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BP-11860
BUILDING PERMIT 14 SUNDANCE ROAD Dartmouth Building Department Plat : 79 400 Slocum Road-P.O. Box 79399 Lot (s) : 48-26 Dartmouth, MA 02747 Lot Size:41, 085 Telephone 508-999-0720 Zoning Dist. :SRB July 19, 1999 (typed Permit No. : 0 Issued Date: (/-90/i3 Clerk: BAS Project Location: 14 Sundance Road Number Street Subdivision Name: Nearest Cross Street : Collins Corner Road Person Permit Issued To: August Fernandes _ Address: 79 Norwell Street, New Bedford, MA 02740 Applicant/Agent: Same Contact Person Phone #: (508) 997-1123 Type of License: Owner: ( ) Const. Superv. License # : (017979 ) Architect: ( ) Engineer: ( ) Other: (107848 ) Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: To Install Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. Rumford fireplace indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const . : N/A Cost of Const . $6, 500 . 00 Cost-Other Const. : N/A TOTAL FEE: $ 30 . 00 Owner (s) of Record: Paul Gadbois _ Address: 14 Sundance 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 met; not withstanding the issuance of this Building\Zoning Permit. �L� Signature of Owner ' •ent : Address: ****************** *** ** * *** * *************************** Signature: c Approved/Issued By- J•,e1 S. Ree , Ti e: Local Building Inspector COMMENTS : PLEASE T PERMIT CARD SO T T IT IS VISIBLE FROM THE STREET. . SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK, FINAL INSPECTION IS REQUIRED. ORIGINAL 0 APPLICANT 0 ASSESSORS LI CLERK '1 COPY ,: TOWN OF* DARTMOUTH r BUILDING RECEIPTS COLLECTOR'S OFFICE if E t' { f ':, r Name r d f, f , Property ,�. i' f r `,i \t i ,r i ,, ; Date: i/ L1 `° 4__,'\ _. 4 Y I. t ,ti t,. , Owner: s , ? ,t_-- a /..{- Job Location: // r , 3 ' i s tom.; rt ; ( 1r(. f li ( 1 •' I White Copy-Collector's Office Plot: , i/ Lot: t'4 j^; f" Yellow Copy-Customer's Receipt :' i r--f( . Pink Copy-File Copy Green Copy-Building Department Phone: Description , General Ledger#'s Ref.# Amount r License&Permits-Building 01000-44105 , t /~' s , !" , ? 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: '_ TOWNr=OF' DARTMOUTH BUILDING RECEIPTS ., COLLECTORS OFFICE —r �, f-' Name: -�ti ,, + - .k.- / Property ' .i .'' , Date: f1 !`" ' / / ?; A i 1. ) Owner: / — �,,, k� ° .d f 7' Job Location: /I> / 11 Ae .�� wl. White Copy--Collector's Office azz Plot: / °(`• Lot: _ Jp /Q �l GTI}eS 0 Yellow Copy-Customer's Receipt /' r r'- ,,...., .-(`r.;+ COVV Pink Copy-File Copy Q AT Gregn Copy-B ding Department Phone: u Vet `\,� $ `-s- 1,;,_ ___-_ _ 0 Description General Ledger#'s Imo# Amount • 6 License&Permits-Building 01000-44105 License&Permits-Building Misc. 01000-441057 � � - .� 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: ., . -r—. r / , ::, Residential 0 FOIUNDATION ONLY 1999 $25.00 APPLICATION FEE IS NON—REFUNDABLE /. °"T:1:4'': DARTMOUTH BUILDING DEPARTMENT DATE RECEIVED Q ,f'" i�_, 400 Slocum Road, P.O. Box 79399 • . . tti a Dartmouth, MA 02747 1..7.n +„ `... .:S' 508-999-0720 FAX 508-999-0738 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING ;:;;:::••••••:>::......—iii-.-.....iiii_..:•:,:::-;:: >:.;r :;:. i:::.;:iiii::��::i::i::i::i::::::i::::;.iiii:.. . :: ................................THIS..EGTI�?�F:>F�Lt::f3�'��;�zkG:���T±'::.'............................... .........................:.::::::::::....:::..:: :.::::: .:::..:::::-iii�.:::::.:..........................................................................:::.:::::.::.:::. :::: ::::::::.::..:.. ......... .................... ...mm• ................................ .:...:��.iiii........:.....ii �iiii:. .. .......... iiii:.. ^iiii... .....::...::.........:.:....... ������������}iiii!:�•.:.:.�: :: :...:i::.ji:i: :i.j':i���iiiii:: .:..:.'���'�:::::- :. 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Zoning Review: Signature: Date: Energy Report: Signature: Date: Fire Chief: Signature: Date: Board of Health: Signature: Date: Conservation Commission: Signature: Date: _ Other: Signature: Date: .:.....i:.i i:•:,,,,,,,iii::i,,:;::::.:>i i:::::i:.i. :::i:,:::::<.>::i:::::i:.;. ;::i..... <T1015I;::>::> ::>:'.: <:>:..:...Z..>'.';:?:;::'' : ;: >;`:: -.. �>.'.. .•°:>::.. ::"'-*'.;iii::.ii:.:: i;i:.i:.i:.:''' :::'''i.;.'..:.:.i''' '.***.i..•.i:.:.: •....i:.:..SECTION:: SITS: lx'FOR ....... ..................................... ................. . UMBER OF PLANS SUBMITTED: SITE PLAN SUBMITTED: 0 yes 0 no 1 1 Property Address: i L(.. c"v: joi :LC £ FD• 1.2 Assessors Plat t Number: 0U.. (Ns G© . 9b• Plat Lot i II Nearest Cross Street: Subdivision Name: 1.3 Historical District 0 yes ❑no Has application been submitted to the Historic Commission? Total Land Area Sq. Ft.: 0 yes 0 no Date: _ f 1.4 Water Supply(MGL c 40§54): 1.5 ewage Disposal System: tV 0 Municipal❑Private Well 0 Municipal 0 On Site Disposal System iii. ...::.:. ':•-•" ' .---%::-----.:i:::-:''i:.i:.;:'::.:'''': ::::.::,.i:.i:.i:.i: i'T.. 2 P '.. :,iiii.::W,.:..: .R 'f t.: „ D A ... : :::<;::: ::ii „..ii:..iii:,. ' `i >' : : iiii;.. >::::ii. iii*::.::.i':i::i::::.>i::::..i'.;<::: :'::::i::i:S C;C1rOt ... ...l t?4P I '.f?.K 1 1~ I I.A t�p!k ?ElE?r AiT. ::..:::.:::: ::::::::..:. :.i:.ii :. i .ii:::; iii. i <::i:::iJ;:::�.;::>::; .1 Owner of Record: L/ • C tact Address Name(print) Ac t. C o b Go(S phone number c:\wpwin\forms\bldgapp.res Page 1 January 20. 1999 I Residential 1999 2.2 Authorized Agent: L,,L �/ Contact Address I J ��` d > t I ) Name(print) 1 / i;--os FL--; Rk i\u DE-. UJ l l 4 r� Telephone Supervisor:;: 3.1 Licensed Construction S .................................................................................................. sor Not Applicable 0 Licensed Construction Supervisor License Number Q f 1lci f Address 7 q d(b g.w E LL s I ` N` Expiration Date Signature ` 1 ( . Tele hone . I 3 $..,c, 3.2 Registere Home Improvement Contractor: Not Applicable 0 Are you a Home Improvement Contractor subject to(780 CMR-6)? Etles 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! 'I Company Name �/� Registration Number(if none,state"none") bAill, 1I'�`p`. �� CoAtto4- Address 19 C 4 i 0j1- / 7f ' Signature `aAtifTelephone p _ / 3 Expiration 1--AVIbiitittiA Date 3.3 For Residential Remodel Work Only PERSONS CONTRACTING WITH UNREGISTERED CTORS DO NOT VE ACCESS TO THE GUARANTY FUND: Q ESTIONS OR COMPL S call or writ . How provement Contra tors R istration, e Ashbu on Place-Ro 1301, stop,MA 02108, 17) 727-8598 Owners Name rint) 00 L ft b 3� \S signature e g l by signing the above,t e home owner acknowledges at there will be no eligibilty to Guara Fund Date f • 3.4 Homeowner Exe ti -One&Two Fami y 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 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 sign below: Signature: Your signature carries certain responsibilities,including but not necessarily limited to,general liability c:\wpwin\forms\bldgapp.res Page 2 January 20, 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) .;5.2..:.::.;::.:.;:.;;:.:.;:.;;::.:.;:.;:.;;;;;::.;::.:::::: 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 :„:,,:::..:.ab e:::<:::>:><:<':::;:>>::>::>::::>:>: :>:>M:.::.:. ... .:::.:..:::....:.::.:. /0 new 0 addition ❑alteration 0 repairs chimney/fireplace 0 woodstove / construction* ❑deck 0 pool 0 accessory bldg. 0 replacement window/door 0 other 0 demolition (shed/garage) no. of windows_doors_ (specify below): (specify below): * If new construction,please complete the following: Single Family: no. of bedrooms 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 Brief Description of Proposed Work: Item Estimated Cost($)to be completed by permit applicant 1.Building 2.Electrical 3.Plumbing 4. Mechanical(HVAC) 5.Total=(1 +2+3+4) *Estimated Total $ ` 00— Xrease print) I, ,as Owner of the subject property hereby authorize V to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date -,.,,,::,,;:. toti :,o.: NTI ECLM. : :,1.:: »`<:::>:>::» >::>::::>::::>::>::::imii:»::>:::<::<:: ;::::::>::»><>::gii:>::»::C1.'�?x'1+�t�1�z�LiTl�!43kX�1rl�..A ..`.�:YYE ... . �'YOI�I..:::: :...:::::::::.... . ... :...:::::.._..:: :.. .....................................................:.....:.::.:::....::.:::::::::::..:.:::.::::. I, ,as Owner/Authorized Agent hereby declare that the statements and information the foregoing application are true and accurate,to the best of my knowledge and belief. Signed Wider the pains and penalties of perjury. 0 s Ea N bE s Print Name, a)-444.6.14 c/ 7 Signature of OwneriAuthonzed Agent Date c:\wpwin\forms\bldeapp.res Page 3 January 20, 1999 Residential 1999 1. 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: 8. Comments: 9. Inspector's Signature: 13 'c.+. ' ..- . . ::*,:i: :.:.;:.:;..x$ G...IUs 9..::A1�I!LE.tw l�lOTlf 'TCATI.()N.:......::::::.: ::.......::.................... .. Applicant informed of a ove Date• ........ .... Time: Clerk• �� eic Comments: / /C , SECTION1Oa FEICE.\INSPECTOR'S NOTES: . ......'::'::::: .... i....:: : >::: Total Permit Fee: 4_ $ :` ;:.;:>Less. .... 2o ;.;:.; .;::.;:. �L� ApplicationFee: $ 5 0 Remaining Balance: $ TOTAL FEE: Gross Area-New Construction total sq. ft. Gross Area-Alteration total sq. ft. Permit Issued To• ,dr-T.---ee...1---- e ife,,&,.s.ie.. . SECTI+f74i 11.:ADDITIONAL CO 'FMMENTSSISKETCHE.. ....M.::.... .;: .-.. :::> s:.::::: .::>. .; ;<>:w.i..::;::>::.>::... c:\wpwin\forms\bldgapp.res Page 4 January 20, 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) "- 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 Ir,QI :;S:: ::. .:. .;. :: :.. . ::. . .... ...... .:: : . ,:. . .::::: .,, ':: ei�ee ::all::: iiicab :::::>::::::>::::::::»::::>::::::»::::::::<:;::»::::::<::>::>>::::::;»:::: 1/❑ new 0 addition 0 alteration 0 repairs chimney/fireplace 0 woodstove construction* ❑deck 0 pool 0 accessory bldg. 0 replacement window/door 0 other 0 demolition (shed/garage) no.of windows_doors_ (specify below): (specify below): * If new construction,please complete the following: Single Family: no. of bedrooms no.of baths Two Family: no. of bedrooms unit 1 no.of baths unit 1 no. of bedrooms unit 7 no.of baths unit 7 Brief Description of Proposed Work: is S. TIOIY:... ..�ES.T#. �T ........... Item Estimated Cost($)to be completed by permit applicant 1.Building 2.Electrical 3.Plumbing 4.Mechanical(HVAC) • 5.Total=(1 +2+3+4) *Estimated Total $ b Se,o°D ::: :<:>::::>::::>>;::»>::>::::::>::::::>::»::>::SECTION 7 -OwNE.::AT;; . .Iuz..,:,::: =»:»:::':<:<:>?::>::> >::>i:ii:::>< :>'>::> > : »:>:: .................:....................: :: :........................:::.::::::....:.................................................E1�ik iTHi#R kTIt?11:::..............................�:......-...:.............................................. MEME.Ni :.:.�*::: ::::.t a .Xet:::�€;v.. en.h :: wn r:::: :t:ar.::: >i .::. ............................. print) I, e (IL 0 is ,as Owner of the subject property hereby authorize o ac o elial , ' .ri tte.s relative to work authorized by this building permit application. � /Signature of-0 .er .. Date ..... ........:::...:.---::::::::..:::.:.:::::...:..::..: . ............... I, ,as Owner/Authorized Agent hereby declare that the statements and information the foregoing application are true and accurate,to the best of my knowledge and belief. / Signedunder the sins and penalties of perjury. ros E.rkN ilkN t)E 5 Print Name 2,(A,(j_ a)..„..,A,2, : cifti7/ Signature of Owner/Authorized Agent g Date l'/ 514.,/notet--t- e-L-- c:\wpwin\forms\bldgapp.res Page 3 January 20. 1999 , J' Y:'i f 2}- � ,,,:, P'CO � 3 at ti,1 rrt FILE c } n. g _,.r f •,,...„ ft t '' 1. -vs B' t 4 3+� 44,41li}a,i, �7 ' 6 ., at -F' f. 4 f`f yam- r , P kin . r Y .7 It. s .py . y>_ k r s+ww Y R Fr ta. _ Ems" 13*z ..a � 11 j' DEPARTMENT OF PUBIIC SAFETY i CONSTRUCTION SUPERVISOR LICENSE 1. Number; Expires: Birthdate: CS 6i1414 05�0312000 05/0311931 iii Restricted To: 00 �w•�' AUGUST FERNANDES 79 NORWEII ST NEW BEDFORD, NA 02140 w The Commonwealth of Massachusetts 9R--- _, �I Department of Industrial Accidents —Aril 0/I/Cd01/mnsIIIBUOa.S Ali 600 Washington Street el Vi- Boston,Mass. 02111 Workers' Compensation Insurance Affidavit PX6'n Q. 114tirri g11 gi 1 frita u: .' \o!:,it,jiti.. : • .._... .. _..._: /name ) ` Ilk4sitam, Cht,i' , ' e 4ycation L +Pt d ?"1:44._,X phone# r 3 2,23 si I am a homeowner performing all work myself. FA I am a sole proprietor and have no one working in any capacity (12/(am an employer providing workers' compensation for my employees working on this job. comaanv flamer. - t'S'Y� • .,;: ddress: :<'::::::::::=:=>:=: ::_:;:;:>;•.•::::: .... . ....::::::.:::.. > ,phone#:; :::< > :: i ?::�<? insurance co. :.. • ',:. . -..:.:: <;::<:;:;pegei►# :: . ........, 0 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: company name: address: city: :, phone#::;. insurance co. _ ;; :.:::><:: :policy# : > .::>:: ::> ,....„.:,..s::%n-s ,,,...._ '.`.`.r, C:'yw,, -.,..,....-,,k:,-Y.ry.i:'*+y::.A�S"f3x[z;-;.-:'i--`.5i^"---.-;s.=, *a.,4v----.s -- <... .. _...._...-ru- +- —• ::v+..r.•- company namer - • • • _-:• •... ,: .. • address: city: phone#; • • ► : ::..p•«. - •.insurance co. : : - Aohcy#: : -µac4 , . • . r4/'1ee 1'4:.i .:?,4> ? if . t::-.: -.I..!.,;. . • . ::- -:.-S:-:..... .r.. ,?!• fi:i�: '-<4..:5.. -i2:+.�a.c Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine 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 S100.00 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 hereby certi,fy under the pains and penalties of perjury that the information provided abo is true and correct. Si nature <) J"44-k,14l1i, 1 145 /int name &0 6 r .k 'aNU It $ Phone# Sbe— ct t —1` )122 r official use only do not write in this area to be completed by city or town off►cial y. city or town: • permit/license# O Building Department li Licensing Board i El check if immediate response is required ['Selectmen's Office • ['Health Department contact person: ., phone#; ['Other . (revised 3/95 PIA) 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. 4w! J�Sw��,'.%L Ss - - ,.'kc `v i ,` `'iF.£f J a^ _ yq.. �4 .2' 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. '-••'_ �R"a .._�:�. �a%`."'�.�etix.x{-ah�e � �,r�.,�,.,..f.T�.tfepT:z»r,6t,`�PF,si',,,`3�, -'-'a ;`z'���i .{"�,,. .3`.._ a r'7 _ ���T s,,�.ft'�' - :. y+��-t�jrr 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._,..... -:..�,- va.. -x., r.r,..�'' a..$<.•..� .�ti ..;� .;�c`.,.s..,_4:."r.��"��.�,�'�-�.:.- i,r .��i z,ty..,..-� ;rt � v...�r..�, asp, ....:..i°Jz ;#+� `??�� �,>.z.y :s'...a•., '8' -..t .-x,:a; .. ;a, x- aweswa; - 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 BUILDING PERMIT 14 SUNDANCE ROAD FIELD INSPECTION Dartmouth Building Department Plat : 79 400 Slocum Road P.O. Box 79399 Lot (s) :48-26 Dartmouth, MA 02747 CE:1,,ETIED Lot Size:41, 085 Telephone (508) 999-0720 Zone Dist . :SRB Issued Date : 7iJ&'9 Permit No: // () Project Location: 14 Sundance Road Number Street Subdivision Name : Nearest Cross Street : Collins Corner Road Applicant/Agent : August Fernandes Contact Person Phone # : (508) 997-1123 Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: To Install Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. Rumford fireplace Indicate no.of bedrooms and bathrooms and other rooms Owner (s) of Record: Paul Gadbois Address : 14 Sundance Road, Dartmouth, MA 02747 DATE TIME TYPE OF INSPECTION REMARKS INITIAL 7- c-91 BUILDING PERMIT 14 SUNDANCE ROAD Dartmouth Building Department Plat : 79 400 Slocum Road-P.O. Box 79399 Lot (s) : 48-26 Dartmouth, MA 02747 Lot Size:41, 085 Telephone 508-999-0720 Zoning Dist . :SRB July 19, 1999 (typed, Permit No. : 0 Issued Date : l/ /-6 Clerk: BAS Project Location: 14 Sundance Road Number Street Subdivision Name : _ Nearest Cross Street : Collins Corner Road Person Permit Issued To: August Fernandes Address : 79 Norwell Street, New Bedford, MA 02740 Applicant/Agent : Same Contact Person Phone # : (508) 997-1123 Type of License: Owner: ( ) Const . Superv. License # : (017979 ) Architect : ( ) Engineer: ( ) Other: (107848 ) Proposed Use : Residential Residential,Commercial,Industrial,etc. Permit Issued To: -_ To Install Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. Rumford fireplace indicate no.of bedrooms and bathrooms and other rooms Gross Area of Const . : N/A Cost of Const . $6, 500 . 00 Cost-Other Const . : N/A TOTAL FEE: $ 30 . 00 Owner (s) of Record: Paul Gadbois _ Address : 14 Sundance 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 met; not withstanding the issuance of this Building\Zoning Permit. , Signature of Owner A •ent : 5kilAA,W Address : ****************** *** I ** * *** * *************************** Signature: Approved/Issued By Jcel S. Ree , Ti e: Local Building Inspector COMMENTS : PLEASE T PERMIT CARD SO T T 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 h s ,_ u- JAN 29. '99 13:22 POR i L vTOf BEWARE 9'd 4, ,e 7 o ;•HK mi. G 1 uoujcc.v., - 1 s_ -:..,-0 3l.XY ►J•4U • • 9 ti),N . t! -:, Allay' . 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F P:b , =i �3�3L�6 to A '.y.x PI ar t`r - n } k4 `.ter -:.,�ats .,. r.0 a:.n'i „ J s eV r f ''. t , ~!". . � i aar .✓u - ,s it -A'�"-,'•+r^-r..: C^, „Cs I •v a"ri y y. $Y! .. • G ,a•.,,,) , sA R. -.,,,.{ ,a, .'4 .ai-�. r- -i rz era,« �rq,7�h -.K xy n :i ?'.4"V"71-.,.,i a7 &41?"n4.,1: a. G` rr �,X $ J .v.41? I:- rtiSW -: "ypn wi ct ry c ` sa'S�I'�fyi to n g •'i Y•" Y -it4Nq �,�i t . - n r a"F-r Y fs.$'.►ate .i .. i ♦wields a at. ;: y }� � '3a T' � , .� 1 Y �'• *2 •��rp .ya,YCs v ,� y><. tom,a''= pia, $. a � �% _. Se"iR4o `'' k < -t�.y�'•�a. }`3.4 �e'f �,�r xa iz _ _ ,L ;' "e`. phi y *, +r 4" n k,:ty.� I r- r r y i C i •f` F f •11IF!t •3t,] Y,- -%tom,`r�Yi S• �i t n n .rr J•�f'v 1'>i''- — c---- r.•-, :•>r,..--....!-s Ezit _ _. i r~ ti h ' b, ; 01 ' nh A 51 , bXc pO 4r� C ° • � `• nr.(� YlC mp �f? ra ? b a r agft -, vO c J Gnis i G c,n �n ..... r— G S n ' '.� a s 1 r a v 1 et 7 cG p '' T c R.�4 ra .. �� r -n u ei _,n g u� Q x It QT Q - n ; c r. A nO `� / nv. ro aa.7 r a,a- - LI- y-f0. C A n 0. Z. L 2, .`.c c O c n._n_ p r. G Q 6 R P- an G t� 4 Lax`�'-j 7 =t �. o f.C f I C _0 q 1 f1 ���' E. ' C a Tj !K a C - 7" n ti 7 rt -C- - -,-,, 1 � o n nn t n a` o k = c oar ?i, ° cc' n' , 4 � I j y I i c I 1 i`.l i � 1' • • - -- C(I • �C 1 -v-, r !. `1 .. - III ____ J / ,___JAN 29 '99 :3120 PCR-LAND STONB ARE 978 452'99.98 _. SUPERIOR CLAY—Throats, Smoke. Cha ei• Flue I g Accessories or es . . . make building a masonry Rumford fireplace easy for any mason.We do the desiun work.All You do is build the firebox out of fire brick,sot the throat,damper and amok°chamber, bringino the nissonry up as you-00 sot the first flue tile and complete the chimney rind you have built the higheat quality all masonry firopt+;ce '_'- since 1796. FLAT CAST IRON DAMPERS k-OR RUM FORD FIREPLACRS . '1,'liBBOAl'5 ` From 24"to 48"fireplaces ✓ 1 S i I f tares: r 1,• °•MT.z �4t= ?-7-41* 0-y"*e.- ss.-' "y" CHIMNE? TOPS 24", 30", 36" and 48" widths t SMOKE, CIIAMBERS •-• .-,_ 1. . ,tom. „ I •M - 7- am i e•... Z. -' ' = tiit per±;,•" may; -;� .Y is VICTORIAN Ki uT h10itAfiCif Y4RK 4:'� `` .� ,n Superior Clay Corporation offers over' 50.styins of �u';�} Chimney Taps In natural clay or Cale(yiar.1nq, i . ,. \\ ;.�; ' `,`�'`� - SIiPEiu4It CLAY FLUE L1P INU r: r: fi �. tt` .4,:�..,ire ti. ; 1 • rr t rt�{' ....o,,,s� -. Puffs Uning Round ffuo L1ni1UQ ..ir:�^ •'?fir -i s'" -? Ou:a�• ltcu,fe.il , •+i•: 1•'' �- '�-xF'S. LY+1anaknt FYe:,r:s tn.l:• ;7901i4 -"<"''_"� .Ij ?`• Y" Aa:.:; (.r4vra !ivN.a O�fnolo' fk,•Arn• _ ;-:141 y ...::,.:-�,•.. (L.) I .In,: (In.) (34.t•� •�` 1 ). )? RGund 1Xiii a itY �. e LE 42 T u 24" to 48"widths Can be used for b Iid1f g any masonry titeQtaces. :IrFisro Lk1tn t i' r 1S :�a 2+ sn 7.1 /m 12 112 % 11412 101 15 171 12 tit 141 St 255 OUTSIDE DIMENSIONS 13:I3_ ,1i1 21 "t - *,,•'-^ 17t14 11I 24 .451 510 _ 2,1 , 16k18 181 17 TOP Tip}: (' T •�' 1•. ` _ staff^ 772 J� 7Ci 5C NL'!�> r Ila 1 /71 8 ,. x iz, &`x tc" �'d' 4 ': �v '.t c w Ise ;e Sea 74. 13'' x 13" i3' } 27' 30'" - a {;�t 471 13" x18" i$" x34" 30" , _ 1 16" x 20" 1e"x 3-S• 30" 1i6citnQu16I Fkrc L1&a4 4 i. a zx lac zY - ,yam,L Z . by Superior e Tall and clegucit.. the ftreplA2 that k x + t you Warm R�n/or<f fi.��pla are shall keep-.• If Superor Clay reflect mere l gat and hive afeam!Irier� _shallow ta_ t Flue.-Lin er t2lroats to eliminate turhulettcf *'�- and carry away the snioke with 1 Superior Clay • little lass of heated room air. _ i .i P Y as � Smoke Chamber Smoke hawber f i offset or Centered i . C Superior Clay (g tLUte below) 3. zimper �� Damper Flat CsSt iron Superior C1�y in two sizes :: r 10t : Rumford ','j ThroatThroat ~ For Rtunford fire}�laces • rinasl� ro just cover z4",;o",3b",�j�,., AM� edge of throatd 2.141, 9U wtd . E oil ``Std. 9"firebrick BY'ts-ing Superior Clay Rurnfordfireplacecorn- illifi ponents yo u..n can be sure that all the azdeal _ 40 firebrick�r ir_fi'xct���• ratios are engineered for you ea the fireplace_: � hearth will be ef(�ctutt and draw well 1 .... ��; ., floor mason need f . The builder or ��___.-, . •�'?':it::i :i2::}_ ; �� -- cozz>e With the only otiow the instzvctions tl>at. ''Y ' — .�',�;ii. mponents to guarantee ual- ' lly,save tirne and ensure the correct Rtu1 ford 1 �f R� \ desi �c. . I Ilea r th base a .Y AV.. looter %( --z_ :.'// i, 12eini.Conc. 12"min. �I 1 Rumford Fireplaces by Su erior Clay. 3-712EPLl10E THROAT DAMPER } I I ER SMOKE 1' &12r (.Sxr) (name) �'41riBER FLUE TILE OTttCR GfMLPJSIO,�IS: 2 1..�,,�!t t{"i I?.. (base x C) x15" A D C D 2 F C 30"wiQt 3o"xx 8.5"z 113'x2s" l 14- ' 9-A 24' 13-x 22—x 3, �j`x ;3" 24' 12" 13..i t3S' 2<'.lg 12- 2 j 3b' w,ci, 36"x I2 9"x 2q 13"z 13" 3 T Q.. 13-x2T'x30" 12" I.5-- 1;Q'L"wiclr 42"'z IS Q'u3/3" (3`z3;` i3"a I3" 3G' 28"•32 (2' I1 42"ividi• J x 3c3` 1 - 1'i.5' l$ 33 • 2- d8`i is` 13"xtEi" �2' 15' I•, 15' " 16'x 3-c x SO— 1 ti'x 2•2- <3' 21" 33"-42" 9"x311" .< �_ J l G" 18" L2.5" C`-L3' ]6' 30" �