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BP-2001-21090 Pert. it No. BP 2001 21090 -17 #:4: Wi-Tc-a vattiroil?. _ 1 - 1 e asia. ..... "c - I "` - B su t. 101 'r � TO ' . � _ O' H s4Q qcn 1 Dartmouth, T47 •. , 1i `.A 1.i67Bt4 Pti _'` _ .P�o)de' 08 10-1820 Fax: 50 91 :\$388 #y3: Ong , ; PERMISS O ! ]pE ;a" :1",14,' fati I 0 9° Cous t iisti_ . 1;'u Contractor:*g I 0 �/�/ 9itiyder.lie # On #: Usel o F ;- Tk 3 s ROBERT 1a ONG ?' 1 ' Q8 :995-8240 Lot-Siz%`f `jL A 2 84` a[?cM Engineer: likt E"- - • "- :Bone#• SRB `' New Cons't A 4 64$ t. 3; Applicant: . t'.: s, f g:c % x .. , :Phone#: Alctil . } °f — JAMES W BUCKLES', � " ' ,(508)995-8240 49-05 2001` i, OWNER: ��+., g , ', LONG REALTY,INC`.� ; i 6 6 4 4..0„?. DATE ISSUED: /// . 9e m ,a,j.D TO PERFORM THE FOLLOWING WORK: New single family dwelling with three bedrooms,two full and one half baths,well water, septic system,oil heat, 10'x 16'rear deck, 6'x 36'front porch BUILDING PERMIT Project Locat'.n: 70 S ON WAY Approved/Issued By: At 1 JOEL S. D,LOC DING INSP OR All work shall comply with 780 CMR • d.(MGL Chap. 143)and any other applicable Mass.Laws or Codes and plans on Me. POST THIS CARD SO IT IS 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 Building/Zonin ermit Signature of Owner/C-7- Agen hxi.�/i%J/, Comments: REPLACEMENT FEE WILL BE REQUIRED FOR LOST SIGNATURE CARD COPY TOWN OF DARTMOUTH 21674 BUILDING RECEIPTS COLLECTOR'S OFFICE // 4 ( /f 77 Name;, it." Y i t,(. ;T ru'.i'_._:�_— Property `Iti ttf ,}•:�,, Lic Date: f �1� '(/' - -(/ ' --ft� Owner: = �i✓ 1 .. Job Location ' / f/ t 4 , a ) 1/ - ` White Copy-Collector's Office Plot: (/ r/ Lot: -f I S G0. ,VC} Yellow Copy-Customer's Receipt _ / - C- / 9,(0 Pink Copy-File Copy 9 Green Copy-Building Department Phone: q r OC� M. t.. V 1 -2 ± . . L' 7 ,' F.e . i ; Description t1 General Ledger#'s R‘t,# Amount License&Permits-Building 01000-44105 /1/ f� 47 y -7) License&Permits-Building Misc. 01000-44105 License&Permits-Electrical 01000-44106 -� _ License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 1 This is not a Permit or License for Building,Plumbing or Gas Received By / J , TOWN -OF DARTMOUTH 210 0 " BUILDING RECEIPTS COLLECTOR'S'OFFICE f Name: 1 ; V ._, L. r Ownerty ,'? c , CGt.f '"f" Date: 52i./ 0 Job Location: "Th f i i / i'€ ,1 White Copy-Collector's Office Plot - Lot 2 C j - ci] Yellow Copy-Customer's Receipt d 1L--.� , . , i,i Pink Copy-File Copy a v Green Copy-Building Department Phone: 9,4& `" Description e � 0% General Ledger#'s ,. PALM l 2 Amount 1 License&Permits Butfdiltg 01000-44105 License&Permits-Building Misc. 01000-44105 License&Permits-Electrical 01000-44106 i 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: 9 /t RESIDENTIAL 2000 ❑ FOUNDATION ONLY $25.00 APPLICATION FEE IS NON-REFUNDABLE 6t NON-TRANSFERABLE DATE RECEIVED s•,. DARTMOUTH.BUILDING DEPARTMENT 400 Slocum Road, P.O. Box 79399 �30 „nv Dartmouth, MA 02747 - - = 508-999-0720 FAX 508-999-0738 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING. I IfIS s C7ION FOR•OFFICrAL(SSE ONLY RECEIVED 5Y .) BUtLAING PERMIT DATE$ NI RR vti w DATE ISSUED OIc TII.ISSTJ SIGNATURE. DAB 2 3 201`i Bu' CommiottioNnsspp-cptorof8w ags? Zo ttng Dtstr►et L� : Proposed Usef Zonez .,is C7 B C D V outside Elnod Zone R AgwfrrZone TIIE FOLLOWING AGENCIES SROULD BE OflEIEI): -} D S ,.eF I7 Eoard a£ t en Coro. ' 0 Denw R DPW CI Etee 0 Energy Report Sptoaes Health: Afidavtt Card'Sent, Cut;Oif F:oltow-np `- F re 0 Gas: C Planning Ruard' C Sewer Card::. Q Wafer Card EI Zenmg Cl Other .Chhief Cut OfF l�Cut O€f f Cut::.f?ff ReytRw* " REQVWES INSPLCTOR'S:REVILW BEFORETH4 ISSUANCE�1F::A P Lr#tklrrr ; r D ART ENT �:APPR VSL Zoning Review: Signature: d .e mil Date. Energy Report: Signature: tofr_`�� ?3—C3( Date: t Fire Chief: Signature: /* �rlr-4, 67A _eP i'ht_ Date: F• • a y o f Board of Health: Signature: (/ Date: Q /, Conservation Commission: Signature: Date: U ���U� Other: Signature: Date: Description of work being performed: %per CN4l.�FIAgte.S1.y r tE.�,N, . SEflJON?i SITE=t FORMATION `^ `old NUMBER OF PLANS SUBMITTED: C�) SITE PLAN SUBMITTED: 0-yes 0 no 1.2 Assessors Plat&Lot Number: 1.1 PropertyAddress:#11O WM \AAA\ Plat `IL{ Lot e_0 -- ` Nearest Cross Street: Nit,, 'lsat n Subdivision Name: �o v����tg.. 1.3 Historical District 0 yes 7.,IIo Has application been submitted to the Historic Commission? Total Land Area Sq. Ft.: 11%Vt 0 yes lifl,no Date: 1.4 Water Supply(MGL c 40 § 54): 1.5 Sewage Disposal System: ❑ Municipal'Private Well 0 Municipal *On Site Disposal System C).bide forms\Bldoapp_res.opd Page 1 Rev.Ianuan I3 aoo • RESIDENTIAL 2000 SECTION 2—PROPERTY OS%NERSHIP/AUTHORIZED:AGENT 2.1 Owner of Record: 1„S. e A%ag VC(QCgFz. %It• tiea oevyS u�Ir.. = a a\-.01& Cam) ch S-8ztlo Name(print) . Contact Address Phone Number 2.2 Authorized Agent: 15% CGS T"\t Ce s - %'c , 1slEse .iR c0 LIMA' a21SSE A M \a.3�cx �s Cam$) 9qs-Beyo Name(print) Contact Address Phone Number SlicTio `3:Co\57RUCTIONi SER%trcws 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor .qe z.< Vow License Number Gs 1:35tIkez. Address ^_ '``� Expiration Date S—VW ClaVer="1.Y11.11i—Nt1gt Q.DS' cstTAS Q Sl �e edOTJ Signature - TelephonSt,1 3.2 Registered Home Improvement set ractor: Not Applicable Are you a Home Improvement Contractor subject to (780 CMR-6)? 0 yes 0 no If no, go to the next section! Are you claiming exemption from the requirement? 0 yes 0 no If yes, submit the required affidavit! Company Name Registration Number(if none, state"none") Address Signature Telephone Expiration Date 3.3 For Residential Remodel Work Only •PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: QUESTIONS OR COMPLAINTS call or write: - Hoare Improvement Contractors Registration, One Ashburton Place-Roan, 1301. Boston, A(.-I 01108, (6/7) 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 thelre is,or is intended to be.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 a two-year period shall not be considered a Homeowner. If ion are apply ine under this section sign below: Signature: Your signature carries certain responsibilities,including but not necessarily limited to.general liability i I 'a Iixmailt ldcnnn res wad _..._"-..— Page 2 Rev.January 13.2000 RESIDENTIAL 2000 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 4.»woRREtt'S COMPENSATION INSURANCE AFFCDAV[T (MGL c 152§25)'. 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: yes ❑ no ........................... SEC'E ION5-.DESCRIPTION OF PROPOSED WOR[f(cheClf.alt applicable) knew construction* 0 addition 0 alteration 0 repairs 0 chimney/ 0 woodstove (energy report required) (energy report required) fireplace 0 deck 0 pool 0 accessory bldg. 0 replacement window/door 0 other ❑ demolition (shed/garage) no. of windows doors (specify below): (specify below): * If new construction, please complete the following: Single Family: no. of bedrooms ?7 no. of baths age_. Two Family: no. of bedrooms unit I no. of baths unit I no. of bedrooms unit 2 no. of baths unit 2 ❑ Furnace(hot air)-fuel gas(natural or propane), fuel oil, electricity, other(specify): Boiler(heating)-fuel gas(natural or propane) fuel oil 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 irk Hot Water: Gas Electric uel Oil 't( e,sOther Brief Description of Proposed Work:%s m A .W9t ts %&Yctnr.£4t3.)Sex& e4otaSW.se4 szALe R..'tAr'east lOtreal.s44‘.141.tt1•Jrw►Ise lea 2.4Ftt•41\esk"Iss�ta%ten k.- ^�.*p cflw4'k*.eiie .CT.�tatt�C►NCicR. . 4-A, tots%\4 god C7 *.x SPir$6 r�ateA A& Itiftr"\6.4:;Vt cRCx A�1l�CY— SEC'I'ION— i ESTIMATED CONSTRUCTION COSTS Item Estimated Cost($)to be completed by permit applicant 1. Building ttg3'en Q0 2. Electrical cS 004 3. Plumbing r110np 00 4. Mechanical(HVAC) altot,,tt 5. Total=(I +2+3 +4) *Estimated Total SECTION 7a Rat It R UTIIORIZAT)RN (ta be completed when nwuer's ag • eut or centrartnz applies for building perm t) (ple e print) � `� T� int �)1J , as Owner of the subject property hereby authorize •SA�MF S (��\:�S to ac n y b h , I ma rs relative to work authorized by this building permit application. Signature of Owner ((\\���� Date SEf,TION7tl-(7WNERI�G"tltDRtZEDAGENTDECLARA` ION I, S 2*-SLX , a Owne Authorized Agent hereby declare that the statements and information on the foregoing application are thie and accurate, to the best of my knowledge and belief Signed under the pains and penalties of perjury. Signature of Owner/Authorized Agent , Date C hlde_fnrms\Rldnann roc rvnd Para.3 Rev.January 13.2000 RESIDENTIAL 2000 SECTION S-IN$PECTOR'S REVIE1lr1C©rl:ttEiNTS I. Date plan reviewed: 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: 9 Inspectors Signature 41 W: 2 3 ?OOi �ECTION�-AIIEtCa4fN6E7Ic1TIa\' Applicant informed of above D : 'O/ (the/974 Clerk: Comments: V/� � � SECTION 16-Ot;FICE\nsrECTUti's\OTES Total Permit Fee: $ Less Application Fee: $25.00 Remaining Balance: $ VQ/�_ TOTAL TEE: .� 'Gross Area New Construction total"sq: ft. t/ -- Gross Area-Alteration total sq.,ft.., Permit Issued To: /1�� . �/-d:- �O X / r . L qz l' x t / -� �Ln-''ce31 $ SECTION 1 j -ADDITIONAL COMMENTSS(SKETCHES C nldc.Corms I3ldeapp.rs.vcpd Page 4 Rev.Januan I 3-'_000 \� I ' REQUEST FOR ASSIGNMENT OFO NOUSE NUMBER Owner(s) of Property ‘4pK�ctA4.3X-N W;.. = 'Cot3isZc \-iw,cC Present Address 1 CA4R'Q\_Fs M e2C et =ry 4,Fsicl os ,R VO. n rVAS Telephone Number N) gci s _se cd House Location: Plat '14 Lot en, -9 Subdivision QDk1R1VIN y V_ Lot Z Corner Lot ? Yes No )( Street SWHHm Wek Single Family )( Multi Family Condominium # of Units Site Plan Submitted ? Yes )( No Date Submitted .S)egg-9:44L Cic CAA) Signature o Owner House Number Assigned 70 SHANNON' WAY Date Assigned 4-06-01 Date Assessors Notified Date Building Dept. Notified Date Owner Notified ( A/ Superi-rrtendent, Department of Public Works Permit No. BP-2001-21090 Project Location: 70 SHANNON WAY Commoxnwealtfi of flassackusetts ,ai¢Ji .i.N..: �. TOWN OF: DARTMOUTH G1S#.— � 5090 00 �,= t 9 MaP:irk Oj1a4t c 400 Slocum Road,Dartmouth, A 02 T 4 L'ot: 002'0 Phones 508 910-1820 Fax: 508 910-1838 ( ) - ( ) .Subl1"1 0009 BUILDING P IT atego ��, ,c, TIEL {ING, ' a.'. Projecp IT - JS 2002 0201" FIELD If�k SECTION Est., �st 0332Q0 ;; 2�i 1{3 . 1� ,x .fi ee: 1 26.00�". u', Contractor.; _, License: Phone#: �CTonsgt,Class Ga li,,. �1 !lE 4 ':Use Group 1 '� e43C .f Ir. 2)1 aijF. ROBERTkF LOl�G CS 051422 (508) 995-8240 Lot Size(sq.ft , 42748 ._ Engineer: License; Phone#: New l onst.:a,�l(l ,264 sq pft. r atb., Applicant. Phone#: JAMES W BUCKLES i, . AlQ t onst N/A ;;' (508) 995-8240 OWNER: �� LONG REALTY,INC.' DATE ISSUED: U J �j ��UWM�� ,,. � �ET U LSD TO PERFORM THE FOLLOWING WORK: New single family dwelling with three bedrooms, two full and one half baths, well water, septic system, oil heat, 10'x 16'rear deck, 6'x 36' front porch DATE- 1'11i1L _ 1'YPWOFIINSYECl'iOri &RLMAAKS -611.1—L // ` / lI .'! L/J� -6- �—� ( �� � <?�! � : /0/0/ /$; � / � iwe U/� •, JAN 0 3 20J2 //3�ig�/ ;- ate' ,'.-cn ` Z Commonwealth of Massachusetts TOWN OF DARTMOUTH BUIT ,DING PERMIT Project Location: 70 SHANNON WAY Map 0074 Lot 0020 Sublot 0009 Issued To: JAMES W BUCKLES Contact Phone No.: (508)995-8240 Date Issued: 1 9— v l Permit No.: BP-2001-21090 To Perform the Following Work: Zew single family dwelling with three bedrooms, two full and one half baths, well water, septic system, oil heat, 0' x 16' rear deck, 6' x 36' front porch Inspector of Plumbing Inspector of Wiring I D.P.W.Inspector Building Inspector Underground: Service: ' Water Service`#: Footings: Rough: ///// f° Rough: Sewer Service#: Foundation: Final:`,/` a/ �?7 Final: 01, ( t `Cross Connection Final Rough Frame: jC 1//�(C� Comment: Comment: Comment: -, Fireplace/Chimney: Insulation: Ql/g/0/ /` '' Final: at /- ?-©'`).- Comment: "e Inspector of Gas', Fire Department Board of Health a' ; E-911 O 3— t; -- Rough:/z/VQ/ /? Oil:° Cr r < Final:7 / O/ f Smoke:O X > pl �/� Cl{rk� 6�9C' Comment: Comment: �'if Comment: b Comment: p/?)/v 7 '2)" Additional Comments: 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 Permit No. BP-2001-21090 , Gls f 15.09e.o0 /7 aa// I/. Map 0074 . Commonwealth of!addachudettd Lot: „y-- :i0020. Sub-Let: � :B009 TOWN,OF DARTMOUTH t NEW .sate gory: 400 Slocum Road,Dartmouth,MA 02747 ProjectDWELLING Phone:(508)910-1820 Fax: (508)910-1838 # JS-2002-0201 .' Est.Cost: $203327:00 PERMISSION IS HEREBY GRANTED TO: Fee: $426.00 Const.Class: Contractor: License: Phone#: Use Group: R4 ROBERT F LONG CS-051422 (508)995-8240 Lot Size(sq.ft.), 42784 Engineer License: Phone#: Zoning: SRB New Coast.: 4,264 sq.ft. Applicant: Phone#: Alt;Coast: NIA.- JAMES W BUCKLES (508)995-8240 Date Typed: 09-05-2001 OWNER: LONG REALTY,INC..i 3- DATE ISSUED: / / -L./ TO PERFORM THE FOLLOWING WORK: New single family dwelling with three bedrooms, two full and one half baths, well water, septic system, oil heat, 10'x 16' rear deck, 6'x 36' front porch BUILDING PERMIT Project Locate n: 70 SH NNON WAY Approved/Issued By: - v—� JOEL S. ED,Loc n.DING INSP TOR All work shall comply with 780 CMR 111 d. (MGL Chap. 143) and any other applicable Mass.Laws or Codes and plans on file. POST THIS CARD SO/T IS 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 Building/Zonin ermit Signature of Owner/Agen • S. Comments: \ 44 . c3j? REPLACEMENT FEE WILL BE REQUIRED FOR LOST SIGNATURE CARD 0 N ♦+ a-) 0 ." g rn O o O 0 ti .. ~ E .•-I 4-1c.) O t b GQ o F o m Z ;be' r T . - i * (-) `t*iik t prai LI ��}}rib Or 1 I��1 E. Q/k Mfi N i? b L1 tr p ......' 1..ys,.0 ba 'j ��j` fri 1IflC: ' ' ,V{J le��-,, u'�P"i spyt• ' a 1.� �l�.1 1 J.1 �V� art., ...x �J ? `Y Y� J� Y• #y "\ ` "II g, "1 ¢ 11- C^: ct '� 1 OO en six. ® offz r n . a^.a a. 11 i ryypy! g(F CCU $ ma's` s .G2Y' n 1 C 5` .. iC •.�, -f,A'p' �C 03 #' � .RN Yi# t �+•"\ 1 4. s4 _.., k " 2 t�M 7., 'lu-�LI a &g&g jA M1i� O yd` a-C' ,rY7• "3' '.' � T '4'11 4` (T 2 , .A. r FEl �I 0 - o ii-42 t "P.R:0 •c r,_fi . P r Rk "'�^ '' r i' O ari,+ ryr 4 Ca l 4 • mil nx' ,u. '::: i F aM q be 'A, -- o B '01 ." s-4„., z,y9 g •�; . _ may,, -.. j�.yj O 9 t 4 eat �`._ _•.. - i j, -4 tG- X- - •—• a ; Jj U I -60 R• (.0 Y V1 C Y O V tg . -g-- Off $ px FQ V t E ad' N cy Nay �•� ; a'' 3E`m u. . r , p \,,, O 'a �" V] C - `' 'i'„'„n,::� U 1-4 o- •n 1`r -�3�4x,a=F+�S`% I:4 6.. O r to �' ais1silnua : r O . 0 NQ . 0 en „0 G� yas ...-+1 0, 2 en .z 1 1 S - .may to• -ct Q 2 0 O w • p o k 'Ct d4e g 2s_ .O "d w O N Q 04 Ct R '„ K T t� '2 W °' E-.1v) 0 E" 0 cOiN Q y _ "" iVt.�Aa, 1 � I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code Permit # rCO i. p ' MAScheck Software Version 2.01 ®Y 'Idheckd'd by/Date I CITY: Dartmouth STATE: Massachusetts HDD: 5426 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-31-2001 DATE F PLANS: 31 2001 @gp C �a TITLE: # 70 SHANNONHAYDARTMOUTH Ma. @ SPY PROJECT INFORMATION: ASSESSORS LOT 20-9 PLAT 74 SUB. LOT # 2 COURTLYN PARK Ins,'" �r p e'en�r�� ri COMPANY INFORMATION: W�V # Kl •"�� r." r:k p f A"4+, LONG BUILT HOMES y=� i�yy PC I, ehe # 158 CHARLES Mc COMBS BLVD.NEW BEDFORD, Ma. A Copy Of 1 hiS Endorsed TEL. #(508)) 995-82402795 Pan Must Bee Kept On Site NOTES: During Construction I used a ( DEFAULT OF U0.54 ) on door frotyllt. floor to L��<c��l. rq 3 2001 COMPLIANCE: PASSES Required UA = 423 Your Home = 417 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1217 30.0 0.0 43 WALLS: Wood Frame, 16" O.C. 1198 11.0 0.0 107 WALLS: Wood Frame, 16" O.C. 870 11.0 0.0 78 GLAZING: Windows or Doors 40 0.310 12 GLAZING: Windows or Doors 255 0.350 89 DOORS 37 0.450 17 DOORS 20 0.220 4 DOORS 18 0.540 10 FLOORS: Over Unconditioned Space 1199 19.0 0.0 57 HVAC EQUIPMENT: Boiler, 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 the design load as specified in Sections 780S i• 310 . .�J4. , . n Builder/Designer �. • t11,11,41 \ Date Soy.$, 31#v-w1 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 # 70 SHANNON WAY DARTMOUTH , Ma. DATE: 7-31-2001 Bldg. Dept. Use CEILINGS: [ ] I 1. R-30 Comments/Location NittL'((V "9.crscs WALLS: [ ] I 1. Wood Frame, 16" O.C., R-11 Comments/Location 1SC 'aN'a S [ ] 2. Wood Frame, 16" O.C., R-11 Comments/Location e$ WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.31 For windows without labeled U-values, describe features: # Panes Frame TypeNLINIV.N Thermal Break? K] Yes [ 7 No Comments/Location Q$�C'a\RRtte CQ_" [aILSA�C [ ] 2. U-value: 0.35 For windows without labeled U-values, describe features: # Panes__a Frame Type vZN'U Thermal Break? [%J Yes [ ] No Comments/Location A.U_, �Z.►Ild,'OOWS DOORS: [ ] I 1. U-value: 0.95 Comments/Location 'S SJ -c- Qc5,2_. [ ] I 2. U-value: 0.22 Comments/Location QppcCSIZZ V.1SSt�lppP '"ce, y°P .,c_ [ ] 3. U-value: 0.54 Comments/Location 'pp(L v S c.S ar Q�T Qs.jai-sw FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] I 1. Boiler, 80.0 AFUE AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture a shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) !AL 9y l'att4?4,We'MOMiVearnwPtiscilvtip:•,,,,-140,4044Sacgnora;),,vg4aWANTIWakcsgA-44/Fm •-:,,,s, gite optimmadeoeho BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 01; `, Number: CS 051422. Blrthdate: 05/12/1958 fern- "c Expires: 05/12/2003 Tr.no: 10481 Restricted To: 00 ROBERT F LONG 158 CHARLES McCOMBS BLVD a•-*-Celesta"' NEW BEDFORD, MA 02745 Administrator — ___= The Commonwealth of Massachusetts DUF T ( ' Department of Industrial Accidents O/ficeDIInsest/geUans r 600 Washington Street .a i, y Boston, Mass. 02111 a Workers' Compensation Insurance Affidavit y729iC`l11-TinnlI!!pc0 ;-":4;A;'4 :;'t .:r 15-1.1tsujilliring tlial1l'k .: ; . ,..,,:... ,,.,_. , _._ :.,.._. .:i name: `)Ns i Rf-.A.\sS Ssc.._. = t rrC` \.._xn ° location 7ASl1P.1.>�.I\IA\k-- -t\4z, \\SS( Gil <n'--• S',\.'SS4 ZcarFJ\t.. .3L ?MS 4_ city.AAlL"R4\-1\SCk-Ic ohonQ#cf$1 Cfl Q-a 0 I am a homeowner performing all work myself. ✓✓ I am a sole proprietor and have no one working in any capacity am an employer providing workers' compensation for my employees working'on this job. company name: VJbIst�° �\ 31"kC• ^ �)Iti Sc 'tiF 'FcA.� -a- - Address:- & ) Q A1 . ,W et7)1(W:Es ' sk city. ' c .ZCS\ \,. Cn?.14E . phone#: §0-4 �S S '.Ury]: ) `a� V 1� a.3 policy# tt1 84c k1insurance co. A; % 1 S I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comps yname: address: city: phone*: insurance co. - policy# company name: address: city: phone*: insurance to. policy# .tirl-432,;.Yt,ito,Y3 7 tin,ivG7,S:l17i ,:,_ ye+p %' +.s Gf;7,---., ,Ab 5'.35.i:,:; :% . S.r.. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a line up to 51,500.00 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. I do her under the pai s and penalties of perjury that the information provided above is true and correct. Signature • - Date ti 'C �� ZOO Print name Rr‘)2iF�'C` ` -SJTS Phone l Jtj 99rJ' e..3 t1 official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department 0Licensing Board check if immediate response is required OSelectmen's Office ❑Health Department contact person: phone#; (Other (revised 3/95 P1A) • C Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. Asquoted from the"law", an employee is defined as everyperson 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 ajoint 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. .,t. , Ar ' 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. 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 01/62/01 TUE 09:53 FAX 15089908669 CORNISH INSURANCE �004 L •- DATE(MNIDDIYYI ACORD, C - TIFICATE • F LIABILITY INS FIANCE 09/20/2000 Tv • q. , • • .T. - • , •-/.P • PR•DUG - F. 508 990-8669 EXTEND OR (SOS)994-5Z18 C ) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Corni SIT & Co., Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW. 17 Orchard Street New Bedford, MA 02740 INSURERS AFFORDING COVERAGE INSURED Long Realty Inc INSuRERn Maryland Casualty Co Long Built Homes, a division of Long Realty Ins INSURER B: 158 Charles McComb Blvd INSURERC; New Bedford, MA 02745 INSURERP; INSURER E. I COVERAGESPERIOD INDICATED.THE POLICIES OF ANY REQUIREMENT, ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHI HFOR THELTHIS CERTIFICATE MAY BE ISSUED OR THSTANDING MAY PERTAIN, TAOO IlE INSURANCE LIA NC SHOWN MAY HAVESPO AFFORDED L REDUCEDSDESCRIBEDBY E HEREIN I SUBJECT TO AU.THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. ` ruLIDT ClEtl.lrvt PUUL GIrIRAI, N UNITS LTR TYPE OF INSURANCE POLICY NUMBER OATS(MMIDDPYY) DATg(MMRNNYIVI GENERAL LIABILITY SCP31219299 03/09/2000 03/09/2001 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LVBIUT' FIRE DAMAGE(Any ant Ara) S 50,000 CLAIMS MADE Q OCCUR MEDEXP(Any one P•laan) S 10,000 A PERSONAL BADV INJURY 5 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER. FRODUCTS-COMP/OP AGO— S 21000,000 POLICY n 281, n LOC — AUTOMOBILE LIABILITY (Ev asxMmll)SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Pee swoon)SCHEDULED AUTOS — HIRED AUTOS— EODILY INJURY S lOD•YINJU NON-OWNED AUTOS — - (Px aacccide OHMAGE) $ GARAGE LUBIUTY AUTO ONLY•EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO AUTO ONLY. AGO $ EXCESS LIABILITY EACH OCCURRENCE S OCCUR ri CLAIMS MADE AGGREGATE S _ s HDEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND TC1 98469944 09/14/2000 09/14/2001 IT00.YlI4IT3l IOER - EMPLOYERS'LABILITY E.L.EACH ACCIDENT S 100,00 A EL.DISEASE-EAEMPLOYEE S 100,00 E L.DISEASE-POLICY LIMIT S 500,00 OTHER -DesalliPlION OF OPERATIONSILOGATIONSMEHICLESIF3(CLUSIONS ADDED BY ENDoRSEMENT/SPECQL PROVISIONS work in the Town CERTIFICATE HOLDER I ADOnIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE IcaNNAT1ON DATE THEREOF,THE ISSUING COMPANY WILLENDEAVOR TO MAIL [0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Dartmouth - Bur FAILURE TO MALL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 400 Si ocum Road OF ANY KIND UPON THE COMPANY.ITS AGENTS OR EPRESENTATVES. No Dartmouth, MA 02747 AUTHOazED ;SSNNIAATwg • // i ALURD lb-5(7197� �E 1 (�R/HA I(UN 19 co m u n 11 n c n 0 H aq p 71 ❑ m n n w n f a. Cr ^d J n �'n ,- n 'Tit i. g . & z ; ® � Z r pn .C 1� A. ,0 5 _ ^ R n O rt w te P. d 'O Irl O p 9 x „ a y a. a V isV) s ' o ` y II.i y X un R. 0. y .. n a. — • m Q r O7 y r r o .o + ?+ CID Cl%%J cl) M- zm < 00 Z C31 ;00 ll 4 co tz Cf) co �, cz P4 Ito LO Lj , nvo M W FRONT ELEVATION SCALE 3/1611 = I I W, ZEN u map IT An As B42ift- C. IL L-OuAvey be to th.,--% Buildir Dept. p-,: .L,.c,r to CaUl-ffig for a foundat-w� 0 L �cxvi irl-PC-cldon or 46"-;L 4 UC-kl L.Crkl,. oil moll A Copy Of This Endorsed Plan rust Be Jr pt On Site Dudn R nstrucfton Date UG 2 3 2001 R DRAWI-NIG MUST BE AT THE --I E OF v mommom Nilsson #70 SHANNON WAY ASSESSORS LOT 20-9 PLAT 74 SUB. LOT #2 COURTLYN PARK BUILDER = LONG BUILT HOMES 7 t7i 1 t t 'Alf za LS c"A (fjq;lt*t 1?61( LEFT ELEVATION SCALE 3/16" = 1' !a/5:" #70 SHANNON WAY ASSESSORS LOT 20-9 PLAT 74 SUB. LOT #2 COURTLYN PARK BUILDER =LONG BUILT HOMES 0 i u -ED 1 11 1 L-11 RIGHT ELEVATION SCALE 3/16" = 1' #70 SHANNON WAY ASSESSORS LOT 20-9 PLAT 74 SUB. LOT #2 COURTLYN PARK BUILDER =LONG BUILT HOMES V 24' 4'4 1-. 5' 26'8 14' 2'4 2'8 %�� 2'4 7' 12'8 7' 6'10 7'2 2432 303-2 16X10' DECK W3330 W123C O15 W1830 CW2430 n � 1S38 Dw24• I `L—'S�S16 CNGE30• Ds1E tO I1 KITCHEN 1 (2) 2X12 HEADER & PADo 2aa6-2 BATH � & BOTTOM vVITH 1 1R" EACH COVER THIS WALL FROM TOP 3 � � (TILE)PANTRY OF FOUNDATION TO UNDERSIDE �'E) � BREAKFAST OF ROOF S HEATHnG WITH 5M" (TILE) TYPE X FIRECODE SHEETROCK �a3e �� (TILE) N b I ro n v �J 2668 2668 8 CEIUNGS ON BOTH FLOORS g AA 6 PANEL FOANF FILLED DOORS $ w STEP DOWN GARAGE a LL 3'10 O 12' A © 0 aoss C.O. 2668 loss C.O. IV v 17'10 14' ALL EXTERIOR HEADERS = (2) 2X10'S EXCEPTAS NOTED, ALL INTERIOR A HEADERS - (2) 2X12'S EXCEPTAS NOTED r 1 A r 1 I 1 A I I I DINING L11/ING (CPT) a (2)2X12'S HEADER / LA c� ! N ! !rJ ! A ! FK FAMILY ` LL (CPT) \ \ v \ V \ r- \ N \ u, I I I i (CPT)4) () - UP I I ®rUTJ ry I I SINGLES ON ALL SIDES ) A F BENTON 2446-2 vrT,4 (TLE) COURTLYN PARK 2 I FIRST FLOOR JULY 24, 2001 j �y FRONT DOOR ENTRANCE TRIM Sn, 2� S/L 2446 2446 ��ulE H 3 'X6' 2446 2446 6' 10' 8' T6 �� 6' 8'6J �� $16 6' �I 3'6 6110 72 24' 36' � 14' 2'4 76'4 A--- N QI� Z N 100 N It N 1 6' 1 8' 10 8'8 12'5 3'8 - ��— 52 32 F- 5'6 2'4 - — T9 2'4 2432 2432 2442 2442 SCUTTLE 2468 10 � o MASTER BATH co � (TILE) bQ'Tr ALL EXTERIOR HEADERS = (2) 2X12'S, ALL INTERIOR HEADERS ARE NON-STRUCTURAL MASTER BEDROOM (CPT) w w� 0 z .w �Icr� _ 2' 10 o� 3'2 co io co co O co N 15 flo 13 O12 r 2668 BEDROOM 3 roPn N co �N w u. O 0 w v v P.E. to coS.D. e o � � ��P�, � co N M N C'7 O -3'10� 2668 2'10 DN �s 6068 P.E. S.D. z 4' 10' J U S. � (CPT) � BEDROOM 2 n w co 11 co 2' 10 aENTON COURTLYN PARK 2 SECOND FLOOR 0 0 w v v v N N 2442 2442 2442 2442 2442 3'6 6' 5'6 3' 28 610 - 6' 316 15' 5'8 15'4 JULY 24, 2001 M r- co N 36' w r r 24' 76'4 3' � 418 284 14' 2'4 � ' • I �- 8'8 19'8 BILCO "O" :' I t• I 10'7 -SASH — —t- ok r-- I 4"PERIMETER DRAIN GAS 'v • L DBL BOX & HANG JOISTS FOOTINGS 16" X 10' 10" -31V STONE 4" CONCRETE SLAB I BOTTLE I II R Ii I '• I T.O.F. 168.60 POCKET II GRADE 167.00 g, WIDE (I DROP s" I I 9" HIGH O 5" DEEP i I� o I [BASEMENT_ -cc Y>Y I I II I ' 13'8 I I 14' 81 13'8 GARAGE I '.• — — — � — — — — — — _ � . _ _—W10x19 BEA 35.6"KET s" W10E � m TOP OF 5 � I .t 9" HIGH 5" DEEP I ( 131/2"LOLLYCOLUMNS I ' ( ONLY ROUGH ON 4" LOLLYCOLUMN I I I W1019 BEAM 1T4"I II D L2X8SLl I I OILER I I I II I I n « II I -- _ — — — — — — — — — — 9"wIDE I � I 10' 9" HI3H 5" DEEP I I O�.TANK I DROP 2'-4" UP flV 5 • ' ' ' BBNTON 1'8 8'8 -' ' 1'4 8'8 3'8 INVERT ' VENT DBL 2X6 L 1.T. I - COURTLYN PARK 2 '' F •,':'". ; , • • • t • .. : • b 1) K.D. I ;;• I � • ELECTRIC w © FOUNDATION JULY 24 22001 ol 6' 10' 8' 630' 14' � 24' � 76'4 36' rt 2'4 N 24' 3' 4'8 12'4 14' 2' 24' 9" 11 --,— 346 J 9" 764 14' JULY 24, 2001 14' I o a V. 1 • • C0-00 OO: t ^ N Ns A- V I MCI V, lip •< 4z�• : !� .fib �� __ •_ ..• � �� __.. _ . __. _. r �_ ._ •- - �• �. •_.�}_. _•••. • _ r _ter -�cz,IN ... _�' -- - ...cam .: _. _ _..-•M- - -- . _ .._ __ ._ __ ...-. __._.-• _..._._ _. __ - NEW —Tti f • ! , 1 r4 � _ •. _ .. � III -- _i _... ... ram• _�.••-.....�_-. - .._... . _- - ••+`••�_.. . • 1 1 mom ' ; ^•�% � tip•. - � ~ L4 r Q Ap cn c nCIO V Z 1"t t � i C2� A W �cq La r 11 r .�... ... _ ..+— � � • �S , i��J � Vwr�..e _-�.�r. -� ...��.+.-..r......�ev�vww•rr.. ��... .._. � . .. .. ..� . �... .. .. M EAC-" EN D FARM ER S PoRC:4. GrIRD�� a Sty PP0PT POST FL, j-o15T I -AN -0u 7 k. A ri 0 I C' ca r' z � � � o v ,. x I Q 1 a O a LLI uI d o �. 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'"NOT- REQULE3E.D WHEN- STAIRWAY HAS LESS_ THAI�LTHREE�31_R?SERS GUARIDRAILS_ARE NOTRTQ(1T9,ED �rlH�N - ORN IS I_Es�_._ "i` HAN T`H I ftTY C30) INC1�E5 --ABOVE FINISHED GRAD-E_- .% MATCRIAL LIST ON 'BACK OF PEA li FRONT _� SIC LAYOUT_; 4 � PORCH_ ECTION FLAN �CbLE. 1 I N � H DR A--'WN 'F0 R ___ LO s 1 FOOT G Ql91LT N lop OUT 10 FRONT i'ROP:Gk SOILD I FOoi V4lDF_F\ FOR FRORTERTRWC�. WITH v