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HomeMy WebLinkAbout0256 OCEAN AVENUE ! r a�� Ocean - v Town of Barnstable *permit# 110 'b Expires 6 months front issue date Regulatory Services Fee snaxsTnst.E ' 1k ��� Thomas F.Geiler,Director A'E 639. Building Division )M Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 _ EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number, `��' Property Address Residential Q Value of Work Owner's Name&Address �lX/ Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) l+ PRESS PERMIT ❑Worktnan's Compensation Insurance X- - Check one:. ;# ❑ I am a sole proprietor JUN 2 0 Z003 ` ❑ I am the Homeowner _ ❑ Ihave Worker's.Compensation Insurance TOWN OF BARNSTABLE - Insurance Company Name Workman's Comp.Policy# o —� Permit Request(check box) < N _n ❑ Re-roof(stripping old shingles) &; c, c 0 ❑Re-roof(not stripping. Going over existing layers of roofl Cn 77 �. Re-side ca - � r r*t ❑ Replacement Windows. U-Value (maximum.44) y Other(specify) *Where r ed: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. x i r Signature Q:Forms:expmtrg Revised121901 f The Town of Barnstable Regulatory Services Thomas F. GeUer, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 70B LOCATION: number stye t village. "Fi0ME0WNER": home Bone# —.work phone# name P • CURRENT NMIL lNG ADDRESS: ONE, - - city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFMMON OF HOMEOWNER Person(S)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"*shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of B amstable Building Dep�1�—`es Itection procedures.and requirements and that he/she will comply with said proc and require •e ts. Signa eofHo a wner Approval of Building Official *� Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply withthe State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION - The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the . provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a = person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in ` serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible. Tn P„m„TP i�nzr the hnmenwner is fully aware of bis/her responsibilities,many communities require,as part of the permit - . �oFt r Town of Barnstable Ezptres,6 nionW from Issue date I 31A10=A= : Regulatory Services 4 % � Thomas F.Geilers Director Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street,.Hyannis,MA 02601 AUG 2 5 2005 Office: 508-862-4038 Fax-, 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL, ONLY Not Valid without Red X-Press Imprint Mapl�arcel Numbef��� Property Address (Residential Value of work 9 O o Minimum fee of•$25.0 or work under$6000.00 Owner's Name&AddressO�'i�'t � ty � c� h Contractor_s_Name �'� e+ Gt�M ���o.\� Telephone Number Home Improvement Contractor License#(if applicable) 13 7 ) . Construction.Supervisor's License#(if applicable) ❑WorkrnWs Compensation Insurance Ch;ckone: ' I am a.sole proprietor ❑ I am the Homeowner ' I have Worker's Compensation Insurance Insurance Company Name O'k i qlr%4,A A,�CA Li q�i Ln 017 1 Workman's Comp.Policy# o -7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ran [�Re-roof(stripping old shingles) All construction debris will be taken to. ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U Value (maximum.44)- 'where required: Issuance of this pewit does not exempt compliance with other tows department regulations,ix-Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature v Q:Forms:expmtrg Rnise063004 The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,MA 02111 ',M y�• www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Businessiorganization/Individual): Address: W1\1 tiaIVIS City/State/Zip: Phone#: V6 -797 Are you an employer? Check the-.appropriate box:. Type of project(required):- 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. employees(full and/or part-time).* have hired the sub-contractors ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet $ 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor mein an capacity. workers' comp.insurance. 9. Building n Y dm addition [No workers' comp. insurance 5: ❑ We area corporation and its ❑ g required.] - officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or'additions myself. [No workers' comp. C. 152,§1(4),and we have no 12. Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `n t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.1,500,.00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOPVORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Signature: � 1 t {O OW � Date: Phone#: Sd fe -Iq-1� Official use only. Do not write in this area,'to be completed by city_or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as ...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as`:`an individual,.:partuMbv,:association, corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise, and including the legal represeniatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. Howev.,er.1#e owner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work-on such dwelling house dw or el the grounds or building appurtenant thereto shall not because of such employment be.deemed to be an employer." C(6)also state MGL chapter 152,§25s that:"every state or local licensing agency shall withhold the.issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." 'cal subdivisions shall P commonwealth nor an of its' olio r the co Y P ter 152, 25C states"Neither Additionally,MGL chap § (� erformance of public work until acceptable evidence of compliance with the insurance ct for the P enter into any contra P „ requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificate(s) of i or Limited Liability Partnerships(LLP)with no employees other than the insurance. Limited Liability Companies (LLC) members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that-the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain.a workers' Department at the number listed below.. Self-insured companies should eater their compensation policy,please call the Dep .a self-insurance-license number on:tlie apprppriate line. u City or Town Ofc al Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom affidavit foi you to fill out in the event the Office of Investigations has to contact you regarding the applicant. of the Please ffid0 to fill in the permit/hcense number which will be used as a reference number. In addition, an applicant that mas&tlbinit multiple permit/license applications in any given Year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof thata valid affidavit is on file for future permits.or licenses..Anew affidavit must be filled out.each year.Where a home owner or citizeu.is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents .Office of Investigations 600 Washington Street . Boston,MA 021111. Tel. #.617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 vpww.mass.gov/dia f �FTF,E ip� Town of Barnstable Regulatory Services 9&UMSTOLZThomas F.Geiler,Director �ij,, sb39. 0 Tpp (p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder -`.C-L.A, 1 `1 ,as Owner of the subject property hereby authorize �1 l.�- a,1 N L 2 � to act on my behalf, in all matters relative to work authorized by this building permit application for: o c-'-a � Axw— (Address of Job) ti• i g bi Signature of Owner Date Print Name Q:FORM&OWNERPERMIS SION THE COMMONWEALTH OF MASSACHUSETTS Registration: 137156 Board of Building Regulations and Standards Home Improvement Program Expiration: 10/11/2004 One Ashburton Place,Room 1301 Received: Boston,MA 02108-1618 Application for Renewal of Registration Home Improvement Contractor or Subcontractor MGL Chapter 142A,780 CMR R6 (PLEASE READ INSTRUCTIONS CAREFULLY) Business name can not change on renewal form! WILLIAM A. MARSHALL WILLIAM A MARSHALL 106 WILLIAM MAKER WAY BREWSTER, MA 02631 Please note changes to mailing address. Street Addresss(if different): 106 WILLIAM MAKER WAY BREWSTER MA 02631 Please note changes to street address. Applicant type:I Individual & Federal ID No 0;�.1 q qx1 o See Instructions to change Application type. No.of Employees: =No.Employees Individual responsible for Home Improvement Contracts: \ 1 WILLIAM A MARSHALL W 1 1 am First Mid Last D. Title of Individual responsible for Home Improvement Contracts: OWNER Please note changes to title. Phone No: (508)896-7977 1. Does the applicant or responsible person hold any other construction related,state,city,town licenses or registrations? Yes �No Construction Supervisor License: Expires: Motor Vehicle Repair Shop: Expires: 2. List all partners,trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary. Check here if you wish to receive an application for additional ID cards for key persons. Last First Mid. Title in Applicant Business "a Owner Address 3. Is the applicant claiming exemption from the registration fee?(See the instructions) Yes No 4. Registration fee enclosed:$ � O 0 Guaranty Fund fee enclosed:$ OQ If necessary,include two separate certified checks or money orders-one marked"Registration Fee";one marked"Guaranty Fund". See instructions for amount of fees.Make all certified checks or money orders payable to"Commonwealth of Massachusetts". NO PERSONAL OR BUSINESS CHECKS WILL BE ACCEPTED UNLESS THEY ARE CERTIFIED. Pursuant to Massachusetts General Laws Chapter 62C§49A,I certify under the penalties of perjury that I, to my best knowledge and belief have filed all state tax returns and paid all state taxes required under law. + �,Sv ��v o5 Signature of applicant or applicant's representative Title held with applicant Da A false answer to any question in this application constitutes grounds for suspension or revocation of the applicant's registration. 1 , rT { TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 M Map P rcel 5 Permit# V�< V Health Division ll, �'' � y��`p Date Issued Conservation Division S, V-12 4�� �� Fee Tax Collector y� 9 0 Treasurer 5 AP Planning Dept. Checked in By _ A Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis X,4( d.6 ' ; 0/ Project Street Address Village ' Owner 1 l�"v Address tsaluation elephone 1 ermit Request �x.C��- (g � quare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total,new Zoning District Flood Plain Groundwater Overlay Construction Type ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.° <} "' 7 IrDwelling Type: Single Family ❑ - Two Family ❑ - Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O`No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces:Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:Cl existing ❑-new size Other: - Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial 0 Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name lJu A Telephone Number o -� ,7 Address M McAaje License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Q) .A DATE q O "4 l FOR OFFICIAL USE ONLY ' r PERMIT NO. DATE ISSUED „r f MAP/PARCEC N.O. ti f ADDRESS < VILLAGE OWNER DATE OF INSPECTION: - r FOUNDATION FRAME INSULATION y00, FIREPLAC?5' �sCl 4: ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. f " T . Town of Barnstable y° Regulatory Services a�.axAM Thomas F.Geiler,Director 0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us -Office: 508-862-4038 ' ` Fax:`50.8 T90 623Or v Property Owner Must 1Complete and Sign This Section If Using A Builder � ti I - as Owner of the subject property S I hereby authorize � S to act on my behalf, in all matters relative to work authorized by this building permit application for: aSZP d cam.;, ��w>1;c Ga�o (Address of Job) Signature of Owner Date Print Name QTORMS:OWNERPERMIS SION •Qom- °p114E;,, Town of Barnstable. yP °� Regulatory Services BARNSTAELE, Thomas F.Geiler,Director 9` MA39. g . 6 0 bArEo39.�a` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 Permit no. Date 41�; ,. AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW .J SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but.not more than four dwelling units or to structures which are adjacent to .- such residence or building be done by registered contractors,with certain exceptions,along with'other requirements. T e of Work.: "" Estimated Cost v� Address of Work: Owner's Name: 1� p�� (' 6y Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000: []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: > at Contractor Name Registration No. OR Date Owner's Name QArms:homeaffidav 91?e &m4ma��� Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Maspchusetts 02108 Home Improvement.&Titractor Registration Registration: 137156 r - ` 0uf1. Expiration: 10/11d/2007 WILLIAM A. MARSHALL 1 ' WILLIAM MARSHALL �- 1.06 WILLIAM MAKER WAY BREWSTER, MA 02631 Update Address and return card.Mark reason for change. Ej Address Renewal 0 Employment Lost Card is 50M-04/05-PC8698 � s r I CA QA. Ic 1 I t r c S1 OA Cl- I L/1 I 1 I i f D wJ ri I i r ! i I t( i i I I ` I i I j : •� ' ; /�I -1 ell I --fit ri t —71 I �I --- -- �M c . ROl Town of Barnstable F1HE Tp Regulatory Services s Thomas F.Geiler,Director * BARNSrABM 9 MASS. Building Division 1639. �m ArFD MA'S A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i PERMIT# (0 3 CIO FEE: $ SHED REGISTRATION 120 square feet or less SCEU0,60 I(IN 5 Location of shed(address) age6111-)TO �WAO-( J Pro erty o 's name Telephone number od- Size of Shed Map/Parcel# LOv. Si ature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? _ a, Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 38.3' t:n"A dSES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. LEGEND 5u EXISTING SPOT GRADES 50 ....... ........ EXISTING CONTOUR 50 PROPOSED SPOT GRADES sit PROPOSED CONTOUR E/T/C ------- EXISTING ELECTRICAL UTILITIES — GAS EXISTING GAS LINE ._..-----_..-... r .................--• EXISTING WATER LINE TEST PIT LOCATION O O O PROPOSED SEPTIC TANK 4" SOLID SCHEDULE 40 PVC PIPE C7 DISTRIBUTION BOX . 500 GAL. LEACHING CHAMBER ------------ REV. DATE BY APP'D. DESCRIPTION PROPOSED SEPTIC SYSTEM .UPGRADE PREPARED FOR: PATRICIA GIBNEY . :: LOCATED AT 256 OCEAN AVENUE r. o 02601 HYANNIS, MA 'y a a SCALE: 1 INCH = 10 FT. DATE Y:SEPTEMBER6� ,°2002 � s ��u.... � � t 40 vFJ=E'L 0 5 10 20 PREPARED`BY ,� '' ' SIG CH JRCCHILL m JC ENGINEER:, w p.. CIVIL 5 ROUNDHI:L'LtBL\/�® r No. 41807 EAST 1NAREHAIVI M%1�0'5' 8 �y 50827739,37 , Drawn By: SPJ DesignedBy ASP x� �•.E � I I I i t 77 y�E '.�'..� � M �'�" � • MJ}Y � EXISTING CESSPOOL TO BE PUMPED AND FILLED WITH ttp ��yy "Sj `,,s,sRYMxM W` �bhntef�#-�. * 4T' S. & :U, :.y'F '4 d .a %a; ! CLEAN SAND r, ,� �,,.�� � xd P ~5+'. ",($j�� „• 5�,,�j. xxw >w .�°!k i�T�,�, 3 - v. � �' ' #.4".ri ' z�`-:�. p+lFi�' � x� x y •� ,g�"� +l�+& � x.�: :rM�'° '.`� ,�" � ,..•� + � i� �195Y� ������ ' 1�52" ! ��, � �" � '�,�� r °��, ` , � ���,� �, tit �� � � , A �'s�„,�����. 94•gg, -. , �` Y `� 4: r.t G a�G.. „ti ram•.. �' xice` y,� ,y `µ4 �� �� Py�pl4���P• . 4'I. �P 1V!�� ,f � ~v,� `'�� GA� GAS #256 ` S 5 ��S GG c 9"` EXISTING 4 BEDROOM O �' DWELLING !%` N/F RYDER, WARREN B& 1 6'----y CYNTHIA J T.O.F. = 51.3 ' MAP 306 PARCEL 020 1 xt, If Ic E�VIOVED/ ; �--- —RE L�-CATE / PLANTER TO BE REMOVED( 50 PROPOSED H-20 1500-GAL RELOCATED Q ( SEPTIC TANK . . .............. w .,........ .......... ........... '"H........................ 4 k K.......... c\/ :r._ .......... --rcv 00 ... .......... ....................... ..... .......... ..I .......... V o �. ....... .......... j. P .......... ............ .......... r i- ---------------- P �.. ri0 Ri �C/ P rr �, -----RELOCATE 411lATER.LINE Q' B.M. - - .S Nail in Post 36.�' a 10•.FT FROM S,A.S,AND Elev. 50.0o, _ / t 49.31 �, ,.,LEI�.VE 1�iiTl-I!N 10-FT OF SEWER PIPE CROSSING • Assumed �. •'`,NG <5 OUR- 500-GAL CHAMBERS 1 o ISTRIBUTION'BOX 7 2 5l00"vv 9 - J TOP OF FOUNDATION = 51 .27' PROVIDE PRECAST CONCRETE EXTENSION 5" DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 49.5j5' - 49.2' GENERAL N O•T� RISER WITH CAST IRON FRAME AND COVER TO REMOVABLE COVER SLOPE @ 2% MIN. OVER SYSTEM / FINISHED GRADE OVER OUTLET � 4" SCHEDULE 40 PVC MIN SLOPE 1% 3/4" TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE FINISH GRADE OVER D-BOX= 49.3 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE @ FND. EL.= 50.80' FINISH GRADE OVER TANK EL.= 50.50' 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20" MIN. ACCESS COVER ,_... ! TOP OF SAS = 46.55' PLACE RISERS ON ALL CHAMBERS (TYPICAL FOR 3) 36"MAX. 4 72' 9"MIN. TO 6" OF FINISHED GRADE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. EXISTING 4" � µ ( _ i�� _ 5• 36"MAX. BREAKOUT EL = 46.22' 3. 4" SCHEDULE 4 P PVC PIPE _ _ 0 VC PIPE WITH WATER TIGHT JOINTS SHALL 6 3 2" DROP MIN. 3„ g„ ( PROVIDE WATERTIGHT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 3" DROP MAX. JOINTS (TYP.) 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN o w 4" PVC IN FROM O o0 0 0 0 o0 I SEPTIC TANK 4" PVC OUT TO o 0 0 o ELEVATION = 46.22' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS 46.93' 14" 46.76 LEACHING FACILITY T o� o0 0 oo A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. (CONTRACTOR 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SHALL VERIFY) OUTLET TEE 46.10' �1 MIN. 45.93' 2 0 0 0 0 0 �o �, 0 0 0 0 = oo ° 48" o 0 0 6. THIS SYSTEM DESIGNED FOR A GARBAGE DISPOSAL. 0 0 6" CRUSHED STONE o 0 0 23.5' 22"ZABEL FILTER }� ��� o o _ VARIES MODEL#A1801 HIP �OVER MECHANICALLY 4, ' COMPACTED BASE j 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED (GAS BAFFLE ON f�} $-5 I 4' �� PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND BOTTOM) 5 OUTLET DISTRIBUTION BOX - 25.0' - (T;P) READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED TO BE INSTALLED ON A LEVEL STABLE < 38.3' 12.9' WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. ~' BASE. FIRST TWO FEET OF OUTLET 43.72' GROUND WATER ELEV.= PROPOSED H-20 1500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 2 - 500 GAL. CHAMBERS 5' MIN. 8. ELEVATIONS BASED ON ASSUMED DATUM OF 50.0' MSL OBTAINED LENGTH 11'0" WIDTH 6'2" DEPTH 6'0" CROSS SECTION VIEW FROM NAIL IN POST AS SHOWN ON PLAN. fi- Ty 6 AIN KPROFILE (H- ) DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW g. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION NOT TO SCALE NOT TO SCALE NOT TO SCALE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE -�-- - �� TEST "- AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY 9 EST PIT DATA DISCREPANCIES TO THE DESIGN ENGINEER. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE N. II STRUCTURES SHALL BE MADE WATERTIGHT. tj �t1 INSPECTOR: SOIL EVALUATOR: John L Churchill Jr. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR NIX d '4 n DATE: August 26, 2002 ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ,5 G �: TEST PIT#: 1 w. E. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS �' ELEV TOP = 49.31' lfr"( nINN � � '_"'� LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH ����� �� �� ELEV WATER= >11' BGS CASE THEY SHALL WITHSTAND H-20 LOADING. �� "� a I ( '" i PERC RATE = < 2 Min/In (Assumed) 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND O ( �� � � � � i, , FINES. p DEPTH OF PERC= N.A. C ROC z 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND K Q - TEXTURAL CLASS: 1 ER ROAD s. a ��y k r UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES � � ? ,,, � u1 ,„ �" �- , �,,,��,� �,s �,�y� ,3 � �� �, � l w '� _._.______._ OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN (20-FT WAvr,) EXISTING CESSPOOL TO BE �� i �'. `+ "' �. " ". COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN PUMPED AND FILLED WITH P ( 6 F tfA { i ACCORDANCE WITH 310 CMR 15.255(3). ` :.� f 0 49.31' CLEAN SAND ��� ��, i Loam Sard . Y 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES A 10YR 3/2 FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. EXISTING 1 BEDROOM S77° 8" 48.6' DWELLING 16. PROPOSED PROJECT IS LOCATED WITHIN- Loamy � °� " � Loamy Sad ASSESSORS MAP 306 PARCEL 21 ' B LOCU 10YR 5/6 $ ' -''� �,k nd s 36" 46.3' 17. OWNER OF RECORD: PATRICIA GIBNEY, TR ADDRESS: 270 OCEAN AVENUE M-C Sand _ S -� , Gqs _ � � C1 2 5Y 6/4 HYANNIS, MA 02601 GAS '''� 41.3' 18. PLAN REFERENCE: BOOK 74 PAGE 13 C�+4S GG • ; H Y A NINI S 96 f S ~- ' F2 5y Said 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. #256 C P % C2 EXISTING 4 BEDROOM No Groundwater 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY DWELLING1 6' r LOCUS PLAN Encountered FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY ��0 132" 38.3' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. N/F RYDER, WARREN B & T.O.F. = 51.3 ti.. Y` CYNTHIA J 5���`h SCALE: 1" = 1000' MAP 306 PARCEL 020 W ,, J}I DESIGN DATA LEGEND AZEBO TO CBE f � Z REMOVED/ 1 %� 50 EXISTING SPOT GRADES ` RELOCATE / r f' 50 - - EXISTING CONTOUR �F r ?� NUMBER OF BEDROOMS 5 50 PROPOSED SPOT GRADES PLANTER TO b_: '`' -' L--PROPOSED H-ZO 1500-GAL NUMBER OF PERSONS 5 REMOVED/ 50 r SEPTIC TANK DESIGN FLOW 110 GAL/DAY/BEDROOM PROPOSED CONTOUR `., RELOCATED7 o f TOTAL DESIGN FLOW 550 GAL/DAY �+ 1 ° -----------�---- E,'T/C �---------- EXISTING ELECTRICAL UTILITIES DESIGN FLOW X 200 % = 1100 GAL/DAY Y ^` GAS EXISTING GAS LINE USE NEW 1500-GALLON SEPTIC TANK rn V CIV :'::= :: -:::: :_::;::::: ,....... J J�1 EXISTING WATER LINE 4r ( }', " - :::::. ::: :::.:.-:=:-::- ��. TEST PIT LOCATION ::::.: :::.:..... -.. � :::::... :.;.::: = - � �.P INSTALL 4- 500 GAL. CHAMBERS ::':::- :.: ...... :: JP U O PROPOSED SEPTIC TANK = -:: ::_::: :=: :-:=:::= :::::._. _ -RELOCATE WATER LINE Q a 1 ;1- . .IwROIey S.A.S. ,IE ( SIDEWALL CAPACITY `? 3 SLEEVE WITI I11 1EJ-I 'T OI + _ ---- 4" SOLID SCHEDULE 40 PVC PIPE B.M. ` : :.: (LENGTH WIDTH 2' HIGH 6 7 .._ _-..-... ) ( ) (.74 GPD/S.F.) GAL/DAY k~ SEANE.R PIPE CROSSING Nail in Post 49.31 :- _ _ (42.0' +12.9' +36.7' +7.0' +8.4') (2') (0.74 GPD/S.F.) = 158.4 GAL/DAY171 DISTRIBUTION BOX Elev. = 50.00' �� WG Assumed L----FOUR-500-GAL CHAMBERS �� � 500 GAL. LEACHING CHAMBER 'o ISTRIBUTION BOX BOTTOM CAPACITY (LENGTH x WIDTH -CORNER) (.74 GPD/S.F.) = GAL/DAY " . N,,o� J [(42' x12.9') -(0.5 x5.3' x4.5')] (.74 GPD/S.F.) 392.1 GAL/DAY 15.10 p„w 9 �_. 42 1g, �R��p p0 TOTALS: REV �� DATE BY _ APP'DyT �^�--- - DESCRIPTION TOTAL NUMBER OF CHAMBERS 4 PROPOSED SEPTIC SYSTEM UPGRADE _...__,..-..-__--__-.___..._._.- _- _..._ TOTAL LEACHING AREA 743.9 SQ.FT. PREPARED FOR: _.-.__..- TOTAL LEACHING CAPACITY 550.5 GAL/DAY .����� PATRICIA GIBNEY LOCATED AT 256 OCEAN AVENUE TVDLEY ____._.___._._.________________.._.___.____-.__.__._.._ HYANNIS, MA 02601 ROAD (40 FT LAYOUT) SCALE: 1 INCH = 10 FT. DATE: SEPTEMBER 6, 2002 0 5 10 20 40 FEET 'rA OF PREPARED BY: �* JOHNS CH R HILL m JC ENGINEERING, INC. CML No. 41807 5 ROUNDHILL BLVD. EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 SCALE: 1"= 10' Drawn By. SPJ Designed By SPJ I Checked By JLC JOB No.280