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HomeMy WebLinkAbout0082 LAKE DRIVE - Health 82 Lake Drive " Centerville A = 230 - 081 / No.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in compuOerYes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rplication for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ,) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ' 1 JQ/��! �/` er's N e,Address,and Tel.No. Assessor's Map/Parcel C e e �e V Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repair Alterations(Answer when ap licable) (/t L f� 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 Certificate of Compliance has been issued b is Board Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No.S�16 Date Issued 6143(11111) i V_ No. Fee _q� tHE COMMONWEALTH OF MASSACHUSETTS Entered in compuikr: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for Disposal �6pstrm Construction 3permlt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 9 a 14 , 0/, �er's Nre,Address,and Tel.No. r /� j Assessor's Map/Parcel �^ Y© to j�` G Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building;, o ' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons -.Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) f gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title d.. Size of Septic Tank .v Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I p, IP f a �, ` 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 EnvironmentA Code and not to place the system in operation until a Certificate of 4 Compliance has been issued by-this Board o ealth. Sic x t !1 ' fir— Date f%I ApplicationApprovedby % ' . :, �� Af Date Application Disapproved by / y V V Date for the following reasons n f Permit No. ✓ f Date Issued / 1 .y -------------------- THE COMMONWEALTH OF MASSACHUSETTS /�(✓J�J�` iVl/ BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by._ Rim< E xrn 1Azd 64CA Ti 14 C' - - - at !C�> r has been cons ct d'n accor•ance with the provisions of Title 5 and the for Disposal System Construction Permit No. Zated Installer k,l -r 00 t 41'i'i wrJ Designer #bedrooms Approved design flow gpd The issuance of this:permit shall not be construed as a guarantee that the system ill fun ion as desi e•. — 1� 11 ` Date Inspector _ ,(�� �' Y e . h. . A --.--�--------- -- ---�_----- --------------------- -� --- No. Fee - ------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal Opstem Construction Permit Permission is hereby granted to Construct( ) Repair ypgrade( Abandon( ) System located at 9,, La V(,p �r � w e and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must a co fed thi three years of the date of this permit. Date / Approved by TOWN OF BARNSTABLE LOCATION 3k2 ;�� D SEWAGE# VILLAGE C�i'� %/(��`/�� ASSESSOR'S MAP & LOTjAy2) INSTALLER'S NAME & PHONE NO. J; /'• �lC/�1 fJer �-�r1�jG SEPTIC TANK CAPACITY S� 9� LEACHING FACILITY:(t ) (size) YPe T NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No _ ��Oo 3�,� • o X��,,NCB C Aa A(,� J' 1 140.. .� Fini $...:30.00 THE COMMONWEALTH OF MASSACHUSETftnStabl�ConPaR 0 V �, D BOAR® OF HEALT Patio„ Cn issjo TOWN OF BARNSTABLE Sl n ad App iration for Dispaii ai Works Tonstrnrtion rermit Date'9 1 Application is hereby made for a Permit to Construct ( ) or Repair XX4 an Individual Sewage Disposal System at: 82 Lake Drive Centerville,Mass. 02632 - -_.............. - ._._...... -----...... ------. ... - - --............ -•• ._.Shum......................n Location-Address or Lot No. .................................•---••--•-•--•--•----••--•---•-------•----- -••---••••--...................................................................................... Owner Address WJ.P.Macomber--Jr.•---- -•---------------------------------------------- ----------------------------- •-•-----•-•---------------------------------------------------- Installer Address LYi q. U Dwelling-No. of Bedrooms._ 3______________________________Expansion Attic ( ) Garbage Grinder ( ) Type o ui m Size Lot............................S feet aOther—Type of Building .....R��........_..... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------- ----------------•-------------------------------------- ............................................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ 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 ( ) Dosing tank ( ) )_, Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----•-----------------------------------•----------------------------------------------.....-•••---•......................................................... Descriptionof Soil...............................................................................------------------------------------•------------------•----------------._.._.._......-- v ---• ------------Sand------- Gravel --• W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-------------........... v ......................................................... -- _..�a 11applicable :to rik.--1'7-.0...p t......--------------------------------------------------------- Nature of Repairs or Alterations—Answer when a livable.______________________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant has be uedd�by the bo ,d of h lth. Signed _% 8/7�91 ApplicationApproved By ..... .... .... ..... ..... ............ ---- -- --- ------- -------------- - - --_ ---_---------------_-- Date Application Disapproved for the following rear n --- ------ ------------------------------------- --- --------------------------------------------- ---------------------- -- - ---- -. Dale -------------------- Permit No Issued 7 /� Date 30-00 No... / /.._._-._- Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE A liration for Disposal larks C�nnstrnrtion rrmi# ��9, Application is hereby made for a Permit to Construct ( ) or Repair ',�Xl) an Individual Sewage Disposal System at: 82 Lake Drive Center'ville,Mass. 02632 .......• ....___ ---.....----- -•- ------------------------•---- ----•-...--------------...•-•--•---•--.......-----•---........ Shuman Location-Address or Lot No. -•....................-----•---....---...--•---•-----•-----.......------........-•--------------• ...•-------.........-•-----••••-................................................................. ! a J._P,Macomber Jr. Owner Address .......•...........- •----•-- Installer Address d Type of Building „, Size Lot............................Sq. feet aDwelling x No. of Bedrooms....... ................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ...............0............ No. of persons........................:... Showers ( ) — Cafeteria ( ) ', ' \ Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No-_------------------ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Daite........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1:4 I 0 Description of Soil...............................................................................=........................................................................................ x � , Sand & Gravel U •...............•------•--------------......-----•--------------------------••---•-- W .....•--------------------------------------------------------------------------------------------------------------------------------------------------------------------- .------ ..--------- ........... V Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...-----••-•--------•-------•...............•- .- -Qo. .. 1 can..tb LAK.!-750_.p. .t.s....... Agreement: _ C The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iisssuueddf by the board of health. _ Signed -a!? -p--.. .,/.�/i�............ ................... - — �r . __ {' � re Application Approved BY ..... �� /... '!c :/ ' l.... �/X�(. ----------------------- ........................................ Application Disapproved for the following reasoC7.......................................................................................................--- ....................... ...................................... -----�---------Z.......-----------------------------...------------------ --------------------------------------- � (�/{ -Dace Permit No. -I------ --------------------- Issued ---------------.. .ei/� r/.11.... -------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE %Cer#ifirate of (11entylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or RepairedY(XXX) byJ.P -- Macomber Jr. ---------------------------.................................. ---- ------- - --------------------------------- Installer at ...8.?...-.-14.ke---Drive Centervill& .. .--- - - ----------------------------------------------------------------------------------------------------------------------------------------------- ---- ...... ... has been installed in accordance with the provisions of TITLE 5l�of T_he State>E n vironmental 'de as cri ed in the application for Disposal Works Construction Permit No. ....=.l-,!... .._. .�� �+........ dated ... ..........A���. ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BkONSTRUED AS A GUARANTiE'THAT THE FUNCTIONSYSTEM WILL p,j,, � I CTCRY. c DATE Inspector -�- ---- ---------- . ......... ..... ..---.............---. " . ! , ". �..THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �4eTOWN OF BARNSTABLE No.. FRE I....37..00... Disposal Works Tun#rudion "rrmft- Permission is hereby granted....),P,Ma e omb e r Jr. xx ........................... to or an ividual at No Construct Drive tCenter.,ille Sewage•DisposaleSystem , '�� ! �/ et as shown on the aPplication for Disposal Works Construction Permit NoL..�. ............ D ate d.._....................................... ........... '= 1.,�..... .......................... DATE........ ...... Board of Health ------------------------------------------------- FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS i� r � Exterior Demolition dotes: Interior Demolition Notes: 046 .I ax JW- Remove all crown mold,baseboard,door and window casings. = ; Wood deck li o9 finq: CfCKrr_, aEy %L Remove all interior wall paneling: Remove decking,joists,guards and seating. Notify architect for inspection of Remove all asphalt shingles, underlayment and aluminum roof edges from „ Remove all windows and exterior doors. ! t I support beams and pipe columns. main house. Remove all interior partition framing in areas of alterations-See plan. tas Sri.Ix n'zE „ Remove all roofing and underlayment from low slope roof at Master Bedroom. Remove all Master Bathroom plumbing fixtures, cabinetry, floor finishes and t T. '- �°' `o " "' Front Entry' At gable ends,remove all wood rakes and soffits. IMpu=i Est'8rhe -- Remove roof, wood columns and stoo /ste at front door.(4' x 17'-4"fla At eaves,remove all wood fascias and soffits. lighting, e - i, P P 9- i Yf Zxtr. 31>tu'" stoned concrete entry platform to remain-see detail). Inspect wood roof sheathing and report any irregularities or deficiencies to ar- Remove Existing Bathroom#2 sink. . ,�_:,, �� P 9 P 9 Remove all Kitchen cabinetry, finish flooring and lighting. Kitchen appliance to -�-- chitect. be retained for potential reuse. � min Room laundry and Side Entry' Remove ceiling joists and rafters'in Dining Room as required. Remove roofs and walls. Notify architect for inspection of existing floor strut- Exterior Sidewall: Notify architect for inspection of exposed structure once interior demolition is SrCTtf r 7y 'J: �CvrVn�Tr r`C `r�` ture and foundation to ascertain the viability of use for proposed alterations Remove all cedar shingles,wood siding and underlayment. tyi complete. .and additions. Remove all wood corner boards,window and door trim. G eL r -- -7. _ r I-AD L fi I I -i i i I ✓-4' ( I ( � � � i I I '�'��/-��.'Y7.'rsu v.� I I I. `f.zii L't;Lv j I �% .a:;+i L.._.iA't ` 1-, z'` L.i_. _ ....._.. ..._.......... - a_I ........... _...._. N I ; I 1 i t i '• i I - i I I i i _ , i j I ! it<_L\.._ r-zF.a _ I- - -._- _I ... -.___.... __... ...__._._'c> - -'---- -.............. ---' - -- ---- — ! I 1�' G•.G. . �! : I t ij : I ;i .... , , t— I r I 4 �aec I - �l I <.2J M� c` IF . � _ - : i .... +' \ \ _ tG-a iy>✓ fa•lt:7CtF.Y..A,:C(,Fi :Y,P<.vC.l(J 4 G :1 I � - -----{�' '� '�•, �1 —�}_ .. �,/ zc S..i_-( '..S-�iM t.f 4`IY.1,rttv`� I i Y.� 1 - S �`- IT�.-1 1} IL ! ; I �. / .. wi _ rr i YCs'?. ! {yew [i; ,�,,.�,,_, ,.;ram =Y. G'4�,� ✓e<r...P � _. : i , I Z i }.. i s rIt I + I I a �.. ._ Sm i 'k i I i ® 00 - ! ! - ! ..... . k ._ :I G ! i - look � u Stie&rr 3 Y ,cI" 'e; -I& IMF I-Y:f'%n(:,cfi'^,'7-tf¢.©. !T_"— �-a/ r.: J us&` pG.gp�!ti-;�� jlrA;«,S•a: r��,^;Gr('oeh Tt.� �ti� r .. IYU/[vE:n �r.+t�?! n✓yi-f�ra!„s.;...,G,I:CrS!t.'N P'��S�Er TI��':_ � ..- I� v smok GU 1h *zr/ Alterations and Additions t0 �,r fl 4, � n} x�6est , %r a, "t"he summer tramp of Mel and Robin Shuman = --__ - _-- .. .... 82 Lake Drive, Centerville, Massachusetts ` P27,EastviewTerrace, ASSOCIATES ARCHITECTS Marstons Mills,MA 02648 . 508-419-1217