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0188 FIVE CORNERS ROAD - Health
188 FIVE CORNERS ROAD, CENTERVILLE A=168-111 1 No. 42101/3 OR r ESSELTE 10% O 0 0 0 No. Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in comp ter: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLation for -MIsposal *pstrm Co=stem Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Individual Components Location Address or Lot No. �l 119 ro W Owner's Name,Address,and Tel.No. %"- 199 f-1--� Assessor's Map/Parcel jut Inller's Nam T,Address,and Tel.No. @w� C.g�;��, .®� Designers Name,Address,and Tel.No. M\, �,� Type of Building: P Dwelling No.of Bedrooms Lot Size to O?4 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided -34q gpd Plan Date A���1 �� Number of sheets 71 Revision Date Title ` Size of Septic Tank M" NW ls-;I-yc�poe of S.A.S. Q��C � 5-90ry Description of Soil ke— kqr4 Nature of Repairs or Alterations(Answer when applicable) ,5 i4QrfM- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore describ d�ite_sewage disposal system in accordance with the provisions of Title 5 of the Environmental Co o to place the system in operation until a Certificate of Compliance has been issued b this Boar of ea ig ed C Date 15 Application Approved by I Date Application Disapproved Date for the following reasons Permit No. Date Issued _ s ; t No. Fee /// THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �" PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Disposal 6pstrin Construction Permit i Application for a Permit to Construct( ) Repair( ) Upgrade(/Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 11l f�., Y';v "Cille/C r Owner's Name,Address,and Tel.No. H �G �� 4_ Assessor's Map/Parcel t r S (a t 4-� .; ; C •�/l a�' c Installer's Name,Address,and Tel.No. Designer s Name,Address,and Tel.No. • V4f3 t L�nD��,�e1dA *yt. NZS 1�\df\� �L lJ�� 1��4�T C.Z T pe of Building:r � : ,I Dwelling No.of Bedrooms 3 Lot Size L,Q?sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 p gpd Design flow provided gpd 'Plan Date Z � Number of sheets Revision Date Title ` Size of Septic Tank 1;4;5:e��y 1 T , kW \We of S.A.S. M $�A�GU` �C�„ft\ r 5 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Y. L -q Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 'accordance with the provisions of Title 5 of the Environmental Code -r► o�system in operation until a Certificate of Compliance has been issued by this Boar, of ea I ig:ed // ) A- o 4 C Date — l� Application Approved by 1I l 11 �U� Date Application Disapproved (/ ( Date for the following reasons Permit No. "°r Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(V�' Repaired( ) Upgraded( V)� Abandoned( )by 1, r J a q " _ ,, �,r;,. . f �f ;� �. c T- � s j. ��i/ at -, v has been constructed in ac rdance with the pro i ioJn of Tit _and4hefo'r Disposal System Construction Permit No. ` Ue`d )(,Installer /✓ Designer c, Se ( 1 #bedrooms Approved design flow���_ gpd The issuance of this ermit shall not be construed as a guarantee that the system willT�jaNl designed. Date f (_ Inspector --------------------- -----r-------------- ------------------------------------------------------------------------------------�— No. ""- /'" g Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit j�r Permission is hereby`granted to Construct(' Repair( Upgrade( ) bandon(/ System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with l Title 5 and the following local`provisions or special conditions. �a Provided:C�ns ction must a com leted within three years of the date of this permit. Date j Approved by Y J- Town of Barnstable Regulatory Services • Richard V.Scali Interim Director MAM Public Health Division 639 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: '2 I (� Sewage Permit## f.�—l�'_Assessor's MaplParcel 6 AA I Designer: 5_1"f „I L Ar4N Installer: Address: Y ✓ _Z 1S_ Address: ✓442 f Y)t'f" �P•r�1.�!y�11s f�l, On a- e C(insta leLo AD was issued a permit to install a �cTatseptic system at 1&6 %tt vc Ce irAfe6 /#-L g based on a design drawn by (address) CPr ,w (designer) dated mod' V I certify that the septic system referenced above was installed substantially according to the design,which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. rtify that the system referenced above was constructed in compliance with the terms e I\A approval letters(if applicable) (installer's Signature) f; p,}S _ (Des is Signature) (Affix esig�s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. Q:1Septic0esignerCertificadon Forth Rev 8.14-13.doc r �4 Michah Field From: Roger Brooks - Cotuit Bay Design <roger@cotuitbaydesign.com> Sent: Tuesday, December 8, 2015 12:03 PM To: Michah Field; steve@cotuitbaydesign.com Subject: RE: Issues Attachments: FI ELDM-A1.pdf Michah, I have reviewed with Steve and he is in agreement with the below: The In-law addition is actually only 708 sf(gross).This is measured at the exterior face of the walls, including going to the garage side of the wall between the garage and new apartment,and on the exterior side of the existing house to garage wall. The be including the Mudroom and the Porch,which is not actually part of the in-law apartment. The mudroom itself s 81 a the new en porch is 28 sf. At most the porch and mudroom should only be%attributable to the in-law,so sf+(89 28)/2 767 sf total. I have attached the revision to the`A1 sheet that shows the "bedroom" now called a family room with a new 5'0 cased opening. Once this is cleared up with the building dept. I will incorporate the revised sheet into the full PDF set that you can use for construction prints. If you need full size copies let me know, but you will also need 11x17 reductions of the revised sheet. If you need us to speak with the building inspector, please either have them call or let us know and we can follow up. Regards, Roger Roger Brooks Cotuit Bay Design, LLC Email: roger@CotuitBavDesign.com Mobile: 617-966-0369 Mail: 43 Brewster Road, Mashpee, MA 02649 Office: 11 Cape Drive, Unit 22, Mashpee, MA 02649 From: Michah Field [mailto:michah@joycelandscaping.com] Sent:Tuesday, December 08, 2015 10:32 AM To: steve@cotuitbaydesign.com; Roger Brooks-Cotuit Bay Design<roger@cotuitbaydesign.com> Cc: Michah Field<michah@joycelandscaping.com> Subject: Issues Importance: High Good morning Steve and Roger, I came across a couple of issues this morning regarding my addition plans and the Town of Barnstable. (1) My lot size and the salt water estuary which lies beneath my lot have resulted in only being permitted for a 3 bedroom. With that being said could you please revise the first floor bedroom to have a 5'wide cased opening, will this revision allow me to pass the plans through the town? Is this something you could revise immediately?Any and all help would be greatly appreciated 1 (2)The town said that the in-law kitchen is over 800 sq ft which I will need a variance. Could you explain the steps for this process to me and what is the chance that they will pass it? My cell is 508-364-4053 Thank you, Michah Michah Field,NCMA Project Manager Joyce Landscaping 68 Flint Street Morstons Mills,MA t:508.428.4772 x 126 1 f:508.428.4707 e:michah@woyicelandscapine.com www.00vicelandscapins.com Like us on Facebook 2 TOWN OF BARNSTABLE LOCATION / FuL O&rnera SEWAGE# j �— VILLAGE ASSESSOR'S MAP.&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 NZ- 0"t"o ',i/✓, �^�k LEACHING FACILITY:(type) ,,-?— SZyD (x (size)' ] �f NO.OF BEDROOMS .3 OWNER Pit PERMIT DATE: JI- f COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on.` _ .. site or within 200 feet of leaching facility)` .. Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ! I Feet FURNISHED BY b ft/( 5� �p�9 rR� I V'`oob (� 4. 1R y,1ve (UtA.erJ 1�v TNA�..a i Soo A#OAS. � 41 A 110Z s �, Town.of Barnstable Department of Regulatory Services wuvarnsr$ Public Health Division Date IPI Ll 200 Main Street,Hyannis MA 02601 Date Scheduled I l / - / fs— Time fil!'VirAl Fee Pd._ /00 Soil Suitability Assessment for Sewage Disposal Performed By: AC,(y l Aj Witnessed By: 1/,4y)e l✓. sv � �C-- LOCATION&.GENERAL INFORMATION Location Address /013 .r:9 6r," �Jf Owner's Name fyt CAif Ff e L.p S 0,11e v-ll `� A4 '7J Address ro Assessor's Map/Parcel: �(9Qjl/� Engineer's Name A"rr '`,-6,-Jr.,l1 NEW CONSTRUCTION �R PAIR Telephone#(J�ok) ZGW Y- 37 3-3 Lund Use Slopes(%) Surface Stones F Distances from: Open Water Body 15'oo Possible Wet.Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of tot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Lfo '® t o A O r SCAB 12eAP— Lot- Parent material(geologic)-1�� Depth to Bedrock rr Depth to Groundwater. Standing Water in Hole: wm 4 32 Weeping from Pit Face N� Estimated Seasonal High Groundwater r Z It- A DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: ln, Depth to weeping from side of obs.hole: In, Oroundwater Adjustment ft. Index Well-4 Redding bate: Index Well levol Adj,factor Adj.Groundwater Level PERCOLATION TEST nkie a 'lime_____ Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ <© l Time(91'41) End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site 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:ISEPTIC\PERCFORM.DOC . � *VS DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders. onsistencppy.]]96'aritvell " r r' GIt1 t p`('2 3 L I® • 5 /J ust 0ekt 2f 7 2 c DEEP OBSERVATION HOLE LOG Hole# "L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consistency,% 0. Stqc4 4m !o e 3 ,r"IP '-31, &UAla ion (fi i.o�s 2'5` , 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) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Flood Insurance Rate Map: Above 500 year flood boundary No— Yes ._ Within 500 year boundary No Yes,� r Within 100 year flood boundary No.__._ Yes Denth 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? ,.yam f _— If not,what is the depth of naturally occurring pervious material? 1 ' 37 t Certification I certify that on Q 90e�- (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required trainin xperti and experience described in�10 CMR 15.017. Signature Datb , Q:ISEPTICWERCFORM.DOC Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address �m Renee Toti Owner Owner's Name information is ' required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection t� r'w"t Inspection results must be submitted on this form. Inspection forms may not be altered in any � way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, a 1�v�1 use only the tab 1. Inspector: 6l J I l V 3 key to move your cursor-do not David J.Burnie use the return Name of Inspector key. David J. Burnie LLC, � Company Name 3 Perry's way Company Address Harwich Ma 02645 City/Town State Zip Code 774-216-1440 SI 386 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority r� 6-26-15 pe or's S at Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the systemGNr4r9W),%Ut7t it the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. �S t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage•DispQsat,Syst rn•Page 1 of 17 iF° IAtI r.d d ai° 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system was working as designed, the septic tank was at normal level, the distribution box was clean and at normal level. The leaching trench was probed and found to be dry at the stone level.The system also had a 6' leaching pit that was 2/3 full, viewed using a sewer camera. the leaching trench also viewed with a camera had no standing water. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. ' A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Tit le e 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ NO(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ NO(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/a day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.) ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? • ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330+ t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. City/Town State Zip Code Date of Inspection D. System Information Description: 1000 gallon septic tank , one distribution box one 6x6 leaching pit. NOTE A repair was made to the system 7-3-96. A 2x4x60'trench was added to the system. The distribution box is splitting the effluent even to the trench and the leaching pit. Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): yes Detail: G(oz Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Current Date Other(describe below): General Information Pumping Records: Source of information: 2014 per Owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yy< 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Original unknown, repaired 1996, added leaching trench 2x4x60' Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 18" Depth below grade: feet Material of construction: ® cast iron ❑40 PVC ® other(explain): Distance from private water supply well or suction line. 10+ feet Comments(on condition of joints, venting, evidence of leakage, etc.): Normal as to what we can view. Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) Inlet outlet at normal level. If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 16" Scum thickness 2-4" Distance from top of scum to top of outlet tee or baffle 2" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Tape and estimated. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank should be serviced every 2 years. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Normal level Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Normal level and clean and even distribution Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Located. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is Centerville MA 02632 6-26-15 required for every page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 6x6 ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: one 2x4x60' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The trench is clean and no backup, the pit is 2/3 full Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 TOWN OF BARNSTABLE cJ LOCATION _� /tJ G d�'/19 ,�!' Rl� SEWAGE # �-�/ VILLAGE 4e-eE ASSESSOR'S MAP & LOT leg,-1�l INSTALLER'S NAME&PHONE NO.I&MP�P_1�! lVaPOW •— 77 V7 E 774 . SEPTIC TANK CAPACITY LEACHING FACILITY: (type) % NO. OF BEDROOMS 3 --�-> BUILDER OR OWNER Su I PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: I Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet' Edge of Wetland and Leaching Facility(If any wetlands exist within 300.feet of leacbi'`g facility) Feet Furnished by I1 C . I N I y a' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is Centerville MA 02632 6-26-15 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 12' plusfeet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed. test hole 7-1-77 no water at 12' Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Proposed plan has test hole dry to 12' ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: See below You must describe how you established the high ground water elevation: The bottom of the leaching pit is 8' below grade. The test hole was dry to 12'Allowing for a minimum of 4' seperation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yy< 188 Five Corners Rd. Property Address Renee Toti Owner Owner's Name information is required for every Centerville MA 02632 6-26-15 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 J �' No. e• / N tr0 ' 40 .00 f� � 4►S�W�7 .- � Fee THE COMMONW T&Pf MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pphration for Mizpogal *pgtem Construction Permit P* 1 Application is hereby made for a Permit to Construct( )or Repair( x)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 188 Five Corners Rd Guy Toti Centerville Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Sery P.O. Box 1089 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(no) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil sand Naturg of Repairs or Alterations(Answer when applicable) install a Title 5 1 e a c h t r e n c h 2 x4 x60 ' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B of ailth.,Signed --r-✓ Date �y Application Approved by r Application Disapproved for the following reasons Permit No. �, �' 7 Date Issued 7!:!7! �� � a ell r No. J r✓ g 1 Fee 4 0.0 0 THE.COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS L 2pplication-for MiSpool *p!5tem Con!6tructiou Permit P� !Application is hereby made for a Permit to Construct( )or Repair( X)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. ' 188 Five Corners Rd Guy joti Centervilie e Inst er' ame A dr ss;and Tel.No. Designer's Name,Address and Tel.No. . l�o��nson Septic Sery P.O. Box 1089 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(no) ' Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. ` Plan Date Number of sheets Revision-Date Title " Description of Soil sand Natqp X6epgjprAlterations(Answer when applicable) install a Title 5 leachtrench >_ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B �ofalth,._ �/ - -• ? / Signed ✓.�' Date Application Approved by - + Application Disapproved for the following reasons - Permit No. Date Issued —— —— -- ------— - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS Certificate of Compliance - - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(x )on by W.E. Robinson Septic Servc for Guy Toti t 'as 188 Five Corners Rd Centerville has been constructed in orda ce with the provisions of Title 5 and the for Disposal System Construction Permit No �'. *' dated r"" X� Use of this system is conditioned on compliance with the provisions orth below: ,i •� 1 Y Y —`No. � �!�,�' Fee 40.00 THE COMMONWEALTH OF MASSACHUSETTS Toti PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS a Iigpoot *p!5tem Con!6tructiou permit Permission is hereby granted to W.E. Robinson Septic Service , to co struct ) e air(x )an On-site Sewage System located at 188 Five Corners Rd uen& vile and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction �must �b"ee completed within two years of the date below. Date: Approved by C� 4k_�7 I CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, i i , hereby certify that the application for disposal works construction permit signed by me dated " 3^ , concerning the property located at ��� / l �!G' CoA�/��t:� `� meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system . • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: /, DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. 1V �3 D ✓ \ j vJ 1� I Cl 1 l I TOWN OF BARNSTABLE LOCA'T ON T cez� C OBI(6� )E^ SEWAGE # VILLAGE ►/ i L1-0 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.J&,Wc ,ed,&il//e.l6,-V — 77 S= c 2 74,_. SEPTIC TANK CAPACITY /. e'?r-ti LEACHING FACILITY: (type) ¢"A--z. (size),46A ��� � NO.OF BEDROOMS BUILDER OR OWNER [a PERMTTDATE: COMPLIANCE DATE: Mzhxz Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac ng facility) Feet Furnished by' / h,& ,a i4,, 00 L) s y a, o � � - _.. P i TOWN OF BARNSTABLE LOCATION _S L L�/t✓ G O&V e ' iPl) SEWAGE # VILLAGE Mr V i 4 e-f' ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.,(fr,ed&il/Xasl/ - 77 S= Y 774 � SEPTIC TANK CAPACITY / a -Z--rl - f LEACHING FACILITY: (type) � ����.r-z (size),.14A IvIza oc- NO. OF BEDROOMS BUILDER OR OWNERS I PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet' Edge of Wetland and Leaching Facility(If any wetlands exist within 300;feet of leacbtng facility) Feet Furnished by � e vS G :. 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A r %,i j� ,f, x ,. }{' :,4'�. , 3� f'ro Y� 1 h. -3! � it •?'� 1. :k - �i Q 7�� T :P: �:i V y f, J rl� ti d '' "1� .R; S+ {: F . * r`L., a� D:r: 1. �;. y: 1 �i�i +. A: �f i J < �. ---iii��� .r': :7 r ir. !� 4 r st'��' .�r.' / t:,^ :e'�.'• 'T. �- 1. "it ti' :%►>♦: Y r •'C , %t =` Town of Barnstable Geographic Information System March 18,2015 168069 R #201 s 168078 1sslo #210 #51 �p Quit 168110 #198 10� # 168070 r� .4 #175 1680080U\ #42 111 #18888 r c 168112 168008003 #176 #32 168113 168008002 #166 #24 O 168008001 #16 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:168 Parcel:111 Selected ParcelEJ � boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:TOTI,GUY J&RENEE P Total Assessed Value:$300800 ttl,e 1=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not hue property Co-Owner: Acreage:0.37 acres Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. Location:188 FIVE CORNERS ROAD Buffer No. -.... Fes$....... :5.....`...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1J. oF.... Pk�2,.N 5.4..jP .. _.......................... Applirafion for Disp oul Works Tonitrnrtion ramit Application is hereby made for a Permit to Construct `) or Repair ( ) an Individual Sewage Disposal System at: ....._---------------------------------------••---._.._. ..._..------•-----------------•----------- ............. Loc •on-Address or Lot No. ....................... s....t�:. . .....!-......-�.............................. .... �,2_ s r. �, ...------...........................-----...... Owner Address w V ET E(Z 1� ....... ....�`.. . .5................... --•--- �11 �. !- ........ Installer Address Type of Building Size Lot.... feet Dwelling—No. of Bedrooms---- ....................................Expansion Attic ( ) Garbage Grinder'( ) p., Other—Type of Building ............................ No. of persons._....(;?�__.___....._______ Showers ( ) — Cafeteria ( ) a' Other fixtures __________________________________ w Design Flow.......................r`bo..............gallons per person per day. Total daily flow.............a�-�.�._._....................gallons. WSeptic Tank—Liquid capacity.(..--__-_ _gallons Length.....:}:........ Width.__8--------- Diameter________________ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.__-----1............Diameter./�1"l�..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1.._._01---------minutes per inch Depth of Test Pit.................... Depth to ground water........................ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •.... --•---•--------------••••••••••-••••--••••••-••••-••-•--........••••-••--•---•------•---•-•--......................................................... O Description of Soil--�-.o� �.....t=Q_ A•••� s 1� 1�-.. ...;�y.`_-"__r44......Il9P 12,0D............ xC - �1►1 -----•-•---.....-•------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable................................................................................._..._...._..._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT L4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sig e / ++ ... -------- ----- -----•-- ..--------------- IC) • Date _ Application Approved By... may`................ lf!�ch.!J.Ct �........_. ---•-------------- .... -------------------------- Date Application Disapproved for the following reasons:................................................................................................................ ............................•-----•-•-------•------•-•---.....-----------...---••----------•-•-•-•------•---•-•--....------••---------------•--------------------------••••--•-•...-•--•--•-------•_.._. Date Permit No......................................................... Issued........................................... ............ Date No.---------v.. `g.. FEE.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TO._... . .... .........OF.....,�r-',..�...t ............................��...: -- ......... Appliration for DWpaaFal Iforks Tonstrurtinu Prrutit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: ................__ .........---•--••-----•--•-------.................--------------...... ............................................... ._..- ...... - Loca6ionAddr-us "1 or Lot No. ' ------------------------------ = Z ti _ .I? =................................................ ._... p i caner V�E_•�, S-�°; tV 1- 1 .ress w VETEt211Jo C�.. `� " Installer Address UType of Building Size Lot----- _L ` .._Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.....�'___................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------•----------••-----••••......------------•--............................................................. Design Flow......................00 ...................... per person per day. Total daily flow..............6.. ram.....................gallons. WSeptic Tank—Liquid capacity)!;!�.gallons Length___-`t......... Width..._b......... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length,................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box .(V/) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. 1... .._......minutes per inch Depth of Test Pit____-__-•----_____- Depth to ground water........................ 0� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix ....-•---•--••-••-•-•-......••••-••---•---••-•-•---------•-----.....•-•••-•......................•--•. O Description of Soil• - .`...! !' S�J•� -4 L .f r 14� t E��U N) Fv��..........-- x ......7C S�1J�--•-------•--•---•--------•-•-•---------------••----. W U Nature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------_.................................. .................••--••-•------------------•••--------••••--•------------•------•------•--------•-----•-••---••-•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. S A-L= -- A Si ,. D•-----z-----�-----------------•-•-- -t Application Approved BY /7`_ _....... - Date Application Disapproved for the following reasons:---•-••-------••••••------...--•----•-••-----•--•••----•--------------------------•-•••••. •--------••-..._... ..-•-•----•----------------•-----•--•---...--•-----------•-----------•--•-------••-------......-----------••-•-•••--•--•----------•-------•••-----•-----------•••-------••-.....=--••••------•---•-_... Date PermitNo......................................................... Issued_....................................................... Date i THE COMMONWEALTH OF MASSACHUSETTS BOARD-OF HEALTH ............I 0 PJ.....:.....OF.... l_)i S .-C............................... Trdifirate ,af Tomplitturr THIS IS-TO C TIF_Y, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by U'\="'I_t_ ....._1 V-?gc T'NE kel`a --- ------------------------------------------••-•---.......----•-----............................................................ i - \ In al er has been installed in accordance with the provisions of r r The State Sanitary C e es din the appliapplication � �- cation for Disposal Works Construction Permit No......................................... d<tted_--.-_-___._.____...._._____.___._._._._._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. DATE.......I a ..................................... Inspector........ _....--....✓. ... = THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH N .'..._/ / ......�OI:L).A�...............OF..... '�.C `�'..`T �i..�....� -----..:....................... E (�° . . FEE........................ �i��u�ttl >ark� �.�ttu�rur#uau eruti� Permission is hereby granted..._ ............ .................... i Q . k 2 -----------------------------------------••----•--••••................ to Construct ( or Repair_( ) an Individual Sewa e Disposal System at No............................... ' k->� U- �-`O!c:ti.� t2`a , ' # ..i... _ice► C Q U 1 L.t_ .. Street as shown on the application for Disposal Works Construction P it N Dated.. D.a :77 r � Board of He DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS WINDOW INFORMATION ANDERSEN AW 251 AWNING WINDOW MINIMUM R.O.2'-4 7/8"x 2'-4 7/8" 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND RO - OPENINGS EXIST. - WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WIN WS.4 2.ANDERSEN 400 SERIES WINDOWS WHITE EXTERIOR W/HIGH ROFIILE_EXTERIOR DECK GRILLES.LOW-E HP 4 GLAZING W/TRU-SCENE SCREENS& TRO]@ARDWARE 1 b � NxoF I I i zea 4j+� •j A A A2 i J NK _ GAS iE%IST.FAUX BEAM TO �y .P. I CONCEAL PLUMBING C I Zb BELOW CEILING LmS 1 1,2 ' ' - RANGE EXT.E KITCHEN I :0 EXIST. 00 EXIST. Eo.- IE BATH DINING DCLO .Os RE EXIST.IN-LAAPARTMENT OHALLT © ALL1,7711 EXISTING FAMILY ROOM C©� 0 NEwRAIUNc@as• NREODELEDMASTER REMODELED BEDROOM (1 BEDROOM) - b �AF PROFILE BEDROOM SELECTED BY OWNER 4. ����CLAS.JOISTS EXIST. I REMOVED MUDROOM EXIST. -OPEN TO EXIST.LIVING N ABo E FAMILY ROOM ------------ 6'-10 t1r-----. 6-10 In. E-10 tn• x 5-10 tn• culillos. ______SA•_-___�__-__NEW CEILING APPLIED TO EXIST. o 0 ROOF RAFTERS A ^ ^ n \ I Wa�9E" Wdtl EN 1x0ERsl Ex n EET N \ \ 7-7 trz•� r.g �.z•a yr� 7-7 trr� r-s• L z-T 1�� ra in- a-0• ts-s- L e•-0• B•a tn• NEW SHED DORMER NEW SHED DORMER SB-0' N� A LEGEND A FIRST FLOOR PLAN ©SMOKE DETECTOR SECOND FLOOR PLAN ©CARBON MONOXIDE DETECTOR ®HEAT DETECTOR NEW&WIDE NEW 9 WIDE SHED DORMER SHED DORMER NEW AZEK FASCIA,SOFFIT&FRIEZE NEW AZEK RAKE 8 DRIP 12 BOARDS TO MATCH EXISTING BOARDS TO MATCH EXIST. _ DIMENSIONS&DETAILS,TYP. 4 — TYPICAL ASPHALT ROOF SHINGLES MATCH EXIST.COLOR&MANUF. TOP OF PLATE TOP OF PLATE JJ_ _ WOVEN ti CORNERS Y Y j AZEK OR EOUAL 1.4 W.C.SHINGLE SIDING SECOND FLOOR 1 _ WINDOW DOOR CASING 5"�-TOWEATHER, WOVEN CORNERS SUBFLOOR I .12•HISTORIC PVC SILL SECOND FLOOR SUBELDDR TOP OF PLATE TOP OF PLATE 00 F0 ao 1 L n FIRST FLOOR - FIRST FLOOR UBFLGOR suBFLOQg_ RIGHT ELEVATION FRONT ELEVATION PRELIMINARY DRAWING FOR DESIGN REVIEW NEW DORMERS & REMODELING FOR• TERRORS OR HE DESIGNER SHALL UI DI G IEDCO IF ANY Q� COTUIT BAY DESIGN, LLC THESE DRAWINGS PRIOR TO START OF SCALE : DRAWING NO.: 43 BREWS TER ROAD Wl LBE RESPONSIBLE IBLEHE FORTGCONTRACTOR MAMASH PEE,MA. 02649 FIELD RESIDENCE WILL BE RESPONSIBLE FOR THE CONTENT 1/4"- 1 -0" H PE 27 A. 0 IN THESE DRAWINGS IF CONSTRUCTION 8 COMMEN BE DRAWINGS ME SOLELY OTIFYI FOR HE THE DESIGNER OF ANY ERRORS OR OMISSIONS. FAX(50 )539-9402 OFTHEOWNER OTEDAN OTHER USE OF DATE : 188 FIVE CORNERS ROAD, CENTERVILLE, MA TH ESE DRAWINGSREOUIRESGHT THE WPROTECTION CONSENT OF THE DESIGNER UNDER THE A 1 5/16/2017 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. Centerville,MA d Zone: RC spa �o �o ! Setbacks Falmouth Rd " n �`s �, o Front 20' � Side 10' 3� westminister Ra a r O� \�o °� Rear 10' 3 Locus Prop. Garage �0 .o" �m Gravel D/W 0 Proposed Locus Map Light Addition N1��`�P s90 N.T.S. Post Assessors Map 168 Parcel 111 Deed Bk 2603 Page 62 Proposed 1,500 g 5epticTank PL BK 312 PG 56 Lot 5 s House #188 AJ,X x Not in Zone II TOF EL= 50.0 �?, x ��o��� Flood Zone "C" 0 Deck / Proposed Soil SITE & SEPTIC PLAN LEGEND S r, Absorbtion System Prepared for: (52.9) EXISTING SPOT GRADE �� Micah Fields 24x5 PROPOSED SPOT GRADE Exist 1,000 TP — to remainTP 188 Five Corners Road 40 TEST HOLE LOCATION FENCE 2�' 6�' �8 � ® Proposed S�;ed Centerville, MA ST SEPTIC TANK TBM EL=49.7 D-Box DB DISTRIBUTION BOX Cor Bulkhead Abandon Leach Pit SAS SOIL ABSORPTION SYSTEM See Note#19 Located At Abandon Leach Trench 188 Five Corners Road See Note#19 Lot S Centerville, MA 16,074± Concete 5q. Ft. Scale: 1" = 20' Date: November 27, 2015 ; Slab ' jw OF Prepared by: , All Cape Septic, LLC scow' 618 Route 28 5h 3 McGANN 224 NO. H West Yarmouth, MA 02673 pin '224 INSPECTION NOTE: $1 �w OF (508) 771-4200 or allcapeseptic@gmail.com ScoTT :0 20 40 60 PRIOR TO FINAL INSPECTION BY THE ENGINEER,SYSTEM 4 NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. S MoGANN v, 9� No.1224 SCALE 1"=20' s Rev. Date December 8, 2015 -Added Abandon Leach Pit !dal-G t - VEcEAft--R zt,Z,o►S- AAde d w-rLrrr Pye Exit 1 i CONSTRUCTION NOTES r� TOP OF FOUNDATION 24"DIAMETER CONCRETE COVERS EL=50.0± RAISED TO WITHIN 6"OF FINISH 1.)ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE,TITLE 5(310 CMR 15.000): GRADE(OR AS NOTED) STANDARD REQUIREMENTS FOR THE SITING,CONSTRUCTION,INSPECTION,UPGRADE,AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT EL=49.5± EL=49.5± AND DISPOSAL OF SEPTAGE,AND THE LOCAL BOARD OF HEALTH REGULATIONS. 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 E LOADING. IF UNDER AN IMPERVIOUS SURFACE,SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. 8.0 ' 48.3 46.7 GEOTEXTILE FABRIC 4 3.)TO MINIMIZE UNEVEN SETTLING,SEPTIC TANKS SHALL BE INSTALLED ON A STABLE 8.0ng (IN PLACE OF 1/4"-1/2"PEASTONE) MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. Line Out br M � 4.)COVERS OVER THE INLET AND OUTLETTEES OF THE SEPTIC TANK,THE DISTRIBUTION BOX,AND THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6"OF FINAL GRADE. LEACHING 48.0 47.2 46.57 46.4 ,, FIELDS,TRENCHES,AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL Proposed o 46 9 N q6.2 ^• 3/4"to Addition Line 1-1/2"STONE HAVE AT LEAST ONE(1)INSPECTION PORT CONSISTING OF PERFORATED 4"PVC PIPE PLACED Q DB-3 VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP,TIED WITH MAGNETIC GAS BAFFLE H-20 Rated TWO(2)SHOREY PRECAST CONCRETE MARKING TAPE,ACCESSIBLE TO WITHIN 3"OF FINAL GRADE. D-BOX 44.2 LEACH CHAMBERS WITH 4'OF STONE ON 5.)PIPING SHALL CONSIST OF 4"SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A ENDS AND 4'ON SIDES MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2 %FROM THE BUILDING TO THE SEPTIC TANK, New Line i 5' 20'and L t 5.2' ANDNOTLESSTHANI %OTHERWISE. Exist.12' SEPTICTANK 30 Longest Run LEACH CHAMBERS 6.)DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" 1500 GALLON DIAMETER SCHEDULE 40 FLOW PROFILE (END VIEW) PVC(OR EQUIVALENT)LAID AT 0.005 FT/FT.UNLESS OTHERWISE NOTED.LINES SHALL BE CAPPED NOT TO SCALE EL=39.0 Bottom Test Hole AT END OR AS NOTED. 7.)LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRSTTWO(2)FEET BEFORE 25.0' PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO TEST HOLE LOGS 4' 8.5' 8.5' 4' ASSURE EVEN DISTRIBUTION. 8.)GROUTTO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES Test Hole#1 (EL=49.0±) IN ORDER TO PROVIDE A WATERTIGHT SEAL. 9.)HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE Depth Elev. Layer Soil Class Soil Color Comments DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. 0" 13" 47.9 A Sandy Loam 10YR 3/1 Friable 9 Chan tiers cq m . 10.)IN ACCORDANCE WITH 310 CMR 15.221,ALL SYSTEM COMPONENTS SHALL BE MARKED WITH 13"-37" 45.9 B Loamy Sand 1 OYR 5/6 Loose 9 % MAGNETIC MARKING TAPE. 37"-120" 39.0 C Medium Sand 2.SY 7/2 Loose 11.)THERE ARE NO KNOWN WELLS WITHIN 100'OF THE PROPOSED SOIL ABSORPTION SYSTEM. v 12.)FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF THE CERTIFICATE OF COMPLIANCE,THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT Test Hole#2(EL=49.0±) USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. Depth Elev. Layer Soil Class Soil Color Comments D-Box 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS i CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE 0"-15" 47.7 A Sandy Loam 10YR 3/1 Friable SYSTEM DESIGN CALCULATIONS DESIGNER. 15"-31" 46.4 B Loamy Sand 1 OYR 5/6 Loose SEWAGE DESIGN FLOW REQUIRED:3 BEDROOM DWELLING @ 110 GPD/BEDROOM=330 GPD 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE 31"-132" 38.0 C Medium Sand 2.5Y 7/2 Loose REQUIRED BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THATTHE SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT SEWAGE DESIGN FLOW PROVIDED: TWO(2)500 GALLON LEACH CHAMBERS WITH 4'STONE ON AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. THE ENDS AND 4'STONE ON THE SIDES 15.)LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR DATE OF TESTING: 11/11/15 1 Vt=R25.0 x 12.83)+2(25.0+12.83)(2)x.74=349.3 GPD PROVIDED DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO SOIL EVALUATOR: SCOTT MCGANN 1. 349 GPD PROVIDED>330 GPD REQUIRED COMMENCEMENT OF ANY WORK.THIS INCLUDES,BUT IS NOT LIMITED TO,REQUESTS TO DIGSAFE, BOARD OF HEALTH AGENT.DAVID STANTON RS ANY PRIVATE UTILITY COMPANIES,AND THE LOCAL WATER DEPARTMENT. PERCOLATION RATE: LESS THAN 2 MIN/INCH IN"C"LAYER AT 49" SEPTIC TANK CAPACITY REQUIRED:660 GPD X 200 %=1320 GPD REQUIRED NO GROUNDWATER ENCOUNTERED SEPTIC TANK CAPACITY PROVIDED:1500 GALLON PROVIDED(MINIMUM ALLOWED) 16.)CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. SETT CONTRACTOR OMPO ENTS.VERIF EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OFANY I CERTIFYTHAT I AM CURRENTLY APPROVED BYTHE DEPARTMENT OF Proposed Sewage Disposal System SEPTIC SYSTEM COMPONENTS. ENVIRONMENTAL PROTECTION PURSUAMTTO 310 CMR 15.017 TO CONDUCT 18.)TEST.HOLES COMPLETED PER STATE ENVIRONMENTAL CODE,TITLE 5. SOILS CAN BE SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED 188 Five Corners Road Centerville, MA VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF BY ME CONSISTENT WITH THE REQUIRED TRAINING,EXPERTISE,AND EXPERIENCE SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS,DESIGN ENGINEER IS TO INSPECT THE SN OF Prepared by: SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS. DESCRIBED IN 310 CMR 15.017.1 FURTHER CERTiFYTHATTHE RESULTS OF MY Y Prepared for: 19.)EXISTING SEPTIC COMPONENTS TO BE LOCATED,PUMPED DRY,FILLED WITH CLEAN SAND AND SOIL EVALUATION,AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, S O--r- SY All Cape Septic LLC Micah Fields N� 618 Route 28 ABANDONED IN PLACE OR REMOVED AS REQUIRED.AREA TO BE COMPACTED TO MINIMIZE SETTLING. ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 100 THROUGH 15.107. g � -" '-188 Five Corners.Road i -+ West Yarmouth,MA 02673 s �ANN " Centerville;MA P� N .'224 (508)771-4200 d allcapeseptic@gmail.com SCOTT MCGANN,CERTIFIED SOIL EVALUATOR � �� Date:11/30/15 Sheet 2 of 2 By:MA Check:SM Project No.AC-28 /-'z-//-/ _ g SG®Y'r S Rev. Date December 8, 2015 -Added Abandon Leach Pit- Shtl 8 MCGANN y Rev. 10ATE D&-A>52 -zl, 2,06 - 0v11e7- P9&xis� o.1224 ES U' A R N ST 1. TRACTOR IS TO VERIFY ALL EXISTING CONDITIONS - &DIMENSIONS IN THE FIELD- - r (2y.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS. - /; i I P',.�. y. E'1: 0,? AILS,&FINISHES IN THE FIELD WITH OWNER - - 3.)ROUGH OPENING HEAD HEIGHT OF WINDOWS AT - NEwwOOOCRAMER PLATFORM - - - .FIRST FLOOR TO BE 6'10"ABOVE SUBFLOOR ON F.F.. - w/AZEiL DECKING.PRWDE FULL EXIST. - 4.)ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS - - REVIEW SURROUND TREADS TO&DET GRADE. - .DECK STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2012 - . WOWNFMATEawLs a DETAILS - - wrowNER. 110 MPH EXPOSURE B.WIND ZONE,1.75 ASPECT RATIO . W z_lw s-z• sa. - L w ,.ma y. rm ' '°`"�°P'br�'L SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING - . .7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD 8.) SEE CERTIFIED PLOT.PLAN DEVELOPED-BY OCEANSIDE SEPTIC,INC._ _ - - FOR ALL PROPOSED&EXISTING SITE DETAILS. - - I - - - 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALLL.DuR - .. A A - SIMPSON COMPONENTS- - _ ----- - ------ --- ------- ® L____ .. o - - 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS L 1 IN LATION&AIR BARRIER F — TO BE 3000 PSI - - _ F- - _I ' TORE ACEU ITPRIED HIND .P._ ___.._ _ _- _ -_.. _ - _ __- - m I J � I � FIREPLACE UNIT PRIOR To - � 1�- SINK � - - .: �.� �� �. ��-.. .- __ - -11.)VERIFYALL PLUMBING&ELECTRICALbETAILS W/OWNERS ON SITE LPW - 1 INSTALLATION - - .- _ - - - -'DURING FRAMING CONSTRUCTION - - _ dALL(D 12.)TIMBER FRAMING TO BE SPRUCE/PINEIFIR NO.TGRADE I_, �KITCHELIVING O KITCHEN r , 13.)pROVIDE UTILITY INSTALLATIONS FROM STREET TO NEW HOUSE C E (VERIFY KRCHEN .. DINING .uroyr wr owNEa) i � - - � - VIA UNDERGROUND CONNECTIONS TO COMPLY W!ALL LOCAL CODESRAN� - [. -D 14.)FOLLOW ALL REQUIREMENTS-OF THE IECC2012 RESIDENTIAL ENERGYEFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION CREATE NEW STr CASEDO �F . - OPENING iNsrAu Rj z.w INSTALLER/CONTRACTOR.NFlLL EXIST:DOORHEADERABOVENEWOPENING _OPENING To GAanGE - - - - 15.)VERIFY ALL.LANDSCAPING DETAILS W/CONTRACTOR&LANDSCAPE - - a- OPPFIILu]3'•4^x• _ - REF - DESIGNER/CONTRACTOR IN THE FIELD - - DINING -____� _ ® - - _ 16.)SEE INCLUDED 110 MPH CHECKLIST FOR ADDITIONAL FRAMING DETAILS __�--: - CLOS. �. N A - j 1 /, .BENCH CUBBIES l _ - c i '.. 4 �L - f NEWOPENING BEDROOM. . ©/ N NroNEWAODmoN jD MU OOnn WINDOW SCHEDULE A ® i I rr LIVING FAMILY ROOM ae• i - - TYPEMANUFACTURER'S UNIT ROUGH OPENING REMARKS ze'aB• Izl z'D'sa I - - - ' - - A ANDERSEN TW2446 - 7-6 1/8'x4'-0 7/8" DOUBLEHUNG - - �� UP - - - - - B A 261 2'-4 7/8"x 2'-0 5/8" AWNING - § C CN 235 S-5 1/2"x.T-5 3/8" CASEMENT - CLOS._—�� woO ' C S. -- -- - 1--i- I AWNING D A 21 2'-0 5/8'x 2'-0.5/8" E ANDERSEN TW 2442 Z-6 1/8"x 4'-4 7/8 DOUBLEHUNG BATH Fa% .6 HALL - _ 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS - a sa• o - - - - - - - WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS - 3'-1P Y.Y� - 4'-1' D 6Y Y � - - - 2.ANDERSEN 400 SERIES WINDOWS WHITE EXTERIOR WIHIGH.PROFILE EXTERIOR PORCH - GRILLES.LOW-E HP 4 GLAZING WITRU•SCENE SCREENS&METRO HARDWARE _ NSULATION&AIR BARRIER TO - PLATFOTNA w/AzEK- - BE INSTALLED BEHIND TUB - DECKING.PROVIDE - • - UNIT PRIOR TO INSTALLATION FULL SURROUND' - - - - . WOOD FRAMED STAIR REWEW MAl1:R1A158ry - - VW PT TREADS.HANDRAIL DETAILS w/OWNER.- - oN sl aab.a - - -E DE _ POSTS IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS o FIRST FLOOR PLAN ® CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 's GARAGE 4 � § � TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) F NOTE, (5'CONG SLAB) v APRON - - - FENESTRATION SKYLIGHT CEILWG WOOD FRAMED WALLFLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPA WALL WALL BOAROON AIL _ - _ - _ GARAGE WALM& - - - - _U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE - CEILING,TYP. A A 0.32 0.60 49 - 20 30 15119 10(2 FT.DEEP) 10N3 f NOTES: { - - - 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. - 2.15/19 MEANS R-15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR - - _ - -- OF THE HOME OR R=15 CAVITY'INSULATION AT THE INTERIOR OF THE BASEMENT WALL _ - - - - - - 3.REFER TO IECC2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS - - - - AREA CALCULATION TABLE A6 AREA EXIST.S.F._' NEW S.F. TOTAL S.F. . ro• - 16-0• ro•' - _ - - FIRST FLOOR 988 SF 789 SF 1,777 SF - - - . - - SECOND FLOOR 808 SF 932 SF 1,740 SF - - aa r-w_ aB.o• TOTAL FINISHED SPACE 1,796 SF 1,721 SF 3,517 SF . - - GARAGE - 336 SF DEMOL. 336 SF 336 SF - - - NEW IN-LAW APT. 708 SF - t SMOKE DETECTOR - ©CARBON MONOXIDE DETECTOR - - - ®HEAT DETECTOR - - . REVTD: 12/08/2015,TAM. ROOM C.O. THE DESIGNER SHALL BE NOTIFIED IF ANY THERE DRM ING MISSIONS TO FOUND ON .SCALE :.. DRAWING NO..: 8QW COTUIT BAY DESIGN..LLC NEW HOUSE FOR: ERRORS SO MISSIONS ARE FONT OF CONSTRUCTION.THE BUILDING CONTRACTOR 'Y ~ 43 BREWSTER ROAD - WILL BE RESPONSIBLE OR THE 1/4"= 1L-o0- - LON T REBPON THE FOR THE CONTENT - . IMT MASHPEE,MA. 02s49 CO—ENCES WRHOUTNOTDYINGTI� PAH.(5GG08)274-1166 FIELD RESIDENCE DES-E THE R OF ANY ERRORS DATE : FAX(508)539-9402 _ - - _ _ _ _ THESE DRAWINGS ARE SOLELY FOR THE USE . d�, ~ THESE ORAWINGS REQUIRES rIQ=WRITTEN f% 188 FIVE CORNERS ROAD CENTERVILLE- MA - - - - _ ACONSENT TU THE RALDR� ;THE PROTON 11/16/2015- Al i . .. (SHED DORMER) .. - A8 E E - Fj CLIS 1 C.ASEOOFENIiiclNro - CLO - FAMILY ROOM - ILL HALL ------------------------- ---- REMODELED - I MASTER FAMILY ROOM BEDROOM 8 °BEDROOM E - GC TO FIELD VERIFIY - EXISTING CEILING JOIST I - - - FRAMING A INSTALL _ NEW HEADERASREQ'D. - E i" CL ols- IOU I I I ❑ 4141 L 1 n JWMJ(JN I _ - 1 I MIN. 1 - ACCEu 5� c ��.�! SECOND FLOOR PLAN Y mINSULATED I 7 - - xBa ACCESS VM L1 __TJ I OF LIMEN NAILING SCHEDULE QDB GM — - - 110 MPH EXPOSURE B WIND ZONE - - L_ p b WALL DETERMINEe H JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING HEIDNT�IONRIER a ROOF FRAMING: - - • " TUB §S - BLOCKING TO RAFTER(TOE NAILED) - 2-Bd 2-10d EACH END A6 I MASTER B .- RIM BOARD TO RAFTER(END NAILED) 2-16d - 3-16d EACH END " BATHROOM H - WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d - 5-16d AT JOINTS STUD TO STUD(FACE NAILED) - 2-16d 2-16d 24'o.c. - O HEADER TO HEADER(FACE NAILED) - 16d - - t6d 16'o.G ALONG EDGES 1 FLOOR FRAMING: ' JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) - 4-8d- - 4-1 Od PER JOIST" - - E - - - - BLOCKING TO JOISTS(TOE NAILED) 2-8d - 2-1 Od EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) - 3-16d -- - - 4-16d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) - - 3-16d 4-16d EACH JOIST rJr A6 TJr aJr zu - - - JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d - 3-10d PER JOIST - - BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO - 2-16d - 3-16d PER FOOT - - ROOF SHEATHING: z<a - WOOD STRUCTURAL PANELS(PLYWOOD) _ - - - RAFTERS OR TRUSSES SPACED UP TO 16'o.c. _ 8d. ."10d 6'EDGE/6'FIELD " - - - RAFTERS OR TRUSSES SPACED OVER 16'o.c. 8d 10d "4'EDGE/4"FIELD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d - 10d -6-EDGE/6•FIELD - - - - - - - - GABLE END WALL RAKE OR RAKE TRUSS 8d _ .10d 6'EDGE/6'FIELD - . W/STRUCTURAL OUTLOOKERS - - GABLE END WALL RAKE OR RAKE TRUSS.W/LOOKOUT BLOCKS Bd - 10d 4'EDGE/4'FIELD . CEILING SHEATHING: . - GYPSUM WALLBOARD 5d COOLERS — T EDGE/10'FIELD ..WALL SHEATHING: - - WOOD STRUCTURAL PANELS(PLYWOOD) - - STUDS SPACED UP TO 24'o.c. - 8d 10d '- 6'EDGE/12'FIELD - 1/2'&25132'FIBERBOARD PANELS .8d - 3'EDGE/6'FIELD . - - 1/2'GYPSUM WALLBOARD 5d COOLERS T EDGE/10'FIELD . FLOOR SHEATHING: - - - WOOD STRUCTURAL PANELS(PLYWOOD) - 1'OR LESS THICKNESS - 8d 10d 6'EDGEH2'FIELD GREATER THAN 1'THICKNESS. - 10d - 16d 6'EDGE/6'FlELD - I REV'D: 12/16/2015, FAM. ROOM C.O. THE DESIGNER SHALL SE NOTRIED IF ANY ERRORS OR OMISSIONS ARE FOUND ON' NEW HOUSE FOR: - CONSTRUCTION.THE OR TO STCONTR CiOTU�T BAY DESIGN. LLC CONSTDM"N"THRIOROSTMT OF TRAcroR SCALE : DRAWWG NO. 11 43 BREWSTER ROAD _ WILL BE RESPONSIBLE FOR THECONTEM 1/4' = 1-0. 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