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BP-13226
I` BUILDING PERMIT 109 PINE ISLAND ROAD Dartmouth Building Department Plat : 79 400 Slocum Road-P.O. Box 79399 Lot (s) : 22 Dartmouth, MA 02747 Lot Size: 7 .5+ Telephone 508-999-0720 Zoning Dist. _SRB October 27, 19 e ) Permit No. : /c 4 Issued Date : / Clerk: BAS Project Location: 109 Pine Island Road Number Street Subdivision Name: Nearest Cross Street : High Hill Road Person Permit Issued To: Adam Jerome Address : 980 Faunce Corner Road, Dartmouth, MA 02747 _ Applicant/Agent : Same Contact Person Phone #: (508) 998-8010 Type of License: Owner: (x) Const. Superv. License # : ( Architect : ( ) Engineer: ( ) Other: ( Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. New single family dwelling with three bedrooms, two full baths, well water, septic system, oil heat, fireplace, two flues, woodstove, NO DECKS, NFRC Labels indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const . : 3, 056 scf. ft . Cost of Const . $50 , 000 . 00 Cost-Other Const . : N/A TOTAL FEE: $ 426 . 00 Owner (s) of Record: Adam & Melissa Jerome Address: 980 Faunce Corner Road, Dartmouth, MA 02747 All work shall comply with 780 CMR 6th Ed. (MGL Chap. 143) and any other applicable Mass. Laws or codes and plans on file. 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 re not m t; not withstanding the issuance of this Building\Zoning Permit. Signature of Owner/Agent : Address : ********************* **, **** ********************************* Signature: Approved/Issued By: Ralp Souza, Ti 1 : -Local Building Inspector COMMENTS : PLEASE POST PERMIT CARD SO HAT IT IS VISIBLE FROM THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. 0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COP I ED y TOWN OF DARTMOUTH 13226 BUILDING RECEIPTS COLLECTOR'S OFFICE Date: „ i J ^ -� Name: i r Property -{ y .,_ , , ' , C t - - _ w Owner: -� __ . ,._. ... _ � /'� ,, J /, - 7 /= 1 { , - -( iTO'``'' OF DARTMOUTH ob Location: , t ( ' ' x ` `COLLECTOR'S OFFtaite Copy-Collector's Office Plot: '' P s Yellow Copy-Customer's Receipt ' Lot: ) r" Pink Copy-File Copy NOV reen Copy-Building Department Phone: Description General Ledger#'s Ref.# { Amount License Sr Permits-Building 01000-44105 }7, #: j:• _, �; f License&Permits-Building Misc. 01000-44105 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 By: TOWN OF DARTMOUTH BUILDING RECEIPTS COLLECTOR'S OFFICE f, Name: f fi jF Property Date: z-" , %r (f / 1 4, t i ,( j / f Fi- Owner: __ t,.�s,..� d' Job Location: --7-- 1 !ff t ,¢(r_,�/e= '�41 � 77ac. - TO1 1,'OF DARTMOUTH COLLECTOR'S OFFICE to Copy-Collector's Office Plot ,,� Lot: Yellow Copy-Customer's Receipt - 1 : . Pink Copy-File Copy S E P 9 1999 Green Copy-Building Department Phone: s-:�E;- i . ; /J i Description General Ledger#'s Ref.# Amount License&Permits-Building 01000-44105 ,� r f L License&Permits-Building Misc. 01000-44105 i / / License&Permits-Electrical 01000-44106 License&Permits-Plumbing&Gas 01000-44107 Other Department Revenue 01000-42420 r This is not a Permit or License for Building.Plumbing or Gas Received By: .. > =4) j r�� �f`i'/FOUNDATION ONLY 1999 RESIDENTIAL „� $25.00 APPL` ' TIONTEE*S NON-REFUNDABLE r°''°"T" DARTMOUTH BUILDING DEPARTMENTE. DATE RECEIVED ✓\ Ni o'r1—. .' _ 400 Slocum Road, P.O. Box 79399 z fc, Dartmouth, MA 02747 !� :. 508-999-0720 FAX 508-999-0738 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO AMILY DWELLING ` SSEC1'.1�ON: ROFF CtAL SEO : «> > > >< «>: > > ...... >> >>:: > >> >= > : . ::..::.::.:..:. ::.:.y......... ... :iIl�}3L��it�c.P��Y,��7.;i.:ix:kSt1!i.�l.�:.. ..:::.. ::. .:• .: .: . :.:r: �aY�r�t+�y�.1F�s�s ...: ��t�r:"��f:�..i.':r:�:+.�.Y. �� '��:::.>:.>...>:.::.r:>:> :.�.::::�:'::�: ::>' �>' :::i::i::::>::::::;':�.i�: :: ::> :...::<.:::;;::--::.: .�::::.>:.:.:.:�::.: . ..1...;.. .::....:::..:.:�.:...:>:.:>�.::�.::::.::,r+S':.>:.::::: •::::i:':. .: J�1,i V,iy3�11.��.>:.> 1�17t1!St3:;:V��:•:::::..::.:::..:. :::.... ::. .:::.:.:::.:.:. .:.. .;-:.::;:..=:«>:.:.:.::::.;�::;.::._.::..;:;<.�L'k :.; ��.;;:.. ��%;;..;;:.: �>:��: :>:B1ciiditt�.:.: ::. 1 .. tItRSSiEMQ :&3 .C}ifiP:' iI� ��IIcFI! s::::i:<:::>:;:::«:::i::;::::::::i::i::::::::i::>::i::i:::::::i::i::::i::i::<:i:::i:::'<:::z<: >: ::;:;.::;:::::;::::::;:: )J U .D LLa:.<.. :::ii::i::::::;::;::;:i::>::;::::::i::>:: : ; >:>::<::< ::::::>:: ::i::: <::::;:i:: :i:::: ii::ii::::>i:>: : :::>:::;i::iii::i::>::i::i:::.;;:i:. �l€ d A� . . ; : . . :i:.::::.:::. <:::i::»:: ::>::i> s::;:i:>::::>i:::. :.:.:.: • • • • :..:.. ...:::.; 1 _Board a€ CICott. •Cu a :. :.:: ...Cl De n : :.::.;:.;;:.;: .:.:.::.:: 1 7P1't�..... .:: :;;::U; lce'.;:.;:.::.;;:I En rt . ................................................................... ....A€�. Ott.............::::::::: �::�eilit:.::::.:.> :>:: .; :>:Cstt.tom€::: ::>I?'�ItQ�v-t4 :::: : :::::: ...........CI. a ::>:::::::>: :<:::>::::L7:>R'#antun ;: i:::i:::>:>.<: ;•::::.:::.::.::.::.::.::.::.::.:.:.; ::+ :: ........�'a..s... .. ... ...................... :Baaed:::i:=:;:.i:.i�::der:;�1�r�:.. ::::f.�W��er..�s�rd.......................C3. nnin ::::..Q.f3i3�er::<:>:>::;::.::i:::.:_ :.:.: ':::::>::>:<.:: li::ti . >::::»€::>::::::::'.=':>: .:.u ,., :>:::::::>;:•ai?::> . :0, :::;:: :>:E...:>:: > :::<>:::_<::<: ::::>:::::::::> : s: l:�at�€#. :.::.::.......t.C>�:.QI�......:.:.:::::::::::::::::::.::: view*.:::::::::::::::.:::.::....::::::::: ::: : . . :.:;:' . :..:::.. ............. IE IN ..E:.:...It.:. ., . . IE�?:B� Ii .,: , .: �.; .: . :. .; :.:::.::.::.:::.;:.:;:.>:.::.:;.:;:.�.:::;:.:::.:: _. .. . �t ��JI �. ..9$'".��;{3.::..��I♦V . .:::. - ..:fl..����''UA.::�:(1tF.tk I'E��I;�:.:.:.;:.:::.::.:;.;:.::::;;:;.:<:.::.:;.:::.::;._:::.:. ::::.:.::.::. '> ><'Du TMENT".:::.:<;,.:..::::.::..>A:` <» >>:1'<' >« «' ::><> > >.. ;: <' » »' ' < :: Zoning Review: Signature: � �' . -r�Date:/d `- `�, Energy Report: Signature: (f �`G%#-" �� Date: Fire Chief: 3 Signature, a Date: - /Y,,?Pf. Y Board of Health: Signature: 7 (_. Date: Conservation Commission: Signature: `- "/a." Date: x Other: Signature: Date: Description of work being performed: z I .E INI:£IRi�'���' >:< > < > �T :>:: :>.:>::::��::>:::»:»>> :'>' NUMBER OF PLANS SUBMITTED: SITE PLAN SUBMITTED: yes 0 no �, �S lo), 1.2 Assessors Plat&Lot Number: 1.1 Property A ess: I�� 0Plat 7 Lotaa_ - Nearest Cross Street: 1 yli H;// 4 Subdivision Name: 1.3 Historical District ❑yes 0 no Has application been submitted to the Historic Commission? Total Land Area Sq. Ft.: 0 yes 0 no Date: 1.4 Water Supply(MGL c 40 § 54): 1.5 Sewage Disposal System: 0 Municipal l Private Well 0 Municipal Il n Site Disposal System c:\wpwin\forms\bldgapp.res Page 1 Rev.JuI\ 7. 1999 RESIDENTIAL 1999 • 2.1 Owner of Record: Atv\ j eron(\--e_ 950 Fi9Uuvice (ootier kI 7ct 8-2 N)O Name(print) Contact Address Phone Number 2.2 Authorized Agent: Name(print) Con dress Phone Number slcrra��. e��rRu�r. . >sEkvl:eEs 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor License Number Address ` Expiration Date Signature Teleph ne 3.2 Registered Home Improvement Contractor: Not Applicable 0 Are you a Home Improvement Contractor subject to( C -6)? 0 yes 0 no If , o to the next section! Are you claiming exemption from the requirement? es 0 no I yes,submit the , required affidavit! Company Name Registration Number(if none, state"none") Address Signature -lephone Expiration Date 3.3 For Residential Remodel W rk Only \ N PERSONS CONTRACTING WITH I)NRE E D CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: QUESTIONS OR COMPLAINTS call or rit : Home Improvement Contractor istration, One.-Ishburton Place-Room 1301, Boston, HA 02108, (617) 727-8598 Owners Nrerne(print) Signatut;: 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 govemed by Construction Control in Section 116.0,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 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 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 you are applying under this section s'en below: Signature: Your ignature carri certain responsibilities.including but not necessarily limited to,general liability c:\.wpwinlformsbldgapp.res Page 2 Rev.July 7. 1999 RESIDENTIAL 1999 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) SECT110.N 4»WOit£.ER'S COMPttSA`1ON INSURt'tCE::AF h; VtT.04.6 c 15:2.§25'j 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: 0 yes 0 no SFC 'TOI'.S DESGR 'ION OF'PROPOSED WORK(chec4a I[applicable)11 .......... new 0 addition ❑alteration 0 repairs chimney/fireplace I9 woodstove construction* ' 0 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: ►A Single Family: no. of bedrooms 3 no. of baths I_ i Two Family: no. of bedrooms unit I 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): 've(I O I I e�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) I ❑ None of the above to be provided Hot Water: Gas Electric Fuel Oil Other Brief Description of Proposed Wgtk: fi tea ar..ewi—iiiIr"— :-::'.:;.;:.;;;;;;;:.;;SECTIO f_ . .E.:.:IMA TED: ... :..:... ..... ..:>::::::;of:i;a::::;>:::R:::>i :': .. Item Estimated Cost($)to be completed by permit applicant 1. Building •rj/3`Ooo 2. Electrical 3. Plumbing 4. Mechanical(HVAC) 5. Total=(I +2+3 +4) ' *Estimated Total S 3 5® WO ::;:::',., :'.,,im:::::>:: :::::::..»::>':< :::::>::: -:::i:<.:::.>::::>:;: ::::>:':->. >:>:::.::S G3IOi ..A...:Q.4FI!I:R.. U't'Ii RI ........... ..... ? :i�;:Yy:: :y.:;:; :.`:i�:i::>:::.:::i[;:,::i:it:>:�[i:'[a%'`i[?">is7<.:.>;:::;::::;> ";::?:::;';::iSi : :i[%:ir:::ii::i:iLi<t:'s'i: :::::: : :> .. : .>: ::;>: .>: :::::::::>:::::;:::> '_::.;:: .to b ..com leted::when::owner.s::a entor:c . tr . ........ ...... ::..::::.................:..::.:::::::(.::::::.... ...... .............._......__............... ............. untrartor.a . Iles.-�tr:::#sttrlill <: e�n1t.:._:::::..::,........:::..:::;;::>::;:::::...;_::;.:.;; :> (please print) I, ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, ,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. Signed un r the pains and penalties of perjury. i ' JoArl icajcii PILe—i 8 q7 Signature of Owner/Aized Agent Date c:\.wpwln\forms\bldgapp.res Page 3 Rev.i.11 -. 1999 RESIDENTIAL 1999 :<:>:: ::<:::>::»::>: ::>::::::»:: :>::>::>:: »::>::: <:>::>:: ; ©l�.S.. t�v��c�-�r>fz.�.�y�>;��`. o�:1v�E�rr ><<:<::>;::::::; :>::»>::»>:::::::»::>::»:<:::<:>:::: :::::>:: ;:> :>::<>:>:>; :>: 1. Date plan reviewed: 47^ /3— 99 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: 4.... 9. Inspector's Signature: 1s Date:.7. —iq-°-9? ::.:.::::.::::::::: :::.::::::::::: 8)ECC11�3.�....r*;1f�.,1. A....1�4'1�A1�XC4'l"1€Q�:: :::: : :: ::::: :::.::::::::. :::: .:.::.........................::.::.:::::. Applicant informed of above Date: Time: Clerk: Comments: :.:...........:...............:....._.................._...........:.:.: EG"E'.[4N..I(�: i�>u11��PE..,: C?tL.S.� . . :: : ._: : ::: :::.:::.:: Total Permit Fee: $ � .c�� Less Application Fee: $25.00 Remaining Balance: $ '1 _'I — TOTAL FEE: ' Gross Area-New Construction total sq. ft. -_T& t - — 7 �� ✓ 0 Gross Area-Alteration total sq. ft.f Permit Issued To 3 �` / /f/cRC �'/ � A/O I CX ...::: sE.olo .:r�>ju c N l l✓ lm # me r>: ...: " :: . . . ......... ,, .7,17:064:„ .??'"32--S - ''e' . 36/3 ,o(...) 0 _ ' 0. OC v4,01, _ m o. 4/,"-- E-Co �/ -.. s c:\w‘pwin\forms\bldgapp.res Page 4 Rev.July 7. 1999 BUILDING PERMIT 109 PINE ISLAND ROAD Dartmouth Building Department Plat : 79 400 Slocum Road-P.O. Box 79399 Lot (s) : 22 Dartmouth, MA 02747 Lot Size : 7 . 5+ Telephone 508-999-0720 Zoning Dist . : SRB October 27, 19 ed) Permit No. : /' `� e Issued Date: / Clerk: BAS Project Location: 109 Pine Island Road Number Street Subdivision Name : Nearest Cross Street : High Hill Road Person Permit Issued To: Adam Jerome Address : 980 Faunce Corner Road, Dartmouth, MA 02747 _ Applicant/Agent : Same Contact Person Phone # : (508) 998-8010 Type of License : Owner: (x) Const . Superv. License # : ( Architect : ( ) Engineer: ( ) Other: ( Proposed Use : Residential Residential,Commercial,Industrial,etc. Permit Issued To: New Construction Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. New single family dwelling with three bedrooms, two full baths, well water, septic system, oil heat, fireplace, two flues, woodstove, NO DECKS, NFRC Labels indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const . : 3 , 056 sq. ft . Cost of Const . $50 , 000 . 00 Cost-Other Const . : N/A TOTAL FEE: $ 426 . 00 Owner (s) of Record: Adam & Melissa Jerome _ Address : 980 Faunce Corner Road, Dartmouth, MA 02747 All work shall comply with 780 CMR 6th Ed. (MGL Chap. 143) and any other applicable Mass . Laws or codes and plans on file. 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 m t; not withstanding the issuance of this Building\Zoning Permit. C Signature of Owner/Agent : Address : ********************* f **y**** ********************************* Signature: ( )91 !' Approved/Issued By: Ralp, Souza, Ti , o : Local Building Inspector COMMENTS : PLEASE POST PERMIT CARD SO HAT IT IS VISIBLE FROM THE STREET. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. 0 ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK 0 COPY 7 REQUEST Fiiii-Atsi&NAWronioUsE NUMBER Owner(s) of Property AAA Ilik 4 ne_US SA.r-57-erbp44 . Present Address q80 FArlIOCir Corm"- ki DArThiodtlf Telephone Number 7g -' 8()10 House Location: Plat 7o1 f"''',• Subdivision Corner Lot ? Yes No Street Pl'ive_ -cJ/4.,(21 ig----- Single Family tr Multi Family Condominium # of Units Site Plat Submitted ? Yes No Date Submitted arg(ildliaturlYrwrier --..•:,,-,-.:,,, House Number Assigned 109 PINE ISLAND RD. Date Assigned 9-10-99 Date Assessors Notified 9-10-99 Date Building Dept. Notified 9-10-99 Date Owner Notified Suipmmk4A4mkmAn Depart1ént of Piotsublicl , ty.• • . , , . , • V . f . . •� . - : o I NO O t: 1 . . -_ _. 14- 1-10 1 n1 (-I =41NO �. �t ,,per : : a�t.) WO a) J O J�o a ; )Z • Q) a) k a) asort W 'M41 �, ll161 Q4HW ` c 4 rN N V \ oo CL a. . Ul E LLJ N �, 1 o z H H -N-,.. M M O N 0 al ai () N -.. i H coco O N rq w \ e 4--1 --ram d- S.-rt7 � r i a) 0 tQ •rl 4- Y M 0�1 S.) N A__,•.r M 0 v n- _ a N d ' : of I� 1-) -1--) n a) a in. , •o o 4-3 b 41 S- • .. 0 C .--1 +-) +-- _0 'U „i^.4-1 N w r-1 a! cti m S_ W w �• x a T3 < a) a) 10 C � -v co D a) co' p. 4.3 1 LO a) -1 -t v • a)hS) Y c.[) . G Y Y 3 w • as r{.r{ C 3 •.i fn N N 0 (d N�, b O N 0 0 0 0 0, i-1 U) ..r p 3 C C C -Zr -I n W 0 N Y w CC Y Y >G S- C•1O Z .8 0, 0 0c -a -0 -0 +a)-) C)N I 1 et/ �� Cp •�-, -0 al '0 N �N cc; c'o ro Li I Cr • • co C a = o c L 5_ 'v a:SE = CO m m s- fn u s �+ C to S-. n O la P, 1'a S- C •• a) O CL CI_ of ` ri-1 m a) z cc; �C cZ< O C)3 IAa �' . j rim c 1 CO +a I CD I oa 0) a CI- w CO • -21• i ko d,:. c N Cr c : • 00 n c() n CO CT- CC a) r�Q� OD `C k a N W `° t . N W nr- , c k k — r a) 0 V� m -a �. N 1 W Z N _� CO• � (13 Lil . -a c x (I) a) o� W xJ � cocn C-� •tf � .J ,--�CS) W cn cn r •i r ni aa) N NI 0_a Q�TTT r\ << " . \: . - . . . G N m Q l3 r\ N a . I r 1 C'Z Vi D� I-I r- CT) 1D CT) qei1 W 0 r-1 ij 1 ONa Cn ti ra ^CO '. 4-4 -� ^ all CM rl CO CM 0 M 1 p: OI: 1 Cr)O w 1.- �F-+ CO O 1 , CO r-I p� 1n of CO r-I I-A a�. a) a) E 6 C U ...1: •: O.: w: ti-I O L N 7 'b 5- CrU a) • N f-1 - J CO a) a) ¢ Oa! • • Q ;d 1d Ulm .ty U c>3 vi . 1a r-, c14 s~ r' , CD M W •P>u23 c w E Qf) a N ozs O N a s, . Fia .,1 cd o r--i N N F, O o Ts L1101 1 >..44.3 a . r-I '� .,_ OD CV .r-I Q) • L C / .r1 a) $., a a m• .n s- N. � a0 r+ N • - v cmE O r-1 ¢ 1-aO Cr . O .. .. . •ChN . Ps. to CL Cl- Z d 111 � 'O �. d CI 3 N .o m V CV as• �. L1\ m o z coc j °; r—I Q 0 , M 0z tfl � 0 . 1 57' } 100 0 100 200 300 400 500 Feet v Dartmouth a . R Geographic W -7; r Information System Floodplain Relative to Map 79 B ._..'_`�� The Commonwealth of Massachusetts _ = ( Department of Industrial Accidents r,ri' =-mill oll!CDDI!D ,adsas S 600 Washington Street ,3 Boston,Mass. 02111 Workers' Compensation Insurance Affidavit tli ft'it itll I. ri: :t; iw+ ` ` ` ::� cols * '3t4 ;;;4N ...tr=�iii;:_ name: As /In�n - ---- -- - '.. -. -- location: I .. . • JU• >r�iiii„ —pi nhone[ J q&-D O! O ge" I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comoativ name: : .: . ,.. � ....,:..:... .. . . ddress _ :::.:.:•::::::::::;: :»>-:>:::<::>::;:>:»:<•::::>:::>::-:---:;>s:::»>:<::<:>:<:::;::>:::;::>:::>::> ..:«:::.::::;: a -:. city: -; iesur n D 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: comoanv name: address: • • city: .:: ::::.o•i::::::::<..:::::.:;::;-::.:::.:::.:::: :: :::.:.::. :::molter#;>;�.;:,>::;:»><.:=:..::..:,:.. ;:-.:... ..: , r--.�-r-?`+t��wn+�,a�.:..<y._. r.- �a..^•r, ....�-ram-�',.-.�`:ti aR company name: _ ..:- address: city: • phone#: insurance co. ;::;•;-.;.:.:. • r T*rrtra.'f��1rY t:.� 'n=�1.5��i-iL��lS7: 6r_`�'"e�s'i-.""�""..443�,-�' �.. -n- a oiicv# • Failure to secure coverage as required under Section 25A of A1GL 152 can lead to the imposition of •criminal penalties of a fine up to S1S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the 0111ce of Investigations of the DIA for coverage verification. I do hereby certify&u der the pains and penalties of perjury that the information provided above is true and correct. Signature 4Ar.e/__Jrze7Date / / ` Print name ft _ Gq I) e lrU - 2 Phone# • .:��+�.�:..i..�.r a-Z-4ar.�.+__�ln-...:Wb.�..Tr \ .. ti.a.:ct...4..a'++sl+..- - _ ....-.-. -- -_._ 1r official use only do not write in this area to be completed by city or town official. ii i city or town: • permit/license# Building Department s QLicensing Boardf. rJ" check if immediate response is required OSelectmen's Ottce QHealth Department contact person: phone#; �Otber - 1revuea 3;95 P1A1 .. .. . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thei 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 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 hot 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 1- been presented to the contracting authority. t�-.r,.;c �rNr4,w.a''�S+fy.s ,9,aca ,•�•c.�4..A;r .' yi.rix xn^^•.=g+.F-sw.,.I�:S s.t s.•`c � � ,l,-:'.� . ens " _..r, 4u - -^'r+J 'a +''.-r' .ri'xYf•t it'..a» 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 requirec to obtain a workers' compensation policy, please call the Department at the number listed below. --Fi-t„r?yyyt ��y,..� .fir �.,r. -YSo.,�'+«ny i!Yt --Y.7..* c.:: �'i' ,'w� L-.:.,i -.�l t �.--ri,�.. ', �•'1ii��,fc:4s:�-r+• r ._r...e t'_. '+`f=._a'x.= 7�h.':`: i�ts�.1Cf5L,,.�«�'z!ru. "•i^!�.. .�Y'+t'�`""r+»"'C4w... ,� _� v.. - '_ - ^«; r.. .. :�,.-.X'G 'ka�t :7ve#<t:,.x City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 questic please do not hesitate to give us a call. �.{:, Y CST:' 1 3^, .-F 'Y-.: ? yL_.^>it_• •:awy���- T"�� �_ ""S ,R= i. �a r"�..� ''Y`.r, �' .a.�:r: f-a... - i � r.�.,::.t -�s£le.+"�'f^reT�•'�/'�i.' •.w.r s .w+w..��..d s4�;...,rm.kx,.«t..:.. c�!.s..•...:.SPara'.-ems� '.^s'_-.. .'Y"`.:%.-"-e f;..--is-.s>. - *E N x..cMw--•r=..s..s.r. 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 1 MASchec)i, COMPLIANCE REPORT I Massachusetts Energy Code I Permit # MAScheck Software Version 2.01 � I V Checked by/Date I CITY: Dartmouth STATE: Massachusetts HOD: 5426 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-1-19999/2'. PROJECT INFORMATION: lot 22 & 23 Pine Island Rd Dartmouth, Ma. COMPANY INFORMATION: 'W a k r Y n i =rwt;. ,W�,$ Mr and Mrs Jerome w.v, f>: F, Vudi NOTES: �, Pby Copy O f The Endorsed T t , °1 Prepared � t; Dartmouth Building SupplyCo Inc la. ye PA. Kept rk Stria , h 958 Reed Rd u Dartmouth Ma Date a h§& s vos acil oo COMPLIANCE: PASSES € a _!— /3 - / ' Required UA = 330 Your Home = 315 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1352 30.0 0.0 48 WALLS: Wood Frame, 16" O.C. 952 19.0 0.0 57 WALLS: Wood Frame, 16" 0.C. 345 11.0 0.0 31 GLAZING: Windows or Doors 327 0.330 108 DOORS 24 0.560 13 FLOORS: Over Unconditioned Space 1216 19.0 0.0 58 HVAC EQUIPMENT: Furnace, 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 780C'MR 1310 and J4.4. Builder/Designer_ __ Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 LATE: 9-1-1999 Bldg. I Dept. Use I CEILINGS: j I 1. R-30 Comments/Location WALLS; [ ] I 1. Wood Frame, 16" O.C., R-19 Comments/Location ] I 2. Wood Frame, 16" O.C., R-11 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.33 For windows without labeled U-values, describe features: # Panes Frame Type _ Thermal Break? [ ) Yes [ ] No Comments/Location I DOORS: [ j I 1. U-value: 0.56 Comments/Location _ FLOORS: [ ] i 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] { 1. Furnace, 80.0 AFUE or higher Make and Model Number AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When I 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 I conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I 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, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] 1 Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: Ali 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: [ 1 I 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: [ ] I 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. [ 1 I 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. 1 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 refrigerant below 40 1.0 1.0 1.5 1.5 [ 1 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 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 1 , "-NOTES TO FIELD (Building Department Use Only) n! JUTI Dartmouth Building Department to ¢� y`'' 400 Slocum Road '`= �••.6ba:�%` P.O. Box 79399 508-999-0720: Dartmouth, MA 02747 FAX 508-999-0738 4, ZONING REVIEW m To: Engineer❑ File&Log Notebook❑ Conservation Commission❑ •;� Board of Health❑ Planning Board❑ Other❑ • _ Plat: r -;),:-4-Lot: - I.); Street: %, )f j / ce i � e,‘),7 c _ Subdivision Name: Lot#: Owner's Name: ad((/!) r f-';?��J .sCr 1` Designer: F.,..171,i y �j ,,,,,,,h , L Contact Person: I 1,,,,.- ,_-,. ..0), �� Designer's Specialty: Professional Engineer CI Surveyor[:I Sanitarian � Gth r❑ i % f‘ - ....,... ....._ „,„„„„„„„„„„,„„,.,„„„,„„„.„„.„„„„„„„„.„„„„,: �: R OFF US..'. ,. `.>> NiEM> >::: < gii::::::: '::> < ' s'' >` ' 'iioii i ' ' > is '<> «»` >< > is >'>*i:i*:::i*:,: 1. Zoning District Proposed Use/Project 2. Vacant Lot yes❑ no ❑ Use Complies yes❑ no❑ Existing Structure yes❑ no G 3. The site is found on a Sul,divtsluu Platt❑ ANR Yl' Clus ubdisrision,Plan❑ E3tatc Lot 0 i' v%— Plan Endorsed Date ? iV/i} Lot Released yes-0 ncr ❑- n/aa Lot is protected by M.G.L.Chapter 40A,Section 6 yes4D•- B "grend€sthere€1.'❑ n/a Kr 4. Board of Appeals Action n/a❑ required❑ On File Case# ,see decision) Comment C3'' 5. Lot Frontage Current Required.�0 Provided -4''31') Complies yes l fie-fa (M.G. ( Ater 40A,Section 6) 6. Lot Area Current Required 050 Provided 7.4{5. Complies yes, ate-El (M.G.Igypfibr 40A,Section 6) 4 7. Setbacks (Building setbacks are measured to the footprint of all habitable/occupiable space, including porches,decks,stairs,full bay windows and all fireplace/chimney projections and the like.) Current Required Front 60 (any street side), 20 (any other side) "Grandfathered"(M.G.L.)Chapter 40A,Section 6)minimum allowed front ,sides ,rear 1 The least minimum setback may be used. Setbacks of less than 5'which may be allowed,ARE NOT RECOMMENDED Provided Front Sao ' Other 5 7 Complies yes,J --rre-E1-- Exempt setbacks existing yc3❑ i.uy Exempt setbacks will exist . es-B-- noX if yes,where? .F. Side U Rea-a— Exempt setback(s)occur when legally pre-existing structures are closer to lot lines than is currently allowed. A"grandfathered"setback may become an exempt setback. 8. Accessory Structure(s)indicated no, setbacks comply iris_$ ogre n/a 9. Off-Street Parking minimum spaces required Z. Complies yes Kate-9-- Driveway setback required (except common driveways at property linecrossing) n/ar 3'❑- 116`C]-- ' Vices❑ ne❑ 1.•a... a9 r `l or� ,,c 4 /Tit Q• (OVER) r .. rev .6 r . c: wpdocs forms zonerev.wpd Rev. September -, 1999 10. Elevations(proposed) Top of foundation elevation /Un, Cellar slab elevation F2. )O Water table elevation N /g. Per test pit# Cellar drain provided yes �Q B❑ Complies yes❑!V Generally a two foot separation is required between cellar slab and high water table or a cellar drain must be provided per subdivision regulations. 11. Percent of Lot Coverage Aquifer Zone -nfafl--2-Er 3 Zones 2 and 3 allow maximum lot coverage of 10%of lot. Lot coverage maximum allowed is 10%, SO% D Otlici ❑ Percent of lot coverage proposed is rl % Coverage complies yes o-8 ..G-P 12. Flood Zone-F.I.R.M.Zone /" Elevati9n Panel#250051 00 /$t3 Dated 6 / ( / Flood zone building requirements applicable yes, . e-El A determination of substantial cgpla{ c,4n is required ye /�o ir Comment (� / 13. A Certified"As-Bui req red for all new construction and additions where no other"As-Built"exists and also where additions are placed at the minimum applicable setbacks. The"As-Built"shall also include top of foundation elevation in ACTUAL,not assumed,numbers. The "As-Built"shall be submitted before backfill or any other construction. The"As-Built"shall state if in conformance with applicable zoning as to placement of the structure. 14. Submit further information yes# no❑ if yes,see item(s)# 1.2)3 /Respond Below* . 1`p This project will require further review when new,revised or requested information is submitted to any agency. 16."This Zoning review does not indicate compliance with any other Agency,including,but not limited to,the Massachusetts State Building Code. 17. Building Department Permit(s)required yesliO no❑ -i 18. Home Occupations have additional requirements and will require separate review. /J 19. ,( !Al, ,f_ r.,,i 9 -40 D b ZDNF # ,„P.,,,,.. .e�.�P. . eft.. n/a=not applicable ..)FFtCE;US:::> iliNL : <='><>> > >iii i'iiii '> «'5 ' >< > : 1g: '"1 i;i::::,;„,: .OVE..._,:;<::proceeds:::::>::><:>::c:< ::;suf m_ss_on >::o::::>:<: iian;ve.>::: ::<':::...ni::>:::::» :...........:::::: :::::::: ::::::':>:::::::::>:>>'::>::::':>::::::> :::::::'::: : _ �.A ��1�1�.tt �r�c��€suppet€©s:E��ttssiv�s..�ot�:al�v�e.:::: . .:: :::. :: . .:. ::::::.::;:.::;::.�.: :�::::::::.::..::.:.:_:.:::..:.::::::. . .....: ::. : ::::::::::::::::i;;::;;;::::;::;i::>::::;;::::;:;::iiiiiii:;::;::;;::i;:;:;::::;::::;:;:;::::;i;:.;:.;:.;:.;:.;:.;:.;:.;:.:;.;:;;;.:;;:.:.:.::.;:.;:.;;:.:;.::.;:.;:.:.;:.:;;;.;;:.: ::: `1.`.�.'RU�G`�L .�tFlZ�tt:::ts11'o�rutatto�rt:>: uestect:a . .::.. .::f.::::::: _ `i`.:gRQggE)€3:;iiso111ict:aii0aittru.: iikrde ..RL.. -:::n::::. :;.;:.;:.;>:.:;<.::::::::::OSI:::._:::::::. .::::::::::::M:.:.;.;:.;:.;:.;;:;::::::::::::. A.a.t stiEv eye <: Atit0o.t c.otiiiiiisoioo .shot ti#t:'.: .. ..: . :.: :. .. :::i:<::«:>::»:<::<::;:.:.;;:.;:.:;.;:.;:.:.;:.;:.;:.::.;:•;;;::.;:.:.;:.:.::.;:.;;:.::::::::.:::::::.::::::.::..:.�:•::Ei: . .::>::<........m::.:..:..:.;:.::: *Applicant's response to#14: Date Corrections Approved By: Date c:Iwpdocslforms.zonerev.wpd Rev. September 7, 1999 i o r Cke-is Mt04il,00 6 pea zm ZO, s fe t Lt 1 -y— I sc*) 5 G 67S L)T L r-, p u e UAIt , , r*._ _.w;. ? ..._Y _...... ` ��,,_�•� "' � - M� ! ` E `� ' ^M 1 ,' • (ram �`, } w +� ' �. 0 0 1 L �! �' E ` �' 1 TGO D "14m I Ti to r- L L Ev. ol lroo SX Z-1t Y-N 0 CLD OT-5 b P!� I /Fra -InL L 1� F (IX er,-->oAa,c l'o I o o ct. cs n Bc� 9 0 6 _ � �.�. ; �c ,� �- �•.� _. �� rr -� _ Dry; I u\ I-e- I � r� � ��...� �� �, � �� �.� �- � c� � �� f �t� � � r� �.ws c_ Pk C_�_l 0:110 F,.._Lr: %j. r-3 07-M t_� i I C L A 7E P_ T E LC-.v - 85 +1 -A) r Zoe. ' D S �. . �"i �-�y � . �f 10 c-, %--eA (A t L4 '-A LO -r 4 0 �T I a FTC._I t,-, L5 P. _)rZ � V i0 �_ 0 ;l �4 � b Gn Ls 0 AL� aie: 4 Ql Z/21' �. i � a-r ;1) Vizoqc>:�-. G LL- �Loc-Ani o tj To be Itoo" ..- f •� V:,-, kA eo e- �Lo I L[6 Pro p t� s lzo rl A a-T rA b 0 -4 T _c) v. 0 c Z o trS T 0 T EDA t�4Q) q Q� L) I p PrAl* :L U (S k r TIA-f—_ )SOD �► f D IQ co THl' SYSTEM NOT 1"A of4 DEJED FOR I L I 1 e) DA Ic K�� ��_�.� � GARBAGE DISPOSAL F 6 r4 po 0 r 2 0 low% �j v \6 I.A f7l A 22 Tc o (s f TEtT IT 10 1 S � I I " CC r r-p opt par. 4r C ?_v 0 T-N C� �-t ^/ �f�7r E ¢<"/y�� (/ Jq� •`�; i / P�2 - LA c 47 Q f� lee Nrll \,t\ � 511" %Al I 010- o pe. �5 cf) lk, r, Artlyr 01mong•fib as U tvq V ILI R R. qq; lk k IV U IF r G 1p-1 0- -To o r V� zz) ��� �-�-ATSEC pt F; p 0 P-1 iw t r of r. —SER J. A 1"11999 N Ell V J &-o kk Of 414,p Y*. 4-_ LEONAM F POTTER 4-- ol SIT vPll f C T A J 1 ,7 r q• v � C APPROVED BY: SCALE: DRAWN BY DATE: Z,5 REVISED Le D (A C-D ri --pro- D DRAWING NUMBER TECHNICAL IMAGE PRODUCTS o II p 'ti 3' n Z 0 w o 3 x cu < O w 3 to ) '= b '� UI 6 y' _ p %Z5 o a • G fi w 9, .t O ,mot . &s c D a _ R m u 3 '" r 0 m nMI C -Z f c NR Cii -1 30 zr c o k ^ 3 c 7 rn m r a D J z 1. © O I 11 'n c 3 O M(Ira) D Pi. > ,._21 a C 2 c c ZD In Cn � y O. o Me T in 3 �4 <' c `0 m a a- c m 3 co CD C ., o a c m . n. co i 11V1 /-%L=o C i`J"LJ t1 LJ Lr i Is 0— ,-5 () y to 166 0 . FA t -.2 r YOUR DRA.,VM\,,lG MMST BE AT Tl-llr"-"w BUILDING DWRINIG 1""l-IL PROGRIESS OF THIS WORK. BUILDIR�G DEPAR-fliftf-AiEN11" 10 710 f D cear 1 n-, c Wit' i FT I ;J ZT2 rT- f 72 r r P,, 1p rJ 4.1 q snug", ql- r7=17N 47 L ]B7 JA. c !A -JF q6 c cor 0 VA 'k ran� e--& is•.� big a.- n CJI �:rxls Shall ? I t. Pe n c-;* a n s n. VV I rj p, C; 'P I ?�.,i 1 C-- [71 Q U "'!7 UT -tL m a- e r; az, c a r) a' in n vc--�l inr. C sub - THE GOINCRETE IS P 0 U CRJ--- D. e, Gil cT g RL) I L D I 1 G D E FY*t RThft E I C 'aN-f0 L; i 'Z7 Tor,.,n of Dartmouth re 1 4MMEMN-0m av�o ��fq�� Fro vp, � o�� '�e5�,e�r� RQAn� 4 .46 it (,33 i1 l 1 . . . .......... .. t 1 Fri �' CL 68/4sK YOUR DI-DA��-JING [�WST BE KEPT AT THE PU1LD1VG DURIt= P R 0 G R SS a 1 HI �'V0RtK., :r BUILDING DEPARMAER77 Tov i{� a 4 Da rf m.outh per} !„� `� � � � ►7'".t n R �, ` + .mot ,n •� �, " 41 t�!'"�l `.- l ~ -•f f- b R .f, `-°' �r'�'! •�, .• , �,r�, ��„ ,R`al , 4:.- '•i' -' �`7l`' �' �: ti �� _ 4 ll .j it , ~ r°t iti 1' �1 �:. ° !t �i 4.5 - Y Z i tT r.. <•. i s. r . . ♦..�f i 4i F r: 7 L ��: fs ti 's/.? {�. 1,i i 4� 1. �. [► } �'C _ I0•- S,1�p ' '�", '`y y;t lr- j -I }'1..+.l Cal ;a,:" :a r 4[ r O JL CCC✓✓✓ T-r -*�CaJon or REAk F VA x - r . AITH i � Pr-CTION! IS E '� 1rRED BEFORE THE Cai CRE 1 IS POURED. BUILDR��!G Tmpma� ,.'�~tMotf th ' � . R•-•c-. rti...T t� err"'~ e� rs..�� - '""'k oriz ano to ra 0AIV pe C)f p!w f - .' Can a mar, I t 0 cz suoij ru t e, d S S 6, C� %,ki In e n Of 'I aOct 9 e "Ile T� Stan a •/i o S p s �a� f a r Fire S`005* A S#w' 30410 w.+s.wr.�.--°•Js..r•wv.r..-►+�...�.v.r...:....a..-«w-`r•-wr++►�..-..•r- �r...�,� Y."'�e'+.���i�. s� yr�vs " `; �� � iR, r...s� !.. • ewe F I vcr��# f f '� i ie Z iq ,A �•d' .� ��. i . Canso G7 %roene. Era ao s trii a r i ed irfalis ona �oloors shall be .c3,ea.ler,R R ta m 'L-e, p i I {le .nc � th J p �f po,SF'12_40'0, 1s to*'- a^o-c� t; ' su f raj• t leito ic r Yor Fire , ps i-I-llwl� " •. PRO ��4 � r T j_ Pl%, p, 11,�� sg c ���t i �"LrncrUL �► fit ilA�►�� Y �..-ti,, s•� r►.. 'Q. :%. r 'e •�� NNE,,,, �+ d"'.a • !'"y I � ; ,M K ��.�' I� 'p� �� f �. +-,� r• �+ � } � � � 1. i �I • � � •` F C {.r ! FF ij, r � , � � awe.• R e TA 0 1' p.J� �1R 115 i Dtcot, w �� �. wvI . � . or AV -Gundatica Pl 4 s. e"r cr C ' All s(w 5�... 1 i F ' �y'e , it ►.. �..w± 1 i s `c-i e- �*� +[•�, IT -HE CONCRETE IS POURO" ED. j'lLDlPG )EPARTIAEN' 71 o t, n 6' )p 4 f t A. to% ri Or It Ll L14�11-10 IV woop, 'YOJUR DRAWING 1AUST BE 1110EPT .1 AT THE BUILDING DURING T! tF= PROGRESS OF T HIS INORKI BUILDING D'EPvr-,,,RTMi-EN'T ion n of Dartmouth �e�s i �� r�Ce, DA Z.— B; vp Li:.�.�+ Depre Tior. 0 e- 0 OJ7- Roll""T .r-j� 3 CV_4r 3 t4W.L 14. C71 F;l �'6j vG s��� d 11 3 cz. Q IV" C; Di=l Dar", F77 a i'A L c I i f � _. - _� _ -W_ .,. _Yi . �._._.+_.r .._ _ _r..i' i .. __ ... .. r...��-.n ' _ r Y _. �.. T - ... �.- � — �. .. ,�- .1.r .]r.— __ �. _� - -_... ._• _-• �_ s .. _. �.� — __ �-ems_.. .�_ - - I ♦.r..�rr�_. +...�_��.r.r - ._. t. r 9100 D "r7s �- �Rti.. y k R�. r-r 1 f --�• �J1�K `s .ST.►s '�. 'may �� 1'7 � ,f"'�. ` ..,;`, *.•,as r ��` �v� C � � t'+�. �• .. 1 -�� � �t,� N-41 w: and � � '+ � Rom,•, !.� `asa rrj , vv � � f•the L v c-4 r, ,.-� r - p �,T f � S • Ir d i � rLl� � A � ¢L s/r y � rl /- ) •� � 7 �r aR• � ~d_ • � A [[ptl f R f � ' y}�y � {(/��_ i 1!� � � `� ��y��r I70.''y�'• ti .�,!.� �f+ •;1 � At' i p' � ..• � � i•� i ��• � .� �' SF-V-Ilry� +! /(:, C._ .� �� .�' 4. �. � �. /'b t'�:% • �i �• � �' , � �.� � ..� '. �' \ ray/ .,._F :,:,�.- ..• q� net r � '.R(.,�fA�� �"t`� �9'� � �r �^'4c S�� � �� R 's'/ � sly W' L0 (� f�. fir! y 0�. �i. 1p ' fi for d a� 0 lbol •� •..ram SoNo- INSPECT [ON' 13 F;t YQWFIED BEFORPa THE COI%ICRF-.* BUILDING R-AROFWM\11'�' i r-.� o c��rifiiC : Se�co�uc� YOUR DRAN-ItiffINIG MiUST SE KEPT FIC) (D AT THE BUILMi���G DUDR4 PROGRESS 0.F ` ;H11S � �� "RzTe ...- B U I L D I N' G r DE Rff-�i R rt U vfi E r',r'• �'' i r �� 1' it tl ? � ;, µ. � fib � �1 F: ��r ���1 �!� is Doo 3 i - At;4�_J__ V .te itii i_ JU Ji. �r. �tr E .. f,.rt �� er % �. F•.a Jl �•j .� J ig i t~ 1r r-- n o n �• �._K �'•� � 1�4� .Ali .A I'tA 'rl" w • t "-� ` � ' , +�! �..,/� in • � �. �L. � �+✓ �s �• �..! R:..i >='V�_ �.1' .�. ate. � �� �.. . i i � � - 1 Te�oMe ir y : � . �. • �,. th," m rayed irvi 1's and floors shall be sealed vnvi-i"n a materie:i-I ab,.1e f ole peventing the. pass aa t E i.% �' ! L c k Id-i it �a�,� �. �: �,s intre y t t i, `�. i .f �.,� S�Go -- TVPI :t,,,I4PECTION U F SHE C0P1^ i "o p s E, -8, 1 t t f tx ij i r�' r i i Re.,.5i ENCe4v..� R�F�m 1 I " 1e;:1 ssr� s arr-'ti Lo 3 rv>� �i rT,*,fr r R itrl"'�7 "PALM Q0 .rY!Y4 A IOU ) 0) Ci 0 . vw Pas_ s cr :any 0 10) 7.01 0 o =cars" CZ �lr ¢¢ MRNT!• ��A9A s. ies�r urge eel) /max f Way • a?•,.sx y !••!+i s im •tit „•,w �+�•,/ ,�.�=,a., �... 4r ^" Ql -T"Oqr P0 AS pYA 1+ s 911)y I es 5 # FEAT �ppfr rJ io �X8 }t eadeq� 400' D,W, . . 11111 S7 �!� 7r��+.s ��. #wad 7•�I� ��rq� � ' ?Rs�l�A � ��R sl��wr 5/�" RxF IeP��rJq aX 10 R.PFTers �24' "o. �, Plv�uav�. $oFF, cc\,Ar S�ir�k �PS 6D Y- Sl-,�P,��r/�q domm. A 11111re 40111111111P_ -minsmamo . ..x� E (, Ul' M _svf[�FRE �l �• t !: S ~ii 1`�: 41� S. 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