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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
-Map Pare, 2 t. Permit#
-`Health Division o � � LE Date Issued
Conservation Division S. 4f 2004 JUN 30 PH 2: 12 Application Fee �o .
Tax Collector 6�15�0 Y/ Permit Fee 8! l d O . 0 D
Treasurer ll �y DIVISION
Planning Dept. 8"MC SYSTEM MUST 6E
INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board WITH TITLE 5
ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis r TOWN REGULATIONS `
Project Street Address 1A) h W11-1 �}^
Village ej Y Oawy,-r 1�`,c ► �sg, o2 L L
OwnerA / ��v X Address S
Telephone
Permit Request Ja 6i)
S
Square feet: 1st floor: existing proposed l Z�- 6 T 2nd floor: existing proposed tZ60 Total new ZSZ d
. Zoning District ?IF Flood Plain Groundwater Overlay
Project Valuatiof 16 2 1 000 Construction Type W71 —
Lot Size 3 lZ �CAR-& Grandfathered: O Yes t a o If yes, attach supporting documentation. Airy
,
Dwelling Type: Single Family W/" Two Family 0 Multi-Family(#units)
Age of Existing Structure Historic House: &Yes O No On Old King's Highway: 4'Yes ❑No
Basement Type: 01 Full ❑Crawl ❑Walkout ❑Other @^
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft).
Number of Baths: Full: existing - new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: i/Gas O Oil O Electric ❑Other '
Central Air: ❑Yes DVo Fireplaces: Existing New Existing wood/coal stove: 0 Yes SIN o
Detached garage:O existing Cl new size Pool:O existing ❑new size Barn:O existing O new size
Attached garage:O existing ❑new size Shed:O existing ❑new size Other:
Zoning Board of Appeals Authorization O Appeal# Recorded❑
Commercial O Yes L' If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name DA Telephone Number
Address W 1 vim., �• License#
Home Improvement Contractor#
6-2- `� Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -
`-' SIGNATURE -DATE � �� O�D z-/ +
L �
1
FOR OFFICIAL USE ONLY
-y
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
AD } S VILLAGE
OWNER .
t -
-' DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
xr PLUMBING: ROUGH 5 FINAL
GAS: ROUGH _ FINAL
4 FINAL BUILDING _ ? '•c' st't
DATE CLOSED OUT
ASSOCIATION PLAN NO. iT1 p
. T
i
I
o3
/ 1
b TOO rr
�Fq /
EXIST.
a tis�� DWELL.
Cb
Rq jl�o�� O��
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JOB # 88-326
CERTIFIED FOUNDATION PLAN
69 WILLOW ST. PREPARED FOR:
LOCATION WEST BARNSTABLE, MASS.
ALEXANDER THER 0 UX
SCALE : 1» = 60' DATE ': SEPT. 22, 2004
REFERENCE BARNSTABLE ASSESSORS MAP 156 PARCEL 2
ZHOFMq �5030-Mo"
I HEREBY CERTIFY THAT THE FOUNDATION SSgc
SHOWN ON THIS PLAN IS LOCATED ON THE o� ARNE tiG
GROUND AS SHOWN HEREON. �� H N� down Cope engineering, Inc.
FOUNDATION IS ABOVE 500 YEAR FLOOD.
OJALA in CIVIL ENGINEERS
N ,26348 v LAND SURVEYORS
Q P
a s\0 939 Main st. yarMouth, Ma 02675
DATE REG. LAND U EYOR
f
:> .. ..•:• ... +• � � 'achilJGti�1
- '�l•'':7i . ..t• .. :.Y, . ,,
The rCommoniveal�th os+ Mass
_-- -•Department of IndusHd Aceidents'.
�A16�nlJ�tmsil6y►da�s
' 6a0'ypasington Street _
Boston;Mass..nZJ�IX ., , w
'pyor$ers'..C m ensation. nsuxance Affidavit-General Businesses /
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9t8te' ,' . •
;� address :' : ' El RetailBRstawaniBai/RatYng Establisbment
worksit81 tor�d IL, one Ba�►ess TYP R-eal-Estate,Antos etc.)'
•a sole drop []Office SaT (including
1.•
ig in and capacity. ❑0}ber %//O11
T am an em to et with• etn to ees full& art time
[] %/%//%/%%%// � rkin on this job..
i/i/%/////////%///%�/�%%%/%�///%//� cbmvensation for myem�loyees wo , „
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workers'
•�s':"',' e.ca�d�1-,...,. •..; ...:•: .. ... ho have tffe following •''
/ e hir the independent contracto listed below w ,
'I am a sole proprietor and'hav `• . ,;
zo peasation Polices :�: .. . ,' ,:►� '.r ��.:�{�"t• ••:.•°i�v*.��r��•i:.',.z;�4:•_:>=�-:.,. •i
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'C� .r,t: ,t'• ,a,` r ,.�i;ti�...�F •6f3�n,�•t:i •i•' '; :r'l[!•" '•�j ` •�t 06-3
,�r, .r ,\.•P: . i:i'" 1 it?;; .+yai; �.;;1,1}.�';jL'_t.7+• 3'11C1':tta i•,a'�� ••,
fnsiirancd bt+ os on of crlminalp cull ttes of a fine up to si,soo.0o an or
Failure to secure coverage u required under Section 25A of MGL 152 can lead to the IMP
OS
re coverage
well c{y�penalties in the fdiln of a STOP WORK O"BR and a fine of$100.00 e'day against ma I understand that X
Oise years �P ent maybe forwarded to the Office of Investigations of the DTAfor coverage verification
Copy o f this statem
pains and penalties bf perjury that tfie information provided above is frue and cord t
I do hereby ' , ate U�e
!� Si�ature �,�' V hone# '
l�• /t
print name
:y Official use only do not write in this area to be completed by city or town official []Building Department
perinit/t{cense# []Licensing Board
city.or town: ❑selectmen's Met
❑Health Dcpartmenf
Q checkif{mmediate response is required []Other
phone#;
contact person: '
(rovi+ed srpt.7003) —
' Information and Instructions•
eral Laws-ch�pter 152 section 25 re es all employers to provide workers' compensation fir their•.
Massacb-usett$Gen •'`:s`
Flo3'ees: ,As quoted'fromthe °law., an employee is.defined as every person in the service oi`another under any contract
of hire;express or irnp 64; oral or written.
employer is defined as an individual,partnership, association, corporation or other legal entity; or any fwo or mare of
the foregoing engaged•in a�joint enferpzise,and including the legal zepresentatives of a deceased,employer, or the-receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. 'Ilowevei.the owner of a
aW rig house hay &-not'taore than three apartments and who resides therein, or the occupant�of the dwelling house bf
f
another wlio. Ploi's persons to c10 maintenance, construction or repair work on such dwelling fiouse.6r on the grounds or
tenant thereto shall not because pf such employmedbe'deemed tb be ari nployer,
mGL chapter.152 seatibn 25 also-states that'every state or lbgal licensing•ageney shall withhold the issuanek dr renewaI
of a license or permit:to operate a business or to construct buildings in the.commonweaIth for any applicant who has
not produced acceptable'evidence*of compliance with the m oauance coveragfor the erfozmance AAfftiof public work untr�'
coirrmonwealthnor.any.of its political subdivisions sh Y p
acceptable evidence of compliaride with t�e insurance requirements of this chapter have been presented to the contracting
authority.
VNII
Applicants
Please fm irr theworkers"comFernsati«rr afidavit completely,by checking the box that aplies top your situation..Please
supply company name, address and,phone numbers along with a certificate of insurance as all affidavits may be submitted
to the Department'of industrial A.Lsobe sure to sign and date the
Accidents confirmation of insurance coverage.
affidavit. The affidavit should be returnedto the city or town that the application for the permit or license is being
requested, not the pepartment o�Tndustrial kceideuts. Should you have any questions regarding the 'law'or if you are
er6'Comp pli lease call the Depaz-Ement at the ninnber listed below.
required to obtain a work P �' Please
City or Towns • ,
pleasebe sure that the affidavit is cbmplete andprinted legibly. The Department has pro ided sp ace li met p=i'of the
ease
affidavit for you to fill ont in•the event the Office of Investigations leas to contact you xeg ding pp
be sure to fillip the pernnt�hcense number.wbich wM be used as a reference number. ,'];'he.affidavits maybe returned tq
j arrangements have been made.
thG'D eparbnet b . or FAX unless other ..
The Office of Investigations would h'ke to thank You in advance for you cooperation and slloinid you have airy questions,
please do nothesitate to give us a•ca .
The Department's address,telephdne and:fax number: . '
The Commonwealth Of Massachusetts-
Department.of Industrial Accidents
. . Btike of ls�esens .
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749 , _
I
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1
TME r Town of Barnstable
. of �y
Regulatory Services
• Thomas F.Geller,Director
g a sT
ism Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
Permit no.
Date
AF+MAYIT
HCTOR LAV-
ip M O NT T ERMU APP CATION
MOL c.142A requires that the ion,or construction
ction of an add tiOrIAO My pi-Wa 3,alterations,renovation2 repair, Sting o�wrLer o�c pied ion,
-improvement,removal,demolition,
bu0�ng containing at least one but not more than four dwelling units or to structures which are adj scent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
6
'Type of Work: l✓
—4, 1/�2,,) Estimated Cost
ZY
Address of Work:
Owner's Name' .' .
Date of Application: ( -. 3d -
I hereby certify that:
Registration is not required for the following reason(s):
0Work excluded by law
[]Job Under$1,000
[]Building not owner-occupied
[]Owner pulling own.permit
Notice j$hereby given that:
OWNERS PULLING TEMIR OWN PERMIT OR DFALING WITH UNREGISTERED
ORKDO NOT ELM
CONTRACTORS FOR APPLICAB P O GRMEAM OR GUARANTY FUNDUNDER MGL c 142A,
ACCESS TO THE ARBITRATION .
SIGNED UNDER?BNALTIES OF PERJURY
Thereby apply for&permit as the agent of the owner:
Contractor Name Registration No.
Date
' OR
0 er's Name '
I
-t 04 FEB=5 HI 3: 01 ��,{{
� R � i TA s E TOW CLERK
aTME;r Town of Barnstable -Historic Preservation Division
Old King's Highway Historic 'Diistrio Committee '
:.. 200 Main Street, Hyannis,Massachusetts 02601
�'''�Eo► '�0� (508) 862-4786 Fax (508) 862-4725
Modifications to applications made at a public hearing:
bLry'
The application di G located at
Map 15 , Parcel was hereby approved with the \ jr
Mowing modifications: o,,.r `� �l- S
-Q
Signed:
O C Members r o 3
APPROVED AS MODIFIEC
P
� ALEXANDER THEROUX
"J Application to- WILLOW STREET
®Ib ing' ig�j oap 3.egional g9iotoric Miotrict Committee
W BARNSTABLE MA 02668
In the Town of Barnstable.
CERTIFICATE OF APPROPRIATENESS
Application is hereby made,with four complete sets, for the issuance of a Certificate of Appropriateness under Section
6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,
drawings, or photographs accompanying this application for.
CHECK CATEGORIES THAT APPLY:
1. Exterior building construction: u New ❑ Addition ❑ Alteration g
Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other V
2. Exterior Painting:
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
TYPE OR PRINT LEGIBLY: DATE �)OJ• Za 3
ADDRESS OF PROPOSED WORK l w ASSESSOR'S MAP NO. L 6
ER oy ASSESSOR'S LOT NO. P Z�
OWN per,
HOME ADDRESS 6� W� � o - W' Bx*'" TELEPHONE NO. Sog2 3 62 s162
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
public street or way. (Attach additional sheet if necessary.) n
�,. - uur",�, sy, 'r. 51 W;,,.:k4 wM
W, W. I W•
AGENT OR CONTRACTOR �AA, 6v$-TELEPHONE NO. Sd �Z 7-
ADDRESS
DESCRIPTION OF PROPOSED WORK Give particulars of work to be done, including materials to be used. Please
include locations of proposed signs.
VJ lSt Iry I (fi 2 /z rs
Signed
Own -Contractor-Agent
For Committee Use Only
This Certificate is hereby A rs Date
Committee Members' Signatures: 1
� 1
f
t �
" AALEXANDER ROUX
I I LLOW STREET
WORNSTADLE MA.0
Town of Barnstable
Old King's Highway Historic District Committee
SPEC SHEET G
FOUNDATION
SIDING TYPE
ay. - COLOR t
CHIMNEY TYPE COLOR
ROOF MATERIAL " COLOR
PITCH O `
WINDOWS
;yy,50 COLOR I.l��.t-c SIZE Z/ Z
TRIM COLOR
DOORS `"�"'�� COLORS b A-1
SHUTTERS COLORS
GUTTERS '- COLORS
DECKS N/ MATERIALS
GARAGE DOORS COLORS
SKYLIGHTS " Sb 2` SIZE COLORS 't/
SIGNS COLORS
APPROVED AS MODIFIED1
. FENCE
COLOR
NOTES: Fill out completely,. including measurements and materials/colors to be used. Four copies of this
form are required for submittal of an application, along with Four copies of the plot plan, landscape
plan and elevation plans, when applicable.
Town of Barnstable
][regulatory Services
� sARNTSfABI.E,
Thomas F.Geiler�Director w
94, .MASS
,0� Building Division
A�Eor s Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 26
JOB LOCATION:
numb I street village ( /
"HOMEOWNER!': l l VT V d 5709- Z r SL tP Z
name I , l home
p�hon`e# work one#
CURRENT MAILING ADDRESS: CJ w '^'
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
require e
�, —j"
Signature of o eowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities.of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
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Assessor's office (1st floor): 1
,� /� oo S SYSTEM MUST BE o�INE V.
Assessor's ma and lot number
p .. . ..............P�"�STALLED IN COMPLIANCE W o
Board of Health (3rd floor): ro '
Sewage Permit number .....5.�:.1.y:(... wm l'E 5 L BABd9TSDLE,
Engineering Department (3rd floor): �i S ®NVIRONMENTAL CODE AND , rasa
House number ......................................... .... ....... TOWN RMLA11ONS o�'�oYpY a�e0
Definitive Plan Approved by Planning Boor d __ Q___________________19________ .
APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .........A.� .).:ti,CIO �i
..............a{ ................... ....... ..........
TYPE OF CONSTRUCTION ............W.0,0..D......�AA.MA.......................:..........................................................
. .. 8/.........................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned n(hereby applies for a permit according to the following information:
:I.4 Location• ......... ,. .1.!��A.�t1..........rJ• n........... ....... ...........................................................
.. Xi�c 1( f: RA•t IL d ,Begi�q,h ..........Proposed Use E +d . : ....�..! ... ......Zoning District ............P—Fr....................................................Fire District ... '....U.A `'f. � .....F/'122..
Name of Owner QLX........ e`f.o..�? .........Address .. ?.Q.... i �1oW.... �......lU. ?OS-tALei
Name of Builder ......Ak e.Y:... .........................Address ../
Nameof Architect ..... .....................:.Address ..................-r. .y...............................................................
Number of Rooms ................. ..................................'........Foundation ....../ e.e,t.r..,_d........!09 vg+'a-.........................
Exterior ......VYN.; !�-......*a.!.. .!..1v.Q......................................Roofing .....A.Sip.hA f'........ .............................
../..��!t.e-.-........G�..A
Floors .....................................Interior ........z.R.X.IITo -4 .....................................................
Heating ...... AS .......N ............Plumbin. ........................ g i............
. ..... ...1....K1 N....................
Fireplace .................IV..A,............:............................................Approximate Cost ..........07$1.O0. ..:. ................................
..
Area Z9v.,a .'... . !tiet. .......
Diagram of Lot and Building with Dimensions Fee �
�z7-
Z'7 O e
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above
construction.
Name ........... .. ......... ......:......... ......................................
Construction Supervisor's License ....................................
THEROUX, ALEX
No Permit for ..ADDITION
.......................
...§inqle Family Dwelling............
............................. ...................
Location .....6.9...Wi.1.1w.o ...S.tr.e.et................... .. ..... .. . ..... .. .... .. ....
West Barnstable
...............................................................................
Owner ....A.1.e.x...T.he.roux
Type of Construction ....F..........rame.............
...............
. ............. ................................. ...............................
Plot ............................. Lot ................................
Permit Granled,-f:...�AL ....... ......19 89
Date of Inspection ...... 19
PlFted .....bate, Com ...................19
0
tj
r.��ta3U`.vZ�=K •��i-� �� �cy 7'�z��` �^:�� ,:.. � s..�...:_.. �. firo;;�aw.
_
Assessor's office (1st floor): v
Assessor's map and lot number ..n ..`. ...........�.�.`.......
Board of Health Ord floor): �Q o
Sewage Permit number �- �� t�
.:...�..y........ .....r...,..... Z 33AHa9TSDLE.NAA i
Engineering Department (3rd floor): �� �J) moo 9
7 �e
House number ......................................... ........,.......,.............. ''�o�pys•
Definitive Plan Approved by Planning Board ___�,V/A-___----..-._______ig-------- .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BbILDtIRG 11SPECT0R
APPLICATION FOR PERMIT TO .........Q..n;li� +i o . .. c� yf�Y
............... ...�.... y..............
TYPE OF CONSTRUCTION ............W0.0.>....... A,/ri...................................................................................
.!(.6-. 9........................19.....---
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 4 9 WiA!,X..tm......... f:............ .:..... ?ARC:'..Sf.!..6L?....
...MO..:...........................................................
Proposed Use .......P !..cletbL - ki4cl,vJ jai. `�Oo�....." ,�A+. :.` ..aeclv�o ..... ..F-Qorc.........
............................... .......
Zoning District ........... ..........
�............................................,......Fire District ...�•C!.....1g��°��;tr L� i..
c-1
Name of, Owner 4F-.x " ...........Address f:......U:. �Pt�1S=IflC.Ce..11).;,.
9
Nome of Builder ...... �` 1 �� �`, .........................Address
Nome of Architect .....A!�.�..y.... h. :Y..s? )(......:................Address .................. !..................................................................
Number of Rooms ................. ...................:.......:..... Foundation ......! o.c1.r.:�.d... �doJe v.e rz- .,
....... ....
Exterior ...... YAl.i.1:........ !..:OJ..N4......................................Roofing ......A ........-�Ai.!y,.4 .es...:......................... /
e �e
Floors ............�.�e.-.......,�.f11........:f........................+.......;..Interior ..... ... ........... .......................
- _Heating .. 9
<� ��. �o�c.<•a /� Plumbin �... ? >.....;.. '.... ., lr•4?... "................
Fireplace ..............N�Ar...........................,..............................Approximate Cost ..........In?. 0.0.0.:. ` ...............................
d q p � !ar (¢eo•��C��T
Area .�9v..XW..... .... la?c.......
Diagram of Lot and Building with Dimensions Fee �✓
. .�r.........................
m
_ , II
7'7 0=r
- s
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nome
Construction Supervisor's License ....................................
THEROUX, ALEX A=156-002 '
No ...3.2.7.8.1..-Permit for ...ADDITION. . . ............
.. .... .. .... .....
Single Family Dwelling
.........................................................................
Location ..6.9 Willow Street
W. Barnstable
...............................................................................
Owner ....Alex.....T...h..e...r........oux
.. ...............................
Type of Construction ......FR.ame.......................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ..... ..............19 89
Date of Inspection ....................................19
Date Completed ......................................19
k BARN T r(
GEND TOP FNDN, EL.44.5' EP PROFILE HOLE LOGS
SEPTIC DESIGN: (GARBAGE DISPOSER t5 NOT ALLOWED ) ACCESS COVER TO WITHIN 6" OF FIN. GRADE I (NOT TO SCALE)
PROPOSED SPOT ELEVATION DESIGN FLOW: 2 BEDROOMS ( 110 GPD) = 220 GPD r / ACCESS COVER (WATERTIGHT) To ENGfNJEER: ARNE H. OJALA, PE
' y USE A 220 GPD DESIGN FLOW# I — 4Z•0 MINIMUM .75' OF COVER OVER PRECAST �� N/rrHIN 6" OF FIN. GRADE RTE 6A
�' 2� SLOPE REQUIRED OVER SYSTEM DONNA MIORANDI, RS
_ 42.0' WITNESS: I
Eu :'100xD EXISTING SPOT ELEVATION -- L=�—
y 'Y SEPTIC TANK: 220 GPD ( 2 ) 440 DATE:` / /
s _
�, RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 8 21 03
t' f 100 PROPOSED CONTOUR 1500 _ �TroR FIRST 2' �' 3' MAX. PERC.. RATE _ < 2 MIN INCH IN SAND
4. USE A ____ GALLON SEPTIC TANK PROPOSED 1500 /
+- >✓
100 EXISTING CONTOUR LEACHING: _ GALLON SEPTIC ,i9.75' ITEE �J \,\ -
40.0
GAS 39'0 CLASS I SOILS P 10,561 3
SIDES: 2(22 + 8.83) 2 (.74) - 91 _ TANK (H- 10 ) # --
" <-- _'18.50' w
BOTTOM: 22 x 8.83 (.74) = 14.3 BAFFLE 38.67' a' 38. t '' O O C] �) 0 C7 O O a
2 a error o a aoco
( SLOPE) �6" CRUSHED STONE OR MECHANICAL = r 017-1
:. • TOTAL: 317 S.F. L34 GPD MI" COMPACTION. (15.221 [23) I 8o ELEV. ELEV.
=:_ °.:.... . � � 2' O r J C_1 CJ Cl 0 0 36.17' C RAILROAD
USE (2) 500 GAL. LEACHING CHAMBERS WITH 2' STONE DEPTH OF FLOW = �' ( 9 o SLOPE) ((? SLOPE) �— 0', Q 42.0' 0', 38.5'
TEE. SIZES: 3/4" TO 1 1 /2" DOUBLE WASHED STONE
AT SIDES AND 2.5' AT ENDS ' 0 & A 0&A
INLET DEPTH = 0"
LS UNSUIT. SL UNSUIT.
60' 10YR 5/2 6 2.5Y 4/2 LOCATION MAP NTS
OUTLET DEPTH = 14' „
I
HOUSE FOUNDATION— 14' SEPTIC T.ANh. — 1 2' .1 D, BOX 1 1 ' LEACHING 12.67' B B
FACILITY' LS
uNsurr. SILT LOAM ASSESSORS MAP 156 PARCEL 2
10YR 5 6 UNSUIT.
BOARD ❑F HEALTH 24" / ZONING DISTRICT: RF
MA 48„ 10YR 4/3 YARD SETBACKS:
APPROVED DATE BOT. TH 2 EL. 23.5' C1 FRONT = 30'
LS
UNSUIT. SIDE = 15'
48" 2.5Y 5/6 C 1
REAR = 15'
C0 SL UNSUIT. PLAN REF. -
'SILT LOAM UNSUIT. 10YR 4/3 FLOOD ZONE: C & A3 EL 11
2.5Y 5/4 96' 30.50'
1 20' 32.0'
C3 Ci
MED/COS MED;COS
25Y 7/4 2.5Y 7/4
192 ' 26.0, 180" 23.50'
NO WATER ENCOUNTERED
NOTES:
1. DATUM IS APPROX. NGVD
2. MUNICIPAL WATER IS NOT AVAILABLE
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10
5. PIPE JOINTS TO BE MADE WATERTIGHT.
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
ENVIRONMENTAL CODE TITLE V.
7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
USED FOR LOT LINE STAKING.
' � •;b E'zIST. WELL � J{.
i 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
�14 S. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
— ;^.EPEC'TION r?Y B_)A.RD OF HEALTH AND PERMI'�SIOv OBTAINED
c_• N W FROM."BOARD OF HEALTH.
;' „�•'11 T� ti`ti rJ I '� 10. CONTRACTOR SHALL BE RESPONSIBLE 'FOR VERIFYING THE
SHED Abu LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR
TO COMMENCEMENT OF WORK.
rr' WELL PUMP HSE / BENCH MARK —CORNER CORNER OF
�, --�� %-' ,�' + o CONC. PAD. EL. = 42.7 TITLE 5 SITE PLAN
.' r / C1
� 24�?s �J �, , ;r / OF 69 WILLOW STREET
Z./' 2° �••� `�, j f 2h % CONC. CURB
Mi/r} /
27 / jJ �"; % IN THE TOWN OF:
EST BARNSTABLE
J•
� Y
r
,
31
32 PREPARED FOR: ALEXANDER THEROUX
N 14" TREE
FRUIT TREE
40 0 40 80 12O
\� \ :q 4o SMED �- i SCALE: 1" = 40' DATE: SEPTEMBER 10, 2003
J�\ TH? 1G" wl}Low �. REV 4/11/04 (MOVE BARN)
' Ncr ���>_ TREE REV 5/4/04 (MOVE BARN)
EXIST.
DWELL. `• b i jr�h r45 `' w1�
TP
�q. �r •r - o OJALA
CIVIL ,
.0JALA, .S. DATE
` REMOVAL OF UNSUITABLE SOIL REOUIRED
-.` ,AROUND PERIM. 3ER OF LEACHING FACILITY, ,
�,• L .'OWN TO SUITABLE SOIL LAYEF
\ r= OED/COAPSE SAND). REPLACE WITH CLEAN O
M D. SAND ENGINEER TO INSPECT AND '
\� CE�TIFY F.'EMOVAL •'/ ��
\ 1 AZT
LX.I'-,T WELL
off 508-362-4541
fa* 508 362-9880
\\ \� p down cope engineering, inc,
A CIVIL ENGINEERS
RTHQUX LAND SURVEYORS
ILLtlW STREET
�\ W MANSTABLE MA 02661 939 min st. ar
\� a y mouth, no 02675