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
-
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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.
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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
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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
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MAP/PARCEC N.O.
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ADDRESS < VILLAGE
OWNER
DATE OF INSPECTION:
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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
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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
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LOCATED AT
256 OCEAN AVENUE r.
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02601
HYANNIS, MA 'y a
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SCALE: 1 INCH = 10 FT. DATE Y:SEPTEMBER6� ,°2002
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PREPARED`BY ,� '' '
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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,
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�--- —RE L�-CATE /
PLANTER TO BE
REMOVED( 50 PROPOSED H-20 1500-GAL
RELOCATED Q ( SEPTIC TANK
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B.M. - - .S
Nail in Post 36.�'
a
10•.FT FROM S,A.S,AND
Elev. 50.0o, _ /
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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