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BP-280 4 r OUT$. r � �l ire' Y br s � TOWN OF DARTMOUTH / ...„ ko . uf ikt APPLICATION FOR , 1 '�o�• y , BUILDING PERMIT ,- 0 ?— jee4-• i AT (LOCATION) A e Y c e �/I al f / 44. ,-- ZONING D STR CT �(i2 A LOCATION (HO.) 1 (STREET) OF BETWEEN 14'.''y h /'Tii// ,< GI AND BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION 7 ie ✓Ge I:7:6i'17, /,',.'S',A7`C' LOT(S) /S' -"CP. / LAT TYPE AND COST OF BUILDING A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use 1 Id+l New Construction Resid tial Nonresidential 2 n Addition(If residential, enter number 12 I yOne family Y 18 Li Amusement, recreational of new housing units added, if any, in Part D, 13) 13 El Two or more family - Enter 19 LA Church, other religious number of units- - - - --9. 20 Industrial 3 n Alteration (See 2 above) Li 14 I J Swimming pool 21 Parkinggarage 4 Beed,eleve or fireplace s s 5 n wracking(If multifamily residential, 22 Service station, repair garage enter number of units in building in 15 L Garage 23 Hospital, institutional Part D, 13) 6 n Moving (relocation) 16 LL Carport 24 Office, bank, professional 17 LJ Other - Specify 25 Public utility 7 D Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 n Private(individual, corporation, 28 Tanks, towers nonprofit institution,etc.) 29 n Other - Specify 9 n Public(Federal,State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement S school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical b. Plumbing c.Heating,air conditioning d.Other(elevator,etc.) h ,p� 11. TOTAL COST OF IMPROVEMENT $ ?•2POr O SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 n Masonry(wall bearing) 40 I I Public or private company 46. Number of stories 31 pi Wood frame 41 I-Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior -- 32 0 Structural steel dimensions ieJo 33 n Reinforced concrete H. TYPE OF WATER SUPPLY �. 34 n Other - Specify 42 0 Public or private company 50. Total land area, sq. ft. --ZOO;vOJ 43 ( 'Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed - 35 0 Gas Will there be central air 52. Outdoors 36©OfI conditioning? - L. RESIDENTIAL BUILDINGS ONLY 37 0 Electricity 44 El Yes 45 [2/No 53. Number of bedrooms 38❑ Cool 39 n Other- Specify Will there be an elevator? Full a 54. Number of 46 E Yes 47 0 No bathrooms Partial IDENTIFICATION — To be completed by all applicants PLEASE PRINT IN LARGE LETTERS Name / /Mailing addrres/s — Number. street, city, and State ZIP code Tel. No. C� 7 25 l w?? / , L� l.L•�r ///e 4i ��?' i� . . ) � �a!y' Lessee Builder's 2. License No. Contractor 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Sign ure of applicant Address Application Date /�'` .►....W C�,.��, 9 15 ���?,����' film//e y� Ti'/ ��,l? SignafGre of License Holder Address / Application Date ADDITIONAL PERMITS REQUIRED WATER PLUMBING SEWAGE ELECTRICAL SITE OR PLOT PLAN a. —yy For Applicant Use � .a ■ •. —-- - '• iY ii r y i .;ri;a5rraa - ;ii i; -Jar;r f-r-i-- -. / •. : s ,. . . a . . . . 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NB aaaa as a a . as■ . a .i as aaaaaaaa aa�a a..aa. aaaa a� =:aaaa.a.aa.ss.. ysa,aaaaaa •aala:aaaaa aaaaaaawaa� aaaa aa�RCa..a� a•. .:a a: aaaa.... .y�y� as ..a ■.a•, ■aarr.�aa a y� ar .■ .■•.wars aaa s .a aaa.ae. .a .1 as .a a aaaasaaaaaa..aaaanaa.. aaa..naaaaaraaa.a a■aaaaa.a .a.a.a a.a a■ as aR as:a.1■a. aR„ ...g aaa-- -aaaa ��llaa aaaa- r--,,-aaaa- a •. � S'aaa.aa aaaaa. aa.a. ....aaa.aaaa...a.•• ■ •r!•rN�l� aaaalQ _aaa.aaaa aaaaa aaaa. a.Maa.�a.a�aaaa �Qil�a* r�}a�.l ■a■��i TOWN OF DARTMOUTH BUILDING DEPARTMENT TELEPHONE 508-999-0720 - -t FAX 508-999-0738 Oti pl 1, - ZONING REVIEW ORIGINAL Date J//i L/r' L(.`? ' G p E f'j, REVISED Date TO: x ENGINEER PLANNING DEPARTMENT x FILE/NOTEBOOK BOARD OF HEALTH CONSERVATION COMMISSION OTHER ****************************************************************************** (TO BE F LLED p BY APPLICANT) PLAT LOT I a. STREET NAME /l oin e ig4 Op OWNER'S NAME Clrty 6—fillaViers SUBDIVISION & LOT # /5vhLei1, /4lk owo es- �� /Z CONTACT PERSON eii; s 6-a-ll1+ lNa- TELEPHONE #(ri DESIGN PROFESSIONAL AGENCY ti i-z 6 et qv) iltiee THIS PLAN WAS PREPARED BY A_SANITARIAN _LAND SURVEYOR PROFESSIONAL ENGINEER (INDICATE CIVIL, STRUCTURAL. ARCHITECTURAL or OTHER) (FOR OFFICE USE ) After review of the above noted site plan I find the following: 1. Zoning District , Vacant Lot Ot-Yes _No, Zoning District appropriate 4(Yes_No. alfit Date plan approved ? Date of Original submission 7' ,ar Date plan endorsed &1 11 1481 Street V. Existing, under construction and BONDED - lot released. Lot not released, HOLD Building permit! _ Street complies 04,Yes _No. • 3. eN,1A Frontage /5-0.Z5 ', complies yes y' no_indicate 44f0c Lot Area Q Z?D3 , complies yes no iudimate #/:0r Percentage of Lot Coverage Sb 9c maximum allowed. Complies yes no _INDICATE May he additionally restricted by item number 8. 4. WA Setbacks current for this site are CO Front (any street side), 20 any other sides. "Grandfathered" setbacks (are) (a waat) allowed and are applicable to vacant lots only. "Grandfathered" setbacks for this lot may he, per Plan Date I Qt S ,'at front 3 C , sides It) and rear ?i Z� , and Zoning for that ,ate for the Main Use, if otherwise allowed. Exempt setbacks existing yes _, no 7(. • Exempt setbacks will exist due to "Grandfather" rights _yes __Y+no. .,Exempt setbacks) occur when legally pre-existing structures are closer to lot lines than is currently allowed. A "grandfathered" setback may become an exempt setback. (over) 5. A - Setbacks comply_yes— no, _. 6. ttttO Off-Street Parking (Residential-2 space minimum per dwelling unit) complies yes k no_. MIL Driveway (3'minimum setback required except common drive at property line crossing only) complies yes no K 7. fir Top of foundation elevation ll1'3' indicate. ( F/m4-17 /Dg•3) *ter Cellar Slab elevation /O3 ' indicate. MO* Water Table elevation /D/•T ' indicate. 8. 3. Maximum impervious cover is 10% of lot area. rcentage of lot coverage) 9. F.I.R.M. Zone elev-a Panel#250051 00 (58 date G // /ES Flood Zone construction requirements apply, yes no k. Comment 10. / Zoned-Inland Wetlands (section 17) - Requires further action, yes _no_ Comment / 7 Zoned-Coastal Wetlands (section 18) - Requires further action, yes _ no _ /�j Comment ` Other✓ 11. (SS) Zwrri g Board of Appeals action is required_ Yes _ No. Comment Was_gzanted - Case# See decision. 12. Submit certified "As Built", including top of foundation elevation in actual elevation numbers, not assumed, prior to backfill or any other construction. 13. Submit further information'No _ Yes. If yes, refer to item(s) # 14. Project will require further review when new, revised or requested information is submitted to any agency. 15. This Zoning review does not indicate compliance with any other Agency, including, but not limited to the Massachusetts State Building Code. 16. Building Department Permit(s) required K,yes _ 17. • N/A = not applicable To applicant/engineer: • Y. Zoning APPROVED to proceed. • en r rApproved to proceed subject to submissions requested above! DO-NOT PROCEED, submit information requested above! _-DO f'tOT PROCEED. Insufficient information provided, RESUBMIT. ubmitted bv, � n David J.Silveira Building Commissioner & `���, Iz Zoning Enforcement Officer Date ZONIREVI OtU V JAL C 4 ..r rr n 'to/ . 3, .f .0,b 3�P 3 2' ri [ tC V - K ! t.1J f iJ "t jl31 fV lii�r ,` rr �% CHANGES- R ., . 3 � 1 GES T I . S N BE -APE J BY T t f ("ll ! r K_ i i i HEALTH \ � THE ENGINEER, > � ,�-:_� �E A\ I HE .iit..lAi�� � -�At� H TO INSPECT SE ,% E SIC ���t^I .a`�'S` E9P 3 � :-fE ` E�' ..�''