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BP-041
COOMr BUILDING PERMIT FIELD INSPECTION Dartmouth Building Department Plat : 79 400 Slocum Road-P. O. Box 9399 Lot (s) : 48-28 North Dartmouth, MA 02747 Lot Size : 45, 238 Telephone 508-999-0720 Zone Dist. :SRA Issued Date: 07/16/93 Permit No. : 042 Project Location: 22 Sundance Road Number Street Subdivision Name: Nearest Cross Street : Applicant/Agent : Robert W. Mullins Contact Person Phone #: ( ) 508-946-9118 Proposed Use: Residential _ Rosidont/al, Comaorci al, Industrl al. oto. Permit Issued To: New Dwelling Typo of Iaprovoaont. Add. Altar. Nam Const.. Demo. Land/Move, etc. New One-Family dwelling/3 bedrooms/2 baths/oil heat/septic system/well/2 592 sq. ft. Indicate. no. of bedrooms and bathrooms and other rooms Owner (s) of Record: David S. Melancon & Melanie Fontaine _ Address: 30 Bream Street, New Bedford, MA 02744 .:.:;.: :�:�.TI.svz:•:•:•:•:•:•:•:T. . '•'. � i�. . . . . . . . . .YP.E"::0F. . I. S:RACI•at"d•::=::::::::`:RE•wRim5':''::•:•:=::':'::':•I:::i1,4ITrAL:• J7513- Her, C..r+ / .OFI A .1- c r,d91 i i/l ti Ls.„ y—y.3 rc- 1.>25 ,� c�..A,i ./ -LSi."LAI lr �� \. • 4 - OCCUPANCY PERMIT DR V ID S. . & MELANIE FONTA I NE NEW DWELLING • Occupancy is hereby granted for the premises located at 22 Sundance Road - Assessors Plat.. -079 Lot 48-28 • The premise has been found to meet the requirements of the Massachusetts State 'Building Code in effect as of the date of issue and other 'applicable Massachusetts Codes as evidenced by approvals affixed to the reverse of this permit. The use is further found to be in-compliance with . the Local Zoning By-laws- for use as indicated, as . of this date of issue. . This permit is further conditioned on the continued maintenance of "perm.itted_ conditions as provided by law. ZONING DISTRICT- Single. Residence A - • SINGLE FAMILY DWELLING APPROVED USE Residential • OCCUPANCY _LOAD VARIANCE/SPECIAL PERMIT (case *) N/A Approved by Date of issue : David J. Silveira � //O-'7 7- p.--3 Building Commissioner & Zoning Enforcement Officer ye 44, -:.,__ q.., --a.- 1-0-7N- 1 S. b , y ' ' 1 :: RT: V.:DATE::1AV.:: QL:GI'i?ANCY::::4*::::liE?AR�f'#'MEN AL:::14PPROViRL:::�: eta€ 4V':':: r�e:d: b5• acfi d i�:+a:i*A41. :i :a -W:::: : BUILDING SPECIFICATIONS PER 780 CMR 119. 5: USE GROUP CLASSIFICATION TYPE OF CONSTRUCTION MAXIMUM LIVE LOAD FLOORS • SPECIAL CONDITIONS BUILDING Per ' t No. 042 Approved b Date //o-1 7 52L? Comment PLUMBING 60 :!) t No. $6J Approved by Date 7-ca'99 Comment �,L t. GAS e'rm i t No. Y7Pr Approved by ,./ e"`J Date .o. �7•93 Comment ELECTRICAL - mit o. 7 Approved by Date 4e)"--P3 Comment FIREO1573 Permit No. Approved byc//f' /�ICi/60 - Date iRfR.P- ?? Comment BOARD OF HEALTH permitPermit No. 7�- ? Approved by n`,.,,)\ AS, 'tr _ Date /0-4C-9.3 Comment ) DPW-WATER Permit No. Approved by Date Comment DPW-SEWER Permit No. Approved by Date Comments WATER DIVISION-CROSS CONNECTION - JOB # Approved by Date Comments BUILDING PERMIT Dartmouth Building Department Plat : 79 400 Slocum Road-P. O. Box 9399 Lot (s) : 48-28 North Dartmouth, MA 02747 Lot Size : 45, 238 Telephone 508-999-0720 Zoning Dist,. : SRA June 2, 1993 (typed) Permit No. : �� Issued Date: '1 / /(o/KQ3 Clerk : lls Project Location : 22 Sundance Road Number $treat Subdivision Name: Nearest Cross Street : Fppi iD4ait/ANent 3 Robert W. Mullins Address : 8 Wareham Street, Middleboro, MA 0234E Contact Person Phone #: ( ) 508-946-9118 Type of License : Owner: ( ) Const. Superv. License #: (057185 ) Architect : ( ) Engineer: ( ) Other: ( ) Propo-s-ed -U-s-e -- - — - -R-e-s dent ial-- - -- - - Residential, Commercial, industrial, etc. Permit Issued To: New Construction Type of improvement, Add, Altar, New Const., Demo, Land/Move, etc. New One-Family Dwelling/3 bedrooms/2 baths/oil heat/septic system/ well! indicate no. of bedrooms and bathrooms and other rooms Gross Area of Const. : 2592 sq. ft. Cost of Const. $72, 000. 00 Cost-Other Const. : TOTAL FEE: $ 259. 00 Owner (s) of Record: _ David S. Melancon & Melanie Fontaine Address : 30 Bream Street, New Bedford, MA 02744 All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) 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 aut i d by the owner to make this application as his authorise a A Avi Signature of Owner/Agent : Address : Signature: (L ,'A,44?--�.s.- � ,-/ 1 Approved/Issued By: William A. Braga, L al Building Inspector COMMENTS: .r, n �ORIGINAL 0 APPLICANT 0 ASSESSORS 0 CLERK COPY . . ,...._, Er''.. T hoo,E.: (1). r. : r:,3tyl T T i ,., . --1 I , -4 fiti.a 5 t 0:,.- O.gl it, -i-'7' O i3;':1,4 ':i 333') • i • kkrf-tii 1-.73•3•3't3173..k.,' .:'1;:.'i---:,, ,,,,,;(--). ,-,7r,;::?-.?•,,2 , -,:. ,:,t. ,r,3.. ,,,,,pi,c,,-,,,› 7.-0/„.,.,?..„ ,-„,f,-„,,),...,„,7,--;-2,:,,, ; „, , f, i ,„,-3 .. .,,_ ...,.:.,1! r",..i!i-g !.,... .; 1,:if: iii, ':,:-.,te !/... Cii,,,rkt i, 1....--., • --'' '-`0.:i ec'.. '...0;-'.'..a t 1 01-, '.. ,-...g'.2 S.I.J.r.,,d.g':-.2-w:•Fs., Rf...tac:L , ____ _ ____, ....... • ..„..... ..... .. .1,',-,,k.,•, 'i',/ 1.., 0 ri l\I a iff 9 t . Cr.-:.,,. -:: .:-.., .:.2 _,.._ itti-4:- '--:.. ,,__ ; J- , i4, , .:-. .. ..,,k,tt,t ----- , t--)47itt t.'-'t.:t•-:- Z ,, , r-.1, 4 h .,:, ; 1.y fg e 0 f 1,...,1!--..t.,f7i. ..;:f ...' FIt..--41- . ....,..) '.i-.. .--7;u IT e r--- . L 1 rns.c.-.., 4t•k : .„: 7 :, ilt i',.i t. i::'): r2 q,,;7-,•:,i,E.,..-TI ti,-•• ,,•• P..--,,r, , ti;....“it ; ---3. : _„.. k . , _ __ ._ _._. ,„,, ,,,....r.,,,,,, 1,...--)7.0xtr-:i71, i: i 0',-.1 ,-., t7t7-7-, 11111 „; t,..,, ,..:;,'.i,,,,-,'-'1',,,.:,, .4-i I -.4 i, '1„--, :.:. I ':..:":. ., i).t' ',.- r.IP e 1r;';',-,„'...i,' --i:!:iz ' ,.`, :-.....t.tt f it;tp i7,,,1 :..2 t---. -, t- 0,....:, . i= c qf'flk ''- ;'., , ,, :::,:„.. .:!'',... ..,I, ',t.. Ci,-f (:,;11!',.1'..- , ::':4-..)'F•A., --I.,)f.i",C..'rt t.'t . • , , . . . „ . / i ..7i. .:!, tit- ‘.f:'CI ri ,t ,,i,...:,:;• .,41) -p i.:: ,,,,r.;+ .f..7,•'' ?, f..:: ,, :2-',0 p,',• --... .. , '..i ,'; P.. .. . ,,, ^: t7,t0.:t t 4.7 t.i ttPtt I y y., t,i--. ../ 0.-.,3.‘ f.:411i '.'70,1-1 El-,3, 0.;,16i,. (.:t.-;,;.,,,i.:.-..,, i"-t;2':, „:01. ! ..,,. r, ;i,.,; ,.:',rl tt-,,,'It ...:hii-- pri-?';'1:0sTr?ii .=,.,...,.,...-,r1,$ -1. '; .-,-wthr. ,,-.. -2,......,d i--.)y i:_hei. owni.-..1- -;-. ,, .7o,,,70“-., 1..hi. '5 a,,„ .:•;;111-r,,at. w.° :.',, .i..‘,. -I 2-.,',4,2-,.t..,:.. -./4-..)9.,-E,'of, -:,-, y - 3 I' . ... ....... .. . ,, _ .. . ... ... .._„. ... _ *4-A-A 4,:.--*-x,,t,•.-.**34.-li-3.,.-* ..-4.--.s.--7:.-*4.(-, ..t.(-*,:,,,7,--,,,,, .tt,-..1 --it-7,-,t-t`,.:- ...*-N -A.4. 4.--tt-t- -4..i.i.-X-1(.4-,.. K 1 r.;',,-* )i.*:-:0 -tf-ti -.. ti--*)i--A.-*.--4..., t. k. 1 a r,-, i:),-, Po.-.27A n:a., if.p... .<!-:.,.',1 1 f--,.k.:,. •i. .',..41 i 0 t,t 1.n t':-.tt t.i..1:-. :i-ft 2t ,il.,1,..E.23.!''.;.,. • . „,•-• ."---' , s•- .,"'" '„,•;') ,...:‘,.., . ,, , .. 4-,,,:i.'.' „ ,,, ... _ ,. ..,, „ .' „ ••,1,./ 01'4' • b i 1.44-q 1.-.• -f-,0-'13i...1'I . ,e" . ,--.,.-2P.-7.i.,:, ,--,^,--- _ --, Required approval Approvals received please IX) approvals Please IX) approvals and required for this project Initial as received DATE INITIALS Board of Appeals Water Card S.ber Card 9/7oerd of Health /I L_ Bond Selectmen ‘/Conservationce1194 5711-11-14.1471— /571,-(4' evitip D>.si•3 1�Fire Chief ? v Cross Connections p Licensed Contractor Controlled Coast. Affid. Other information required ,fr Y : ��;iti'i'ti':`i•.:. PERMIT NO. (( <9�• '' '• ^ TOWN OF DARTMOUTH DATE ISSUED r >9N\J —` TOTAL COST ) Y ;+ `'� �' APPLICATION FOR r! I ? LESS APPLICATION FEE f.' � `� °� syy` BUILDING PERMITere -'''' 6a:,: FINAL PERMIT FEE ca., / LOCATION OF BUILDING 01 Number & Street ,',:\ G�les/P.,i-� ?a/ 01.1 Zoning District- ?'XI 02 Cross Streets(between) and tf 03 Lot y� -c2P Plat 2 y 04 Subdivision ief i' /Ce.-� �.4A,i^„,cr,-, Lot ffel 'y OWNERSHIP COST 05 rivate (individual, corporation, 36 Cost of Improvement /?��t' non-profit institution, etc.) 36.1 To be installed but not 06 ❑ Public (Federal, State, or local government) included in the above cost TYPE OF CONSTRUCTION 36.2 Electrical �'G 07..-E'' —eew Construction 36.3 Plumbing .33Pa U.- 08 ❑ Addition -Type of Room(s) 36.4 HVAC -3G" G9 - ' - 09 ❑ Alteration 36.5 Other - Specify 10 ❑ Foundation Only example: elevator �� 11 CI Demolition (#of units if residential) 37 TOTAL 12 ❑ Moving (relocation) ir STRUCTURE STATISTICS 38�'/rVood Frame 13 Number of Bedrooms 39 ❑ Masonry (wall bearing) 14 Number of Bathrooms (Total) Full-Tub y , 40 ❑ Structural Steel ��� 41 ❑ Reinforced concrete 3/4 - Shower 42 CI Other- Specify 1/2 - Toilet Only RESIDENTIAL-PROPOSED USE DIMENSIONS 15.ne-Family 43 Number of stories 16 ❑ Two or more families 44 Total square feet of floor area, all floors, Number of units based on exterior dimensions c� 2-- 2,4 • 17 ❑ Garage � r 18 ❑ Shed 45 Total land area, square feet Y5 23 19 ❑ Carport 20 ❑ Swimming Pool SEWAGE DISPOSAL In-Ground Above-Ground 21 ❑ Woodstove 46 ❑ Fill blic or private company 22 ❑ Fireplace 47 rivate (septic tank, etc.) 23 ❑ Other- Specify WATER SUPPLY 48 ❑ Public or private company NON-RESIDENTIAL- PROPOSED USE 49 —vate, (well, cistern) 24 CI Amusement, recreational PRINCIPAL TYPE OF HEATING FUEL 25 ❑ Church, other religious 26 ❑ Industrial 50 ❑ Gas 27 El Parking Garage 51 �0'Oil 28 ❑ Service station, Repair garage 52 ❑ Electricity 29 ❑ Hospital, institutional 53 ❑ Coal 30 ❑ Office, bank, professional 54 ❑ Other - Specify - k_ 31 ❑ Public utility 32 Cl School, library, other educational TYPE OF MECHANICAL 33 ❑ Stores, mercantile 55 Will there be central air conditioning? ❑Yes ,i=tslo 34 ❑ Tanks, towers 56 Will there be an elevator? ❑Yes ❑ No 35 El Other- Specify PARKING PER ZONING BY-LAWS 57 ❑ Enclosed 58Outside ,I 1. 59 Does this building contain asbestos? r' YES LT-Li-NO If yes complete the following: Name & Address of Asbestos Removal Firm: IDENT IFICATION - To be completed by all applicants PLEASE PRINT .DZvt.d 3'. vAa1a Ines,n 33O /3 E% sr Ala -?YY .�- ---6�' 60 Owner (pprint) _ wtehrlte t=�w-1-zi / 1i 61 Signature 1 J��v�(C U v -iG;,_ _ ,..7 - � , DATE �,//c`t�`` 7 if)6 q-/ �'Gv ,,o623 JL V �r Builder's 62 Contractor • �ir� /. ,/ems. .., ,fo. s"„././.4,4,,._� 9y—�,�//r�License No. .�2i , -.'.6'.- TELEPHONE NA MAILING ADDRESS TELEPHONE NO. 63 Signature v , e ie 6. ,�.,,G DATE •/?2/9 64 Architect or Engineer (print) NAME MAILING ADDRESS TELEPHONE NO. 65 Signature DATE CERTIFICATION TO PERFORM WORK 66 l/We hereby appoint ('/''�,,.�>�,.) G•( ',P t Jf .,,,. " r ll;'� 1 IT, t -(c I, r.7 l; .J 2.y'� NAME ADDRESS as my/our agent for the purpose of applying for and obtaining a building permit for the work to be done described in this application. ii Signatures-a 1 d--.— � - _= DATE . 700 2/rl'J ADDITIONAL INFORMATION 67 Has A-1 or Determination been issued by Conservation Commission? aliS ❑ NO Submit copy of notification sent to DEQE and the State Dept. of Labor Industries and result of air sample analysis asbestos removal is complete. 68 Owner or Agent - I certify under peril of the penalties of perjury that the information herein is accurate to the best o my knowled Signature d� 4.&/4,,o," — �C 4,. iij( / .,, Owner or Agent DATE �J/����3 69 BOARD OF HEALTH REVIEW DATE ./ Inspector or Authorized Person COMMENTS: 70 DPW- WATER Service No. SEWER Service No. To be completed upon issuance of permit- (if applicable) 71 I will post pe‘it and addr so s to b 'sible fr m treet. / Signature DATE �' 7`3 r ner or Agent 72 I have received list of required inspections Signature Owner or Agent DATE k Are you a Home Improvement Contractor subject to the NOTICE registration lay (78A bill - fi)2 Yes No > CONTRACTING WITH UNRB6ISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (788 CNR - 6) Are you claiming an exemption from the lar by home amber signofff Yes No (if yes submit required signed affidavit) QUESTIONS or complaints! Call or Trite: YOUR COOPERATION/7 Y APPRECIATED! Home Improvement Contractor Registration One 9 ��;��,i /� �G to Ashburton Place - Room 1361 Roston, HA 821®8 clInur si .• i ) �_ MID 722-8598 p ,/.� 1 RECEIPT FOR PERMIT e� ovey.M' TOWN OF DARTMOUTH , (4 qe `nP,P PEMMIT NO. i —_o L. No r_ r _ Date _._ L_:, ` / lz Received From ,ii,---, ,, - r'T�`_ ; i .,#- r: Owner Location /-f._.+ .. .. Type . Amount Paid Received By - ---- ------T-- 3,- RECEIPT FOR PERMIT TOWN OF DARTMOUTH eepoEN,pf, PERMIT NO. :'..r, 11 Th l7c5 i ,,, No o \-i k4,12_064-> z A I ' Date 1 i r , i ,.., Received From ' ' : , , ,..: '' -•-(_. .'' ''. ''' -.j'.- . Owner v. fK...-A_ r' A,...„., -,/ 1.,_f' ,,t'.7. .I-----?7'7-i.-;',1 ----------- _ ) , t.--, Location - '-- -,;' '' - - • , , Type Amount Paid ,,,, ,,,, ., Received By .., , ,.,.,, , • _-- t:. L ...- .ry v 0°11 V:9-e:.<`7.-1 COMMONWEALTH OF MASSACHUSETTS mac_ • r DEPART MENT OF INDUSTRIAL ACCIDENTS �� 600 WASHINGTON STREET • games GamDoel BOSTON, MASSACHUSEi IS 02111 '-orr nas,one• WORKERS' COMPENSATION INSURANCE AFFIDAVIT .0 I, � ,''`s��/F'/1 , K.:-�/M (licensee/permit-tee) with a prin ipal place of business/residence at: / ../- j—/- /W.cael„,„--, Al -2:3 / (City/State/Zip) P do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following workers' compensation coverage for my employees working on this job. ,,-� j 424%. / AiL'/ —.3Vc>2— /79 /� . Insurance Company Policy Number [ J I am a sole proprietor and have no one working for me. [ J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below `' ' o have the following workers' compensation insurance policies: `1.),,,,f2 u v ,(•v-(--...) 7*�/ (F �// .1/-,-O, / 4/Y Name of Contractor J Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation Act. I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage verification and that failure to secure coverage as reouired under Section 25A of MGL 152 can Iead to the imposition of criminal penalties consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S 100.00 a day against me.Si t is -,�iv,�,, 4 day of 410'. , 19 95 .,..., -1. 4 ,4..i' ,. .__L.----/ - Licensee/Permittee Licensor/Permirror • TOWN OF DARTMOUTH BUILDING DEPARTMENT TO: 571/ Board of Health E 1 ( Fire Chief Dist. 1, 2 , 0 Conservation Comm. ❑ D W Engineering ❑ S\ectmen-Licensing ❑ DP\Water/Sewer ❑ B4rd of Appeals 1 Panning Board I I Td07 Clerk I I Oter _ n I I Po ice Department I 1 Oter The following is forwarded to your office for your information only - no response is required. The Building Department is in receipt of an application for Plat f Lot /'c , Address by ( A3 1>., 0?_ ' to ' oayner! c 4.x-! demo;_construct,alter,occupy,etc. a(n) • G� _ tt _ The plan was received by this office on �/�7/9 . date This office will review said plans and subject to availability - of potable water, where required, the provisions of Zoning By-law per MGL Chapter 40A and MSBC 780 CMR 5th Edition will have available to issue or will deny a permit for the above-mentioned ` work within 30 days of date of receipt. The applicant has been advised that your office as indicated above may require them to apply for licenses or permits subject to your jurisdiction and that they should contact your office, as indicated, for specific information. It is not necessary to respond to this notice unless there is a specific issue at hand or you wish to forward material or information required for permitting. When required, an Occupancy Permit will not be issued until all Town Agencies have had the opportunity to "sign off" that the work under their jurisdiction is complete to their satisfaction. To The Applicant: Be advised that this notice will be sent to the Agencies checked above as they may have separate jurisdiction for your project. Any questions about the Agencies Regulations & Policy should be addressed to the individual Agency. Your signature only acknowledges your receipt of a copy of t ' s noti APPLICANT ATE REQUEST FOR ASSIGNMENT OF HOUSE NUMBER • Owner(s) of Property „f G'/1/ Present Address Telephone Number House Location: Plat -7 y' • Lot • Subdivision t-GA- '6), Lot 5:e',/ Corner- Lot ? Yes No (77) Street Single Family � Multi Family Condominium # of Units Site Mut Submitted ? Yes „�- No Date Submitted j Signature o Owner House Number Assigned 22 St1Mv e J � AGY Date Assigned _ / .. 09_ • Date Assessors Notified 41,.. /_ 9'3 Date Building Dept. Notified (Q - / - Date Owner Notified printAnrlant. epartment of Public Works LETTER OF TRANSMITTAL CHARON ASSOCIATES , INC. Date: 5/26/93 Consulting Engineers Attention: 323 Neck Road RE: Lot 48-28 (#304) Rochester, MA 02770 Sundance Road No. Dartmouth TO: Bob Mullins We are sending you the following items : Copies1 Date 1 No. i Description 1 1 I 10 1 5/25 ISD-1 S Plan of Site & Sewage Disposal 1 I 1 I Application for Disposal Works Permit 1 1 5/26 1 1 Letter to Conservation Commission 1 1 1 15/26 1 i Invoice I I I I I i These are transmitted as noted below: _ For approval X For your use _ As requested _ For review and comment _ Other (see remarks) Remarks: Submit 5 copies of plan to the Building Dept. with the Board of Health application and check for plan review fee submitted directly to the BofHealth. After their review, the Bldg. Dept forwards plans to the BofHealth. Submit the letter and 2 copies of plan to the Conservation Comm. Regards, Copy to: Signed: ��� � • TOWN OF DARTMOUTH BUILDING DEPARTMENT TO: 7,/ Board of Health ❑ Fire Chief Dist. 1, 2, 0 Conservation Comm. ❑ D W Engineering ❑ S\ectmen-Licensing ❑ DP\Water/Sewer ❑ Brd of Appeals ❑ P\anning Board ❑ T n Clerk ❑ Oter ❑ Po ice Department ❑ Ot'er The following is forwarded to your office for your information only - no response is required. The Building Department is in receipt of an application for - .r...,)14 .,.L.zia_g_s_...x. Plat Lot /2P ,. Address by .441 A.�' to owner' S s. > 1 demo,construct,alter, occupy,etc. a(n) Lh-N. /� _L Ad . The plan was received by this office on S date This office will review said plans and subject to availability of potable water, where required, the provisions of Zoning By-law per MGL Chapter 40A and MSBC 780 CMR 5th Edition will have available to issue or will deny a permit for the above-mentioned work within 30 days of date of receipt. The applicant has been advised that your office as indicated above may require them to apply for licenses or permits subject to your jurisdiction and that they should contact your office, as indicated, for specific information. It is not necessary to respond to this notice unless there is a specific issue at hand or you wish to forward material or information required for permitting. When required, an Occupancy Permit will not be issued until all Town Agencies have had the opportunity to "sign off" that the work under their jurisdiction is complete to their satisfaction. To The Applicant: Be advised that this notice will be sent to the Agencies checked above as they may have separate jurisdiction for your project. Any questions about the Agencies Regulations & Policy should be addressed to the individual Agency. Your signature only acknowledges your receipt of a copy of t ' s noti Gr 4APPLICANT ATE TOWN OF DARTMOUTH BUILDING DEPARTMENT TO: ca, ., Board of Health Er Fire Chief Dist. 1, 2, C 3 ( 0 , ' Conservation Comm. E D W Engineering g g e , ❑ S4ectmen-Licensing ❑ DP\Water/Sewer ❑ Bm rd of Appeals _ P anning Board 4, / , li ❑ TdFn Clerk ._. Oter ❑ Po ice Department I f Ot er The following is forwarded to your office for your information only - no response is required. The Building< Department. is in receipt of an application for Plat i Lot //-c ,. Address by 0�i Ate 42-1211-eX. to _L�. — owner/ c demo,construct,alter,occupy,etc. a (n) Gz��� 2) c./(--- p, .. The plan was received by this office on //cz7/cd2 a�w This office will review said plans and subject to availability of potable water, where required, the provisions of Zoning By-law per MGL Chapter 40A and MSBC 780 CMR 5th Edition will have available to issue or will deny a permit for the above-mentioned work within 30 days of date of receipt. The applicant has been advised that your office as indicated above may require them to apply for licenses or permits subject to your jurisdiction and that they should contact your office, as indicated, for specific information. It is not necessary to respond to this notice unless there is a specific issue at hand or you wish to forward material or information required for permitting. When required, an Occupancy Permit will not be issued until all Town Agencies have had the opportunity to "sign off" that the work under their jurisdiction is complete to their satisfaction. To The Applicant: Be advised that this notice will be sent to the Agencies checked above as they may have separate jurisdiction for your project. Any questions about the Agencies Regulations & Policy should be addressed to the individual Agency. Your signature only acknowledges your receipt of a copy of th noti 1 ( ' - 4, / G j APPLICANT i F• • . • . . • " „ 4 , • . • . . . : : : • 1 : . 1 1 4 -31 .„ . , , 1 . .„.. ..... ,,,, .. ... , , , \ .• „ . \,, - : • , • , b ••h U x IIz N J • NQ • ` a - ; a1 1- = A...., o I IA - o t • U• Z Q IL i= ; 0 0 O 1E o V x m , H • m a � t Q �` i bn G tr • x es a m .+ y Nr. 0 • • �+ 3 W • aUZ 0 ¢ 5, 0 0 :1 top r� �r � ~•+- � - �����' / � ,� I !�/� y,�l �` - � �J ��� ����•/ � �. �T L/ I �'� � •'�V ©� � �a� f„�.r.4 � �f'a! � /�{ 1 /� ^" •� e 7714C \ /` � i.- "{+•� % �' -� «��..f�' �'Y :•�� �"` �V ♦ 'V / >'�•. /`r► "�' I ''f"a` �.j • ,��. �- 6 !���"w'4r /�vc ��iw� �V �vw.! ... • Te >/ tt n : •�- /' /-� N � � AAYD r�•.1t :• i ` s --/ 4 �ICji 1r;r ' VJ_ ,e� /-1 i�j G.►��/,- � � �Q�� OP 74-0 t•"'CW 1, /• , O 1> 7 Yo. IV L..v.. u LO C�u S MAP. Lot • ♦ 1 C .aa F.,. , , / , ..� -- __- •- ! _ - Tc� P Or F M t7 N . L E V . t Z O . -� to °' 0 cm F.1 x 1 s �r�>�er 7 � .Q u `- J i 1 - i a o ' • �' ,- � ►r� . G� �� E �LE�r = 1 t . 2 o cti a, ''"� .I►_•-- r� 1wr LI _ D .•/••�� 0 '{ _ir: 1 . > v J / ,ti �-� �r h^11.! L✓C' -li> 44 L G .a a �. . r '� s?c��. j HEALTH INSPECTION T r ; a Pa a oo ca a: t.. n REQUIRED WHEN EXCAVATED !•�v�ir• t � `~� � .iw j { % P ' ti �,, ••j ^� ;- ,' t? �. � • ti r-' �%I','�t~ �.h y,r C...`1 � ../ •� i • a CJ t w.► 1 y G r U F•z •'r1 M t ,i' I • 1` 4= �• /T ' z Y L •- �- �fi % I i � .� ! .+•' t.. . �t'..�• p" r►•`• �,. •. - 1 cu tillINV.:t ` C • raw �,� s.• ; "`� z�! t i ' J, ° 1-� �8 co 5.4 t 1 u no �1 f� h�1 � 1 / S .. _ � It 1 I w Q Q • •V4 f '4a, !' i • ' + f �� r 'i'11►-•• y-�7 • 7 ,J • ��,/ ii 1 7. 1 � . 1 ` • !� �/le , �'�• Iy•1�/ �, .i - ` � v ©!a, 4�1 R:J L3 d E•� :� , i I I �. �1• �--� 'AN K 1 1 i ' �-t-� V. �'' • c as ra. �� �•�/ �'`5 E P T t C f v to � ma ro Q~ f` i e G i O u- a a• r - .� .:. �. �loP! 1 it FT, F1. �criG Y Z Ft. s _ ...r.,. 1En ,/� t_ EA C i� T!2 Ems! LrACN +" SECTIONZc - cn' �/ .. ^► �. NOT- TO SCALE rT 1 F"r e # 1 fi �, t ` • ,� ' �t..� - `I� r l= - GE71ERAL NOTES: 4��- ,.x �. vC. i = PROVED 1 . THIS SYSTEM DOES NOT MAKE PROVISION #=--' �, FOR A GARBAGE GRITJDEF� t �-�Gr:T! %�>T'• / - .' ' :.����D G HLHALL WORK SHALL- BEPERFORED IN ACCO� >F'��t f..DANCE WITH TITLE 5 AND _ LOCAL BOARD OF HEALTH REGULATIONS. --- 3. ALL COMPONENT S SHALL BE INSTALLED 01_1 A LEVEL, STABLE BASE k � ' - B," THAT WILL NOT SETTLE. PIPE SHALL BE �`�.��LAID ON A FIRM BASE 1 `1 �' -1 FREE OF STONES. ' .. :I - tit i; t TOWN of DARTMOUT.� . Bu in t� i� ILDtT4G SEWER SHALL BE' SCH . 40 P . V . rC , ; EFFLUENT PIPE SHALL I _ - BE S. D. R. �5 P.V.C. rI r r+• .. ! t t t � WASHED ST014E AND. PEASTONE SHALL BE �REE OF IRON FITIES , 6c DUST/+ Ill `PLACE, WITH LESS THAN 2/10% FINER THAN #200 SIEVE- SYSTEM DESIGN DATA: 4 •f,.� 2REA P ERCOLATION RATE - ;5 MIN . /INCH BOTTOM = 17 � S . F. BOT.LEA CH'G.RATE = 0.4S - GPD/S.F. AREA S.F. SIDE LEACH ' G . F;��'i E= o,�,�• GPD/S : F . TOTAL LEAC:=j ' G. . AREA - , , _ V E u DESIGN FLOW RATE = d• B.R. ' S @ 110 '.. - � E I 1 GPD / ..� . R . - tl..�. fl p D SYSTEM CAP��CITY t 176- S-. F . X o.q-3 GPD/ , F ,) + 5&.3 S. . F . f•: 0. �G• GPD / ; . F. � - 447G D 2 993 JUNDARTLIOUTH . • � + _ CFI Y f� � • �,' 7 � � � � - • 4�•i_ � � � �"t f �j ff • _ �!� � . , � ..+ „y � • !'-may � ' � w � :�, W�".•.,. or tj A- NC CL pr ` ) s SITE Of A / / / _—•� � � �. r �. � IV - C ll : t I n r.. onenri nr uFeitl! 11 S'C.ALE: 1" = 30FT. � ��~:�,•f, z=T.�.����- � PLAN*.T• - OF 51TE A1,1 cr es, .01 �' TeS r? o SUBSURFACE* SEWAGE. DISPOSAL - - -. -'- , �----to i-C�:'•. J - �.1�7'-•. � � t1�:Sn i � "�"� ��e �� ! _ •t�-CH f . ,� `�� _ ..`ems . _ �, �; A �._.�'..� T %j ..-z,' .,.j �'� � ram.•-�/.� . E.�� .. �� E�, �., l4 � _._. ev � 5 1 l L �.a �'�� ell �` �..�'N 1:;�..•T `'y r'� � �,.,1 ?� ��,, ,�, '��..~ . - .. • ' • ' Lzav i. St)F-. �t CH ARQN! ASSOCIATES INC. - 3Z tt `off `_ __ - • ,�/mac ���s CONSI;ATI NG ENGINEERS ROCHESTER,. KA -02770, TGWU �� �ARTM TH BUILDING DEP i � -- VIM . , " e- .�:..., .�., t � � • ' 1 D � kL'�� SCALE• �� S h.'�D`Ice APPROVED ZGHIUG aIST.. 5 (� A AQUIFER DIST: /A B 01, � o f HE s'I�- *Percola�o;z test .location: T. P . �od . sd-c�.� _ # 1 �' �� _ DATE • M /�, Y 2 � � i Bottom of �.est• hole = 5 "�'(�,''.•,,---�s' 3 1...� F. I. R. K. ZONE C_ tee' ) Panel50051 PG B. corment: r- Gated: (�-- �-� k/�.�"E(� Percola` ion rate -and determination' ., . o f _ ub- r - � .• C s _ ,. ? � r, d i. t z o n � were done----- Z. B. A. ACT : HIA E BED GR TED case # ,•� �,, �_ �-� �; �' r DWG. N O . •' �'.. t r �. . 1 �+8� a� W1 tnessE•c� b , TOWT 0x JJJ T IO i� IZ�, t! Y CONTACT: RICHAFD J. CHARON, P.E. , •• f . .ti�`?�::z . >' ��r1 -parr = A COPY OF THIS PLAN RUST A�OHPAHY AIRY REVISED PLAN SU$HITTED FOR 132 0�. 1 - y 0 -1 T E L . • ('So) 7 6 3 -- $ 3 6 2� EIU��SEHEAT g . Ili ... . _ ,, .,.,. _.. . y . _.... ,„�.. . 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LOCAL � -BOARD OF HEALTH REGULATIONS • ,, f " .� 4 -,; L+1. ,s r ..14-1. i i i f i 1 i E - . � - ` .i� - - . t �. { r ' 3 - ALL COMPONE2ITS SHALT, BE INSTALLED '�11 A LEVEL STABLE BASE - �- # { t { ___- F v THAT WILL NOT SETTLE . PIPE SHALL II: � LAID OIJ A FIRI�i BASE , . . `S' ... ? �..i, `- '�. - , F' ' �......- i .-al to _ 4t , f• 1 i - `- J - y '� rP t"' F 1"\ L' . - - - - - ., 1 , _.� _. .� � t,_- E aF sTo��Es. Fn - : -_. �;�.� „ �� ys t 4=�..� BUZLD`7�G SEWEF SHALL 8E SCH . 40 P . J . �' ;.,,. _ ;J tit 1, �j �� � wR� . C . EFFLUEIr3'�' PIPE SHALL . `:.�7 ���, k �;`trE c , t1i .? k t, - �I ,{r_} I IIE S D F 65 P V C r ,� r �.`----'- WASTED S TOsE AI1D PEASTOIU`E S"HALL IIE. FREE OF IRQ�3, FZ?DES , & .. _ �: ': {: ', , .... . °. �.: '.fir ....:� j D,JS7t I11 PL«CE f �r1 � }1 a�tES� H� IJ ?./ 1C FINES 'I'HAP1 200 SIE��E� �_. ` , a , �- 1 SYSTEM DESIG?3 DA'Z'A : y �y _.r � g 7 .• ' � :... � _w {��, � ' �� � �-`" %; tl F. oLATzor� F,A- s, t45 "II . �-t'lc11 - ,�(7).,ytT:�rs AREA � �' � s . F . i. _�---�"" F I II� i .LEACH G . R.A l " -- O. - �; PD J S . ' . ! S I � it ��I? EN. -- �� - , • F • - . _ t_ _- S ��•' _- 3 �e{ a % 1 `� . `j' t r•` h T 1 '> 1 r•+ ..ti y i j 1• , ..• , f i t f , ( - . ! / ' ��. i ,` 1 . .,._ +_....•... .>-.i, � ' . � '` i 1 `i 1 " :J 1J 1 `._. 1 ♦ tJ , 1 � ., r, "' /1 I - (,,,/•�' G L D ! ►.� . . i \ y1 •�' `1� '�.�'. j,,, S t ' - _ t ` f F .! !/ - -.-- ��.- • --' �.--- 1� ' s 'i'oTA L LEA, , H ' r A R E A =1 '� ..3 " S . F . . ' • , • r- ' a' Tt '�, w •,Y . }.1 �'l' ��� ` , l !\� 4 ( 1 i ' 1..., S 1. �i 1 • 1 ' i '� h r � B • R • t S �7 1 1 0 G P 1D / • L . ' � G P � .i I , E '� ! r' s +.- ,"-.-�,, ,�, ., s S .. i E "3 C n t`-1: C I`( _r r S .. F. I; o. a G P D' S �'- 4 r T i ! •` � o> f �. r 1 j . • •. i' a l ",;.?a�l�:r r _ kf G+. j �y l jL�frr �y &A., P , X`.... I "�', 7`�-•i a ` 1 • t '. 1 . '_ i �_* S-ITE , PLAN ��� i x y �. - - .C) f\/�J� /O� y SCALE 1 - 30 f T . _ t' .-,� _. _ I . P . *. ____ _•=_ P L A t _ 4 V � 5 1 T �. ,t�' ° �`_� _? k t nit { t l I /•� , } _ / kfsi,,•!, col7/c rs i - J .v, -•r �%Q� "' • iC ✓?•4 3, a �t' ! j � ,•�1 �• 4 t i t�•� f a - f� �� j �,: a,. ' t . ;4 , �. S U B S U R F Q C S E 1 A G E P -; S A.- _ . �. _r-- /•�r� i e�,/Ld c., V/ t r GJ ` .r / G �-+ f . ! C . �' :- '� �, ►-- -'i /• ^ ,! t- Ir• Y i. - ! , 6 - •Gk9c-+ -"'" LLL .�� l .r✓:.= r-- "� I L, C 4 �- t t't: rEi�t {. i�� •'/? t f-k_t_i�iy�.r}' 1 w� ,; �j y C ' }�_ ' . c or Q! m 1l an,ci �".�.-' _.-y_� ��-r--"'l._._ •..�!►.� - \„ C�r.�Cr . �•%. r. , - '�' - �s . 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' . - a.+'l.+'Y 1C:J! - - '�,� t ': �'' = v rl,. `I' :( .�` i iw 'f .........,.�_...r...e.... 1 ,�,r,,,Gi • • , ...�- _ L ; .�j �T.s i. ,!` r _ _ f ..M+ f > S �. _ X t 1 _ ,� tom. �"� *T�ercoia��on hest. l aca-tac�n: T. n � . � `\ r l - t _ �D A) • .� o t t o m o f test h o 1 e -- K �- .3 &,.� t/ � I • �•o � � - . 3 �- ►. , �, ,,� �. t . . : c. . � � P rcolat;or• rate and determination : of / . �`t�. t ,,�d ,.� �- r we e - done 1 1.. .��-�i �or,� t�,on r DV C�. NQ• �- { - - - _ +C`' .. f + . . ' 2 t 'rid _ . . • . it r• r y ' t .4 0 � � . . � � a. r Wi tnes eci � � � , I_..__� .... .. . . 1 C,ONTAC P 1C ARD .1 C �ARON, . t .. �� �. a f �,�;, l4 fry \ ... r r ` _ _ a , ,,,� .1 t -, .,� +,- , - r..._..•.......,_ - t .. . . . . F war- lowo up- looft'-fta-10-0— '14 7, t r r _V v SONG TUBE SIZE AND DEPTH -7 _.:;7:7� ORE INSPECTION IS REQUIRED BEF A IS POURED. THE CONCRETE it �AA�, Amen N y BUILDING DEPARTMENT fc Town of Dartmouth -7 L J . ...... . L F IM z%- J f 11 f. 7 3 j r J. i-IT. r (J 7, bv, 0 j YUUk G AT THE BUILDING DURING THI 4x I el R 0 G R E OF THIS WORK. DEPKi PITIVIENT BUILI`� ok un of Dartmouth TOT I U A, i )L it b 4 C 0This Endorsed A Co py plan U St 'Be Kept On Site 4 DUrin"'onstrucfiion DJLO a U., 4 ti Kr I �I I II I I I b #J 4#- o &S r 4 " 3 3 C��t �C/1-"O� /00" //Oz TOYR OF DARTKOUTH HUILDIRG DEFARTHENT I This plant has beep reviewed and accepted as a record copy of work proposed to be perforred in compliance with 7N CI 5th Edition. The owner, applicant/agent and/or architect/engineer is responsible for insuring final compliance with the above-rentioned code notwithstanding any errors or omissions in the record plan. Any change in owner, license contractor or engineer rust be reported to this office irmediately. Any change in plan rust be subeitted to this office in a timely canner. Signature .date 1 P a { ` I YOUR DRAWING MUST BE KEPT AT I THE BUILDING DURING THE PROGRESS OF THIS WORK. +. c-+. �..••►. ems. �••. ems.. �+ WILDING DEPARTr4irol v To -w n of Dartmouth MJ T FL •r_�_-_-:.,.a.—,..."...-,.+�si'r. �'�- _ ter= .. �.�a_ - - �. i_�•�.` -.--_".�• i As Lola Sujovoy must bC su L to the D-jji r. DC,f�. • L�:� C t''s-.1g . for e" I W.- LJ/�^L- Nfxvlplw_4_ & - ,I � grC) u Llrp - D`�. ETECTORS m 4r 'ct 1V wo 010 ut .4 e4 .1 r YOUR DRAWING MUST BE KEPT A Q AT THE BUILDING DURING THE O PROGRE§S� F THIS WORK U - i f ., B B DI TG DEPA U LIU RTMIFT Dartmouth of An s 1,-XZL UiATC-.y 0 call, for aINA. or PA any va Z ,,lid -ion H