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0193 ZENO CROCKER ROAD
Cie 9 Co G Town of Barnstable *PeF-Vi�res 6 nit#ronthsJrom issue date, Regulatory Services Fee BARNSM1114 °7Affi Richard V.Scali,Interim Director p� 2�31113 Building Division Ok Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number /10/"?_ !f Property Address / 9 3 z exo ezdckep- ep e sil �vUE llx ❑Residential Value of Work$ �i 4 t Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address kll Z 4 0 B j st D OWAI E Contractor's Name �_y hl 1 — �� jZ U ��! Telephone Number f'di 7 q e y I� Home Improvement Contractor License#(if applicable) /o V7 Vd Email: Construction Supervisor's License#(if applicable) 5 W%F.. t4Workman's Compensation Insurance Check one: DEC 3 0 El am a sole proprietor 20�3 ❑ lam the Homeowner 0JI have Worker's Compensation Insurance ' TOWN OF SARNSTABLE Insurance Company Name k �6j h y"A �N �Q Workman's Comp.Policy# - C-C A-VO'ry7y '2 U I ;L' Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side [� Replacement Windows/doors/sliders.U-Value ' 'Z' (maximum.35)#of windows C2- t 01)/wm4)aujY �r U.elay #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: : i TAKEVIN_Muilding anges\EXPRESS PERMInEXPRESS.doc Revised 061313 :. Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR BUILDING PERMIT I, C.JZ�� 71fi Dtr✓W/ , OWN THE PROPERTY.LOCATED AT /7? ZAAO 6f,� t✓6. &Z IN CJerdV�/uL MASSACHUSETTS. _ I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT. TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS.STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN WORDANCEITH 780 CMR, THE MASSACHUSETTS STATE BUILDIN r SIGNATURE OF OWNER: OWNER'S ADDRESS: _. OWNER'S TELEPHONE: LESSEE'S SIGNATURE: - LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE:OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: Town of Barnstable *Permit# 1 t;:L11"� O� t'� u Relator Ex s m th�m issue date aARNsra' Thomas F. Geiler, Services Director . 7 MA 9 '0re6 . a 20�8 Building Division �91YIsb U TO� Tom Perry, CBO, Building Commissioner WN OF 200 Main Street,Hyannis, MA 02601 tV5T q 13LE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not {valid without Red X-Press Imprint Map/parcel Number D ` Property Address 19V 2 Q/1 c) rUL K,-P 1�-- C_a,, Residential Value of Work �, Minimum fee of$25.00 for work under $6000,00 Owner's Name&Address L11 a,�--6z4k 0VIJA-2 -1 2 4 v- U C r a_4,r ��. 1 �� —roc o : Contractor's Name �''f Telephone Number Home Improvement Contractor License# (if applicable) / _�✓ q-3 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 1" r `'" f"`l�t 0 Work nan's Comp. Policy# 7 5 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side t Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission.. A copy of the Plome Improvement Contractors License is required. SIGNATURE: �-�tC Le QAWPFILESTORMMuilding permit formsEXPRESS.doc Revise020108 �0*1HET � 'own of Barnstable Regulatory Services MULNgreBLE.A Thomas F. Geiler,Director 9. 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. as Owner of the subject property nn�e. y , hereby authorize HCLrK ��✓��. / ' � to act on m behalf, in all,matters relative to work authorized by this building permit application for: � q3 ���, aC����� �c (Address of rob) Signature of Owner Date Print Name if Property Owner is applying for permit please complete the Homeocxmers License Exemption Form on the reverse side. i Town of Barnstable opTHt=N Regulatory Services Thomas F. Geiler,Director • BARNSTABLE. • . q, 059- Building Division PTFD eta Tom Perry,Building Commissioner 200 Main Street, Hyannis, N4A.02601 www.town.b2rnstable.ma.us 0 -Office: 508-862-4038 Fax: 508-790-6230 — -- &.OMEOWNER LICENSE EXEMPTION —1 --- Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name horn phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to includ owner-o cu red dwellings of six units or less and to allow homeowners to engage an individual for hire who does noot�posses a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWN Persons)who owns a parcel of land on'which he/she resides or intends reside; on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory o such use and/or farm structures. A person who constructs more than one home in a two-year period shall of be�c`onsidered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptab e to the uild, g Official, that he/she shall be responsible for all such work performed under the building permit. (�ection 109. .1) The undersigned"homeowner"assumes responsibility for complia o e with the State uilding Code and other applicable codes, bylaws,rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Bu'ding Department minimum inspection procedures and requirements and that he/shle.will comply with said procede s and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35, 00 cubic feet or larger will be required to comply with the`, State Building Code Section 127.0 Construction Con ol. E_ ROMEO ER'S EXEMPTION The Code states that: "Any homeowner performing ork for which a building permit is required shall be exempt from the provisions FTC of this section(Section 109.1.1-Licensing of construction Su•crvisors);provided that if the homeowner engages a persons)for hire to do such } work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption an: aware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervis ,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this c e,our Board cannot proceed against the unlicensed person as it would Hrith a licensed Supervisor. The homeowner acting as Supervisor is ul i tcly responsible. To ensure that the homeowner is fully awa of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands c responsibilitics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt s ch a form/certification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 70 • Parcel Z 1-9 Permit# '��4 Health Division �y'�,csr� f�-2���j—��. Date Issued ' - T` . ' P Conservation Division �S � Fee 3 7i' Tax Collector SEPTIC SYSTEM MUSTpB Treasurer 4,7�� J� -�� -5Yj' INSTALLED IN COMK&v 8 Planning Dept. WITH WRONMENTALUUM01111110 M Date Definitive Plan Approved by Planning Board TOWN REGULATICI' Historic-OKH Preservation/Hyannis / Project Street Address l R3 Z E iyo - CIL C-le E�2 Village LF_i-i t r-_' P�V ALE i44 0a.(p3a Owner f�aj E Li Z�R F TI-� l�0 wN �l Address 193 ZEfvb - C✓LOL10E ►Z Telephone 110? / Permit Request rw%) -I- F'X 17 r F 2 5 i N C, �-��r f >a'X 16, � c t.J To 7-149er F_ oa Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Codl 1, IQ 0. 'b Zoning District 9,L Flood Plain Groundwater Overlay Construction Type Lot Size /o'5 r X /SO Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure /1-/ YR5 Historic House: ❑Yes Co No On Old King's Highway: ❑Yes 10 No Basement Type: C4 Full 0 Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) (,q 8 Number of Baths: Full: existing l new 0 Half: existing new Number of Bedrooms: existing 3 new O Total Room Count(not including baths):existing 3 new First Floor Room Count Heat Type and Fuel: 4 Gas O Oil ❑ Electric ❑Other = Central Air: ❑Yes ❑No Fireplaces: Existing ! New Existing wood/coal stove: ❑Yes '11P No Detached garage:❑existing .0 new size Pool:Cl existing ❑new size Barn:O existing ❑new size Attached garage:)existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 2AKJ U&Lc- 1 ERT)f 10A Telephone Number (�So�� -�>> O) (0 Address E 7 3 pr e6 J A L U License# C 5 0((0(5 O bi . ?)60 J S%Abl F M A. 0�,6b 8 Home Improvement Contractor# J a S 31B a Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12N 21J S I,tot E- oZ` SIGNATURE DATE _ FOR OFFICIAL USE ONLY iP&MIT NO. y ` DATE ISSUED _ MAP/PARCEL NO. i' ADDRESS VILLAGE a OWNER 1 DATE OF INSPECTION: FOUNDATION FRAME INSULATION r w 3t FIREPLACE ELECTRICAL: ROUGH FINAL !� PLUMBING: ROIn FINAL GAS: ROQOH Q FINAL I FINAL BUILDING :h DATE CLOSED OUT ASSOCIATION PLAN N - S Y!� e � t Y _ 1 ilk Department of Health Safety and Environmental.Services Building Division 367 Main Street,Hyannis MA 02601 , Offire: 508-862-4038 Ralph Cressen Fax:. 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW 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. n Type of Work: E/�SOtO eo(y Estimated Cost -s Address of Work: l 93 -2-riv es 0-e- Owner's Name: L' ZtA l3 C-(lq '1)6 f.0 U Date of Application: l a ' I hereby certify that: Registration is not required for the following reason(s): C]Work excluded by law OJob Under$1,000 Building not owner-occupied Downer 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: id,-23-yI 11F-L LL� Date Contractor Name Registration No. OR •r Date Owner's Name q:forms:Affidav s�EPgREO FOP,: ELIZA13ET11 DOWNS`( - WAN TUCV(ET COTTAGE MAP 1,70 M, � s 193 ZENO — CPOCFKEF, P&P, 21g � CENTER,VILt,E , NIA. 02632 :: � .,• .WC)RV\ TO BE DONE- : CONVER-F EXISTING DECK INTO THREE SEgSON Rp0tJ1 f ,. t 1 tyRg RV23a a S 2 TF x z xS �iw RAK F_ - - - IAz - ` ---__ 10 SuI AT,Un., - _- 1 ' I /zx6 P2;rn.D R 13 I 1 1 I a5" 1 r '' --- CE pRR C LAPBoq � 1�D y!r +Y FX,ST(AICe I x5 NE ${(ifZT IIIT^ V 1 1 F s rR a j.PREPAIZEn FOR,: CULr\BETH 00WNEY 4 NI,kW CI(ET COTTAGE MAP 170 193 ZENO -CRoCK\F- PAr� 219 to (_ENTEI\VIL-L.F— NIA. OZG3Z y dG� waRK To BE, pofIC : cat4\/EKT Ex1-5TING DECI` INTO THPF_E 5FA50N {\ooN\ r , TYVEK z••P o �� r e x6 - f 2'8 , l i I 4tf, _- oof�gG I I I II I! 'j ADGEi) @KiSTr r a I � I' ';• I111I iI � I j L � j I I I. �- i `Nwsr- fj , k ' j � i I � f I i j j i i i �C- � � •,x6 ADDS I IExISTiN II II,ln4ED � I � r I i (15T�NG D I FOOT;p I I I Fooiia I J t�� C 34 EF 6 3 9 no?i.,G �•I I (..�.. Ts` Ei" t 71 i PORCH t a x s EXISTING DECK - I0':x16'. CONVF_PT - N • T6 T1-IRCE SEASON\ FouNDAT 16N FOOT Pi2tNT N 10, n . r / --�•' PREPARED F011\: F1;12.ABETH DOWNIE`(, / NNNTUCI�ET COTTAGIE MAP 170 193 ZENO -CRoCKE(Z PAR 219 CENTE(wll.�E , hnq. 02632 _ { / WORM TO BE, DONE CONVERT EXISTING ! r INTO THE E SEA . SCALE — Y4 1 O Fkam 1 t +- .- — Al 35' Z9' 06 " E E E /oa.Ob I I i I f _�' �.,., y.... � f d r �,, ! `� . 1r j k ,�� 7 , � j; 6 .t �•a� � i � � 4. A q -- } a, �i-• '�} - tY t:; e � a YY E j�'�• .i-..i � x; i•,(i �' y,:-,� '4�esMlt�4r` y�nl ,1?Y4".�y,�.'�� Y d. {'sF,{Y�+�'i�hi ggq 11 `� 1'1. -} I.. .:ar t :Si'jx•�. :YJF'f"'ly .` ;...}.�'j� UR-t { r ;3 r`.�a ;;�i, t > y. LOT- 3F 0 Y 1+ l y EX s T , Foc/N D. p \3 a 3 /-O r ,4 N &?I` i �UILUJ UU 6f11t, Y7.., i �4i. �4�`�i; .. h�'�s��;�.� � 5:��t�'"�'« �'•bhr � f� i r,.E y rI�,:P�xt5 .,..t r Y... I., i s � l /00.00' N 35' 29 ' .� ovse G�1g� // 309 ZEA10 - C90CxER- ROA i FOu R/r�ATin lV CE.<. r�,�ics�T/nA/ LOT .3 Z En16 C Roc x.'E LE AI TER V I LLE " On the basis of my kn�Jdledge, information and belief, I certify to TZAO- W. OA ►-KS �4 ce.. 6�/MS TAvLE, IV14 that as a result of a survey_ made or the +^'.::":W SG A LE /••_ 20 ' 55 on I f ind that: The structure(s) are located on the site as shown. WM- WA�W/GK � A 555o� . The title lined lines ci occupation of the '` . Box Sol niej. tz�4LMWr", ".4, site are as shown hereon. - n, ►► `she site is situated in Flood Gonj0 Community Panel No.� . �ti�i Date: I i!^lid ';daeawddk O I t �► 9EMiltop � Q ,yp S.U-iE Assessor's-map and _lot number ....... ix_4 SEPTIC SYSTEM MUST 13F °f roe THE i Sewage Permit number .::.... 9 .. ./.. �..:.....:..........:..... INSTALLED 1jNi use::', WITH TITLE 5 t BAaasTABLE, House number ............#....1...�/•3...........:...........:............ ENVIRONMENTAL DE 90 "b 9 TOWN OF BARNSTABLE BUILDING INSPECT R APPLICATION FOR PERMIT TO ll..l. , ..... / `/ TYPE OF CONSTRUCTION ..............�AelY..... ........ ................................................. /....4� ..............................19. ./ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following in m ion: Location .............. .,./....... Y.�....... %. C�� ...... ........... ...... ...................................... ProposedUse ..... . ..................................................................................................................... ZoningDistrict ..................................................... ................Fire District ............4 .......................................... _ Name of Owner ..... ... V .....................Address ...��W9, 1. .:�../��/ l'' �y Name of Builder ✓�./�W�..!/... �.............r...................................................... Name of 'Architect ...6i?p/.../... l e.:... .GL*. ..Address ..... ... ...Number of Rooms .....................Foundation ........ ���.....P........................... .................... ....................... Exterior ....... /1.�,�}��� .......................................Roofing ........% r .l....... �....l. Q. ....... Floors ........vv/, ...................................... ................:.........Interior ......, �.....��- �.. ��� ................ Heating .......... . .......� ... ... ... .........Plumbing .. . ��G�.....1.....G. Fireplace ......:..................... : /.. .......................................Approximate. Cost ......... " .Q................... . ....... Definitive Plan Approved by Planning Board ---------------_---------------19_______. Area ........� ....`J'......:..... Diagram of Lot and Building with Dimensions Fee -6-2 — .............. ............ SUBJECT TO APPROVAL OF BOARD OF HEALTHY OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ing the above construction. Name .. ... ..................................... Construction Supervisor's License 6�9Q. ./ ... S L S TRUST 1 j `No, 27468.... Permit for .l Story................. Single Famil Dwe Ljn ...............................x................ J......A.3............ Location r}, Centervi l I.Q..................:.................. Owner ......S.L..S. `rat.......:... Type of Constr-Uction ..Frain................ ......... r Y f f r f Plot ............................ Lot ................................ '� r- .,• - -- �, f Permit Granted ...JA?uar ..28c ...:........19 85 f Date of Inspection .............. .....................:i19 Date 'Completed .. .y .. .. ..19 o r-.. t , TOWN OF BARNSTABLE Permit No. - ` ' . Building Inspector aaanr�n Cash --- --------------- �A YYl O YPY 1 OCCUPANCY PERMIT Bond ----- Issued to ; Addres, 17r�r) r`r+ocketr 1Y)ad. CQntendli Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................................... 19............ .......................................................................................I.......................... Building Inspector 1 Al 3-so zec '06 " E i i i i i .o Lo 3 0 � ly EXisT �-puND. O +. 9 1 . i /oo:ao' N 03 ZEA10 � CgOCKEI�F- ROAL) FOVtioA7"/COT/ CEc TiF/CftT/��� LOT Z E.A-16 C ROG K �= �fEA1 TER V ILL E On the basis of my, kno ledge, information and belief, I certify to 0 #4- -ws f � (e_. 1511/C/I5 TAELE, MA �- that as' a result of a survey made on the ground SG A LE /„= 20 on I find that: The structure(s) are .located. on the site as shown. (NM. WACWILK A. s The title .lines and lines of occupation of the BOX So/ Ne,• FALMOurN, site are as shown. hereon. The site is situated in Flood 'Lon; Oo=unity Panel NO. Date. ILLIAM �\i -, .. .. li�li�.� `:. �iJ•c-.�.t1Dri�YL'k f�. �•, p _ ._ - i . I r� IStE�°`� SO ��r►►WTV a'°+° SITE i°L AN �t. SHEEr <OF"?, 2 r C SCALE. I. _ L A Gta. .hJA"?!AJ \ f srLvZ G-LFAhJOUT lo' 'd�&x)&ll3' LEA cli...p I r ,- t rr jP� x a . . . 5 5 S 5{'c P I G �i4 ti.16C T - I?ftO.P 3 F3iZ^ n�tr Cl,Le Lg, oo { 1 2-tk A �v'`e� ' ► . 1 yeti 51K r h 4 I cam . lL rz. 7- ©AC:) YbILLIAM M. g' w WARWIC4t No. 19771 FOR REGISTERED LAND SURVEYOR �� !� ��9STt�� ;ao sual �0 ZONE -G �0p a �v�� li�h.9' fL V 1 L L M M A ev PLAN REF. DATE 1 Z /per/ 'Ie { BENCH MARK DATUM A��U rnl✓t�. ' `:WM. M. WARW/CK 8 ASSOC., INC. DOMESTIC WATER SOURCE ." ' ''`� �.a A� �,, :BOX. 80I; NOR TH FA MOUTH FLOOD ZONE N u N N ` �" MAS - AZT 12 I� T _ . . S. 02556 (6/7) 563-26 3B -'t"'. •.i' n41�.r ac ra-• � .* .I ` Lt Ab' B'/I' 6 �l!•�J`�II`� :,5��TION NOT`TO.SCALE`' Sheep 'd 24"C.I.MH COVER EARTH FILL BRICK AND MORTAR COURSES AS REO'D•: TO BRING q" _.t• _ COVER TO GRADE. 4" 8'FLOW INLET IF. ,TO/Z WASHED "PEASTom FREE OF IRONS, PIPE�� FINES AND OUST IN. PLACE 44 70 .I%"'WASHED CRUSHED S70NE .FREE OF 6 OPENING WITH 4%8 7 OUTER DIAMETER /gONS, FINES AND OUST /N PLACE •' AND /3/q,,INS/DE. '•' D/Aaa£r£R (.'.CONCRETE TO BE 4000 PSI '28'DAYS Z'� 2._REINFORCED WITH 6"x 6" NO. 6 GA. W.W. •' 3.- 2'AND 4- SECTIONS ARE AVAILABLE FOR oX . GREATER DEPTH REQUIREMENTS 4'0 �--Z, ---}- .-s'o Z' 4. NUMBER' OF PITS REQUIRED bN� MIN. ►o NOTE: EXCAVATE. TO ELEVATION '7OR EFFECT/VE DIAMETER (Nor rD£xcEED J TIMES EFFEcr(vE oEPrHJ :LOWER AS REQUIRED TO REMOVE ` ALL, - W4rER TABLE 'LOAM AND CLAY BENEATH PIT. REPLACE 'EXCAVATED MATERIALWITH CLEAN TYP/CAL PROFILE GRAVEL -TO DESIGNED GRADE. 52.5 .. lB"STD 47. WGr. .c.I_mm COVER 4„C..I,PIPE 4"B/T.FIBER PIPE rlGHr. ✓olNr OUTLET LEVEL. DWELLING0.0 FLOW LINE TO FIRST JOINT '`I I. TEE _ lam. q�,�5 1 t o 18 o 4a;o 1 11000 00 11 1 1 r srg, I sr0, PRECAST cONC. ' ��,$Z I o 00 00 1 1 1 1 . D/Sr. Box r0 BE �t$.5 IOOOGAL.SEPTIC TAN 1 it 000 00 0 1 1 I INSTAUED`ON LEVEL, l i l 000 00 O l i l • --�--.-�� STABLE BASE 1, 000 00 0 1 1 EPT/C 7ANK TO BE 1 If 600 0.0 1 1 i 1 INST L 0 ZEVFL, 1 I 1 I00 O 0 STABLE BASE,' 1 I 1000 0 0 1 1 1 , 11Poo 0011.11 LEACHING BASIN 1 1 a' 0 00 0 BASE TO BE LEVEL S O �{z.y SOIL AND PERC. DATA PERC..RATE �2 MIN. /IN. O TEST PIT NO. f7_: 3 0� TEST PIT NO. 2 �3t?yL1� l��L� ?aft/5v13��lI TEST BY ' S. WITNESSED. 6: u i r�v?_p 4 r--A N MSD•.` - TEST PIT GR. EL. 5a la p DATE to a Gr 2nJ D.wAt D£SIl7N DATA G£N£RAL NOTES t _ BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. ` DISPOSAL SEPTIC TANK,'DIST. BOX, AN LEACHING BASINS TO BE STANDARD I GPD, PRECAST .REINFORCED CONCRETE UNITS. EST. TOTAL DAILY EFFL. SEPTIC TANK aao GAL ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE SIOEWALL AREA LGAL./SA.FT. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA I GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 1 , 1977. LEACHING REQUIRED 1!9' t.SQ:FT. "ANY.- CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH, �..SQ.FT. `:. AT -COMPLETION OF CONSTRUCTtON, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES. I/��. / FT, UNLESS INDICATED OTHERWISE. SEWAGE D/SPOSA L. SYSTEM MARTIN E. �, FOR v MORAN v-, .p 023417�q N O f Z-V=J TI✓(z\J L LL.E iyl S/pfyal�� • SCALE 4s molc.9rro .0,47E Z WM. M. WARWICK 8,A530C., I NC. BOX 601 NORTN FAL 0ZI TH ` MASS. 02556 - (617) 5 63.-2636 PROFESSIONAL ENGINEER