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Fernando Correia
25 Medeiros Lane
N. Dartmouth, MA- 02747
(508) 995-6077
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DATE: 8/22/05
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Fernando Correia
25 Medeiros Lane
N. Dartmouth, MA, 02747
(508) 995-6077
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Fernando Correj---,-a
25 Medeiros Large
N. Dartmouth, 1
N/41A 02747
(508) 995-6077
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TITLE:
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DATE: 8/22/05
SCALE: 1 /2" = P-0"
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Fernando Correia
25 Medeiros Lair:e
1.A 02747 N. Dartmouth,
(508) 995-6077
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DATE: 8/22/05
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16" O.C. TYPICAL
?X4 PRESSURE
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NOTE: RAMING PLAN FOR OPPOSITE •
SIDE (NORTH ELEVATION) NOT ems^
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SUPPLIED. CONSTRUCTION WILL
BE SIMILAR, 2X4 @ 16 O.C. FRAMING PLAN S OU I I I ELEVA I ION
Fernando Correia
25 Medeiros Lane
N. Dartmouth, Ml\-.,. 02747
(508) 995wm6077
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DATE: 8/22/05
SCALE: 1 /2" = F-0"
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Fernando Correja9
25 Medeiros Le,,,,.ne
N. Dartmouth, J! 4A 02747
(508) 995-6077-
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TITLE:
DRAV�N BY: F.C.
DATE: 8/22/05
SCALE: 1 /2" = F-0"
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CONTINUOUS SOFFIT
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NOTE: FRA►MING PLAN FOR OPPOSITE
SIDlE (WEST ELEVATION) NOT
SUDPLIED+ CONSTRUCTION WILL
BE SIMILAR, 2X4 L 16'" O,C,
Fernando Correia.
25 Medei*ros anE;
N. Dartmouth, Mid 02747
(508) 995-6077
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TITLE:
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DATE: 8/22/05
SCALE: 1 /2" = P-0"
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Fernando Correia
25 Medeiros Lane
N. Dartmouth, MA Oz2,747
(508) 995-6077
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TITLE:
DRAWN BY: F.C.
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DATE: 8/22/05
SCALE: 1 /2" = F-0"
RJuLdSIDE, NTIAL
2.1 ner of Record:
eol
ris)r_ .1A)II-45 �, /"w W &V _.
/7
Name (p:int) Contact Address Phone Number
2.2 Authorized Agent:
Name (p--int) Contact Address Phone Number
ECTTO 3 - NSTRU(7,T10ERNq Es
3.1 Licensed Construction Supervisor: Not Applicable 9/Licensed Construction Supervisor License Number
r I•' r
Address Expiration Date
Signature. Telephone
3.2 Registered Home Improvement Contractor: Not Applicable ❑
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 ❑ . no
q _
r If yes, submit the
required affidavit!
Compan,\-r Name R «
egistration Number (if none, state none )
Address
Signature, - Telephone Expiration
p p on Date
3.3 For Residential Remodel Work Only
PERSONSCONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FLrND. G A N •
_ _ U
QUESTIONS *OR COMPLAINTS call or write:
Home Improvement Conti -actors Registration, One Ashbitrtoil Place - Room 1301, Boston, ,U4 02108, 617 727-8598
Owners Name (print)
S ignatur
by signing the above, the home o«e we no etY Guaranty -ner acknowledges that there be to the GFund
. _ x � � �
Date
3-4 Home -owner Exemption - One & Two Family Only
FOR HOMEOWNERS WHO LNTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0, effective July 1, 1982, no individual
all be engaged in directly supervising persons engaged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements ofbuildinas
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 Ho
meowner
engages a pe-,sons) 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 o"ms 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 dwelliner, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than
one home in z� two-year period shall not be considered a Homeowner.
If you are aplying under this section sign below:
Signature:�,�
Your signature carries&rtain responsibilities, including but not necessarily limited to, general liability
RESIDENTIAL
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to providte this
affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: ❑yes ❑
n
0
❑ new c n o structlon
(enei ;- t-epos-t i-equh-ed)
SECTIONS - DESCRIPTION. OF PROPOSED;«CORK (heck all aWkA
bAw
le
❑ addition
(e�rer��
❑ deck El pool cssory bl
(shed/garage)
7-egit l -ed)
* If new construction, please complete the following:
❑ alteration
❑ repairs
❑ replacement window/door
no. of windows doors
Single Family: no. of bedrooms no. of baths
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):
Boiler (heating) -fuel gas (natural or propane), -fuel oil, electricity, other (specify),-
0 HVAC (combined unit) -primary fuel, natural gas, propane, electricity, other (specify):
1:1 Air conditioning - (separate unit)
a�None of the above to be provided
11 Hot Water: Gas Electric Fuel Oil Other
Briefp,sc�'lIJl10)1 O�PI•oposed Worlt:
r417
i,. A 6-
2. Electrical
Plumbi
❑ chimney/
fireplace
❑ other
(specify below):
(please print)
15 A, as Owner of the subject property hereby authorize
to act on my behalf, in all matt r 1 ive , o k authorized by this building permit application.
Signed under the pains d penalties of perjury.
V
Signature of Owner/Authorized Agent
11 rV t v
oods o e
0 demolition
(specify below):
J l
Date
C:\bldg. forms\E ldgapp.res.wpd
Page 2
Rev. January 2005
C:`,bldg.forms'�Bldgapp.res.Nvpd
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R:ev. January 2005
RESIDENTIAL
RESIDENTIAL
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1. Date plan reviewed:
ter"
2. DENTED -(see project review
worksheet): Date:
3. HOLD
reason: Date:
4. 110LD subject to Zoning Board of Appeals action: Date:
Comments:
FOUNDATION ONLY
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.45
•
.
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r
• �ITE INFOM IATION
46
:
NUMB ER OF PLANS SUBMITTED:
500yes
SITE PLAN SUBMITTED. '
❑ no
;.� ♦,�. ��
roperty Address:
1.2 Assessors Map & Lot Number:
Map 17 Lot
Nearest Cross Street: ,�t..�.�,t,J,�;;�',�,��:,
Subdivision Name: f ►1� ,,� .� -�
1.3 Historical District ❑ yes eno,
Total Land Area Sq. RO O
Has application been submitted to the
Historic; Commission?
la ago
..
`
❑yes Elno Date:
,1 ater Supply (MGL c 40 § 54):
5 ewa e Disposal S stern:
g- p yVIA)Sic
CAbldg.forrrz-\Bldgapp.res.wpd Page 4 C:\bldg.forms\B1dgd Page i
app.res.wp
Rev. January 2005 �-r'
s
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J
Re
�.i oua 2005'"'