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0110 OCEAN VIEW AVENUE - Health
110 Oce-.View Avenue, Cotuit ry f t a� r i 'i f Commonwealth of Massachusetts Title 5 Official Inspection Fo- rn o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . w 110 Ocean View Av Property Address Gary Bruno " . Owner Owner's Name information is Cotuit MA 02635 Jul 14, 2012 required far Y every page. City/Town State Zip Code Date of Inspection 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 filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name 189 Cammett Road Company Address Marstons Mills - MA 02648 fe"O/ City/Town State Zip Code 508-428-1779 S 1 12855 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 Eval action by the Local Approving Authority - July 14, 2012 Job# 12-110 I ector's Signal ure 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 �i� V Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System.Form - Not for Voluntary Assessments 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is required for Cotuit MA 02635 July'14, 2012 every page. Cityrrown 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: Cesspool and overflow pit were empty at time of inspection. y 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. 41, 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection F®rm ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is it MA 02635 July required for Cotuly 14, 2012 �'^ every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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) of 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 tires'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: r ❑ 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•11/10 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 a ° 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is Cotuit MA 02635 July 14, 2012 required for every 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. - . I - . ❑ 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 day flow 15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 i Commonwealth of Massachusetts Title 5' Official Inspection Form 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 110 Ocean View,AV Property Address Gary Bruno Owner Owner's Name information is Cotuit MA 02635 Jul 14, 2012 required for y every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Yes No y ❑ ® 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 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 a ❑ ❑ 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 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is Cotuit MA 02635 Jul 14, 2012 required for y every 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): Unknown Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5' Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments yr 110 Ocean View Av M r Property Address Gary Bruno Owner Owners Name information is required for Cotuit MA 02635 July 14, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings,•if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Unknown 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: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 C , r Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments yt 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is Cotuit MA 02635 Jul 14, 2012 required for _ y every page. Citylrown. State Zip Code Date of Inspection D. System Information (cont.) t. : Last date of occupancy/use; bate Other(describe below): r General Information Pumping Records: Source of information: Main cesspool was pumped May 2008 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) ❑'i 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 f ❑ Tight tank. Attach a copy of the DEP_approval. , r ❑ Other(describe): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is required for Cotuit MA 02635 July 14, 2012 every 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: UNknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 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.): Septic Tank(locate on site plan): Depth below grade: f feet Material of construction: '®concrete ❑ metal ❑ fiberglass ' ❑ polyethylene ❑ other(explain) 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-.11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts • ` = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is required for Cotuit MA 02635 July 14, 2012 every page. City/town 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 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 How were dimensions determined? 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 Y❑ 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 - t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Yf , Commonwealth of Massachusetts Title 5' Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is required for Cotuit MA 02635 July.14, 2012 ,R every page. Cityrrown 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: w Material of construction: t { ❑ 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-11/10 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 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is Cotuit MA '02635 -Jul 14, 2012 required for y every page. Cityrrown 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 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: °. . s y , t5ins•11/10 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 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is Cotuit MA 02635 Jul 14, 2012 required for y every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: �. ❑ leaching pits number: ' 9 ❑ leaching chambers number: Y ❑ leaching.galleries ' number: ❑ leaching trenches number, length: ❑ leaching fields} number,'dimensions: ® overflow cesspool number: One 6x6 pit ❑ 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.): Pit was empty with no evidence of surcharge. " e N Cesspools(cesspool must'be pumped as part of inspection) (locate on site plan): Number and configuration One with overflow pit Depth—top of liquid to inlet invert 0.. Depth of solids layer Depth of scum layer i 6x6 Dimensions of cesspool Materials of construction' Block Indication of groundwater inflow ❑ Yes ® No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Y Y , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 110 Ocean View Av Property Address Gary Bruno Owner Owners Name information is required for Cotuit MA 02635 July 14, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cony) Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation„ etc.): Cesspool was empty at time of inspection, overflow tee was in place and showed no signs of surcharge. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure,aevel of ponding, condition of vegetation, etc.): r f � i • l5ins<11110 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 110 Ocean View Av Property Address Gary Bruno Owner --------__:_._--._....---------------- Owner's Name i information is Cotuit MA 02635 Jul 14, 2012 required for __- -__ y every 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 ❑ drawina attached separately ` \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ Back \ \ \ \ \ \ \ \ \ \ 3 33 40 37 s. Commonwealth of Massachusetts Tide 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 110 Ocean View Av Property Address Gary Bruno Owner Owner's Name information is Cotuit MA 02635 Jul 14, 2012 required for y every 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 r T If checked, date of design plan reviewed: 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: , USGS topo map and town GIS. You must describe how you established the high ground water elevation: Topo map shows property above el. 30 and water is at el. 0. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Mns•11/10• Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 110 Ocean View Av r Property Address Gary Bruno y ' Owner Owner's Name + information is required for Cotuit MA 02635 July 14, 2012 every page. Cityrrown 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 y 9 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Health Master Detail Page 1 of 1 s~ �rR g r tit .. . a� €t, 1 Master i,�eta,' lU Clay, ou up Parcel: 0 4-'05 ' Location: 110 OCEAN VIEW AVENUE, COTUIT Owner: BRUNO, GARY A Business name:' Business phone: Rental property: Deed restricted Number of bedrooms Contaminant released: F Fuel storage tank permit: l ' ' Saue Parcel hanges Return to Lookup C Parcel Info Parcel ID: 034-050 Developer lot: I...OTS 2 & 13A Location: 110 OCEAN VIEW AVENUE Primary frontage: 125 Secondary road: Secondary frontage: Village:C:OTUIT Fire district:COTUIT Sewer acct: Road index: 1136 25 Asbuilt Septic Scan: 034050 1 Interactive map: Town zone of contribution:AP (Aquifer Protectio vcriay•Dist.rict:) State zone of contribution:OUT Owner Info Owner: BRUNO, GARY A �� 3)o — Co-Owner: Streets:699 HAMMOND ST Street2: City: BROOKLINE State:MA Zip: 02467 Cc Deed date: 11/10/1997 Deed reference: 11055/103 Land Info Acres: 0.47 Use: Single Fare MDL-01 Zoning: RF Neighborhood: 0 Topography: l...evel Road: Paved Utilities: Public Water,Gas,Septic Location: csssracic�r info r:;.;:( : ., . ;� �,€a; ics....f. ,�., 1 11860 11570 Bedroom 2 Full + 1H Buildings value:$173,200.00 Extra features: �2,600.00 Land value: 1S,1,044,600.00 t http://issql/intranet/healthMaster/HealthMasterDetail.aspx?ID=034050 7/1/2008 in o E Regulatory Services ram, � :. Thomas F. Geiler, Director : Public Health Division t x BARNSeABLE, 9 MASS. �, Thomas McKean,Director ?t€41 i639. a`� 200 Main Street prED MA'S Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 1, 2008 Gary A Bruno 699 Hammond Street Brookline, MA 02467 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 110 Ocean View, Cotuit. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at wa-NN,.town.barn stable.m- a.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many,as you need, and return them to the Health Division with the appropriate 2008 fees included.- Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your coop e tion. Timothy k 'Connell Health Inspector Health Division Direct#508-862-4646 it Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 1 of 3 r RRNLINGmAc Home > Property list>> Property Owners,)) Gape Oad r> Links>n Homes far Sale>> OV Vacation Rentals Property Search >> Office Locations » Pdlicies$o About» Contact» eNews>> Property Details TBRUN 110 Ocean View Avenue, Barnstable-Cotuit — r { �`•�. Beautifully maintained home less than a half mile from Riley's Beach and Loop Beach. This newly refurbished home is bright and clean with nice hardwood floors and offers central air conditioning. The first floor has a I ti wonderful re-designed kitchen with high ceilings, formal dining room, comfortable living room, one bedroom, a full -- a `u -- bath and laundry. The second floor has two bedrooms and a full bath. There is a great farmers porch in front, a large deck in back, an outdoor shower and a well- manicured yard. GUESTS BEDS BEDROOMS BATHS RATES 2 Queen Bed(s) $4000 6 2 Double/Full Bed(s) 3 2 high season 1 Single/Twin Bed(s) week send inquiry Calendar July, 2008 IM Reserve Online Now —July 2008 August 2008 Reserving.online is fast, easy, and S M T W T F S secure. The calendar on the left 29 30 1 1 2 3 4 5 I S M I T W T F S shows the days that this property is . 6 7 8 9 10 11 12 127 28 29 30 31 1 2 currently available as blue on white, 3 4 5 6 7 8 9 1 and days that are not available as 13 14 15 16 17 18 19 110 11 12 13, 14 15 161 gray. To make a reservation for 20 21 22 23 24 25 26 17 18 19 20 21 22 23 this property now, select an available 24 25 26 27 28 29 30 arrival date for the first nightour 27 28 29 30 31 1 Z ( 31 1 2 3 4 5 6 of y 6 7 8 9 1. stay by clicking on the calendar on the left. PLEASE NOTE: All properties are available Saturday to Saturday with a 7 night minimum unless otherwised noted. First Night Last Night http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=5891 7/l/2008 Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 2 of 3 Town Barnstable- Cotuit Pictures r n r f1 , I _ s (click picture to enlarge) (click picture to enlarge) od (click picture to enlarge) (click picture to enlarge) E W (click picture to enlarge) (click picture to enlarge) http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=5891 7/1/2008 r � Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 3 of 3 [I {F f t— Z� A} - '�'` — w t r A t f ,; a 1, maw,LI (click picture to enlarge) (click picture to enlarge) Amenities Business Entertainment Outdoor Convenience • Answering Machine • VCR • Outdoor Furniture • Linens Provided Living • CD Player • Grill(Gas) • Clothes Washer • Heat • Radio • Outdoor Shower • Dryer • Central air • Stereo (Warm) • Vacuum • Color TV • Beach Chairs • Cleaning Supplies • Cable Channels • Deck • Iron(Clothing) • DVD Player • Farmers Porch • Iron Board Kitchen • Close to Beach • Dish Washer • Microwave • Electric Coffee Pot • Toaster • Blender • Convection Oven (�COPYRIGHT 2004 GMAC HOME SERVICES LEGAL ee PRIVACY':: ASSOCIATES ONLY EQUAL HOUSING OPPORTUNITY Information Policy Site Usage Agreement © 1999-2007 Escapia, Inc. 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Mashpee Vacation Rentals I_Orleans Vacation Rentals I Provincetown Vacation Rentals I Sandwich Vacation Rentals I Wellfleet Vacation Rentals I Yarmouth Vacation Rentals I Truro Vacation Rentals Disclaimer: All information deemed reliable but not guaranteed.All properties are subject to prior sale or rental,change or withdrawal. Listing broker(s)and information provider(s)shall not be responsible for any typographical errors,misinformation,or misprints and shall be held totally harmless. http://wWw.vacationcapecod.con/viewproperty.aspx?PropertyID=5891 7/1/2008 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS _ DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON, NIA 02108 617.292.5500 WILLI.�kNi F tA ELD TRI,Dl CC Go�cmor 'c " ARGEO PALL CELLLICCI D.A ID 6 STRI Lt.Govemor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Comm:SS,C PART A CERTIFICATION QceAN V tew Ave- Property Address: 110 rc}c eTr 4-ew—Ave CotuitrMas9kc1dress of Owner: Dale. of Inspection: 1 0/8/9 7 (If different) Name of Inspector: ,Tc,GPph P Macomber Jr. I am a'DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15,000) Company Name: J.P.-Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass _ 02632 Telephone Number: 1 _SO�775-33�5 CERTIFICATION STATEMENT I cenify that I have personally inspected the sewage disposal system at this address and that the information reported below is uue, accuralr and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper iunci.on and maintenance of on-site sewage disposal systems. The system: asses Conditionally Passes Needs Further Evaluation By the local Approving Authority Fails 7 Inspector's Signature: Date: 1,4 L The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing ih,s 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 suom,l the repon to the appropriate regional office of the Department of Environmental Protection. The original should be sent to rt,e system ow•n. and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 1 5 30: _ Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The sy5te,7. upc completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain wnv not 4/S46�i The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection, the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tan failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic :an. as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on lne World Wide WeD. http1twww.magnet.itale ma us/oep Printed on Recyoed Paper r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Properly address: 1 10 Oceanview Ave Cotuit,Mass . O"ner: Kruskall Date of Inspection: 1 0/8/97 B) SYSTEM CONDITIONALLY PASSES (continued) 4,Ke, Sewage backup or breakout or high static water level observed in the distribution box is due to broken or otDs:rucl.ec pipe(s) or due to a broken, sertled or uneven distribution box. The system will pass inspection if (with approval of (me Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than (our times a year due to broken or obstructed pipe(s) The system wit! ;,ass inspection if (with approval of the Board of Healthy broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: VO Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to pro,ect :ne public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A .titiANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE). DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water suppls or tributary to a surface water supply. � The system has a septic tank and soil absorption system and the SAS is within a Zone I o( a public water supply welt The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supoly well The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more irom a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds nd,cates tna: the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equa! to or less than 5 ppm. Method used to determine distance (approximation not valid) 3) OTHER Ir•v1••d 0�/7S/97) Y•9. 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR.ti1 PART A CERTIFICATION (continued) Property Address:1 10 Oceanview Ave Cotuit Ma OY 635 Owner: Kruskall Date of Inspection: 1 0/8/9 7 D) SYSTEM FAILS: You must indicate e,. er "Yes" or "No" as to each of the following I have determined that the system violates one or more of the following failure criteria as defined in 310 CmR 15 3.0 ne for this determination is identified below. The Board of Health should be contaaed to determine what well be necessary to .on the failure. Yes No Backup of sewage into facility or system component due to an 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 ctogge' Sa.S c cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged 5,�\S or cesspoo' Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flog Required pumping more than 4 times in the last year NOT due to clogged or obstructed p1pe(s) Number of times pumped _. Any ponion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water s pot. Any ponion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any ponion of a cesspool or privy is less than 100 feet but greater than 50 (eel from a private water supply met- t� acceptable water quarry analysis If the well has been analyzed to be acceptable, anach cony of well wale! anaivs,s coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen E) LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the (ollowing: The following criteria apply to large systems in addition to the criteria above. The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a s�gnifican: tnreat to public health and safety and the environment because one or more of the following conditions exist Yes No the system is within 400 feet of a surface drinking water supply &4 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 Area • IWPA) or a mapped Zone 1, o, a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment Drc'g!a requirements of 314 CMR 5.00 and 6.00 Please consult the local regional office of the Department for further informat,on lr.v1..d of 10 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1 1 0 Oceanview Ave Cotuit Ma Owner: Kruskall Date of Inspection: 1 0/8/9 7 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _yam Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal now rates during that period. Large volumes of water have not been introduced into the system recently or as pan of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components, eluding the Soil Absorption System, have been located on the site. _41 The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum The sire and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance o Sub-Surface Disposal System. Existing information. Ex. Plan at B.O H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is unacceptable) (t 5.302(3)(b)) (r•vljod 04/25/97) P•p• 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Properly Address1 10 Oceanview Ave Cotuit Ma Owner: Kruskall Date of Inspection: 1 0/8/97 FLOW CONDITIONS RESIDENTIAL: Design flow:�.p.d./bedroom for S.A.S. Number of bedrooms: Number of current residents: 0 Garbage grinder (yes or no):—" Q�(�5 G n O 3-�/ Laundry connected to system (yes or no):_)�rl_t Seasonal use (yes or no):r'5 CY�Q a(�U�1 S (r t P rJ �� Water meter readings, if available (last two (2) year usage (gpd): I�(O S�. G , Sump Pump (yes or no): 4/0 "Due �— ,Qa� Las( date of occupanc)': 14& COMMERCIAUINDUSTRIAL: Type of establishment A Design (low: 4�4 gallons/day Grease trap present: (yes or no)� Industrial Waste Holding Tank present: (yes or no)—&4 Non-sanitary waste discharged to the Title 5 system: (yes or no) ,/Jib Water meter readings, if avail le:A4 Last date of occupancv:1f_L OTHER: (Describe) last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of tnspeciton: (yes or no)_ , If yes, volume pumped: �"-� gal ons Reason for pumping z�TYPE OF OF SYSTEM I1Ae Septic tank/distribution box/soil absorption system / Single cesspool Overflow cesspool ,IJd Privy _wt Shared system (yes or no) (if yes, attach previous inspection records, if any) Vl�- I/A Technology etc. Copy of up to date contract Other AP OXI" TE AGE of all components, date installed (if known) and source of information: —fib y `S Sewage odors detected when arriving at the site: (yes or no) (r•vi..d 5 of 10 SUBSURFACE SEWACE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addre5s:1 10 Oceanview ave Cotuit Ma owner: Kruskall Date of Inspection: 1 0/8/97 BUILDING SEWER: ;Loca(e on site plan) Depth beloN grade Material of construction cast iron _ 40 PVC _ other (explain) iAn Distance Irom private wafer supply well or suction line t199- Diameter '�/ v Comments: (condition of Joints, veining, evidence of leakage, etc.) ` l y e 2 a �s u�rr f�e?✓t�P' SEPTIC TANK:�,t' (jocate on site plan) Depth below grade:-Azd Material of consuuctionA!Aconcrete metal e#iberglass.-VAPoI yet hylene.t//other(expIain) nJYt ii tank is metal, list age Z-'* Is age confirmed by Cenificate of Compliance,4,/�(Yes/No) Dimensions 1A Sludge depth. Aj 4- Distance from top of sludge to bonom of outlet lee or baffler Scum thickness 1(/A Distance from top of scum to top of outlet tee or baffler Distance from bonom of scum to bonom of outlet tee or baffle How dimensions were determined: A� Comments irecommenda(ion for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, struoural -ntegriry, evidence of leakage, etc.) CREASE TRAP: ",tAe— Uoute on site plan) Dep h below grade _g&117 Material of cons(ruc9,onA/*concretertl4 metal V4Fiberglass Vg Polye(hylene V.Iother(explain) Dimensions: Scum thickness. Distance from top of scum to top of outlet tee or baffle:�L Distance from bonom of scum to bonom of outlet tee or baffler Dale of last pumping. &jL- Comments trecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structura: integnry, evidence of leakage, etc.) (r.v1...d 04/25/97) P.9. 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1 1 O Oceanview Ave Cotuit ma Owner: Kruskall Date of Inspection: 1 0/8/97 TIGHT OR HOLDING TANKXWe-Dank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: 4/4 Material of con structionNA concretetif metal ynFiberglasslov)tPoI yet hyleneg/,fother(explain) r1r / e,, 7 4,V S 4,-& 4-tr A'sX✓C/L'T Dimensions: AIA Capacity: ,I//)L gallons Design flow: gallons/day Alarm level: Alarm in working order&*Yes;gfi9 No Date of previous pumping: AA Comments. (condition of inlet (ee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_1/011le (locate on site plan) Deoth o: liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) / PUMP CHAM8ER:�LI( (locate on site plan) Pumps in working order: (Yes or No) 1110 Alarms n working order (Yes or No)AO—�- Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (r.v1ii.d 01/15/97) Pig. 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1 1 0 Oceanview Ave Cotuit Ma ` Owner: Kruskall Date of Inspection: 1 0/H/9 7 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible: excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits, number: leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: a leaching fields, number, dimen ons: 113 overflow cesspool, number Alternative system: Name of Technology: Vlf Comments: (note con ition of soil, signs of hydraulic failure, level of po�din , condition of vegetation etc.) s �, 7 CESSPOOL#! (locate on site plan) ,p Number and configuration: Depth-cop of liquid to inlet invert: Depth of solids layer: /vaGG Depth of scum layer: G,Lt Dimensions of cesspool: Materials of construction: Indication of groundwater: �r inflow (cesspool must be pumped as+part of inspection) c i37 Comments: , mote condition of soil, signs of , ydraulic failure, level of ponding, condition of vegetation, etc.) i4t PRIVY: D (locate on site plan) Materials of construction: /L'/,) Dimensions: Depth of solids: 11�x Comments: (note c ndition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (z•v1••d 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ~ SYSTEM INFORMATION (continued) Property address: 1 1 0 Oceanview Ave Cotuit Ma Owner: Kruskall Date of Inspection: 10/8/97 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (locate where public water supply comes into house) 11 O Ceo-n LJ i e w &je- c,P 1000 o,AI. Fit (r."..d 0s/75/97) P.y. 9 of 10 SUBSURFACE SEWAGE DISP,. t SYSTEM INSPECTION FORM I C SYSTEM INFOr . :ION (continued) Properly Address:1 1 O Oceanview Ave Cotuit Ma owner: Kruskall Date of Inspection: 1 O/8/9 7 Depth to Groundwater/sG Feet Please indicate all the methods used to determine High CroundwaiV H& a.ton: Obtained from Design Plans on record br vat�n_Qf Stte lAbunine orooerty observation hole, basemcN'simp etc.) ,ZDetermine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records !/ Check local excavators, installers ---i-ii--- Use USGS Data Describe in your own words how you established the High Grounclwa•crElevation. Must be completed) Used Cape Cod Commission Map September 1995 Watertable Contours And Public Water Supply Wellhead Protection Areas Irw1••G 0//�5/9'7! Pic, o! 10 .-.r+ nr►—Tr- rnr mn rt'r rain'.*'++.rrr:•.�++vrr:+T-emm nsr'tnu*rv'srnr..rs+ mvrs.rn.-rrr rn-rr-.-r--T- _. ._ 1 R TOWN OF uarnstahle BOARD OF HEALTH SUIISURFACF 9FHAGE DISNSAL SYSTEM IN311FCTION FORM - PART D CEI(•rIFICATfU;1 I '...�.�.T ... —r. ..��T.r� n.TTT:ITTSTTT'.r—•.l nR+r1 VR1Cr T.�PP1".'fit 19ti1 I.'�rt�Pv i4�i"T�r�..—r.•�- r-._. -TYPE OR PRIHT CI.EAALY- PROPERTY INSPECTED STREET ADDRESS 110 Oceanview Ave Cotuit,Mass . ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME Kruskall PART D - CERTIFICATION 1 NAME OF INSPECTOR Joseph P. Macomber Jr . COMPANY NAME Joseph P. Macomber & 'ion , Inc . COMPANY ADDRESS Box 66 Centerville , Ma. 02632-0066 Strevt Town or City Stat9 11P COMPANY TELEPHONE (508 ) 775 -3338 FAX ( 508 ) 790 -1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time ofeinspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Cheek ne : System PASSED The inspection llhich I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe environment as defined in 310 CMR 15 , 303 . Any fail(ire criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have cony acted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date One copy of this certification must be provided to the OWNER , the BUYER ( where applicable ) and the BOARD OF II BAL1'lI. • If the inspection FAILED , the owner or 'operator shall upgrade the eyatem within one year or the date of the inspection , unless allowed or required otherwise as provided in 310 CMR 15 . 305 , partd . doc W 7 � SS byV �71�� THE COMEMONWE.A.LTH OF MA,SSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber Jr. Has satisfied the Department's qualifications as required and is hereby authorized to. use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in '310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws_ Issued by The Department of Environment.,-11 Protection. lunc 8. 1995 Acting Dirccror of the W�tcr Pollution C001rol TOWN OF BARNSTABLE L.00ATIO*: V/ �k V-P- SEWAGE# �Td'.AGE 1 � ASSESSOR'S MAP&LOT CAS INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY' LEACHING FACILITY: (type ) (ox<3< C4SSag�(size) NO.OF BEDROOMS {� BUILDER OR OWNER 'T z\q r PERMITDATE: 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 i o ©eeA n vi Q.w 1 � CY lvoo ap►1. Lo"t A T'ION SEWAGE P MIT NO. !jKLAGE //® oce� INSTA LLER'S NAME i ADDRESS 6UILDER OR OWNER //0 c cJ , DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED r t � �, f � � '1 y �c is o� NGVJ� ��.`,. e' �� I No.OA21 5 Fxs.. ��, .... THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH App ira#ion for 11itipuiat Warks Tomitrnrtiun Vamit Application is hereby{„made for a Permit to Construct ( . ) or Repair an Individual Sewage Disposal } System at ......l1®. A�.-.�. )2.......I.J.1._CLt)......... ................. ...................... . ----.............------------------------.....................-------- .Lo lion-Address }�l_y or Lot No. .......( � �.1.�1.t. 2 x .............................. ............. ......... ...../ T - ........._... V! ac42 .. A dress ........... -------------------------Y..�?..------.. .. ..y��i✓. ................................ Installer Address UType of Building Size Lot............................Sq. feet 0-4 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Ga Other fixtures ................................. W Design Flow............................................gallons per person per day. Total daily flow............................................galIons. WSeptic Tank—'Liquid capacity............gallons Length................ Width................ Diameter.------.-------. Depth................ x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.........---.--..... Depth below inlet....;............... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.................. --.............. ..................... - ------ ••---•. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----.................... O Description of Soil-----....... dlCl'.. ... ................................................................... .. "4 V -----------------------------•------•----....-•--•-,•-------------•------------------------------ W ----j------------------------------ ------•- i--•------------------------------------ U Nature of Repairs or Alterations—Answer when applicable.-.-----..1-.._1,C�C�C�_96(....D j r................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of MIL LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the board of health. Signed...... _. ..... ....... ... -.3..J.......�. Elate Application Approved By-•-••• -•-•--•---•..........................•-- Date Application Disapproved for the following reasons---------------------------------------------•--•---------------------------------------------------------------- ........--•-•..................••-----•---.......---••--•-------..................._...........---------•---••-•---••....•--•--....•--------•---------•--•••------•-••-•---•-•••---- --•••----••--- Date PermitNo......................................................... Issued_....................................................... Date 4 b. No.. � Fims............... THE COMMONWEALTH OF MASSACHUSETTS BOARD : F HEALTH � . : .............. .. . . ......... 0F...... .................... , Appliratilan for Disposal Works Tunstrurtinn Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (4) an Individual Sewage Disposal Sys __ ~ " • J a..e ..............................«- - _P / r. - or Lot No. ..... ._...............__. .........YiC4, ✓'`� _ ........ ...........................................„..... d..J %]. �j I snsl�f @ - t /.dress Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures .........................------ - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity......_.....gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.......:..............Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... aTest Pit No. I................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_....._ ................................- k.. x W ............................................................------------••••-••••--..............-----•-----• ---- ---I -- .-.._------------------------- 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has"�been issued by the board of health Signed i ✓� r43wr t.. f ate Application Approved By e �,��----•........................... �_......................... Date Application Disapproved for the following reasons--------------------------------•--------------.......--•---...-----------------•------------....--•---••-•••---• ...........................•-------•-----...........-----•------............-----•--.....-----------...-------•--....••---•---••----•••--------------•-•-•-•-•-------------•-•--•----••----•-----------. Date Permit No.............. Issued----------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t 1 Clrriifiratr of Tlantplitu rle TIWS IS TOZEFTIFY, That the Individual 2 e_Disposal System constructed ( ) or Repaired ' ) b : , i t �1 ,u ,f C i ......................... ... .....•---•--. 7 r y has been installed in accordance with the provisions of T� of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ....... .........a'3__...__.__...__. dated__........................•..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT SFACTORY. DATE............................................a3t- { Inspector ter' .. �" = .... THE COMMONWEALTH OF MASSACHUSETTS BOARD�OF HEALTH�^ N � sd OF.... 7- .. ....... ................................... Fss......................... .............. Dispo l nr _Ton. �udiott rrm,' Permission is hereby granted_.._. ................................ ........... .............f � �.. �" '�: to Construpt ) r Re aIr, ( an Indivlduafi ge Diss osal System at . �..J��.... FO t f !✓ { ....«. ...----- ---•••--..... ..._.� ....... ------------------------------------------- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................:.................. -----E..1 - --`' .................................................. Board of Health DATE.. fir'.« ---- ---•- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1 ` 12 EXIST. NEW ASPHALT ROOF NEW AZEK 1 x 8 FASCIA, - SHINGLES TO MATCH NEW RIDGEVENT SOFFIT 8 1 x 6 FRIEZE BOARDS EXISTING TOP OF PLATE NEW AZEK 1x4 -- 'I TRIM W/2"2"SILL ® ® NEW 1x6 - CORNERBERBOARDS NEW CLAPBOARD SIDING TOP OF PLATE AT KNEEWALL LEGEND: SECOND FLOO SUBFLOOR = EXISTING WALLS TOP OF PLATE --� CONSTRUCTION TO BE REMOVED m � NEW CONSTRUCTION c L I I IL--Jl -'-j I L-Lj�;� 4 FIRST FLOOR up H L-L-LJR-L SUBFLOOR -- A A2 FRONT ELEVATION II II ' - VELUX JATH I VS3"' IABOVE I EXIST I 1 -J NEW PELLA D BATH --- g -- NEW------ DOUBLE F =vk HUNG j\ oc BEDROOM WINDOW q 1 - ,I NEW AZEK RAKE BOARDS EXIST. O I 6.4 12" I - TO MATCH EXISTING HALL © I I I 26 DOOR ON. 12 EXIST. NEW PELLA NEW PEL NEW PELLA 2535 2535 2535 CASEMENT CASEME CASEMENT WINDOW WINDOW WINDOW A EXIST. BEDROOM SHED (NEW SHED DORMER) 4 PORCH ROOF Ifl BELOW Fm CLOS. zr�'• SIDE ELEVATION SECOND FLOOR PLAN I ERRORSIGNER OROMIS LL IONS NOTIFIED IF AREFOUNDONV SCALE DRAWING NO.: COTUIT BAY DESIGN. LLC NEW ADDITION/REMODELING FOR: ERRORS OR HEBUILOINGCONTF THESE DRAWINGS PRIOR TO START OF WILL CONSTRUCTION.BE RESPONSIBLE FOR THECCONTENT OR 1/4" = 1 I-0" 43 BREWSTER ROAD - IN THESE DRAWINGS IF CONSTRUCTION MASHP( �� B R U N O RESIDENCE COMMENCES WITHOUT NOTIFYING THE Al EE MA. 02649 DESIGNER OF ANY ERRORS OR OMISSIONS. DATE : PH. (508 274-1166 TOF THE HESE OR ER NOTEDSOLELVFOR THE USE 110 OCEAN VIEW AVENUE 'tOTUIT, MA ACT OF�ERNOTEYIGH PROTECSEOF FAX 50 539-9402 CONTHESENT OF THE UNDERHE 9/15/2014 CONSENT OF NO DESIGNER UNDER THE �7 ARCHITECTURAL COPYRIGHT PROTECTION " NEW ROOF CONST. -2 x 8 ROOF RAFTERS @ 16"o.c. -5/8"COX PLYWOOD ROOF SHEATHING -RUBBER ROOFING -15LB.FELT PAPER -SPRAY FOAM INSULATION(R38) -SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTER ENDS -ICE/WATER SHIELD AT BOTTOM TO"OF ROOF -PROP-A VENT BETWEEN RAFTERS 2 x 12 RIDGE BOARD -WIND WASH BARRIERS -ALUMINUM DRIP EDGE 2v2x 4's@16"o.c. TOP OF PLATE 2-2 x 4 HDR. 12 EXIST. // c NEW TOP OF PLATE AT KNEEWALL BEDROOM SECONDFLOOR SECOND FLOOR"' .. .. UBFLOOR SUBFLOOR NEW WALL CONST. 1.2 x 4 STUDS @ 16"o.c. 2.1/2"PLYWOOD SHEATHING 3.3"(R=20)SPRAY FOAM INSULATION IV 4.1/2"GYPSUM BOARD 5.CLAPBOARD SIDING ' 6.TYPAR VAPOR BARRIER BUILDING SECTION @ BEDROOM A A2 � ———— —————————— IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE402.1.1 (MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) _ NEW 2 x 12 RIDGE BOARD v FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL — ——— U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE 0.35 0.60 49 20 30 10/13 10(2 FT.DEEP) 10113 NOTES: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. \ 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR ————— OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS \ NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 15-6 s'B' DETAILS,&FINISHES IN THE FIELD WITH OWNER (NEWSHEDDORMER) A - 3.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE A2 DURING FRAMING CONSTRUCTION 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS PORCH ROOF BELOW STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 5.) 110 MPH EXPOSURE B WIND ZONE,1.50 ASPECT RATIO 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING T.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD 8.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION 21'd" OF ALL SIMPSON COMPONENTS ROOF FRAMING PLAN_ 9•) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE 10.) THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"B" NOTES: &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF 1.) ALL ROOF RAFTERS TO BE 2 x 8's MASSACHUSETTS WIND SPEED MAPS UNLESS OTHERWISE NOTED 11.) GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING 2.) USE SIMPSON H2.5 HURRICANE CLIPS VERIFY ALL WIND BORNE DEBRIS PROTECTION REQUIREMENTS W/ AT ALL RAFTERS ENDS W/OWNERS PRIOR TO START OF CONSTRUCTION 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS THE IF ERRORSIGNER OR OMISSIONS ARE FALL BEIOUND FIED ONT SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: CONSSTRUCTN.THE BRTOST I CONTRACTOR p WILL BE RESPONSIBLE FOR T ECON ENT 1'1/4" — -0" 43 BREWSTER ROAD IN THESE DRAWINGS IFCONSTRUCTION B R U N O RESIDENCE COMMENCES HGS AR NOTIFYING THE MASHPEE MA. 02649 DESIGNER OF ANY ERRORS OR OMISSIONS. DATE . PH. (508 274-1166 THESE DRAWBGOTEDSOLELYFER THE USE THESE THE OWNER NOTED.IRE OTHER USE OF FAX (50 ) 539-9402 110 OCEAN VIEW AVENUE COTUIT, MA ACTHITECT NGSREORIGHTPROTECS THE TION 10/20/2014 A2 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION LASTJnD '2— �i. vl I Ib Re . _._.__-...-.._.__._. 5 �1 Stirs �i �.. I I ?osr 2£ ev�D r uK ' et SG Din I Fi CAM c n'1 B R 1 .E RaS-Te Eyc-t_KL. (4) WL- �_ u� Iy K I I I I 3 r*-s �2� ZYK"X �3I� •r L 1 11 _ FLoo�S �"�u 1 Iour `ZHOFM, 4SS9 o� AAICHELE o CUDILO r`rn STRUCTURAL y No 34774 9 _ A90,t�FG/STEP�F�Q 1 1 ) SS/ONAL ENS' jO ST — L �l t • stKe: � - '-D" wwtovtrntn3 olawn�r . owa: u 3 tttlr�ao � uwnwNaaaniml - e I r (I� I f 04 r � O cil 31 z - , i • � i �p ni _-- - ��- L r' 3 s r s . a 0 v o N rr y� Z I ZIP �r tn sue-{ l • i - o.i � re i � v rN 91 .ya tl o N - � pr•• pa .IA'w � � i 1 r 011, S. a in tA to 4-1 � � z L n x TOWN OF BARNSTA LE 1319 Beacon Street SviTe 3 ( j� } Brookline,MA 02446 O� v (�07 3V1- 19 Phi 14: 6 Telephone 6 1 742 2-0952 Ir•tr Facsimile 617-122-0962 (% 40 2Y-� T=1N GENERAL N07E Os Mille,NIA 7 E Telephone 50&t20-6296 ALL TOP of CONCRETE AND FOUNDOfRI OWIQTSgF6 TO BE FIELD VVW1ID BASED UPON DUSTING —.kentdnekham.coIn STRUCIUML WNOOUIS VIcION MP OLMLA.. EL- -5 a..,$) I i.-i :MBE ME of- 5 PERMIT SET � ( w.w,a.cola DRAIN TO ORMI LL W f 0 ARCIN f ka - nLJJ No.'.1777 w � BOSTON ay p VZ Lam 17DEEP s 2r WIDE p a. FOOTNC,TYPCA. P CONCRETE SLAB WITH 64 10/10 WWF w_ DAN 6NN POLY VAPOR BARRIER ONE .COMPACTED GRAVEL - TYPICAL 4T' 4)13'X 11 LVl DUSTING DECK .. - ro RETWN ' - EAIL MOUND Yr DEEP FTG.YBl W/IRA W EO.C.EA WAY (%, RelnTn®E . �IX6IING , J, 1rDEEP a 2,17 WIDE. COVERED PINCH r CONCRETE SUB FOOTING,TYPICAL - J ka 10 REMAIN WYTH OVER 10/10 ovm 6 POLY .VAPOR RAMON E . WIO'N:1lU GMVLI m1cu. y �.: z d Eby: S`� Tlonbr: Bruno Residence EXISTING ^11-0 Ocean Avenue PORCH RE]MAB1 a Wtui Mt, • . E DUP sIr WIDE - `r,:. :.; FOOTING AT WASOIN'F - ` ARFMAT PROPOSED ED. r-a ED. xo E•x FOUNDATION PLAN r-x ra r-4 t� u•P unrr PROPOSED FOUNDATION PLAN mT�iam Do hMM& jinn --- —— 1319 Beaom Seca Suite 3 Brooktia MA 02W Telephooe 617422-0952 Facmale 617.422 W2 . O�MA S t V Tekephaoe 50&42UG296 ritf Y S r- r- wwo..keDm m.ur�lvoom Al EO tY I IF. 1-1 1PERMIT SET jumm WWELL E E E E E E. euwo�a.ao�a I� Typ. ————————————- I I Q� l • iI � I� I I I Iaue's , ? IMi I flab, D! I I I I I - I I IL•-------------t I I tp tla�7Mr t3Ato4Y ®O 5 I I - Rt:visime ;. N-bw oa 17araptiot H ,I t>v..b,: i I I . Bnm Residence Y 110 Oom Avenue Coui%MA PROPOSED 1 PROPOSED BASEMENT FLOOR PLAN BASEM@1TFiA0RPLAN SCALE: Vf — t=CI' terra _ ®C"m btm mE KTWM mttam A101 J t ) 1 1 2. II20r lp I I I ff z 1= I I I II N o r of I ® c4>it x u•LVL r"Id' v ell (2)1j x 91•LVL q 25 k--=--------- - I K --- I I ' - ---- -' e iI. i 1•-P xv 4:1•Y.O. II I I I II . I �I I I I II I - y L 1319 Beacon Street Suite 3 �p` �• 2,. - Brookline,MA 02446 Telephone 617-422-0952 27-3 - 7-1Ir 12'-1T Facsimile 617-422-0962 GENERAL NOTE Ostenvlle,MA Telephone B'S ALL TOP OF CONCRETE AND FOUNDnON DIMENSIONS 503-4206296 TO BE RELD VERIFIED BASED UPON EXISIWG STRUCTURAL CONDITIDNS. ss•nw,kentduckham,com I In I Pi 1 f�� a'OP 2 5 to Q ,�O ��y {•. PERMIT SET No //}7 Id DDUN TO �rYr7� � ON, qj Awo�z.zotz LL MS EL=-(6'-10•) - EL P BW _fz OF VknSS� EL= 1 IF- If DEEP x 21V WIDE 18B0[S - FDOTING,TYPICAL f CONCRETE SLAB M - N-bv IDz2 D®Ptim WITH 6x6,10/10 WWF - _ ti OVER 6MM POLY. d l VAPOR BARRIER ON 6 •� _ COMPACTED GRAVEL 1 TYPICAL, 3 /0"F (4)1j'K III'LVL IIII Ii Il -DUSTING DECK i . TO REMAIN . DUSTING FRAMING / HM USE ENLARGED P.T. 67ALL AROUND xr DEEP FIG.MIN, f2U5101C 1A.SONRf SILL PATE O POSY R - W/fw O li O.C.EA WAY / �� BEAM FRAMING W/501PSON •. 1 OlK01 FIRST FLOOR A35 O 17'O.C.MOT. 9A�-Cy, La lrinn. (� _ 47��C • N®ha Iltle Oaax�lim ALIGN WITH EKISTINC n��� e TOP OF CONCRL�E DOUBLE PT 2x6 PATES COVERED DUSTING i 4'CONCRETE SUB $ 4• xTYP41CA El=-(1'•11h') • WITH SILL SEALER TO REIWN WITH 6x6.10/10 WAIF cjy l Y vN,�� OVER 6MM POLY 2-/5 BARS TOP AND VAPOR BARRIER ON CrGRADE VARIES -III=1-I FI EI-I H R III III BOTTOM COMPACTED7YPICALBAVE4 III III II 7L-III IICIII -III II W0xIfLONG W/Y V! - - r- "Y RIGID - I. II-I HOOT(AN SOUS O f b otr IHV JILIIHI III�II - 'a' INSUUTION ONIICIIFII CII TI-III 2f O.C.N/PATE T _F y� " =IDNIPROORNGIi IHI��I�II II I��I WASHERS 3x3xtA 2#4 TOP, - �� EL tll-1 - T. CLEAR R BELOW . -� —I—I IrJ1—I rIl Wu WINDOW OPENINGS,Y MIN -- I —I f1111 III—III-TF-I F-I 11 BEYOND CDRNERS II=11 II-IIF= -I -T COMPRFSSIBLE =CFEIII=IIIII_TI I RL-1�K,L1-G llELrITIi n FILL ER' - .mededbj: HE ICOFI I 1 l .h: IILIIG 17 T EL=VARIES IFIEII C1I-11CII SEE DRAWING SIOD - _II IEIIE'll-IIEIIF -IICIII�11=i11=III=III- 4'PERFORATEDI=1 EI 1r r_ -iwc FOIININTKNlJ111�1- Bruno Residence ORNN-_ EXISTING VVERED Ilul=11L� IILIIF _ PORCH REMAIN 110 Ocean Avenue . EII�u�IHP�-I�i jl u-I 1�j1L 11�1�1 . Irl�DTTINI OF FDOnNc_ -I a EI I 1 1=11 L I EH — •, (�_ '(A 1 iIGIIfFIEiI II�IIEIIHI 1111.1 Il�, fll„I ICIb 4S A COtu1t,jV1A I IIFu-sir_i� III�III=11 I�hrp� i I-ILL IEIIFJ-�TEIII-IIIJ =EIIIW/6x6 POLY V M1F ON j PF,.g -J-I HIf=jL=1 111-IIII-1-IH1j=III=1L=11(=III-IP-III-6 MIL POLY VAPIXt - B'DEEP x1C WIDE 111 111111LITI=!1I 11 T-1-1 1=71-T(FTL-11L-111=7==1 RhRm ON 6• - �� ".�yX� FOOIING AT MASONRY." OF.&IAS gyp. 11=III=i1 iLI-IC- =III=11611-1f-III-III-III�-I� ILL-TIC =_ t1 ``c������ l ILL-,IIEI�III I1L=11 EIIL=ILL-IIEIFIIFIIi= EI LIIICOMPACTED CRUSHED _ AREAWAY '^5"C `dyer I FIIFI FJ�ICIIII 1 IIE7 IfE I-IIF=IIEII L-11 11 EIIH IR IESIDNE ON UNDISIURBED-1 T<1N HEII�7FI 11EIr�L LEI L�TEHISOIL _ SI' I C IICII CllIa ICI ICI-III-IICII I-IICIII-i.-.�._. 9'-B� 7-V ED. ST� TU E �'a~ PROPOSED TYPICAL FOUNDATION DETAIL 0 la O FOUNDAnO NPLAN 2SCALE: 3/4" 1-0' . 6'-14 23'-q z CUDILa No3477 o UCRAL� ��;�' 1w�1a• SION.-t - q PROPOSED FOUNDATION PLAN 2Dllaoo . g �z MI sloo Dfi o�u 0 N U" Wlliom G'N Fsonnne ASSESSORS REF.: & � Hone c137is y . Map 034, Parcel 050 0 P 15' Right. of Way ;"� TBM E1=39.5 NGVD ZONE: f i e _ Top of CB/DH 'i •�.1 }F RF (RPOD) w v t Edge of Shell Drive Area (min.) 87,120 SF ,, ` " " f I 15.1' 138.00 �- —— __ CB/DH c — Fnd Fronta e (min) NA ,. Width min) 150' 31.9' r �.. , l _---- ! Sh H age i _ Setbacks: � Front 30' 1 lob= 36.6' r 1 .Shell Drive' -' .... ...... /`. ;. ,, Side 15' I ., _...... ... Rear 15' tea•. �nd`•' ��`'�.;"����� � 5 ' 1 Garage • Location Map —— Brick Walk W 10 FEMA ZONE 0 O Lawn ;? FLOOD �o h :N o , Zone C _ a : - - o M Panel # 250001 0018 D (rev. July 2, 1992) p .N ............ d> Lawn REVISED GROUNDWATER PROTECTION OVERLAY DISTRICT: Deck AP — -Aquifer Protection District ....._.............._. .._......................_..................._ \ U ;. r z Approx. Septic ..... ill= 40.2' 40.1' a° as Shown on T.O.B Stone o As-Built Card 1 1#2 $t OOOOOC_7O����0 W F Dwellin COD w b Hydrant Water Poe r Utility le / Light Post LOTO Lawn 1 �_ —oew—Overhead Wires 8 i Plantings i —as—Elevation Contour 18,785fSF Fnd 11 o CB/DH Concrete Bound w Drill hole T7 ................._................._.__.... 0 1 s SB/DH Stone Bound w/ Drill hole SB/DH e PK nail P+3 10 i o , Deciduous Tree re3 11^Y� p� \ o Coniferous Tree a! . � C f N o = ..._ _......_..... Tree Line C ql h RICHARO R. VNEUREUX _ NO. 34312 CB/OH � 157. O Fnd Post & Rail Fence O —O O. 03' c t _ Q N8435'05.,W C PiCXet Fence I o dQ�8TEp�� II Cobble% IVIF Ri —_... .__.._ _._ one Ed in —C B/DH 11556/239 Fnd Stone Drive Sheet # Title: r`, Prepared For: Notes/Revisions: Existing Conditions Plan at CapeS 1 V Scale: 1"=20' Ga A Bruno 1•) The property line information shown was ry compiled from available record information. �n 1 �f 110 Ocean View Avenue In 7 Parker Road Date: 699 Hammond St 2•) from topographic o oon phe ground d survey s obtained on uV Osterville MA 02655 04/AUG/11 Brookline MA 02467 or between 27/JUL/11 and 01/AUG/11. Barnstable (cotu;t) Mass. (508)420-3994 (508)420-3995 fox 3.) The datum used is NGVD '29, a fixed mean capesurv0ccpecod.net Dwg'C323_7g 1 sea level datum. ..'. it _ u' Gs 4 � 37,17 B runoResl ence 110 Ocean View Ave j�- t:.ti4,h..;y� Cotuit Massachusetts �IO, s No.•7777 Permit Set - March 2, 2012 liOST014t .............. rM rM PROJECT DIRECTORY DRAWING INDEX GENERAL NOTES OWNER: Gary Bruno - 1. ALL WORK PERFORMED,INCLUDING MATERIALS FURNISHED,WORKMANSHIP,ARID 7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE PROTECTION OF ALL 14. CONTRACTOR SHALL AT MEANS ALL TIMES DURING THE COURSE OF THE CONTRACT KEEP 110 Ocean View Ave E101 EXISTING PLANS Bit ELEVATIONS MEA AND METHODS OF CONSTRUCTION SHALL CONFORM TO THE APPLICABLE INSTALLATIONS,CONDITIONS MATERIALS ARID FINISHES WITH THE PROPOSED ADJOINING PREMISES,INCLUDING STREETS AND OTHER AREAS ASSIGNED TO OR AND THE LATEST REQUIREMENTS OF THE MASSACHUSETTS STATE BUILDING CODE CONSTRUCTION AREA AND ALL ADJOINING PROPERTY AFFECTED BY USED BY THE CONTRACTOR,FREE FROM ACCUMULATIONS OF WASTE MATERIALS COtuft,MA AND THE APPLICABLE CITY OR TOWNSHIP,ALL LOCAL AND STATE HANDICAP AND CONTRACTOR'S OPERATIONS.THE CONTRACTOR SHALL PROVIDE ADEQUATE AND RUBBISH CAUSED BY CONTRACTORS EMPLOYEES,SUBCONTRACTOR OR THEIR FEDERAL REQUIREMENTS,AND GENERAL CONDITIONS PER AIA DOCUMENT OA205 SHORING AND BRACING FOR STRUCTURAL OR REMOVAL TASKS.THE CONTRACTOR WORK. $100 PROPOSED FOUNDATION PLAN AND OWNER/CONTRACTOR AGREEMENT DOCUMENT pA105. SHALL HAVE SOLE RESPONSIBILITY FOR ANY DAMAGE OR INJURIES CAUSED BY OR S701 PROPOSED SECOND FLOOR FRAMING PLAN DURING THE EXECUTION OF THE WORK.ANY EXISTING MATERIALS AND FINISHES 15. CONTRACTOR SHALL ASSIST DELIVERY AND STORAGE OF OWNER SUPPLIED ITEMS, 2. BEFORE COMMENCING WORK,THE CONTRACTOR SHALL FILE ALL REQUIRED WHICH ARE DAMAGED,SHALL BE REPLACED AS NECESSARY WITH NEW MATCHING AND DISPOSE OF ANY RESULTING TRASH. ARCHITECT: Duckham Archftecture S102 PROPOSED ROOF FRAMING PLAN CERTIFICATES OF INSURANCE WITH THE OWNER AND THE DEPARTMENT OF MATERIALS AT THE CONTRACTORS OWN COST AND EUV6E. 1319 Beacon Street BUILDINGS,OBTAIN ALL REQUIRED PERMITS,AND PAY ALL FEES REQUIRED BY THE 16. CONTRACTOR SHALL PROVIDE SHOP DRAWINGS FOR ALL TRADES PRIOR TO Suite 3 GOVERNING AGENCIES. 8. THE CONTRACTOR SHALL DO ALL CUTTING,CHASING,CORE DRILLING,PATCHING INSTALLATION,AND SAMPLES OF ALL MATERIAL AND COLOR/FINISHES FOR Brookline,MA 02446 A101 PROPOSED BASEMENT&FIRST FLOOR PLANS AND REPAIRING AS REQUIRED TO PERFORM ALL THE WORK THAT MAY BE ARCHITECTS APPROVAL ON ANY DEVIATICWSUBS ITUTICN FROM CONTRACT T.okIIn 422.0952 3. THE CONTRACTOR SHALL VISIT THE SITE AND VERIFY THAT ALL EXISTING INDICATED ON THE DRAWINGS,AND ALL OTHER WORK THAT MAY REQUIRED TO DOCUMENTS. A102 PROPOSED SECOND FLOOR f:ROOF PLANS CONDITIONS AGREE WITH THE INFORMATION SHOWN ON THE DRAWINGS.ANY COMPLETE THE JOB.PATCHING SHALL MATCH ADJACENT SYSTEMS,MATERIALS F.(617)42.2.0962 CONFLICTS,OAMS51ONS OR DISCREPANCIES SHALL BE BROUGHT TO THE AND FINISHES UNLESS OTHERWISE NOTED. IT. CONTRACTOR TO VERIFY ALL FIXTURE COUNTS,AS APPLICABLE TO THEIR Contact: Kent DUckhann ATTENTION OF THE ARCHITECT FOR RESOLUTION PRIOR TO CONMENCEMEHT OF CONTRACT,WITH OWNER A201 EXTERIOR ELEVATIONS ANY WORK NO ALLOWANCES WILL SUBSEQUENTLY BE MADE CHI BEHALF OF THE 9. CONTRACTOR SHALL EMPLOY ADEQUATE NUMBER OF SKILLED WORKMEN WHO ARE ARCHITECT FOR ANY ADDITIONAL EXPENSES WHICH ARE INCURRED DUE TO THOROUGHLY TRAINED AND EXPERIENCED IN THE NECESSARY CRAFTS AND WHO 18. CONTRACTOR SHALL BE RESPONSIBLE FOR CLOSEOUT,PRIOR TO FINAL PAYMENT, STRUCTURAL A202 EXTERIOR ELEVATIONS NEGLECT OR WHICH COULD HAVE BEEN REASONABLY FORESEEN BY PRIOR ARE COMPLETELY FAMILIAR WITH THE SPECIFIED REQUIREMENTS AND THE INCORPORATING ALL STANDARD GUARANTIES AND WARRANTIES AND ORIGINALS ENGINEER: INSPECTION OF EXISTING CONDITIONS. METHODS NEEDED FOR PROPER PERFORMANCE OF THE WORK.ALL WORT(SHALL OF ALL APPLICABLE CERTIFICATES OF TESTING,INSPECTION,TEMPORARY FINAL BE PERFORMED BY DULY LICENSED PROFESSIONALS AND AS REQUIRED BY STATE CERTIFICATE OF OCCUPANCY,COORDINATE WITH OWNER, A301 BUILDING SECTIONS 4. PRIOR TO COMMENCING WORK,ORDERING OF MATERIALS AND SHOP FABRICATION AND LOCAL GOVERNMENTS FOR EACH APPLICABLE TRADE,(PLUMBING, OF ANY MATERIALS,THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS AS ELECTRICAL,ETC.),WHO SHALL ARRANGE FOR AND OBTAIN REQUIRED 19. CONTRACTOR SHALL BE RESPONSIBLE FOR A THOROUGH,PROFESSIONAL INDICATED ON THE DRAWINGS AND SHALL REPORT ANY DISCREPANCIES TO THE INSPECTIONS AND SIGNCFFS. CLEANING OF THE ENTIRE FACILITY PRIOR TO OWNER TAKEOVER DATE.ALL ARCHITECT FOR RESOLUTION. _ E*OSED HORIZONTAL AND VERTICAL SURFACES INCLUDING,BUT NOT LIMITED TO S. 10. THESE DRAWINGS ARE DIVIDED INTO SECTIONSFOR CONVEN84CE ONLY. THE FOLLOWING MUST BE WIPED CLEAN AND FREE OF DUST,WALLS,DPO5ED CIV ILSITE SURVEY: DRAWINGS INDICATE LOCATION{DIMENSIONS,REFERENCE AND TYPICAL DETAIL CONTRACTOR,SUBCONTRACTORS,VENDORS AND MATERIAL SUPPLIERS SHALL STRUCTURAL MEMBERS,STAIRS AND RAILINGS,CABINETRY.ALL FLOORS MUST BE FOR CONSTRUCTION.MINOR DETAILS NOT USUALLY SHOWN OR SPECIFIED,BUT REFER TO ALL RELEVANT SECTIONS IN BIDDING AND PERFORWNG THEIR WORK MOPPED CLEAN g' NECESSARY FOR PROPER CONSTRUCTION OF ANY PART OF THE WOW SHALL BE AND SHALL BE RESPONSIBLE FOR ALL ASPECTS OF THEIR WORT(REGARDLESS OF ` INCLUDED AS IF THEY WERE INDICATED IN THE DRAWINGS,FOR CONDITIONS NOT WHERE THE INFORMATION OCCURS ON THE DRAWINGS. 20. CONTRACTOR TO PROVIDE 3 COPIES OF AS BUILT INFORMATION,OPERATION AND ILLUSTRATED,NOTIFY ARCHITECTS FOR CLARIFICATION AND/OR SMWLAR DETAIL. MAINTENANCE MANUALS,INCLUDING ALL PRODUCT GUARANTIES A N I. CONTRACTO AND R SHALL BE RESPONSIBLE TO COORDINATE WORK OF ALL TRADES AND WARRANTIES. ''• GENERAL 6. THE SCOPE OF WORK INCLUDES ALTERATION TO EXISTING FACILITIES.WORT( SHALL PROVIDE ALL DIMENSIONS REQUIRED FOR OTHER TRADES, C WHICH IS OBVIOUSLY REQUIRED TO BE PERFORMED OR PROVIDE A COMPLETE AND SUBCONTRACTORS SHALL BE RESPONSIBLE FOR COORDINATION OF THEIR WORK 21. CONTRACTOR TO KEEP A SET OF THE MOST CURRENT DRAWINGS ON SITE AT ALL N CONTRACTOR: ,- FINISHED PRODUCT WITHIN THE SCOPE OF WORK,BUT WHICH S NOT WITH THE WORK OF OTHERS,AND SHALL VERIFY THAT ANY WORK RELATING TO TIMES. SPECIFICALLY INCLUDED ON THE CONTRACT DOCUMENTS,SHALL BE PERFORMED THEM WHICH MUST BE PROVIDED By OTHERS.HAS BEEN COMPLETED AND S BY THE CONTRACTOR AND BE INCLUDED IN THE BID.CONTRACTOR TO INSPECT ADEQUATE PRIOR TO COMMENCING WORK. AT TIME OF DELIVERY ALL FIXTURES PROVIDED BY OWNER TO INSURE PROPER QUANTITY,THAT RENTS ARE DEFER FREE,AND MATCH INVOICE.CONTRACTOR 12. CONTRACTOR SHALL PROVIDE STRUCTURAL BACKING/BLOCKING FOR ALL WALL TO BE RESPONSIBLE FOR INSTALLATION,WHICH MAY INCLUDE BLOCKING, MOUNTED FUTURES,FINISHES AND EQUIPMENT,AND FOR ALL HANGING FMMRES, SHIMMING,ETC.IT S THE CONTRACTORS RESPONSIBILITY TO COORDINATE ALL BLINDS,ETC. ITEMS SUPPLIED BY OWNERS VENDORS AND TO VERIFY THAT ALL MATERIALS y RECEIVED ARE IN ACCORDANCE WITH THE SPECIFICATIONS,HEREIN ANY 13. CONTRACTOR SHALL INSTALL ALL MATERIALS AND EQUIPMENT AS PER Lill t DAMAGED ITEMS OR DISCREPANCIES BETWEEN MATERIALS SPECIFIED AND MANUFACTURERS WRITTEN INSTRUCTIONS AND/OR RECOMMENDATIONS. - ,D i MATERIALS SHIPPED,SHALL BE REPORTED TO THE ARCHITECT PROMPTLY. ccK O C 2 co N ;. N r� --- — . — . — . — . — . — . — . — — 1319 Beacon Street Suite 3 Brookline,MA 02446 _- J Telephone 617-422-0952 — — Facsimile 617-422-0962 Ostetville,MA Telephone -1 508 420-0296 ILJ�--/�,JII uu�w.kentduc6ham.com ® -- -- / ------ - "�EXISTING FRONT ELEVATION ®� — "* SCALE: VIC _ 1-p PERMIT SET M"CH 2.2012 Lr �tiAEO Al&C Q���S �•® y/�C; &..A XISTING FIRST FLOOR PLANLE: "r '._Or O `EXISTING LEFT ELEVATION IAP 1-0' a II i I II - — — I Revisions ., N� D* nm°'yeoD LL-- I - --- ------ i I I II q L==JJ EXISTING SECOND FLOOR PLAN (�>KSCA XISTING REAR ELEVATION ---------------- LE: VIP' 1-c• I I Eby: I D—by: p Bruno Residence - I 110 Ocean Avenue I Cotuit,MA IL I - ! — — — — — II I EXISTING FLOORPLANS &EXTERIOR ELEVAnONS II I I II I I II II I I 7 EXISTING RIGHT ELEVATION ,�td I ---- - - ------ SCALE: VIP' � 1=17' J I II II A r.--- L==J m11nOOtnao 4q D EXISTING ROOF PLAN Dob-i E101 SCALE: ylr 1=�• 3213 - t _ WSuite3, 1319 Beacon Street Brookline,MA 02446 Telephone 617-422-0952 27-3d 7=11d 12'-1f Facsimile 617-422-0962 GENERAL NOTE Osterville,MA B-fr ALL TOP OF CONCRETE AND FOUNDTION DIMENSIONS Telephone 508-420-6296 TO BE FIELD VERIFIED BASED UPON OUSTING - _- 1 MU+ STRUCTURAL CONDITIONS. —1cmduckham.com P F / EL`- 'SV FLUSH EL=-(+''-6•) - .. _ �.I P W/GRADE PERMIT S E T b b 1� 7 t: EL=- . 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