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HomeMy WebLinkAbout0172 EISENHOWER DRIVE - Health 172 EISENHOWER7(Z vc { �---� - - - --- A = 039 167 II� it i ti Commonwealth of Massachusetts 031 'H'�-- W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 172 lesenhower BCD Property Address J}N-1y' y4�p Estate of leleen Duffy ' Owner Owner's Name information is t Couit Ma 02635 1/29/18 X required for every ��: page. Cityrrown State Zip Code Date of Inspection R Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms S/0-- on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain rab Company Name 35 Content Ln Company Address Cotuit MA 02635 Cityrrown State Zip Code 508-364-9587 SI 13522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form ".__. . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 172lesenhower Property Address Estate of leleen Duffy Owner Owners Name information is required for every COtUIt Ma 02635 1/29/18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a gallon septic tank. As well as a concrete distribution box and a 60' leaching trench B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form -� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every COtUIt Ma 02635 1/29/18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This j system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection ❑ El Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM ' 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Vacant Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 138 Gpd 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 172lesenhower Property Address Estate of leleen Duffy Owner Owners Name information is Cotult required for every Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Not provided Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1/18/2000 Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ® cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Outlet tee is in place Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1,000 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 172 lesenhower Property Address Estate of leleen Duffy Owner Owners Name information is required for every Cotuit Ma 02635 1/29/18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 42" Distance from bottom of scum to bottom of outlet tee or baffle Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is Cotuit Ma 02635 1/29/18 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 172 lesenhower Property Address Estate of leleen Duffy Owner Owners Name information is COtUIt required for every Ma 02635 1/29/18 page. Cltylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level and at normal level Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1 60' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of failure Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 172 lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 172 lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 15+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1/18/00 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Test hole data on plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 TOWN OF BARNSTABLE LOCATION SEWAGE # 2000 vaj-AGE C �l�1 ASSESSOR'S MAP &LOT L 5 1 1 7 I INSTALLER'S NAME&PHONE NO._UV , OLIc� "l 1 y SEPTIC TANK CAPACITY 1 G n b 6 A� . I I LEACHING FACILITY: (type) 12k711 N (size) NO.OF BEDROOMS > j BUILDER OR OWNER �I � j PERMITDATE: COMPLIANCE DATE: i j Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) G� Feet Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet,oAeching facility) Furnished by.' i i i - i I i. I ' , 1L -irl ,5 S -i -d 1 F i Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 172lesenhower Property Address Estate of leleen Duffy Owner Owner's Name information is required for every Cotuit Ma 02635 1/29/18 page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ❑ System Information—Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 YOU WISE,TO OPEN A BUSINESS?' For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you i must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St.,Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI.,367 Main St.,Hyannis,MA 02601 (Town Hall)and get the Business Certificate that is required by law. g k r DATE-- S—bg Frfi in se APPLICANT'S YOUR NAME/S: 'p��D 35 p BUSINESS YOUR HOME ADDRESS: / E r� zwf, 7 31- S /9L " TEU33HONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW,BUSINESS �11 i e 5 e+ A. TYPE,OF BUSINESS e4 A�e IS TWS A HOME OCCLIPATION? YES NO�YK75 i f r`r+ e-f<S keme ADDRESS OF BUSINESS /`707 �'t S e n h C�itF e r b r;J F C'.� u i k MAID/PARCI3 NUMBER, 039 I t`7 EAssessm9) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable.This form is intended to assist you in abtaaung the information you may need. You.MUST GO TO 200 Main St.-(corner of Yarmouth Rd.&Main Street) sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING . I: : 1 MAST COMPLY WITH HOME OCCUPATIC The ind ual a i of ny a ui that, rn to t his type of bus+n RULES AND REGULATIONS. FAILURE TO ►ized COMPLY MAY RESULT IN FINES. • 2 BGARLL HEALTH This individual has been inforrne �permiiire at ertain to this type of business Authorized Sig COMMENTS` a CONSCJMER AFFAIR(UCENSING AULFIORITY) This individual has been informed of the licensing requirements that pertain to this type of business Authored Signature` COM[ItAE116T5: 1 I Citizen Web Request F Page 1 of 2 �TAI, f3 iH�pL' "t'�. _ 4 s n- .� i�l4tir^ \opt 4 � ti* BA3L\3TAISLE N�`; I Citizen Request Management Request ID: 55458 Created: 3/11/2016 10:15:01 AM Status: Assigned To Staff Assigned To: Miorandi, Donna Health Office Anonymous: No Category: Chapter II : Housing 1 Substandard E.C. Date: 3/25/2016 Created By: Sousa,Vanessa Citations: Health Office Time Worked: 4.00 Response Time: 0.50 Request Location: 172 EISENHOWER DRIVE Cotuit, Ma 02635 Parcel Number: Map: 039 Block: 117 Lot: 000 Request: Call from COMM regarding Health conditions at above address. I Request Work History: Entered on 3/11/2016 10:49:03 AM Last modified on 3/11/2016 10:51:28 AM DZM responded to the call at approximately 5:30 pm on 3/10/2016. Arrived at 172 Eishenhower Drive, Cotuit just after 6 pm. Sole occupant of the home, Eileen McCue-Duffy,was already taken to hospital. She is 77 years of age and widowed for about 4 years. Living on her own with a terrier(?)dog who was taken away by dog officer,Charlie Lewis. Ms. Duffy had been on the floor for three days. Her lifeline was not on her person and the dog had not been out for three days as well.The outside of the house was well maintained. Chief'Olsen of Cotuit Fire Dept. took me through the house as well as Officer Corpin Fries of the Barnstable Police Department. The house was in a terrible hoarding condition with papers, newspapers, etc all over the floors. Clothing strewn and other household items all over the dwelling.There was no clear table, nor counters and the stove was covered in debris yielding a fire hazard.There were no working smoke detectors in the house.The bed was bare-no sheets but much clothing and other debris on and around it.The downstairs bathroom appeared to be totally inaccessible by anyone to safely access the toilet never mind an elderly person.There were many papers on the floor, a bucket of dog food, a full size scrren laying across the floor with a red sharps container on the floor under the window screen in this bathroom.The upstairs bathroom was covered with clothing. Many lights in the rooms were inoperable causing us to utilize a flashlight to see in the house.The refrigerator had much food in it and appeared very old and much foreign food debris&spillage throughout. Did not have access to a thermometer so I do not even know if it was at the proper temperature. Chief Olsen was going to contact Elder Services as well as Lifeline.The sister of Ms. Duffy,Carol Charette (?) lives in Dorchester, MA and was on the phone with the Fire Department. It is my understanding that she was coming down to the Cape, however, she is elderly herself(older than k n to Chief Olsen this morning 3 11 16 . At this mailed the pictures toe / / ) Ms. Duffy). DZM has e p 9 ( http://issgl2/lnternalWRS/WRequestPrintPub.aspx?ID=55458 3/11/2016 Citizen Web Request Page 2 of 2 point in time, Ms. Duffy is still in Cape Cod Hospital. She will need professional services as well as friends to assist her if she is ever to return to this house. E http://issgl2/lntemalWRS/WRequestPrintPub.aspx?ID=55458 3/11/2016 f : wf . • � a. . � \/< - :� 4 —t � - - � r § d ra,. ,. ,� r Y 1 i ,F I r t i .j i y 1 /« M R :0 l�� �f� ���s� r— �� ; Cr��r �` wv Y, i I ` A s i .f` I rYy L , 4 -3 u F I ' iT i'Y. 1 �T :f t � � f .c f -,o- - h. r j ti.. fa7�, y w oppp- o IRMO- S " �y r1i:. • i >r ��-�- �, .�a+�a v ..:� �,, 11 'r, .S.� � �� "Air r4+� ��' �r A.- 1 �_ _.� '�,�r �. S _.:�hc- �At �� ��� ��� A S Win; . -� r .� � -„ r - -4�a ,. .,�.,. k !^'t �1' �':� � ti � � �„ y � 'if _ � I. n ifrr �e 3V1��� V i f� .� �f `,�i Y� 2 �"�4� i"� i1 � �� �. Al AMP NNW '. ��y•�-,�� aid 41 f � � �� q tl ♦ n� ac M1 r_� � c I �-{ � �: �� �� ��� i.�� r �� .,_ .. -A ��� � �,, it �� �� a gip' j .�I•Y �ri .�' 'ii.. ,a = -� ,, I ,,� � i E „~ _ _, , �.-� .: :w r s.; ,: �: .r — '�'4. �.. - i� _.{ .l- +'_ �i�.. � 1p�« _ _ i�� �� F �`1 r�rl i�'µ� .�'i.t, .��p� GSM r� v��,m�, .�; -�,��.' GY ��,, a r �I s 1 I 3 h 1 i k j - F P I 4S` - ,i al y. f i� a r - A al - � I _ r / , - . 'Im, e k� y f ' ti 1. t♦1� j r+LLB' a I ti 9 � h � r M- 1 1- 1 1 ' IF t.,US J'• _ Luz - - - - - Y ISV or ivW- AMR. : ' ''F THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�G, I DATA '- ay p 3 ar_s a 6 t, it • x4t'x+N "�°f r� ��`d i r v kw` �S� 'h t x p d§ §'h q Foam r oil, � - .� ul�.fa � 0�` ,.� irk• ti 4.� .. :;a gk ���3 ^��y� �.� �A M1w>Y 5 < T '€sn rc x•r y - -------------- � � t �'�Pz'�`^F+J,F``r�"IL't{rN .-. ",`����'�4�k&s+f'.s�,"�3t� �•�Ns '. . r e a•.°tka��k s �� 1 x. nr yMN A t ka ,it ,� r 1 {YF l Y I � 1 1 � rb r '+.�^-mi3t oil. � � i M .,����? K tp i ,�- ��• Firefighter attacked and bitten while responding to Life Alert call... Hyannis News -Ne... Page 1 of 7 4 Stages to a Si gns i9ns ♦ Heart Attack R` 6 ? '• Tho Cardiac Kllier k'{ . Hy4nnis News A. ` i a Your Liberty,f, L 6 y, Ptnsu:t of Happiness 'a The Law Offi"s of �,. � doe a p gr Fa a 1uJr.T.Maid @i .A ydIXA... In an l rot-fN C.MANTaoc u t ] 4 .� 4 V i Call us nacciowl Personal Injury Attorneys ilyal flx,31,\l 5i1N_T,;Ilil!iY i � r. Firefighter attacked and bitten while responding to Life Alert call... s � sa r , Photo:Barnstable Animal Control.Officer Charlie Lewis was finally able to wrangle the angnf pet using afresh dog control pole,the first pole broke at the beginning of the fray... COTUIT — A firefighter was"attacked and bitten'by an elderly woman s dog after responding to a Life Alert call this afternoon. The dog's name was Mason,a rescued lab mix... (possibly some golden retriever?) Firefighters backed off and immediately called police and animal control.Police arrived at the Eisenhower Drive address shortly before 5:OOPM... After a stand off,a Barnstable Police officer was able to distract Mason using a blanket(like a toreador),allowing the firefighters the time they needed to safely attend to the elderly woman. According to a source,the elderly woman had reportedly been down on the floor and unable to get up for 3 days.She was conscious wlule being placed into an ambulance. A Cotuit firefighter had a bite wound to his hand,according to a source...he should be okay. It's uncertain if Mason was up-to-date on his shots,but the Animal Control Officer did provide the Cotuit Fire Chief with paperwork on the pet. , It remains uncertain what caused the woman to only just activate the Life Alert button today,after being down on the floor for 3 days. The outside of the property was well cared for...and the woman had several concerned neighbors who said they will be checking in on her more in the future.According to a source,a couple of her neighbors went down to CCH to check on the stricken woman. Mason,the lab mix,was taken into custody by Barnstable Animal Control,but not without a fight... Apparently a dog control pole broke on the first attempt,with a police officer having to jump on the http://hyannisnews.com/firefighter-attacked-and-bitten-while-responding-to-life-alert-call-... 3/11/2016 Firefighter attacked and bitten while responding to Life Alert call... Hyannis News-Ne... Page 2 of 7 clog's back.After a brief fray,the dog was finally secured with a second dog control pole and walked out into an awaiting Animal Control van. According to neighbors,the rescued lab mix was friendly with the owner,but could occasionally become cranky with others. Elderly services was also contacted and the woman does has a family member who was also made aware of the situation. The following footage highlights today's scene,it also shows the"doggy perp walk..." [Press play...select HD in the settings] Firefighter attacked and bitten while responding to Life Alert call 31016 74 r � f k a R 0. P In other news: Today's"Government on Fast Forward...3/10/2016" One hour and 10 minutes of Government news prograiruning and information edited down to 19 minutes and 26 seconds of the finer points,which are sped up at times for those listeners who are thrifty on time and need information quick.Sarah Colvin s and Sara Mannal's entire broadcast, however,can be viewed on the Town of Barnstable website. http://hyannisnews.com/firefighter-attacked-and-bitten-while-responding-to-life-alert-call-... 3/11/2016 TOWN OF BARNSTABLE ©Z- LOCATION 1�11�}��1 SEWAGE# D 7 VILLAGE � .j 1)i' ASSESSOR'S MAP &LOT-0 r O 7 INSTALLER'S NAME&PHONE NO. WT:7 QVZLi — 3-71 LKb! SEPTIC TANK CAPACITY 6k F } LEACHING FACILITY: (type) �1Zk�l �" (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 9—®COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by W 6 G y No.,;7 d Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYtcatton for 33too.5al *pgtem Construction Vermtt Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lol No. A 9 �� Owner's Name,Address and Tel.No. Assessor's Map/Parcelt�� ��� � `•'- d ` 1 J Installer's Name,Address,and Tel Designer's Name,Address and Tel.No. Type o Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage GrindAafeteria • •"Other Type of Building No.of Persons Showers( ) ( ) . Other Fixtures ,,..• "Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 4g&f 62 46ell Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 r tal Code and not to place the system in operation until a Certifi- cate of Compliance has been is Signed q Date Application Approved by Date i Application Disapproved forte following reasons Permit No. 00 D— C>2,7 Date Issued TOWN OF BARNSTABLE LOCATION �� �`�`t�ll � SEWAGE # ��� O L7 VILLAGE C.�� 'i t I t ASSESSOR'S MAP &LOT d 17 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) rlZk7.l H (size) NO.OF BEDROOMS BUILDER OR OWNERS PERMIT DATE: 1 O O COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist .� within 300 feet of eac ng facility). S� Feet Furnished by Y 1 , S L � n ... .. i i' i No. a-7 ! - Fee_SCZ - Entered-in computer;, 000, THE COMMONWEALTH OF MASSACHUSETTS `-Yes PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Migpoo &pgtem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or ' 1 Lo b No. a �jU-41 Owner's Name,Address and Tel.No. J Seo I-, r��,t�e tu►`r, m t� a�Ca3� �- � o�. 't . Assessor's Map/Parcel — Installer's Name,Address,and Tel.t �l. Ij-- ,�• Designer's Name,Address and Tel.No. gal) � Type of Building: Dwelling No.of Bedrooms_ Z2 Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) afeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title 'Size of Septic Tank Type of S.A.S. Description of Soil f e Nature of Repairs or Alterations(Answer when applicable) 42f 62�� L Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 tal Code and not to place the system in operation until a Certifi- cate of Compliance has been is 1 's jaro a It Signed Date Application Approved by Date I —I u -etc.) Application Disapproved for t e following reasons Permit No. 2k 00 D 0L7 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, MASSACHUSETTS s (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewa a Disposal System Constructed( )Repaired( )Upgraded( ) Abando-n�c�.( ) y W 5 1 has been constructed in accordance with the p o isions pf Title 5 and the for Disposal System Construction Permit No. Z4n2-h 17 dated Installern'1 Designer A a d The issuance of this pelpit construed as a guarantee that the S(Xkte�tn}will function as designed ry Date f / Inspector / v ih I(G- --------------------------------------- No. 2-04W ^ D o17 Fee .3 O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE., MASSACHUSETTS Mizpoga *pgtem Construction Permit Permission is hereby granted to onstruct 4_ Repair( Upgra e( )Abandon( ) System located at v� 1 l� ij ry)l4 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: ,! - 1 '� Approved by n ;4 1i6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH A1ND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) , hereby e:vry that the application for disposal works construction permit signed by me dated concet�1inQ the property located at 17 L. meets all of the following criteria: • The failed system is canner ed to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 1.50 fert of the proposed septic system • There is no increase in flow and/or change in use proposed • There are ao variances requested or needed_ • The bottom of the proposed leaching facility will not be located less than five feet above the ma..dmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than founeen(14) feet above the ma_-arnum adjured (zroundwater table elevadon, Please complete the following: A) Too of Ground Surface Elevation(using, GIS information) B) G.w. Elevation _the���. ,:igh G.W. Adjustment . _ z D lF —€B EN A and B � 1 SIGNED DATE. (Sketch proposed plan of system on backj. a:nod,iaider.cat -a 1� 1 1 ��Lx ( u �': T ION SEWAGE PERMIT NQ. INSTA LLER'S NAME a ADDRESS UILDER OR OW;:NER i3e�),AdAJ DATE PERMIT ISSUED r �� DATE COMPLIANCE ISSUED /���� . I w2 31 6 1� 00 No... s.::l Fps............ ............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...._._........ . .............OF..................................... . Allp iration for Uiipnstal Workii Tomitrurtinn runfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......... 'Z .............................................................✓ � . J.................................... -- Location-Address or Lot No. !P1..... .................................................. nl'� T i / Owns - �. Installer Address Type of Building Size LotOA115�8..........Sq. feet U Dwelling—No. of Bedrooms___��......................... .....Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------•------------------ P ( ) `Cafeteria ( ) dOther fixtures -----------------------------------------------------------------------•------------------------ W Design Flow...... -tt----------------------------gallons per person per day. Total daily flow___--�.�5�---...._........_.._....._.....gallons. WSeptic Tank—Liquid capacity./OO_`_'.gallons Lengthe_-6". Width��.-.%G"___ Diameter__.--- Depth_ %.-L`? " x Disposal Trench—No. Widthh_..�..._..... Total Length..._.._...._._... .......... s Total leaching area-____. q. ft. Seepage Pit No....I______________ Diameter.....6..__.__._.__ Depth below inlet....0........._.. Total leaching area__A; .....sq. ft. Z Other Distribution box (j() Dosing tank Percolation Test Results Performed by._..oTim........QA!1tQxl................................... Date....,1ZI-.1,00D................... Test Pit No. 1.......a2-----minutes per inch Depth of Test Pit...J- r...._..... Depth to ground water.._.___�.............. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_---..-__--.__.._______ P+ ................... ••-••••-••-•-••.........-••--•--•••----•••-••••-------•••-••----•-••-••-•-•--•---•••--•-••-••----••---•••--•........--••--•.....--•-.-•-- O Description of Soil......../I..........Clkq.___C'o,Q�s C:_____S x w --------------------------------------------------------------------------------------------------------------------•----------------------------------------------------------------------------•-•... U Nature of Repairs or Alterations—Answer when applicable-------- ---------------------------------------------------------------------------------------------•--------•---------------------------------------------------------------------------------........•..••-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisiot TITLE TlTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system.in o er tion un ' a ertificate of Compliance has b n is ued by�thhebboa�rdofealth. Signed••. . .....-•-••--•-•-• . .....---------------------•- �.. /y•— �� Dat Application Approved By................ . . •-----•....••• ---••-•• ..... g Date Application Disapproved for the f o owing reasons----------------------------------------------------------------------------------------------------------------- ........••----•--•--•--•••---••-•----••••••-•----•-••---••-•------•----•.....-•--.....--••••••--••-•-••-•---•-••--•----•.•••--•-••--••-•-----•---•----•••••-•••----------•--•••-••--•--••••......-••-••- Date —.�� v Permit No.---•-- ------- -------------•--•------...... Issued.------••-��---�-•---��-------�5- ----------- Date SO- No....................... Fui3......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. OF.......................................................................................... Appliration f nx Disposal Works Tonstrurtion rumit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Z7 r j 'e , '1 2 6......1:� ..................... .................................................................................................. e-­) Location-Address r_ I No o .. ... . ... .............................................. ................ Owner Address ......................... ' ........ Ito----------------------- ......... Installer' Address Type of Building Size ......Sq. feet U Dwelling—No. of Bedrooms.................................----------Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 0.4 Other fixtures .......................................................................... ------------------------------*-----------------*---------------- Design Flow...............57S W .............................gallons per person per day. Total daily flow-----�'.,.?<?.............................gallons. 1:4 Septic Tank—Liquid capacity./ gallons Length__:__ Width..-/'.-?4R­ Diameter________________ Depth_5`-J;'?__" Disposal Trench—No. Width____________________ Total Length_____.___.__...__._. Total leaching area--- ft. Seepage Pit No......I............ Diameter.__.?._.___._____ Depth below inlet...6_1........1-1. Total leaching areac-267.......sq. ft. Z Other Distribution box (K) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date..................... ............... Test Pit No. I____Gad_...___minutes per inch Depth of Test Pit.... ......... Depth to ground water________________________ fXq Test Pit No. 2................minutes per inch Depth of Test Pit___.._.._..._______..Depth to ground water__.__-_.___.___..__.___. P4 ...............................................................:;T.......................................................................................... 0 Description of Soil...........fl./.. 4 t. ....... evA�.� ............................I...................................................................... U ........................................................................................................................ ...................................................................... ...................................................... .....................................---------------------------------------------------------------- -------------------------*.......... U Nature of Repairs or Alterations—Answer when applicable.............................................................................................. ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in op.eration until a Certificate of Compliance has b �ised y the board of h 1h, SigneSigned d.. ........ ........................................... W�j ApplicationApproved BY_______________. ............................................................................... ........................................ Date no Application Disapproved for the fo owing reasons:.............................................................................................................. ------- ---- ----- ...............................................................................................................................j.........I........... ......*------- Date PermitNo._.._.........----...................................... issued............�._'7....................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr of Toutpliatur THIS IS TO CERTIFY Tha h Individual ewape Dis osal System constructed or Repaired by-------------------------------------------------- .. .. ......... . ............................................................................... at........................ Mtaller ............ ns .. ........... W ..... ................................................ has been installed in accordance with the provisions of TITI-F, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... ........ dated_..._ = THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST ED AS A GU ANT THAT THE SYSTEM WILL FONCTION SATISFACTORY. DATE................. ju............................................ Inspector........_:__.._.. ........ .. . . ................ . . ... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 ..........................................OF..................................................................................... No......................... FEE. Disposal Works Tonstrurtion rnmit Permission is hoTAby-g+a*ta44.... .......... ........CC-+V.j to Construct or Repair ( ),an Individual Sewage Disposal System at .......................... ......f C-4�- ...................Street........................ 0 S C st uc as on the application for Disposal Work tion Permit o. ......... Dated____-- -)Rs............. - --------- .......... ............!k.'.5C................................ .................. . Board,of Health DATE.. FORM 1255 A. M. SULK[ INC., OSTON o Lot 14 Lot 5-8 N 1-6'x6' De I- 'x6' Pit t j'it o :,1/2! `'tone -267 S.F. w/2' sr 5=5490 l.F .D . tone __.:_._.Za o 01 $O W 1000 U:i w 0 D- of 8 Z v -- - _'r�Ve tu Lot 3 5 111ROPIU W iIV 6CALL _ ZQ.Z 1300 • - ry ;2d Lot;' lb G. S. T. 25' . . . All C1a.re ;n rinee-rin 49 i-iarb cr date, 2/0/85 nni 1. 3a. 21.0 Fhd for.. +. . Seim;,•' lot 15 Eigenho,.-:rer Drive-: a shu ;r: on nd -: Elev:-t i.ons shown =ire on an, assilbd cE_t_l m.. Date : ri� ent : Bad t1st6c B c1 of l.el'th Alt ti im "I i 1o11 'o water encountered r: erc , ? min T�'f:r 1" � ! lPp clea.j nurse 41'. sane SOW day 0 d �s &0 , �MMOJi QQ� z NOTE VERIFY FLOORING MATERIAL TURN FRAMING VERIFY LOCATION OF EXISTING SEPTIC - j��� 13'•P B DEGREES IFHARDWOODFLOORING IS TO �• (ADDITtOM BE USED TO PREVENT WARPING TANK.NK PRIORTCOVERT F OF Q THE TANK PRIOR 70 START OF CONSTRUCTION.B.O.K REGULATIONS i REQUIRE THAT THE CLEANOUT COVER 1Lo P.T.0 x 4 POSTS ON iP DIA. BE ACCESSIBLE. a' CONC.SONOTUBES TO 4ff BELOW GRADE I1SE SIMPSON 4'-0' 73'-0' 1 m W Z ABU 44 POST BASE 8 BC 4 (ADDITION) __ — P.T.6x0P05UBES 1T DW 2/j L,t�N00 POST CAP — � r CONC.tiONOTUBES Wf 24 DIA W�OO 1 BIGFOOT FOOTINGS TO 4V 1 '�" '�C.000 I BELOW GRADE.USE SIMPSON _ ABU 66 POST BASE&BC SPOST CAP O%¢11 X I q q U �a� o A3 _ A3 0rim r m" co ��al� a N x I f r Lm N A 14 INN m 1 U T6 1 I / O t. 1\ F ` c / o F NEW ANDERSEN NEW ANDERSEN um c A o TW24310 TIN 24310 A A3 rV A3 5 x b K EXIST. ri f: b BEDROOM ROOF FRAMING PLAN EXIST. EXIST. CRAWL- EXIST.FOUND.WALLS FULL NOTES: �1 SPACE To REMAIN BASEMENT 1.) ALL ROOF RAFTERS TO BE 2 x IUs UNLESS OTHERWISE NOTED 2.) USE SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS PLAN 3.)VERIFY GUTTER TYPE/LAYOUT FOUNDATION W!OWNERS O NEW ROOF CONST. -2x 12 ROOF RAFTERS@ IS'o.c. O -t!I COX PLYWOOD ROOF SHEATHING -ASPHALT ROOF SHINGLES -15L0.FELT PAPER ~y -I I'HI-R BATT INSULATION - - ®SLOPED CEILINGS(R=7n -11'BATT INSULATION SIMPSON LSTA STRAP r l Q MULTI LVLCEILINGS DGEB(R=3n CONT.RIDGE VENT MULTI-LRIOGBEVL O F--+ - -MULTI LVL RIDGEBEAM � RIDGBEAM - -SIMPSON H 2.5 HURRICANE CLIPS 12 �y f l AT ALL RAFTER ENDS BOTTOM OF - 4L1 -ICE/WATER SHIELD AT BOTTOM St r 2x 6s 1S o.c. CROSSTIES 37 OF ROOF 41 -RAFTER VENTS NEW 2 x 0 BLOCKING TO ' TO PREVENT WIND WASHING O TOP OF PLATE NEW 1/7 GYP.BD.ON "'CONT.ALUMINUM 1 x 3 STRAPPING @ IS'o.c. SOFFIT VENTS o •- �► ® B NEW WALL CONST. LL -2x 45TUDS @DSHE e. NEW -1rz'PLYWOODSHEATHING >.., GTt - -3 V2-BATT INSULATION(R=19) L.T. ~� SUN OM 1?GYP.BD. ( NEW 314'T 3 G PLYWOOD •W.C.SHINGLE SIDING ^'SUBFLOOR-GLUED R NAILED^ -TYVEK HOUSE WRAP r T 1 `V SIMPSON MTS 16 FOR FIRST FLOOR O R BEAM TO STUD EW 3.2 x 17s NEW P.T.2 x tOs 16'o.c. - ' SIMPSON BC 6 FOR GIRT TO POST NEW S'BATT. NEW P T.PLYWOOD SCALE: INSULATION P.T.6 x 6 POSTS R= 1/4"= 1'-0" ABU 66 TO SONOTUBEENED W/SIMPSON DATE: 7/31/2006 VERIFY RETAINING WALL DETAILS IN THE FIELD DRAWING NO.: NEW 26'DIA-BIGFOOr FOOTINGS BUILDING SECTION @ NEW SUNROOM 4'(r BE OW GRADE 60ND,118E6 TD = 4'O'BELOW GRADE z (ADDITION) LT]A� VERIFY LOCATION OF EXISTING SEPTIC �� �� �� ,1: - ¢N CV . TANK.CLEANOUT COVER&EDGES OF O to THE TANK PRIOR 70 START OF r ANDERSEN _ CONSTRUCTION.B.O.H.REGULATIONS 1 TWT 2lO1S EXISTING SEPTIC C1r a Q to REQUIRE THAT THE CLEANOUT COVER ` TANK LOCATION PER Q BE ACCESSIBLE I � I B.O.H.AS-BUILT CARD r M' TW21 'ANDER� ANpERSEQI ANIITvftl TW 045/" 3.RSENN0 (:] OD aZCD ' V) J 6B'RMTRU I .ANDERSEN ' mTE TW 21046 - - rw ECUX 1 I 1 I�UX� 10ENTER SKYLIGHTSON STUD POCKET SKY IGlTf II ���HIT ANDERSEN BOvEJ L___LABD _J rnS NEW m F b SUNROOM s a- -- (VAULTED CEIUNG) ANDERSEN 12 _______________ JNNE rnr046 EXI5T. ___ -�1VELUX � VELbX1SS 4lGiVS�4AB. Ul TANDERSEN W21046b r I b CONS.RIDGEVENT NEW ASPHALT SHINGLES 1TO MATCH EXISTING I EXIST. - / NEW FASCIA 6 FRIEZE BOARDS TO MATCH EXIST. I TOP OF PLATE ! EXIST. I HOUSE - - ® ® ® ® TO MATCH ER BOARDS. TO MATCH EXIST. 6 = N I EXIST. N F- F. X 11 r l X I FAMILY H ---r ROOM LLLJ LLLJ m - FIRST FLOOR O . J. SUBFLOOR- EXIS HALL T. TO ANEW TCH EXC. ISTING SIDING C - NEW LATTICE O W EXIST. �� 12 VERIFY RETAINING WALL a. DETAILS IN THE FIELD (EXISTING) y EXIST. RIGHT SIDE ELEVATION z w >; F STUDY Q � W I - EXIST. EXIST. -- � � T j N Z 0 ~ FLOOR PLAN SCALE: . NEW SUNROOM =208 S.F. 1/4" = F-0" GENERAL NOTES: DATE: LEGEND: 1.) CONTRACTOR IS TO VERIFY EXISTING CONDITIONS AND 7/31/2006 DIMENSIONS IN THE FIELD PRIOR TO THE START OF WORK THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORS OR OMISSIONS ARE FOUND ON 0 EXISTING WALLS 2.) ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL, THESE DRAWINGS PRIOR TO START OF DRAWING NO.: DETAIL,AND FINISH. CONSTRUCTION.THE BUILDING CONTRACTOR - CONSTRUCTION TO BE REMOVED _ WILL BE RESPONSIBLE FOR THE CONTENT -J - IN THESE DRAWINGS IF CONSTRUCTION ® NEW CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. - THESE DRAWINGS ARE SOLELY FOR THE USE OF THE OWNER NOTED.ANY OTHER USE OF Al THESE DRAWINGS REOUIRES THE WRITTEN CONSENT OF THE DESIGNER. z: Ul N I ¢ �¢-9" m`J � w=o� om¢__:< c� cl) nw ® ® NEW SHORTER WINDOWS - - ® ® TO FIT NEW ADDITION ,ROOF HEIGHTLLLJI m 1Z Si TOP OF PLATE ® ® ® ® ® ® N o m r m NEW CORNER BOARDS TO MATCH FJUST. FIRST FLOOR NEW W.C.SHINGLE SIDING SUBFLOOR - TO MATCH EXISTING -- - VERIFY RETAINING WALL [^ DETAILS IN THE FIELD REAR ELEVATION o r.� w O > 12 EXIST. Ozw NEW ASPHALT SHINGLES EXIST. ( 1 �^ TO MATCH EXISTING CONT.RIDGE VENT NEW FASCIA&FRIEZE BOARDS TO MATCH EXIST. TOP OF PLATE Q FM m� SCALE: FIRST FLOOR I YIYI DATE: SUBFLOOR - -- 7/31/2006 DRAWING NO.: NEW LATTICE - LEFT SIDE ELEVATION A2 _ x