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HomeMy WebLinkAbout0012 FORSYTH COURT �a �r���r �l�w-� / � i ' L S , ,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ cY Parcel s II Permit# 1 ZZq t� Health Division Es o /OL� Date Issued 2)13 &Y Conservation Division 2 110 1,U /Z, Application Fee Tax Collector - Permit Fee 131_J5_ZA&- Treasurer 1 Planning Dept. EXPZTWf S PTIr. LIM!,:_� •• u,- BEDROOMS Date Definitive Plan Approved by Planning Board - Historic-OKH Preservation/Hyannis Project Street Address /`�����'�`1 0 w? Village -- Co t Owner A.4—l?1ali wm+ 4oAfy Address iA J1 M Cd 047- Telephone Permit Request �,o x y o s of cz- i o i9mir.Y r�t'd W&e wye 4ye em( Square feet: 1st floor: existing "T proposed 2nd floor: existing �� proposed 0 Total newer. Zoning District�/c Flood Plain pft Groundwater Overlay Project Valuation AV.. Soo Construction Type W64® ?Km Lot Size l d 06 AGifts V9 /7? Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. t t JC7 Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) = - c Age of Existing Structure yeS Historic House: ❑Yes ®No On Old King's Highway: ❑Yes 9,No Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) A/& Basement Unfinished Area(sq.ft) Number of Baths: Full: existing &9L new !sI Half:existing new.? r, Number of Bedrooms: existing new 0 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: @6es ❑ No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes A Detached garage:❑existing Cl new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes o If yes, site plan review# Current Use Ei'WZc i-I AV Proposed Use BUILDER INFORMATIONi Q Name v eM I/ /V. <34010,0f �/�' �D,�//.I%; Telephone Numberai / Address 26 License# C F 4krr9 9 D ESP- 4 !!9,ff Y11?411UU7?Y1'dWT 626 Home Improvement Contractor# Czfd X�"�4v b 4- Worker's Compensation# Sae m J pd 41 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO g/W0, S j /7 /i'e4/te.f SIGNATURE DATE / Z�2 0 FOR OFFICIAL USE ONLY PERMIT NO. i' DATE ISSUED MAP/PARCEL NO. ADDRESS + ', VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ® FRAME � �"G+�°" �M�'-' � � ����J!/u ILfL_ INSULATION rj ��.� FIREPLACE ELECTRICAL: ROUGH FINAL ' sp K PLUMBING: ROUGH r FINAL i i GAS: ROUGH FINAL , c ' FINAL BUILDING rh Zh.%'O ,p F DATE CLOSED OUT n ASSOCIATION PLAN NO. IE Town of Barnstable • °^ ' Regulatory Services _ Thomas F QeUer.Director Buiidin9 Division TomPerry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must r Complete-andSign This-Se-ction , If Using A Builder :yrA; - I, C.4L�ry !Kaffir /�•i�I c��4 do bras Owner of the suct b,e property ryb hereby authoriia to act©rt ehalf, in all rriatters relative to authorized by this building permit application for:' l- 0--6 y7P6 C� dp i v l j, 9444— (Addres s of Job) Signatur f er Date Print Na= • 4 Y. • - / :lam � ` � .. J ` The Commonwealth of Massachusetts Dgpartihent of Industrial Accidents `_60O.Washington Street Boston,Mass. 02111 Workers' Com ensaton Insurance Affidavit_: General Businesses MEN 6 lees �-�.- eddress; _ 6,1- hone , w site kocatl Ri address; e, Retail[]Restauraut/Bar/Eating Establishment I am a sole proprietor and have no one Business Type.. 0 Antos etc,) working in any capacity. ❑Office[�Sales(including Real Estate, �.I am-an en to er with ein to es full& art time. ❑Other / �i�rr� //.��.�ii �r//riii���i/ � _ . , ' dkn orkers compensation for�myem ayes wor=g o�th>3 Job:--, _ - - - --, - - I am an employer prove g�' _ ;• ' r '•, : .1 it • , •�'y:�•r'`.,'• • i•Y•' •S: 'f + • ••t•�,. "t.••. ame: com anon •-,:c'1: -• 's•:•.:.•: •<:. �; `• .. �. � ...• ': ._:;3:•':�e. ; r , address:'• �, `"': ,,,`',t� �. j , hone#..• �( •��•. ,:•,' •;.•. City: _ 1: "'•' „3k`•:1 ' '��t°( "" insueam==7 cec ave hired the independent contractors listed below who have the following workers' . compensation polices: r. ` COIDPBII DflIDe !a},'+: 'r?' ',+. �''� f'•+ + S r 7•" ;+: t t....rt ` addressi, ` .' ,,fit •+;.��� :.!, ; '.� •% �•' °'.�94'[�0'• •''••'.• :'+. - one C1tV:. •r 11�.{t'h'+:l� r'•.•. - •�.. •A . '., :�1•+;,`. t• ,i '•t. .i/' +C��{f'G+,v, ,�`''C Y•r .t.• ,:: O1SCV:# •''�''" ~���••� insurance co. / //// %//// / o �5� F:'•'..1. t. ,:}•.:,�r r• •i; '[y/�,1.. '�; .P�y.r•,Y�vyi yti�,r.l'i, i +•' � sf 'r.. - - addressi ; %.0 � '. ' '�''J�: ,r°+ 'hone - Ciir:.. tin✓ � n •.t'.:?t.,••, i u rw+,'. ••''' tl• l, ,��•,,,'. ,�t,•' , .. Fall to secure coverage as required ender Section 25A of MGL 152 can lead to the imposition of criminalpe>;al yes o fine I a °tans that one years'impr>sonment as wen civilpenaltin in theform of a STOP'R'ORl{.ORDERaad a Fine of$1UQ.00 a da na copy ears'or I statement may be farr+arded to the Office of Investigations of the DIAfor coverage verification I do hereb i an er the 'ns nd ties of perjury that the information provided above is true co tees Date Phone# 4(0 official we only do not write in this area to be completed by city or town 00cisl permit/lieense# ❑Building Department city or town: (]Licensing Board [}Selectmen's Office ❑check if immediate response is required 0$calth Department , ❑other phone#; - coatactperson: .. �Yaeas�t.aao3) _ Information and Instructions on Iviassachusetts General Laws chapter�152 section 25 requires an employers the woservice of another for under any heirtract employees. As quoted from the law',an employee is defined as every p of hire,express or implied, oral or written. An employer is defined as an individual,Partnership' association,corporation or other legal entity, or any two or more of en a. ed in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or the foregoing S S partnership, association or other legal entity,employing employees. However the owner of a`. . it p<•: trustee of an individual, p �P� 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 or on the grounds or u�tenant thereto shall not because of such employment be deemed to be an employer. burp-&W ----- -- MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold ttie issuance dr renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has produced acce t able evidence of compliance with the insurance coverage required. Additionally,neither the not rodu P . . , e of ublic work uatr'1 p of its optical subdivisions shall enter into any contract for the performanc p _ commonwealth nor any P �g acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contra authority. s 4 i� ti ♦4 C, g}a rY Applicants bx i• . • ease. � ur sifilation. PI box tha t.applies to 0 che cking the b y 1 tel b PP - e in the .workers coition affidavit completely, y S Please fill _ e ubmitted.. P 'ts ma bs ' e as all affidavr supply company name, address and phone numbers along with a certificate of insuranc y to th a Depart nest of industrial Accidents for confirmation of insurmice coverage. .Also be sure to sign and date the affidavit. The affidavit shouldbe 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•"lavl'or if you are required to obtain a workers'comp ens ation policy,please call the Department at the number listed below. City or Towns _ ?lease be sure.that the affidavit is complete and printed legibly. The Departrnent�as provided a space at the bottom of ; affidavit for you to fill out in the event the Office of Investigations has to contact you regarding fhe apbltcant: Please a� be sure to fill inthe pernrit/hcense number Which will be used as a reference number. The affidavits may returned or FAX unless other atrarig' rents have been made. theDeparfrneatbyrnail The Office of Investigations would like to thank you in.advance for you cooperation and should you have a4 questions, lease do not hesitate-to give us a call. p _ j FNNe � /. D The Department's address,telephone and fax.numb er. T ' .' The Commonwealth Of Massachusetts. j w '•� ' �° xr ,�- Department of Industrial Accidents Q . M of ImsfiQaions D y b 600 Washington Street � fiy' Boston,Me. 02111 faa#: (617)727-7749 phone#: (617)727-4940 ext.406 ; ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ; s New Buildings Residential Addii:on $50.00 Alterations/Renovations•--, $50.00 Building Permit Amendment $25.00 ' FEE VALUE WORKSHEET NEW LIVING SPACE A,3 square feet x$96/sq.foot= - plus from below(if applicable) ALTERATIONS/RE,NOVATIONS-OF EXISTIi�G SPACE #: square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ x 004,1= ACCESSORY STRUCTURE q• m >120 sf 500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= Deck ___�__x$30.00= (number) Fireplace/Chimney x$25.00= b numer ( Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 - 4 $150.00 Relocation/Moving (plus above if applicable) permit Fee` 13p Projcost , v Rev:063004 r � ti6ns and Standards Board of Building Regul HOME IMPROVEMENT CONTRACTOR Registration; 114026. Exptration 7128/2005 1' pe Individuallb .'. r, JEFFREY BIRD CONP'p,RN 'T ' JEFFREY BIRD n 76 LONGFELLOW Rl7_� YARMot ORT,MPA`02675 Administrator ;l fie t0ominuueaC _Q✓vcaaaac�u�Gel�d EGUiLAfir1ONS BOARDwOF tB iUdILDIt�G R s I'' Le nse CONSTRUCTION ic SUPERVISOR I, Pi Numbe 055770 1943 �6 Tr.no: 6265.0 JEFFR EY,' G 76 LL®N ��/� �h 40 ,3 PO,R�' mmissloner YARMOUTH Co Town of Barnstable b Regulatory Services s uuvsrasz s, Thomas F.Geller,Director p�A03a � Building Division RFD MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ' Fax: 508-790-6230 Office: 508-862-4058 Permit no. Date AFFIDAVIT HOME JIyIPROVEMENT 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 bnilduig 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. _ ODUTypeofWork: ��/ !/ � ' Estimated Ctt—� Address of Work: 2 f�Q 'Y%-X/ Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork 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 UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I her apply for a permit as the agent of the owner: Contractor Name Registration No. Date OR Date Owner's Name Q:forms:homeaffidav 9 LOT 53 20' WIDE EASEMENT / (BICYCLE•r" pH l H) N48 0220"E 213-28' UA wo \ �N LOT 47 _ LOT 48 22.3' o N=--HSE.—=— J :O___O:_ —_—_— p: n11.3' LOT 46 k =-O 14.3' 22.7' 16.1' - rn O N R=391.4g 1'`� ..Y CUU� RES. ZONE.- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: _ _ _ _ _ _ _ _ — REGISTRY OWNER: FRANCIS J & THERESA_J LIPARI_ _ DEED REF: _&3"i _ _ _ _ _ _BUYER: REFLIVAA62E _ _ _ DATE: 1115Z93 REF:-._ _ _ _ _ _ _ PLAN R 292�27 CA_ _ _ _ _ SLE:1"= 50__FT: I HEREBY CERTIFY TO NEW BEDFORIJ �1U.STIZUOV �'OR Ac �" _S_A_VI_N_G_S & M_I_C1_YA_E_L_A_.__D_UN_N_I_N_G, _ESQ.THAT THE BUILDING ���� OF �gss9 YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS a�� PA!!L cyu, coNSULrANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM g A. 40B (SUITE 1) TO THE ZONING LAW SETBACI{ REQUIREMENTS OF THE � MERITWEW y TOWN OF BARNSTABLE___ -_AND THAT 9 No.32098 �e INDUSTRY ROAD IT DOES_NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD �. A -STER�� �`� MARSTONS .MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_V2..,/��__ LA AN10 TEL: 428-0055 Co unity-Panel .250001 0018 D FAX: 420-5553 �' THIS PLAN NOT MADE FROM AN INSTRUMENT PoLIL_A..ME IT H PiS SURVEY, NOT TO BE USED FOR FENCES. ETC. 13141 BJS Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release lb Data filename: C:\Program Files\Check\REScheck\BIRD,COTUIT.rck TITLE: ENERGY REPORT CITY: Cotuit STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 12/08/04 DATE OF PLANS: 12/8/04 PROJECT INFORMATION: ADDITIONS&ALTERATIONS TO THE WOODWARD RESIDENCE 12 FORSYTH COURT COTUIT,MASSACHUSETTS COMPLIANCE: Passes Maximum UA= 114 Your Home UA= 110 3.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 168 30.0 0.0 6 Ceiling 2: Flat Ceiling or Scissor Truss 132 30.0 0.0 5 Wall 1: Wood Frame, 16"o.c. 770 13.0 0.0 53 Window 1: Vinyl Frame:Double Pane with Low-E 60 0.320 19 Door 1: Solid 18 0.260 5 Door 2: Glass 40 0.320 13 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space. 264 30.0 0.0 9 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.5 Release lb (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building, and the cooling load if appropriate,has been determined using the applica Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no g e design load as specif d in e tions 780CMR 1310 and J4.4. Q�G� MAS Builder/Designer Date - 16 ?i 205 y o?' SS N �� Tp Of MPSSPG� e" REScheck Inspection Checklist Massachusetts Energy Code RES check Software Version 3.5 Release lb DATE: 12/08/04 TITLE: ENERGY REPORT Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.260 Comments: [ ] 2. Door 2: Glass,U-factor: 0.320 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ '] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to. partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.' Heating and Cooling Equipment Sizing: [ ) Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to V Up'to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) o®� �� NEW LVL BEAM SUPPORTING THE EXISTING ROOF TJ-Beam®6.16 Serial Numb r700 03540 2 PCs of 1 3/4" x 11 1/4" 1.9E Microllam@ LVL User:2 12/8/2004 10:15:07 AM Page 1 Engine Version:1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ❑, 21 , a 12, 1 Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width: 1' Primary Load Group-Office Bldgs-Offices(psf):360.0 Live at 100%duration, 180.0 Dead,20.0 Partition SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 2.30" 2160/1265/0/3425 L1 1 Ply 1 3/4"x 11 1/4"1.9E Microllam®LVL 2 Stud wall 3.50" 2.30" 2160/1265/0/3425 L1 1 Ply 1 3/4"x 11 1/4"1.9E Microllam®LVL DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) 3330 -2724 7481 Passed(36%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 9713 9713 16137 Passed(60%) MID Span 1 under Floor loading Live Load Defl(in) 0.209 0.292 Passed(U670) MID Span 1 under Floor loading Total Load Defl(in) 0.331 0.583 Passed(U422) MID Span 1 under Floor loading -Deflection Criteria:STANDARD(LL:U480,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 9'2"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -2000 Ibs concentrated load requirements for standard non-residential floors have been considered for reaction and shear. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code BOCA analyzing the TJ Custom product listed above. -Note: See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: ADDITIONS&ALTERATIONS TO THE WOODWARD RESIDENCE JOHN ENGLISH 12 FORSYTH COURT JOHN T. ENGLISH—ARCHITECT COTUIT, MASSACHUSETTS 11 LEMUEL COBB ROAD PEO ARr 46 PLYMPTON, MA 02367 Phone:781-582-0703 Fax :781-582-9797 JTEarchitect@aol.com 2 W Copyright O 2004 by Trus Joist, a Weyerhaeuser Business L VT Microllam@ is a registered trademark of Trus Joist. S FgITH OF MPS ' o ®� e7TO NEW LVL BEAM SUPPORTING THE EXISTING ROOF TJ-Beam®6.16Serial Numb 04 03540n 2 Pcs of 1 3/4" x 11 1/4" 1.9E Microllam@ LVL User:2 Paget Engine Version:1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 11' 8.00" ^ Max. Vertical Reaction Total (lbs) 3425 3425 Max. Vertical Reaction Live (lbs) 2160 2160 Required Bearing Length in 2.30(W) 2.30(W) Max. Unbraced Length (in) 110 Loading on all spans, LDF = 0.90 , 1.0 Dead Design Shear (lbs) 1006 -1006 Max Shear (lbs) 1230 -1230 Member Reaction (lbs) 1230 1230 Support Reaction (lbs) 1265 1265 Moment (Ft-Lbs) 3588 Loading on all spans, LDF = 1.00 1.0 Dead + 1.0 Flooi Design Shear (lbs) 2724 -2724 Max Shear (lbs) 3330 -3330 Member Reaction (lbs) 3330 3330 Support Reaction (lbs) 3425 3425 Moment (Ft-Lbs) 9713 Live Deflection (in) 0.209 Total Deflection (in) 0.331 PROJECT INFORMATION: OPERATOR INFORMATION: ADDITIONS&ALTERATIONS TO THE WOODWARD RESIDENCE JOHN ENGLISH 12 FORSYTH COURT JOHN T. ENGLISH-ARCHITECT COTUIT, MASSACHUSETTS 11 LEMUEL COBB ROAD PLYMPTON, MA 02367 Phone:781-582-0703 Fax :781-582-9797 JTEarchitect@aol.com Copyright © 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. Dec 01 04 11 : 54a James Construction • 5083946832 p. 4 Mal o t� ; fi � t � : 'i '� �t• 11 s � CD t i `ebb 03d3�s l , t1� �i i±p �► ` f; ^ ;: 6 �r 1. St �� -f ! i• �' J//! �� ,�. •• 1 �1 .S l{ � If T !, �• III �} Ii l r• �i ! i� r Dec 01 04 11 : 54a James Construction 5083946832 p. 5 rp : 'v to ` . , r 1 .yam y. U FAt,— ILn. --r� REGISTF9 � �aHry rtio�F� i =r � m r t ' �• "�. TOWN OF BA.RNSTABLE .'S 0 8 7 Permit No. _ _ _i - - -- ,Building inspector A�►■■�T� Cash _- Wit/ OCCUPANCY PERMIT Bond _____ -__ Issued to Sul J. Sullivan AddreFs T,ri- 4 7, 1-7 C r)=7 Vh C!n-,irt r C_otuit Wiring Inspector �z Inspection date Plumbing Inspector {" j/ Inspection date Gas Inspector Z2Inspection date Engineering Department Inspection date t ay- 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.........._ .................................................................................................................. Building Inspector FROM. 7 . T0VVN OF BMNSTABLE, 1 .. Frawis Laht in~ BUILDING DEPARTMENT Town Clerk �" ~���A• MAIN STREET HYANNIS,.MA 026M ��« Phone- 775-1120 ,SUBJECT: ` FOLD HERE DATE - x Febru'try 2. 39$ M E S S A G E Work has been cxxpleted miler Pit 14250a4,R414-1T?*Su4v=y'k ew. Please rel e`Bondr-t� , � DATE REPLY N87-RMI - ` RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY U PRINTED IN U.S.A. SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. l Assessot's map and Aot number TNLr tp� Sewage Permit number ....... —... : 16............... =",�C SYSTEi,� +�UST BE �p�o_ e g �y y�y ~F -If�•�` ALLED IN Mp�Pk� /�AjC�,EE Z 33AUSTADLE, ��iSi6LPLEP�1@l� House number ............. .... AB ...... ................. ITM 9°o,, �b 9• ..... _ TITLE 5 .•� . 'TOWN- OF : �RXRNSA E � . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ............. . /llf ./=. f.?.?. ............................................. TYPE OF CONSTRUCTION .......,,,,GvG��d"/' ............................,. .... .......................................................... Z ............................... .........19-V TO THE INSPECTOR OF BUILDINGS: The undersigned hereby. applies fora permit according to the 'following information: Location ......6 .T:...:A/.-,_,7..........COe Y.T4.........<.'7..............00..�ra.1_7.................................... ..................... Proposed Use ........1.2j 4e?�e l .................. ................................................................................................... Zoning District ........at:...r........................................'.............Fire District ................:.G1...V.o. ............................................. T /// .�h Address � G / air ( Gh f Gi /2 Name of Owner ....... ........ .........V......fl.......G!............. .......d.............. .......... 1 ...... .... ....... Nameof Builder Dom' Z�� Address SX1...................................... .................................................................................... Name of Architect .... .....1.:4./..! f c<'1 xx AA 4A. erX L G� z/ ..... .../. .... ...........Address .............1. ... .. ....... .... .... �.� 1.� Number of Rooms ..................................................................Foundation y................ Exterior ..........C4. - .`�. !ka .........................................Roofing ......A5e.4t A...................................................... Floors /YifY!�d(,�•DU ... ....(��ltiyJ. .......................Interior ........ ............................................. lI G HeatingA5 14��t /.......................................................Plus-*ing ......®�Z./ .:........................................................... r r ^ Fireplace ......... ...................................Approximate Cost ........�'..q,.O..11. ..................................... Definitive Plan Approved by Planning Board" _______________________________19_______. Area f4.. . .. .................... Diagram of Lot and Building with Dimensions �SZ Fee . Q.: (1.......................... . ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH 7T3 / (11 fr OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t e above construction. Name ....... � .. ............... ..��..w t� Construction Supervisor's License .................................... L..%'SULLIVAN, PAUL J. Na 25080 Permit for ..1......3-2 S Story............. ' t Single Family Dwelling •-. ..................................................................... Location Lot. ....4.7......1.2...Fors. th.. Court ... .... . .. .. .. .. .......�'...... ........... , Cotuit F.4 ........... ................................................................ �� ram'?.• �f 'r.• •� 1 Owner ...Bau.1...J.,. .SL�1•1••ia ........... .. .. Type of Construction• .....Frame...................................... Plot ....................... Lot ................................ >•- - -Permit Granted .,'kLY...18........................19 83 ( Date of Inspection97&U::IU.......................19 Date Completed ... ....77:7��''..........19 t a • { f'F • a 4 �. w s .S *rtt• i 11,E �rJ' . . .. • .. r �;G y c _ 'Y' ,•pc it a��� f �tx. 46 71 lot- fK f ( 4 y} yw4 y INS h't ,f � V 72'O' � �/ . , f \ - t� C,•et�'F,� '�i`Yj fi •V B r >« 47 r � 'R E kr i+t (✓✓ , { S� t txSfK w w � + 'tSr�h xµ`ri Ng's6 oMAtionand,;, f J FOIJtJ 7'l U�,I G T tGD�"�`l0f f GLVT+/ fva w-e, 1 4-1 �0GzT r +iT?F7TP�* GOTL) T: 0AIZ►J T.AP!,L-E 8} a�i �=c�c�td anf ,the. site as Iu At m �kl a'0-mu J l GK A S�aOG.� l h tG h y &� axadin�s of oacaaaio o� the", . �. ~ nyshA/'YY �A f , r �,,,41 OF,yq WILLIAM �y �. tC ,ylyy}y.A �r .vf "F.r �.��. s;p �fi it� 175�•' U N k K�+'�1�r� . r^ <r •3 r ',}s•{t� 1 s - W �K N0 i i�o +yt�,,}�ynf•N) '+t�'�.'�J¢f�?&,��{.7r'`k�, 4 r'# 1 r�� 'X•; e'.+-` J ! � 1 p' ��,/� cpr d t E.. it t p. %;' �`►/t.7� }lit ��h3�.sas,,�-r•� +.,�i ",�v C� t ipA��# a ?.is�':) �i y. ��S�ARv�1 { c , Assessor's amap and lot number......., 8VQ�. f,.. ..... � �� .• //� /b 3 TNETO�,i Sewage Permit number .......93-7...c2.2—i6.................. Ir 33AWSTAELE, House number / .,............................... ro rasa ; O i639• s pj�C YpY a\ TOWN OF BARNSTABLE x BUILDING INSPECTOR APPLICATION FOR PERMIT TO l �!�!/ .. Chf. z � 'i�...........1. ./.... . ................................................ TYPE OF CONSTRUCTION ...........G�iGva� 'IZac ..................................................................................... I .............................. ..".....19.s �� TO,,`4 INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: J , Location .....1,d. ........ .. .�/. ./...../L ......... ..............sQ.7/�1..1........................ /.. .��J./.d„C :7••��`✓................................................................................................................................... Proposed Use ....... /0.,L f ; Zoning District ........ .....................................................Fire District .............`.. ./..(tl..!...................................... Name of Owner ......�!..1!.!!./.....�4�!.lzel..�h .............Address , r G' �,1 ri.�r 3/6 �- cHTli2Gi��2..... ....... ....... ................................................................... NameHof Builder ..... ......................................Address ......... ........................................................ Name of Architect .......... ..L�.!�..... ...... .1....�....1.'L............Address .....3�/.. ...:.�/h..../...:...... `S.�!?.....�........... ...... Number of Rooms .......Foundation ...:.t........ z G............................................... Exterior C61.1..40A.i?,dl.........................................Roofing ...... S,f!.�t.9..� ....................................................... Floors ......., ...................Interior ........S�z4 ,,'/l �./....:........... Heating ...................................................Plumbing ......' .../Z............................................................. + Fireplace .........2..1..` !As.l�?7n,Y.....................................Approximate Cost ........ G:..%!../�.U.................. ................. - igft �Definitive Plan Approved by Planning Board ________________________________19________. Area ........................''..11................ Diagram of Lot and Building with Dimensions ZSZ err Z Fee �V UV SUBJECT TO APPROVAL OF BOARD OF HEALTHGrN OA, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t,e above construction. Name ...�. .i. ........ ........... � ........i f/ Construction Supervisor's License .................................... P SULLIVAN, PAUL J A=55-58 No 25080 permit for 1 2 Story ................. .................................... Single Family Dwelling ............................................................................... Lot 47, 12 Forsyth. Court Location ............................................ K Cotuit ............................................................................... . Owner Paul J. Sullivan .................................................................. Type of Construction Frame m ............................................................................... Plot ............................ Lot ................................ May 18, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 \ 2S (� 160 r _ F • Town of Barnstable **Permit# Expires ti.months om_ WU date ulator , Services . s,►�uv ..:. :... . . . ;:, .:�� $ ... •• '..^y�. -« Thomas l'.-Geller,Director ... _. . . . . • Fo +" --- Building'DiAsiou' .. _ —• --Tom Perry, B'aikling Commissioner - -^ r _ •200 Main.-Street,- Hyannis,MA 02601----. office: 508-862-4038 - • Fax: 508-790-6230 . .. •. . .. . .. '--.--. . .�:::::: •••-...... .• ....... .. .-RESIDENTIAL 4 � ,..... .- - :... '. -• -EXPRSS: �RIVIIT 'I�Y:YTYON - OF BARN.;". ... Not Vaud without Red X-Press Imprint65— � ' Map/parcelNumbY QSg . Property Address IoZ �a S Yfj/ e l C �t [✓]Residential Value of Work G�Uv "0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address CAL kE 2 oQS o it e• god• 2e/ •3y3.6 A D Telephone Numbe • 2. 91y Contractor's Name �n Home Improvement Contractor License#(if applicable) ------------ Construction Supervisor's License#(if applicable) 55 70 [eWorkman's Compensation Insurance ' Check one: ❑ I am a sole proprietor ❑ I amthe Homeowner ❑ Ihave Worker's.Compensation-Insurance(,/ Insurance Company Name Workm s Comp.Policy# A✓ecc� 6 K y 6 6o 318 5 5 8 a 5 an Copy of Insurance Compliance Certificate'must be on file. permit (checkbox) R roof(stripping old shingles)) AM construction debris will be taken to i3�,�NsT�B�� �Ns�.�• . ❑Re-roof(not stripping. Going over. existing layers of roof) ❑. Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issumc of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. e ***Note,.' Property Owner must sign Property Owner Letter of Permission. Home Imp ement Contractors License is required. Signature - , Q Forms:expmtrg Revise063004 ' .a. Town of Barnstable o� Regulatory Services T•homas F.C,4er,Director 9q, ab�q. N BuR ,ding Division TomPerrh Building Commissioner 200 Main Street,$yamis,MA 02601 rvy.iown Barnstable;ma.us Fax; 508-790-6230 ' Office: 508-862-4038 .M Property Owner Must Complete and Sign This Section If Using ABi ilder CAGI/l� E�NgRT ,as Qwner of the subject property uthorize I—r14 ES OILS UC7Zl11/L -to-acton mpbehalf; hereby a i tters relative to work authorized.bythis buildsng permit application for. mallma es Y 'C'ov�i Cir (Address ofJob) (�-v . Date g�gnatare o er . print Name • _" _ The Commonwealth of Massachusetts Department of Industrial Accidents Office atinifesugauens 600 Washington Street, a Floor -- , Boston;Mass. 02111 Workers' Compensation Insurance Affidavit: Buildin 'Plumb'n /ElectricaIC ontractors name \ !/AIM C aI�.SUG address ��������� LN • / // tvYI�OU 1�'/ state zip�Zb6% Rhone# y ��3 2 work site location full address): OQS rH av 1 T ❑ I,am a homeowner performing all work myself. Project Type: ❑New Construction❑ odel I'am a sole ro netor and have no one Working in any capacity. Building Addition P••oo ❑ I am an em Toyer providin workers'compensation for my;employees working on this job. ^;agr n.,t ^a�:p,+:•J:;.- .`,rca '.^ti 'hyr,).�. '9;y:°-'f��..fr..,f.�' ,C ,x x 'r fit.r;. :,Ru .y,� .i:�. •s.gg „�'fi:.. px•. «;.'ram..". +:�t '. .{.; - a}bt ::t%: .r 1r.t.. •.J :mot'. .:t. _5 •i' •i%` �a �•s..St r - - t •r:. :QOti�vany�ame�` �' n 32r't".a!'sTL+ lL.c�r• ew9 a:,9•ara ''riw7•" i .tC � „T'.e., •"2.h� .<T'tt. L EST ��01 ,y { i , :ti .r i i �- 'r,�,5 P=sF� .X �, 41 d'• � t>n'`:Tv,,5.': 3 'f' ,a 1 •r! •,1•r. H�d�es� ,, X s' �,£.„p r•rd`' .t_t is Ly ,r§ n ,, �r r�.��f d4Sa,�,Hti '�`j" x.•.a et t.:. o i hti; ua-. 'L•r+..:i- :eg� .�e _ `8' t r �t%�s"�^y`t �i�rt -* ,,r/ 7t rP fC1E9 t! �'•Ca• �r y�r;f-^n��i�".�'4:3� awfr��a44.5..:•f��' ..z ..�ttaJs v. n 7 a.�, h r a a r t'^-� �q,1;L:C k 'R' �!57.�.�t�p "' '.•'`d*.� ":''�3 ,}4 x:'twt r g'� '' 1 i 1s !`�„�t§?',.+ ti y o av Y� f '':t 'N�;� �K. a-G 1 � +iY r- ?'s5i'.�yN'iv tiaW??'e �p7§ G � a �cia1_. ,� R 0 t .+d�Jt,t.•�' Y y'•l. � Y tl� "7 .� r yy.. tK•rs '>' t i� ��,, 4{'',r�.'��i„at,_y..t �- ut , f e. :�, ,.:i .�-^' F E t x•t;:C fi"'�+_4i�P"[�hc^Yn r � '"� '��t��.�' 1�.ls��� ia� �'u+..t" 07IC; 'P`�M``� `� I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingg workers'compensation polices: ..y..,P,, _ <�... , y.L :4..��'i:t �;P,'�i<:Y:y S,�'!;n n/^�'..'�.•try. '3�;.r1^ c�tOJ y S,n'i i :i.,y�,d� ��t" .; {.� 's, 1< a. r z w � :'V rt '4 t VI ,... •.t: _ } ,• '. , t 1P:� {.A � i �Olkell#'. - lnStF[flYf'l'e t;�e. l�FroaY�'I,+r'R..��F 1.-�G:`!=� aM'*i„'.f',W. fuf.?3.��'� 0�7'C...�'�... ;� 'i .,� �.V.� ���. • p/.. i 3. f k_ Y, i �atv f f 'phone.# '� -} S,�aJf 1 I• � fi ,�'!-'a t J ! JT�1J' A f7�� L :.O Y 4 ..r r 4 t i e Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP R'ORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi the pains an !ties ojper' at the information provided above is true and correct Signature Date Print name y' rwe--S S oQ6 Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# CIBuilding Department' ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; ❑Other (mvised Sept 2003) dr Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the 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 or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states 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. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. liggligialliggi Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as,all affidavits maybe 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'compensation policy,please call the Department at the number listed below. IN NAM= City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 Results Page 1 of 1 ' Home Im rovemeni. Contractor Look U p p . Enter Search terms separated by spaces. Search terms can be Town/City, Name,or License number Select Search type: AND 7 OR!Search Search Results Reg No I__ Y Applicant Street City State Zi Name Title_..__ . 76 � Y BIRD 114026 JEFFRE s LONGFELLOW YARMOUTHPORTi MA 102675" JEFF�� 'OWNER CONSTRUCTIONI , R:D . 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PIPE 4„81 r FIBER PIPE TIGHT JOINTS O --- --- --- — FLOW SINE GY/TLET LEVEL OWEL L ING io—' ---- - Ia T -- - o o TO FIRS r ✓oiN r - — ~- --- P — - LO 7- .53 Ls� C/TEE 1 6/-¢� 5I.�o C.1. TEE r S/•2 0 -- _, -- STANDARD PRECAST 4 r--- CONCRETE� GAL LON 50. 50 SEPTIC TANK —� DIS TR/BU TION BOX l i 80 o B rO BE INSTAL L£D ON I 1 � LEVEL , STABLE BASE. CIO-, .F SEPTIC TANK I TO BE /NS TA L L ED ON 2�3 LEVEL , STABLE BASE 28 • 2 - //8" TO 1/2" WASHED PEASTONF LEACHING PIT l ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL •`-~D AND DUST IN PLACE �• OCo AC BRICKS 9 MORTAR COURES "B C 0 3/4 TO l l/Z WASHED CRUSHED AS REOU/RED rO BRING ` STONE ALL AROUND FREE OF COVER TO GRADE 24"C.I. MH COVER IRONS, FINES AND DUST IN PL 4CE AND FRAME - - �_ l /-oT 4� 74 ---L.� - LEACHING PIT SECTION- N \ 1t) I lNL ET ------- 8' FLOW L INE - - - - - -- v ; PIPES — - -- ---�- --- - ,;� I. CONCRETE TO BE 4000 PSI 28 DAYS . , 2. REINFORCED WITH 6" x 6" NO. 6 GA. W.W.M. so9 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. OPENING WITH 4-1/8 4, NUMBER OF PITS REQUIRED - lot eao,, , OUTER DIAMETER 8 NOTE EXCAVATE TO ELEVATION 5 OR LOWER AS 53 54 j V /-3/4 INSIDE DIAMETER REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH 7 PIT REPLACE EXCAVATED MATERIAL WITH CLEAN 2 STD. PRE-c'Ao7 doh' SEPT/C T�vie AT,( �} a sit _ GRAVEL. TO DESIGNED GRADE . CC 1J c k = 2 ;o" ,. S �0 � `i �\`-• 1 MIN. pi' 1 nl i EFFECTIVE DIAMETER (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) f; ,.2l \ % / >� -�-� WATER TASL E /1/o4JE SOIL A ND F'ERC. DA TA ---- GENERAL NO TES %o- PERC. RATE < 2 MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARC TEST BY: _._ __✓_ice_. rL�1/L//t/ �E. �EXC-_� PM0.2/�C/ PRECAST REINFPRCEC CONCRETE UNITS. -- — - -- �S' c� c��57C�P/ E36/� ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITNESSED BY: -- --- _ --- - --.- _.- -, TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , '4-�� O `-� TEST PIT GR. EL 50 D ATE'-___Z/ MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF J TEST PIT N0. 1 F_[ , S�. % TEST PIT N0. 2 50. 2 SANITARY SEWAGE EFFECTIVE I JULY 1977. O"_ ANY CHANGES TO THIS PLAN MUST BE APPROVEC BY THE � Tcp ee -laze ©��\ " `_ /,G.• — _ � BOARD OF HEALTH. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE • M�DEJa a SAME BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. 2F.2 �s.r6, PITCH ALL SEWER LINES 1/4" ; FT. UNLESS INDICATED OTHERWISE. .VO G,2vD �V.UTE.e DESIGN DA TA BEDROOMS __-.__-_ DISPOSAL____!v-"'V1- EST TOTAL DAILY EF F __ 930 -GALS LEGEND _ SEPTIC TANK /000 GAL. SIDEWALL AREA ___?•,5,GAL./SQ. FT BOTTOM AREA -__ /-Q_GAL./SQ. FT 0x0C EXISTING GRADE LEACHING REQUIRED SO FT SEWAGE DISPOSAL SYSTEM ACTUAL LEACHING AREA _Z6.4_, f_a_SQ.FT. FOR a ZONE o. 00 FINISHED GRADE O t70 INVERT ELEVATION ' ''G'�'�`�' L' ` DOMESTIC WATER SOURCE TOWAl PV,,9r4 _ _ 1 .. _:__ _ -o_T_47 �, PROPERTY LINE r �: COT411 r aB�4 (/3_TA,6GE k t ;. ` ; � �, ,-r, PLAN REFERENCE HES --� .GoT _.5 '. �__. - `�� SCALE'' AS INDICATED IC DATE --- MEAN HIGH WATER , BENCH MARK DATUM MARSH WM, M. WA5WICK B ASSOC14TES PDX 801 - NORTH FAL MpL/TH FLOoIJ .ZO.C/•� �t/O/c./- �-/�ZF.E'.D :,G.• +. �,/. �f T ;Y,' �-� r, r�