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HomeMy WebLinkAbout0626 MAIN STREET (COTUIT) - Health 626 Main Street (Cotuit) 1 Cotuit P A = 036 029001 TOWN OF BARNSTABLE LOCATION d L S/7 5/ r SEWAGE# ZO/69_ VILLAGE C�o ASSESSOR'S MAP&PARCEL D,3,j-OZ?,iOt/ INSTALLER'S NAME&PHONE NO. l/��D�v��, 77f� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER J PERMIT DATE: Z Z COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 A �o Co � � � � � � � � � � CN W N �. l I I I I C' � �. �. t O � � � i . �. .� 00 No. loci O .� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plication for Bisposal 6pstetu Q&oustruction i3ermit Application for a Permit to Construct(V( Repair( ) Upgrade( ) Abandon( ) ❑Complete System 2Individual Components Location Address or Lot No. b��j A&1� �®� s Owner's Name,Address,and Tel.No. f Assessor's Map/Parcel "'v e C,1 1/5 Ins ler's Nam ,Address and Tel.No. p Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms _Lot Size sq.ft. Garbage Grinder(Wd Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date . Number of sheets Revision Date Title Size of Septic Tank /c�7 QQ ��`J�B ��' Type of S.A.S. 2- ^ QQ Description of Soil — f�� q z7,9C t2_ � Nature of Repairs or Alterations(Answer when applicable) lee f z JS Qp � z2zH4 } ew i9N I've&1o, 421a� 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 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of lth. e Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. c2 V Date Issued o 0 —_—----------------------------—-- _- ------ = - —._.— ir...+^+o.,.-,.�y..--,y�;�..,..,n,.ry„y.,e....,rr.ti..—�,..T.. ,.-._., _.`-b,., ;�A,�,Y"4do.�.rWw'r,.,�,�i:iwb�jyJ("},�F'�.�.'�h�?qlr+Koiar..a'+ri+f++..i�.+s",,,,_-,-+.,.--M•:.,.+.- .� >.-......... '--'+ear:-.+.,...ti+°v.:yc^+..a^�i.....:... .r :-.._.�....-9ji No. _ q U I " -_•" Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ioOoo' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes E application for -Misposar Opstem Construction Permit ' Application for a Permit to Construct W Repair( ) Upgrade Abandon complete System Individual Components ( ) ( .) ❑ P Y � p Location Address or Lot No. 6 �'f�e O� Owner's Name,Address,and Tel.No. l— Assessor's Map/Parcel t; e �)1Xe�/ C1.t ,"7 Installer's Name,Address and Tel.No. �0 b c 0 I Designer's Name,Address,and Tel.No.' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder f Other Type of Building 103I eee,(0 No.of Persons Showers( ) Cafeteria( ) Other Fixtures _ Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank l rJ" �%'Q �i�f5 /!lam Type of S.A.S. �C,�Ef,��► `J Description of Soil e Nature of Repairs or Alterations(Answer when applicable) yp• �cC00Il�0& /1e� (f&all -5,4orP 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 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of a lth. e. /q o Date Application Approved by lW Date Application Disapproved by Date for the following reasons Permit No. 2 U/ - 10 5- Date Issued t( .ho ---- ---- ---- -- ---- --.- ,.._ -- - ---- -.------------------------------ - -- --- - -THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO C RTIFY,that the On-site Sewage Disposal system Constructed(Y) Repaired( ) Upgraded( ) Abandoned(// )by D� �/��►c'f / LJ,5��` at 6 419 AVVAf has been constructed in accordance with the provisions of Title 5 and thefor Disposal System Construction Permit No.)0/0-r 0 dated 2 oho Installer Designer Designer t J #bedrooms Approved dje�ign flows 7�/o gpd The issuance of this permit shall not be construed as a guarantee that the system ill fu ctio n as designed. r Date N ! Inspector In.. rQ ---•---------No. 2 U 'd - to Fee ------•---f-----=-_—� __., 5- / S�a THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS �ispsal 6pstem Construction Permit Permission is herebygranted to Construct( r) Repair( ) Upgrade( ) Abandon( ) System located at b z�J wQ/1- and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 permi. Date L/12 l/d Approved by ( T. I box lk TANK O existing O; _ LEACHING -' FIELD DWELLING ' proposed • 'ADDITION . N , ex�etmg � SCREENED qp f PORCH li Iced LEACHING FIELD �, I SENDE,R,: COMPLETE THIS SECTION coMPLETE THIS.SECTION,ON DEVVIFRY to Complete items 1,2,and 3.Also complete A Sig item 4 if Restricted Delivery is desired: ❑Agent s Print your name and address on the reverse X ❑Addressee so that we can return the card to you. P' y B. Receiv �F�y_(Prfnted:N, C.Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is deli�very address differentQrom item 1? ❑Yes 4,1. Article Addressed to: If YEB,enter delivery addresss below: ❑No Ji MAR 15 2007 62yS01 3. C^�ceTyp o 'ILL hkee¢:Mail !015,igMss Mail ❑Registered--:3&Retum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number' r '} s "" r t r r ' t tt TOO6t �810 �DO� 3�524 t8613 f (Transfer from service lebeq c, L PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL'SER�iC: �` Postage&Fees Paid • Sender: Please print your name, address, and ZIP+4 in this box• j I I II a� 4 Town of Barnstable f/ Health Division 200 Main Street Hyannis,MA 02601 S Certified Mail#7006 0810 0000 3524 8813 P,oFTEro Town of Barnstable Regulatory Services + I MtNSrABLE, ' 9 MASS Thomas F. Geiler,Director re4 MAl Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 9, 2007 KC Mitkevicius 47 Clark Street Newton, MA 02459 e NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II— MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 626 Main Street Cotuit, was inspected on March 8, 2007 by Meredith Morgan, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.190 —Hot Water. No hot water available due to water being shut off. The following violations of the Town of Barnstable Code were observed: 1& 70-10—Smoke Detectors and Carbon Monoxide Alarms.No CO detector on ground level of rental. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by providing CO detector on every habitable level of rental and by,providing running water - hot water reaching a minimum of 110°F but not exceeding 130°F. I QAOrder letters\Housing violations\Rental ordinance\626 Main Street.doc You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF HE BOARD OF HEALTH omas A. McKean, R.S., Cl Director of Public Health Town of Barnstable Cc: David Hendrick Cc: Meredith Morgan, Health Inspector Q:\Order letters\Housing violations\Rental ordinance\626 Main Street.doc Certified Mail#0000 o000 0000 0000 0000 Town of Barnstable K Regulatory Services rs�tt�rss�s z,.*: .. p Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 date s� " I city,state,zip NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at j�ra241LC/Qi(A <<ls) IJL was inspected on a/-/�by MW (Address) Health Inspector for the Town (date) (Inspector's name) p of Barnstable, (Reason for inspection) The following violation(s) of the State Sanitary Code were observed: State code violation number-violation description) 105 CMR 410. d _ a 105 CMR 410. 105 CMR 410. 105 CMR 410. QAOrder letters\Housing violations\Rental ordinance\template.doc 105 CMR 4 10. The following violation(s) of the Town of Barnstable Code were observed: Town code violation number-violation description §170-JAD - dh §170 - You are directed to correct the violations listed above within days. of your receipt of this notice by (written#) (#) -- rr C C l� V IJ1 Yy n eN 106+ 0 r OF You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: (Name,tenant,owner,Fire Dept.,Building Dept....) Cc: � (Health inspector's name) (Generic codes located at Q:\Order letters\Housing violations\Rental Ordinance\GENERIC CODES.DOC) Q:\Order letters`.Housing violations\Rental ordinance\template.doc Town of Barnstable of I E Tp "; Regulatory Services I► tiAftCAHL Thomas F. Geiler�Director tt* N�" T;. .� MASS Public Health Division ArF0 Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 8, 2007 Attn: COMM Fire Health Inspector Meredith E. Morgan conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. In accordance.with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 626 Main Street, Cotuit,Assessors Map-Parcel: ( 036-029): Rental property lacking CO detector on ground level. Property currently unoccupied. Meredith E. Morgan -Health Inspector QAOrder letters\Housing violations\Rental ordinance\\Fire Violations\FIRE TEMPLATE;doc FORM30 � HOBBsB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BO D OF HEALTH _ rr��a CITY/TOW N W l� Div o DEPARTMQNT c?100 ��5t, f Adk)oS �^ ADDRESS c / TELEPHONE Address�j ���'� S�° l%l'� `" t"c� Occupant--- � u ME��"� V-1�4 Floor ApartrrI t No. . �_No. of Occupants_ . No. of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units No. Slones "Name and address of owner Wk 0905q . _,__-f''�_i�"��—V��,_1 UPS �"' ��U�C��_I�lv'w �1 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dam ness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: V HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: IN H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: I,Po wlc ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom —Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink 0 Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:. Wash Basin,Shower or Tub: ° Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION JREPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES PE INSPECTOR TITLE 1X�1/��J • DATE TIME �V" I _ A• P.M. THE NEXT SCHEDULED REINSPECTION V" I V Cam' 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potentia to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. III (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. � z Parcel Detail Page 1 of 2 . 91,}A 3.% ;1"AT$',L., a ' t0` Logged In As: Parcel Detail Thursday, Ma Parcel Lookup Parcellnfo Parcel ID 1036-029-001 Developer "- Lot Location 1626 MAIN STREET (COTUIT) Pri Frontage Sec Road Sec -- ------------------- Frontage Village COTUIT Fire District ICOTUIT Sewer Acct I Road Index 10951 .a Interactive ' . Map 5 $ Owner Info Owner I LIND, SUSAN J Co-owner & MITKEVICI KESTUTIS J - Streets 47 CLARK ST Street2 City INEWTON State;A - Zip'02459 Country Land Info Acres 1.00 use(Single Fa m MDL-01 Zoning RF Nghbd :0110 _...... _..... . _ .... __...._.. ..__ _._ _....... _. _............ Topography Level Road Paved utilities'Public Water,Gas,Septic Location Construction Info Building 1 of 1 Year 11900 Roof Gable/Hip Ext Mood Shingl ._-- e Built= Struct Li Wall. Effect _. Roof . ._ ..- .-.. p T pe 1790 A _ne AC Area Cover s p h/F GIs/Cm No Style Conventional waliDrywall Bed Bedrooms Rooms Model Residential Int Bath 2 Full Floor Rooms Heat+ Total Grade(Average Plus Type iHot Water Rooms 7 Rooms http://issql/Intranet/propdata/ParcelDetail.aspx?ID=2332 3/8/2007 Parcel Detail Page 2 of 2 , Heat� Found- stories 2 Stories s Gas Typical y Fuel ation Permit History Issue Date Purpose I.Permit# Amount I Insp Date I Comments Visit History Date Who Purpose 12/14/2005 12:00:00 AM Paul Talbot Meas/Est 6/6/2005 12:00:00 AM Paul Talbot Meas/Est 3/11/1999 12:00:00 AM Frederick Stepanis Meas/Listed 1/15/1989 12:00:00 AM ML - Sales History Line Sale Date Owner Book/Page Sale P 1 4/15/2005 LIND, SUSAN J 19729/094 2 8/15/1987 T0131O, FREDERICK& BERNICE 5882/191 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2007 $184,200 $0 $4,600 $359,500 2 2006 $145,500 $0 $5,000 $323,000 ; 3 2005 $135,500 $0 $5,900 $170,000 4 2004 $110,300 $0 $5,900 $170,000 5 2003 $95,600 $0 $5,900 $110,000 6 2002 $95,600 $0 $5,900 $110,000 7 2001 $95,600 $0 $5,900 $110,000 8 2000 $63,300 $0 $6,500 $70,000 9 1999 $60,400 $0 $4,100 $70,000 ; 10 1998 $60,400 $0 $4,100 $70,000 11 1997 $52,900 $0 $0 . $60,000 Photos http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=2332 3/8/2007 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION FMRECEIVED AY 5 200 2 4 TITLE 5 TOW EALTH DEPT. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 626 Main Street Cotuit MAP �3 Owner's Name: Fred Tobio Owner's Address: PARCEL �1® ` ()7 Date of Inspection: 5n12004 Name of Inspector. (please print) Patrick T. Sullivan Company Name: Ready Rooter Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 CERTIFICATION STATEMENT 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: Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: Date: �fT v l 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. Notes and Comments ****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 fixture under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5/7/2004 Inspection Summary:Check A,B,C,D or E/ALWAYS complete all of Section D C. System Passes: Zave 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: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by�he Board of Health,will pass. Answer es no or not determined J yes, (Y,N,ND)in the for the following statements.If"not determined"please explain. I/ f The septic tank is metal and over 20 years old*or the septic tank(*hether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is/fmminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved bythe Board of Health. *A metal septic tank will pass inspection if it is structurally sound,Dot leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. r ND explain: f' 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 pipes)are replaced obstruction is removed distribution box is leveled or replaced ND explain: 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): r' broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5/7/2004 C. Further Evaluation is Required by the Board of Health: I Conditions exist which require further evaluation by the Boar�6f Health in order to determine if the system is failing to protect public health,safety or the environment. f 1. System will pass unless Board of Health dete±water ccordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner whicht public health,safety and the environment: _Cesspool or privy is within 50 feet of a _Cesspool or privy is within 50 feet of ordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)ermines 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 coliform bacteria and volatile organic compounds indicates that the.well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen isjequal 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. !p 3' r`• J 3. Other: F f}d F f Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5/7/2004 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _iZ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _1Z 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow 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. _ _:Z 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 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 system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] K�) (Yes/No)The system fails. I have determined that one or more of the above 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 d ign flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the crite � above) 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 ce drinking water supply the system is located in a nitrogen sensiti (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question i ection E the system is considered a significant threat,or answered "yes"in Section D above the large system failed.The owner or operator of any large system considered a significant threat under Section E or fail under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should con ct the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5/7/2004 Check if the following have been done. You mast indicate"yes"or"no"as to each of the following: Yes No _ Pumping information was provided by the "S 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? _ sef 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? ,Z— Was the facility owner(and occupants if different than 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: Yes No 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 CUR 15.302(3)(b)] h Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5M2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Lj Number of bedrooms(actual): _ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no):Yr 5 Is laundry on a separate sewage system(yes or no):Qo[if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no):±jq Water meter readings,if available(last 2 years usage(gpd)): a<=Ena' 3 Fes,�p•Z:4 Sump Pump(yes or no): A Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes/stem Non-sanitary waste discharged to the Titleyes or no):— Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: r z, t i` -t 4 Was system pumped as part of the inspection(yes or no):X,=S If yes,volume pumped:gallons--How was quantity pumped determined? Reason for pumping: ('V �.—t�,,.�,� �a�...,,,�i ,4rIZ 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) —Tight tank -_Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(' kno )and source of information: :;� �.� tiJ� ..►i lr- �c su 1, ��c o r .5 r�� Were sewage odors detected when arriving at the site(yes or no):AaL::> Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5/7/2004 BUILDING SEWER(locate on site plan) Depth below grade: 1 17-r-. Materials of construction:_cast iron�0 PVC_,other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction:concrete_metal_fiberglass_polyethylene other(explain) if tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: i©` &" Sludge depth: t Q Distance from the top of sludge to bottom of outlet tee or baffle: Scum thickness: S" ass• Distance from top of scum to top of outlet tee or baffle: 'z?" Distance from bottom of scum to bottom of outlet tee or baffle: — — How were dimensions determined: _:��� Continents(on pumping recemrneudations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7Ceas Ly4ts� CR 1ESL1C 1 J/� c"�e3�Ce'y \u�Y+�`�p qjgi -7- .� fl C-s P..sw.x-cA GREASE TRAP:_(locate on-site plan) Depth below grade:_ Material of construction:_concrete metal ass_polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet t r�te( affle: Distance from bottom of scum to bottom o outle or baffle: Date of last pumping: Comments(on pumping recommen ors,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence leakage,etc.): j M Page 8 of 11 OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 626 Main Street Cotuit Owner: Fred.Tobio Date of Inspection: 5/7/2004 TIGHT or HOLDING TANK: (tank must be pumped at time of in n)(locate on site plan) t Depth below grade: Material of construction; concrete_metal fiberglass yethylene other(explain): Dimensions: Capacity: gallons Design Flow: :order Alarm present(yes or no): Alarmlevel: Alarm in working s or no): Date of last pumping: Comments(condition of alarm and float sches,etc.): DISTRIBUTION BOX:_�L(ifpresent must be opened)(locate on site plan) Depth of liquid level above outlet invert:.A:=C Comments(not 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 or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, dition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5n12004 SOIL ABSORPTION SYSTEM(SAS):- locate on site plan,excavation not required) If SAS not located explain why: Type .�Zleaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: 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.): o . �� NA = r CESSPOOLS: (cesspool must be pumped as part of ins -on)(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): Comments(note condition of soil, s 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/f— ure, evel of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5/7/2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. 0 � 33 /�rI tt .1 0 O r 0 f • Page 11 of 11 OFFICIAL INSPECTION FORM•-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 626 Main Street Cotuit Owner: Fred Tobio Date of Inspection: 5n12004 SITE EXAM Slope Surface water Check cellars/ Shallow wells Estimated depth to ground water>1 Q feet Please indicate(check)all methods used to determine the high ground water elevation: —�,,/bbtained from system design plans on record—If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the local Board of Health-explain: Checked with local excavators,installers-(attach documentation) _Accessed USGS database-explain: You must descn"be how you established the high ground water elevation: -45 C f ' TOWN OF BARNSTABLE L0gkTION Ate,di 4 C. SEWAGE # e VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO. OF BEDROOMS— OR PUBLIC WATER BUILDER OR OWNER . n7 ' 3. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED:-.Wgmm� No ./ CA Q IL No..4F.2:"r!r Fxs.....21.(p.......... THE COMMONWEALTH OF MASSACHUSETTS UAp ` BOARD Off" HEALTH � PARC cw`. oF. EL t 0 0c� a Applir�a#iun for Bhipmal parks Tonstrurtion rruti#~ - Application is hereby made for a Permit to Construct ( ) or Repair ><) an Individual Sewage Disposal System at: ......:�. v im:. -..�� ................ ...........................................• ......----•-......•••..._.....------•...-- ®®�� Lo tion-A res Q or Lot No. l`�4�`ite4'4!CY'. ..[. ....................... ............................... ...... ^'..------- ner d s .... ...... ..... W Of M Installer Address d Type of Building �,,/' Size Lot..Vo 0'0 8_..._..Sq. feet Dwelling kWo. of Bedrooms-__--I..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow.._._..._.__.--•--•----_------. .............gallons. 1:4 Septic Tanker Liquid capacity)-00.0gallons Length................ Width................ Diameter---------------- Depth................ xDisposal Trench—No. .................... Width.................... Total Length.__..._....•...... Total leaching area....................sq. ft. Seepage Pit No.f AZ-__--- Diameter.f�:l.1-0...__ Depth below inlet...(.............. Total leaching area..................sq. ft. z Other Distribution box (,y) Dosing tank ( ) '~ Percolation Test Results Performed by.......................................................................... Date./.................................... Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Water........................ ODescription of Soil------ ®►' ..................•---••-----•-•-----------------...---------•---.-----------------.........--••--. x W ................... --- -----------------------------------------------------------=-------------- -----A----� -------- - U Nat of Re ai s or Alterations—Answer w ri li ble.__ _ _____�'�.. o... . . U P P d1- "' 1Ot?... �J - � .....� . -- ------•----------•-• ln' ent: •---•---••.•-••-••-•--•----••.•..._.......•-- fl' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTLv ;of the State Sanitary Code— The undersigned further agrees not to place the system in operation until`a,Certificate of Compliance has been issued y the b and o health. Signed..lr[F�r �" ............. .......•-••-••••-----•-------- Date Application Approved By.............b'C... .. .. ..4.a.�.-..._:.-c..r................ .........1.Q-,-.� " � J Date Application Disapproved for the following reasons-------------------•----------------•----•-----------•-----•---•----------------•------------------------•------- ----------------------------------•--------•---------------•------------------------------•---...........---•-•--•---.........-------------•----------------------•------•----------••-••---•---•-•----- G Date Permit No....... -.7 -�--- ..6?6 ................ Issued_....................................................... Date No._,�5...7� � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... ..................OF......................................-----• ..................................... Appliratiou for Di ipasal Works Tomitrurtiott rrmtit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: u-cit. .. .. . .... ...�= '..............•------••-------•-- --...--•--•--........_.....------....---........-----------------•------------............---•-•-• L ation•. dyes s or Lot No. Ad e rer ss -- --• ---- a ----•---------------------•--------------- ... --- •• � f installer Address ( Type of Building Size Lot_V......(,....O...•-••-----Sq. feet Dwelling I-No. of Bedrooms_._....................................Expansion Attic ( ) Garbage Grinder ( } aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -------------------------------- - W Design Flow........................................................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic TankA- Liquid capacity/'�'0-0.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—NTo. -------------------- Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No./j�-_Z....... Diameter(,.?$../_Q____. Depth below inlet..Jc.............. Total leaching area..................sq. ft. Z Other Distribution box (A/) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date" . Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- O xDescription of Soil..... - ......--•-----------------------•----------------...__.... •-•---.-----• -•-------•-------•---......._..._.. W -------------------------------------------------------------------•---...-------------------------- ...................R U Nat of ReJ . pairs or Alterations—Answer w en ppli ble____. _ .C�:.f�__._ :.... /_ Dv.... • #' .....� ----=� -- ----•-....-••-------•------•-•--•-------------•--•------•------•--•- 1gr eement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with, the provisions of T? _.-E '51 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y the board oj health. Signed.. 1 D� Date Application Approved By............. 'G'�^-� � f, v. :..c y-----------•-•------------- ----•-• f —-D te Application Disapproved for the following reasons:---•---•---------•------......••----------------••-••---•--------•-------••--------------••----•--------=----- ._..-•------------------------•-------------•-•---------------------------•------•--------------------...._...-•---------------•-----------••--•---------•------•--------•------•----••......•----------- Date PermitNo....... ................. issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 (9rrtifirate of ( ompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (k_) by......................a,Q.-_---------r-,11-C. .---------------...----------------------------------------..........----------------------------------------------------------.... Installer at-----------• �% �� ��• �.�n= 3 704 ---------------.............................................------- has been installed in accordance with the provisions of TIT E j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...0...._....C---3-.Z-2........ dated-..--------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................1.0. --- &2............................. Inspector.............. .................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ...OF........... , :7................................. �i��r�a��t1 �rk� ��att�tr�rti�n rrmit Permission is hereby granted............cXl-.------1111�4_._iLlr-------••-----------•--------------------------------------------------------------- to Construct ( ) or Repair (,\<) an Individual Sewage System N o at Street as shown on the application for Disposal Works Construction Permit NoOZ, &k. Dated.......................................... Board of Health DATE------- ------------------------------------ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWN OF BARNSTABLE LOCATION SEWAGE # a VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. �'�"'' �b S SEPTIC TANK CAPACITY /6-6 614 LEACHING FACILITY:(type ize) NO..OF BEDROOMS— OR PUBLIC WATER BUILDER OR_OWNERI . a DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 16 VARIANCE GRANTED: .lifiess No 1-11 a r I EXISTING 2 STORY HOUSE PROPOSED ADDITION N Z m aob O N p Q z m IN THIS EXISTING AREA: mX an 'I REMO E EXIST.KOOP LL Z a .:.:.. AND IX15T.WALLS r: R¢PNCE•.V/NEW(8 'TAUQRDO' O Q O 41 WALLS,CEN>IG AND ROOF _ [Z- DOST.G'-O'+/- JQy k U BUILT M T tV TOO aEMAIN BUILT IN LL g Z N 7 1 LSTA24 I GAS INSERT F X UP' — -STRAP TO BRIOG¢PROAi FIREPLACE I. -1 UI D W O\E FIAT¢TO ANGTMER I SK W O m I I 1 b F a Q EQUAL I. 5'-O'. EQUAL «Ishng R. ENBURE_2)$TU09' BATH REM To Arra.N nOLD DauN ry DRJLL a GROUt®'PX15T.END. I Y. row Q LIVING ROOM O I P STONE PATIO N ALIGN 1 new I 12'x B' z ——— — — — I-- ) j FAMILY/DINING © z °�� Iv Ir-r.zr-r �' 3 o DN i, i 1 .p lV I a vA ulted clog. 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CANTILEVERED PLOOR ABOVE/�' ! -ti• e "� lL W ®2a•M u.l 1 Ili.910p� `--------/ NC.V B'TrICK a4'0•MIGM POURED 1 •yy /4 H NOTE FIELD ADJUST TOP OP NEW MID.WALL CONCRETE FOUNDATION WALL ON 8'.19 1 U 1 TO PW5M TOP OP NEW PLOOK WI IX15TING OONTINUOU5 CONCRETE FOOTING 4�fS- I PROVIDE AROUND NEW POUNDATION WALL PERIMETERS '6� ✓- S/8'GALV'D ANCHOR BOLTS®NIA%.48'O.G.a G' 2'PROMS i� S'•ac SC/Lti`..�1�. DATE: 04/12/2009 END OP PLATES,U5E 343'"m PLATE'WASMER5 EN I BOLT EMBTMENT MIN.T• _ t OK SIMPSON MA5 MUMU.ANCMORES®32 O.C. �, '� � .✓:"�/ SCALE: AS NOTED FOUNDATION PLAN DRAWING#: I - EXISTING WALLS ---------------------J � !'� MIn.VWAUz Al - 3 N N O I'- 'm QZ um,WINDOW&EXTERIOR DOOR SCHEDULE W m 0 N o KEY ROUGH OPENING W x H ITEM# STYLE' MATERIAL N Z a g '. Z w H I - O 2'-23/4'xW-113/4' 2559 PELLA PROLINE 414 DOUBLE-HUNG WINDOW WHITE ALUMINUM CLAD Z.7_ © 4'413/4"x 4'-113/4" 5969 PELLA PROLINE FIXEDWINOOW WHITE ALUMINUM CLAD a J W FO 4 Q U C 11'-87/8"x 6'-10" 14182 PEW DESIGNER SERIES SLIDING FRENCH DOOR WHITE ALUMINUM CLAD NOTE:ALL PROLNE OH WINDOWS TO HAVE GRILLES-BETWEEN-THE-GLASS 8 SIMULATED DIVIDED LIGHT MUNTIN PATTERN - O N j m W Es U Q ® ® ® lID.V ASPMAL ROOP SHIIJGIPS 12 TO MATCH IX1.5TING } ALL NEW TRIM DETAIL$TO MATCH EXISTING Z CARIES:i. }j RAKE TRIM ON xG RARE BOARD Q NAIAI L TO R.RAPTEP. W OUT 14 2' ' ALL ABOVEVE ATTACHED TOO ROOP SHEATHING TO PLATE®ADDITION . ® ® ® ® WHITECEDAR E9 IXPOSUR MATTE TO MATCH MIST.-TYP. ® ® ® ® D❑❑D x5 CORNER BD,OR MIATCH IXLSTING IXISTINGMEW PIRST P1AOP. IXISTING DOOR TO REMAIN NE"PE Lk 011/PIC Un lVll1DOW5 IN PULL HEIGNT WOOD PRAMS DAY RIGHT SIDE ELEVATION - SOUTH o LL W t� ® ® 8 12 ® ® ® ® � Z ASPY.AL Roof SHINGLE5 W ® ®1 r - TO MATCH IXISTING ALL NEW TRIM DETAILS TO MATCH IXLSTING s N 1.GABLESLu I RAKE TRIM ON I.Q RARE BOARD NAIL TO 2x6 R. ED BUILT OUT a ALL ABOVE ATTACHED TO ZOO?SHGTKINHING T.O PLATE®ADDITION In - u z s Z O I.5 CORNER BD.OR KLATCH IXLSTING O ® ® ® ® _ = L r MTE C' UPIO5URED TO MHATCHH 00ST.-TYP. a > IXISTINGNEW FIRST IN a. b W NC.V PELLA PRENCH DOOR W/ REINSTALL IXIST.OVTDOOR SHOVER �lyly'�yL:Y���d�- F TRIM TO MATCH IXISTING `•0&^IL,O�,'�.v%�. W lL 0 M f REAR ELEVATION- EAST LEFT SIDE ELEVATION -NORTH % ARK;4. �; '� a IT/I�L I`:�. ji' �'1 / DATE: 04/12/2010 I C,I lab SCALE: AS NOTED DRAWING sa - A2 - 3 El❑ z c,0 MEEBM u1� El❑ m W= N 1 (p j l=III-U. p m O G Z —1 c na na NI m 8 ' ll—Ijl Z A N u o r \ n z i IITIL� > (n �; 0 n. is RD n G Fr m o m m �s z = Ip � � s c z n=11EII JT I II ®oug6 DDT,a N�;iS6 O o II � h II T' o II q IT, D II Z o I I 0 03 II z m r cZ z�08 II O X. N COp A N O u o ss o 2 O O G �� II 0 q ®®^ II N ^o I I — V15T.DH vnuoows TO M.NN O m — — a rZ I W N o �IIFII 0 . C� 2 I N FEI Nam_ Imi9 z o z Cn G ll_ o : Z P K m T m w� O " m Z A - o 0 6 \ \\\\ \\ n Ili _ li O N N j 12yy )1 d•x a• L I:Q: Yti • 1� O o n b m HEADE � O T o Z -n 0 >> D i I I a-o' z 1 m OE I y m O r QO g 1 314"x 11 1/4"LVL RIDGE BOARD '7'I - cn �g 4W D N g o m ZiO �J o i e' Z \ U C " s )v _ r p I v m O O 32x12HEADE BELOW n X LI—L g °c ill' P g Li ya D D O O g Do 3 NEW 2.10 ROOF RAFTERS @ 16"O.C. =o D � s " �m o° £aim zzygF «a OC 5a. N~ 5 ND n ® <y yX� 2 cm^off 6 y c tn��nL" � O O _ 9 F.�1w wG; .0 - f 41 oO 2A= g so `' 91 0 r T 1�. ® .D PRO ECT: family room addition at the - REVISIONS: DRAWN BY: 1 - m (508)4284219 m MITKEVICIUS RESIDENCE FA. (508)428-4295 I 'o � y A o 626 MAIN ST., COTUIT,MA - A I1 M G TITLE: ARCHITECTURAL INNOVATIONS A DIVISION OFAI ENTERPRISES.INC. w SECTIONS/ROOF FRAMING&SECOND FLOOR PLAN P.O.BOX 2056,COTU[T.MA 02635