HomeMy WebLinkAbout0077 ZENO CROCKER ROAD - Health 77 ZENO CROCKER ROAD
CENTERVILLE 170-139
J�a6CYClFpCo
UPC 12543
No. 53LOR
HASTINGS, MN
ors +� Ste,
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 70 Parcel I
Permit# 41'
Health Division C7 1 dly Date Issued 3 0 O�_
Conservation Division Application Fee
6 Tax Collector— Permit Fee
Treasurer_
SEPTIC SYSTEM MUST t3F
Planning Dept. INSTALLED IN COKrIPL IH�y E
Date Definitive Plan Approved by Planning Board WITH TITU n
ENVIRONMENTAL.COOP ANI)
Historic-OKH Preservation/Hyannis TOWN REGULATJ0N,,-�
Project Street Address "7 -Z C00 c R o e Ke R PA
j. Village L NV,
Owner 2SmoyA, ��;QS�° tV�� �016�
�--t � Address .Q `� n
Telephone Liu.
Permit Request y� �(� tt "' e cn
N, 3 f�G\ 0
Awl 0
Qs
Square feet: 1 st floor:existing �5� ' proposed 2nd floor:existing proposed 446 Total new
Zoning District Flood Plain V Groundwater Overlay
Project Valuation ®Q Construction Type SV k c`�AkaVA"V.---%
Lot Size Grandfathered: ElYes ❑No If yes,attach supporting documentation. R
Y
I
i
j Dwelling Type: Single Family fy+ Two Family ❑ Multi-Family(#units)
Age of Existing Structure A Historic House: ❑Yes //
U(No On Old King s Highway: ❑Yes 04o
Basement Type: ❑ II ❑Crawl ❑Walkout O Other
Basement Finished Area(sq.ft.) 7® Basement Unfinished Area(sq.ft)
I Number of Baths: Full:existing new Half:existing new
i
Number of Bedrooms: existing_ new
Total,Room Count(not including baths):existing new�_ First Floor Room Count
Heat Type and Fuel: U Gas ❑Oil ❑Electric ❑ ther
Central Air: ❑Yes (dNo Fireplaces: Existin //
P g New Existing wood/coal stove: O Yes UNo .
Detached garage:O existing raw size 34 Pool:0xisting O new size Barn:❑existing O new size
Attached garage:❑existing Knew size 30,KU2 Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes CrNo If yes,site plan review#
Current.Use Proposed Use
BUILDER INFORMATION F 417PI
rName VY MA AC&"V VJ -1 Telephone Number t
��11 p a l
/Address Q C ( Kq(� P License#
Q Home.Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
...,...._...._ _ . . _ _ 0 , A c.tw A _ �,
1 G)-i -C)
LOCATION � 0 SEWAGE PERMIT NO.
V I L L A G
L
I N S T A LLER'S NAME ADDRESS
d U I L D E R OR OWNER
r
DATE PERMIT ISSUED
i
D A T E COMPLIANCE ISSUED
II
V_
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Fizz
.
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
. -� ................OF..........' tLr.9� :r3 t,
Appiiration for Bispnaai Workg Tnntratrtiun Vanfit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
-• °-T--(K kZ. .!...<_1-f� ar- .....t? ----- ........................................
Locatiol�-Address or Lot fro.
Address
a ..........1.... .... .1.�rf�, .�..1.._ v . A/-__)............. /.j........... .............................................
Address
ss
UType of Building may, Size Lot.... ---Sq. feet
Dwelling—No. of Bedrooms..........-.................................Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ---••--•-••----•------------ No. of persons............................ Showers ( ) — Cafeteria
Q' Other fixtures --------------- -
d ----------------------------------------
w Design Flow.._. . gallons per person per day. Total daily flow�l. .4�.............................gallons. .
WSeptic Tank—Liquid"capacitylo.04:7.gallons Length_.�!IP..... Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No_______Ix
______ 1�- p 9 g q____.. Diameter................. Depth below inlet....._..____.. Total leaching area...._._......___..s ft.
Z Other Distribution b ( ✓j Dosin tank ( )
aPercolation Test Results Performed byWSG._.11L.....__.. Date...!? =L.`1._j''� _...
Test Pit No. 1..-'-�Z___minutes per inch Depth of Test Pit.....'-?(.......... Depth to ground water.._._---.------_.
fro Test Pit No. 2...�l ..minutes per inch Depth of Test Pit------- ...... Depth to ground water_.__—........___.
W' ................................................
-............
---------------------- ----------- - ----------------------------------
---------------
O Description of Soil-------- --'-? _._.' i�. .-S.c?i3_� l. :t- eJ-------3� 1 ...- ----C�.-� Vsl
w
VNature 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 iITLL 5 of the State Sanitary Code— The un rsigned further agrees not to place the system in
4Applca
til a Certificate of Compliance has been b . th oa health.
ied --••--- �..................................... . � --
Date
Approved BY---••-------------- - - --------------�--- -•----•------
.............
Dat
Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------------
........................-- -•- ------------------...._.._.
%✓ Date
Permit No.----- 5 .$�---------------------- Issued........... --------k ......................
No...r Fins..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
4..-%.4.J__................OF.......... J.! -^-j. .........` L
App irFatuau for Dhipoii l Morkii Tomitrurziuu rrutit
Application is hereby made for a Permit to Construct ( ✓S or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address or Lot No.
�L._... "V t7 1 L�...a !....�.7� l'! �.
Oyyp�r �..» t Address
f
W r 6A,...�` f.....�...1. 1 f`. Lf == ...-----...-......-----------•----•-----•----•- .._.
Installer Address
Type of Building Size Lot.... ..Sq. feet
Dwelling=_No. of Bedrooms............. ---------------------------Expansion Attic ( } Garbage Grinder ( r
Other—T e of Building No. of persons............................ Showers ((�'''
a YP g ---------•-------------•-•-- P ( ) — Cafeteria (
A4Other fixtures ------------••• •••----•------•----•---••--•••--------------•-•••-•-••-.-------------------•---------•--•--•-•-••-•••-••............-••-------•-...
W Design Flow._....��...............................gallons per person per day. Total daily flow:?/ ............................gallons.
WSeptic Tank—Liquid capacity.106l i1.'.gallons Length._`?:TI2___- Width................ Diameter................ Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.-__----I_.._.____... Diameter......1/4..'.._.._ Depth below inlet.....(sa.......... Total leaching area..................sq. ft.
Z Other Distribution box ( ✓) Dosing tank ( )
Percolation Test Results Performed 1±.k<_.._.__... Date... s?. _2 2._L v.......
,4 Test Pit No. 1-_!"::-__-minutes per inch Depth of Test Pit.....1.2.......... Depth to ground water.....--
4L Test Pit No. 2...�k7----minutes per inch Depth of Test Pit-------�7..`.._.. Depth to ground water.....-7777:............
C4 •-----------••------••-•-••--•---------••-------•--•-•-••---••-.....•••-•••-••----------------------------------------------•.......................
....._...
O Description of Soil.........` .�. ...... .4>:_ _t?i.42.71� -¢- ....�_��_�. � C�1?I�`���--f
W
x ----------------------------------------------------.......................................-----------------------------------------------------------------------------------------------------------
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 TIT1S 5 of the State Sanitary Code—The un4ersigned further agrees not to place the system in
operation until a Certificate of Compliance has been is u�d by th boa d f health.
r
Signed, //E.l_-! l
Date
Application Approved By.. ............. ..._...
c. '-'t s f� -
Date�
Application Disapproved for the following reasons----------------•--------------------•------------------------------------------•------------------.........•----
1
Date
Permit No.._.. S..__" .. .a. Issued_..................-----................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
.................OF......f �{ 'fry•• :./V6 . -.....................
TrrtifirFatr of TuutpliFattrr
THIS IS T9 CERTIFY That the Individual Sewage Disposal System constructed ( or Repaired ( )
-------------•--
Installer /f
has been installed in accordance with the provisions of TITLE 5 of the State Sanitary Code.as described in the
application for Disposal Works Construction Permit No...................................... dated---
.dated__-,:: `..............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
,
DATE.......... ./7i._ --------------------•------------------- Inspector........1 �......_..•••••--••-------•--------•••---•--•----•-•---......•--•-
THE COMMONWEALTH OF MASSACHUSETTS
�•.,—r���" j BOARD, OF' HEALTH
�
_•.�, /•• �!. ................OF... t f'- ff,.. /✓ : :......................._..
7_ . c7 ?
No. g :..:............ FEE....._...<_~5...........
�i���a��ti ur�� �utta�tr�rtiutt r�auit
Permission is hereby granted------' '? ' .............................................. ....................................................
to Construct (�.or Repair ( ) an Individual Sewage Disposal System
..../[ C•'... � .__%Street---- z "�t� _.__
as shown on the application for Disposal Works Construct-ion—Permit-, � o.`�S`_ .p.NDated-------- �. 5.........
-DATE........... ------------------------------------•-•--
Board of Health
i
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
ISITE PLAN SHEE r i OF 2
SCALE. l = 7,C"
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WILLIAM
NIL r
WARWICK �y
NO. 19771AV
REOI _ ,41 ND SORVE�YOR
ZONE Mk.--6,h,
PLAN REF. DATE
BENCH MARK DATUM <-` ��-� s �� WM. Al. WARWICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE BOX 801 - NOR rH FAL MOUTH
FLOOD ZONE. �'-'"1-4fa��rat� �G�i MASS. 02556 - (617) 563 -2638
LeACHING BASIN SECTION NOT TO SCALE Sh�crl 2 e f Z
24„C.I.1WHCOVER •' s
EARTH FILL BRICK AND MORTAR COURSES AS REO'D• TO BRING
— -4+,' _,r.�_ µ.^ r\\ COVER TO GRADE
INLET _iB FLOW LINE `- 2" �"TO% WASHED PEAS TONE FREE OF IRONS,
PIPE ':T FINES AND DUST IN PLACE
TO' •' I ', , �i, •, ,j /
I •' /0 .' WASHED
OPENING W/TH 4%g
/AMETER IRONS FINES ANO OUST CRUSHED E FREE OF
N PLACE
7 OUTER D
. AND I3/4„INSIDE
DIAMETER " I. CONCRETE TO BE 4000 PSI 28 DAYS
1 00o c.A.L 3 : • 2. REINFORCED WITH 6"x 6" NO. 6 GA. W.W.M.
vr 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS
4,0„ --- 4'--� 60 i —4'—I 4. NUMBER OF PITS REQUIRED .vy�
MIN. ; EFFECTIVE DIAMETER NOTE: EXCAVATE TO ELEVATION 41.2 OR
I
(Nor ro ExcEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYPICAL PROFILE GRAVEL TO DESIGNED GRADE.
L.E-L.'9&-�j /B"STD. LT. WGT. C.I.MH COVER
Q. ti�.o 53,z
4"B/T.f/BE R PIPE 4"C.LPIPE TIGHT JOINT OUTLET LEVEL
DWELLING FLOW LINE TO FIRST JOINT
*- 00 1
SZZ�j I C.I. TEE 5�."]IO yl•3$ i Igloo OO I I 11
�• lj I a� .'STD, PRECAST CONC. 51'S D/ST BOX TO BE fl I•do ' it 000 0.0 of i i .
00GAL.SEPTIC TANK. 1 It 000 0 0 01 1 1
INSTALLED ON LEVEL, i it 000 0 0 1 1
STABLE BASE 11 100 0 0
\SEPT/C TANK TO BE 1 if 0 0 0 0 0
INS T LL D ON LEVEL, 1 11 100I 0 0
STABLE BASE. 1 0 0 0 0 ,
0 1 ,
11100 0011 „
LEACHING BASIN i 1 A 0 0 0 0 1 „
BASE TO BE LEVEL i 1 8 0 O 1 1 f61 CV
49•z
SOIL AND PERC. DATA
PERC. RATE : "L MIN. /IN. TEST PIT NO. f�7h$ TEST PIT NO. p 917,"
TEST BY 2" -l�yfJ 4Atj D to zav�L
4 i sA tiI v/G.R tav t�.
WITNESSED. BY 0/J G, I rForJ-9
1'3150, 81-SA.1, ►1 �• SaaO
TEST PIT GR. EL. z.
DATE: t-L.42.Z �1.. 40•
� �� �yz.ND.waT6�, 12 No !A R-+J p• Wp•TEtZ
DESIGN DATA GENERAL NOTES
BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL Y5 SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL33' GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK 150o GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL ,AREA I•%9 GAL./SQ.FT. EMINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA 0, 0 GAL./SQ,FT. ; 'F-k,.gSANITARY SEWAGE EFFECTIVE ON JULY 1 , 1977.
LEACHING REQUIRED SQ.FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH.
A�$.rSQ.FT. AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
s�n>r l z5 u Z��.�tik 33•o�dl BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
-77 1,11 PITCH ALL SEWER LINES I/q' / FT. UNLESS INDICATED OTHERWISE.
4,A,W A�!�AI�AA
, `"° SEWAGE DISPOSAL SYSTEM
MARTIN
E.
'; MORAN fLo A.p
d123417�Q
'Lvo
3'�So;(3NAL ECG\ '
SCALE AS INDICATED DATE
• WM. M. WARW1CK 8 ASSOC., INC.
BOX 801 - NORTH fAL I0OUTH
MASS. 02556 - <6/7J 563-2639
PROFESSIONAL ENGINEER
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NOTE: BECAUSE SUPERVISION IS NOT PROVIDED, THE DESIGNER - - - - -
ASSUMES NO RESPONSIBILITY FOR THE CONSTRUCTION. IT IS f2oo.M
EXI.5m 4 zti N.-w d . Alta?i.T.ION
THE RESPONSIBILITY OF THE CONTRACTOR AND OWNER TO w aD _ 1=A-0op - - I
COMPLY WITH ALL RULES AND REGULATIONS IN THE,CONSTRUCTION
OF THIS BUILDING. - -
I
. ALL INFORMATION FOR THIS PLAN WAS SUPPLIED.BY THE OWNER. - .. n P1"Y COX I -
PLEASE REVIEW THIS PLAN THOROUGHLY WITH YOUR CONTRACTOR. -
T,�B F�oo R�BRiDC.�INs _ _ -
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