS OF 10/19/01. \ / 2" maximum size one Placed in maximum 12" thick compacted lifts achieving minimum 957, Proctor density by mechanical means. Soil NO WELLS WITHIN 200' OF S.A.S. compaction tests shad be performed by an independent. testing lab on a// structural backfill lift,✓ for acceptance prior to construction of footings 6) This Septic/Site F>'an does not include and shall not be used as a GRAPHIC SALE dwelling foundation d0 sign nor for geotechnical investigations with respect to the dwelling foundation. - lo 9 .15 _30 ro { IN FEET ) 1 inch = 30 ft. 110 ,- . ,._..�*.. ,nR , s.. , td/ rJ� ,.., ,,.�, �; u +.ram t 'r r✓�t., ,.:.:,. ,� --- -.. _ F i. each Area.- 18' (W) x 41 ' (L) 7.38 S iF Calculations Bottom.: = 738 S.F. x 0. 60 GPD,/SF _ !42 8 Gallk-", �. s _ .- a Pie SCHL. s0 22 Ex >Ung Contour ,, 'or (Tight Joints) MP _ ' ,:Q,, i � o _tea � ;.,- - 4" ('erforcLed �..,.. TOTAL CAPACITY OF SYSTEA# (GALLONS) 2. 8 :�� Pei.,., .e Leach Area . ��n Out - - 35 P.V.C. Pip,; �. r it / �100 //V V=100. 68 FG 102.2 Fv 102.7 /UZo tr 1G` aY': 7P Util. ole / SYS 10 1. 20 SYS 101.20 38 / ot 22° t- = _ L.EA O'H-TiV G BED &F TA.IL 101 BENCHMARK inn-��,��A � PK-NAIL (NOT TO SCALE) E/ev= 707.2U 1 I 3 / _ rVin rm um i11�T� t r - Top of System Ele v=101.20 .3 MAX r"Em 'IS T11'V 1-� 7 Bo t tom of System Eie v= 700.00EX SYSTEM BREAK -OBIT :DETAIL (NOT TO SCALE) - OR0UND �9 l Plat 74 Lot I i ,� N Sub. Div. Lot 6 �,� e spa Area= 86,967 Sq. Ft. '/ o �G & o 9 OF DWI Fo F' y 4 COPY lot ThIs dz ; .:d o Plen flust ED : TOF (2)- 107 40_Cctin LAND SURVEYOR'S CERTIF'ICATIOI V. f CERTIFY THAT THE FOUNDATION a, AS SHOWN ON THIS PLAN SATISFIES �p. BENCHMARK TOWN ZONING REQUIREMENTS. '' .0%; PK=NAIL �°� ��° �' I N PAVEMENT�tOfAsc EL.=100.00 LEDG. o� ���� , G v HALLS & ee „� S ��+ \,Nc. 33437 ��OkAt M9SJ 01310 Leon, C. Halle Date O� Registered Land Surveyor Cert. No. 33437 DRAWN BYC.D.R. 4 DATE: " AS —BUILT „ FO UNDA TION PLAN FITZGERALD ENGINEERING INC. CHECKED BY. R.R.B P.O. BOX 398 13 CHURCH ST. APPROVED BY. L. C.H. 1011102 . CLIENT. CARLOS & DONNA CORDEIRO MATTAPOISETT, ` MA 02739 FILE #: 01-0051 SCALE: LOCATION PLAT 74 LOT 91/ SUBDIVISION LOT 6 TEL: (508)758-3823 FAX.DWG #: HIXVILLE •(508)758-2834 _ COPICUT ROAD SDSK #: HIXVILLE i 1" = 30' DARTMOUTH, MA 02747 0, jr As B11ilt suvv-eY -V-.* I ' '19 b BIW" submittcd to t"'allir � prior to c p, for DeDt. ection or foundadon insp a ,,.ny further nc co 'tructioll. FIRE EQUIREMENT Per attations thru rated walls and floors shall be saalet; with a material capable of preventing thr-- -ass f-gee of "tames and hot gasses when subjeded ts of the Test Standard specific to the requireme-1 VOW, DRANIVING MUCT BE KEPT for Firp Stops ASTM-E-814. TUZ�E SIZE At110 DEPTH SoNo-, oct:nFIF AT THE BUILDING DURING THE ------------ ) 1r).r.-PEcTION IS REQUIRE- PPOGRE'SS OF THIS WORK. TH F Co�,CpETF _IsPOURED tU, LDING DEP. NT- BUILDWIG DEPARTMENT ,ARTME 7mvn of Dartmouth rV, 'n 01 DaTtmwf� oev ba N�N�I� G� �i l.d�- CD���I � � rbl- pwr4>-)l &Tow TOWNI OF DARRABUTH RECORD FUN A Copy 0! Th:s Endoacd Plan Miast 13WO Kap! on Site nurlm,k Con-3truction 1TOp , #loons shall h, t';IrU rated wa.is and t'n��: penetra►tons 1 /a„ of preventing '- terlu. ' �J.CJ tt bjected V,,sled NN'th a - asses when 5 ' l ervl#ic passage of flames and hot ` uirerrients of the hest Standard sP to the red s AS rM-F-Si 4. for Pi;°e Stop i 51 �t _,. �2�600 b LSD a tt TOW111 OF A'HT- GUT'--1 N 0 *'1 A any 01 Thai En_ be U-st BeKept rill�, $B Ye t tr t�� An As Built Sur y e - s&mitted. tQ ti: �1 rni ford Dept. prior to c 9 a foundatio" inspection ®r any further construction. PIA SIZE goo DEP-TION' IS REQUIRED Ft3RS i THE DOt4CRETE IS POUR D. VOUR DRAINING MUST BE KEPT AT THE BUILDING DURING THE PROGRESS OF THIS WORK. BUILDING DEPARTMENT Town of Derfmot th oNpk__ ��is cola FIRE STOPPING REQUIREMEN bc SONO-TUEZ siZE AND DEPTH t YoUq u�e �'�ST BE ��T �� � � i'�netrati0ns tS�ru r�.ted ��alls and floors shall the Ii CTiO f IS fiEGlt�1R�C? FE o i AT THE UILDING DURIf THE �t�� � `�.. � reV@T1�1Si� Tide CONCRETE is POURED. .pjoCqESTHIS WORK. COPY a sealed with a ma;er€ai capable of peted PI 1® Kept Me of flames and hot gas oStr��ard when subie f c 't. DING DEPARTMENT ruwtva Dv,:PAF MENT outh � � requirements Of the Test g j� the Q 1T'z?,� S/4�4i � T� Eli 1 CI I Y �/ to � -g Pofor Fire Stops ASS`-E-81 4. CKJ An As Built Surve I be ' submitted to tl�e � forg Dept- Prior to calla �, Poo I m p h , b action or cd 6, r'►� . a �i a foundation inspection �16 r, C,, urtiier construction. - Ra r D \ i�. g i-o inLON l N MIN, any f ap; aU, � _ '�I IN � MILS At� l t i i 4 -ova— 0A � �, � _t�l l✓ N �` n300� G �5 L/S a b C0116, Of-IG• 10 o �-- --- --t --- -- -- - - r --T -- --t _.._ ,. - 2 X IZ g I4 O ip _ �. n.l' �I 4 III 0 L,�.� _... n. -- 1 _ ° � �• � .� .L.._ _a. " L _ .� �. � -� � � � p b Iry N t GO 0G . r00T I P 6f �Z �500 P`� l �j 77 off, I 77 ° ° ( —Tr - _ — tc /_/ ' 1 r6p u r+l =Q fi 6" coN p 14. \v Sono p",I "C -Io y p F) INS p y - I — - --- - W , x 8 _ D Gof-1 r 'C . I - �� H i r-o 1. ef i -- — -oil _ ro U 0� u 3c)—o L�o- 1 y'70 - Hr--\v wtlp 6rroj ),- gL IV rg f RA 01 N IT C F-4 S • 0 1/g . L - - Plan C Be go-t o -wit SurveyNO i 1 FIRE STOPPING RE U � [ T �$I1 t�.S submitted to tine�lding Penetrations thru rated v�►aid and floe shalt'bE 4� Dept. prior to cal.tng for sealed with a material capable of preventing the foundation inspection 01 passage of flames and hot gasses when subjected any' furto the requirether construction.rints of the Test Stan, Pard specific for Fire Stops ASTM-E-814, VONO-TUSE S. a' AND DEPTH _._._-_......._.. - Fr,=3IS FIE QUIRED BEFORE THE CONCRETE IS POURED. -- - - BUI%..DING EiEPAR IVENT i >NI Nil. - 1 F�Cor , T GnX rl-- L v, p wor t?eG - i J Lr l �( GENT• J�LU M ;I p irkCOPY • x3 _ � l N b@ 1 �, �+= _ _ b LU rt G U JT t powli-*Po u'C' XTURr,11 i `Y�u,� rt,�• - (� \alb, 65Gid FIRE REQUIREMENT vSTOPPING 9' D _ _ N . N �V CO , YV-N Penetrations the u rated walls and floors shall be sealed with a material Capable of preventing the011, { 6M rs� w. rr INq «passage of flares and hot gasses when subies-ed a6�P --i w ` to the requirements of the Tee; Stand specific for Fire, Stops TM-E- 14. txT t t,9VT W I hl aLtpor co pi_ "TOH TOWN OFMAIRZaITOUTH x 10 I I H J of 5 T ,. A COPY Of ThI Flan M t pe kept € P's uction TOP. P I- Tr OEMmn 1 i wm.ri;�T a mr- AT TIME WILDING DURING THE PROGRESS OF THIS WORK: NOUILDING DEPARTMENT fI Town of Dartmouth submitted.. t ' � l is SO�rO-Tu SIZE AND DEPTH - I INS FECTtLd IS REQUIRED SEEnE Dept. prior to- (Zalhag for THE CONCRETE IS POURED. to I D .1O �X (a�T � U: a foundation ig.�spect on o PUILDING DEPARTMENT R - ._ ) _ any further coAAstruoticn. Tbvm of Dartmouth SIN , y�ui� ram+ L_ -—,�N-If C� 70CTs is , 1 H:5 U 8 .6006. UP