BP-719 DARTMOUTH BUILDING DEPARTMENT HELD COPY
P.O.7,Box 9399
400 Slocum Road BUILDING ins
NortS Dartmouth, MA 02747 PERMIT
Telephone 508-999-0720
Kathleen
DATE May 12, 19 89 PERMIT NO. .�},,.� ,,}719
APPLICANT Kathleen Bellemare ADDRESS 3 Running Deer Road, N. Dai tmou4h, 02747 own(
Above-Ground
(STREET) (CONTR'S LICENSE)
Above-Ground Pool NUMBER OF
PERMIT TO install ('-_) STORY DWELLING UNITS_
(TYPE OF IMPROVEMENT) tt(7NO. (PROPOSED USE)
AT (LOCATION) 3 Running Deer Road ZONING
D IS
CTSRA
(NO.) (STREET)
al BETWEEN AND
b (CROSS STREET) (CROSS STREET)
co
!i l LOT
a SUBDIVISION LOT BLOCK . SIZE
m
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E
- (TYPE)
re
/7
I, REMARKS: f ✓_.
AREA OR 4t, 1 600.00 PERMIT 25.00
VOLUME ESTIMATED COST FEE S
(CUBIC/SQUARE FEET)
OWNER Kathleen Bellemare .1..y, �q� n A p
ADDRESS 3 Runain9 Deer Road, North Dartmouth.' 02747 BUILDING DEPT. William A. Braga lis
•
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
r .
DARTMOUTH BUILDING DEPARTMENT I- DEPT. FILE COPY
P.O400.Slocum3Road BUILDING 99 as
Nort!Dartmouth, MA 02747 PERMIT US
Telephone 508-999-0720 VALIDATION
DATE May 12, 19 89 PERMIT NO. 719
APPLICANT Kathleen Rel I emare ADDRESS 3 Runn i ng Deer RoadL N_ Dartmouth,MA 02747 OwnE
(No.) (STREET) (CONTR'S LICENSE)
PERMIT TO install (_) STORY Above-Ground Pool DWELER OF
LLIING UNITS
TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 3 Running Deer Rnad - DISTRZO NING ICT— SRA
(NO.) (STREET)
0 BETWEEN AND
CO (CROSS STREET) .? (CROSS STREET)
as
4 LOT
coSUBDIVISION LOT BLOCK SIZE
a
u O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
t0
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
D:
0
U. REMARKS:
AREA OR 1,600.00 PERMIT $25.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Kathleen Bellemare r�
ADDRESS 3 Running Deer Road, North Dartmouth, MA 02747 BBYILDING DEPT. William A. Braga lls
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby, certify that the proposed-work is authorized by the owner of record Ql
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT e/e6/rn
�
ADDRESS
(NUMBER) (STREET) (CITY)
•
APPROVED B TITL
DATE 7/) 19 L7
r q---/ ,otyri.),,
k...;\ .s.--- E 0 u I
t TOWN OF DARTMOUTH
)
6tz,\ 441. APPLICATION FOR
E ~� 1664 BVILDING PERMIT
J
LOCATION OF BUILDING
01 Street & Number at.) V
01.1 Zoning District
;O2 X ross Streets(between) / and
03 of_49___
Plat 1L 04 Subdivision Lot
NERSHIP COST
p
05 Private (individual, corporation, 36 Cost of Improvement Ace Q non-profit institution, etc.)
06 ElPublic (Federal, State, or local government) 36.1 To be installed but not
included in the above cost
TYPE OF CONSTRUCTION 36.2 Electrical
07 ElNew Construction 36.3 Plumbing
08 ❑ Addition -Type of Room(s) 36.4 HVAC
09 ❑ Alteration 36.5 Other - Specify
10 ❑ Foundation Only example: elevator
11 ❑ Demolition (#of units if residential) 37 TOTAL
12 ❑ Moving (relocation)
STRUCTURE
STATISTICS 38 El Wood Frame
13 Number of Bedrooms 39 El Masonry (wall bearing)
14 Number of Bathrooms (Total) 40 ❑ Structural Steel
Full-Tub 41 El Reinforced concrete
3/4 - Shower 42 El Other- Specify
1/2 - Toilet Only
RESIDENTIAL-PROPOSED USE DIMENSIONS
15 CI One-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
17 El Garage
18 ❑ Shed 45 Total land area, square feet
19 ❑ Carport
20 El Swimming Pool
In-Ground Above Ground SEWAGE DISPOSAL
21 El Woodstove 46 Public or private company
22 ❑ Fireplace 47 Private (septic tank, etc.)
23 ❑ Other- Specify
WATER SUPPLY
NON-RESIDENTIAL - PROPOSED USE 49 e Private,(well,ate c st n)pany
24 ❑ Amusement, recreational
25 El Church, other religious PRINCIPAL TYPE OF HEATING FUEL
26 ❑ Industrial 50 ❑ Gas
27 El Parking Garage 51 El Oil
28 El Service station, Repair garage 52 El Electricity
29 El Hospital, institutional 53 ❑ Coal
30 ❑ Office, bank, professional 54 El Other- Specify
31 ❑ Public utility
32 ❑ School, library, other educational TYPE OF MECHANICAL
33 Cl Stores, mercantile
34 ❑ Tanks, towers 55 Will there be central air conditioning? ElYes 0 No
35 ❑ Other- Specify 56 Will there be an elevator? ElYes ❑No
PARKING PER ZONING BY-LAWS
57 0 Enclosed 58 El Outside
59 Does this building contain asbestos? t`7 YES ' ❑ NO If yes complete the following:
Name & Address of Asbestos Removal Firm:
Submit copy of notification sent to DEQE and the State Dept. of Labor Industries and result of air sample analysis after
asbestos removal is complete.
IDENTIFICATION -To�be/completed by all applicants PLEASE PRINT
60 Owner (print) /9-]I - R //'in Q R€-. , /E V A/ D&Le)2 ievt
NAM �j� MAILING ADDRESY TELEPHONE NO.
61 Signatur' f2111�� � DATE
i3uilder's
62 Contractor (print) License No.
NAME MAILING ADDRESS TELEPHONE NO.
63 Signature DATE
64 Architect or Engineer (print)
NAME MAILING ADDRESS TELEPHONE NO.
65 Signature DATE
CERTIFICATION TO PERFORM WORK
66 I/We hereby appoint
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.
Signature DATE
ADDITIONAL INFORMATION
67 Addition to No.
OUTit
$.4,‘ .t'l
t5 TOWN OF DARTMOUTH
g i BUILDING DEPARTMEN
NL/ a ? !'
1 J- o oe_r gt7 te
,
Name_{
u In Payment of Amount
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ANIIIIMMINI
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Board of Health
SWIMMING POOL PERMIT
Above Ground
Type of Pool:
Location:
3 Running Deer Road
Owner:
Wayne Bellemare
Contractor: Pool & Christmas Village
Date: May 12, 1989
This pool must be constructed as described in the application for the swimming pool construction
permit.
-)4<
6&""UPOLAkei,Lk
Inspector ,
Signature o Applicant
/f0444fi
/g4444
Dartmouth Board of Health