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BP-48720
• Permit No BP-48720 BUILDING PIE.RM IT GIST. ttot,o0 ti 0 I111I6 a a.4sa ue�elle Map 0080� TO1 1'OF' A MO 4�ot s OQ RT IJTH¢ AOQ Slitc,041. oad,I)artmeo th,MA 0274 PhOlte (508)910-1820--s--Fax{508)91UY 83Isk! 4Ite_IWIltir*A71 -%04.4,44ei PERMISSION IS HEREBY GRANTED TO �4 �0 W Contractor I,reerise Phone# v �Q OHO a FRANCIS DEMEkS 1 �874 (50 90 37b8 OBif las 3r -_ ' .. Engineer: . ` - L P1 9, # q Applicant r Phone# dirt £� FRANCIS DEMERS HOME ING (508)990 3 768 limns a RILEY *77 PETER M& PA'IRIC AxLE DATE ISSUED: TO PERFORM THE FOLLOWING WORK: Install new siding and windows/replacement wood stove ifTrojgCt Location: 1 P THE ISLAND RI) Approved/Issued By: DAVID W MATTOS,LOCAL BUILDING INSPECTOR&ZONING ENFORCEMENT OFFICER All work shall comply with 780 CMR 6Tn Ed.(MGL Chap.143)and any other applicable Mass.Laws or Codes and plans on file. SCHEDULE APPROPRIATE INSPECTIONS AS REQUIRED. UPON COMPLETION OF WORK,FINAL INSPECTION IS REQUIRED. THIS PERMIT WILL EXPIRE PER 780 CMR 111.8(NOT MORE THAN 3 EXTENSIONS WILL BE GRANTED)OR ON ISSUANCE OF A REGULAR OCCUPANCY PERMIT. 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 reas to STOP WORK if items under their jurisdiction are not met; not withstanding the issuance of this Building/Zoning Permit. / Signature of Owner/Agent: ` , - III ? mac Il P IQ1 ST rComments • "Persons contracting with unregistered contractors do not have access to the guaranty fund(as set forth in MGL c.142A)" Inspector of Inspector of D.P.W.Inspector Building Inspector Inspector of Gas Fire Department Plumbing Wiring Water Service#: Footings: Underground: Oil: Underground: Service: Foundation: Rough: Smoke: Rough: Rough: Sewer Service#: Rough Frame: Insulation: Final: Final: Final: Cross Connection Final: Final: Treasury: Board of Health E-911 Additional Comments: Planning Board Prior to issuance of Certificate of Occupancy/Completion,this card must be returned to the Building Department with all necessary inspections signed off. Department phone numbers are listed on the white"Required Inspections"document provided with the issuance of the building permit. POST CARD SO IT IS VISIBLE FROM THE STREET TOWN OF DARTMOUTH ' BUILDING RECEIPTS 49215 COLLECTOR'S OFFICE Name ;_ . f f. l �` Property jf f , Date: 1 / :% •—"7r job Location: i 1 j TtWIV b�f�TM() rt�i /` f /%/_ e _._ 1(//r f - ,. t-r I"t firn''s OFFICE White Copy-Collector's Office Plot: t Lot: Yellow Copy Customer's Receipt ,.� Pink Copy-File Copy Green Copy-Building Department Phone: I ram• stg r, v Description A. ;; _ _ ...„etenetat edger#'s Ref.# Amount License&Permits-Building 01000-44105 c`i` j ` License&Permits-Building Misc. 01000-44105 License&Permits-Electrical 01000-44106 License&Permits-Plumbing&Gas - 01000-44107 Other Department Revenue 01000-42420 4 This is not a Permit or License for Building,Plumbing or Gas Received By: , ., : '--; 'c' - --- - ------••••• "Ik. -:=,--..- •--.-..!------ _____ TOWN OF DARTMOUTH l 4 A .0'.'"""r• -"''. , 1 f N--` aM , BUILDING RECEIPTS .,, ,. , .-. COtLECTOR'S OFFICE .F•lr- ../ r -,-;:. Name vi•-- -/'j-'71,t,..,,, ,( (•• ...- /2,ji 1,,) , 1 Property s,fi /c? Date 4 / -', r -7 Owner: , "1( / • i 1 / i'' i• ; . / 1 Job Locatiop, i i vi ; / / I i f .......,/' 1/1/7 '1 ' '..(' i''''' ''''' /i,,,I ,( ,-.) ,ee, '....' White Copy-Collector's Office Plot: (:-..'1• Lot: — Yellow Copy-Customer's Receipt c•, 3 0 - .1' Pink Copy-File Copy Green Copy-Building Department x s Phone ;•,- - _ ,, - z ,,_,..,..1 -,,g --,-,..) -4,-,41 ' 5` ----_ .,.. -,. -...- \, .7 Description General Ledger#'s Ref.# I/ Amount I -- License&Permits-Building 01000-44105 r .1,, ,- i , - t - I I'... License&Permits-Building Misc. , 01000-44105 / 1 License&Permits-Electrical 01000-44106 TOWN OF MN I MOO fH COLLEC fOR'0 OFTICC License&Permits-Plumbing&Gas 01000-44107 „ Other Department Revenue 01000-42420 _ cft 11 , "" '..5" This is not a Permit or License for Building.Plumbing or Gas Received By: .,/ AF-/-8.4'., ---0 ❑ SPECIAL PERMIT(Per 780 CMR 111.13) $25.00 APPLICATION FEE IS NON RE-FUNDABLE &NON-TRANSFERABLE DATUE, EIVED "'(3iliTN_ 9 DARTMOUTH BUILDING DEPARTMENT ill�`. 400 Slocum Road, P.O. Box 79399 .40 o �� x, s Dartmouth, MA 02747 s. . Phone: 508-910-1820 Fax: 508-910-1838 _. I: 05 www.town.dartmouth.ma.us APPLICATION TO CONSTRUC REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING T IS SECTION FOR OFFICIAL USE ONLY /� RECEIVED BY: r i - ' BUILDING PERMIT NUMB R: I DATE SENT FOR REVIEW: " O� DATE ISSUED: e y 7 O.K.TO ISSUE-SIGNATURE: i S 6U DATE: " 4 7 Zoning District: S /t:g Proposed Use:°1f, S Zone: 0 C ❑ B VA ❑V Aquifer Zone: THE FOLLOWING AGENCIES S GLD BE NOTIFIED: ❑Board of oard of El Cons. 0 Demo 0 DPW 0 Elec. 0 Energy Report Appeals Health Commission Affidavit Card Sent: Cut Off Follow-up* 0 Fire 0 Gas ❑<Planning ❑Sewer Card 0 Water Card 0 Zoning 0 Other Chief Cut Off Board Cut Off Cut Off *REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERMIT. D PAR MENTAL APPROVAL Zoning Review: Signature: h "" Date: �^ D 7 Energy Report: Signature: Date: ` Fire Chief: Signature: , Date: ') oard of Health: Signature: Date: � �j Conservation Commission: Signature: Date: Other: Signature: ter /a R Date: Brief description of work being performed: ( t9 ••i p, A i,( 9tl ei-' J e- I41.i 1Yyi iiiKi( W tvP1 I xi S gG G .Cr-C../SECTION 1 -SITE INFORMATION 1.1 Property Address: // ,-fl��! 1. £ 1.2 Assessors Map&Lot Number: Nearest Cross Street: Map A Lot 2 - Subdivision Name: 1.3 Historical District 0 Yes .,I .No Total Land Area Sq. Feet: Has application been submitted to the Historic Commission? 0 Yes 0 No Date: 1.4 Water Supply(MGL c40 s54): 1.5 Sewage Disposal System: 0 Municipal 0 Private Well 0 Municipal 0 On Site Disposal System ❑ CONSTRUCTION PLANS ❑ SITE PLAN ❑ ENERGY REPORT RESIDENTIAL SECTION,4 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2k(1..)O ner Reco - Li,v,8,44,e44- ?,- e ,-, ...",,,,.... f- ..., Name(print) ,,- ,/ Contact Address Phone Number 4.Ali►:i. ....-- 2.2 Authorized Agent: 4.i_,f � eo , si �/ ‹a4'--y;�,-37ae Name(print) v s//� Contact Address rT Phone Number SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor - .-4.i(...4 f License Number: 05K�lS^ .� Address: A` >•, 't !j, Expiration Date: , Signature: Telephone: Cam- p...06Z' Z 3.2 Regist ome Improvement Contractor: Not Applicable❑ W („) Are you a Home Improvement Contractor subject to(780 CMR-6)? 0 Yes B-No J If No, go to the next section! LPL Are you darning exemption from the requirements? 0 Yes 0 No O If Yes, submit the required affidavit! >- Company Name: ` '1 titietA i f Registration Number(if none,state"none"):. ?.. ..Address: i4LY, 5/4.44 f Si - Ali ) �r✓ ".„.,,, Signature: _......-----...-- - Telephone: S? 7- e_?j7oe'1 Expiration Date: 9/0,7 3.3 For Residential Remodel Work Only PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: QUESTIONS OR COMPLAINTS call or write: ' Home Improvement Contractors Registration, One Ashburton Place-Room 1301, Boston, MA 02108, 617-727-8598 ❑' I am a Homeowner performing all the work myself. Owners Name (print): Signature: By signing the above,the homeowner acknowledges that there will be no eligibility to the Guaranty Fund Date: 3.4 Homeowner Exemption-One&Two Family 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 Cons on Contra is Section 116.0,effective July 1,1982,no individual shall be engaged in directly supervising persons engaged in construction,reconstruction,alteration.repair.rerric al or demolition involving the structural elements of buildings or structures,unless he or she is licensed in accordance with the rules and regulations prorrwlyatui by the BBRS=sec+Rules and Regulations for Licensing Construction Supervisors. Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from t_'ie u:.t:x,=>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 parr, &taro or w4idr heishe 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 siCI sse andoor`arm 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 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) SECTION 4 WORKER'S,COMPENSATION INSURANCE AFFIDAVIT(MGL c 152§25) Worker's 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 SECTION 5 DESCRIPTION OF PROPOSED WORK(Check all applicable) ❑Deck 0 Pool 0 Repairs 0 Alteration 0 Chimney/Fireplace Woodstove/Pellet Stove ❑New Construction* 0 Accessory Bldg. )(Roo f g/Siding 0 Other (Energy report required) (Shed/Garage) (Specify below) ❑Addition 0 Replacement wirydgQw/door 0 Demolition (Energy report required) No.of windows �/ Doors_ (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 ❑Furnace(hot air)-fuel gas(natural or propane),fuel oil,electricity,other(specify): ❑Boiler(heating)-fuel gas(natural or propane),fuel oil,electricity,other(specify): ❑HVAC(combined unit)-primary fuel,natural gas,propane,electricity,other ❑Air conditioning-(separate unit) ❑None of the above to be provided ❑Hot Water: Gas Electric Fuel Oil Other Description of roposed work: 1/0( oq , L,e.„. -, , , /? x- SE ION 6-ESTIIATED CONSTRUCTION COST Item Estimated Cost($)to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) / cT�f Cs 5. Total= 1 +2+3+4) / SECTION 7A-OWNER AUTHORIZATION (to be completed when owner's agent or contractor applies for building permit) , (PI ef'PPrint) I, C �'t &. /(A JCII • ' ,as Owner of the subject property hereby authorize I )`} 'i 1 4#-- to act on my behalf, in all matters relati a to work authorized by this building permit application. (14V7 '---77212-1- S'A/G9_2 Signature of Owner Date 9 �/ SECTION 7B-OWNER/AUTHORIZED AGENT DECLARATION I, ✓P !( ` . .fir-‹ , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to a best of my knowledge and belief. Signed under the pains an enalties of per' Signature of Ow r r/Au��izef: nt Date /" i SECTION 8-INSPECTORS REVIEW/COMMENTS 1. Date plan reviewed: / 2. DENIED (see project review worksheet): .i .9,:j d A S /‘0 7 Date: 3. HOLD _ Reason: A/if /i I2 C _/d V t / r f? (CLeWer b4/ci S) Date: ,/f-�s 7 4. HOLD subject to Zoning Board of Appeals action: Date: Comments: Inspector's Signature: �(y J " 7,- " Date: O 7 SE TION 9-APPLICANT NOTIFICATION Applicant informed of above: Date: C/ Time: Clerk: ,./ // )I iL_ ,Sri, / frUJS (� ,--- :Comments: -:=/-,2 �f __ ./k j \7i-Lr 7 vl SECTION 10-'OFFICE/INSPECTORS NOTES Less Application Fee:$25.00 Remaining Balance: $ / -•c 0 Total Permit Fee:$ l-(0• o c' Other$Amount$ TOTAL FEE: ,ts'Q 0 ,la Gross Area-New Construction total sq.ft. Gross Area-Alteration total sq.ft. Permit Issued to: 7 Al S f 4l L- A/cii./ S t t"/ l •t 1.r„//"✓Pe't4/S SECTION 11 -ADDITIONAL COMMENTS/SKETCHES i 0 //tL 7 . Lc/i,,,/ 9 2r :✓ S' ? S . c 6 WOoi2 S're ve ? <S . 0 c) �✓ a / .SO ;. C/a it in l/-s / `/ ` 2 --� 'ermit No. BP-48720 Project Location: 11 PINE ISLAND RI) Commonwealthof Massachusetts G1s# 435a:oo TOWN OF DARTMOUTH Mai aosoa 400 Slocum Road,Dartmouth,'MA 02747 Lot Phone: (508)910-1820',• Fax (508) 10 18338 r 0007Category TO REPLACI BUILDING PERMIT m � o3ect .TS 200 oo25271 FIFET�D INSPECTION Est. cost $1'45a as 415000 , Contractor: License: Phone#: Coast.Class " Use Group FRANCIS DEMERS HI;119870 S08)990 3.768 ` ( Lot Siize`(sq It) 1.10A.:., zx,A Engineer: License, Engineer: Phone#: Zoning SRII l Const ,,. N/A Applicant: Phone#: Ault Const N/A FRANCIS DEMERS HOME IMPROVEMENT &REMODLING (508)990-3768 C€�ihng Walls: OWNER: �., 11 PP -- , RILEY PETER M&,PATRICIA.A RILEY Glaz�n 0 ' DATE ISSUED: 6 /y4_7 TO PERFORM THE FOLLOWING WORK: Install new siding and windows/replacement wood stove DATE TIME TYPE OF INSPECTION&REMARKS INITIAL 7/CI 2 It-fio f:/Ai/1‘ c___ 0 A oki/v -n /,Cf:;'1 � FETED sus- - .-.. d' p - _ f L r. x, a F e 4$ .w,, aA, £{ '4 ht ( -- 3 fix-- ' < 4 1I-5,"";.f-'C:-.- .- ��a 1` < s . _.,:. . ,. ram- ' .. o�...: :. .I --",-',,,,i'higaW,454:-R*144464,,,,,,-, ,,... itAlti.„7„,,,,,14,=m44 • =, it' H Hi : h marks At 3 • emissions , „. 7,5,1 r )111i, r , • 0 JO ,... _I i • ,,,4,-,...„,,,,,,v,ik,-,,,,Q41,3. -,,.-1, • Dutchwest y Non-catalytic Wo , hi,. _o .. '.401110110 _ iEST. 1974 � . --_.�- DUTCHWEST I 4 BY VERMONT CASTINGS - - � '� 7 - I .-P„'k g t4.4k4-'$1.1 ,," ' '''''" -N-. , I - - • , 71 'i'I.•*; ''-' * '''','' ' - ' „ • :7;1 „,- ."4?',.'t:' • -- - . *— -----i_, • , -, i I ...74.„._ .- I t — 1 : 1 i i -•'''''' "*.. i '---. 1 E. hi ir is) — , I -_ _-_- _ L --i. 1 i . ., ..* • ....,--, ... - I iassuilimaeigglibigiwii..,_ • - ,,, -, , . -w-------- --- IN _ -- - _ - 1- • -— - ., Non-catalytic Wood Stove _ - Dutchwest Wood Stoves ..- .. _ .. .. ,,...... , .__ Excellent EPA rating is just a start Dutchwest non-catalytic Wood Stoves earn high marks with the EPA for our outstanding emissions standards. In fact,we have among the lowest emissions in the wood stove industry with emissions of less than 1.5 grams/hour!, -- Combine that with clas.sic styling,sturdy cast iron construction and remarkable state-of-the-art features and efficiency,and you've got a vrood stove that can't be - beat! Convenient side-loading Three size models are available(small, medium and large)to suit any heating need. Large glass front doors allow for maximum viewing and two unique systems are available to spread heat throughout your home. The EVERBURN System This system is designed to produce cleaner emissions and longer burn times, similar to a catalytic system. Gases produced from the burning of the wood are mixed with just the right amount of air to ensure they are , burned completely, producing clean emissions and efficient warmth. The ,r - state-of-the-art design of our EVERBURN non-catalytic Combustion j 1: System enables our Dutchwest Cast Iron non-catalytic wood stove to _., burn more steadily and longer on a single load of wood compared to other non-catalytic stoves. . m Large D °"- ER,BURN Exclusive Dutchwest Advantages • EVERBURN non-catalytic combustion system—A stable long burning non-catalytic combustion system with similar emissions to a catalytic woodstove, as low as 1,31 grams/hr. • Refractory lined firebox and combustion system—The refractory lined firebox provides a durable insulated burning environment for the non-catalytic combustion system while protecting the stove's cast iron parts. • Front & side-loading —The stove's convenient loading features provide easy access when loading the stove. Permits the maximum volume wood load desired by serious wood burners. • Leg levelers—Allows the stove to be leveled on uneven surfaces. • Ash pan —Convenient ash disposal. • "Fall away"handle—Cool to the touch "fall away"handles are easily stowed at the side of the stove. • Ash lip— Large ash lip adds to the stores cleanliness by catching ashes when using the front-loading door. • Large glass— Large clean glass area. • Top and rear reversible flue collar—The top and rear reversible flue collar design allows you to choose between the top and rear venting configurations. • 100%outside air connection standard—An outside air connection with a 3-inch diameter equipment connection flange is standard with the stove. A 3-inch outside air kit is required to complete outside air installation. The 100% outside air connection ensures that all of the air necessary to support combustion in the stove is taken from outside the home. No room air is used to support the fire. • Beautiful andirons. Besides their decorative appeal, they help contain wood load. Optional Accessories: • Fan kit with rheostat • Side heat shield • Flue collar heat shield • 574 stove surface thermometer • Outside air termination kit ti - " BST.1974 - . . . . _ _. . - ---- - ---z DUTCHWEST ;-- '-'-,----zr.--. -- - - -BY VERMONT CASTINGS Serious Stoves for Serious Wood The Dutchwest Non-catalytic Wood Stove line combines classic styling and innovation with solid cast iron construction. Three size models are available (small, medium and large) to suit any heating need. Large glass front doors allow for maximum viewing, plus our unique heating systems for the smartest heat distribution ever. Dutchwest Cast Iron Non-catalytic Wood Stoves Models • 2477 • 2478 • 2479 Model 2477 A 24"(610 mm) B 24 1/2"(622 mm) C 29 3/4"(756 mm) A D 23"(584 mm) E 17 1/2"(445 mm) — ii . 111107—letki= __ F 27"(686 mm) ■ 41� i'w� Center of Flue Collar, Rear Exit j I � ' � \ � G 30 1/2"(775 mm) III 11 1l H 5 3/4"(146 mm) II I1��i _■l 1.r �' Model 2478 r. C rl A 26 3/4"(683 mm) G fof, p.,, '� B 27 1/4"(695 mm) C 29 3/4"(756 mrn) F D 23"(584 mm) -1 E 17 1/2"(445 mrn) I_'_;_ j `. ` . F 27 1/4"(692 mm) 11 101,�/ I millilImo, " Center of Flue Collar, Rear Exit l� ' l- G 30 1/2"(775 mm) �!� i _. I� H 5 3/4"(146 mm) i 1 Model 2479 r , A 29 1/4"(743 mrn) I B 29 3/4"(756 mrn) f H E B -1 C 32 1/2"(826 mrn) D 24 1/2"(622 mm) E 19"(483 mm) F 30 1/4"(768 mm) Center of Flue Collar, Rear Exit G 34"(864 mm) H 5 3/4"(146 mm) DUTCHWEST NON-CATALYTIC WOOD STOVES DW Cast Small (2477) DW Cast Medium (2478) DW Cast Large (2479) Maximum Heat Output 35,000 BTU's/hr. 40,000 BTU's/hr. 55,000 BTU's/hr. Efficiency Rating 63°%* 63°%* 63%* EPA Emissions Rating** 1.41 grams/hr. 1.49 grams/hr. 1.31 grams/hr. Heating Capacity 700-1,400 sq.ft. 800-1,600 sq.ft. 1,000-2,400 sq.ft. Wood Capacity#of lbs. 20-25 lbs. 25-30 lbs. 30-35 lbs. Log Size(inches) 19" 20-22" 22-24" Burn Time Up to 8 hrs. Up to 10 hrs. Up to 14 hrs. Flue Collar Size 6" 6" 6" Bottom Heat Shield YES YES YES *Efficiency rating for these models is the EPA default figure **Under specific conditions used during EPA emissions testing • NATIONAL YOUR DEALER ph.1.800525.1898 NIREPLAC STITUTE NFI C F M www.vermontcastings.com www.majesticproducts.com 6 ADVOCATE ©2006 CFM Corporation-All rights reserved.Dutchwest by Vermont Castings"is a registered trademark of CFM Corporation. In the interest of constant product improvements,we reserve the right to change specifications without notice.Before installations,please read Installation Instructions and check all local Building Codes and Gas Regulations. Please see your Dealer or visit www.vermontcastings.com for complete warranty information. FK058-1000-9116