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HomeMy WebLinkAbout0032 ASHLEY DRIVE - Health (2) 107 PRINCE HINCKLEY RD, CENTRVILL A= 172 091 I Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection John Grad t One winter Street,Boston,Ma. 02108 D.E.P. Title V Septic Inspector P.O. Box 2119 Teatick5 MA 02536 (SO8)yS643 WILLIAMF.WELD Governor ARGEO PAUL CELLUCCI Lt.Governor � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM " tCEIVEC PART A 'Ai Vic, "r M .CERTIFICATION UJ s�9� 107 Prince Hinkle Rd.Centerville L` 1 Address of Owner: ��LTHpEpTAB•(d Property Address. y \ Date of Inspection: 7127/98 (If different) \ Name of Inspector: John Graci Mr.Cronin:box 728 Centerville Ma.02632 0 I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection Is based on criteria defined In Title V code 310 CMR 16.303.My findings are of how the system is _ Conditionally Passes performing at the time of the inspection.My inspection does Needs Furth Ev luation By the Local Approving Authority not Imply any warranty or guarantee of the longevity of the septic system and any of Its components useful life. Fails �e Inspector's S[gnature: Date: 7128/98 The System Inspector shall su it a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: ,. Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,pases inspection. Indicate yes,no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined' expl s ain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal, is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04127197) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 s Telephone(617)292-5500 e e SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127199 _ Sew.acie backup or.hreakout.or hicih.static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four 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 obstruction is removed 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or. less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an 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 cesspool SAS is in hydraulic failure. (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127198 D] SYSTEM FAILS(continued) Yes No 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 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. I (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127fs8 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with NIA. x — The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. —x— — The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is unacceptable)[15.302(3)(b)] (revised 04127197) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127198 FLOW CONDITIONS RESIDENTIAL: d./bedroom for S.A.S. Design flow: 330 g p Number of bedrooms: 3 Number of current residents: 2 Garbage grinder(yes or no): No Laundry connected to system(yes or no): yes Seasonal use(yes or no): No last two 2 year usage d Water meter readings, if available:( ( )y g (gp )' n1a Sump Pump(yes or no): No Last date of occupancy: n1a COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Design flow.0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present: (yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings, if available: n1a Last date of occupancy: n1a OTHER: (Describe) nla Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: rda System pumped as part of inspection: (yes or no)yes If yes,volume pumped:2000 gallons Reason for pumping: Maintenance TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no)_( if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other: APPROXIMATE AGE of all.components, date installed(if known)and source information: System Is 20 years old. Sewage odors detected when arriving at the site:(yes or no) No I (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127198 SEPTIC TANK: x (locate on site plan) Depth below grade: 1' Material of construction:x concreate metal FRP Polyethylene_other(explain) If tank is metal, list age n1a . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: L8'6"H6'7"W4'10" Sludge depth:2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness:1" Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 17" How dimensions were determined: Measured Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Septic tank and all components are structurally sound and functioning properly.Recommend pumping every one year. GREASE TRAP: (locate on site plan) Depth below grade: rda Material of construction: concrete metal FRP Polyethylene_other(explain) Dimensions: rda Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:nla Distance from bottom of scum to bottom of outlet tee or baffle:nla Date of last pumpingrila Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) nfa BUILDING SEWER: (Locate on site plan) Depth below grade: vv- Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction line?o— Diameter: nla Qmments: (conditions of joints,venting,evidence of leakage, etc.) (revised 0427197) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127/98 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: nla Material of construction:_concrete_metal_FRP_Polyethylene_other(explain) Dimensions: nra Capacity: nla gallons Design flow: n1a gallons/day Alarm level:_nra Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) rVa DISTRIBUTION BOX: x (locate on site plan) Depth of liquid level above outlet invert: Liquid levelwith bottom of pipe. Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) The distribution box is structurally sound. PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_ves Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) rda (revlsed 0427197) r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 107 Prince Hinkley Rd.Centerville Owner: Mr.Cronin:box 728 Centerville Ma.02632 Date of Inspection:7127198 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: rda Type: leaching pits, number: 10DO gallon leach pit leaching chambers, number:Na leaching galleries, number: rda leaching trenches, number,length: rda leaching fields, number, dimensions:rda overflow cesspool,number:n1a Alternate system: rda Name of Technology:_rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Leach ph and all components are structurally sound and functioning properly.The ph has 4'8"of water In It at the time of the Inspection. CESSPOOLS:_ (locate on site plan) Number and configuration: Na Depth-top of liquid to inlet invert: Na Depth of solids layer: n0a Depth of scum layer: rda Dimensions of cesspool: rda Materials of construction: rda Indication of groundwater: nla inflow(cesspool must be pumped as part of inspection) rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) rda PRIVY:_ (locate on site plan) Materials of construction: n1a Dimensions: rda Depth of solids: rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) rda (reylsed 04127197) SUBSURFACE SEWAGE DISPOSAL:SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(Continued) 107 Prince Hinkley Rd.Centerville Mr.crordn:trox 728 Centerville Ma,02032 1127198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within fQQ'(Locate where public water supply comes Into house) a � AP Ap `� 0 I reined 04127197) Page 9 of i0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contlnued) 107 Prince Hinkley Rd.Centerville Mr.Cronin:box 728 Centerville Ma.02032 7127198 Depth of groundwater 12 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and Charts (revised04r27197) page 10 OL 10 TOWN F BARNSTABL LOCA 110N ton La 0 SEWAGE # VILLAGE Ct Sa.'n� L�® A ESSOR'S MAP & LOT tr1- INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I �� LEACHING FACILITY: (type) GIA (size) 0 01 NO.OF BEDROOMS BUILDER OR OWNERS 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 leaching faci ' �^ - Feet Furnished by l �u _ I r ti A D �� 1 �p N`I L OpT10N SEWAGE PERMIT NO. _ d 3� VILLAGE aw IN'STA LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED I �� n a;� '� �. � +`� �� �! r '�®` �-'�'' �� �f No........ i�. F•z$....... -� THE COMMONWEALTH OF MASSACHUSETTS BOARD F I-HEALTH rr -------- OF...... .:.... .... .... . ..... . ------ Appliratiutt -fur Uiiipuiitt1 lVorkii Tonstrurtion Pprutit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst t. -`........ •------ ................. `f --- ------------------------------ d e ' ocation ddre �.�' o• a •-----•-------- -------- Owne Address Installer Address // Type of uilding Size Lot...... ��---Sq. fe t U Dwelling—No. of Bedrooms...._ ______________________________Expansion Attic ( ) Garbage Grinder aOther—Type of Building ____________________________ No. of persons.--..-_-..----____-_--__---- Showers ( ) — Cafeteria ( ) P4 Oth fixtures --------------- ---- W Design Flow---------- ..- -_ _ gallons per person per day. Total daily flow-------------------------------------------- WSeptic Tank—Liquid capacity--- --------gallons Length---------------- Width................ Diameter---------------- Depth___--__-.-.._. x Disposal Trench ;�To_____________________ Width..._. ,�._.._.. Total Length-------------------- Total leaching area_._-..-._-------_:_-sq. ft. Seepage Pit No ... ............. Diameter._.....-. Depth below inlet_......__.........._ Total leaching tre:t-------.__.__.----sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by---------- ------ --------------------------------------------- ---- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water...-_-.-_-_--.--..--_._. (1 Test Pit No. 2................minutes per inch Depth of Test Pit..------------------ Depth to ground water_......... .__.__.___.. --•-------------------------••----•-------------------------•-••----•-•-------------------------•----•-----•------------------------------------------------ 0 Description of Soil-------------------------------------------------------------------------------------------------------------------------------------------------------------------------- x W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature 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 Article NI of the State Sanitary Code—The undersigned urther agrees not to pia e the system in operation until a Certificate of Compliance has been ' s d by thheJ�sa�l o ealth. Signe . 2 Jf P ate / Application Approved By-----`--- ,-- ---•- �-�-------- - �-z'-- Application Disapproved for the following reasons------------------------------------ ------ --------------------------------------------------------------------- ------------•--•-------------•. ..................................................--------------------------------------------------------------------------------------------------------------------- Date Permit No......................................................... Issued.- — ./,3 t 7d(..................... ate Dateo . No......................... Fim...........i:-.`)........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ._.._OF...... % /?:�yrf A.( Appliration -for Uiipoiittl Norkii C owarurtiutt Vautit Applicatiomds hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System t: ...........................-•-=----- ..... / �7 �Location-rAddress I`o'� No,' /�/ f /-lam y ....__.a�.:x:��..!� e- f f ll 'JC�C Q — Address Installer Address UType of Building Size Lot__ __!� U_..Sq. feet Dwelling—No. of Bedrooms--._-- _��______________________________Expansion Attic ( ) Garbage Grinder (A aOther—Type of Building ____________________________ No. of persons-_...----------------------- Showers ( ) — Cafeteria ( ) Otherfixtures' '= --------------------------------------------------------------------------------------------------------------------------------------------- ,�,. WDesign Flow___._.__._�.._.�......... ... .......gallons per person per day. Total daily flow-----------------------------------.........gallons. Septic Trull:—Liquid capacity... -------gallons Length________________ Width..__-.-_. .... Diameter-----...-------- Depth.--------------- Disposal Trench ___,Width...................... Total Length_._-__--_-_.--_--_-. Total leaching area---........... -----sq. ft. Seepage Pit No. l _____: Diameter---------- Depth below inlet____________________ Total leaching area------ -----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) W Percolation Test Results Performed bY........................................................................... Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..-_._...-.--._.--..-... 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-_.-.-_-.-_.-.__-_---- 9 . ----------------------- -------------------------- ----------------•---> -------•••-------------........................................................ 0 Description of Soil-----===-- -------------------------------------- --------=•------------•--------------------"----------•----•------------------•---------------•--------- V ---•---------------•-------•------................................................................................................................................................................------ ---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 Article XI of the State Sanitary Code—'The undersileher agrees not to place the system in operation until a Certificate of Compliance has been s ed by the bbo-arh. Signe __. .: - .G -----,-------- Date / Application Approved B �.- �- .-- PP . PP Y...... + � D4ate Application Disapproved for the following reasons-------------------------------------------------------------------------------------•----- -------------------- .......-••••••--------•••-•-•...••--••••••--------------•••---------••...--------••••-••-•---•••-•••••-•-----------------------------------------------------------------............................... Date PermitNo----------•-•••......•--............ ................ Issued........................................................ Date THE COMMONWEALTH.OF MASSACHUSETTS BOARD Of HEALT .....�,F q�.f"�'.......OF.......... rr.... .: ....:... ........ Trrtifiratr of funutpliaurr THIS C IF at the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by w --- --------- [nstaller at... --- - --- - has been installed in accordance with the provisions of A :XI Qj The State ttary,•C-aide as de cribed in the application for Disposal Works Construction "Permit No.. --------- datedlt'r .'*`__ ...................... THE ISSUANCE rOF THIS, CERTIFICATE SHALL NOT BE CONSTRUE© AS A GUARANTEE THAT THE SYSTEM WILL UNCTION SATISFACT.®'RY. DATE...............AoO7...�/3.. ----........••..•• Inspector--------------- .... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH 7 i) OF............. ............................. ........... No.------- ._ FEE_:_�^�:✓�. �i��u�ttl ,k� u � rtiuxt �rrutit Permission is hereby granted--- •----- to Construct ( or Rep 'it ) a n+�driyidual Sw e Visposal System at No. 'ew dG[- ------------ Stree as shown on the application for Disposal Works.Construction P r it No Dated..... 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G�Vf'.�J_- .. i t J f F �� r � l f .' 7 V6,L PST- W1 � T WA04 ; I•o _ P �i'•= Wit,i,/-a�..� ; . t L06AT1o"J C Nr.r.wVt'%�L f f ►.l ea Scat_ - G-C.AL t; "i" V W � { GL tzTtt TI-tA.?' t tNC-= Fau.M P.'ct0 tStSo..uQ LIPG ! I TtA TWG-- 5IDE.t-1►4ce t EM" "T.� oG ►aC I f P L:.k\ P.1 lc3 6�:• ? { T' ` i "yowl ol"' 'lA 'a "; • 3, �• g •�w 6.sa.r rC. � F•,.s»,c.. Y E= 05-TEV-VkL.,tX-- o &(AS�i� - Tl-�lS n _At-I t 6-IUT . k':a�,Cra vt. A64 4✓lC_W U� .1L_. 111_ 'i�Fc' C �i A.1�F' Ll G.la•!-�;! T To 1�CM1►Jl LD C l_1 F"�- TOW N OF BMIRfISTA1LL f"'! r -7 Atli g: 7 - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - Sri _o I VI , Front Entry DEN BEDROOM LIVING j o IV I HALL CL bearing wall — — — — — — — — C dn. - C105. I 0 • IO IU BATH KITCHEN i MASTER B/R C105. ec�Qy S BATH .. 30638 cn P10. — — — — — — — — — — q(1}1 OF LARRY GORDON ARCHITECTURAL DE51GN Roberts Residence REV.: DATE: 7— 1 4-09 07 Prince Hinckley Rd. Centery • EXIST. PART. FIRST FLOOR rev. date: SCALE: „ „ Aul Centerville MA 02632 508 it e 790 124G Y � 1 4 =1 -0 aFFF o 0 OILEM, a -- - - - -- - - - - -- - - - - - - - - --- - -- - 01 ------- --- - - - - - -- - - -- - - - �G S Ctii Oq � o o O:3 6 ► � OS M J��s OF M�S'Q`a LARRY GORDON ARCHITECTURAL DESIGN Roberts Residence REV.: DATE: 7-14-09 107 Prince Hinckley Rd. Centervil e EXIST. EAST ELEVATION rev. date: SCALE: A=2 Centerville, MA 02632 508 790 ! 246 Y 12 C — — 2x8@ I G" rafters, typ. G 2xG@ I G" cig. jsts., typ. 2x4 stud wall, typ. 2-2x4 top plate, typ. 2x4 stud wall, typ. 9'-1 12" clr. 3'- 12' c1r. � m0 s DEN HALL MASTER B/R fin. f1r. exist. grade 2x 10 @ I G" O.C. floorjsts. 3-2x8 beam 8 pour. conc. wall, typ. i I i III_.I;I--1!'--i ; i ill— 4" lally cols @ 8-O" O.C. w/ 2x4 stud walls between p ARC �® S. Go9y�� 2 G'-O" S 2 io N S e <�OF MP aaa DATE: LARRY GORDON ARCHITECTURAL DE Roberts Residence REV.:.: 7— 1 4-09 Centerville MA 02G32 0 - - 107 Prince Hinckley Rd. Centervil a EXIST. CROSS SECTION rev. date: SCALE: A=3 5 8 790 246 Y 3 8 -1Y-012 I I A. A-BAN - - - - - - - - - - - - - - - - - - - - - - - - - - = — - - I Front Entry g I _ frw t I DEN BEDROOM IC3 1; 5 R� 3-4z exist. bsmt. stair HALL new wall (relocated appr. CI05 north 3 ' from xist. wall) F An- 2 x -1N A C105 I O L � o 0:. KITCHEN BATH new stair to second floor 11 exist. 6 wet wall � (see stair section Sht. A-9) i (pipe chase for upstairs) oak railing newel post MASTER B/R �.w/ white balustersup � s c� NO.30638 cn n? landing Nk BO T N, m 3'-4z' �= BATH OF to 271-711 addition fram.dim. (verify in field) Roberts Residence DATE. LARRY GORDON ARCHITECTURAL DESIGN REV-: 7- 14-09 O S. FIRST FLOOR rev. date: SCALE: AM4 .PR PO Centerville, MA 02632 508-790- 124G 'i 07 Prince Hinckley Rd., Centeruil e 1 4"-1 '-0" ahcgn w/windows on first flr. A. , 2 A-8 `. 2 NOTE: Dimensions are to FACE of framing or to CENTER of walls a align w/windows _ on first fir., typ. nR. GREAT ROOM N 1 (vinyl) (carpet) 5,-G„ 4' 0I 11 51_32' 2'-711 51 A 11 4'-1 O" .01 ( Exl5ting Attic ) : 0 — — —� _ m 4A dn. O I stack.) IO I C105 N plane of exist. stair I W/D I x:s.=. •.3:. rf �105. wall to bsmt. O — 1 O'-2" N gas 4 _N a 3'-O" clr , ap 3,-1 1, 20x25 attic hatch 22 " oak handrail _ 21xGO ahgn w/ windows r. t. on first fir., vane � .;- �-� u' typ underside of linen clos. floor fi BEDROOM structure to be min. 24" above .bathrm. floor (to maintain read. BATH O (carpet) _ stairway headroom below) _ (vinyl) 2'-5" — linen o "ht. w u 3G"x3G" one-pc. = N fiberglass shower _ u? 9'-62 - —6_G _ ij I 1'-6Zx �c�'� S. G 0,9'y/� N CI05 N L -Mn �: . 638 Cn G 0. sOSTON, � MASS. �J�® 3 27-7" fram.dim. (verify in field) 8.f Roberts Residence DATE:LARRY GORDON ARCHITECTURAL DESIGN REv_: 7- 14-09 Centerville, MA 02G32� 508-790- 1 24G 107 Prince Hinckley Rd., Centervil a PROPOS. SECOND FLOOR rev. date: SCALE:14" � ■5 =1 -0 A. A-8 , Certainteed Woodscape asphalt shingle roof to match existing 12 6 5tephen5on Standard shutters to match exist. cupola model 30-C Azek frieze bd., typ: I x6 Azek corner 112 2 board, typ. 4 vinyl siding existing roof (New Second Floor) new roof overhang 0111 (Exist. First Floor) 0 --- --- - - - - - -- - --- - - - - - - - - - - -- - - - - --- - - -- ---- --- - -- - - --- - -- -- ®SAAAA G OA Sc i N036�?' N � oc� C O Z� LARRY GORDON ARCHITECTURAL DESIGN Roberts Residence REV.. DATE: 7— 1 4—Og Centerville, MA 02G32 508-790- 1246 107 Prince Hinckley Rd., Centervil a PROPOS. EAST ELEVATION rev. date: SCALE: A06 Airvent Airhawk 5tA brown alum.roof vent 12 Certainteed Woodscape asphalt 12 6 shingle roof to match existing G .032 ga. seamless alum. gutters, typ. ;� Azek frieze bd �- 33 3" Azek window - '? ' typ. Azek fascia bd., typ. T cedar shin les typ. `tom . casing, typ. g YPrrrr T r- roof �+- applied Azek sill, typ. —4�� ---Tr x6 Azek corner bd., typ. l ,_O„ (New Second Floor) V"— (New Second Floor) Azek rake bd. — ——— ————— —————— —— Ix8 Azek frieze bd., typ. —— ————— — ——--- -- — ——— ————— ———— —— LL 4� LLL1 FFH P-1 (Exist. First Floor) }rT (Exist. First Floor) --- ——— —— ———— ——— —————— — ——— — — 20-0" exist. width WEST ELEVATION SOUTH ELEVATION' sAA40 ARCM\\� C�QF O 0 l SS. Roberts Residence REV.: DATE: 7- 14-09 LARRY GORDON ARCHITECTURAL DESIGN - pOPOS. ELEVATIONS A=7 Centerville, MA 02G32 508-700- 1 24G 107 Prince Hinckley Rd., Centervil a PR rev. dote: SCALE: ridge vent wd. roof trusses @ 24" O.C. 12 G 8" ZIP ptywd. sheathing, asphalt roof shingles, typ. P,4q FG clg. insul. (2) 2x4 top plate typ. I x8 Azek fascia bd. appr. G2' (2) 2x8 header, typ. Azek soffit w/ cont. bee vent 14 !x8 Azek freeze bd. 1/2" GWB, skimcoat 88" stud ht. taster, 3" Azek window trim, typ. p typ. 2nd. fir., t Andersen series 200 D.H. window, 244G i i` GREAT RM. � BEDROOM new 4" vinyl siding applied Azek sill, typ. ! I '-G.4 clr. ! 3'-44" clr.lead flashing 2x4 @ I G" wall, R 15 FG insul., . asph. shing. roof" 2 ZIP plywd. sheath. (install 2xG ledger vertically from rim joist to top 2xG @ ! G plate); cedar shingles, typ. I Azek fascia bd. new 2x) 0 @ I G" O.C. (sister w/ exist. 2xG jsts.) — — — — — — — — — — — — — — — — — — — new 2x 10 rim joist 2x4 lookout @ I G" new overhang to 4.; match exist. overhang exist. 2x4 stud wall, typ. s frieze bd. exist. first floor exter. wall 9'-! 12' cir. 3'-!2' clr. t\ I I '-G" clr. '° 01 exist. 4" vinyl siding DEN HALL MASTER B/R � y �f ee� t N :3 6 N ('f) fin. fir. � dti exist. grade ` 1OFNN.- � exist. 2x 10 @ I G" O.C. floor jsts. V V° 8 our. cone. wall, typ.Yp. i1 Roberts Residence REV: DATE: 7- 1 4-09 LARRY GORDON ARCHITECTURAL DESIGN Centerville, MA 02G32 508-790- 1 24G 107 Prince Hinckley Rd., Centervil a CROSS SECTION "A-A" rev. date: SCALE: ASS 8n f-1 -0 v \ 3G" clr. (shower) FIN. 2nd. FLR. 8'-92" framed opg. \ 31-2! 311 \ 4 q CDX subfloor I le - - - - - - - - - - - -- exist. 2xG * new � \ 2x 10 @ I G"Joists I 2x 10 joists \ \ \ \ exist. 2x4 ext. wall \ 3/4" oak tread, typ. \ \ 3/4" riser bd.,typ. exist. door frame \ 2x 12 stringer (3 min.) STAIR : 1 I TREADS @ 9"+ 1 " nosing, plus Landing \ E 13 RISERS @ appr. 7i 3' L L L \ S _I �o N ALL 9" !/2" GWB on strapping, =,N \ R-19 FG insulation m 371" clr. co \ oak landing \ t n FIN. t st. FLR. 2x8, typ. (trimmed down as recid.) exist. closet subflr. exist. 2x 10 @ I G"joists exist. 2x! O @ ! G° exist. (2) 2x 10 cross-tie exist. basement stair L \ o \ L >✓ V s —IN \ M U 85 M'T. y \\ C\1 i o O. G �s \ 2 V1 SS. ®®�®���� REv i R Residence LARRY GORDON ARCHITECTURAL DESIGN Roberts � _: °ATE: 7- 14-09 Centerville, MA 02G32 505-790- 1 24G 107 Prince Hinckley Rd., Centervil e STAIR SECTION rev. date: SCALE: Aw9 12 =1 -0 DOOR SCHEDULE GENERAL NOTES AND SPECS DOOR# DOOR 51ZE DOOR TYPE 34 x 78 x 13/8" R.H. G-panel pine, painted I . PLUMBING: Provide all plumbing fixtures as shown on plans. Carry an allowance of $1500 for the- 2 34 x 78 x 13/8" L.H. 11 plumbing fixtures and vanity. All 1/2" hot water piping to receive Armaflex pipe insulation (1/2"). 3 2 - 30 x 78 x 1 3/8" Provide Gerber Avalanche model 2 1-1 7 toilet. 4 2 - 30 x 78 x 1 3/8" 5 pair 30 x 78 x 1 3/8" 2. ELECTRICAL: Provide all wiring, switches, light fixtures and smoke detectors for a complete job. G 34 x 78 x 1 3/8" L.H. Carry an allowance of $500 for fixtures and bath fan. 7 30 x 60 x 1 3/4" L.N. insulated metal door w/ threshold - weatherstri 4 sides 3. HEATING: Provide a new zone of hot water baseboard heating (working off the existing boiler) for for the new second floor. (locate thermastat as directed by owner) 4. WINDOWS: Provide Andersen white vinyl-clad series 200 windows as shown on plans and window schedule. Provide Finelight,grilles (between glass) as shown on elevations. U value .30 Max., solar heat gain coeff. .32 / Provide full screens for all windows. 5. SIDING: Provide white cedar shingles (R*R clears) at approx. 5" to-the-weather. Shingles to be factory WINDOW SCHEDULE dipped in stain color selected by owner. / Provide 4" vinyl siding on front to match exist. first floor. WIND. # WINDOW UNIT R.O. REMARKS G. EXTERIOR TRIM: Install Azek PVC exterior trim in accordance with drawings, and to match DH244G doub. hunq 28 x 54 Andersen 200 series Tilt-Wash - c1nty. 3 existing house as near as possible. 2 2- DH244G factory mulled 5G x 54 Andersen 200 series Tilt-Wash - cinty. 2 3 DH243G doub. huncl 28 x 42 Andersen 200 series Tilt-Wash - gnty. I 7. ROOFING: Install 30 year Certainteed Woodscape asphalt roofing shingles in color to match house. Install 3 ft. band of W.R Grace "ice * water shield" at all cave areas. "Storm nail" new shingles. 8. INTERIOR TRIM: Install pre-primed interior wood trim to match existing house as near as possible. 9. FLOORING: Install seamless vinyl flooring in Bath, Laundry closet, and .part of Great Rm. Install carpeting NOTICE TO BIDDERS: in remainder of Great Rm and Bedroom (including closets). Carry an allowance of $ 1 500 for flooring. Please Quote the following ALTERNATES separately: 10. WOOD TRUSSES: General contractor to submit stamped copy of wood truss design.and layout to architect ALTERNATE #I : Upgrade existing electrical service from 100 to 200 amps. before wood roof trusses are ordered and delivered. ALTERNATE #2: Install Stephenson Standard cupola model 30-C as shown on 1 1 . PLASTER: New wall and ceiling surfaces to be 1/2" blueboard w/ skimcoat plaster. East elevation, sht. A-G 12. PAINTING: Paint all new * remodelled surfaces with one coat primer, and two finish coats. Interior colors as selected by owner. 13. PATCHING: All existing areas effected or damaged by the .work shall be patched/repaired smooth and flush to meet adjacent surfaces. 14. BLOCKING: Provide necessary wall blocking in new stair wall to accomdate chair lift. 15. Vent existing first floor bath fan to the exterior. �ERED .30638 cn BOSTON, MASS. ��►��_Jh OF"VV id R Residence LARR1' GORDON ARCHITECTURAL DESIGN Roberts REV-: DATE: 7- 14-09 Centerville, MA 02G32 508-790- 1246 107 Prince Hinckley Rd., Centervil a SCHED.S - SPEC.S rev. date: SCALE: An10 A. i T T QDC CEILING LIGHT 15 o WALL LIGHT ® BATHFAN w/ LIGHT 0 0 FLUOR. CL05. CLG. LT. GREAT ROOM i ® DUPLEX OUTLET � \ � OT TELEPHONE JACK © CABLE OUTLET WALL SWITCH T ® \ C \ �5 SMOKE DETECTOR ( Existing Attic ) O = { 42" CLG. FAN w/ LIGHT — — — — — — — — — — fi C105 dn. W/D (separate wall controls for fan and light) F': r c TT BATH i / / BEDROOM 4 linen 0 S� QS ,AAA ABC GO CIOs T ® © T LTH l� Roberts Residence DATE: 7— 1 4-09 LARRY GORDON ARCHITECTURAL DESIGN REV.: Centerville MA 02G32 508-790- I 107 Prince Hinckley Rd., Centervil a 2nd. FLR. ELEC. PLAN rev. dote: SCALE: Eml 246 Y 1 4 =1 —0 27-7" frame dimens. (verify in field) 2x 10 rim joist, typ. exist. (2) 2x4 top plate typ. 2x I O @ I G", typ. (sister w/ exist. 2xG jsts.) exist. (2) 2x4 top m plate, typ. — s (2 14 9' VL 3/4" CDX subfloor, typ. (glue and nail) E (2) 2x 10 CL bearing wall L 2x 10 rim joist, typ. N 01 37" Ir. _F1 exist. (2) 2x4 top plate, typ. L (2) 2x 1 a x 94 LVL (appr. 7' span - _� 0 2x! 0 @ ! G", typ. (sister w/ exist. 2xG fists.) 2x 10 wind braang @ 48" O.C. flush lag into rim Joist w/ 2 rows 2" lags @ 12" O.C.) CO o tit N O R ` 3 - ��® 2x 10 rim joist, typ. 'ASS. � ® OF M,r SSpv�� �a Roberts Residence DATE: 'LARRY GORDON ARCHITECTURAL DESIGN REV-: 7- 14-9 107 Prince Hinckley Rd., Centervil a 2nd. Fir. FLOOR FRAMING rev. dote: SCALE: SMI Centerville, MA 02632 508-790- 1246 1/4"=11-011 A. A-6 51mp5on H524 hurricane tie ea. truss, typ. i \ \ / hip line, typ. \ / wood truss @ 24" O.C., typ. \ / (2) 2x4 top plate, typ. � \\ edge li �/ E L oLE\ / \ CV / \ / \\ 5/5" ZIP plywd. sheathing, typ. / \ 2x4 @ 45" wind bracing, typ. EN / - OC) Z 0 027-7' A. ` � S- A-8 fram.dim. (verify m field) @ FgLTH OF��+� ®®®®v®e Roberts Residence DATE: LARRY GORDON ARCHITECTURAL DESIGN REV.: 7- 14-09 Centerville, MA 02G32 508-790- 1 24G 107 Prince Hinckley Rd., Centervil e ROOF FRAMING PLAN rev. date: SCALE: n Sm2 14 =1 -0 ' ® ( po !5_0lz �g 2 S3 - - - - - - - - -, SMOKE DETECTORS REVIEWED 11 � 77 N T BI UILDING DEPT. DATE � I 0 I FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING nt Ent ��� ry � DEN BEDROOM 1 SEP 2 3 REC'D LIVING 1 o I U ' By I O O HALL" CL bearing wall CD dn. — � - �Clo BATH KITCHEN MASTER B/R 1 Clos. �s GoR��F BATHS a c� o2 ( NO. 3063 Os — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — A Roberts Residence �� asp REV-: [DATE: 7— 1 4-09 LARRY GORDON ARCHITECTURAL DE51GN m Al tervil . PART. FIRST FLOOR rev. dote: SCALE: 22 .1 Q7 Prince Hinckley Rd., Cen 1 4 = 1 —0 Centerville MA 02632 508 790- 1246 Y A. A-8. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � I NI UI Front ' Entry DEN BEDROOM E - `- exist. bsmt. stair HALL _ ,L new wall (relocated appr. CIOS. N north 3 L" from exist. wall) — 2 dn. ram` a �M1 05. I JI q rf _ Ad KITCHEN � IU �,1 BATH new stair to second floor exist. G" wet wall (see stair section 5ht. A-9) i (pipe chase for upstairs) oak railing * newel post — p �- .�.. . . . _ MASTER BIR - ��,� S. �o9ti��' w/ white balusters _t ._ p � �� ° u 2 '► c� NO.30638 cn 1, cn andm9 BO 99DN, m 3'-42" BATH �o A)N J e -F 2T-T addition fram.dim. (verify in field) ( A.�Q LARRY GORDON ARCHITECTURAL DESIGN Roberts Residence xtSIr0 REV.: DATE: 7- 14-09 �07 Prince Hinckley Rd GenterVil e - FIRST FLOOR rev. date: SCALE: �_ 7 Am4 Centerville, MA 02G32 506 790- 124G Y ., 1 4 -0 } 1 1 s t �a � 4 C �l C-e OR, c e .00