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HomeMy WebLinkAbout0129 ANNABLE POINT ROAD - Health 4 AnnA c P011ltRid,(for-merly# l4-6) Centerville - - A = 210 - 033 I 45 UPC 12534 No.2153 OR 1UiTINOi.IW i¢ i c. VE Town of Barnstable P# /,! Department of Regulatory Services nrr : .warenru. i Public Health Division Date D ( aa1y �� 200 Main Street,Hyannis MA 02601 • �Arfl>AUd� . Date Scheduled ,U Z �_ 2 0)5 Time Fee Pd._ Soil Suitability Assessment for Sewage Disposal r Performed By: -V t O b ' �i// /Z• Witnessed By: P61;nj �'�C/�l C�'✓-GZ/S LOCATION&.GENERAL INFORMATION Location Address�� uN��L� �o fi2�• Owner's Name K-Oko S 7-y ev"q- CAddress 5 � Assessor's Map/Parcel: - 2-10/3 3 Engineer's Name 0 441(0 �. ��J/IP NEW CONSTRUCTION ( REPAIR Telephone# 7 7 q f yy_ Land Use _ Slopes(%) S� a Surface Stones A/LL Distances from: Open Water Body --ft Possible Wet Area_1>!i vv ft Drinking Water Well ft Drainage Way 5� ft Property Line =ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands(n proximity to holes) � y fig-i Q Parent material(geologic) Cr L `J 0 UP�# Depth to Bedrock NZ± Depth to Groundwater. Standing Water in Hole. j 3 6, Weeping from Pit Face ,r vl Estimated Seasonal High Oroundwater /?�®/r �,i4 UO D T RMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to soil mottled: Depth to weeping from side of obs.hole: --& /T ln. Groundwater Adjustment /v ft. Index Welt-# Reading Date: Index Well1WYel Adj.-factor ,q. AcU.CroundwaterLevel, PERCOLATION TEST bate (©zs- x�ima Observation ) �J Hole# ( Cy Time at 9" l 3 Depth of Pere Sr�f ,, Time at 6" la Start Pre-soak Time® 011 0V Id.,3 Time(9"-611) End Pre-soak F/` 1 �C) Rate Min./Inch L 5- z Site Suitability Assessment: Site Passed Sit.e Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICIPBRCFORM.DOC V" DEEP-OBSERVATION HOLE LOG Hole# — Depth from Soil Horizon Soil Texture .Sdi1 Color Soil- Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones;Boulders. onsi tency %'(Travel) 0 --/0 5 r3 l o �2 S 2C S tlqfr,-Vsll 3� I3 Z r l �� d r�vw • � rJ tl � �S , DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi ten % U 311. S i 3 Z rP 2�0 " v Gr"tl 5- f y� o DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.. Consistency. Flood Insurance Rate Man: Above 500 year flood boundary No X Yes Within 500 year boundary No= Yes Within 100 year flood boundary No. Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? V ii 1 If not,what is the depth of naturally occurring pe vious material? l Ziv. l0/'d / Certification I certify that on �� �Z �0Z(date)I have passed the soil evaluator examination approved by the nvi on ental Protection and that the above analysis was performed by me consistent wi th . Depa rtment of E Y the required traini ,expertise a experience described in�10 CMR 15.017. Signature 4 Date Q:\S.EPTICVERCFORM.DOC Town of B i rnstab Ie P# till L4 L Department of Regulatory Services Public Health Division Date "6 200 Main Stree4 H annis MA 02601 . En�aye$ Y.. , ,� Ti ____S___ Fee Pd. Date Scheduled me F77;;F . i ,foil Suitability Assessment for age -pis al � Performed By �+' Witnessed By: _ LOCATION & ENERAL INFORMATION Location Address Owner's Name A CIA, f �� I Address C✓�r®�O Engineer's Name Assessor's Map/P$rcel: 6 L I NEWCONSTIRUTION REPAIR I Telephone# Land Use_Q nln Slopes(�o) Surface Stones r Distances from: Open Water Body rift Possible Wee Area 1 /OU ft Drinking Water Well N A ft Drainage Way N ft, Property Line s—ft Other ft I SKETCH:($treet name,dimensiods'of lot,exact locations of .; holes&pere t ts,locate wetlands in proximity to holes) . il'CµT C(�� � i • s • I t Depth to Bedrock N Parent material(geologic)U. !t Standing 3Co . I Weeping from Pit Face Depth to Groundwa�r: g Water in Hole:* Estimated Seasonal i fth Groundwater 2 r D TERN�[N TION FOR SEASO"L HI(;H WATER TA L �, 2•g k Method Used: ►M.�T�i2 — in, j Q, S � _in. Depth to call tnottles: Depth (.4erved standing in obs.hole: itt. proundwatet AdJutllment -�-^^— ft- D th to(weeping from side of obs.hole: A ,fa�tOC,�,.��- AdJ.O�utldwotet 1.�Vkl.,, :� Index Well#� Reading Date 0 index Well levelp� f PERCOLATION TESL' Date 0 B�OS'�itttc.11�.�'.A�► Observation , Z I Time at 9" t Hole# � � _�....�/ • ! '• ' 'Lg �` •1 y, Time at fi Depth of Pere M W /)✓ 3 i Time(910,6") Start Pre-soak Time.0 -�-1-^ End Pre-soak =----- >s >�, . $ate MinJinch sed.— Site Failed; Additi Site Suitability Asse¢sment: Site Pas onal Testing Needed(YIN) original:.Public Health Division Observation Hole Data To Be Completed on Back------- of wetland you must first notify the If per* * cola ibn testis to be conducted within 100' , Barnstable C .#servation Division at least one(1)week prior to beginning- Barnstable r _ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis enc %Or v I -10t4r3 12* DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel) 0 0 /QUA loqr Ci S / I- , ONZ--V DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Oravel i DEEP OBSERVATION HOLE LOG Hole# - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C n ist Flood Insurance Rate Mai): Above 500 year flood boundary No x Yes _.._ Within 500 year boundary No— Yes X Within 100 year flood boundary No--&e Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist,in all areas observed throughout the area proposed for the soil absorption system? WES If not,what is the depth of naturally occurring pervious material? Certification I certify that on / L C72 (date)I have passed the soil evaluator examination approved by the Department of Envkomn ntal Protection and that the above analysis was performed by me consistent with the re9 uired tra 'n , Pert a and ex rience described in 3..10 CMR 15.017. g ex Signature Date 0 ZS"D 5 Q:4SEPTIC\PERCFORM.DOC. 'w y a �pp `�- 11a1 •-•.�. 7 yII� � ram' } + 1 1 IJ r lf«�::3/, 'A1 t.%, AZr?:y 1 M�d►:r F.* -" �' � 1 t + r r �F eyN4� F ra •. r I � \1y..,-i •'.fir. '' r I r 61s-' .tl r � yyk y 10, II , EE9 31 - .� J e tt ,t .1�',1,+` •.'��'• :� .!� a!;y i}4� <, .` s,n firs r µby .`•�a M1 ..�. .� S�(., •4 ]*° ..�'. 2't P y4q`'�y�� I ' 1 • 1 I I �•� 1 • 111 1� 11.1 1 1 • 1 . � . � ©� . -- mm _- C N O n M CD t i ti O (D d CD C i n Eli' O r i P7, O to Q' I CD DODO x 0000 0 0000 DODO - 0 DODO 0000 000 SOD 0 DODOHH ,U�� CNo Nrn rn � c� A ; rn rn � � z EEEEFH HEEEEB I 8 9� 8� N T 26-2 1/2" v o x 0 3 rn 3 > rn � N rn r -' -n Proiect Name Title Rev Date DESCRIPTION Fitzgerald besign I 6,4,I5 PREL REVIEW In rn G� 52 Woodridge Road James Kokoszyna 2 6/14/15 REVISIONS PER MTG Duxbury,Ma 02332 ELEVATIONS 3 8i11/15 REVISIONS PER MTG h--+ 781-934-9649 fitzgeraldjack@yahoo.com 00 C N O tit n CD i ti O CD 'C CD 'C ti O c i n O cr i O O tv i O O 0 >y >v O A� O (. v tit O '17y a r Nrn rD- M M NO li J rn —' Q _ ill z ®d�'� < • a M t� O z X O 3 � X rn X r M U) N rn C C Proiect Name Title Rev Date DESCRIPTION ~n w Fitzgerald Design1 6/4115 PREL REVIEW C:N m 52 Woodridge Road James Kokoszyna 2 6/14/15 REVISIONSPERMTG *_ Duxbury,Ma 02332 3 8111115 REVISIONS PER MTG 781-934-9649 f✓ fitzgerald_jack@yahoo.com U U O 5 5 A = s z l a 3 a a z 51 0 o 0 15'_b" 224„ v r T_9, ( T'_9" _3'_b" T'b" T'-6" -3'_b"- b_b„��—b'6" - - - _ � q s D 8 n ILY u 8 FAMILY ROOM -! m All_� ❑_ MASTER BDR o 55o sq ft 00 a� F 246 sq R II •. 15'-4" t 35'-b" OO O BEAM ABOVE i Lw.e ILL ,Cy ON nlu MASTER BATH BA _-= O /> It 87 sqR ,5 76 sqR r FOYER DINING PATIO N' 91 sqR 122 sqR HALL o 10 sq It n. UP o, O N b, 8'-b" 8'-6" 5' � o ul �� in G Z Y G0_VERED_P_O_RGH � �+ oNl -� m 229 sqR —� 14'-4 1/2" L n a —t- WINDOW SCHEDULE p NUMBER LABEL IQTY FLOOR SIZE WIDTH HEIGHT I R/O DESCRIPTION MANUFACTURER B B W01 2020FX 1 1 2020FX 24" 24" 26"X26" FIXED GLASS-CT .N e ? T W02 21016HO 5 0 21016HO 34" 18" 36"X20" HOPPER pl fl C W03 21049DH 3 1 21049DH 34" 57" 36"X59" DOUBLE HUNGin ea M W04 2610FX 4 1 2610FX 30" 12" 32"X14" FIXED GLASS r7 W05 2634DH 1 2 2634DH 30" 40" 32"X42" DOUBLE HUNG W06 2649DH 2 1 2649DH 30" 57" 32"X59" DOUBLE HUNG 9 0, w v W07 12828FX 4 2 2828FX 32 32" 34"X34" FIXED GLASS S+ GARAGE `' W08 403ODC 1 1 4030DC 48" 36" 50"X38" DBL CASEMENT-LHURHR Ol O n 551 sq ft W09 5245MU 1 2 5245 62" 53" 64"X55" MULLED UNIT W10 6010FX 1 1 6010FX 72" 12" 74"X14" FIXED GLASS N L Y i W11 6049FX 1 1 6049FX 72" 57" 74"X59" FIXED GLASS } 3 a W12 6068MU 1 1 6068 72" 80" 74"X82" MULLED UNIT LL kn A 4, I---------— j W13 6110FX 1 1 6110FX 72 1/2" 12" 74 1/2"X14" FIXED GLASS W14 9112FX 2 1 9112FX 108 1/2" 14" 110 1/2"X16" FIXED GLASS 14 I I I I W15 TW2032 1 1 22350H 26" 41" 28"X43" DOUBLE HUNG Date I I I I i W16 181049MU 1 11 81049 106" 57" 108"X59" IMULLED UNIT 5/26/15 DOOR SCHEDULE I NUMBER LABEL QTY FLOOR SIZE WIDTH HEIGHT R/O DESCRIPTION MANUFACTURER Drawn by D01 2668 6 1 2668 L IN 30" 80" 32"X82 1/2" HINGED-DOOR P09 D02 2668 1 1 2668 R IN 30" 80" 32"X82 1/2" HINGED-DOOR P09 JAC I I I ry D03 2668 2 2 2668 L IN 30" 80" 32"X82 1/2" HINGED-DOOR P09 - D 44 2668 2 2 2668 R IN 30" 80" 32"X82 1/2" HINGED-DOOR P09 *Scale: �t D05 2868 1 1 2868 L EX 32" 80" 34"X83" EXT.HINGED-DOOR E23 1/411 = 1t D06 3068 1 1 3068 R EX 36" 80" 38"X83" EXT.HINGED-DOOR E23 "'1 D07 5068 2 1 5068 UR IN 60" 801, 62"X82 1/2" DOUBLE HINGED-DOOR P09 PROJECT# r A D08 5068 1 2 5068 UR 60" 80" 62"X821/2" 4 DR.BIFOLD-LOUVERED 15-104 i 6' b' b' 6' `I 7 D09 5068 1 2 5068 UR IN 60" 80" 62"X82 1/2" DOUBLE HINGED-DOOR P09 D10 6068 1 1 6068 UR EX 72" 80" 74"X83" EXT.DOUBLE HINGED-GLASS 12' 12' D11 6068 2 1 6068 R EX 72. 80" 74"X83" ILAT.SLIDER-GLASS Sheet# D12 9070 2 1 9070 108" 84" 110"X87" GARAGE-GARAGE DOOR P02 24' - 21' 11 1st FLDOR PLAN - 1413 5Q. FT PERMIT SET REV# 3 8/11/2015C:\Users\Joseph\Desktop\Jobs\Jack's Jobs\Kokoszyna,James\Kokoszyna Plans.layout7:59:51 PM " IF PRINTED ON 11X1-1 FORMAT, 5GALE 15 HALF 0 C N O �n n C CD 11 rn CD i O CD i d N x 0 or ti 0 0 0 cD O58 O r� I I b 4'KNEEWALL l'-111/2" )Cl m — — — — —I - - UN L NO o� ~ A \y) N rn — — — — —L _ _ > .2-J rn > 4'KNEE WALL n Ul I o NXJ J D J win- A D 20_b r No III ZM p1 5KNEE WALL 19'-9 1/2" 4' n O o J _. N I A w 2' u� M. N h33N51 A -- - —Jr. z rn 22'-0 112" 15-5 1/2" 0 Z m V x 0 A -o 3 rn �o Lo X CN rn N rn r •a * t7 t7 Project Name Title Rev Date DESCRIPTION CO y ,�. Fitzgerald Design 1 6/4/15 PREL REVIEW 1 :�; G.t 7 52 Woodridge Road James Kokoszyna 2 6/14/15 REVISIONSPERMTG �cr Duxbury,Ma02332 2nd FLOOR PLAN 3 8/11/I5 REVISIONS PERMTG 781-934-9649 fitzgerald_jack@yahoo.com 00 C N O cn n i (D O 59'_2 CD 'C3 i d 25'-2" 34' ► CD O i 9'-5 1/4" ti � s 3 "4 'o C) m 7=—I r---------- ------ r— ui-------__—_--- ---- --------- x I I Ic I p I lb'-9 314"�► I 60 0 J l J c� �`? N a c SLOPE J N 12' CD L �A °°o= I I Fi ppT �t I c_ — ———— r7 � ---- �m ZOo mmyNQA L J ►d 00 SLOPE �wu ?�r"N , IF C I a"'► �— —————————————— -----� 1p° UftL ——————————— —————— - —— — — lll lP N • I1'_7' 24' t L 5' b I �, I 12, I I I `' I Mz a p �a m0 � vpPO } I T� y a�ioz o..NO °om a�= m I A0 og �Pm� 12'-4" �0, o om �z ° mo 3z mA m to I I I ac 0= o ;IF I I I O Zm Al ZDAUI rn p N Z lZ O yn Op�Z fin O Sm pm>= bm mixo z av P mC I Z-0 aaz N °z arm m 9 aolz �C • Z --z z �N C > 4 m z m F 1 Z a m 0 rn0 Jp Cp Q 3 crnrn F a OZ Q ;I'' 0 3 II II II t , N I I II I I rz t rn T X59 r T apa p m � io O m N . ti v 2m°6 N ov / � n r rn � N rn Project Name Title Rev Date DESCRIPTION n y Fitzgerald Design , 6,4„5 PREL REVIEW C :; C*= 52 Woodrid a Road James Kokos2yna 2 6/14/15 REVISIONS PER MTG 4 �LT Q g FOUNDATION PLAN W Duxbury,Ma 02332 8,11,15 REVISIONS PER MTG 781-934-9649 fitzgeraldjack@yahoo.com 00 N O Cn n CD t i O 'C zo 55 1tz I T CDrn F� S N 1 V-4" O y rn o rn -i i (� 77 W o r m a I O N m p OT Z oA l yZ O a D m =P P m N Ilu \\\ � x z D �Iy CD -n » 5 TSB _ 21y m. y r m Aa F N �N p O i m p J x O�c �oS �O S 5"to MMz I v 11'-4" O � X m tm x m I!�1�1i m om 1 r z 4\ � O ;{ w m po v 0 (Im 1 IA O N o � - T n m A a ui O tIF 1 A �A A yy �71 yJ N Z y� N / ) /V r rn/� m \• < Z rn —1 ® i y M J A 1 A m A v X w r N #(DP m r P 1 OT= m O v Z ^. um v r N �( N d I U ���y�� N A OJ� I uZN 3 rn A N : (1 \1 1 > _ I o _ �C p rn A O. ;Q I-4 m Z m U• Ou Afn fJl i =To o� T v 2 O P-.Z rr NN - m �pTA N1 O m Omi hum, Z � c �om pON to �r- r - r C Pro ect Name Title Rev Date DESCRIPTION Cn y -- Fitzgerald Design , 1 6/4/15 PRELREVIEW it1 :A Cy 52 Woodridge Road James Kokosryna 2 6/14/I5 REVISIONS PER MTG Duxbury,Ma02332 5EGTION5 3 8/I1/15 REVISIONS PER MTG 781-934-9649 fitzgeraidjack@yahoo.com 00 C N O Uh CD O o 3 CD W K w P m A mtl 3 i O 3 � N A Y � m O CS ✓j' 9' 8' i - FF x N O P cu O � 0 O A O 1 O W N C 1 w o � � o � � A O � — A a pi m O w ° u � A N vt Is 1 - z N ti AmA T ° N '�• tl I f I vmT D FAO z nT 00 OOma =ON z T Z(l A C, ZTO wr m G\�z OT m pTA U, PAm n — �T F� S I —m A W A — 1 C - N O p� A tl O \ Un N 1 A rn �_ s O N m �1 Z m A 1 y \ ' L 1A 1A 1 rn iu iu w w i� u x a m � m s 8 9. 8 m_ � N X XW f N y� m m 3 rn u o n A O X O a V• A A W cl r rn „,„ N rn T r Project Name Title Rev Date DESCRIPTION �1 cn A �'' ~n y Fitzgerald Design 1 6/4/15 PREL REVIEW 4t O A C 4 ON1 52 Woodridge Road James Kokoszyno 2 6/14/15 REVISIONS PER MTG Y� Duxbury,Ma 02332 SEGTIONS 3 8/11/15 REVISIONSPERMTG 781-934-9649 I� 4 4t - * fitzgerald�j ack@yahoo.com t- r W N O n S C I I (D r--------------------------� - r- ------ --- --------- — ------- - I "2-11 115 LVL'S I I Qn ,D I I I I I I I I I I m d I I I I p I (� I I I I z c I 11 F ; � I I r o I I Ll LJ I I cp g w I 'lIB"LVL'5 I L cn (— o cn cn N L------------------------ J I 2-11 1/8"LVL'S �-- t-______________________ r I � I N O I I -j _ 2-11 IIB"LVL'S o I -- ) O CD > A I I ° A N I I —' � 3 X ii Z x � I N I � -a N til 0 3 l r -I I I LA v a N AI TI I I I -- I ————— -- - `, \ --- T-- 9 -.1 m 1 r u' < r r 3 1 O N T I I I - 10 oR jo/S T®1.. z - T I m I ti T ° 3-16"LVL BEAM or STEEL ( A U, - O 1 2-11-1/8"LVL15 �1 OIBT 161,o 3 C, i Z1 I Z _ 11 T- 2-11 1/8"LV 6 0S z L' rn — — dL Jti w 2-11 T/8"LVL'S n r Zti " r ° D x N o r A Q_ Q D ti 2 V8"LVL'S T y o z O 3 'n rtJ U) O o O /Z1 A tl > rn m 2-11 1/8"LVL'S /-0 r -n o --S ------ y rn � f ) Q, 3 O O T 3 o liP rn � o o N rn -� r r N Z r N m •o * C C Project Name Title Rev Date DESCRIPTION c Fitzgerald Design 1 6/4/15 PREL REVIEW �a 52 Woodridge Road James Kokosryna 2 6/14/15 REVISIONS PER MTG 4k �� g Window 8 Door 3 8/II/15 REVISIONS PER MTG Duxbury,Ma 02332 Schedule 781-934-9649 I"� fitzgeraldjack@yahoo.com H� N O v 7X10 RAFTERS IV-12 bO.`C T E 8D p = _ _ � 2X12 RIDGE BD = o rn cr 3 I � .91�saal�da ot�' � � Z ,o r X �1 X JAA O A a O c � � m \ o P O \ n � I�`9F CD rFRs 1 2X12 RIDGE BDAll I I 5 ry'D 0 2X12 RIDGE BD I I i A m nA d > O � z X ° z O 3 rn cr X r M r �-.—+M. ro * t7 t7 Proiect Name Title DESCRIPTION o 1 » Fitzgerald Design Rev Date CD M James Kokos na i 6/4/Is PREL REv�w 52 Woodridge Road ry 2 6/14/15 REVISIONS PER MTG Duxbury,Ma 02332 3 8/11/I5 REVISIONSPERMTG 781-934-9649 fitzgeraidjack@yahoo.com 0 N O n i C CD i O CD 'L3 d O O cr i v� c� O ✓v 7a.� i fir::o-e � o 0 1 In �a a `C f O - J i.n y % � F ,t it C L-r yr.,` Z 'r illF iL rK�" X }. . rn u)CN 3 M N rn r 7� I--+s F.► �, C �G Project Name Title DESCRIPTION tr1 Fitzgerald Design Rev Date A n Pt �+ 1 6/4/15 PREL REVIEW Cy 6 52 Woodridge Road James KokoSZyna z 6/14/15 REVISIONSPERMTO DUxbury,Ma 02332 3 8/II/15 REVISIONSPERMTG 781-934-9649 fitzgeraidjack@yahoo.com