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Home My WebLink About0004 OXNER ROAD - Health 4 Oxner Read Centerville A= 193 — 120 No. 42101/3 ORA Q � 4 ESSELTE 10% 0 0 O 0 � � --- N LOCATION SEWAGE PERMIT NO. L.o-r 3 y- 9 Rb VILLAGE � M S L R'S N:, ME i A D S 3.. 6UILD R OR OWN DATE PERMIT ISSUED DATE O;MPLIANCE ISSUE � _ ;� :g �' �, r � s<. � ,. � / , �� .. ��:'. `. �' THE COMMONWEALTH OF. MASSACHUSETTS BOAR® OF HEALTH `✓ OF.......................................................................................... Appliration for UWposFal Works Tomitrnrtinn Prrutit n/ Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ......a.Xm J1 .............IT I...... ................. :. ,PIJ ,e. ..........-•-------•--••--••---•--. Location-Addres or Lot No. Own r W ISP ...........� �.1 ...... '.��.b '..........�.!_Address.......��.. y .......... ,a ----------------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-------------- ----------_.___-__.-----Expansion Attic ( ) Garbage Grinder ( ) pL, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------- . W Design Flow......—,r .....................gallons per person per day. Total daily flow._......._ d_......................gallons. WSeptic Tank—Liquid capacity/-g allons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No--------------------- Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..:----/-------------Diameter.......4_....... Depth below inlet................ Total leaching area---AQ .!sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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........................ -------------------------------------•------•-•-------•--------....---•--•----........---------..---........................................................ 0 Description of Soil........................................................................................................................................................................ x U -•----••••---•-..........-•----------•.....----••----•---------------•-------------•---•--•......-•---------•......................................................................................... ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 TITLL 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 e b d of health. Q Application Approved By... ._.. ... •-----` ..... -----54� ------•---•---. Da e Date Application Disapproved for the following reasons:-•-•----------•---•---•--------------------------------------------------------------------------------------•-- -------------------------------------•----------....•---------------•-------------....-----•---------- Date PermitNo......................................................... Issued........................:.............................. Date No....c9l=jle Fins ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... . .........................O F.......................................................................................... Appliration for Uhipovml Works Tonirnrtion rrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ...... ' .. ....... .X r r ........ . ...... .......... •.... ----- ---- cation-Address, or t No ----.......\16.. .4_........... f�,'.!�.,�: !_�3/_ '................. &5 .... "_ACM, fJG •.....t�ptP.........'V;. �� ' Own ♦ Address a -••-----•-•-••-•-•••••• ...._.... -- ------ .............................................. Installer Address UType of Building Size Lot............................Sq. feet 1-1 Dwelling—No. of Bedrooms............... �j_-.-.•----••--_--_---Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons----------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------•--.._......------------•---.....------------......------------..---•---•-•-•••--------•-• .. WDesign Flow_____ * ..........................:. allons per person per day. Total daily flow_._..._....+ * �.....................gallons. WSeptic Tank—Liquid capacity. J4llons Length................ Width................ Diameter._._--_-.____.._ Depth................ x Disposal Trench—No. .................... Width... .. __.____._. Total Length........... _...� Total leaching area...: sq. ft. Seepage Pit No.......I......._... Diameter........ Depth below inlet.......... Total leaching area.... .sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 14 Percolation Test Results Performed by.......................................................................... Date------------------------------•------• 1.4 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_-__.__.....__._._.._... P4 ....................................... •---------- _---._----------••-......_------------------ ---••--•--...... ---------------- -.... ----------- 0 Description of Soil........................................................................................................................................................................ x 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 TITLL 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 e bo d of health. / Si "+/ ," ---------ig�±'✓e, Date Application Approved By..-_ ...__: ................ .. ........................................ Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------•-•-----•----_----- ---------•--•••••---•-••-•----••------.....-•••--•-•-••..............•-----•---•-•----------•--••-•................................................................................................... Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......................................I.............................................. TntifiraV of Tomplittnrr THIS IS TO CERTIF , That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...............C_s.._ ..... + ........----•---•---------------------------•-•------._....--------.....---•-------•-•----.. -`- •-----•--------------......_.._ Ins er y, at it ' .............. .ej .--1 .. J�''� has been installed in accordance with the provisions of TITLE, yof The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... '"_:._...�...�.�... dated.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF CTORY. DATE------------------•--......-•--•-•-•----.............6 ..kIlt'...... Inspector.................. ------------.....----•--............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y ...........................................OF..................................................................................... » No. .... ......._. FEE....:_.... Disposal Work onitr ltion rrutii Permission is he eby granted------------- !_---- . to Construct r air ( an Individual Sewage Di!5po§al System atNo ,�JJ .......... .=----• ................... ---- ......................................... Street as shown on the application for Disposal Works Construction Per No.___............... Dated .�.a ............................ C /gam Board okoRealth DATE............................. J,/ .. -_-_------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS j ��I� Gt� FAMtLY�- 3 BEo2ooM c�satt_Y F�_ow = 110 x 3 - 33oG.Pn SEPTIC, TAtiK = 330x15o01"& -- 4 gSG:P. 0 l u5c- t 000 D%5Po5AL Pr 37 y5E Iaoo 6A�. S+DEvJAt_L AeEA = t 5a 5.�: 50TTOM AP-EA= 50 S.F. 'TaTAt- t FLOv! = 330 G.PO, 70 V-� C F f i,NzJJSI'� .I3 PE CoLATtDti: 2ATE: I"IN ?-PAIN) OP—L.E55 Co6 iMT, i N f �I ml iv 8G'x "r iL ;... . it ►�'m off. �c� y . - z 8 . ... �Z •r �o. : . •fir A) ±� N M,r�Sy� � - � Ck F1Jp=too.O 77 INS. i { :Z7a0Y AIL. DtST. INV. GAS_. 9�'0 , 13v7t i • 1 6A.t.... 90 INV. _ ..INV, :......_...�....: _. ... .. It �E 1 WITH 9oZ STaNE . 1 P L oT P�..A►J -1'L 1 Bfl N o S GALE A +` �i 1 GEQTIFY THAT •T1.1E Ne_kEo►.i GOMJP>LY5 wITP-T1-4E �jIvfa I-- Si-c IE v t 9-r--Ms N'15 o t✓ -�µ� puq>\� G'ax.�. 3!� �?��.,E Z �% ��v v�/N d t✓ �i►..�-.•US�JL..Ir. A N'D 1 S I�_I r�T"" ,`I LOC_�TC_D Wl'rN11.1 T1-i6 C=LC�bD Pl_4.11�I .. . i / REG!STi✓Q6�°!-AND5uZYE:N6Z5 "Tt-tl PLL�t t I5 MOT g��S D Oki `At.l dSTTct2VICLE MIASs. i i►.."�TFrUMFN'T Su2Vt-y 1� is-TliC- G)�V::— 1 0U1,D A P P L�...► -,° �o ) Pc At R ,�r.lGtC- FAMtI-�{ 10 GA2aAGi= �j21t1DEiL �`� �A1LY FLOW = i►a x 3 = 330C.PP �EPTtc TAtiK = 33ox!5o =<;.55G-i? q t5po5At- PI-7 u5E ►000 AL- SjDEH'At_L AeEA = �SaS.F SOTTO/l1 5C> s.t= x �. o = 5o J.Pfl `T L1( FLDV4 = 33306.PD. fz13li r G�t_ATIUh.CZATE I'lIN 2MIM34 77-1 AeA D 6OX _ j i i✓ to � L tl D�vier- �➢•,� � TOP FtJp=tQo-o �i I s:L t000 (MV. �# A DIST. INS.. - t�oc7 V. 9n Tta�1K . M GAL. I i 40 ' . . WY. .__..INY, �. WITu qb"L qO: i WASNtieD 1 I .. .. ' i O Pt_o-r PLAii if P P-0 F I L E= f 3, P,a NoSCALE `` SATE: it ICa �I P I-A 1 GE2rt�Y TNA"� "THtr Fpt>�ILT1C�. 1IE2CD►J GONOPLYra WtTNTHF- SiC>E�Lit�lt✓ `--�jT c�?24 A j1 A-Na s�T �cK 2EC�UIEM>=ntTS oF -ct�� c�� i -ivvlN_ O� �ft)5' tt`•UAtwv �S E-�!c�T' PCaAh� ►�X � .3'(I . b4C,L� Z LOCP.TED 'W1T111Q TNT Gl obD. t tit`(E I N C. 1, r REG 1 5T r--ZC•D.L.A.!1 s Cu Izv EYoZS Ttal� PLL\fJ t � t�LoT $�� I, � 5�>a 41d 7�t.1 d STEP_V.I�.L,E-.. . .!N1A'.S,S• ,r , l►1STCZ�!MF h1T S W QV G--`� -T VAE 0T-- 5E.TS FJo�r �tv V�CEDTb pETE2Mt�E t_c>C 1- 1t-4E�j �PF�I�IGA►-17' .� Oc, UE .I I� N ' 171) �C"'N EXISTING I V CD DWELLING � _ � ig coI O U EXISTING coO� CD/GARAGE I Cp M Ln I! L asphalt �t U shingles/ Aluminum ma. � ( tch ' NOTE: Gutter TI exist) Contractor to Verify - _ - all e�nsting dimensions prior toconstruction N i EX15TING - ;O PROPOSED=3-9' � �lapboard= _ - I5t Hoor(approx.) i /(Garage Mab/ °, j" O / co pouredncrete jMase 711ent Proposed - �- - �I d co ' d .dust cover i 1 l FRONT ELEVATION z • .. PrP dd@ -. . . --- O act $s • : 3 9 x8" thk poured Scale: 1/4"=1'-O" I— - DrIlItDowel to concrete wall on I4'x8" existing fo Md. thk. poured concrete ftg. Q -- as require --- --------`------- ^i • --- -- -- - O - A.Bmb oc VENT - z dblacorn— - W NOTE: EXISTING Cm \ > ' contractor to venFy HALL W/ foundation installer ewsnsG Z • ciw�top of wall elevation I exi wiG - . MUD KITCHEN O ROOM ex rn ,'•� - e I ''GARAGE l /, Q W / Proposed FOUNDATION T� DINING LIVING Q r U.Il\\I ATION PLAN i -�� DINING LIVING ..`° an ROOM ROOM BEDROOM W Proposed O X Addition Area=85.00 ft +!- ° O O cc EXISTING(ASBUILTS) � FIRST FLOOR PLAN I AUG 2001 N� INV Al v^ a a Existing aofLt ung Dto remain- E C K (verify) NOTE: opening cased Relocate � en ROOM � opening ' existing c n 281rosted IHr fire // \,d- p�°�° k glass mt. door A Bronco Model 3Q" p ° P ench dr I CY) 205 momn9 _ ..� Cl 28" t7 CCID�� KITCHEN cv N ------ - I i (designed by other.) --- --- -- Undercaunter Closet --- os -- +--- _ vi washertdr er lost / Ex _ w/ cab. abv. ---- i (// HATN I l'-9" - _ N Ln (verlfg make I II q._O,. t model prior --T ; \ CIoP t - t J II C� to construction "-'----- - J I ISLAND / U no I -- ` _ ,._ ___.._ __ ____ ti__ —+ ,i i �r...y' m Cfl rTf Z (verify bearing) c ':.,/ Remove existing Lf7 l L 0 18„ I U p I master 28' __—� 'x cased IfrosGe I' a, Columns i BATH II _ - � ea; mde v O I i I c 1I -_____ __I rove frosted s'st,mgLW 28"p.d. _ _ o r- 0 4master ' — BEDROOM 1r �i I rl �vorepv nru make( - ' exi ung p existing ° 4T� DININ _o FAMILY — �_ I �RE L II ROOM ---' { U Uh remove—}� existing relocotr I I I a s g O V 1-2x,(top.) ( I Bedri ©� O /,oposE LL NOTE: o- l l Contractor to verlfg ;r !�1 -� all existing dimensions ;v prior to construction O r—.q 0� PROPOSED"ADDITION O Proposed Z -'' \ �.. FIRST FLOOR PLAN _ MAIN.DWEL BEYOND °� L Scale:114"=1'-0" O /vent ridge \\ / as req'd ` WINDOW SCHEDULE U I Verify etotmg \\ Q EXI� / - ? 3� stli poor to \ RE I construction C8e pia h —� )6`O,C 12' Le 1nau1. \ MK DESIGNATION TRANSOM Sqft. Total Sqft. ROUGH OPENING ' of ew rig match Q / eweGng proposed A G235 13.6 13.G0 4'-O I/2"X3'-g 3/8' Existing .�- - - 2X8®16"O. _ - - A21 he non U - soffit to Existing ham r a B TW2436 9.23 18.4G 2'-6 1/8"X3'-8 T/8' - - i remain !proposed (verlfg) MU BATH 3 I/ f,g, ;r, C A21 9.0 12.00 2'-0 5/8"X2'-0 g/8" (n'�O • X I fr ON Insula ion . (renovated) LL . I 2x481 "o.c. O O g P 'I 1/2" dx I Total: 3218 allote:Contractor to verify all millwork information including rough - i Mauh a sang — " openings,clearances and quantities prior to construction, floor fmi.ea I AUG 2001 Ist Floor(approx.) 2X8®16"O.C. 93/y NO E: anger Con rector to ver+rg 2" poured concrete slab Approx. all xlsting dimensions (DUST COVER) .' Grade pri r to construction t 3'-9"x8"-thk. poured K' concrete wall on I6"x8" Typical foot Soured concrete 8" Frame Section "A" .