HomeMy WebLinkAbout0163 LONG BEACH ROAD - Health 1;63 Long Beach.Rd. Centerville
r
f A=205-026 _
October 25, 2001
E- Lindsay Residence
�163 Long Beach rd.
r-DCenterville Ma.
Map/par 205,026,
RE: Necessary renovation repairs to existing second floor of residence noted above.
After assessing existing roof leak, we have discovered that the existing structure is not
only leaking but is considerably settling as well. It is evident that the. existing roof
system structure is of in sufficient support and would not meet today's state building
code. effort to rectifythe problem, repair leaks, and replace all rotted timbers we are
P P P
requesting to complete the following.
Remove existing roof shingles, frame work, and trim.
Remove and replace all of the windows.
Install Anderson double hung windows, and to include Anderson awning windows to
sides, and'Anderson round window to front.
Install Anderson sliders to south side to access deck.
Install new asphalt roof shingles, ceder shingle sidewall, and trim to match existing.
Final out come of project will result in supper structure to meet state build code
NO additional living space or bedrooms to be added.
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LOCATION �a SEWAGE PERMIT NO.
VILLAGE
INSTALLERS N A ME i ADDRESS
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0 U I L D E R OR OWNER
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DATE PERMIT ISSUED
DAT E C0M ►LIANCE ISSUED �� ��
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etc(
Fimic f..................
THE COMMONWEALTH OF MASSACHUSETTsBJ`CT TO APPROVAL
BOAR® Off" HEALTH' rISTABLE CONSERVAvIC�a
...._.......... ....................0 F.......................................-------
...OMMlSS9®c-1
Appiiratiun for Dispuiiai Works Tnnstrnrtinn rrmft
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..../ 3..... ......... .aC/.------------ --------------------•-------------...........-------------------------------------..............
L�ation J ddress 'S g or Lot No.
' `...Owner- ................... •••••-••••--•-••-•-•--••-•---_--Address
W .
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms................3..._......_ _Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
p" Other fixtures .................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity/kw-..gallons Length................ Width................ Diameter................ Depth................
x Disposal 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........................................
aTest Pit No. I................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........................
a .........................................................:.......... -------•-------------------------------------------------------------------
---------
0 Description of Soil........................................................................................................................................................................
x
U --------••-•-----------------------•-----•---------------•-------------------------...----...-•-------------------------•-•----••------•--------------------------------------------•-••-•••......-•---
W ------------------------- -------------------------------------------------------------•---------------------------------------------------------- .......................................••,o.....!
UNature of Repairs or Alterations—Answer when applicable....�crz�-U_�.g.......5,__ ......X___
:...........,r
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in f
operation until a Certificate of Compliance has been issued by the board f health.
Signed-.�:.6/•.......... �---•_...'_......... ............. ......�........
�r Date
Application Approved By...... ��� ............... ----- .................................... ..... ...........
Date
Application Disapproved for the following reasons:------•-------------••••--- -------• ----••-•----------------•----•--...............----•-....•--
----•-•---•---•--••..._....-••-•---------•---•••••----•---••-....-•--•----••••-•----•------•---•-•••••...._
Date
Permit No.. Issued----------•---•-----------....._......---•--•-••--•----
Date
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s`
1Vo..i :LL .5r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................O F.........................
Applira Lion for Bispoii al Works Toustrurtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
L lion-Address or Lot No.
..... ...........................................-.................................................
W Owner Address
' .......... ...................................................
Installer Address
UType of Building Size Lot............................Sq. feet
�. Dwelling—No. of Bedrooms.................Z.......................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building .........................:.. No. of persons............................ Showers ( ) — Cafeteria ( )
d Other fixtures
W Design Flow............................................gallons per person per day. Total daily flow_.__........._........................_j_..gallons.
WSeptic Tank Liquid capacity./,cao..gallons Length................ Width................ Diameter................ Depth................
x Disposal t=L 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........................................
14 Test Pit No. I................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........................
P .......--...................................................................................................................................................
0 Description of Soil..................................................................................................................
x
U .........I.............................................................................................................................................................................................
------------------------------------------------------------------------------------------------------------------------------------•-----------------------------•-•------•-••....
U Nature of Repairs or Alterations—Answer when applicable 1 U- .............-i�...........
---------------------------•----------.....-----------------•---------------------------.......---•-•...•...-------------------------------------------------------------------•••••--•-------•
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 b the board of health.
r Signed : = p,�`.........
j Date
Application Approved By•.......- ._. {1..... .. ...... --•-- --•-''!,
i f Date
Application Disapproved for the following reasons------------------------------------- ----- ---.--------------------------------------------------------
-••--------------------•-----------------.....--------------•---------------------....-----•.
..�w Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r ..........................................OF..............................
Cnrdifirtttr of f�unt�rli nrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Installer
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has been installed in accordance with the provisions of TIT 1 , 5 gf The State Sanitary Code as described in the
application for Disposal Works Construction Permit No-----
-- ""..... ................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONST AS A GUARANTEE THAT THE
SYSTEM WILL U/y. ION SATISFACTORY. z
DATE.......... .....o .. . .............: tor•........-----•---------------.... Inspec _ ._ • ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................O F.............................................._................ . ..................... r
FEE.. 3..................
UWposFal orkii TOnstrndion Trani
Permissionis hereby granted................... : =--.....------•--------------------------------------•--....-----•---•----......................................
to Construct ( ' or Repair ( ) an Individual Sewage Disposal System
ems... ..r. !'.e.l e`" I
Street
as shown on the application for Disposal Works Construction Permit No.............Z----- Dated_.�PI_. `�
Board of Health
DATE.........................----..../ •. tIIA ................ y.
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FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
Cape Cock BERDMo
Home Improvement Specialists
25 lyanough Road Route 28 LETTER
HYANNIS, MASSACHUSETTS 02601
Phone 775-2815 Date /o- '(FOP
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