BP-12737SOIL DATA
TP-99-1 TP-99-2 •,TP-160 � TP-1610 of
A SANDY
LOAM
1 OYR 3/2
B SANDY
LOAM
1OYR5/8
C1
LOAMY
SAND
5Y7/1
C2 MEDIUM
SAND
5Y7/1
1 t,1.5
0
1 60.8
8"
149.2
28"
145.7
60"
140 7
120"
A SANDY
LOAM
1 OYR3/2
B SANDY
LOAM
1 OYR 5/8
C1
LOAMY
SAND
5Y7/1
C2 MEDIUM
SAND
5Y7/1
150.5 0
149.8 34
148.2
150.5
140 5 120'
152.5 0
149.7 37
149 5 120
152.5
149.4
142.5
. MOTTLES @ 32" MOTTLES ® 32 WATER ® 94" WATER ® 89"
1 OYR6/6 1 OYR6/6 PERC ® 65" PERC ® 61 "
ELEV=148.8 ELEV=147.8 RATE: 1" IN 5 MIN RATE: 1" IN 6 MIN
WATER ® 120" WATER ® 120"
WEEPING 0 88" WEEPING ® 88"
TP-99- 1 TP799-2
DATE: 2-23-99
PERFORMED BY: EARTH TECH
WITNESSED BY: SUSAN GRIFFIN&CHRIS MICHAUD
TP- 160 J-P- 161
DATE: 12-4-91
PERFORMED B`": LEN POTTER
WITNESSED By: SUSAN GRIFFIN
r , 30.5"
�--j/ lo.
BACKFILL \\
EARTH
4 00 • 0 0 • 0 O• 0 0 400
0
0
04 0• 00 0 4° 400 • 0• 40 0 0 04 0• p 0 00
0 0
4 0 4 0• 04400 c 00 4 0
v v v v° o v v v vd v d ° ° d a d v d a v d v v v d v v
.Sv° v v d °d ad° v °� v v v v v v °d vd oV, ` d v d v v d v v
S d d v
°°
v ov° v°vv vdv ° a v v°dv v v v v vvvd vvv,o°°vv°v
v e v v v d v v
4' 6'
4'
TYPICAL OF ALL
TYPICAL FIELD CROSS SECTION
S OBaOo1 E
t <9 t1
LOT 8
70673 S.F.
100 EXISTINIG CONTOUR
PROPOSED CONTOUR
PIPE INIVERT ELEVATION
12" MIN. EARTH TEST PIT
BACKFILL
0 SEPTIC TANK
2" DEPTH OF 1 /8" - DISTRIEUTION BOX
1/2" WASHED PEASTONE
W PROPOSED WATER SERVICE LINE
10" DEPTH OF 3/4" TO
1-1/2" DOUBLE WASHED OBSERVED GROUNDWATER
CRUSHED STONE TABLE ELEVATION
RESERVE AREA
LOCUS'MAP
Qtx
:um
i alil
�CORNE�
iR
LIMIT OF
BORDERING
VEGETATED
WETLANDS
,\i/, , �Ab
/ 3
20' NO ACTIVITY
ZONE o a' o
o. ,-
4\ �G8
/ SILT FEN WORK --10E/ _ - moo` A9
LIMIT 0,
uj _-
z - , 50 151
- j-"
�l -- I N =- %5A
OVI1RDIG 1' ---- �- ( _
o TPA �. '
14'x26' , - " ,►' �155 t' ,
DECK
.�'
� \
PROPOSED
DWELLING GARAGE
T.O.F.=157.50 SLAB-
SLAB=150.0 156.0
25 PORCH ` �P
' O
NOTES: 1. THIS LOT IS PART OF AN APPROVED
10
1 SUBDIVISION FOR ALDER DEVELOPMENT
PROPOSE , CORP. LOCATED ON HIGH HILL ROAD.
ly WELL BENCHMARK 2. THIS LOT IS LOCATED IN A SINGLE
r
CB-DH RESIDENCE B(SR-B) ZOh ING DISTRICT.
ELEV=158.37 3. THIS LOT IS LOCATED IN A FIRM ZONE "C".
4. PER CENT LOT COVERAG;`: 7.2% f
r' 5. (2) REQUIRED PARKING cPACES PROVIDED IN GARAGE.
S 02'4130 E ! o 6. THIS LOT IS NOT LOCATED IN AN AQUIFER ZONE.
{
7. A SOIL EVALUATION IS TC) BE DONE BY THE ENGINEER
AND B.O.H. AT THE TIME OF EXCAVATION.
`-o / 8. ALL WELLS WITHIN 200' ?'0 THE S.A.S. ARE SHOWN..
�PLUMLEIG_H DRIVE
FINISH GRADE /
ELEV. = 156.0 /
PLOTPLAN FINISH GRADE EL.- 154.8
4 '� '� '� SCALE: 1"=30'
1500 GALLON
54.34 REINFORCED CONCRETE 153.62 .1
SEPTIC TANK
15�.01 DISTRIBUTION
153.76 BOX
• - LEVEL STABLE BASE
SYSTEM PROFILE
5' ('� 5'
153.2
c ° v
153.43 ° ° v °
v v 3/4--1 1/2' WASHED
v ° STONE v v v
v
152.8
SEE NOTE #10 ELEV=145.7 LIMIT OF E=XCAVATIO
SEASONAL HIGH GROUNDWATER ELEV.= 148.8
DESIGN PERC RATE: 1" IN 6 MIN
DESIGN FLOW: 4 BEDROOMS X 110 GPD/BDM = 440 GPD REQUIRED
SYSTEM DESIGN: USE 45' X 14' LEACHING BED
BOTTOM: 45 LONG X 14 WIDE X 0.70 G/: F = 441 GPD PROVIDED
ZONING REQUIREMENTS (MINIMUM)
FRONT YARD SETBACK 60 FEET
SIDE YARD SETBACK 20 FEET
REAR YARD SETBACK 20 FEET
GENERAL NOTES
1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA IS FULLY EXCAVATED
AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE f,YSTEM IS READY FOR INSPECTION,
THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF f--ACTH.
2) WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, C'JST AND FINES.
3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DA•,'JM.
4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE
OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION OF THE
5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYST=M SHALL BE MADE WITHOUT"
PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LCCAL BOARD OF HEALTH.
6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHILL BE INSTALLED IN
ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTA- CODE AND ANY
APPLICABLE LOCAL REGULATIONS.
7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTURED BY A. ROTONDO & SONS
OR APPROVED EQUAL.
8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE
STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL.
9) ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEAI ED WITH NEOPRENE GASKETS
OR ASPHALT CEMENT.
10) EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA AND BACKFILL WITH CLEAN
GRAVEL AND COARSE SAND.
11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL- UNIT.
P.E. STAMP
0
01osr�
v ,
P.L.S. STAMP
BOARD OF HEALTH STAMPS
BOARD OF HEALTH STAMPS
SUBSURFACE SELVAGE DISPOSAL SYST 09
OWNER: TETREAULT RESIDENCE
LOT 8, PLUN'LEIGH DRIVE
BUTTERWALK ESTATES
DARTMOUTH, MA
ENGINEERING FIRM:
13 Welby Road
Enc
New Bedford. MA 02745
�y (508) 998-2125
Civil and Environmental Engineering FAX (508) 998-7554
Land Use Planning
DATE: 9-27-99 REVic-7D: 10-4-99, 11-2-9c-
CONTACT PERSON: DAN GIOICSA
DARTD-N968-TETREAULT-SSDS.CWG FILE N0. � ._1 . I - t
,
■
TP-99-1(160)
0"
8"
28"
70"
A SANDY
LOAM
1 OYR3/2
B SANDY
LOAM
1 OYR5/8
C1
LOAMY
SAND
5Y7/1
C2 MEDIUM
SAND
5Y7/1
151.5
150.8
149.2
145.7
SOIL DATA
TP-99-2(161)
0"
8"
28"
60"
A SANDY
LOAM
1OYR3/2
B SANDY
LOAM
1OYR5/8
C1
LOAMY
SAND
5Y7/1
C2 MEDIUM
SAND
5Y7/1
150.5
149.8
148.2
150.5
130 140.5
MOTTLES ® 32" MOTTLES ® 32"
1OYR6/6 10YR6/6
ELEV=148.8 ELEV=147.8
WATER ® 120" WATER ® 120"
WEEPING ® 88" WEEPING ® 88"
PERC ® 65" PERC ® 61"
RATE: 1" IN 5 MIN RATE: 1" IN 6 MIN
SOIL EVALUATIONS
DATE: 2 -23-99
PERFORMED BY: EARTH TECH
WITNESSED BY: SU 5AN GRIFFIN&CHRIS MICHAUD
PERCOLATION TESTS
DATE: 12- 4- 91
PERFORMED BY: LrN POTTER
WITNESSED BY: SU')AN GRIFFIN
30.5"
18.5"
7.5"
TOP VIEW
5, 5" DIA. OUTLETS
140 7 120
END VIEW
CROSS SECTION VIEW
DISTRIBUTION BOX
NOT TO SCALE
I 1o'-s"
5"dia.
outlet OE) 0 a
PLAN VIEW
5" DIM. OUTLETS
knockouts
inlet
1" 20" dia. cover (typ)
taper r4^
' T
3"
F-1 .5"
5'-4" 10 4'-6"
7 4'-0" ,
P. liquid
level
-3"walls 1
3•
CROSS SECTION VIEW
SEPTIC TANK
NOT TO SCALE
/ > #
EARTH
BACKFILL
\
0 e a O e
p vQ o o O a 4
o po
o
p v e o0 o p
ov e o e
o p o p v o
o o e a o
o p o 0 0 0
o
o p
a
o e oppoo e o o p o
vvvv vo �o��a
v �s o o vo
v�
Ivl o o' v v
e
v o ve v
v� col o�v %
�
d v
v vva v
�v � d v v
v o v
,p p v'%F* v v vv vv v
v
,p v v v
v v v V v,
v v 0 v v
0 v
v v
O V O v v p v v
4'
6'
low
4'
TYPICAL OF ALL
TYPICAL FIELD CROSS SECTION
S Og401410 E
..........2
LOT 8 •I�
70673 S.F.
FINISH GRADE
ELEV. = 156.0
LIMIT OF
BORDERING
VEGETATED
WETLANDS
/
LEGEND
ioo
EXISTING CONTOUR
PROPOSED CONTOUR
PIPE INVEF;T ELEVATION
12" MIN. EARTH
BACKFILL
TEST PIT
SEPTIC TANK
2" DEPTH OF 1/
ISTRIBUTt(ON BOX
1/2" WASHED PEASTONE
10" DEPTH OF 3/4" TO
W
PROPOSED WATER SERVICE LINE
1-1/2" DOUBLE WASHED
c
OBSERVED GROUNDWATER
CRUSHED STONE
TABLE ELEVATION
Vel �
RESERVE /AREA
LOCUS
MAP
N
:sane-
6 VrT (v G 1
mn
30' NO ACTIVITY 'oo. AAA U V W Mai continued �e
ZONE co
G
SILT -FENCE/
/ LIMIT OF WORK ,, - p
i A
Q, LO ♦ •
�- •
co00
_ P
50
�52
-99-2
55 32'
i, 5A
OVERDIG
14 x26
'
,BECK / � - / ' � �155
�� 57/
PROPOSED �' ♦♦�
♦
DWELLING GARAGE ♦� 156
T.O.F.=157.50 _
SLAB=150.0 5156 0 /
26 PORCHgo 1000 ♦ ,' �P
- 1 NOTES: 1. THIS LOT IS PART OF AN APPROVED
SUBDIVISION FOR ALDER DEVELOPMENT
/PROPOSE CORP. LOCATED ON HIGH HILL ROAD.
WELL BENCHMARK 2. THIS LOT IS LOCATED IN A SINGLE
CB-DH RESIDENCE B(SR-B) ZONING DISTRICT. ELEV=158.37 3. THIS LOT IS LOCATED IN A FIRM ZONE " C" .
' f 4. PER CENT LOT COVERAGE: 7.2% f
Sf 0747"30' E I / . 5. (2) REQUIRED PARKING SPACES PROVIDED IN GARA0,E.
1 .00 _1 -- ° 6. THIS LOT IS NOT LOCATED IN AN AQUIFER ZONE.
O \\�
jPLUML'Et�H\ DRIVE i
� 1
DWELLING
4
TOP OF
FOUNDATION
ELEV.= 157.5
1500 GALLON
154.34 t. REINFORCED CONCRETE 153.62 `
t SEPTIC TANK
154.01 - - L153.76DISTRIBUTION
BOX
.►: LEVEL STABLE BAS
PLOT PLAN
SCALE: 7 "=30'
SYSTEM PROFILE
FINISH GRADE EL.= 154.8
5f 5,
Im
153.2
v v v
153.43 v o o 3/4--1 1M WAVM v o o
v v
v v STONE v '*• v
152.8
SEE NOTE #10 ELEV=145.7 LIMIT OF EXCQ:VATIO
SEASONAL HIGH GROUNDWATER ELE'4.1.= 148.8
DESIGN DATA
DESIGN PERC RATE: 1" IN 6 MIN
DESIGN FLOW: 4 BEDROOMS X 110 GPD/BDM = 44 GPD REQUIRED
SYSTEM DESIGN: USE 45' X 14' LEACHING BED
BOTTOM: 45' LONG X 14' WIDE X 0.70 G/SF - 441 GPD PROVIDED
i
ZONING REQUIREMENTS (MINIMUM
FRONT YARD SETBACK 60 FEET
SIDE YARD SETBACK 20 FEET
i
REAR YARD SETBACK 20 FEET
GENERAL N OTES
1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA IS FULLY EXCAVATED
AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SYSTEM IS READY FOR INSPECTION,
THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTH. i
2) WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. t
3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATUM.
i
4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVrr% THE LIMITS OF THE
i
OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION OF THE
I
5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM ::HALL BE MADE WITHOUT
PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LOCAL BOARD OF HEALTH.
6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL �E INSTALLED IN
ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTAL C(sDE AND ANY
APPLICABLE LOCAL REGULATIONS.
7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTURED BY A. ROTONDO & SONS
OR APPROVED EQUAL.
8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR 1 EAVE ALL CONCRETE
STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL.
9) ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED WITH NEOPRENE GASKETS
OR ASPHALT CEMENT.
10) EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA AND BACKFILL WITH CLEAN
GRAVEL AND COARSE SAND.
11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL UNIT.
BOARD OF HEALTH STAMPS
- BOARD OF HEALTH STAMPS
TOWN Or- DARTMOUTH
- u Ct ; mnezo Bust
a = '-mitted
�:. SEE REPORT
Dec of Review
- 4999-
P.E. STAMP SUBSURFACE SEWAG V1SPOSAL SYSTF'W),
\ 2t
OWNER: TETREAULT RESIDENCE f
LOT 8, PLUMLEIGH DRIVE
6 BU TTERWALK ES)TATES !
DARTMOUTH, MA
ENGINEERING FIRM:
13 Welby Road
P.L.S. STAMP I New Bedford, MA 02745
.i. 508 998-2125
Clvfl cnd EnvIronmentalng near ng FAX (508) 998-7554
Land Uee Planning
I DATE: 9-27-99 REVISED: 10-E-99 I
CONTACT PERSON: DAN GIOIOSA
ACAD N0. :-I LE N0.
DART- 1968-TETREAULT-SSDS.DWG
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2.1 Ownerof Record: ry �- I '' -
tio tj (f L,
Name(print)
2.2 Authorized Agent:
0L_1.
38 !—�
�Gr-1 La�„D
.�Ip[
q� -1�
Contact'Address
jJ ,g, j,,q4 097f(a
Phone Number
- -
Name (print) I Contact Address Phone Number
...........
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nwwwm� - � - -_
3.1 Licensed Construction Supervisor: I Not Applicable O
Licensed Construction Supervisor
Address
Signature
Telephone
3.2 Registered Home Improvement Contractor:
Are you a Home Improvement Contractor subject to (780 CMR-6)? 0 yes ❑ no
If no, go to the next section!
Are you claiming exemption from the requirement? Oyes ❑ no
If yes, submit the
required affidavit!
It
r
Company Name
Ad6'ress
Signature
3.3 For Residential Remodel Work Only
Telephone
License Number
Expiration Date
Not Applicable ❑
Registration Number (if none, state "none")
Expiration Date
:PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND:
QUESTIONS OR COMPLAINTS call or write:
Home Improvement Contractors Registration. One .4shburton Place - Room 1301, Boston, .VL4 02108, (617) 727-8598
Owners Naarme (print) ___ __ __ ____ - __
Si2mature-
%W
b signing the above. the home owner ac � w that there will be no eligibilty, to the Guarantv Fund
Y
l.no ledges
v
Date ____ - ___ __Ewm�
3.4 HomeoNNmer Exemption -One &Two Family On1v
FOR HOMEOWNERS WHO I\TEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
109.1.1 Licensing of Construction Supen,-isors: 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 st.—L ictures. unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled Rules and Regulations for Licensing
Construction St.!pervisors.
Exception: Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section: provides that if a Homeowner
p _
engages a rso�n s for hire to do ork tha
t
i suc
h H me titi ner shall act as supe
rvisor. . For the pu.�oses of this section only. a "Homeowner" is defined as follows: Person(s) who o%tins a parcel of land on which heishe resides or intends to reside, on which
there is. or is ir, ended 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 n a two-year period shall not be considered a Homeowner.
If you are applying under thi
Signature:
..,
v
NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations ��ction that any licensed <Construction
Supervisor. whether or not they have taken the permit are responsible for code compliance. (see Appendix of 780 CMR R5;,2,1 5)
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Workers Compensation Insurance affidavit must be completed and submitted with this application. FaA're to pirovide this affidavit
will result in the denial of the issuance of the building, permit. Signed Affidavit Attached: yes 0 no
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0 new 11 addition O alteration O repairs 0 chimney/fireplace ❑ woodstove
construction* _ ..
0 deck ❑ pool ❑ accessory bldcr. � replacement window/door 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
I 0 ❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify):
. . o Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity, other (specify):
❑ HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other (specify): __ . 1.
o Air conditioning - (separate unit)
❑ None of the above to be provided
❑ Hot Water: Gas Electric Fuel Oil Other
I . I Brie. f'Description of Propose! Work: I � _, r /'t n
.
CAI
II � - - - . . . . . . . . . . I . . , - , , I . . .
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Item Estimated Cost (S) to be completed by permit appliicant
1. Building __ — ___ ___
od�
2. EXWNEENNWN�lectrical
3. PlNWNNEEW�umbing
4. MNEWWMEEW�echanical (HVAC
5. Total = (.1. + 2 + ; + 4) *Estimated Total S_j- .,_ ,. p0,.� V, v p
. . . . . . . . . . . . . . . . . . . . . . . . . i 0 . . . . . . . . . . . . . . . . . . . . . . . . . . .
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(please print)
I, , as Owner of the subject property hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
. .. ....... : . * kN rt - : %14THO -,--,-*- - NT: **
....,.,.,.,.*.* ........ . :::*. -E. ;N:.:-1--.u-:mw-�*0% *A RTZEM:km --D-Er-r,--A-*
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I, %"�o �„� L B j'4,e4_C.,A, �-- , as Owner/Authorized Agent hereby declare that the statements and information
on the foregoing application are true and accurate, to the best of my knowledge and belief.
�n sign below:
-" Sued un he pains and penalties of perjury.- - -..On
Your signature carries certain responsibilities. including but not necessarily limited to. general liability
imiature of OwnerlAuthorized Agent
,.,-�,000'
I
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R_�����
Date
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RESIDENTIAL
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1 • Date plan reviewed:
2. 30 d"-ys to review period expires:
3. OK to issue date:
4. OK to issue subject to requested submittals(see project revietiti,, worksheet : •
� ) Date.
5. DENIED (see project review worksheet):
Date.
6. HOLD reason:
Date:
7. HOLD subject to
Zoning
Boar
d
d ofAppeals
ac
tion
:
Date.
.8. Commen
ts:
•
9. Inspector'si S nature.
�
Dat
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: :
: ``
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Applicant licant informed
of above
Dat
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Time.
Cler
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Com
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t:
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To
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Le � ss � Application
atio n Fee 25. 00
Rem
aining Balance.
TOTAL FEE.
Gro
ss Area
Ne
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Con
struction
tructl on total . s ft.q
Gross Area Alteration total sq. ft.
Permit Issued To .- .�
`
.
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.T-
RESIDENTIAL
$25w00 AFFILEC
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1664 •
FOUNDATION ONLY
TECH 1777"q ES
DARTMOUTH BUILDING DEPARTMENT
400 Slocum Road, P.O. Box 79399
Dartmouth, MA 02747
508-999-0720 FAX 508-999-0738
t
-; •�'� DATE RECEIT�JD
1999
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DW14:LLING
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Zoning Review: Signatur Dat ---- -9-5-.
-
Energy Report:
Fire Chief:
Board of Health:
Conservation Commission:
Signature: Date:
Signature:
Date:
Signature: Date:
Signature: Date:
Other: Signature: / Date:
Description of work being performed:
v::: is ?i:•i}ii:•}:{{4?i?: ::•i?:?i:4}: �:{•?:•>}; }:v?}?'r:�??i},'{v>i:{�?:{{? ;� �:2{�} }: �}}}}}} }ki ??'ri?:�}ii::�::{ ` �`.: .. ..........Pi. '4}}i.....': :•.::: v., w. � : �: :v:.: •.:y.; :v. _ ::w::.?:ti.?4>: � i????i???: i}Ti: T?i?i::i4??i?iT:?: � :Tii::'.}�.: v::::. �::.-. .... ............. .......
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}� NUMBER OF PLANS SUBMITTED: SITE PLAN SUBMITTED: ❑yes ❑ nco
1.1 Property Ad
Nearest Cros,S
3s.
130'sso
et A"n Ti-�.l lt1U Lcc I/.�_
Subdivision Name:
�I Total Land Area Sq
tissessors riat ac Lot Number:
Plat_ Lot _ -/ /' /
1.3 Historical District 0 yes Ono
Has application been submitted to the Historilic Commission?
yes no Date:
1.4 Water Supply (MGL c 40 § 54): 1.5 Sewage Disposal System:
❑ Municipal O Private Well I ❑Municipal 13 On Site disposal System
c:".t%'p«•in ,forms,.�ldc-rapp.res
' Page 4 Rev. Juiv 7. 1999
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