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BP-6996r LL I - _ 1- �-.1 - FRONT ELEVATION SCALE I/411 = I1-011 i Ti RIGHT SIDE ELEVATION SCALE I/4�1 = 11 - O° r i '- TOWN OF DARTMOUTH BUII DLtiG DEPART�ENT This plan has been reviewed and accepted as a record copy- of -work proposed to be performed in compliance with 780 CMR 6TI i Edition . The o,%ner, applicant/agent and/or architect/engineer is responsible for insuring final compliance with the above -mentioned code notNikstanding any errors or ith omissions in the record plan. Any change in ov la , license contractor or engineer must be reported to this office immediately. Am chance in plan must be submitted to this o e in a timely_ ann 1 Signature Date _ JUN 15_19 - n _ _ L x i i �- i r-101 TF,.I.. .-..• .er a 1 ti i % • ctrr-tionn thru retcd walln rind 1100r � 01ri! b^ 1 Vc 2� �Rv ���• -• �i Vw+fCi� 17 a��'j�1V !�f prew ntins 1 i • I r+c� �, is .,.�•� whsn c!lb cctct ( — _ el ilp cn cnd g �— to tho rcglu rcments of tiro Test Standr 71 T-1- — —� — -�- — -- — --- f � • i r��"'-f� �- � �".-- � An As Burtt Sly: lc! Murt._ ' tho' Building �9 sr�:�.att�.sl t� . Dept • P: for to cc ,lli for LEFT SIDE ELEVATION a foundation ins 1•e>ct��n r SCALE I /4�� = 1 0�� any further cans".ruction • / - _ T - IM OF DARTMOUTH, RECORDLary A COP Of Thb Endo rs� 1 - f'On Must R� ttopt on Site During - -- - - Construcgon -_�:. ate YOUR DRAWING MUST BE KEPT -- ---- ----- - DURING TH£ _ AT THE BUILDING DURI . PROGRESS OF THIS WORK iLD DE . I TT TO of Dartmouth _.._.... INSPECTION IS REC' THE coNcRETe IS Pouria). lip s� .��■ CI h ' � TA F. I I I I I I TOE« OF DARTMOUTH BUILDING DEPARTMENT \ NOTICE PLANS MUST BE KEPT AT SITE DURING CONSTRUCTION. PLAT & LOT AND ADDRESS MUST BE CLEARLY POSTED AT ENTRANCE TO SITE. 16 REAR ELEVATION SCALE I/4"=11- O" PROPOSED 3 BEDROOM DWELLING LOT 6 PBRITTAH'i' LA 5 L�F�y DARTMOUTH, MASSACHUSETTS SCALE. -AS NOTED APPROVE".3Y DRAWN DA-rE:AUGUST 6,1997 FOR MR. DAVI D AND NANCY PINTO LINO PEREIRA-ARCH ITECTURAL DRAFTING DRAWING NUMBER 35 WESTVIEVI STREET, T,,EW RFPrORD, Ma I, O ' � I DIETZGFN NO -9*"• AGEPROOF MASTER FORM ti iZ A I I, r I i F C `` �O i i ( I � j La T. — y ' i z- , -jdab - 1 o .,. .T I I t7: l _ _ -LLL_ _ I- !J I I �91411 B I 1 - Jr --i .. r A'Of RW - � I t co�` 1 I r��pr1� KKK'' P ��-- I h 1 1 1 I Vjlr�:� , I C{ 1 FOUNDATION AND BASEMENT PLAN SCALE 1/4= 1' _ 0 L • ETZGEN NO 198MF AGEPROOF MASTER FORM Aj .T6 p A, FIRST FLOOR PLAN ,'y - - DETECTORS e COUN"G 57 cv,"�� i I PROPOSED 3' BEDROOM DWE�LLING ON LOT /�6 BRITTANY LANES DARTMOUTH, MASSACHUSETTS SCALE :AS NOTED APPROVED _v DRAW B k-7 MATE:AUGUST 6,10 �.� FOR MR, DAVID AND NANCY PINTO LINO PEREIRA-ARCHITE0-TURAL DRAFTING DRaHAn,rnl irAtieR 35 WESTVIEW STREET, N1W BEDFORD, MA � 0 e 0 , 0 SECOND FLOOR PLAN SCALE 1/4"=1'-0" "0 7 +5 S : GOP AL L 4"C> a-- r 1 �,� c, s s � 1�., L 1 r. 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V 11,) A- p� `N IN _1I�r4YL i `& ; i-� ^""11.' f.f Y j,� r ' r1 f�"t� �l t `.'!`'7..t'Y '�•�"i '`" 2J'�� L�I�N` - _ - -- - i 9y��p.T. SILL 2-11 Z►r I L V& 61 1-VL GIIz.DEQ )`�I )1�15UL.-1STJ�/J 6 44E2- -o'ro u kip E2 SJ t-L d�� Off' F)O L-1 _ S 31/z 4 L AL L IV i` �d R GD,d-T/JIJG t„ 6 I \ o% c.o01 L a 1vt fJ s j �I/ P r 0.3 8r�col.J�.-FOL3h}T�•Lli�t_L ! `D� 1b�'5bS(o o;Llf36 I �f�•JLLwo'l 3�z"eoJq C. SLAg r� U )' _ i N CD G• � O f %4 G? 1 P SECTION A -A. SCALE 1/4" = 11 - 0'f oo TR 8 Iv10 • I 1 . Q �a Ir �b I SECTION B -B SCALE I/4" = I� - 0'� ��H�• .(per r 74 f 7 41-4cUz Zil ROofT A l l o - i It 311 CO Q if • 5:2-4 8 'It /L G/ 2DER all f n 77-vaT/Al6 YJ P PROPOSED 3 BEDROOM DWE 1_ LING ON LOT 6 BRIT:TANY LAW DARTMOUTH, MASSACHUSETTS APPROVEOFr scALF:AS NOTED DATE AUGUST 6 19 77 —_ FOR MR. DAVID ADD � CY PI 0 E LINO PEREIRA—ARCHITECTURAL DRAFTING. UFtAWING NU VIE'EF? 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I j" 114 j& Poe-,-! -7 1 0-41 1 � V � ,f�,�� . , + , .�__ . " el 4, - - I - -17 + , -- - I � . � . L L- t- , 1 4 C, , � - . �..( I,_., % -. L , - - " _r ��, . . -, T t ,L- ^ ^, - ; r - i c 11'1� % i �17 -1 -7 1*1111,111t , . ...I- -:?,. . ,�,`. - , . ,I 4 - - � . , ; " -1 -,. � - �:� 4,_a, ,�,� , .: , -- .. - j -.�--, �-; ,,-�-:: R -jr -, - ; I , & J, I 1, f ,ul� !t� ; - . , ,� + I ,- -!" ., . - � - :,:: � +V�J, .---. - �.- � !�� I� J /-3 l..r4l - 'I -t, ZZA , - � -�. ;�,-, e . - ,- i -X�l ", ' . I - Lif� �-/�'.l '.I I L L - , If I -vl . 21 '6'-f, . . . I , ., I .1 r . � � 0. + -�ot/Nlo--, r�4 v!-- ,f--, �l -I- i � ,; 1-1/ — i !L-!'.I- j n I ,j 1�4-8 I )4- 1 , Lt - , I � GqQ , I 10 1 -- - Y/ 0000 • I• ��� .•' •• 00 o I. o . - C - • Q. 10400' '000,0 see 00, 0 0 . 10 - •/ • ••Ole �•` doe 6 fool A • • • r f�f • /�i +•f } • • • o • 1.4 _ ��.... C.+ � • V• Ole ca • o P-3is �; • 7 ' r • ' 0 f 0t J S • .0.- r __awe••. _...•� �. (71 fn� rA ; re � ' CoA f, A c t� , { - ta N U? d n :70 �► Q Q3 tr . • p • J V •' C- i� (D -UPO Q a o oo r -� 4 r � 1� go Cu to CL to (0 CIO Jzk- O • ,. fee gg • � n wool +r��r 1 411 Fre, O 2C1- �.. • t slop • SAS t .1 . ♦ .- 480 - N own . Propos.- I o • 1 r lei SR ♦• '� q l JoCuZ`1 a , : Y�� 0 n D ♦• TF- y • ay d P0 10 'ro •0 N ' R Con c. Boun d 70­ r. c M 1 , Rim — 99.1 A • • • t t i i1MA • 7 101 GRAPHIC SCALE v 60 .. To of F'ouhdotioin (fyp.) 2 � �' 24 Trcnch w 4 a rf. P'vC Je11 f'lnjsl + .: �r�'dc . 12 .. PVC in ,#ddcd in stone Lo t- #6 73 53± Filter fabric fo profccf stone bee riding► Section 'FA A t r� �... (Not _ Scale r. Confroefor fo fnsitall PVC pfpng.in 24 s uore tone r trench, confinuousl y sloping towpord wvdl, to fin situ confour::; (Adjusf � JOB NO.: Proposed'Site Plan 'in . 97159 PPEPAPED -pP DRAWN: DA VID J\TA 7\T CY. TT,*,rr"j101 .I U.. RM' EWED: DAM Lot .6 -- PLUI L IGf•l aR. DART1�1VIIJTel, t1,'A.02747 y4l*r DATE: 23 JUN 98'. 7\\� �M _4 •• `�. 1,44 CADD FILE.- SURVEYING ENGM TEERING COO �a 97159.0�' G re D. 539� NeW: Be20 MlddI8 dford, ,�,�0`�, 0 - 5 994' -6:�-'�80 8' SCALE, FAX 508._091, /t.4 9Z1 30,_ , IPLAN *0 SCALE 1" = 30' Conc.Bound _ �'" .1� � � I � Ex1sling 1 N � _ Dwelling Conc.Bound osedSAS• JP r ;IP 100, . NE FLAG WC'1,9WHH2 g� / 9 1 9" �, °'• i N g 1 1 4g7.84 '•` '•� FLAG 'DCC'#WHH3 02 ' 1� Proposed Yiel! \ �. TP w � 13' � Sfee 017 9g 56�' :.6 1 ` N� O (1 p1 25' i 92 � � o •O 1 oo +o Proposed 30, DH#1i01 d Ltmrt °� ProPpwelling •\• 3 BR Jacuzz .D 94 ,=� �� RES�� "�� 104 ' 02 1 r- pNe,. way � � '\'� 96 �• ,...-••'''•' prig •,... � •` pose Np .%� pro , Conc.Bound .1 ,�.• ;� A,� f .P - ��` 90 w �i Draln MH '�• i �`� •� Rim=99.1' •� -P� ' 15, 114.74' M : .>; 1 :a NOTES ,It Noll set In Ma le Tree a. Benchmark- P Nall set 1 r" above ground ® Elev.=99.56' b. Subject pf.oPerry does not fall within the Aquifer Protection District Zoning as per map prepared byD. Perry and doted Jan. 1995. 2 C. There are no wells /private water supplies th 100 of the ro osed S A S e SO'1L LOGS : SOIL EVALUATION GENERAL NOTES: e ale 101 Dee Hole 102 1. All workmanship and mater•'afs shall conform Deep H # " p # to 310 CMR/Title V and town of DAR TH, 0 6" 30" 46" 9 7.7 0 9Z2' 9" 95.228" 43"•'±L 0-7 -7' 'Z 7 " 98.1 rules and regulations for the Subsurface Disposal of Sewage. 2. No change to this system shall be made 97.3' unless approved by DANSON cJRVEYING & ENGINEERING CO. 3. A copy of these plans shall be furnished to the installer and kept on r to during con struction. 95.8' 4. All components of the Sor" Absorption System shall be capable of withston&ig H-10 Loading unless placed under/within 10• of drives or parking area, where H-20 Lo ding shall be used. Piping under driveways shall be Sched 40 PVC. 5. All covers to sanitary uni-s shall be raised to within 6" of finished grade and mortared to provide a watertight seal. 0-7 ,' "' •' "" "' •' 6. A certficate of compliance as requlreu oy iVottling observed © 58"/ Elev. 92.9' (TP #101) Title V, section 15.20i must ,�e obtained by the contractor upon completi.'n of the work. Before backfilling, the Installer- shall notify 11 Min/inch (Test Pit #102) DANSON S.& E. and/or the 8• of Health to PERC RATE - Inspect the system as constr.'cted. INVERT DWELLING 98_74' ®Foundation 7• Existing and final grades 3hall remain BOTTOM PRIMARY - 9_7.2' ® SYSTEM SUBGRADE essentially the some unless ctherwise noted. Loam to be stockpiled for . re --application. SOIL EVALUATOR:- JAMES B. LANAGAN - 8. Heavy construction equipr•^ent shall not TEST' PITS OBSERVED BY:__CHRISTOPHER MICHAUD _ travel over the system during_ or after EXCAVATED BY: ___AL RIVET, Constr. construction. _ DATE •_ -6 JAN 98 9. Contractor shall excavate all unsuitable material within the S.A.S. one backfill with clean gravel/coarse sand cap-ible of having o perc. rate of 1" < 2 minutes and not contain fines, silts, clays, organics, stum?s or stones. DESIGN CALCULATIONS. 10. Contractor is responsible for verifying the actual location of any existinz utilitl'es- He shall also be prepared to od;'st existing soil DESIGN RATE : 1" = 15 MINUTES pipe elevation if needed. No. OF BEDROOMS : __3 AT � 1 � GAL/BR/DAY DESIGN FLOW. REQUIRED _ 330�-200 11. This system is not design=d for garbage grinders. 12. Se ttk shall be emb- ssed with a seal SEPTIC TANK SIZE __1500 GALLON ic an P ' LEACHING PROVIDED • stating that the quality assurance Is consistent _200 GALLONS with ASTM Standard C 1227-:93. Tank shall be JACUZZI _ __ fitted with inlet/outlet tees cs per Title V. BOTTOM 20'x 48'x 0.56 = 537.6 Gal END ___--__-_ __-- 13. Erosion control barriers if required shall be staked prior to any excovotlon and shall remain TOTAL : - _.. - �� grading, planting �_- GAL/G�;Y in Place until -at! construction: 960.0 S•F• and inspections ore complete..l• 14. 5' Overdig is required by Massachusetts Title v NOTES: EXISTING GRADE 310 CMR 15.255(5). ------------------ 48----------------------- 5. Septic Tank outlet tee, tc--be fitt-a -with' n gas Uij PROPOSED GRADE bcff►e as r-squired by Moss. �ffre ` V. a' Fes` • t ..a ,, . r `• r3 � .. 11 7P #101 = TEST PIT 16. Subject property cc�-i be found in Zone DH#1 C on FIRM #250051-001513. = Deep Hole/Soil Evol. of 1106198 (� = UTILITY POLE CONSTRUCTION OF THIS SEP SPOT ELEV- = x 100.0' ST-BE--C IPL TIC SYSTEM YEARS (3) BOARD OF HEALTH STAMPS EARS OF THE DATE OF APPROVAL ENGINEERS AS -BUILT This System is Not Designed ''LAN & CERTIFICATION � 9 e� �TATEI�ENT REQUIRED �.LEVATIONS MUST NOT ElEo�r Gcuba a Grinder, hir �yHANGED WITHOUT BOW Ot';o; High Water Use Devices. THE APPROVAL BYT HIS DOES NpT GUARANTEE a N� observed wi In P P o o i 44'1 1 84.8' 132"' ' 84.6' OF HEALTH APPRVVAL d. Proposed improvements contribute to 3.27 BARD OF HEALTHiP3SP�FFEC JIOt4 ETIV£N£SS OF ANY P im ervious cover on this lot. Water observed @ 99"/ Elev. 88'f (TP #307) REQUIRED WHEN EXCAv�-,1D DARTINgp INS TALLATION e. All topso►l,subsoil an d unsuitable material shall THBO�a..�r.�M l removed as per 310 CMR 15.255(5) for a min- PERC RATE 11 Min/inch (Test Pit #101) BOARD OF HEALTH STAI�f imum distance of 5' laterally from all sides GRAPHIC SCALE • proposed S.A.S. LOCUS PLAN: of the outer perimeter of the p p G. FITZGERALD _ t'l1fl..';iE" � 0 15 ao eo +so SOIL EVALUATOR: _____,.____ p to on elevation of 92.9 or until naturally ocurring ��" -`-" 1=o0'f 8 1 pervious material is obtained per 310 CMR 15.250 TEST PITS OBSERVED BY: WENDY HENDERSON Officer. After the excavation :and .the local B.O.H. (II1 'r) Reliable . ENE rrN� 1ti FAe 1 26616 Z 2idd EXCAVATED BY: __.,.._..__ rrF t , is 'Complete the area shall be backfilled as per = 30 tt~ t4ti 1 inch 7 3 .and the local B.O.H. DATE JULY 1990 R 15.255 ----- .Collins form: � � 310 CM O -a 0 N V \ FLAG 'DCC'/%WHH4 90 \ FLAG 'DCC'#WHHS 9' r S 81•-1>9��-9 • f� ZONE 113 100' f Lot.#6 73,153f SF Fi l LOGS : PERC TEST Test Pit # 101 Test Pit # 102 U 6" .30 Pt 70"r I Loyer'A' LOAF! L o yer'B' i SUBSOIL Loyer'C1' SILTY SAND W1 stones &0.a U 96.3' 9" 94.3' 30" 70"• Loyer'A' Forest Loom Loyer•B' SUBSOIL . Loyer'C1' SILTY SAND W/ stones. 93.1' APR 2 9 1998 BY: � TOWN OF OA MOUTH BOARD OF HEALTH PROFILE : S�A�E: Nose PIFE CROSS _ SECTION � � � �_...� ....�....��...� ..,.., .� ..nnnr�ne.i c•vc�rr�e (Not to scale) o��A MP SUBSURFACE SOIL ABS(JRPTION SYSTEM Inlet pipe shall hove ,00't Z ~ > OWNER: DAV1D & NANCY L. PINTO EL.=100 t a tee per Town BOH. i Finish Grade ( 2% min. art.^ "� , MANHOLE pipe shall remain "} 4 TOP OF FOUNDATION SET WITHIN Outlet p p'` I, �t=n �` . _ ASSESSORS MAP & LOT: 80 Lot #6 level for Initial 2.0' 9" hirN. ..� °�'�, • Crss:. / 104'i GROUND 101'f 12- of GRADE MAINTAIN 1 y SLOPE 100't Min. 2" Washed Stone Ra 4 �. No. 's ,�y1 &� STREET LOCATION: Lof ,#6 FLUMLE/GH DRIVE OVER LEACHING TRENCH , 4" Diameter Pipe .°', No. Darf mouth, Ma. 4rr G s� 60 .0 v a � 11' ® S= 1% 98. 3• D-BOX 97.96 MIN. COVER=9 �° a MILLER ENGINEERING min. air apace 98.74' - 1 .... rr...rr.«rr.. rr... .•. rr....r..•+...r.r......r...,..•.r.............w. 6' Minimum Effective D:pth �xi tin soil .l. 4 38' 4 ech 4a pvc � i cF 21 BROOK ST Z'EET 98.63 - o P . L.S. STAMP SEEKONK, MA. 0�771 2, S 9 - pipe * 1. 98. FORMED PiPE SLOPE O.005 WASHED 6 Stone �Larode to 4 sch 40 pvc op 3 30't PER 3/4 TO 1 1/2 STONE Elev. 96.5t' if necessary. •a gLit,tdJ 25' ®5= 17 DEPTH a » (508) 761 - 97.2 4Q` �79 Ta coNNECTioN er Elev. at system subgrgde = e7.2 Depth to til!ottling/observed=58 (Elev. 92.9) � 'r of 8 OUTSIDE 530 Gal LEACHING CAPACITY . LRemov 'lty/organic mabria, encountered. Remove all fines encountered ' �� TE• 2 V• 16 APR 98 TAW �' DA 4 MAR 9 RE FILE: 97159.DWG 97.7 ,. Job No. 98014 CAD 1500 GALLON SEPTIC TANK o El. 93.0' and re lace t1ith clean, granular sand ravel as BAcEMEN7 FLOOR • L. P 9 �9 _ _ �$ •1 y DARTMOU'rH B6-H. t �/1LLER PE - / 9279 ONTACT PERSON:. JAMES E. � • ' %- High H,11 � EEKONK , 1 Reservo;r S*`' ADDRESS: 21 BROOK ST, MA 02771 t, o�` SURN (508)761-779o)473TEL:PLAN #J 800 E CAILS & PRD4ARY Furnace (hot air) - Fuel gas (natural or ro ane)(ueloil electricity, other (speci fy) Boiler (heating)- Fuel gas (natural or propane), � fuel oil, electricity, other (specify) f3) HVAC (combined unit) - Prima fuel natures electricity, ry 1 gas, propane, electricity, other Air conditioning' - unit) None of the above to be provided P . _ Hot Water Gas Electric Fuel Oil Other 900 SPRINKLERS - FOR STRUCTURES OVER 7500 SQUARE FEET and certain • Q multifamily residential Required, plans provided, - lans not provided, why? L- Not required, not to be installed, Why? Y 1000 R'EQUERED OFF-STREET PAREIING NOT APPLICABLE - for ZONING & -Architectural Access Arc eer - project su zswn and reports v Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents SMALL BE originals and not reproductions. General Con r (if Homeowner, state homeowner here then complete section 1300 P ) 1 1-­-Company name � � � �:. � � • < �, . cat' i l fir,. . , ,fir - ZAddress `7 s`r - Phone number 1 P"y"'J •J `-- �.Construction Supervisors license number mi ._ Parking Plan subtted To Building Department Planning Board g Date submitted � provided originals Number of spaces indoors outside total NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE orinals and -inot - � P reproductions. Handicap spaces . -required ve:�` noIf es how . -..-- - . _ Y many asap _rt of the total required number. Is Route 6 (State Road) Entrance permit required? es v no If es has ' q Y y it been issued yes no 1200 FOR RES11DENTIAL REMODEL WO RK ONLY Submit copy of application and/or permit as soon as available. Are you a Home Improvement Contractor subject to (780CMR. - 6) ? Yes _ No If no o to nc:;: rt section _. g 1100 EDENTMCATION (print or type except as noted r Are you claiming exemption from the requirement. Yes No If es, submit the re uir-ed aradav t! � Y q 1. CVrrent owner • name'` �� •� Re d n, � eI contractor name lease rant i address Wr Address %mpw%7 iphone # - Registration number (if none state "none") If corporation, officer in charge Phone number - Arc eel- - for overall desn PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS. TO THE Company name GUARANTEE FUND! QUESTIONS OR CONiPLAIN'TS call or write: Home Improvement Contractors Registration .Address One Ashburton Place - Room 1301 Boston, MA 02108 Phone number (617) 727-8598 Certified by State of Massachusetts as Owners name (print) Certification number Signature Date NOTE Signatures and seals on all plans, affidavits and other documents S • . BE originals and not reproductions. . a 13(JO OWNER SIGN - OFF Alter-ation. of existing, no increase in gross square feet. A separate Refuse Disposal rtnlaration required. c I, the undersigned, am the owner of record .. or authorized lessee (provide documentation) and I have..._. Demohtron - describe structure reviewed � the application herein submitted. I state that to the best of m knowl edge ledge and belief that the information provided ' application is true .and correct and that the permit e P in this P i requested -be issued. Number of dwellingunits Number of bedrooms �-� Further i understand that the permit will expire in six months from A, separate TK),.afuse Disposal P , m the date of issue, if no work is be un or Declara�tron u�- six months after the Last inspection if work has begun and* the permit may � eg pQ to y be extended for six months if no work is anticipated if I request such an extension in writingI understand that t — he permit may be extended only three times b Mo ' -(Provide co of D.P.W, movin license T e of struc y �g copy g ) Type tore written request. I understand that once the permit expires a new application may P pp y be required, including fees and current other requirements (including Zoning). . Name '•(.,6600 • from where (plat/lot or address) to where or address(plat/lot) 4ignature Number of dwellingunits Number of bedrooms r dwellin unit The above signature is my voluntary act and is s' ed under the a' • per g ig pins and penalties of perk ury. fate �. roofing (for existing only, is included in new construction) Who is authorized to picku =61�z4f-cp rmit at the BuildingDe artment? lease P (p Qnnt Address .r.hone 4qs 4 "--7 (/ to", - Die er- C 1Z.., FOR HOME OWNERS WHO INTEND TO PERFORM AND BE RES PONSIBLE FOR THEIR OWN PRpJ ECT I09.1.1 Licensing of Construction Supervisors: Except for those • p ose structures governed by Construction Control in Section 127.0, effective July 1, 1982, no individual shall beesupervising• ngaged in directly persons engaged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of buiidin s or structures, unless he or she is licensed in accorda!mce with the rules and re u t' g g la .nn., pro-. - ,ulgated by the BBRS eats}'ed Rules and Regulations for Licensing Construction Supervisors. sors. Exception: Any Home Owner perform' work for which a Building • � aiding Permit is required shall be exempt from the provisions of this section; provides that if a Home Owner engages P g ges a person(s) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this section only, a "Home Owner" is de • fined as follows. Person(s) who owns a arcei of on which he/she resides or intends to reside on whichP land there is, or is intended to be, a one or two familv dwelli or detached structures accessoryto such use and/or n � attached / farm structures. A person who constructs more than • two-year period shall not be considered a Ho one home in Home Owner. If you are applying under this section sign below: Signature Your signature carries certain responsibilities. including but • P � g not necessarily limited to, general liability NOTICE TO LICENSED CONTRACTORS: The BuildingCode provides in the Rules and Regulations section that an licensed Construction Supervisor, whether or not thev have taken the y permit are responsible for code compliance, see 2.15.2 of section 51 1500 COST Cost of Improvement Items to be installed but not included in the above cost: TOTAL Electrical S Plumbing HVAC Other Vf Number of square feet Number of layers when complete A separate disposal declaration REQUIRED Number of layers already exi*:: ►ting _. Replacement doors and wnndows - (for existing only) (only where doors and windows (exist and will not be enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an exic,;xing dwelling will be considered as an Alteration, otherwise will be included in new construction. (see Code Sun.ction 3401.10 for residential and Articlz� 8 f(;_ commercial) 2 Temporary structure - includes when allowed, trailers, tents and the like and Only for litmited periods of time. Describe 500 CONSTRUGTYON PLANS ZSubmitted, a submitted. Why? usually three sets required. Four sets for food service uses. Number of scats submitted 600 SITE PLAN Not required, why? ubmitted When? Previously, date 7ZWith this application 700 Water supply - required _ yes _ no, public ? yes _ no, on site well? yres no existing? yes no If required and not existing have necessary permits been issued? — no — yes, date (M.G.L. Chapter. 40, section 54 provides that no building permit may be issued unless a �� ater su 1 , when PP Y required, is available. See Code 780 CMR section 114.1.2) Sewage disposal - required — yes /no, public sewer — yes _ no private septic - on -site _ yes no. Submit. copy of permit as soon as availa ble. Ell 300 CO — +v mKiswve - usea (win require inspection prior to installation), new (provide manufacturers instructions). Location(s) (list) Fireplace(s)J ' - (includes flue) List location(s) � � �,vlC.-e- Game Court ..describe (include overall dimensions) LE Tent, Trailer (Mobile Home) or Other -describe AMCLAL - PROPOSED PR � _ PROJECT/USE INCLUDING THREE FAMILY OR MORE AND EXEMPT USES S SECTION NOT APPLICABLE ('The following descriptions -are based on the Massachusetts - husetts State Building Code Article 3 AS N Cade) OTED) (See the Assembly - restaurant, lounge, theater, g , , school, etc. (see Code Section 302.0)Des cribe _. Business -office, assembly with less than 50 occupants - ' . p nts indicate Medical or other professional Section 303.0) P (see Code Educational -structure for trainingincluding child da g y care for those over 2 years 9 months C • 304-00) (see ode Section Factory / Industrial - (see Code Section 305.0 High Hazard - (see Code Section 306.0 i InstitutionaI - hospital, nursing home infant day• care (see Cade Section 307.0) - Mercantile - retail stores Code 3 (see os.o) Residential - three or more family, hotel(see Code ' Y Section 309.0) Storage - includes garages (see Code Section 309. 0) Utility & Miscellaneous Structures - includes tents and _.:grictiltural structures (see Code Sectio n 311.0) New tenant for an of the above indicate to above (see Code Section 119.0 and Zoning• By-law section 35) Tent or Trailer - temporary purpose? Other Descrffie the• 1 •••1. briefly,, N DrTst 1t 1�:vof dryeffimg units 1 bedroomsor Irrl Ir 1 1 1 also xi 111 • condition as aP• 1 �.! 1 400 OF CONSTRU ON OR WORK TO BE PERFORAWtok t= New Construction and/or Addition -total gross square feet (For commercial only total gross cubic feet) -indicate It will be considered new construction if there an increase in square footage in addition to any alteration(s). If project is an addition to existing structure -Total gross square feet of existing FOR COA'CUI. ONLY Will this project be subject to CONSI'RUCI'IpA1 CONTROL (over 35,000 cu.ft.) _yam _ No. (If yes see Code section 127.0). Designer to submit Code Synopsis. Will this project require Peer � APPLICANT TO PROVIDE (over 440,000 cu.ft. Yes No (see Code Appendix I) The following section for official use oni •. INSPECTORS' REV1Ew Date plan reviewed j 30 days to review period expires --� OK to issue date --� OK to issue subject to requested • j q sted submittals (see project review . work -sheet) .date DENIM See project review worksheet date J to 110LD reas o n date HOLD Subject to Zoning Board ' —' J g of Appeals action Comments . Inspectors signature 4 r yr Date Applicant informed of above - Date time staff ((fax, , honein person) p Over six months since approved for issue - DEEMED abandoned. Advise applicant. Hold 90 days for return then dispose p e if not picked up. Inspector . Date Advised applicant Date Time staff (by phone, fax or Jim person) ) OEF'IC'EVNSPEGTORS NOTES TOTAL FEE r r Gross area -new construction Total S alteration Total S . Ft. q Permit is issued to Comments/notes on permit 2 X .�— ---. . -. . � . • ter- Y T T T T T T T T T T � M• � ♦ ♦ AW 1600 TO THE APPLi �►ND A►f'PR®VAL Date of Application submission ` (�Drh Plat Lot Street Vf (A ti Aquifer Zone Owner Owner mail address Owner phone # INVOLVED AGENCIES _The following agencies require separate jurisdictional permits or . approval for your proposed project. CONTACT FOR SUB ONS ® AX COLLECTOR cooed H®LD B APP y Date ❑ Board of Appeals L7_'-J Approved By Date nservation Commission 0 Approved B P y Date ❑ D.P.W. Water � roved B Approved y o D.P.W. Sewer Approved By Date 13 D.P.W. Cross Connection Approved By Date o Treasurer (Bond) o roved B Approved y Date ❑ D.P.W. Engineering Approved By Date Board of Health (well) Approved By -� Date- �► G Board of Health (septic) Approved By Date l 1 ❑ Board of Health (food service) ` moved g Approved y Date ❑ PIanning Board (parking) � Approved B - y Date 0 V DISTRICT J - IIr/_eie A rov pp ed 8y Date BUILDING DEPARITAENT APPROVAL: Q ZONING ❑ BUILDING INSPECTOR/BUILDING COMMISSION ER ❑ CONTROL CONSTRUCTION AFFIDAVIT PROJECT SUMMARY: new construction /alteration/demo sewage disposal - publlc/ private [Alter/add interior walls] [add rooms ' ] [add footprint] water s u 1 _ pp y public/private well [pool] [garage/shed/&Ck] [game courtffood�' ] service] Describe S0 LVQSL To the various departments: This notice has been forwarded to our you far Y y information and any appropriate action* Should o questions please advise. If any reason to withhold t y u have any he requested permit is found, please advise. You co-operation is appreciated. r assistance and The Building Department - Date sent f or review By 11 I IN UT� l III h; it l� I i\ i �� ZA\! \ a \ I APE"LICATION."WOOR-ZONING � Iu�T�.D�T� IIalk,�1I I Inshmefiow .. The applicant shall complete this application to the best of their ability prior to submission, leaving no item tmansmered. The Department staff will be available during regular business hours to .assist as necessary. N/A should he inserted for.- those sections which do not apply. A properly completed application will help avoid unnecessary. delays. K Fib (fog offise we oily) ��AS Tom Cost Less Appfization Fee � Total Permit Fee �U- j ��"�` Permit # �� ❑ ] OUNIT) ,TION ONLY Date Rec-?d�, 100 LOCATION OF PROJECT TOTAL LAND AREA SQUARE FEET CURRENT ACCESSORS' PLAT ' LOT ZONING DISTRICT rJ O - ER ZONING OVERIAY DISTRICTS , if applicable NUMBER &STREET C,all ��P1 NIL NEAREST CROSS STREET SUBDIVISION NAME & LOT # r uj --�Z4 or BUSINESS NAME PREVIOUS TENANT / OWNER 200 RESID L - PROPOSED PROJECT - one & two family residence only Z THIS S. CTION NOT APPLICABLE .:-..., :/_ Single family - number bedrooms number baths v Two family - number bedrooms unit 1 number baths unit 1 number bedrooms unit 2 number baths unit Z x Accessory a ament Total gross s . f.f- Accessory structure: s a Garage - detached - attached to dwelling, dimensions L W c_ Carport - detached - attached to dwelling, dimensions L W own - Shed - dimensions L W S Dec} - dimensions L W Gazebo - dimensions L W Swimming pool above ground in -ground Size Chimney - number of flues Q