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BP-268 BUILDING PERMIT FIELD INSPECTION Dartmouth Building Departmen `'- 11�)f! fc;7F p Plat: 79 400 Slocum Road P.O. Box 9399n Lot(s) : 06-08 Dartmouth, MA 02747 Lot Size: 81, 896 Telephone (508 ) 999-0720 Zone Dist. RB . Issued Date: 09/30 /96 Permit No: 268 r Project Location: 18 Medeiros Lane Number Street Subdivision Name: Nearest Cross Street: Applicant/Agent: Paul & Kimberly Alves Contact Person Phone #: (508 ) 995-6907 Proposed Use: Residential Residential, Commercial, Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. 8 ' x 10 ' shed (80 sq.ft. ) Indicate no. of bedrooms and bathrooms and other rooms Owner(s) of Record: Paul & Kimberly Alves Address: 18 Medeiros Lane, North Dartmouth, MA 02747 DATE TIME TYPE OF INSPECTION REMARKS INITIAL JUN 10 1997 COMPUTriji 1 _ 1:11 i T ; 11 T hi r rD ff--7 Pi'il y 1- ,,;,,,L,, .1, .:„,„, _ 4, ? ,,,,. 3 .. 0,-- i 0: ,.:t, a iiiii.„=. 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MA 02747 i Lot Size:81, 896 i Telephone 508-999-0720 I -e:,onin fl Dist. :Fif4lii 1 ) :-,-....,-;,-rs„,---„„r-,,,---.---...,t,-,-,,u.,,,,,,,„,,...,,---,,,...„,,,,,,.z,-:,-:,..,=;:.,,-.-s,:-....--,,,,--•-:,-:-.x-c,,,-...,s..,,,,t--.„..;==...„-y-..=:,„,,,,,,,,-„---_,--_„..s.=,z_: t,----------------- ---------4 e Pt e mber e.-,1, l?„99f-i (t y ped) P f.2 i'01 i t No ..,.......„..„___.... 1 I s stied Date Project Locator : At,amt*, 414e.e.4-t. Sut:olivIsion Naiset , — -- - Neares,t Crons Street. ; ..-.2._-====:,,,,,===.:=5...,,.....=.7%,-._.=..,,,,,:z.,...7.,:-.-_-,-.--_-...---,..r.t.:-..=..--.7.,==.-.:4,-:-.-.-.„-.r.:.,:,,,z,-,-,-,:-...--..::-"n„--...-:-.a---r.-:7.7.nt"-77.-:'7::,Tr.-*7--7"----1----4-.2.--;-.,---------:•-...:‘.-_-:,-:-.•:------T------:..------------------,---;--,:, AN)1 'cant./Pt)ent f-Aritir eS Contact Perf7;un Phone 4: 4508'1. tvtie ef License: Owner: tx) Const, Soperv. License Arehilecti ( .1- EnOneei-: { ) Other: ':',.'",,,,;,',..Z.;,,,,,,,,717,-;-,==.:7,1-1==7,,..F:70:=,====r- ,..=.7,.7.7-=,=;=.,,-..`!;.:1-!.g.-1-,:=4t...t,..77.--,=7-;.:- .,1-::'.;-'1-7.., '".'..7-Z..-'...,z: '---,', • ,••-•-:•..'7.- -,..-. • , .." - Proposed iiiiiiiii4i14a, ekt4iiii;z‘ii,-&.-14;447,:-.4,ti-i, ;, "-oid:,..• Perzit Iss kied To i; r4,-e .i i,s,,w;;;;;;oi: iie:e,.iirii;.; ii;,;..c7i..4:0;;;;:; iiii;i;1.;. iT.;,;;;i--i,,,--;;--ti-i.: ------TieZa4' ,77-.7i7-1;i7;74,-,,i7-rZz:1-1;,W;;;;;;;;;";;;;;;r1I74,7,7,;;;;----------------------------------------- i3 Co nst , Cos t -Ot her C nst. t TOTAL FEE Owner (s) .uf Rerd'A Pddre5%1 AI I work -Ala I: I comp'v with 780 OAR 5th, Ed. it10_ Chap,. 1,4•L''') aed ,i,,,rey ether ariplicable Wass. Laws Of' ciodes and Vii,elk 11$ ',.)T1 f i le. I her eby tiert i fy that: the propo$ed work i‘ii aut nor i-zed by the owner of recoro anti I havo, been ziothori zed- by the owner to *ake this appl_Ica t len ii,n' his. agent and ti:;, recei ve t hi pert, I tther initiq.1(5tand othi,r afoncii es may t (,-,- reason t o STPP WWI?, i f i tees kirtd*r the ir- ;-.kir i IA icit i tin are not tte t; :net wi thst and i:nil th4 of this buiDning‘Zoning Pkb-mit. '', ii_iignaturie of Ownvi-/Agent : 11 .. .. , , . '',, ,H ,[. 00 Address : *4- App-.-ev e Ci i I S S.ki,f,. ..4 E.ky: ,,:t op I 5., -"kt:".-i.,c4., " -fit /t.,_,t\-- i--:.iii.i i ti i rt ci I n f.t;!.)eci.:e r. ,-,,,,,,z-z-,...,,,,,,,,,-,...,-_-,,,,,,z,-.17,,--=,,,....,,,,, ,, ....:,.,7=.4:-,,,,,,,,....-.-.7,==-,,,,,.,,,,,,,--.,.--z,,,z,,,,,,,,,--.2,,,,,,,,_,-;_,-....,,,,,71,t,,...._.„......•:.„,,,_..........,,,, .,--,:-..:'.:,,,,t,:`,";: 1:::7-Z,:;:=:-..;,n.=,•.,-='7.',;Z:,'.!'.: COMMENT : PLEASE PO 5T PERMIT CARD SO IHAT IT IS UIFLIBLE FROM .. THE 5 TREE I — ri 1,.., (JR i G I Kick, E-1 APPL I I:Atli Ell i.:45f':-.:.';',.30 . 0 CI tY Re, U COPY i RECEIPT FOR PERMIT oUT TOWN OF DARTMOUTH Q, tG e PERMIT NO. I .o - r No / � i Date , 6//,9F i Received From / 4-Cr `lc . Owner ,,.1=--~4..... .« - Location - � .�. ,� �Type -�- Amount Paid /4et -' Received ByA..; ' ,-;,.. „_* - '440 "" _ T v ,14 RECEIPT FOR PERMIT a 4� o T x M! TOWN OF DARTMOUTH q�" � PERMIT NO. 1 1 •y3o -- A, No j pi Date fi 6 ` 1 Rr�ceivec�'�From i r( f' 0*er 1 I Location ,c-,r.-o ". `,z ^" 7. Type 7/�' i� Amount Paid .%3c2 �ii lf�: e, - - Received By i �' '' TOWN OF DARTMOUTH BUILDING: DEPARTMENT TELEPHONE 508-999-0720 FAX 508-999-0738 APPLICATION FOR ZONING AND BUILDING PERMIT Instructions The applicant shall complete this application to the best of their ability prior to submissioa.•leaving no item unanswered.The Department staff will he available during regular business hours to assist as necessary.N/A should be inserted for those sections which do not apply.A properly completed application will help avoid unnecessary delays. Maim Fin kris mat zd• (for office use Doty) GG Application fee $ ,'7ti�}}—J received by % / Date Total Permit Fee $ Permit# 6 y - 36 100 LOCATION OF PROJECT 6 of CURRENT ACCESSORS' PLAT 7q LOT ZONING DISTRICT OTHER ZONING OVERLAY DjISTRICTS , if applicable • NUMBER 3 STREET l I .b 151.4-C' s NEAREST CROSS STREET (-7GLd:--1 N J 241 SUBDIVISION NAME & LOT# or BUSINESS NAME PREVIOUS TENANT ; OWNER 200 RESIDENTIAL - PROPOSED PROJECT - one & two family residence only - THIS SECTION NOT APPLICABLE Single family - number bedrooms number baths - Two family - number bedrooms unit 1 number baths unit I number bedrooms unit 2 number baths unit 2 - - - Accessory apartment Total gross sq. ft.. A Accessory structure Garage - detached - attached to dwelling, dimensions L w Carport - detached - attached to dwelling, dimensions L W lhed - dimensions L /tl W 3 - Gazebo - dimensions L W - Swimming pool above ground in-ground Size total square feet Chimney -#of flues Woodstove - used(will require inspection prior to installation), new (provide manufacturers instructions). Location(s) (list) Fireplace(s) -(includes flue) List location(s) Game Court-describe(include overall dimensions) Tent, Trailer(Mobile Home) or Other- describe 300 COMMERCIAL-PROPOSED PROJECT/USE-INCLUDING THREE FAMILY OR MORE AND EXEMPT USES Z THIS SECTION NOT APPLICABLE (The following descriptions are based on the Massachusetts State Building Code Article 3,AS NOTED) (See the Code) - Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.0) Educational-structure for training including child day care for those over 2 years 9 months(see Code Section 304.0) Factory/ Industrial - (see Code Section 305.0) - High Hazard - (see Code Section 306.0) - Institutional - hospital, nursing home, infant day care (see Code Section 307.0) — Mercantile - retail stores (see Code 308.0) - Residential - three or more family, hotel (see Code Section 309.0) Storage - includes garages (see Code Section 309.0) - Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) - New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) - Tent or Trailer - temporary purpose? ▪ Other Describe the proposal briefly,INCLUDE number of dwelling units and bedrooms or occupant load as applicable, also existing condition Y" 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED New Construction and/or Addition- total gross square feet (For commercial only total gross cubic feet) - indicate It will be considered new construction if there an increase in square footage in addition to any alteration(s). If project is an addition to existing structure- Total gross square feet of existing FOR COMMERCIAL ONLY Will this project be subject to CONSTRUCTION CONTROL(over 35,00Q cu.ft.) Yes No. If es see Code section 127.0). Designer to submit Code Synopsis. ( y Will this project require Peer review(over 400,000 cu.ft.) Yes No (see Code Appendix I) APPLICANT TO PROVIDE • - Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration required. - Demolition -describe structure • Number of dwelling units Number of bedrooms A separate Refuse Disposal Declaration required. - Moving - (Provide copy of D.P.W. moving license) Type of structure from where (plat/lot or address) to where (plat/lot or address) - , Number of dwelling units Number of bedrooms per dwelling unit . - Re-roofing - (for existing only, is included in new construction) Number of square feet Number of layers already existing Number of lavers when complete A separate disposal declaration REQUIRED - Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling will be considered as an Alteration, otherwise will he included in new construction. (see Code section 3401.10 for residential and Article 8 for commercial) - - Temporary structure- includes when allowed, trailers,tents and the like and only for limited periods of time. Describe 500 CONSTRUCTION PLANS - None submitted. Why?? - Submitted, usually three sets required. Four sets for food serviceluses. Number of sets submitted 600 SITE PLAN 0 Not required, why? /ubmitted When? - Previously, date With this application 700 UTILITIES / Water supply- required_yes v no, public ? _ yes no, on site well? ,//yes_ no, existing? yes •_ no If required and not existing have necessary permits been issued? _no_yes,,date t (M.G.L. Chapter 40, section 54 provides that no building permit may be issued unless a water supply, when required, is available. See Code 780 CMRsection 114.1.2) Sewage disposal . required_ yes 1-7-no, public sewer_yes_no private septic • on-site yes _ no. Submit copy of permit as soon as available. 800 MECHANICALS & PRIMARY FUEL = 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 = Hot Water Gas EIectric Fuel Oil Other 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential = Required, =plans provided, =plans not provided, whv? = Not required. not to be installed. Why? 1000 REQUIRED OFF-STREET PARKING - for ZONING & Architectural Access = NOT .APPLICABLE = Parking Plan submitted To = BuiIding Department = Planning Board Date submitted _ Number of spaces - indoors outside total provided Handicap spaces - required yes no. If yes, how many as a part of the total required number. Is Route 6 (State Road) Entrance permit required? yes = no =. If yes has it been issued yes = no =. Submit copy of application and/or permit as soon as available. 1100 IDENTIFICATION (print or type except as noted) Current owner- name Rath/C.- 4- address l 1 . `e-bE j 4°,7) L,f phone# ,c"Q Q 9.� -C7 90 7 If corporation, officer in charge ArchitectlEngineer - for overall design Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on ail laps, affidavits and other documents SHALL BE originals and not reproductions. Architect/Engineer- project supervision and reports Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. General Contractor(if Homeowner, state homeowner here then complete section 1300) Company name C1 tY 0 Address Phone number Construction Supervisors license number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to (7S0CMR -6) ? Yes No_ If no go to next section! Are you claiming exemption from the requirement? Yes _No_If yes, submit the required affidavit! Remodel contractor name f please print) Address Registration number(if none state"none") Phone number PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTEE 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 Date • 1300 OWNER SIGN- OFF I, the undersigned.am the owner of record or authorized lessee(provide documentation) and I have reviewed the application herein submitted. I state that to the best of my knowledge and belief that the information provided in this application is true and correct and that the permit requested he issued. Further i understand that the permit will expire in six months, from the date of issue, if no work is begun or six months after the last inspection if work has begun and that the permit may be extended for six months if no work is :anticipated if I reouest such an extension in writing. I understand that the permit may be extended only three times by written request.I understand that once the permit expires a new application may be required,including fees and current other requirements (including Zoning). //Name 1C1 f y LI Signature The ab e signature is my vol ntary act and is signed under the pains and penalties of perjury. Date Who is authorized to pickup the permit at the Building Department? Iplease prints Address /I flo-isc_ ,P ' Phone qq 3—6 L7 7 1400 HOMEOWNER EXEMPTION- ONE &TWO FAMILY ONLY FOR HOME OWNERS 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 127.0. effective July 1, 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 Home Owner performing work for which a Building Permit is required shall be exempt from the provisions of this section: provides that if a Home Owner engages a person(s) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section only,a "Home Ownt:r" is defined as follows: Personis)who owns a parcel of land on which he;she resides or intends to reside,on which there is. or is intended to he.a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in two-year period shall not be considered a Home Owner. If you are applying under this section sign he ow: ter Signature YouII/1/1 signature carries cet-tain. sponsihilities, including but not necessarily limited to, general liability 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 2.15.2 of secrion 51 ssssss:sss:xssssssss:sss::ssss::::ssss:ss:sssssssas:sssss:ss::ssss::s 150)) COST Cost of Improvement 5 a-tva C) Items to he installed but not included in the above cost: Electrical 5 Plumbing HVAC Other TOTAL $ 21 Dol) The following section for official use only. INSPECTORS' REVIEW Date plan reviewed 30 days to review period expires OK to issue date - OK to issue subject to requested submittals (see project review worksheet) date - DENIED see project review worksheet date HOLD reason date - HOLD Subject to Zoning Board of Appeals action Comments Inspectors signature }1 A....____ DaSEP 2 6 19% Applicant informed of above - Date time staff (fax, phone, in person) - Over six months since approved for issue - DEEMED abandoned! Advise applicant. Hold 90 days for return then dispose if not picked up. Inspector 'Date - Advised applicant Date Time staff (by phone, fax or in person) ******************************************************************************************************** OFFICE\INSPECTORS NOTES TOTAL FEE A S • Gross area - new construction Total Sq. Ft. alteration Total Sq. Ft. Permit is issued to Comments/notes on permit $` X J ■ • 1600 TO THE APPLICANT ------........s�.:: CAI.AND APPROVAL Date of Application submission / C • Plat K! Loifi't�;.�U t `�! ,���z-�--e Aquifer Zone K/4/7 Owner he..."'�� /41/b 'e Owner mail address � Owner phone# #41 --•‘ � 7 OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT FO REQUIRED• SUBMISSIONS. gip AX COLLECTOR _ Approved = HOLD By 9 7g� Date / a/Conservation Comm = Approved By �� 6�/ - ()L Date a D.P.W. water — Approved By Date a D.P.W. sewer — Approved By Date a D.P.W. cross connection _ Approved Date a D.P.W. engineering _ Approved Date a Board of Health well _ Approved Date 40 Board of Health septic - Approved /� _,.iC /�j /AY Date a Board of Health food service _ Approved Date RE DISTRICT(I - II- III) = Approved /- / Date a Planning Dept _ Approved Date Other _ Approved Date Other _ Approved Date (%,mments , zej,..,ez f'/, -1 ./5e/9 ' ,.:s' Project summary new constructions alteration/demo sewage disposal - public/private [Alter.•add interior walls) [add rooms] [add footprint! water supply - public/private well [pools [garage shed) [game court! [food service) Describe )>,3(/� r To the various departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found. please advise. Your assistance and cooperation is appreciated. The Building Department r Date sent for reviewzei, By . 4 THE COLLE CTOR 'S.. OFFICE RECEIVED '96 SEP 27 PM 10 07 DARTMOUTH LtALDING DEPT. DATE: /1,72j 02_. 79 TO: BUZZDING DEPARTMENT FROM: CO.LLECTOR S OFPZCZ RE: PAYMENT OF PAST Du. ' zazas PLEASE BE ADVISED Taar ON TEIS DAY Ad, roz rums POE PROPERTY LOCATED ON/k 211-14j4 gm= 77 -s7 NAVE BEEN PAID. THE PERMIT Wif .EAS REIM REOrIESTED HAY BE =sum_ IF YOU RAVE ANY QUESTIONS 02214=RUING 22EIS PIZ= CZEZ .0=n17 AT-I 13.777 A 1600 TO THE APPLICANT/REFERRAL AND APPROVAL , Date of Application submission q/.1e,h‘ , Plat 79 Loa..i9Lt /f.' ��p7 �fL,/t.-Q Aquifer Zone Owner_ K//2i/).e,"1 `/ A//eJ Owner mail address. �-- �/-K7 Owner phone#_ 9 3 c 9? 7 OTHER INVOLVED AGENCIES -The following agencies require separate jurisdictional permits or approval for your proposed project. CONTACT THEM FOR REQUIRED SUBMISSIONS. difAX COLLECTOR _ Approved _ HOLD By Date 10Conservation Comm = Approved By af.' 601. Date a D.P.W. water _ Approved By Date . a D.P.W. sewer = Approved By Date ❑ D.P.W. cross connection = Approved Date a D.P.W. engineering = Approved Date ❑ Board of Health well = Approved Date OBoard of Health septic - Approved_ '11 ``, d� is Date 7r-27 ❑ Board of Health food service _ Approved Date ORE DISTRICT iI - II - IIII = Approved F / Date ❑ Planning Dept _ Approved Date Other _- Approved Date Other _- Approved Date (•-mrnents Project summary new construction: alteration:demo sewage disposal - public:private (.-kjter.•add interior walls] [add rooms( [add footprints water supply - public:private well spool] [garage:shedj [game courts [food service? Describe ) 3('/ ' To the various departments: This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found. please advise. Your assistance and cooperation is appreciated. The Building Department Date sent for review G /,6 /17 By S o aq- �8 • LCYTQ 22 Q7 r CIO n swo �\ CD Al/ O y_ 42 i "i CD . B` l"'a e C*l r-" ,`vc�l w Q . aL t3 Ca) u may! cli II /V/ yo_ • <o n � L.